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Oral hygiene knowledge and practices among school children in a rural area of southern Saudi Arabia.
No full textObjective: The purpose of this study was to assess the oral health knowledge and practices among 9-12 year old school children. Materials and Methods: The study sample consisted of 917 school going boys in the age group of 9-12 years randomly selected from 10 schools of Rijal Alma a rural area in Southern Saudi Arabia. Data on oral health knowledge and practices was collected by means of a self-administered questionnaire. Results: The results of the study showed that more than half (58.4%) of the children brushed their teeth using tooth brush and paste, 32.1% used miswak, 7.2% used toothpicks and 2.3% used dental floss as a primary cleaning aid. About two-third (64.3%) children brushed teeth once daily with 32.6% brushing teeth under parent supervision. Most children (62.26%) said high sugar diet causes dental decay while as more than half (58.45%) thought soft drinks affect dental health. Around 57.14% were aware of gum diseases and 51.14% opined that gum diseases can be prevented if oral hygiene practices are followed. Nearly half (52.1%) of the children would visit a dentist only when in pain though a majority (79.4%) answered that regular dental checkup was essential. Fear (67.28%) was cited as the main reason for not visiting the dentist. Conclusion: Majority of students had adequate level of knowledge on oral health, but followed low level of oral hygiene practices. Comprehensive oral health educational programs are needed to improve oral hygiene practices among children in rural Saudi Arabia.  
Herpes Zoster in immunocompetent adults: Report of two cases with oro-cutaneous presentations
No full textAim and objective: To highlight the obscure nature in the incipient stage of a case of Herpes Zoster and the subsequent impact on the course of treatment with emphasis on the different possible clinical manifestations of the same disease in different cases. Case description: Two cases of herpes zoster in two healthy immunocompetent males are reported. Conclusion: Early diagnosis and prompt management with an antiviral agent as shown in both the cases, can markedly decrease the morbidity of the disease, and also avoid complications like post herpetic neuralgia (PHN).  
Tracheostomy-A Comprehensive Review
No full textTracheostomy is one of the most common intensive care unit procedures performed. The advantages include patient comfort, safety, ability to communicate, and better oral and airway care. Patients may have shorter intensive care unit stays, days of mechanical ventilation, and hospital stays. There are risks, long-term and acute, and the timing of when to do a tracheostomy must be individualized. As soon as the need for prolonged airway access is identified, the tracheostomy should be considered. Generally, this decision can be made within 7–10 days. Bedside techniques allow rapid tracheostomy with low morbidity.  
A 3 year study on the Clinico-Pathological attributes of Oral lesions in Saudi Patients
No full textAims: The study aims to assess the total number and type of specimens referred, the most common histo-pathological lesion, prevalence of lesions in relation to gender and age among patients attending King Khalid University, College of Dentistry Abha, Saudi Arabia. Materials and Methods: Data of reports and biopsy requisition forms was entered in excel spread sheet and the results displayed in frequency tables. Results: A total of 267 specimens were studied. Majority (51.96%) of the lesions were in the age group 20-29 years. Of the 267 specimens referred, 176 specimens were from the male s and the majority of the lesions (31.4%) were inflammatory in origin. Conclusion: The study concluded that the most of lesions were inflammatory in origin. Further long term prospective studies are required to analyze the type of lesion and to compare the results with other geographic locations.  
Condylar Osteomyelitis Secondary to Dental Extraction: An Unforeseen Consequence
No full textOsteomyelitis of the mandibular condyle is an uncommon disease with a scarce mention in the medical and dental literature. This clinical case describes osteomyelitis of mandibular condylar process, coronoid process and ramus in a 30 year old woman as a severe complication following third molar removal. Timely intervention with a less invasive procedure saved the patient from the significant morbidity possible with infection in this region
Interproximal bone loss assessment: Comparison of conventional and digital radiographs.
No full textIntraoral radiographs are important diagnostic tools that play a major role in diagnosis, treatment plan and prognosis of periodontal diseases. This study assesses the accuracy of intraoral periapical (IOPA) and radiovisiography (RVG) radiographs in detection of interproximal alveolar bone loss using intrasurgical (IS) measurements as the gold standard. Interproximal alveolar bone loss were measured in 23 patients with moderate to severe periodontitis, using digital vernier caliper for IOPA and linear measurement tool inbuilt in RVG system, from radiographs taken with standardized techniques which were compared with the surgical readings. 106 interproximal sites were measured in IOPA, RVG radiographs and compared with IS method. Paired t test showed significant difference in bone levels between the systems. A contingency analysis of categorical bone levels (early, moderate & advanced) showed significant differences in the imaging systems. Overall radiographic assessment of interproximal bone loss by either IOPA or RVG radiographs shows no total agreement in comparison with IS measurements, although it was found that both conventional and digital radiographs are of use in interproximal bone loss assessment but in different similarities
Periodontal Management of Non Healing Endodontic Lesion– A Case Report
Get PDFThe fact that the periodontium is anatomically interrelated with the dental pulp by virtue of apical foramina and lateral canals creates pathways for exchange of noxious agents between the two tissue compartments when either or both of the tissues are diseased. Proper diagnosis of the various disorders affecting the periodontium and the pulp is important to exclude unnecessary and even detrimental treatment. This is a clinical case report of an enododontic–periodontic lesion in relation to lower left central incisor. Root canal treatment has been done with the respected tooth six months ago, but the lesion showed no sign of healing resulting in draining sinus and increasing pocket depth. Radiographic examination revealed over-obturation of gutta-percha with peri-radicular pathology. Periodontal flap surgery was performed and the defect was filled with bone graft mixed with Platelet rich plasma (PRP) and covered by platelet rich fibrin (PRF). Patient reviewed for six months which showed uneventful healing and no recurrence of the lesion
Radiographic Evaluation of an Aneurysmal Bone Cyst in a Young Female Child
No full textAneurysmal bone cyst (ABC) is not very common in the maxillofacial region. Only 9% of the cases have been reported in the angle or in the symphysis region. ABC usually involves the long bones, on the epiphysis/ or metaphysis or the diaphysis. ABC is usually noticed in the childhood and in the young adults. ABC is a localized arteriovenous malformation with chances of thromboembolisation during sclerosing therapy with sodium tetradisulphate. In the present case, initial OPG showed a multilocular radiolucency in the symphysis region suggestive of central giant cell granuloma. However, MRI and angiography confirmed the diagnosis of Aneurysmal bone cyst. As there was no feeding vessel in the lesion site, arterial embolization was not needed. The patient was treated with sodium tetra disulphate intralesionally 1 ml every week
Dilemma in diagnosis of Mucocutaneous disorders
No full textLichen Planus and Pemphigoids are autoimmune mucocutaneousdisorders which involve mucosa and skin. These non-plaque relateddiseases also affect the gingiva. A Periodontist may be called uponto diagnose and treat these disorders either alone or as a part of atreatment team. Diagnosis of these disorders on clinical groundsalone is impossible; a full history, general and oral examinations,and biopsy with routine histologic examination are required.However, to reach a definitive diagnosis biopsy with immunologictechniques; Direct and Indirect Immunofluorescence are nowinvariably required. In spite of using these recent advances it isdifficult to come to a definitive diagnosis in each case. Thetechnique sensitiveness and cost of these methods are alsodeterrents in the way.This paper reports a case of mucocutaneous disorder, definitivediagnosis of which, could not be established even after employingDirect and indirect Immunofluorescence technique.KEYWORDS: Mucocutaneous, Lichen Planus , Pemphigoi
An alternative approach for re-attachment of the fractured fragment: A case report.
No full text Trauma to the anterior teeth is relatively common. The more commonly affected teeth are the maxillary anteriors due to their position in the oral cavity. Different treatment modalities for complicated crown fractures were proposed depending on their severity of the fracture as well as soft tissue damage. The aim of this article is to discuss a new technique for management of complicated crown fractures. Clinical relevance: Various treatment modalities have been suggested for complicated crown fractures, however reattachment of the fractured fragment is said to be beneficial in many ways. The flipside of this technique is that realigning the tooth fragment in the arch becomes relatively easier and the composite used to attach the post does not allow discoloration. Key words: Crown fractures, Dental trauma, fiber post, treatment options of for fracture tooth.