Staged correction of facial asymmetry: a case report

Management of the facial asymmetry requires meticulous clinical and radiologic assessment to assess which bones are at fault. Correction of advanced cases may require surgically addressing occlusal cant deviation with asymmetrical impactions or down-grafting of maxilla, an asymmetrical rotation of mandible using either bilateral sagittal split or other ramus osteotomies and correction of residual chin deformity with a genioplasty. This may be accomplished within a single stage or stacked in a multi-staged plan. This is done in conjunction with orthodontics. Presented here is a case report of a post-pubertal young male patient with a skeletal class III profile, lower third facial asymmetry, occlusal canting and chin deviation

Frequency of hepatitis B and C in healthy subjects in Parachinar

To find sero-prevalance of HBSAg and HCV antibody among the healthy subjects reporting for screening for vaccination of Hepatitis B. The study design was cross-sectional. Data was collected from Blood transfusion units, Pathology departments, Parachinar to know the frequency of Hepatitis B and Hepatitis C in healthy subjects for purpose of vaccination and screening the subjects. Detailed history was taken by panel of doctors helped by paramedical staff Screening for HBsAg, and HCV antibodies was done by using rapid immunochromatography kits. A total of ten thousand three hundred and forty three subjects were received during a period of one year from April 2007 till April 2008.. The seroprevalence of various infectious markers was as follows; Out of the total 10343, 280 [2.707%] were found to be positive for Hepatitis B surface antigen HBsAg and 50 [0.43%] were found positive for HCV antibody. It is concluded that HCV and HBV has become major problems in FATA like rest of the country and screening for not only blood donation but also in general should be done to prevent the disease escalation. Due to the high cost of treatment of hepatitis B and C virus infection and the unavailability of a vaccine against HCV, the main focus should be on preventive aspects

Infection control in dentistry knowledge and practices regarding barrier techniques, post exposure management and prophylaxis: a study

This is a descriptive study conducted at Sardar Begam Dental College, Peshawar from December 2007 to March 2008. The purpose of the study was to assess the perception of cross infection in dental practice among dental surgeons and clinical dental students. Forty three [43] dentists and fifty seven [57] students were interviewed. Seventy nine percent of the participants asked their patients about the medical history, sixty five percent screened their patients for blood viral pathology [HBV, HCV and HIV] before any dental procedure was undertaken. Hundred percent wore and changed gloves during dental treatment between the patients, and ten percent wore goggles and ninety percent face masks routinely. Thirty five percent of the participants had positive history of needle prick injury during their dental carrier and 65 percent disposed off the needles and sharps in safe containers after their use and 84 percent resheath needle after local anesthetic injection

study of tooth loss pattern and treatment in partially dentate patients

The objective of this study was to find out the pattern of tooth loss and type of treatment provided to partially dentate patients. This cross sectional study was carried out on partially dent ate patients. Patients were interviewed and examined intra-orally according to pro forma specifically designed to collect information regarding patients' age, sex, type of saddle area, type of missing teeth, and treatment to be provided. The period of study was from April 2006 to December 2006. Seven Hundred and eighty six patients were interviewed and examined. Out of 786 patients 378were males and 408 were females with age range of 18 to 70. It was found that out of 786, 466 patients had Kennedy Class III saddle. One hundred and fifty eight patients were found to have Kennedy's class II saddle area. One hundred patients had Kennedy's Class IV saddle area. Sixty-two patients were found to have Kennedy's class I saddle area. Out of 786 patients 74 patients were provided fixed partial dental prostheses [FPDP] and 712 received removable partial dental prostheses [RPDP]

Associated features of temporomandibular pain dysfunction syndrome

To know the associated features of temporomandibular pain dysfunction syndrome [TMPD] in order to prepare a preliminary report about patterns of TMPDS in our population. Material and In this prospective observational study, fifty patients of TMPDS were interviewed and examined in Sardar Begum Dental College Peshawar and authors private clinic from Jul 2005 to Dec 2006. Diagnosis of TMPD was established by history and clinical examination as the presence of pain, tenderness in muscle of mastications, limitation of jaw movements and by exclusion of other dental or TMJ pathological conditions Most of the patients were in their third decade of life and mostly they were students [34%]. Female gender was more common [74%] and most of the female patients were unmarried. Parafunctional habits like bruxisum, daytime clenching of the teeth, nail biting were noted in 22 [44%] patients, difficult extractions in 3[6%] patients and orthodontic treatment in 3[6%] patients while in 17 [34%] cases associated features were unknown. Pain was the presenting complaint of all the patients [100%] followed by clicking sounds in 56% and trismus in 44% of the cases. Parafunctional habits, difficult extractions and orthodontic treatment were related with TMPD in this study and nearly all of these factors reflect the stress affecting the TMJ