Journal of the Pakistan Dental Association最新文献_第6页

Evaluation of Tooth Wear and its Causative Risk Factors Amongst Patients Attending Dental Hospital of Karachi 卡拉奇牙科医院患者牙齿磨损及其危险因素评价

Journal of the Pakistan Dental Association Pub Date : 2021-12-19 DOI: 10.25301/jpda.304.255

A. Shahab

{"title":"Evaluation of Tooth Wear and its Causative Risk Factors Amongst Patients Attending Dental Hospital of Karachi","authors":"A. Shahab","doi":"10.25301/jpda.304.255","DOIUrl":"https://doi.org/10.25301/jpda.304.255","url":null,"abstract":"OBJECTIVE: Tooth wear is a term defined as the loss of dental hard tissue in a damaged tooth if there is no existing dental caries or trauma. Tooth wear rarely exists alone and is observed clinically and experimentally in combination. Excessive tooth wear leads to hypersensitivity and exposed dentin. Tooth wear can be classified as attrition, erosion, abrasion. The frequency of normal tooth preservation is greater than ever, thus a better prevalence of tooth wear is experiential in the population. Therefore, the objective of the present cross-sectional study was to evaluate tooth wear and its causative risk factors amongst patients attending the Dental Hospital of Karachi. METHODOLOGY: The current study was a cross-sectional study conducted on adult patients recruited from the Out-Patient Department of Oral Diagnosis from May 2018 - December 2018. A consecutive sampling method was used and 250 adult patients aged 18-45 years were included. Tooth wear was assessed by using Smith and Knight Tooth Wear Index (TWI index).Data was entered and analyzed by using SPSS, frequency, percentages were calculated, and a chi-square test was performed to find the association between gender and risk factors. RESULTS: The subject populations of 250 were assessed. Out of which 178 were male (71.2%) and 72 (28.8%) were female with age ranging between 18 to 48 years old. In this study, 92.4% of them were suffering from tooth wear and only 31.2% have extended to the severe stage of the tooth surface loss. CONCLUSION: The present study concluded that there is an association between tooth wear and its risk factors. KEYWORDS: Tooth Wear; Dental Wear; Tooth Wear Indices; Sensitivity and Specificity; Risk Factors.","PeriodicalId":191918,"journal":{"name":"Journal of the Pakistan Dental Association","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122205562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perception of Academic Stressors Among Dental Undergraduate Students 牙科本科学生学业压力源的感知

Journal of the Pakistan Dental Association Pub Date : 2021-12-19 DOI: 10.25301/jpda.304.228

T. Saleem, R. Yasmin, Anbreen Aziz, U. Mahboob, A. Sethi

{"title":"Perception of Academic Stressors Among Dental Undergraduate Students","authors":"T. Saleem, R. Yasmin, Anbreen Aziz, U. Mahboob, A. Sethi","doi":"10.25301/jpda.304.228","DOIUrl":"https://doi.org/10.25301/jpda.304.228","url":null,"abstract":"OBJECTIVE: Present study was conducted to assess the perceived academic sources of stress among undergraduate dental students and determine its association with gender, year of study, pre-university education and accommodation. METHODOLOGY: This study was conducted in dental section, Islamabad Medical and Dental college, Islamabad from July to November 2016. BDS students were asked to rate their perceived stress on four point Likert scale of modified version of Dental Environment Stress (DES) questionnaire. Descriptive statistics were applied to find the mean scores and SD on all items. Using SPSS v.21, Kruskal Wallis test was used to compare stress levels among different undergraduate professional years and Mann-Whitney U test was applied to determine the association and stress sources and demographic variables. RESULTS: A total of 172/200 participants responded (86%) to the survey. Overall stress in undergraduate dental students was in moderate range. Majority of students (93%) reported that syllabus load was either stressful or very stressful (3.53±0.64), 85% students reported lack of relaxation time as stressful or very stressful (3.42±0.86) and fear of failing was reported as stressful or very stressful by 82.5% (3.34±0.87). When stress scores of all classes were compared third year reported more mean stress scores than other years (2.50±0.50). Females were more stressed compared to males with mean score of (2.37±0.39), students living at home were more stressed than hosteilites (2.38±0.38) and those with GCE A-levels had higher stress (2.40±0.38) compared to HSC background students. Academic performance was the most stressful of the five stress domains (3.07±0.74). CONCLUSION: Syllabus load followed by lack of time for relaxation and fear of failing were the most perceived sources of stress. Academic performance was the most stressful of the five stress domains and third year BDS was the most stressed class. KEY WORDS: Dental Education; Dental Students; Psychological Stress, Stressor, Undergraduate,.","PeriodicalId":191918,"journal":{"name":"Journal of the Pakistan Dental Association","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131027918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Buccal Corridors Width on Smile Quality and Esthetics 颊道宽度对微笑质量和美学的影响

Journal of the Pakistan Dental Association Pub Date : 2021-09-16 DOI: 10.25301/jpda.303.204

H. Siddiqui, K. Medical, S. Rizwan, Syed Faisal, Syed Sheeraz Hussain

{"title":"Effect of Buccal Corridors Width on Smile Quality and Esthetics","authors":"H. Siddiqui, K. Medical, S. Rizwan, Syed Faisal, Syed Sheeraz Hussain","doi":"10.25301/jpda.303.204","DOIUrl":"https://doi.org/10.25301/jpda.303.204","url":null,"abstract":"OBJECTIVE: To assess the perception of buccal corridor width on smile esthetics by Orthodontic residents, General dentists and Laypersons. METHODOLOGY: A smile photograph was taken of an adult female. The image was modified to obtain five different buccal corridor widths and were assessed by different evaluators grouped into general dentist, orthodontic resident and laypersons who rated the attractiveness of each smile by means of a visual analog scale (VAS). Sample size was 97 participants to rate the picture. Non-probability purposive sampling was done The data was analyzed and mean and SD were calculated for the scores of rating. ANOVA and Tukey's post hoc test was applied to compare the different ratings of buccal corridors in three groups. The data of this cross sectional study was collected from general population belonging to different communities, general dentists and orthodontic residents of different dental colleges of Karachi, Pakistan from August 2019 to March 2020. RESULTS: There were 97 participants who responded to the images. Highest scores were obtained for Image 1 having buccal corridor width ratio of 16% followed by image no. 3 having buccal corridor width ratio of 10% and lowest scores were obtained for Image no. 6 having least buccal corridor widths ratio that is 34% followed by image no 5 having 26% buccal corridor widths. Among the groups of participants, the highest scores were given by laypersons for all images. Significant differences were observed between evaluation of groups of Orthodontic resident and layperson in most images. CONCLUSION: There was a remarkable influence of buccal corridor width on smile esthetics, with the 16% ratio group being rated as the most attractive by all three groups. KEYWORDS: Buccal corridors, Smile, esthetics, Attractiveness","PeriodicalId":191918,"journal":{"name":"Journal of the Pakistan Dental Association","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126972229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Root Canal Configuration of the Maxillary Second Permanent Molars in Pakistani Subpopulation 巴基斯坦亚人群上颌第二恒磨牙根管形态的研究

Journal of the Pakistan Dental Association Pub Date : 2021-09-16 DOI: 10.25301/jpda.303.209

Mansoor Khan, Alia Ahmed, M. Javed

{"title":"Root Canal Configuration of the Maxillary Second Permanent Molars in Pakistani Subpopulation","authors":"Mansoor Khan, Alia Ahmed, M. Javed","doi":"10.25301/jpda.303.209","DOIUrl":"https://doi.org/10.25301/jpda.303.209","url":null,"abstract":"OBJECTIVE: The aim of the study is to assess the variations in the root canal configuration of maxillary second permanent molars in the Pakistani subpopulation by using different clinical aids in vivo. METHODOLOGY: The Cross-sectional analytical study was conducted from April to October 2018 at the College of Dentistry, Riphah International University, Pakistan. The root canal configurations of Maxillary second molars were evaluated in 95 adult patients that presented to the Operative Department, after obtaining consent. After access cavity preparation the orifices were identified and cross checked using 2.5x magnification and different clinical tests. Data analysis was done by utilizing SPSS version 23. RESULTS: Out of the 95 teeth 6(6.3%) teeth had a single canal, 7(7.4%) teeth had two canals, 58(61.1%) teeth had three canals and 24(25.3%) teeth had four canals. Age-wise analysis of the frequency of different canals showed that prevalence of molars with three canals was significantly higher in the subjects with age between 41 and 50 years. Conclusion: Overall, the study noted four morphological variations in the root canal configuration of Maxillary second molar teeth in Pakistani subpopulation. Hence, while executing the endodontic treatment in the maxillary second molars a thorough assessment of the root canal system should be carried out. The results of the study can guide Pakistani dentists. KEYWORDS: Permanent Maxillary second molar, Dental Morphology, Endodontics, Pakistan","PeriodicalId":191918,"journal":{"name":"Journal of the Pakistan Dental Association","volume":"159 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131962054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Awareness Regarding Oral Aphthous Ulcers and its Risk Factors Among BDS and MBBS Students-A Cross-Sectional Survey BDS和MBBS学生对口腔溃疡及其危险因素的认识-一项横断面调查

Journal of the Pakistan Dental Association Pub Date : 2021-09-16 DOI: 10.25301/jpda.303.215

Marium Azfar, S. Qureshi, Syeda Noureen Iqbal, S. Rizwan, Imran Khan, A. Baig, K. Abid

{"title":"Awareness Regarding Oral Aphthous Ulcers and its Risk Factors Among BDS and MBBS Students-A Cross-Sectional Survey","authors":"Marium Azfar, S. Qureshi, Syeda Noureen Iqbal, S. Rizwan, Imran Khan, A. Baig, K. Abid","doi":"10.25301/jpda.303.215","DOIUrl":"https://doi.org/10.25301/jpda.303.215","url":null,"abstract":"OBJECTIVE: The objective of this paper was to assess the awareness regarding oral aphthous ulcers and its risk factors among BDS and MBBS students in private institute of Karachi, Pakistan. METHODOLOGY: A cross-sectional survey was conducted at a private institute of Karachi Pakistan for the duration of six months. Medical and dental students of age more than 18 years of either gender were enrolled in the study using non-probability convenience sampling technique. Pre-designed proforma was used to collect data regarding demographics, history of recurrent aphthous stomatitis and knowledge of oral aphthous ulcers and its risk factors. The knowledge score of 4 out of 6 was considered as adequate knowledge. SPSS version 25 was used to analyze data. RESULTS: Of 150 participants, the mean age was reported as 22.94±1.65 years (range: 21-25 years). In those 150 participants 46 were males (30.7%) and 104 were females (69.3%). Overall mean score of knowledge was 4.35±1.29. Wherein 73% had adequate knowledge regarding oral ulceration and its risk factors. The dental students had significantly higher proportion of adequate knowledge regarding oral ulceration than medical students [p=0.024]. CONCLUSION: Overall students had good knowledge of oral ulceration and its risk factors, wherein knowledge of dental students was better than medical students. KEYWORDS: Oral ulcers; Recurrent Aphthous stomatitis; awareness, oral ulceration, risk factors, eating habits","PeriodicalId":191918,"journal":{"name":"Journal of the Pakistan Dental Association","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115140784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Evaluation of the Marginal Location and Periodontal Health in Crowns and Bridges – A Patient Preference Based Study 牙冠和牙桥边缘位置与牙周健康的评价——基于患者偏好的研究

Journal of the Pakistan Dental Association Pub Date : 2021-09-16 DOI: 10.25301/jpda.303.194

Misha Salim, R. Tirmizi, M. Abbasi, Naseer Ahmed, M. A. Lone, H. Rashid, R. Jouhar

{"title":"Evaluation of the Marginal Location and Periodontal Health in Crowns and Bridges – A Patient Preference Based Study","authors":"Misha Salim, R. Tirmizi, M. Abbasi, Naseer Ahmed, M. A. Lone, H. Rashid, R. Jouhar","doi":"10.25301/jpda.303.194","DOIUrl":"https://doi.org/10.25301/jpda.303.194","url":null,"abstract":"OBJECTIVE: The objective of this paper was to evaluate the marginal location preference and periodontal health in extra coronal restoration of anterior and posterior teeth. METHODOLOGY: In this prospective case control study, a total of 652 patients who had crown and bridge for not less than six months were included. The gingival margin location preference and reasons behind choosing a particular gingival margin was asked from the patients. Additionally, the teeth with and without restoration were also examined for periodontal health. Split mouth technique was used as unrestored, healthy contra lateral teeth in the same individual served as controls. Descriptive statistics and Chi square test were used for analysis to formulate the results. RESULTS: Ironically, 92% patients were not given a chance by their dentist to give input about margin location preference. The majority of patients preferred equi gingival margin for their anterior crowns 495 (75.92%) and supra gingival margin 586 (89.87%) for their posterior teeth, with esthetics 547 (83.89%) and hygiene 599 (91.87%) respectively being the most common reasons for selecting the particular margin location. The clinical examination revealed that supra gingival and equi gingival margins demonstrated superior gingival health indices as compared to subgingival margins CONCLUSION: This study concluded that the supra gingival and equi gingival margins demonstrated superior gingival health indices as compared to subgingival margin and in order to achieve optimal periodontal health and patient satisfaction the health professionals should wisely consider the margin location and involve the patient in treatment decisions wherever possible. KEY WORDS: Crown and Bridge, Margin location, Patient preference, Periodontal Health.","PeriodicalId":191918,"journal":{"name":"Journal of the Pakistan Dental Association","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122755160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modifications in Orthodontic Practice Post COVID Lockdown in Pakistan 巴基斯坦疫情封锁后正畸治疗的调整

Journal of the Pakistan Dental Association Pub Date : 2021-09-16 DOI: 10.25301/jpda.303.199

E. Khan, M. Shah, S. Fatima, Zuhair Ahmed, Sunia Therwani, S. Khan

{"title":"Modifications in Orthodontic Practice Post COVID Lockdown in Pakistan","authors":"E. Khan, M. Shah, S. Fatima, Zuhair Ahmed, Sunia Therwani, S. Khan","doi":"10.25301/jpda.303.199","DOIUrl":"https://doi.org/10.25301/jpda.303.199","url":null,"abstract":"OBJECTIVE: To assess the frequency of positive changes in orthodontic practice in Pakistani governmental and private workplaces after lifting of COVID-19 lockdown. METHODOLOGY: This cross sectional questionnaire-based study was carried out on 143 Pakistani orthodontic practitioners for the duration of 3 months. A well-constructed, computerized closed ended questionnaire was designed at an online website i.e., google drive and the link was circulated through social media and e-mail. Change in dental practice was assessed by comparing the results with CDC guidelines, keeping positive response cutoff 70%. Data was analyzed by using SPSS 22, Confounders, like educational qualification, gender and workplace were controlled through stratification. Post stratification Chi square Test was applied to assess the association of dentist's response with gender, educational level, age and workplace, keeping P value < 0.05. RESULTS: There were total 143 participants (80 female and 63 male) with age range from 23 to 56 years, with a mean age of 31.24 ± 6.82 years. Majority of the participants (75.52%) belonged to the age range of 23-33 years. Most of the orthodontists were post graduate trainees (66.4%). Out of all these participants, 67 were working at orthodontic OPD, 22 at private practice and 51 worked at both. 68.5% Implementation of positive modifications in dental practice were recorded. The chi square test results were significant (P <.05) for education and workplace of orthodontist. CONCLUSION: Most orthodontists have positively modified their dental practice post COVID-19 lockdown in Pakistan, by following WHO and CDC guidelines for Covid-19 to curtail spread of infection. KEYWORDS: Changes, Orthodontics, COVID","PeriodicalId":191918,"journal":{"name":"Journal of the Pakistan Dental Association","volume":"255 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123158959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Frequency of Bonded Bracket Failure in Patients, Undergoing Fixed Orthodontic Treatment 固定正畸治疗患者粘结托架失效的频率

Journal of the Pakistan Dental Association Pub Date : 2021-09-16 DOI: 10.25301/jpda.303.189

Hasnain Sakrani, Sabeen Masood, Fiza Bibi Alavi, Mustafa Dahar, Mahnoor Saleem, Abhishek Lal

{"title":"Frequency of Bonded Bracket Failure in Patients, Undergoing Fixed Orthodontic Treatment","authors":"Hasnain Sakrani, Sabeen Masood, Fiza Bibi Alavi, Mustafa Dahar, Mahnoor Saleem, Abhishek Lal","doi":"10.25301/jpda.303.189","DOIUrl":"https://doi.org/10.25301/jpda.303.189","url":null,"abstract":"OBJECTIVE: The objective of our study is to determine frequency of bracket bond failure in relation to age, gender, most commonly involved tooth and quadrant. METHODOLOGY: In this descriptive cross-sectional study, a total of 100 patients with ages ranging from 10 to 30 years needing corrective orthodontic treatment were selected for the study. This survey was conducted at Altamash Institute of Dental Medicine, Karachi. The survey was initiated on 30th November 2019 and was concluded on 30th May 2020. A questionnaire was used to evaluate the frequency of bonded bracket failure in patients undergoing orthodontic treatment. The bonded metallic brackets were light cured for 40 seconds, and initial alignment arch wires were inserted. Bonded bracket failure was recorded over a period of six months. RESULTS: The initial debonding results of the present study demonstrated a high number of debonded brackets in mandibular dentition as compared to the maxillary dentition. Whereas, when the teeth were debonded for the second time, a greater number of maxillary teeth were found to be affected by the debonding of the brackets. Both genders demonstrated a greater rate of bracket debonding in the second premolar area and lowest in the molar area. In our study, age and gender had no significant relationship with bracket bond failure and teeth involved in debonding. CONCLUSIONS: The frequency of bonded bracket detachment during orthodontic treatment is very common. Our study concluded that females were more affected by the bracket bond failure as compared to the males along with the second premolar being the most commonly associated tooth during an active orthodontic treatment. KEYWORDS: Bonded brackets, Bracket failure, Frequency, Orthodontic treatment, Orthodontics","PeriodicalId":191918,"journal":{"name":"Journal of the Pakistan Dental Association","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116772926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Identification of Orthodontic Extraction Predictors in End-On Class II Malocclusion 端-端II类错牙合正畸拔牙预测因子的鉴定

Journal of the Pakistan Dental Association Pub Date : 2021-09-15 DOI: 10.25301/jpda.303.178

B. Ali, Waqar Jeelani, Attiya Shaikh, Tabassum Ahsan Quadeer, J. Khan

{"title":"Identification of Orthodontic Extraction Predictors in End-On Class II Malocclusion","authors":"B. Ali, Waqar Jeelani, Attiya Shaikh, Tabassum Ahsan Quadeer, J. Khan","doi":"10.25301/jpda.303.178","DOIUrl":"https://doi.org/10.25301/jpda.303.178","url":null,"abstract":"BJECTIVE: This study was designed to determine the different treatment predictors which help in the extraction and non-extraction decision of an end-on Class II malocclusion case. METHODOLOGY: The pretreatment records of 240 adult subjects aged 15-40 years with bilateral end-on Class II molar relationship were retrospectively selected and categorized under extraction (120) and non-extraction (120) treatment categories. The extraction cases were planned for different combinations of premolar extractions. The independent variables i.e., the cephalometric and orthodontic cast measurements were obtained from the recruited sample. Binary logistic regression analysis was applied using SPSS software. RESULTS: Increased upper and lower incisor inclinations (p < 0.001) and procumbent upper lip (p = 0.004) was statistically significant in the extraction group. According to the regression model, the odds of extraction treatment were 1.12 times greater than non-extraction treatment for every one degree increase in upper and lower incisor inclinations, respectively. The chances of extraction treatment were 1.6 times higher than non-extraction treatment for every 1 mm increase in the distance of upper lip to S-plane. CONCLUSIONS: The upper and lower incisors inclinations and upper lip position are the critical factors affecting the extraction decision in adult patients with end-on Class II molar relationships. Overjet, dental crowding and the vertical growth pattern were found to be clinically insignificant in opting for an extraction treatment plan for such cases. KEYWORDS: Treatment, Angle Class II, tooth extraction, non-extraction","PeriodicalId":191918,"journal":{"name":"Journal of the Pakistan Dental Association","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123453871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antibiotic Prescribing Practices of Endodontic Postgraduate Trainees in Karachi, Pakistan 巴基斯坦卡拉奇牙髓学研究生的抗生素处方实践

Journal of the Pakistan Dental Association Pub Date : 2021-09-15 DOI: 10.25301/jpda.303.183

Azam Muhammad Aliuddin, S. Morani, A. Sheikh, S. Rashid, Mohammad Ali, Faryal Abdullah

{"title":"Antibiotic Prescribing Practices of Endodontic Postgraduate Trainees in Karachi, Pakistan","authors":"Azam Muhammad Aliuddin, S. Morani, A. Sheikh, S. Rashid, Mohammad Ali, Faryal Abdullah","doi":"10.25301/jpda.303.183","DOIUrl":"https://doi.org/10.25301/jpda.303.183","url":null,"abstract":"OBJECTIVE: The aim of this study was to assess the knowledge of Endodontic Postgraduate trainees regarding clinically relevant situations where an antibiotic cover is needed and is focused on the prescription patterns of various antibiotics depending on the clinical evaluation of the patients. METHODOLOGY: A cross sectional study was performed in which data was collected from five different dental institutes offering post-graduate residency in endodontics all over Karachi, Pakistan. Preferred antibiotic for odontogenic infections and the duration for the antibiotic coverage were evaluated amongst postgraduate clinicians. A total of 100 questionnaires were distributed out of which only 82 questionnaires came back with responses. The study was conducted for a period of one month from August 2018- September 2018. The data collected was analyzed by SPSS version 21. RESULTS: A combination of amoxicillin with Clavulanic acid was the first choice of antibiotic in patients with no known allergies to penicillin (40.6%), whereas erythromycin was the first choice of antibiotic in patients having allergic reactions to penicillin (39.3%). The duration of treatment on average was 5 days. In clinical situations of irreversible pulpitis, with or without apical periodontitis, 74.3% and 67% of the respondents prescribed antibiotics. 78 % of respondents have prescribed antibiotics in cases of necrotic pulp with acute apical periodontitis. CONCLUSION: Our study concludes that antibiotic over prescription is very common amongst post graduate trainees and is contributing towards a larger issue of antibiotic resistance. Proper protocols of prescription should be followed by professionals and further refinement is required focusing on need, duration and choice of the antibiotic being used. KEYWORDS: Antibiotics, Odontogenic infections, Endodontics, Microbial resistance","PeriodicalId":191918,"journal":{"name":"Journal of the Pakistan Dental Association","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121102154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1