BACKGROUND & OBJECTIVE: In Pakistan, there is lack of awareness to maintain oral hygiene and cleaning of oral structures. The current study aims to unveil homemade remedies and self-care methods followed by a majority of the rural population to cure dental pain in Sindh, Pakistan.  METHODOLOGY: This cross-sectional descriptive study was conducted at dental OPD of the Secondary Health Care Facility of Sindh, Pakistan, by following a random sample selection approach.  Patients from both genders representing oro-dental problems of ages ≥ 5 year were included in the study. Patient’s clinical and demographic data was collected, and further descriptive data analysis was done by using Microsoft Excel 2016. RESULTS: A total of 1627 patients fulfilled the inclusion criteria of the study. The highest number of cases (73.81%) were belonging to the age group 15-49 years, affirming that adults are at greater risk of developing toothache and dental pain. Surprisingly, about 78.97% patients had never visited any physician for seeking the clinical services. Similarly, 37.18 % of patients did not use any cleaning substance while 22.12 % patients preferred miswak for cleaning of their teeth. Only 2.95 % of patients visited dentists for proper care. CONCLUSION: Current research report concludes that from all the confirmed toothache cases, 22.13 % of patients sought care from general physicians in parallel with 22.34 % patients were preferring religious spells to manage their dental pain, which further multiplied the disease rate. However, general physicians at primary healthcare settings have limited knowledge and training in managing dental pain.

Background: The rise in prevalence and complications associated with dental traumatic injuries among Pakistani population is considered a topic of discussion at International Association of Dental Traumatology nowadays. Understanding the multifactorial etiology, therapeutic techniques and choosing management approaches are vital to dental traumatic injuries. Aim: To assess the knowledge, qualification and practices followed by dental professionals from a tertiary healthcare centers based in Sindh Pakistan. Methodology: The study population of this cross-sectional descriptive study comprised of dental care providers attending the seminar on World Oral Health Day at Bibi Aseefa Dental College, Larkana, Sindh, Pakistan. A self-administered questionnaire consisting of two parts; demographic and knowledge about management of trauma was administered to participants on 20 March 2021. The detailed demographic details of research participants were collected and further analyzed by using SPSS 20 and MS Office 2010 tools. Results: Out of total 134 participants, 40(29.9%) were males while, 94(70.1%) were females with mean age of 24.314.088. Among them 45(33.6%) were undergraduate dental students; in them 4(8.9%) were in 1st year dental students, 17(37.8%) in 2nd year, 10(22.2%) in 3rd year and 14(31.1%) were in final year of their undergraduate studies. 31(23.1%) were house officers, 19(14.2%) were post graduate residents and 39(29.1%) were general dental practitioners (GDP). Conclusion: Lack of qualified dental experts with post-residency trainings dealing dental traumatic complexity in Sindh Pakistan is considered a major underlying associated with heightened case rates of pediatric dental injuries. Keywords: tooth injuries, Dentists, Restorative, Pediatric

Objective This study aimed to assess the perception of factors affecting studies and well-being among students of the Bibi Aseefa Dental College, Larkana, Sindh, Pakistan. Materials and Methods Students of the Bibi Aseefa Dental College of various professional years were asked to respond to an online-based survey (Google Forms), which was then evaluated by SPSS 16.0 (SPSS Inc.; Chicago Illinois, United States) using the analysis-of-variance test. The study sample consisted of stratified random sampling. Inclusion criteria included students from year 1 to year 4 of their undergraduate studies during the study period of June 2019 to August 2019. Descriptive statistics including frequency and distribution regarding gender, year of study, age, external factors (stress, sleep, health, hobbies, financial, friends, paid work, voluntary work), reasons for choosing dentistry, and how these factors affecting the study were created. Results The results showed that 97 students chose Bachelor of Dental Study (BDS) as a career because they were not selected in Bachelor of Medicine and Bachelor of Surgery (MBBS). Overall, 52.41% students agreed that external factors are affecting their studies, 46.8% stated that they were stressed due to studies in past 12 months, 48.4% students agreed that their disturbed sleep due to academic assignments is affecting their studies, 29.9% stated that their health disturbance affected their studies in the past 12 months, and 48.4% responded that their own hobbies and sports work were affecting their academic grades. Conclusion This study revealed that extracurricular factors were a cause of stress among dental students. The main cause of stress among the student was confusion about the syllabus of their academic year, resulting in a lack of sleep during the examination year, and favoritism among teachers for the students.

Fungal osteomyelitis is a lethal opportunistic infection that affects only a small percentage of patients present to endodontists. It is a highly contagious infection that requires urgent treatment. We discuss three cases in which endodontic pathology was initially recognized but subsequent follow-up revealed severe osteolytic fungal infection of the maxilla manifesting as acute apical abscesses in the maxillary canine region. CBCT demonstrated osteolytic abnormalities, and further histology confirmed the illness was caused by mucormycosis in patients with uncontrolled diabetes mellitus and exposure to COVID-19.

The present case report highlights the need to identify variations in root canal anatomy as a prerequisite for effective nonsurgical root canal therapy planning. As clinicians, we need to develop our observational and clinical abilities as well as amend our understanding of the complexities of the canal anatomy. Reports describing the structure of teeth and pulp canals rarely report the presence of two pulp canals in two permanent upper 1st molars. In this case, it describes the nonsurgical root canal therapy of the upper right 1st permanent molar with two pulp canals, which was confirmed by a cone beam.