Anophthalmic patients treated with eye prosthesis at a maxillofacial unit in Jordan

Objective: To study the profile of anophthalmic patients regarding age, etiology gender, and the role of the ocular prosthesis in the psycho-social support of their wearers

Methods: A total of 920 Jordanian artificial eye wearers who registered for ocular prosthesis maintenance, repair or replacement attended prosthetic eye sector referral center [King Hussian Medical Hospital], during the period from August 2009 to July 2014 were surveyed. They were divided into three age groups; 331 patients [35.98%] were 1-13 years old children, 128 patients [13.92%] were 14-20 years old adolescents and 461 patients [50.1%] were 21 -75 years old adults and elderly. The group comprised 410 [38.91%] females and 510 [60.09%] males. A satisfaction questionnaire were completed by them or their close relatives using a simple Arabic language to elucidate their degree of satisfaction with several parameters including; appearance, comfort, fit, irritation, degree of self-consciousness, frequency of cleaning, and value of treatment. The percentage and frequency of mucoid discharge associated with ocular prosthesis wear was also studied

Results: Accidents were the main cause of eye loss in children and pathological conditions were more prevalent among adolescent and adult groups. The ratio of males to females losing an eye from accidents was 2.4. The overall rate of satisfaction with ocular prostheses was 89.9%. The variables significantly correlated to patient satisfaction were other people's responses, and insertion of the orbital implant; 95% of the surveyed subjects claimed that the others couldn't notice that they are wearing an artificial eye, 99.5% said that the lost eye affects their social well-being and using the artificial eye improved the condition which was also enhanced by peg insertion or surgical insertion of an orbital mass. Discharge affected 95.4% of wearers - 75.5% of these on a daily basis and negatively affected patient satisfaction

Conclusion: Ocular prostheses play a significant role in psycho-social support and enhance treatment satisfaction of anophthalmic patients in Jordan. Mucoid discharge associated with wearing ocular prosthesis was prevalent and needs an evidence based treatment protocol. Further research into the cause and treatment of this condition is worthy and should be planned

Early implant failure using straumann AG implant system for fixed partial prosthesis

To assess early implant failure using Straumann AG dental implant system for fixed partial prosthesis at KHMC and to determine the effect of several potential risk factors on this early failure. All the patients scheduled for partial prosthetic replacement of missing teeth using Straumann AG - SLA dental implants during six months period were included in this study. The following data were recorded for each patient: age, gender, medical history, and smoking habits. Clinical and radiographic examination was performed for each patient prior to the surgical phase of treatment to determine the bone type, site, diameter and length of the implants to be used in addition to the periodontal condition. Patient's related factors that have been investigated as risk for early implant failure include age, gender, smoking, pre-existing periodontitis, and general health, while implant related risk factors include bone type, site, diameter, length of the implants. During the study period, a total of 366 implants were placed in 158 patients, their mean age of 44.5 years, and females comprised of 64.5%. The majority of the patients were healthy except 18 [11.4%] were medically compromised, 27.8% were smokers, and 25.9% have periodontitis. Out of the total 366 implants, three implants failed [0.81]. Smoking, medical health, and periodontitis were significant risk factors in early implant failure [p<0.05]. Implants placed in the maxillary and mandibular arches account for 176 [48.1%] and 190 [51.9%] respectively, with the majority being placed in the posterior sites of both jaws. The dominant bone type was III [53.55%], while the dominant implant length and diameter were 10mm and 4.1mm respectively. None of the local or implant related variables have a significant effect on early implant failure [P>0.05]. This study established that early failure using Straumann AG dental implant system for fixed partial prosthesis was 0.8%, and this early failure was significantly associated with smoking, medical health, and periodontitis

Compliance with the use of personal protective equipment among dentists working at the royal medical services

The assessment of compliance with using personal protective equipment among a group of military dentists. A self-administered questionnaire was distributed to a total of 100 military dentists. The questionnaire comprised of two parts. The first included five general questions related to the duration of dental experience, gender, professional rank, frequency of recording medical history of patients, in addition to the availability of infection control policy in their departments. The second part was further subdivided into four sections concerned with the use of different personal protective equipment including masks, white coat, gloves and protective glasses. Of the total 100 questionnaires, the response rate was 87%. The majority of the dentists were male general practitioners. Only 57 [65.5%] of them recorded the medical history routinely and only 12 [13.7%] had an infection control policy in their department. The majority of the above mentioned dentists [94.2%] always wore gloves but only 81.6% of them changed their gloves after each patient. About 67.8% of the dentists always wore masks while treating their patients but only 10.3% of them changed the mask after each patient. Most of the dentists [97.7%] wore white coats and approximately half of them [50.57%] never used eyeglasses or protective face shields. Military dentists show good compliance with the use of personal protective equipment; however, some dentists do not utilize the full range of infection control procedures. The development of an infection control manual, in addition to continuous education with adequate supplies of personal protective equipment are necessary to reduce the risk of cross infection in dental clinics