Aim: This study was intended to evaluate the knowledge and apprehension of dental health professionals pertaining to COVID-19. Materials and Methods: In this cross-sectional survey, a self-administered questionnaire survey was used to validate the dental health professional's knowledge and apprehension pertaining to COVID-19. In this regard, a preliminary study with a convenience sample of 124 dentists working in various clinics in southern India was conducted so as to evaluate the knowledge and apprehension of dentists related to COVID-19 in India. This study, while limited in sample size, benefits the general practitioners as target readers to assess the awareness pertaining to COVID-19. Results: The results of this study reveal that there exists a good knowledge among dental health professionals pertaining to the COVID-19 virus and its oral manifestations in addition to the precautions to be taken for the prevention of COVID-19 in a clinical setup. However, there exists an apprehension as well as lack of awareness pertaining to the laboratory test to be carried out in a patient suspected with COVID-19 infections as well as the role of a mouthwash and the management of contaminated air in the dental clinic. Conclusion: The results elicited that there is a dearth of knowledge and relatively a fair apprehension among dental health professionals pertaining to COVID-19.
Ridge augmentation of the deficient alveolar ridge is often required to compensate for the bone loss and to make it suitable for an implant placement. In this case report, we followed the technique of ridge split technique with simultaneous PRF and implant placement in the anterior maxillary region.
The placement of dental implants is becoming a routinely performed procedure in dental practice. Numerous techniques have been advocated to facilitate the placement of dental implants in a wide range of clinical scenarios. However, they are associated with their own share of patient related complications and discomfort. This article throws light on the various minimal invasive techniques available to facilitate implant placement with minimal complications and maximum patient acceptance.
Purpose:Management of a trauma patient aims at stabilization or resuscitation and revival from critical condition resulting from various sequences of systemic pathophysiological responses in the body. Hematological changes are the first signs reflecting the homeostasis mechanisms starting in the body after injury. The aim of the current study is to evaluate the physiological changes following maxillofacial trauma and extrapolate the findings to understand the posttrauma responses.Patients and Method:This is a retrospective study involving 192 subjects divided into two groups, trauma group and control group. In both the groups, baseline vitals and complete blood picture were recorded for comparison. In trauma group, the recordings were made within 24 h after maxillofacial injury.Results:All the parameters were analyzed using SPSS version 18. Independent sample t-test was used to assess the nature of data distribution and statistical significance was considered only at P value < 0.05. On comparison of complete blood picture mean values of hemoglobin (13.63 vs 12.18), RBC count (4.51 vs 4.10), WBC count (8835.48 vs 8336.56) were seen to be higher in trauma patients compared to control subjects. The mean bleeding times are almost equal (2.35 vs 2.47) but the clotting times (5.42 vs 5.26), random blood glucose (94.78 vs 90.13), and blood urea (27.14 vs 26.30) were marginally higher in trauma group but were statistically insignificant. The mean value of serum creatinine (0.84 vs 0.80) was comparatively higher in trauma patients and was statistically significant. Study of vitals revealed that mean systolic blood pressures were almost equal (120.65 vs 121.08) in both the groups. The mean diastolic blood pressures (79.46 vs 88.49) and oxygen saturation (93.73 vs 98.86) in trauma patients are comparatively reduced. The mean values of temperature (99.30 vs 98.50) and pulse rate (102.38 vs 97.14) were on relatively higher side in trauma group compared with control group.Summary and Conclusion:Using basic blood parameters and vitals in the present study, the compensatory mechanisms happening in the body after maxillofacial trauma can be seen. These changes although significant on side by side comparison can still fall within the normal physiological range provided by various diagnostic setups. Hence, the need for maxillofacial surgeon to be sensitive to minor variations in these aspects to ensure safety of the patient cannot be overemphasized.
The early loss of maxillary posterior teeth leads to maxillary sinus pneumatisation, reducing the alveolar ridge height, and thus posing challenge for implant placement. Owing to mechanical and anatomic difficulties, implant treatment in the atrophic maxilla represents a cumbersome task. The maxillary sinus floor augmentation procedure is still not universally accepted because of its complexity and its unpredictability. This condition may be treated with an elevation of the maxillary sinus floor, which is usually accomplished by lateral or transcrestal approach to the antrum. As an alternative to these augmentation procedures, a more conservative treatment option would be to either place short implants or to bypass the sinus floor. This case report emphasizes on maxillary sinus by pass with tilted implants in close proximity to the sinus wall, thus, avoiding sinus floor elevation & bone grafting procedures.
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