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Objectives: The objective of this study is to evaluate the prevalence and severity of TMJD and distribution of associated symptoms with respect to gender and age among the patients visiting Dental Clinic of a Rural Health Centre (RHC). Study Design: Descriptive cross-sectional study. Setting: Dental Clinic of Rural Health Centre (RHC) Nasirabad, District Kambar Shadadkot, Sindh, Pakistan. Period: December 2018 to May 2019. Material & Method: The study sample comprises of total 132 patients meeting the inclusion and exclusion criteria. Fonseca’s questionnaire and Fonseca’s Anamnestic Index are employed to assess the subjective response and severity of TMJD symptoms respectively vis-a-vis age and gender of patients. Data collected from patients is entered in SPSS ® version 16.0 for statistical analysis. Results: The results are arranged and statistically evaluated. Overall 43% answered positive to questions with respect to symptoms. Majority of patients reported positive for neck pain or stiff neck (15%) and muscular fatigue while chewing (15%). 50 % of patients suffering from TMJD symptoms belong to Age Group 1 (15 – 35 years). 94.3 % female patients suffer from some degree of TMJD. Based on Fonseca’s Anamnestic Index of severity, 65.9% of patients have Mild TMJD symptoms, 18.9% with Moderate severity and 1.5% with severe symptoms of TMJD. Conclusion: This study concludes that TMJD are more common in females with age group of 15 – 35 years of age. The most prevalent symptom is muscular pain / tiredness of jaws during chewing and stiffness of neck. In this study sample, majority of patients suffer from Mild TMJD symptoms.

The oral health-related quality of life determines the quantity to which oral health disrupts the regular life and common functioning of an individual. To evaluate the oral health problems of older adults, Geriatric Oral Health Assessment Index (GOHAI) can be used. GOHAI was developed by Atchinson and Dolan3 before and after complete denture therapy”. Study Design: Cross sectional study. Setting: Department of Prosthodontics, Lahore Medical and Dental College, Lahore. Period: February 18, 2018 to August 17, 2018. Material & Methods: Patients will be selected for the study according to the criteria. Patient history and clinical examination was undertaken. Upper and lower complete dentures was made-up for 30 patients (both male and female) using standardized clinical and laboratory methods. Conventional procedures were applied to complete denture construction. Complete dentures were constructed in the similar dental laboratory within the institution by compression moulding method. Laboratory and clinical remount procedures, beside with occlusal corrections were carried out using a semi-adjustable articulator. The GOHAI questionnaire was completed on two different appointments. First questionnaire was documented before denture insertion and second questionnaire was recorded after complete denture insertion. Results: Before treatment mean GOHAI score was 20.46 ± 2.85 and after treatment mean GOHAI score was improved and was 26.32 ± 2.34. The mean GOHAI score was statistically improved p-value < 0.001. For male patients, before treatment mean GOHAI score was 21.61 ± 2.59 and after treatment mean GOHAI score was improved and was 26.31±2.14. The mean GOHAI score was statistically improved in male patient, p-value < 0.001.  For female, before treatment mean GOHAI score was 19.34 ± 2.70 and after treatment mean GOHAI score was improved and was 26.44 ± 2.49. The mean GOHAI score was statistically improved in female patients, p-value < 0.001. Conclusion: According to patient’s information enhancement in functional changes after placement of complete dentures.

Objectives: The objective of this study is to assess the reasons which persuade patients to receive fixed self-cured acrylic dentures (FSD), their most common presenting complaints and the prevalence of complications (clinical and prosthesis-related) subsequent to maltreatment with FSD. Study Design: Descriptive cross-sectional study. Setting: Prosthodontics Department of Bibi Aseefa Dental College, Larkana. Period: 1st January 2018 to 31st December 2018. Material & Methods: Using a structured proforma, data related to 75 patients, all maltreated with Fixed self-cure acrylic dentures (FSD) was collected. The condition of underlying mucosal tissues and abutment teeth was carefully assessed and recorded after removal of FSD. Evaluation of FSD prosthesis was also carried out. Results: 53.3 % of patients reported lack of awareness as a reason for opting FSD with 28% patients presenting with pain as their main complaint. Clinical complications observed were poor oral hygiene (68%), burning mouth sensations (58 %), Halitosis (77.3%), mobile (64%) and carious (46%) abutments, mucosal inflammation (58.7%), and ulcerations (30.7%). Prosthesis related complications included poor denture hygiene (77.3 %) tooth wear (46.7 %), prosthesis fracture (37.3 %) and discoloration (82.7 %). Conclusion: According to this study, it was observed that patients’ lack of awareness was the main reason for opting FSD. The most common presenting complaint was pain, followed by poor esthetics. The prevalent clinical complications included poor oral hygiene, halitosis, burning mouth together with inflamed and ulcerative mucosa and, mobile and carious abutments. Prosthesis related complications included poor denture hygiene, wore out and fractured prosthesis with discoloration. An awareness on the complications of such maltreatment among patients is required to be created in order to discourage this malpractice.