Complications associated with different treatment modalities of mandibular fracture

The aim of this study was to compare the complications of various techniques used to treat mandible fractures. This clinical study was carried out on 150 patients of mandibular fracture at Liaquat University of Medical and Health Sciences Hospital Jamshoro, Sindh from May 2004 to April 2006. Inclusion criteria were patients having single mandibular fracture, were medically fit for surgery, and had sufficient dentition were selected for maxillomandibular fixation. Patients with bone pathology, immnocompromised, comminuted and infected fracture were excluded. They were distributed in three groups and were treated with three standard techniques. Miniplates, MMF [maxillomandibular fixation] and Miniplates + MMF for 15 days. Age ranged from 12-60 years, mean age was 26.5 years. There were 135[90%] males and 15[100%] females. Most common site was parasymphysis [489%]. Post operative complications were recorded as infection, malocclusion, delayed union, nonunion, nerve damage and TMJ Dysfunction. 21 complications were encountered in 21 patients among all three groups. In MMF group number of complications were 11 [22%]. In Plating group were 8[16%]. In plating + MMF group were 2[4%]. The use of miniplate secured with four 2.0mm wide and 7.0mm long monocortical screws and maxillomandibular fixation for two weeks has proven to be the most effective treatment modality for mandible fracture

Reasons of tooth extraction at L.U.M.H.S civil hospital Hyderabad Sindh

Most oral diseases lead to loss of tooth. Periodontal diseases and the tooth decay are the commonest causes of tooth extraction. Tooth loss restricted the social life and because of decreased masticatory functions it may exaggerate the chances of systemic problems so over all general health is also affected. His study designed to know reasons of tooth extraction in L.U.M.H.S civil hospital Hyderabad SINDH. Cross Sectional/ Descriptive Study. This study was conducted at O.P.D of oral surgery department L.U.M.H.S Civil Hospital Hyderabad. Duration of research was 6 months from April 2012 to September 2012. Data collected from hospital records included, gender of patient . Clinical and radiological features and patients chief complains about the tooth to be extracted was noted with the help of these. We determine and note the reasons of extraction. We also graded the patients of extraction according to their socio-economical status i.e. poor, middle and good. Both genders and all ages 10 to 70 year of patient those undergoes extraction were included in this study while patient not indicated for extraction were excluded from this studies. 569 patient, 333 were female patients and 236 were male patients. The female and male percentage is 58.5% and 41.5%. Caries tooth with peri-apical periodontitis 35.22%. Periodontitis was the second leading reason of tooth extraction as 28.5%. More reasons of tooth extraction was Socio-economical status 20.6%, endodontic failure 8.33%, trauma/fracture 3.15%, orthodontic 2.45% and others. Socio-economical status as Poor 49%, Middle 30% and Good 21%. Awarness of oral hygiene in society through electronic media and print media proper community based education to all over Pakistan begin to minimize teeth loss in our society

Public awareness assessment: regarding qualified and unqualified dental practitioners. what difference does it make in treatment outcome

An increasing number of unqualified dental practitioners in Pakistan are risking public, who say that so called doctors, are playing with patients heath and lives. Unqualified practitioners not only fail to provide relief to patients but also contributes to spread of diseases e.g. Hepatitis C because of the use of infected syringes and delay in reaching appropriate diagnosis with generating misconceptions in public regarding health issues. There is need to create public awareness about health risks incurred when people visits unqualified dental practitioners. Descriptive type of study survey. This study was conducted at Dental OPDs at LUMHS Jamshoro /Hyderabad and different private clinics at Jamshoro/Hyderabad during the months of October to December, 2012. We did assessment on the awareness level in people of Jamshoro/Hyderabad, regarding qualified and unqualified dental practitioner and what difference does it makes in treatment outcome. To a sample comprising of 3087 individuals, an assessment questionnaire comprising twelve items related to the objectives was developed and administered for survey. Data is analyzed using SPSS 17 application software. The questionnaire was responded by 3059 individuals. Response rate was 99.09%, among respondents 53% males and 47% females. Only 68.7% patients reported that they were aware of difference in qualified and unqualified dental practitioners, 56% individuals reported that they ask about qualification of dental of practitioner before treatment whether he is qualified or unqualified, 43% individuals reported that qualified dental practitioner's treatment is better outcome, 29% individuals reported treatment outcome more or less similar whether it qualified or unqualified, 24% individuals reported that unqualified dental practitioner's treatment is better outcome. 66% individuals reported that they like to visit unqualified dental practitioner because of socio-economic reasons, 23.6% individuals reported that they like to visit unqualified dental practitioner because they feel more comfortable, 10.4% individuals reported that they like to visit unqualified dental practitioner because of unavailability of qualified dental practitioners in their areas. Especial awareness campaigns should be launch to ensure that the masses refrain from going to unqualified dental practitioners. We can help out concerned authorities to play their role to curb the practices of unqualified dental practitioners