The purpose of the study was to compare the accuracy of the concentration of fluoride (F), calcium (Ca), pH, and total dissolved solids (TDS) levels mentioned on the labels of the various brands of bottled drinking water available in Riyadh, Saudi Arabia. Twenty-one different brands of locally produced non-carbonated (still water) bottled drinking water were collected from the supermarkets of Riyadh. The concentration of F, Ca, TDS, and pH values were noted from the labels of the bottles. The samples were analyzed for concentrations in the laboratory using the atomic absorption spectrophotometer. The mean level of F, Ca, and pH were found as 0.86 ppm, 38.47 ppm, and 7.5, respectively, which were significantly higher than the mean concentration of these elements reported in the labels. Whereas, the mean TDS concentration was found 118.87 ppm, which was significantly lower than the mean reported on the labels. In tropical countries like Saudi Arabia, the appropriate level of F concentration in drinking water as recommended by World Health Organization (WHO) should be 0.6-0.7 ppm. Since the level of F was found to be significantly higher than the WHO recommended level, the children exposed to this level could develop objectionable fluorosis. The other findings, like pH value, concentrations of Ca, and TDS, were in the range recommended by the WHO and Saudi standard limits and therefore should have no obvious significant health implications.

Objective: To understand impact of physical activity on pain perception in patients presenting with acute pulpitis for endodontic therapy. Study Design: It was quantitative correlational by design. Place and duration of study: Department of Operative Dentistry, Dental Section, Islam Dental College, Sialkot. Materials & Methods: 500 patients from the Dental Section of Islam Dental College Sialkot were included in this study. The correlation of movement/walk and pain during endodontic treatment was determined. Numeric pain scale was used to document pain. Activity was measured by the number of minutes of walk of the patient. Results: There is a significant association between physical activity/exercise and pain. Statistical significance between pain and exercise was -.158. Conclusion: Pre-operative assessment of physical activity may be a predictor of pain perceived by patients. Therefore, it is important to educate and consider patient’s physical activity to manage pain during the dental treatment. Life style modification may seems insignificant but has proven positive impact in pain management. Keywords: Exercise, local anaesthesia (LA), endodontic therapy, pain.

Objective: The main purpose of this study is to assess the knowledge, attitude, experience, and perception about the management of medical emergencies in dental clinics amongst house officers at CMH LMC & IOD. Study Duration: This questionnaire-based descriptive cross-sectional study was conducted between May 2022 and June 2022 at CMH Lahore Medical College and Institute of Dentistry. Material & Methods: A previously tested questionnaire comprised of three parts was used for data collection. A total of 62 house officers were present. All of them responded to the questionnaire. The questionnaire consists of three sections; Section A: Contains the questions related to the understanding of the dental house officers in managing medical emergencies. Section B: Includes the evaluation of experiences and skills they have in managing medical emergencies if it occurs in dental clinics. Section C: Includes their perceptions related to the betterment of emergency management was evaluated. Data was analyzed using IBM SPSS Version 24. Data was analyzed using IBM SPSS Version 24. Results: Concerning Basic life support training, 64.5% had been given training during house job only. At least 67.7% of House officers came across 1-5 medical emergencies during their house job. Syncope was one of the most common (62.9%). Hypoglycemia was the second most common (35.5%) and asthma was reportedly the third most common medical emergency (1.6%). When facing a medical emergency, 90.3% report that they seek help. 96.8% reported that they can take a patient’s blood pressure, 72.4% can take a patient’s pulse, 27.4% can measure blood sugar level, only 38.7% can maintain an IV line, 41.9% can perform the Heimlich maneuver, 53.2% can carry out ventilation through a bag or mask and 35.5% are capable of performing CPR. Only 3.2% of house officers believe that their undergraduate training is sufficient to prepare them to manage medical emergencies. Though, 71.0 % think that house officers should undertake medical emergency training before starting their house job. Practical implication:There is scarcity of literature on how prepared dental house surgeons are to deal with medical emergencies so this study give future directions to dental house surgeons. Conclusion: It was concluded that practical training is lacking among dental house officers in managing medical emergencies and that there is a need to not only include medical emergency training at the undergraduate level but also allot a rotation to medical emergencies at the start of the house job. Keywords: Dental house officers, medical emergencies, management, training

Background & Objectives: A Cross-sectional study aimed to assess the prevalence of dental caries and oral hygiene status in Thalassemia Major children age ranging in 3-20-year-old undergoing blood transfusion from the Thalassemia Society of Pakistan. Oral hygiene status and dmft scores were compared. Methods & Materials: A total of 117 children from the Thalassemia Society of Pakistan were checked. Three stations were setup for dental check-up and examiners were calibrated. Examination was performed on children sitting comfortability in chairs using sterilised dental mirrors and probes under natural sunlight on modifies version of World Health Organization (WHO) assessment form. Decayed, missing, and filled teeth using DMFT and dmft indices and Oral Hygiene status was recorded as good, fair, and poor. Results: It was found in our study, 73 males (62.4%) and 44 females (37.6 %). mean dmft score for male was 2.25+ 2.87. Female score was 2.64+ 3.26. Overall mean DMFT score 2.39+ 3.02.A strong association was observed between age and DMFT (p=0.001) between Out of the total sample size, two third majority had fair oral hygiene, while the remainder fell into good and poor hygiene category, respectively. Conclusion: Majority of sample population had fair oral hygiene and young age group were more prone to dental caries. Keywords: Thalassemia Major, Dental Caries, Oral Health