Background: The extent of the needle phobia and its effect on the patients in the community is the topic which still remains largely unexplored. The presence of needle phobia may influence the future dental treatment by the patient. Thus, the present study was planned to check the nature and prevalence of needle phobia among dental college patients. Materials and Methods: The study was carried with the help of 16 questionnaires specially formulated for the present study. The study included 343 patients came to the outpatient department of the dental college, and the observation was recorded and analyzed. Results: Most of the male and female participants had the experience of the needle phobia due to the experience shared by parents, friends, or relatives in their previous life. Due to needle phobia the most of the patient becomes somewhat anxious, and needle phobia had little impact on the life of the patients. According to our study, 13.3% of male participants and 14.6% of the female participants had avoided dental treatment due to fear of needles. Conclusion: The procedure of needle injection is a routine procedure in the dental clinics and hospitals for giving anesthesia to the patient. Therefore, these types of studies calculating the prevalence of needle phobia help to know about the view of the patient and ultimately the community toward the needle phobia. Hence that necessary steps can be taken.

In the last three decades great strides in Hyperbaric Oxygen research has raised the value of this unique therapy. Studies have expanded the list of conditions usefully treated with compressed oxygen. Despite the promising experimental and clinical data, the major criticism to most HBO studies has been the lack of controlled prospective analysis for its use. This article discusses the use of HBO, including staffing and equipment considerations, side effects and reviews the published experience in this subject.

Surgical repair of complex maxillofacial trauma presents a challenge to the surgeon and anaesthetist. Submental intubation is an alternative where oral and nasal intubation cannot be used. We present a case where tracheostomy was avoided in a patient with multiple maxillofacial fractures by opting for sub-mental endotracheal intubation technique. Time required for intubation, accidental extubation, postoperative complications, and the healing of intraoral and submental scars were evaluated. The technique avoids the complications associated with tracheostomy.

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Among the reconstructive options available for buccal mucosa defects with an intact mandible, free flap with microvascular anastomosis is the best option. However, in the developing world, with poor resources, limited in- frastructure, and high patient load, this cannot be offered to all patients. We report on the success of the masseter flap for reconstruction of such defects in carefully selected patients. Despite some known limitations, this flap is easy to learn and carries acceptable complications. The results of this flap may not be comparable to those of microvas- cular reconstructions, but they are better than those from other options such as skin graft, nasolabial flap, submental flap, etc. in terms of surgical time required, no donor site morbidity, and minimal aesthetic deformity.