Demographic data on the characterization of oral clefts in Malaysia

The aim of this study was to investigate current epidemiology of several types of oral clefts among the patients receiving treatment at two tertiary care hospitals, namely University Malaya Medical Centre [UMMC] Kuala Lumpur, and Hospital Kota Bharu / Hospital Raja Perumpuan Zainab II [HKB/ HRPZII] Kelantan. This study evaluated the records of 526 cleft lip and palate [CLP] patients with or without additional malformations, who came for treatment during 2003 to 2007. Of the total 526 patients registered in the study hospital records during the study period, 338 were from HKB/ HRPZ II and 188 from UMMC. Majority 86.7% of these patients were in the age group

Evaluation of pain after administration of local anesthesia with and without medication [midazolam] in irreversible pulpitis in a sample of Sindh

The objective was to evaluate pain experience of the patient after administration of local anesthesia in symptomatic irreversible pulpitis with and without pre-medication Patients were diagnosed after taking medical and dental history, clinical examination, thermal tests and by taking radio-graphs. One hundred patients formed the study group. They were divided into two groups of fifty each, Group-A patients were given oral medication [Midazolan, Dormicum 7.5mg] and inferior dental nerve Block, while Group-B patients were given only Inferior Alveolar Nerve [IAN] Block [1.8 ml cartridge-1:100000 epinephrine] of Xylestesin-S [ESPE-Germany] without any pre-medication. Pre-operative pain of patients of both groups was recorded on Visual Analogue Scale [VAS] i.e: 0= no pain, 10 = most severe pain. [VAS 0>10] Group-A patients were given anesthesia 45 minutes after pre medication while Group-B, patients were treated routinely after administrating inferior dental nerve Block block. In group A [40% showed no pain, 44% mild pain, 12% moderate pain and 4% suffered severe pain n=50] while in group B [20% showed no pain, 50% mild pain, 20% moderate pain and 10% suffered from severe pain after the procedure was done. It was concluded that the patients who had received sedation, prior to anesthesia showed better results

Impacted mandibular third molar surgery; the role of dexamethasone in postoperative swelling and trismus

The objective of this study was to evaluate the therapeutic effect of dexamethasone in post-operative edema and trismus after impacted third molar surgery. It was a prospective randomized control study carried in Department of Oral and Maxillofacial surgery, BADC, Larkana from March 2012 to Feb 2013. Patients age between 20-45 years of either gender; unilateral mandibular impacted third molars [right or left] were included. Patients divided in two groups by using random allocation number. Patients in Group-A were given intramuscular 8 mg dexamethasone 1 hour before surgery and four tablets [2mg] dexamethasone orally immediate postoperatively and 24 hours after surgery. The facial swelling was checked before surgery, after 24 hours [1st day], after 48 hours [2nd day], after 72 hours [3rd day] and on 7th postoperative day Inter-incisor distance was checked on every follow up. Data was analyzed by SPSS version 17. Mean and standard deviation was calculated for age and gender. Mean and SD of facial swelling and mouth opening was calculated before extraction, on 1st, 2nd, 3rd and on 7th post-operative day in both groups. The dexamethasone group showed significant reduction in swellingcompared with control group at all intervals. Dexamethasone resulted in significantly less trismus than controls on day 2 postoperatively, but there was no significant difference among the groups at 7thday. Dexamethasone is effective in minimizing swelling and trismus after removal of impacted lower third molar and improves the social life of individual