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1.
Pakistan Oral and Dental Journal. 2014; 34 (2): 277-280
in English | IMEMR | ID: emr-159505

ABSTRACT

The objective of the present study was to evaluate the awareness and compliance among dental surgeons working within twin cities about "forensic dentistry". Secondary objective was to evaluate the need of this specialty to be added in BDS curriculum as an independent subject or part of any major subject. This cross sectional Study was done in five teaching dental hospitals of Rawalpindi and Islamabad which are affiliated with Dental colleges. 318 questionnaires consisting of fourteen basic questions were distributed in the dental colleges/ hospitals selected for the study. Data were then compiled, categorized and analyzed using SPSS. The response rate was 93%. Participants who had never studied forensic dentistry at any level were 99.32% and who never got any formal training in forensic dentistry were 100%. Individuals who opted to study forensic as a subject if opportunity of training was given within Pakistan were 60%. Forensic Dentist may play a major role in identification of those individuals who cannot be identified otherwise. Recent tragedies and situations have increased awareness concerning the importance of forensic dentistry in identification of victims especially in current era in Pakistan. Forensic dentistry must be introduced into the BDS curriculum effectively as a subject. Moreover, the likelihood of future disasters due to terrorism, earthquakes and other causes require the dental profession in Pakistan to be prepared for an ex-pended role

2.
Pakistan Oral and Dental Journal. 2014; 34 (3): 426-428
in English | IMEMR | ID: emr-149736

ABSTRACT

Among the minor oral surgeries done by an oral surgeon and surgeries carried out in the department of oral and maxillofacial surgery all over the world third molar removal is one of the most frequent procedures done. The procedure is accompanied by significant risks, with possible damage to the inferior alveolar and/or lingual nerve being of special concern. Considering these risks of mor-bidity, it is essential to establish the need of removal. National Institute of Clinical Excellence [NICE] in the United Kingdom introduced guidelines for removal of third molars in 2000, advocating that only pathological third molars should be removed. The following article makes reference to a study carried out in Ireland where third molars are extracted in accordance with NICE guidelines. This study was carried out to assess the compliance of general dental practitioners and oral surgeons to the NICE guidelines. It was noted that 90% of the patients referred for third molars extraction fulfilled the criteria set forth by NICE.A few modification were carried out in the guidelines provided which were done under scientific evidence based knowledge i.e. Prophylactic extraction of impacted third molars. These guidelines cut down lot of unnecessary referrals and allowed for organization of the patient load by the secondary referral center, as well as limiting unnecessary surgeries and postoperative complications. It is suggestive that the governing authorities in Pakistan should also implement such guidelines for extractions of impacted third molars


Subject(s)
Humans , Male , Female , Tooth, Impacted , Tooth Extraction , Guidelines as Topic
3.
Pakistan Oral and Dental Journal. 2013; 33 (3): 418-422
in English | IMEMR | ID: emr-141046

ABSTRACT

The aim of this study was to compare the treatment outcome of thirty unilateral temporomandibular joint [TMJ] ankylosis cases treated in Pakistan Institute of Medical Sciences [PIMS], Islamabad within four years by either silastic or acrylic interpositional arthoplasty. Patients having bilateral TMJ ankylosis, age less than 16 years, coronoidectomy required during procedure, already operated cases and medically compromised patients were excluded from the study. Pre and post-operative assessment was done by thorough history, physical examination and radiographic evaluation [OPG and CT scan] to determine the cause of ankylosis, the maximal inter-incisal opening, complications including infection, presence of facial nerve paralysis and recurrence rate. The maximal inter-incisal opening in the pre-operative period ranged from 0-11mm and was recorded at a mean of 32.7+/-5.8mm for cases treated with silastic interposition and 29.5+/-6.8mm for the ones treated with acrylic one year after surgery. Infections, swelling, pain and nerve injuries were reported in both the groups post-operatively. Both silastic and acrylic were found to be statistically similar in terms of maximal inter-incisal opening, complications and recurrence rates. Recurrence was observed in only one patient treated by acrylic inter-positioning. Silastic however demonstrated itself to be a better choice in terms of handling and patient tolerability

4.
Pakistan Oral and Dental Journal. 2013; 33 (3): 446-448
in English | IMEMR | ID: emr-141054

ABSTRACT

The objective of this clinical audit was to evaluate the performance of a newly established Oral and maxillofacial surgery department during the first twenty four months of its existence.It was a Cross-sectional study. The audit took place from September 2011 till September 2013 consisting of 24 months duration at oral and maxillofacial surgery department of Rawal Institute of Health Sciences, Islamabad. Data were collected by the staff members during their routine work. Data was then compiled, categorized and analyzed, to evaluate the quality of work. During the audit period 8522 patients who visited the Department from September 2011 to Sep 2013 were included in the study irrespective of age and gender. Among which 5237[61.45%] were male and 3285[38.55%] were female [3:2].Majority of the patients were from Islamabad and Rawalpindi [85.70%] with the peak in the first decade of life. Maxillofacial injuries and Pathologies comprised 210 patients [2.46%], Patients who suffered maxillofacial trauma patient's mandible fractures were the most common 83[39.72%]. A service like this in the private sector is both valuable and commercially viable. The findings of this audit can be used to forecast the future service use. It will also provide the parameters for auditing the services provided by the department in future

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