Aims and Objectives: The aim of the present study was to investigate the psychological consequences among hospitalized patients facing Maxillofacial trauma.Materials and Methods: Ninety-two patients (78 male and 14 female) following maxillofacial trauma were assessed initially and later again after 4-6 months of the injury. For assessment the Depression, Anxiety and Stress Scale (DASS) was used. Prevalence of Depression, Anxiety and Stress was assessed initially and later at follow-up in terms of percentage. Paired t-test was then used to assess if there is any significant difference in the pre and post assessment of Depression, Anxiety and Stress after maxillofacial trauma.Results: Of 92 patients, 41.3% had normal depression and 13%, 26%, 16.3% and 3.2% had mild, moderate, severe and extremely severe depression respectively in the initial assessment. Whereas in the follow up assessment, 37.8% were normal, 19.5 %, 31.7%, 10.9 % had mild, moderate, severe depression respectively and none had extremely severe depression. Similarly, of 92 patients 39.1 % of the subjects had normal anxiety, 6.5 %, 25 %, 15.2 % and 14.1 % had mild, moderate, severe anxiety and extremely severe anxiety respectively at the initial assessment. Whereas in the follow up assessment 45.1 % were normal, 12.1%, 28 %, 12.1% and 2.4 % had mild, moderate anxiety, severe and extremely severe anxiety respectively. Furthermore, of 92 patients, 79.3% of the subjects had normal stress, 8.7%, 10.8% and 1% had mild, moderate and severe stress respectively and no subjects had extremely severe stress at the initial assessment. During follow up assessment all patients were normal without any kind of stress. Paired t-test revealed that there was significant levels of anxiety in patients following maxillofacial trauma but no significant levels of Depression or Stress was found.Conclusion: Psychological morbidity commonly follows maxillofacial injury and it needs to be addressed in routine clinical practice.Asian Journal of Medical Sciences Vol.7(2) 2015 85-89

Background: Infective Endocarditis is relatively a rare disease and is believed to be caused by the vegetative growth on the previously damaged or congenitally malformed cardiac valves or endocardium. Several factors determines that the dentist practicing prophylaxis measures, the foremost important one is the knowledge which is taught to them during dental school, which is the main reason to conduct this study to test the awareness among the dental students of Kantipur Dental College and Hospital, Kathmandu regarding the prophylaxis guideline awareness. Methods: BDS Third, Fourth, Fifth year students and Dental Interns of Kantipur Dental College and Hospital were asked to fill the self-answered questionnaires. The questions were divided into two parts each part containing ten questions each. The first part was to access the knowledge of participants regarding the cardiac conditions that require antibiotics prophylaxis, the second part was to access the knowledge of participants regarding the dental procedures that requires antibiotics prophylaxis. Results: Thirty two percentage of our participants responded that forceps extraction does not require antibiotics prophylaxis which is not true as per AHA guideline, so the participants should be taught regarding the risk of forceps extraction leading to infective endocarditis if the prophylaxis is not administered. We postulated that majority of the Dental Students and Interns have heard about AHA 2007 guideline and will follow it when necessary. Conclusions: The participants who are the Dental Students and Dental Interns in a Dental School at Kathmandu, Nepal will be practicing Dentistry in near future, the knowledge they acquire during their learning period will help them to prevent the Infective endocarditis among the risk population whom they will be treating in near future. Measures should be taken to prevent the incidence of Infective Endocarditis with dental origin.