RESUMO
Objective: To investigate the difference in effectiveness of Eutectic Mixture of Local Anesthetics [EMLA] and Benzocaine as a topical anesthetic in palatal injection
Methods: Forty volunteers from dental department at Prince Ali Bin Al Hussein Military Hospital participated in the study. 5% EMLA cream or 20% Benzocaine gel were applied to either side of the hard palate opposite the maxillary first premolars. A short needle was inserted at site of topical anesthetic application at 3, 6 and 9 minutes until it touches the bone and the volunteers assisted the pain on a visual analogue scale [VAS] where 0 indicated "no pain" and 10 indicated "unbearable pain"
Results: EMLA found to be associated with less pain than Benzocaine at all applied times and the difference was statistically significant [p<0.05]. There was no significant difference between inter-groups of EMLA or between those of Benzocaine. EMLA found to be associated with less VAS values than Benzocaine and the difference was statistically significant
Conclusion: 5% EMLA was more effective than 20% Benzocaine gel as a topical anesthetic agent in palatal injection
RESUMO
Objective: to assess the prevalence of oral manifestations in children with acute lymphoblastic leukemia receiving chemotherapy and to investigate the significance of independent risk factors such as age, gender, oral hygiene status on the development of oral complications in these patients
Methods: this descriptive study was conducted by recruiting a total of 58 patients diagnosed with acute lymphoblastic leukemia aged 5-12 years. Patients were examined in the dental clinic during the period between February 2013 - May 2013. A clinical examination was conducted using plain mirror under artificial light, Loe and Silness gingival index was used to describe the gingival condition, while oral hygiene was evaluated according to OHI-S index. Information regarding oral hygiene habits was collected and mucositis and infection were recorded if present
Results: a total of 58 subjects 22 females and 36 males were included in this study. Prevalence of oral manifestations was [84.5%] for gingivitis; [37.9%] for mucositis; [27.6%] for candidiasis; [77.6%] for dry lips and [3.3%] for coated tongue. A strong correlation was found between poor oral hygiene and the development of gingivitis, mucositis and candidiasis
Conclusion: poor oral hygiene was important risk factor for the development of gingivitis, mucositis and candidiasis, therefore professional oral care is strongly recommended before, during and after chemotherapy and follow up to prevent and control oral manifestations
RESUMO
The aim of the study was to investigate the effect of the medical status of the mother and the child during the period of first molar- incisor formation and development of hypomineralisation of these teeth. The mothers of all patients who attended the pediatric dentistry department of Prince Hashim bin Al Hussein Hospital from April 2008 to January 2009 and who were diagnosed to have molar- incisor hypomineralisation [MIH] were asked to fill a questionnaire about the medical status of themselves or that of their children postnatal. The sample consists of50 mothers and their 50 children, 32 females and 18 males between the ages of 7 and 13 years. The questionnaire composed of questions about prenatal, perinataly and postnatal illness. 18 [36%] of the mothers were suffering from medical problems prenatal and 6 [12%] had perinatal illness, 30 [60%] children have been subjected to disease postnatal, and 26 [52%] of the mothers and 20 [40%] of the children did not suffer from any medical problem. Several etiological factors can cause enamel defects and their occurrence may be related to prenatal or postnatal illnesses. It was found that there was a relationship between children with repeated illnesses in the first year of their life and prevalence of hypomineralisation defects on molars and incisors