Background: Dental records assume a significant part as these might be utilized in identification of dead or missing humans, as proof in court and in criminological dentistry as discoveries of posthumous assessments are contrasted with antemortem dental evidence that have been well-maintained. Aim: To evaluate the awareness regarding significance of dental records and receptiveness of the practitioner toward maintenance in proper pattern. Method: This cross sectional descriptive was carried out between September and December, 2019 at established dental institution of Lahore. A questionnaire containing 16 close ended question was formulated and distributed to all the participants. We seek approval from ethical committee of Lahore Medical & Dental College. Statistics was investigated through SPSS version 20; Pearson correlation coefficient was utilized. Results: A total of 350 dental practitioners took part in this study, statistics revealed that 68.3 % were familiar with importance of maintaining records. Though 96 % dental professionals record the full name, age and gender of patients, 94% explore medical history, 78% record various developmental dental anomalies and 39 % notice decayed, missed or filled teeth; but in general 55.4% percent maintain the patient-related correspondence. Amongst them 33.5% of dental professionals preserve the dental file, 40% percent conserve the radiographs, 29% photographs of the patients, and just 10% of the dentists preserve the casts. Duration of conserving dental records found inconstant; 40% sustain all the patient-related correspondence for a month or less, 21.20 % for a half year, 18.4 % for a year, 6.4% as long as 5 years and just 1 % for around 10 years. Conclusion: Information and receptiveness of maintaining records among the dental professionals of Lahore is inadequate, improvement can be accomplished by education and training. Keywords: dental records, identification, forensic dentistry, patient chart
OBJECTIVES To find the association between gender and the patterns of impactions and associated radiolucency in Mandibleand Maxilla. METHODOLOGY A cross-sectional descriptive study was conducted on 385 Orthopantomograms (OPG) of patients visiting SharifMedical and Dental College (SMDC), Services Institute of Medical Sciences (SIMS) and Institute of Dentistry,CMH, Lahore Medical College, Lahore over a period of three months from December 2020 to February 2021.The angle of the impacted third molar was classified using Winters classification. The Pell and Gregoryclassification was used for depth of third molar impaction and ramus relationship of mandibular third molars.Statistical analysis was done using SPSS 23 and a P value ≤ 0.05 was considered significant. RESULTS The angle of impaction and gender in impacted mandibular third molars were significantly associated with eachother (p=0.011) while the depth of impaction (p=0.729), and ramus relationship(p=0.318) were not significantlyassociated with gender. The associa tion between gender and periapical radiolucency (p=0.605), peri coronalradiolucency (p=0.591), caries (p=0.499) and external resorption (p=0.499) were non-significant. In maxillaryimpacted third molars the association between gender and depth of impaction (p=0.121), angle of impaction(p=0.284), periapical radiolucency (p=0.111), peri coronal radiolucency (p=0.805) and caries (p=1.000) werenon-significant. CONCLUSION In impacted mandibular third molars the periapical, peri coronal radiolucency,caries and external resorption weremore in the males as compared to the females. In maxillary third molar impactions, the periapical radiolucencyradiolucency was greater in males while peri coronal radiolucency was greater in females.
Introduction: Total knee replacement is a reliable operation for reducing pain and improving function in severe osteoarthritis of the knee. As incidence of obesity is increasing worldwide, there is a debate about the role of Body Mass Index (BMI) in selection of patients requiring total knee replacement. The aim of the study was to evaluate the impact of body mass index on total knee replacement in terms of post-operative improvement in knee range of motion, patient satisfaction and complications.Material and methods: Out of 175 patients who suffered from advance knee osteoarthritis and were candidates for primary total knee replacement from January 2016 to March 2018, 155 patients fit the inclusion criteria. Group 1 included 66 patients who were overweight and class 1 obese while group 2 included 89 patients who were class 2 and 3 obese according to WHO Body Mass Index classification. All patients underwent total knee replacement according to the hospital guidelines. Pre and post-operative range of motion, patient satisfaction and complications were assessed and documented. Results: There was no statistically significant difference in improvements in post-operative knee range of motion between the two groups up to 2 years of follow up. [Mann-Whitney U test p= 0.069]. Similarly, Mann-Whitney U test showed that there is no significant difference between patient satisfaction levels (SF-12 scores) of the two groups (p= 0.09). Conclusion: There is no significant impact of obesity on outcomes after total knee replacement and BMI should not be used as a factor in selecting patients who qualify for total knee replacement.Level of Evidence: Level III
Background: Dentistry is associated with numerous stressors and dental students encounter a lot of stress during their undergraduate studies. This study was conducted with the objectives to know the understanding of stress and factors among the clinical dental students. Aim: To determine the perception of stress and professional burnout and determine the possible factors of it among dental students at College of Dentistry Sharif Medical and Dental College Lahore. Methodology: A cross sectional study was carried out in May 2021 on 3rd and final year BDS students from Sharif Medical and Dental College Lahore by using modified dental environmental stress questionnaire. SPSS vn 23.0 was used. Results: Male students are mostly affected by rules and regulations (36%) and lack of time to do schoolwork (36%) whereas female students are mostly affected by fear of failing exam (65%) whereas female students are mostly affected by fear of failing exam (65%). Whereas a highly significant association is seen between fear of failing exam and gender i.e.,<0.0001 for the major cause of causing stress. Conclusion: The result of this study shows that dental students of clinical years do suffer from stress. Syllabus and examination pattern should be amended to decrease stress as well as faculty attitude should be more supportive. Counselling sessions should be arranged for student’s better performance. Keywords: Stress, Burnout, Clinical dental students
BACKGROUND & OBJECTIVE: Poor food quality and choices are a major concern in the modern life style and increased consumption of sweetened and artificially sweetened beverages have been implicated as contributing factors for obesity. The objective of this study is to determine the association between the consumption of artificially sweetened beverages and changes in body mass index among children. METHODOLOGY: Data on the consumption of artificially sweetened beverages consumption and BMI for 13,287 children was analyzed for exposure and outcome from Millennium Cohort Study (MCS). The association between frequency of ASB consumption and BMI was quantified using demographics and linear regression analysis. The linear regression analysis was done adjusting demographic, socioeconomic variables and confounding factors of frequency of physical activity. Regression analysis was conducted using survey weights to account for the complex sampling design. RESULTS: Adjusted linear regression for demographical and socioeconomic variables showed that more frequent consumption of ASB was associated with a significant increase in BMI. As the frequency of ASB increased, BMI significantly increased by 0.69-1.06 units in categories (p<0.01). Regression analysis adjusted for frequency of physical activity also showed an increase of BMI by 0.36 units (p<0.01) with the highest frequency of ASB consumption. CONCLUSION: Higher consumption of artificially sweetened beverages causes an increase in BMI among UK children.
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