Nigerian Journal of Clinical Practice最新文献

{"title":"Diagnostic and Prognostic Significance of Systemic Inflammatory Indices in Bell's Palsy in Relation to Electrophysiological Findings: A Retrospective Observational Case-Control Study.","authors":"E Simsek, E Baran, M Mutlu, D K Gok, B N Ugurlu","doi":"10.4103/njcp.njcp_338_26","DOIUrl":"10.4103/njcp.njcp_338_26","url":null,"abstract":"<p><strong>Background: </strong>Systemic inflammatory indices have been investigated as potential biomarkers in Bell's palsy (BP), but their relationship with electrophysiological findings remains unclear.</p><p><strong>Aim: </strong>This study aimed to investigate the diagnostic and prognostic value of NLR, MPV, RDW, PDW, SII, and SIRI in patients with BP and to evaluate their relationship with electrophysiological test results (ENoG and EMG).</p><p><strong>Methods: </strong>In this retrospective study, 90 patients diagnosed with BP and 90 age- and sex-matched healthy individuals were evaluated. Complete blood count parameters at the time of diagnosis were recorded, and related inflammatory indices were calculated. ENoG results (performed between days 3 and 10) and EMG results (performed after day 21) of patients with BP were analyzed. Differences between groups and correlations with electrophysiological tests were statistically assessed.</p><p><strong>Results: </strong>NLR, SIRI, and SII were higher in the Bell's palsy group in the initial comparisons. After false discovery rate correction, the differences in NLR and SIRI remained significant, whereas SII did not. ROC analyses demonstrated limited discriminatory performance, with AUC values of 0.611 for NLR, 0.605 for SIRI, and 0.591 for SII. In age- and sex-adjusted logistic regression models, higher NLR, SIRI, and SII values were independently associated with Bell's palsy. No significant associations were observed between the inflammatory indices and electrophysiological prognostic indicators.</p><p><strong>Conclusion: </strong>NLR and SIRI were associated with Bell's palsy after correction for multiple comparisons, and NLR, SIRI, and SII showed independent associations in age- and sex-adjusted models. However, their limited ROC performance indicates that these indices should not be considered stand-alone diagnostic tests. No significant association was observed with the electrophysiological prognostic indicators evaluated in this cohort.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1063-1069"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Acute Urinary Retention on the Early and Late Outcomes of Transurethral Resection of the Prostate.","authors":"Y Aktaş, A Tongal, A N Gökcan, M Köse, A Tunçekin, H Türk","doi":"10.4103/njcp.njcp_791_25","DOIUrl":"https://doi.org/10.4103/njcp.njcp_791_25","url":null,"abstract":"<p><strong>Background: </strong>Transurethral resection of the prostate (TURP) is the gold standard surgical treatment for benign prostatic hyperplasia (BPH), but postoperative outcomes may differ in patients presenting with acute urinary retention (AUR).</p><p><strong>Aim: </strong>This study aimed to evaluate the impact of AUR on postoperative outcomes and complications in patients undergoing TURP for BPH.</p><p><strong>Methods: </strong>This retrospective study included 398 male patients who underwent TURP between January 2020 and June 2024. We categorized the patients into two groups: those we operated on for lower urinary tract symptoms (LUTS) and those for AUR. Demographic data, prostate volume, serum prostate-specific antigen (PSA), maximum urinary flow rate (Qmax), post-void residual volume (PVR), International Prostate Symptom Score (IPSS), length of hospital stay, and postoperative complications were analyzed. Complications were classified according to the Clavien-Dindo system. Statistical analysis was performed using Student's t-test and Chi-square tests, with P < 0.05 considered significant.</p><p><strong>Results: </strong>A total of 398 patients were included in the study, comprising 237 who underwent TURP for LUTS and 161 for AUR. The AUR group demonstrated significantly higher prostate volume ( P = 0.03), elevated PSA levels ( P < 0.001), longer hospital stay ( P = 0.001), and a higher early complication rate ( P < 0.001). The majority of these complications were recurrent AUR. Both groups showed significant postoperative improvement in Qmax and IPSS; however, patients with AUR had lower postoperative Qmax ( P < 0.001) and higher PVR ( P < 0.001). At six months, urethral stricture occurred more frequently in the LUTS group ( P = 0.025).</p><p><strong>Conclusion: </strong>AUR before TURP is associated with longer hospitalization, higher early postoperative complication rates, and poorer functional outcomes. Preoperative urodynamic assessment and individualized postoperative follow-up may help optimize surgical results in this patient group.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1025-1031"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Intraparotid Branching Patterns of the Facial Nerve During Parotidectomy: A Clinical Study Based on the Davis and Alomar Classifications.","authors":"Y Ç Kumbul, F Yeşilkuş, Y E Ekinci, H Yasan, M Tüz, E Okur, M E Sivrice","doi":"10.4103/njcp.njcp_306_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_306_26","url":null,"abstract":"<p><strong>Background: </strong>The branching patterns of the facial nerve (FN) vary among individuals, which may affect the risk of surgical complications.</p><p><strong>Aim: </strong>The aim of this study is to examine the relationship between FN branching patterns and clinical variables including facial paralysis in patients undergoing parotidectomy in our clinic and to reveal the region-specific anatomical distribution of the FN.</p><p><strong>Methods: </strong>Data from 39 patients who underwent parotidectomy were analyzed. In all cases, the main trunk of the FN was located at the exit of the stylomastoid foramen and dissected. Intraoperative nerve monitoring was used in all cases. The branching patterns of the FN were categorized according to the Davis and Alomar classifications. The relationship between these two classifications and the variables was statistically analyzed.</p><p><strong>Results: </strong>Of patients, 53.8% were female and 46.1% were male, with an average age of 47.59 ± 16.12 years. The mean length of the main trunk of the FN was 15.44 ± 3.51 mm. The interbranch anastomosis rate was 74.36%. In the Alomar classification, the most frequent subtype was IB2 (51.28%), while in the Davis classification, Type I (25.64%) and Type III (25.64%) were the most frequent. The rate of facial paralysis (FP) in the early postoperative period was determined to be 33.3%. A significant association was found between malignant tumors and the development of FP ( P = 0.035 ).</p><p><strong>Conclusion: </strong>Understanding the branching patterns of the FN and regional anatomical variations is critical for improving surgical success during parotidectomy. Among clinical variables, malignant histopathology is the strongest predictor of FP.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1032-1039"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nephropleural Fistula as a Rare Complication of Nephrolithiasis: A Case Report and Literature Review.","authors":"Y Kayalı","doi":"10.4103/njcp.njcp_609_25","DOIUrl":"10.4103/njcp.njcp_609_25","url":null,"abstract":"<p><p>Nephropleural fistula (NPF) is an exceptionally rare yet clinically significant complication that typically arises in the context of severe urinary tract infections or following percutaneous nephrolithotomy. We describe a case of NPF secondary to a complicated urinary tract infection, outlining its clinical course, diagnostic challenges, and therapeutic management. This report highlights the importance of early recognition and appropriate interventions to prevent the morbidity associated with this unusual entity.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 8","pages":"949-952"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Catastrophic Intraoperative Systemic Vascular Injuries in Elective Thoracic Surgery: A 10-Year Retrospective Single-Center Study.","authors":"C İşevi, S M Yücel, M G Pirzirenli, F Ömür, A T Şengül, Y Büyükkarabacak, B Çelik","doi":"10.4103/njcp.njcp_659_25","DOIUrl":"https://doi.org/10.4103/njcp.njcp_659_25","url":null,"abstract":"<p><strong>Background: </strong>Systemic vascular injuries during elective thoracic surgery are rare, but potentially life-threatening complications. Their occurrence is closely related to tumor-vessel proximity and intraoperative technical challenges.</p><p><strong>Aims: </strong>To determine the incidence proportion, mechanisms, and clinical outcomes of systemic vascular injuries during elective thoracic surgery, and to assess the impact of multidisciplinary preoperative planning.</p><p><strong>Methods: </strong>This retrospective descriptive study reviewed patients with intraoperative systemic vascular injuries during elective thoracic surgery at a tertiary center between January 2015 and December 2024. Demographic, surgical, and perioperative data-including injured vessel, blood loss, transfusion, complications, and need for cardiovascular surgery (CVS) support-were analyzed. Pulmonary artery injuries and emergency surgeries were excluded.</p><p><strong>Results: </strong>Of 7,597 elective thoracic surgeries, 11 patients (0.15%) sustained systemic vascular injuries. The most injured vessels were the superior vena cava (SVC), brachiocephalic vein, and subclavian artery. Preoperative imaging failed to detect vascular invasion in 45.5% of patients. CVS consultation was obtained in 5 cases (45.5%), but cardiopulmonary bypass (CPB) was not required. Median blood loss and transfusion requirements were higher in the CVS group, though differences were not statistically significant. Three patients (27.3%) died during the postoperative period, with pulmonary complications such as pneumonia identified as the primary cause of death. One neoadjuvant-treated patient experienced a subclavian artery injury requiring graft interposition.</p><p><strong>Conclusions: </strong>Although uncommon, systemic vascular injuries in elective thoracic surgery are associated with significant morbidity and mortality. Preoperative imaging may underestimate vascular risk. Multidisciplinary planning and intraoperative preparedness are essential to mitigate complications. Larger multicenter prospective studies are warranted to develop standardized preventive strategies.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 8","pages":"923-930"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Oral and Intravenous Nitroglycerin in the Treatment of Acute Postpartum Hypertension After Cesarean Delivery for Preeclampsia.","authors":"M Incebiyik, H Fedai, O Tammo, Y Z Kizildemir, I H Adak, R K Duken, M E Sak","doi":"10.4103/njcp.njcp_808_25","DOIUrl":"10.4103/njcp.njcp_808_25","url":null,"abstract":"<p><strong>Background: </strong>Acute postpartum hypertension is common among women with preeclampsia, particularly after cesarean delivery, and is traditionally managed with intravenous (IV) antihypertensive agents. However, evidence directly comparing IV nitroglycerin-based regimens with oral-only strategies is limited.</p><p><strong>Aim: </strong>To compare the efficacy of oral-only antihypertensive therapy versus IV nitroglycerin-based regimens in achieving 24-hour blood pressure control among women with preeclampsia after cesarean delivery.</p><p><strong>Methods: </strong>In this two-center retrospective cohort study, we included women with preeclampsia who developed acute hypertension within 24 hours after cesarean delivery. Patients were categorized into three groups: oral-only therapy, IV nitroglycerin plus oral therapy, and IV nitroglycerin-only regimens. The primary outcome was 24-hour blood pressure control (systolic <160 mmHg and diastolic <110 mmHg). Secondary outcomes included 30-day healthcare utilization and in-hospital complications. Multivariable regression models adjusted for baseline characteristics.</p><p><strong>Results: </strong>All strategies achieved substantial blood pressure reduction. Rates of 24-hour control were high and comparable across groups ( P = 0.941), with no significant advantage of IV nitroglycerin over oral-only therapy after adjustment. Short-term clinical outcomes, including 30-day emergency visits ( P = 0.930) and in-hospital complications ( P = 0.810), were similar across groups. In subgroup analyses, IV nitroglycerin and oral nifedipine yielded similar hemodynamic responses.</p><p><strong>Conclusion: </strong>Oral-only therapy provides 24-hour blood pressure control and short-term outcomes comparable with resource-intensive IV nitroglycerin regimens. In stable postpartum patients, oral therapy can be used as first-line management.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 8","pages":"903-911"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Color Stability and Surface Properties of Different CAD/CAM Materials: An In vitro Study.","authors":"A Topaloglu, H C Kucukesmen","doi":"10.4103/njcp.njcp_262_25","DOIUrl":"https://doi.org/10.4103/njcp.njcp_262_25","url":null,"abstract":"<p><strong>Background: </strong>The widespread use of CAD/CAM technologies in dentistry has enabled the application of various restorative materials with differing mechanical and aesthetic characteristics. While lithium disilicate ceramics are known for their strength and translucency, resin-matrix ceramics are preferred for their ease of processing and intraoral repairability. However, their long-term color stability and surface behavior under staining conditions remain insufficiently understood.</p><p><strong>Aim: </strong>This study aimed to evaluate and compare the effects of different staining solutions on the color stability, surface roughness, microhardness, and contact angle of selected CAD/CAM restorative materials.</p><p><strong>Methods: </strong>An in vitro study was conducted using three resin-matrix ceramics and one fully crystallized lithium disilicate ceramic. Specimens were immersed in three different staining solutions (distilled water, coffee, and red wine). Measurements of color change (ΔE00), surface roughness (Ra), microhardness, and contact angle were performed at baseline and after 30 days.</p><p><strong>Results: </strong>All materials showed varying levels of discoloration, with the highest ΔE00 value observed in the Shofu Block HC group stored in red wine (ΔE00 = 5.48 ± 0.43). Lithium disilicate ceramic exhibited the least discoloration among all tested materials. In coffee and red wine, all materials, including lithium disilicate, exceeded the clinically acceptable threshold (ΔE00 = 1.8) after 30 days, although lithium disilicate consistently exhibited lower discoloration compared to resin-matrix ceramics. Surface roughness increased in all groups but remained within clinically acceptable limits. Contact angle values varied according to material type, reflecting differences in surface wettability.</p><p><strong>Conclusion: </strong>Resin-matrix ceramics demonstrated greater susceptibility to discoloration and surface changes than lithium disilicate ceramic. Although lithium disilicate exhibited the lowest discoloration among the tested materials, its ΔE00 values also exceeded the clinical acceptability threshold (ΔE00 = 1.8) after 30 days of immersion in coffee and red wine. These findings indicate that material composition and environmental exposure conditions play a critical role in determining the long-term aesthetic and surface performance of CAD/CAM restorations.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 8","pages":"880-889"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors and Clinical Course of Patients with Recurrent Corneal Erosion: A Single-Center Retrospective Study.","authors":"M Showail, A Alasmari","doi":"10.4103/njcp.njcp_550_25","DOIUrl":"https://doi.org/10.4103/njcp.njcp_550_25","url":null,"abstract":"<p><strong>Background/aim: </strong>Recurrent corneal erosion (RCE) syndrome is characterized by recurrent corneal epithelium detachment, and patients with RCE usually experience sudden onset unilateral ocular pain upon awakening from sleep. The aim of this study was to investigate the association of risk factors and clinical course of RCE syndrome.</p><p><strong>Methods: </strong>A retrospective chart review was performed at King Abdul-Aziz University Hospital in Jeddah, Saudi Arabia, focusing on RCE patients. The study included 28 individuals who met the inclusion criteria, ensuring a comprehensive examination of RCE cases. Data collection was meticulous using the Phoenix system and Microsoft Excel data sheets, and the obtained data were analyzed using SPSS version 27.</p><p><strong>Results: </strong>Twenty-eight patients with RCE were included in the study. The causes of RCE varied and included trauma, map dot fingerprint dystrophy (MDF), fingernail-related issues, and other unknown factors. The number of RCE recurrences ranged from 1 to 4 times, and the duration of recurrence ranged from 1 to 48 months. Treatment modalities included superficial keratectomy, photorefractive keratectomy, phototherapeutic keratectomy, antibiotic eye drops and ointments, and hyaluronic acid eye drop substitutes. There was no significant difference ( P > 0.05) in patients' clinical profiles between trauma-related and MDF-related cases. Furthermore, no significant ( P > 0.05) correlation was observed between RCE recurrence duration and other factors, including gender, position of RCE, past ocular history, past medical history, initiating causative factors, and treatment approaches.</p><p><strong>Conclusion: </strong>Trauma, including fingernail injuries and MDF, was the most important and prevalent causative/risk factor. However, a nonsignificant correlation was observed between recurrence duration and risk factors.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 8","pages":"931-936"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meningococcal Vaccine Among Domestic Hajj Pilgrims: A Large-Scale Assessment of Coverage, Facilitators, and Barriers.","authors":"Al-Mamoon M Badahdah","doi":"10.4103/njcp.njcp_110_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_110_26","url":null,"abstract":"<p><strong>Background: </strong>Invasive meningococcal disease (IMD) remains a critical threat during Hajj. Following a 2024 resurgence of travel-related IMD cases, assessing domestic adherence to mandatory quadrivalent (MenACWY) meningococcal vaccination has become a public health priority. While international compliance is high, data on domestic pilgrims who constitute 25-40% of the population remain limited.</p><p><strong>Aim: </strong>To assess Meningococcal vaccine coverage and identify the sociodemographic determinants, motivators, and barriers among domestic pilgrims.</p><p><strong>Methods: </strong>We analyzed data from a large-scale cross-sectional assessment of 4,678 domestic pilgrims (aged ≥16 years) conducted in Mina during the 2019 Hajj. As the final full-scale pilgrimage prior to the coronavirus disease 2019 pandemic, this cohort provides the definitive baseline for understanding domestic vaccination realities. Using multi-stage cluster sampling, participants were surveyed on several domains; this study specifically analyzed MenACWY uptake (within the required validity period), sociodemographics, and motivators.</p><p><strong>Results: </strong>Overall uptake was 87.3%, but policy-compliant adherence was 86.2%. Multivariate analysis showed nonadherence was significantly associated with residency in Makkah Province (adjusted odds ratio [aOR] = 0.51, 95% confidence interval [CI]: 0.35-0.75, P < 0.001) and prior Hajj experience (aOR = 0.48, 95% CI: 0.33-0.70, P = <0.001). Conversely, female sex (aOR = 1.86, 95% CI: 1.01-3.42, P = 0.045), healthcare employment (aOR = 2.13, 95% CI: 1.20-3.75, P = 0.009), and the receipt of pre-Hajj health advice (aOR = 2.60, 95% CI: 1.79-3.77, P < 0.001) were linked with increased adherence. While policy mandate was the primary motivator (47.6%), 6.2% reported out-of-pocket costs, with non-citizens 4.14 times more likely to incur expenses ( P < 0.001).</p><p><strong>Conclusion: </strong>Domestic pilgrims exhibit suboptimal adherence, suggesting that geographic proximity and prior pilgrimage experience foster a familiarity-driven complacency that diminishes perceived risk. These findings from the 2019 baseline are vital for tailoring current strategies. Linking permit issuance to timely vaccination is essential to achieve the coverage required for Hajj health security.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 8","pages":"937-944"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Knowledge, Awareness, and Attitudes of Dental Students Regarding Teledentistry in Oral and Maxillofacial Surgery: A Cross-Sectional Survey.","authors":"A Ozcan-Kucuk, E Karakas, A Celebi, F Atil","doi":"10.4103/njcp.njcp_468_25","DOIUrl":"https://doi.org/10.4103/njcp.njcp_468_25","url":null,"abstract":"<p><strong>Background: </strong>Teledentistry is a new field of dentistry that delivers remote dental care services using various technologies. It employs digital imaging and the Internet to improve access for underserved patients in rural or remote areas. To support its integration into future dental practice, it is essential to assess current students' knowledge, awareness, and attitudes toward teledentistry.</p><p><strong>Materials and methods: </strong>A cross-sectional survey was administered online via Google Forms to third-, fourth-, and fifth-year undergraduate students. The questionnaire collected sociodemographic information as well as items assessing knowledge of, awareness of, and attitudes toward teledentistry. Data were analyzed using IBM Statistical Package for the Social Sciences Statistics version 22.</p><p><strong>Results: </strong>The study included 302 dental students (48% female, 52% male; mean age: 22.99 ± 2.09 years). Overall, 29% had heard of teledentistry, while only 2% had used it. Among those aware, prior use was higher than among those unaware (5.8% vs. 0.5%, P = 0.001). Significant differences were observed by academic year. Fourth-year students were more likely than third- and fifth-year students to report that teledentistry could be used for educational purposes (50.5% vs. 35.2% and 36.8%, P = 0.045). They also showed higher agreement regarding its use in interdisciplinary virtual consultations (64.4% vs. 46.4% and 56.6%, P = 0.044), Medication-Related Osteonecrosis of the Jaw (MRONJ) follow-up (38.6% vs. 8.8% and 32.9%, P = 0.001), and clinical cost reduction (49.5% vs. 40% and 27.6%, P = 0.025).</p><p><strong>Conclusion: </strong>Most dental students were unfamiliar with teledentistry, its advantages and limitations, and practical applications. Given that teledentistry remains a novel technology, its principles and applications should be incorporated into the undergraduate dental curriculum.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 8","pages":"871-879"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}