Objective: To study the effectiveness of periodontal dressing on different clinical periodontal parameters after scaling and root planning. Study Design: Randomized Controlled Trial. Setting: Department of Periodontology, Multan Medical & Dental College, Multan. Period: May to July 2020. Material & Methods: Thirty three patients of both genders between ages 30-60 were included. Five clinical parameters were measured at baseline. These variables were recorded by University Of Michigan “O’’ Probe with William’s Markings. The measurements were executed by a single, trained and calibrated examiner. Right and left quadrants of Maxilla and Mandible of the same patient were selected as the test and control sites respectively through random selection by lottery method. The maxillary and mandibular test sides were covered with periodontal dressing for 07 days, later the dressing was detached. After 12 weeks, all clinical parameters were recorded again by the same examiner. Results: Mean age was found to be 45.28 years in males and 41.27 years in females. The mean Kappa value of intra-examiner reliability was identified as 0.95. In comparison to control group, test group showed a highly significant improvement in all five tested periodontal variables when the values were compared at base line and then after 12 weeks. Conclusion: Periodontal dressing has significantly improved the clinical outcomes and the periodontal parameters after Scaling and Root Planning procedures.

Objective: To determine the major causes and patterns of loss in permanent dentition from district Nowshera, Pakistan. Materials and Methods: A cross-sectional study was conducted at pre authorized oral health unit (Khairabad District Nowshera Khyber Pukhtoon khwa Pakistan). Records of patients, who had extraction of teeth at the oral health unit of Rural Health Center Khairabad between January 2018 and June 2019, were recorded on Pre Designed Performa of District Health Information System. Patients who were <16 years old at the time of treatment were excluded from the study. Data on age, gender, presenting complaint, type of tooth, and reason for extraction were documented. Reasons for extraction were classified in seven categories.Statistical analyses were done using the Statistical Package for Social Sciences version 20 (IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp). Results: A total of 2296 permanent teeth were extracted of which 1097 (47.78%) teeth were extracted due to caries and its sequelae, 660 (28.75%) due to periodontal disease, 230 (10.02%) for failed endodontic treatments, 185 (8.06%) due to pericoronitis, 111 (4.84%) due to trauma and 13 (0.57%) prosthodontic purposes. Conclusion: The results of the present study suggest caries and periodontal disease are the major causes of tooth mortality in the study population.

OBJECTIVE: To compare the clinical effects of Salvadora persica oral rinse and commercial Phenolic mouth wash on oral health status of socially deprived madrasa girls after six months of a triple blind randomized clinical trial. METHODOLOGY: Girls aged 18-22 years living permanently in a madrasa of Multan city were recruited. After determining the sample size and trial duration participants were randomized into group A and Group B and were provided with freshly Salvadora persica oral rinse and commercial Phenolic mouth washes respectively. Pre, mid and post-interventional examinations were executed by a single, blind and calibrated examiner using Turesky Quigley Hein Plaque and Loe and Silness Gingival indices. Statistical analysis was carried out by descriptive statistics, two sample independent t-tests and ANOVA. The p-value of <0.05 was considered significant at 95 % confidence level and 80% power. RESULTS: Sixty subjects were enrolled for the present trial. The mean age of the participants was found out to be 21.5±0.76 years. No statistically significant difference was identified between the mean Plaque and Gingival scores of the two interventional groups at any of the examination phase. CONCLUSION: Salvadora persica oral rinse is suggested to be equally effective as the commercial Phenolic mouth wash for the control of plaque deposition and prevention of gingival inflammation. KEYWORDS: Dental plaque, Gingivitis, Miswak, Mouthwash