RESUMEN
Objective: The purpose of this study is to evaluate factors responsible for negligence of oral health care in our population
Study Design: Observational / descriptive study
Place and Duration of Study: This study was conducted at the Jinnah Medical and Dental College, Karachi from August 2015 to September 2015
Materials and Methods: A questionnaire was structured which was based to evaluate, the background, including age, gender, social and educational level, dental habits and the reasons responsible for them. The data was stored in excel worksheet and was analyzed using SPSS
Results: The major factors responsible for people neglecting oral health care was found out to be the high cost prices of dental treatments by 36%, followed by lack of care seeking attitude by 28% and time management by 23% of people. Socio-Economic status and educational background also had a significant relationship. People from lower socio economic and educational background were seen to be never visiting the dentist. No significant relationship was found with relation to age, marital status, availability of dentist, and dental misconceptions
Conclusion: People are neglecting oral health care mainly due to the high cost price of dental treatments. Care seeking attitude is seen to be absent in our population. Dental health comes last in the set of priorities by the majority of people. Time is another area people find difficult to manage. These areas can be worked upon to decrease the prevalence of dental disease in our population
RESUMEN
The aim of this study is to find out the frequency of musculoskeletal disorders among dentists working in Karachi and to establish factors associated with these disorders. Cross-sectional descriptive and analytical study. This study was conducted at Jinnah Medical and Dental College, Karachi from June 2014 to August 2014. The data was collected from three dental colleges of Karachi. The study was conducted at Jinnah Medical and Dental College. The study included 222 dentists working in different faculty positions from house officers to professors. The data was collected to find out the frequency of musculoskeletal disorders among dentists working in five different dental institutions of Karachi. A 22-item questionnaire was used to collect the data. The questionnaire was validated among a group of five dentists before using it for final survey. The questionnaire consisted of number of questions about age, gender, number of years in profession, pain in the back and neck, working hours per day, number of patients treated per day, any break taken between patients or not, working with assistant or not, working positions used, and medicines taken due to musculoskeletal pain. The data was stored in excel worksheet and was analyzed using SPSS. 222 dentists from five dental institutions of Karachi participated in the study. The study sample comprised of 90 males [40.5%] and 132 females [59.5%]. The study highlighted that dentist who are involved in clinical practice are more prone to musculoskeletal problems accounting for about 79%. Amongst these 52.8% having backache, while 43.9% of the dentists having pain in the neck. The factors that were found to be significantly associated with musculoskeletal pain included; Dentists working without assistance experience more musculoskeletal problem approximately 47.6%. Dentist working more than 7 hours a day experienced more neck pain 40%. In the light of this study it is apparent that musculoskeletal disorders are very common amongst the dentist working in Karachi. It is seen more in those who are working for long hours and those working without trained assistants. Breaks between patients and reducing the number of working hours as well as trained dental assistance can reduce the incidence of these disorders
RESUMEN
The aim of this study is to find out the distribution of brain injuries in patients with craniofacial trauma. Retrospective study. This study was conducted at the Departments of Oral and Maxillofacial Surgery and Neurosurgery of Liaquat National Hospital from Jan. 2010 to Dec. 2010 History form and radiographs of 112 patients who visited the Departments of Oral and Maxillofacial Surgery and Neurosurgery of Liaquat National Hospital were reviewed. Mean age of the sample was 31.7 years [+/- 8.8], minimum 18 years and maximum 65 years. The most common cause of cranio-facial trauma was road traffic accidents accounting for 94.6% followed by gunshot 2.7% fall 1.8% and assault 0.9%. Young adult males were most frequently affected. The most common site of trauma was midface 49.5% followed by mandible 26.8%, orbit 16.1% and panfacial 8%.Brain injury was recorded in 37.8 % of patients. Contusion, concussion and direct trauma to the brain was most common in mid face fractures hemorrhage was most common in Panfacial fracture. Mean GCS score was 14.77 in Mandibular trauma, 13.17 in isolated orbital fractures 12.98 in Midface trauma and 9.18 in Panfacial trauma. There is a strong correlation noticed between the craniofacial trauma and brain injury in this study. Young adult males sustained most craniofacial fractures as a result of road traffic accidents. A clearer understanding of risk factors associated with road traffic accidents and strict implantation of road traffic safety measures should be emphasized to avoid serious complications. Education of oral and maxillofacial surgeons regarding brain injury and its significance in terms of neurological outcomes should be emphasized