Aim: To analyze the level of awareness, knowledge and attitude towards bioethics among dental professionals and practical implementation of bioethical principles in their dental practice.. Methodology: A descriptive cross-sectional, pre-validated questionnaire based research was conducted at four dental teaching institutions of Lahore, Pakistan. A non-probability purposive sampling technique was used. Results: Majority of the respondents 167(60.7%) were graduates having desirable knowledge and awareness of term “BIOETHICS”. It was appreciative that contributors had a positive perspective about the role of bioethics and have accepted its worth in their daily lives. A greater proportion 117(50.9%) of the participants gave opinion that full description of risks and benefits should be stated in informed consent. The fact that most of the respondents are dedicated to learn more about bioethics was endured out by present data as 224(81.5%) were of the opinion that bioethics should be a part of curriculum at undergraduate level. The survey specified that organ donation and abortion are considered as most critical bioethical issues. Conclusion: Dental fraternity has a fair knowledge of term ‘Bioethics’ and trend is seen towards practical implementation of principles of bioethics. Many domains of bioethics are still under debate because responses were influenced by cultural and religious norms. There is a dire need of development of innovative educational initiatives of ethics related to clinical/ technical issues, practice management, and social/ civic controversies. Keywords: Bioethics, Practical Implementation, Bioethical principles, Human rights, Confidentiality
Objective: To determine the efficacy of two different antibiotics in reducing the postoperative complications of impacted third molar. Materials and Methods: Total of 48 participants were included in this randomized control trial conducted in Feb 2019 to Feb 2020, which were divided into two groups by block randomization where group A was prescribed with amoxicillin while group B was prescribed with metronidazole. On 3rd and 7th post-operative day after the extraction pain was assessed using a 10mm visual analogue scale (VAS) while, maximum mouth opening was assessed using a Vernier caliper. Wound infection and alveolar osteitis were documented as dichotomous variable. Pain and mouth opening were evaluated using t-test or Mann-Whitney U test while alveolar osteitis and wound infections were compared using Chi-square and Fischer’s exact test. SPSS version 22 was used for analysis. P value <0.05 was taken as significant. Results: The results of individual groups revealed no difference in decreasing the postoperative complications after surgical extraction. There was no statistically significant difference between the groups in terms of mean age, VAS score and mouth opening at 3rd and 7th postoperative day (p>0.5). We found no significant association between antibiotics and incidence of wound infection and alveolar osteitis (p>0.5). Conclusion: Antibiotics have no significant role in reducing the postoperative pain, limited mouth opening, wound infection and alveolar osteitis. Hence, the use of antibiotic should be limited to surgeon’s choice.
Aim: To analyze prevalence of cervical spondylitis among dentists practicing in Lahore. Methods: A cross sectional survey of 6 months was conducted on 110 dentists practicing in dental clinics of Lahore were examined using neck disability index performa. SPSS Version 24 used for entering/analyzing the data. Results: In 110 individuals, 22% dentists including males (n=19%) and females (n=24.2%) were suffering from cervical spondylitis. According to neck disability index 34.5% had no disability, 47.2% had mild, 10.9% had moderate, 5.4% had severe disability and only 1.9% had complete disability. The major number (30%) was among 41-50years, and also statistically significant difference was observed (p-value = 0.02). Similarly maximum number of cervical spondylitis was found among females, 15(24.2%) but statistically insignificant difference was observed with respect to gender (p-value = 0.493). Longer practicing experience had also significant impact on the occurrence of spondylitis (p-value <0.001). Conclusion: Dentists are likely to have neck pain prevalent in them and very few had cervical spondylitis (22%) but the damage could be reduced if postural changes and regular exercises could be adapted. Keywords: Cervical Spondylitis, Neck Disability Index, Postural Changes
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