Objective: To evaluate the knowledge, attitude, and practices about personal protective equipment (PPE) among dental surgery assistants in a Public Sector Teaching Hospital of Multan. Methods: A cross-sectional survey was carried out among dental surgery assistants in the dental outpatient departments of a public sector hospital of Multan city from Aug to Oct 2019. Pre-structured questionnaire which comprised of socio-demographic data, questions related to knowledge, attitude and practices was used. In the domain of knowledge there were 6 items. Dental assistant who scores ≤4 were considered to have appropriate knowledge for PPE. In the domain of attitude there were 5 items. Dental assistant who scores ≤3 were considered to have positive attitude for PPE. In the domain of practices there were 6 items. Dental assistant who scores ≤4 was considered good practicing of PPE. Results: Of 80 participants, 65 (81.25%) were males and 15 (18.75%) were females. Majority (n=54, 67.5%) of them were between 21-30 years of age. Appropriate knowledge was observed in 77 (96.3%) participants, positive attitude in 53 (66.3%) while, only 8 (10%) participants practiced good PPE. A significant difference was reported in the practices of dental assistants when compared with their knowledge (p-value 0.046) while attitude was found to be insignificant (p-value 0.710). Conclusion:Dental surgery assistants of the renowned public sector teaching hospital of Multan city reported sound and apposite knowledge, moderate attitude while inappropriate practices about PPE.

Background: Dental care workers including dental assistant & doctors are at joint risk of receiving infection. Cross infection can be defined as "the spread of infection between staff members & patients in clinical setting." Precautions should be adopted while treating or checking the patients. Methods: This cross-sectional study of 3 months duration was carried on dental house officers of Multan Medical and dental college Multan. 60 dental house officers willingly participated in our study. Universal sampling technique was utilized in order to collect the data. Informed consent was sign up from the partakers. Results: Out of sixty dental house officers, males were twenty seven while females were thirty three . 85% participants consider that dental clinics/hospitals are more predisposed to the infection/contamination than other medical fields. 73.3% partakers wash the hands regularly after providing the treatment to every patient. All the partakers reported that usage of PPE has a foremost part in the prevention of cross contamination. Majority of the partakers use gloves as well as facemask but goggles or protective eyewear, head caps & aprons were not in use by most of participants. Conclusion: Adequate awareness/knowledge but less satisfactory practice about infection control was reported. Knowledge acquired must also be transferred into everyday practice. Continuous infection control education through lectures/ tutorials or seminars must be organized. Cross-contamination control guidelines should also be established by dental colleges.

Objective: The aim of this study is to determine the impact of mesioangular mandibular 3rd molar impaction on periodontal health of adjacent tooth in patients. Study Design: Retrospective/observational study Place and Duration: Department of Oral & Maxillofacial Surgery, MMDC Multan, during from Oct 2020 to September 2021. Methods: Total of seventy patients of both genders was presented in this study. Detailed demographic data of enrolled cases age, sex, body mass index, symptoms and complications were recorded after taking informed written consent. All the patients had mesioangular impactions of mandibular third molars. The impaction depth, relationship with ramus, and angulation of 70 IMTMs and their association with 2nd molar distal caries and root resorption, pathological states, and closeness to the mandibular canal were assessed on panoramic radiographs. Pell and Gregory classification was used to determine position of impacted third molar. The odds ratio (OR) and 95% confidence interval (CI) of IMTM's position on the related complications (credible interval for Bayesian models). Statistical significance was defined as a two-tailed p-value 0.05. SPSS 24.0 version was used to analyze complete data. Results: There were 42 (60%) males and 28 (40%) females with mean BMI 23.13±6.46 kg/m2. Most of patients 31 (44.3%) were aged between 20-35 years. Mean attachment level was 3.03±2.34 and probing depth was 3.34±3.35. Caries, pain and swelling were the most common symptoms found among cases. Distal second molar root caries 21 (30%) and pocket formation 17(24.3%) were the most common pathologies. As per histological findings periapical inflammation was majority found in 37 (52.9%) cases followed by dental follicle in 19 (27.1%) and cyst in 11 (15.7%). Conclusion: In this study, we found that the impacted mandibular third molar was most linked with distal second molar root caries and the creation of a pocket between the impacted tooth and the second molar tooth. The most common pathology associated with the impacted molar was distal second molar root caries and the creation of a pocket between the affected tooth and the second molar. Keywords: Mesioangular, Impacted mandibular third molar, Pathology, Complication

Background: Oral health is thought to be an essential part of general healthiness. Poor oral hygiene can significantly affect the quality of life which may initiate deterioration of overall health. Aim: To find out reasons or misapprehensions that stop the dental patients from getting scaling procedure. Methodology: This questionnaire-based cross-sectional study was conducted in tertiary care dental hospital of Multan from November 2019 to February 2020. Three hundred and six patients filled a questionnaire designed and tested for this study. The ethical approval (MDC-1290) was taken from the Dental Hospital, informed consent was obtained from the participants in the study. Results: Out of 306 participants, 49% participants were males and 51%were females. 24% percent participants reported that we have more than one reasons for avoidance of scaling procedure. Among other fears top-most were 16% participants believed that scaling is a painful procedure and 13% said that scaling increases the mobility of teeth. Conclusion: Now-a-days misapprehensions or fear regarding scaling has been reduced because of self-awareness programs started by social media activists Keywords: Anxiety, Fear, Mobility, Myth, Scaling, Pain, Sensitivity

Background: Since antibiotic’s discovery, they have been widely utilized for treatment of the odontogenic infections. Writing a prescription is a vital determining factor of the good doctor/clinician. Drug Prescription is a dynamic and personalized clinical process, which is established as a result of necessities of the patient & acquaintance of practitioner & is also the component of curriculum of graduation. Aim: To evaluate and assess knowledge about prescription of the antibiotic during the endodontics’s treatment and the errors made by final year students at the dental hospital. Setting: Multan Medical & Dental College Multan Methodology: This survey-based research was led among 48 students of Multan Dental College Multan. A form was designed, regarding pattern of the antibiotic’s prescription & conditions/situations for which the drugs were recommended by students of final year. Results: The medication of choice was mostly Amoxicillin alone (75%) and Amoxicillin + clavulanic acid (55%). Most of antibiotic prescriptions were written for Perio-endo lesion (85%), acute apical abscess (80%). Chronic apical abscess with sinus tract (80%), Ch. apical abscess with periodontitis (65%), Patients with swelling & difficulty in swallowing (62%). In this study the greatest numbers of antibiotics prescribed were prophylactically for congenital cardiac sicknesses 69.7%, and uncontrolled diabetes mellitus 60%. Prosthetic joint in past 2 years 40% & Chemo/radio therapy 30%. Conclusion: There is a dearth of knowledge as well as information concerning the suitable indication, kind, & dose of the antibiotics in practice of dentistry. The curriculum should propose great accent on prescription, and decent prescription practices should also be taught in clinical rotation’s, using actual or imaginary cases. Keywords: Antibiotics, Endodontics, Prescription writing, prophylaxis, Root canal treatment (RCT)