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Fifty-two young individuals suffering from severe haemophilia A and B volunteered to be compared with school- and college-going students for oral health status description and subsequent management. A total of 244 students (84.42% boys and 15.58% girls) with the age group of 13-23 years were divided into two groups, A and B (controls). The purpose of this study was to increase awareness about evidence-based dental practices by oral examinations followed by comparisons of periodontal health and prevalence of malocclusions among medically compromised students and healthy controls. Results described the oral health in severe haemophilic population to be compromised with combined simplified health index score of 0.50 and Decayed/Modified/Filled Teeth (DMFT) index score of 2.07 when compared with 0.42 and 0.95, respectively, among group B. Although prevalence of malocclusion and orthodontic treatment needs among group A were higher, yet it was not confirmed as a reason for degraded dental and periodontal status. However, spontaneous and/or toothbrush (trauma)-induced gingival bleeding episodes among group A could be explained as factors discouraging oral hygiene maintenance, particularly self-administered measures. Four haemophiliacs presented with symptoms of Temporomandibular Joint Dysfunction Syndrome (TMPDS). Evidence-based oral medicine and clinical practices need to be encouraged and applied to enhance the quality of life among haemophiliacs, particularly in developing world. Dental treatment needs of haemophilic population appear to be greater and maybe incorporated in routine dental practices, at institutional and individual levels.

The burden of disease is borne by those who suffer as patients but also by society at large, including health service providers. That burden is felt most severely in parts of the world where there is no infrastructure, or foreseeable prospects of any, to change the status quo without external support. Poverty, disease and inequality pervade all the activities of daily living in low‐income regions and are inextricably linked. External interventions may not be the most appropriate way to impact on this positively in all circumstances, but targeted programmes to build social capital, within and by countries, are more likely to be sustainable. By these means, basic oral healthcare, underpinned by the primary healthcare approach, can be delivered to more equitably address needs and demands. Education is fundamental to building knowledge‐based economies but is often lacking in such regions even at primary and secondary level. Provision of private education at tertiary level may also introduce its own inequities. Access to distance learning and community‐based practice opens opportunities and is more likely to encourage graduates to work in similar areas. Recruitment of faculty from minority groups provides role models for students from similar backgrounds but all faculty staff must be involved in supporting and mentoring students from marginalized groups to ensure their retention. The developed world has to act responsibly in two crucial areas: first, not to exacerbate the shortage of skilled educators and healthcare workers in emerging economies by recruiting their staff; second, they must offer educational opportunities at an economic rate. Governments need to lead on developing initiatives to attract, support and retain a competent workforce.

OBJECTIVE: Masticatory muscles work coordinately along with bones and teeth in these jaws to generate occlusal bite force. The amount of force varies from person to person. This study was performed to measure the amount of bite force to associated with demographics like age and gender so that we may compare it with prosthodontically rehabilitated dentition which may help us in the treatment plan. METHODOLOGY: Bite force was recorded with an Occlusal Bite force meter (GM-10 Nagano Keiki Japan). A sample of 204 Pakistani individuals who are aged between 13 to 40 years and divided into three age groups: I (13-20years), II (21-30 years), III (31-40 years) is recorded. A mean of three left sided and a mean of three right sided maximum voluntary bite forces were calculated and a final mean of the two were taken to find out the Mean Maximum Voluntary Bite force. RESULTS: Mean Maximum Voluntary Bite Force was calculated as 533.42 N ± 185.44 N, whereas Males have Mean MVBF 635.23 N ± 179.86 N and Females have Mean MVBF 431.61 N ± 125.82 N. Mean Maximum Voluntary Bite force with respect to age; group I is 476.11 N ± 181.27 N, group II is 550.93 N ± 191.83 N. MVBF of group 3 is 573.21 N ± 171.18 N. CONCLUSION: Mean MVBF with standard deviation was calculated as 533.42 N ± 185.44 N, with males having bite force significantly higher than the females. In all the groups, gender was significantly associated with MVBF. The bite force is also positively correlated with age. KEYWORDS: Bite force, Human Bite force, bite force gauge, maximum bite force HOW TO CITE: Nawaz MS, Yazdanie N, Hussain S, Moazzam M, Haseeb M, Hassan M. Maximum voluntary bite force generated by individuals with healthy dentition and normal occlusion. J Pak Dent Assoc 2020;29(4):199-204.

In prosthodontics treatment, the procedure of vertical dimension of occlusion (VDO) recording is considered an essential problem. This procedure is one of the key parameter to be established during the planning of oral rehabilitation; and any error in its recording can affect the prosthodontics treatment severely, and ultimately can lead to disastrous situation. METHODOLOGY: The study was a cross-sectional. A total of 250 patients were taken in the study. The vertical dimension of occlusion was recorded between two points, one on the base of nasal septum and the other on the lower border of chin. Then the length of index finger was measured with digital Vernier caliper. RESULTS: Vertical dimension of occlusion is significantly correlated with the index finger. The correlation of VDO with index finger in males and females was significant (r= 0.74 and r= 0.82 respectively, p=0.000). CONCLUSION: Index finger measurement was found to be almost equal to vertical dimension of occlusion, and maybe useful in determination of VDO.