Indian Journal of Dental Advancements

â€œDental perspective on Biomedical Waste and Management, knowledge, attitude and Practice Survey: A Cross- Sectional Studyâ€

2019-05-11T05:48:12-06:00

Title: â€œDENTAL PERSPECTIVE ON BIOMEDICAL WASTE AND MANAGEMENT, A KNOWLEDGE, ATTITUDE AND PRACTICE SURVEY: A CROSS- SECTIONAL STUDYâ€.

Abstract:

Background:

The Biomedical waste is known as the second dangerous waste in the world that needs to be properly managed.

Since the implementation of the biomedical Waste Management Rules 1998, every concerned health personnel is expected to have proper knowledge, practice and capacity to guide others for waste collection and management, and proper handling techniques.

Objective:

This study was planned to evaluate the practical calibration and awareness of Dental surgeons in disposal of hazardous biomedical waste generated during Dental treatment into color coded disposing bags at a Dental clinics.

Methods:

A cross-sectional, a pretested, semi structured questionnaire based survey containing 53 questions to assess the knowledge, attitude and practice on biomedical waste management among Dental surgeons. Results were expressed as a number and percentage of respondents for each question and Chi-square test was performed for inferential statistical analysis with p value <0.05 indicating level of significance.

Results:

Results show that a large percentage of the Dentist were not aware of the process of biomedical waste management (89%) whereas about half of the subjects were moderate to slightly aware about the recycling/reusing of Dental materials.

Conclusion:

The study revealed that knowledge, attitude and practice regarding biomedical waste management among were low. Periodical sensitization and training program should be conducted for health care providers.

Nitric oxide level estimation in patients of oral lichen planus in Kashmiri population

2019-05-11T05:48:34-06:00

Introduction: Oxidative stress and antioxidant defense mechanism may play an important role in the pathology of lichen planus.

Objectives: Evaluate the levels of NO in serum of patients with OLP and to compare the levels with the controls.

Material and Methods: The study included 30 cases of OLP patients which formed the study group and 30 cases of healthy individuals, which formed the controls.

Results: The levels of NO were significantly higher in serum of cases with lichen planus than in normal.

Conclusion: Serum NO were found to be higher in oral lichen planus patients which suggested that higher serum levels of NO in patients with OLP might activate the process of lymphocytes and cellular immunity system; hence, possibly endorsing the effect of serum NO in pathogenesis of lichen planus.

COMPARATIVE EVALUATION OF CONVENTIONAL ROTARY TECHNIQUE WITH PIEZOELECTRIC TECHNIQUE IN REMOVAL OF IMPACTED THIRD MOLAR.

2019-05-11T05:48:52-06:00

ABSTRACT:

Introduction:

Surgical removal of impacted third molars is often required to prevent clinical symptoms. While rotary cutting instruments have been traditionally, and are still popularly used to remove impacted third molars, they are associated with high rate of pain and post operative swelling. Piezosurgery is a newer technique that promises greater precision of cuts and lesser post operative sequela. The aim of this study was to compare piezosurgery with rotary techniques in terms of their interaoperative and post operative effects.

Materials and Methods

A total of 40 patients, within the age of 18- 40 years, with asymptomatic impacted mandibular third molars were selected for the study and randomized into 2 goups. Group A consisted of 20 patients who underwent surgical extraction with rotary instruments and Group B consisted of 20 patients who underwent surgical extraction done with piezoelectric unit. The intra operative time taken and tissue destruction was assessed and the post operative pain, swelling and trismus were assessed over a follow up period of 7 days.

Results:

The mean time of surgery was 27.35Â±(3.1) min in group A, where as it was 53.65Â±(2.4) min in group B. The mean incidence of tissue destruction was 0.8000Â±(.41) in group A, whereas it was 0.2000Â±(.41) in group B . The mean Postoperative pain on Day 0 was 5.05Â±(0.69) in group A and 3.05Â±(0.69) in group B, on Day 3 was 3.20Â±(0.7) in group A and 1.50Â±(0.69) in group B and on Day 5 was 2.0Â±(0.73) in group A and 0.40Â±(0.6) in group B.On the 3^rd postoperative day mean post operative swelling 2.51Â±(0.3) cm in Group A and , Mean postoperative swelling 1.2600Â±(0.28910) cm in Group B. On the 5^th postoperative day mean post operative swelling was 1.4Â±(0.31) in Group A and 0.5650Â±(0.21095) in Group B. The difference between both groups was found to be statistically significant for all parameters.

Conclusion

Although Peizosurgery takes more time and is more expensive, the advantages gained in terms of tissue preservation, and decreased pain and swelling make it a superior technique compared to using rotary instruments in impacted third molar.

Evaluation of thickness of palatal masticatory mucosa in relation with age and gender

2019-05-11T05:49:13-06:00

ABSTRACT:-

Background: - Palatal masticatory mucosa is most commonly used as the donor site for harvesting of the subepithelial connective tissue graft for the selection of the treatment modalities as it may affect the surgical outcome. Therefore the present study was undertaken to evaluate the thickness of masticatory mucosa in relation with age and gender.

Methods and materials: - 50 systemically healthy individuals were selected for the study. The younger age group consisted of 25 individuals between age group 15-20 years and rest of the subjects was belonging to the older age group between 30-50 years. A bone sounding procedure was used to examine the palatal mucosal thickness.

Results: - The thickness of the masticatory mucosa ranged between 1.3 to 4.4 mm in all the subjects and it also showed variations in relation with age and gender.

Conclusion: -Therefore, it was concluded that younger individuals particularly females have significantly thinner mucosa as compared to males and older subjects.

Key words: masticatory mucosa, age and gender.

An insight into various grading systems of Oral Epithelial Dysplasia

2019-05-11T06:00:08-06:00

Oral potentially malignant disorders, in many cases, are superseded by Oral carcinoma. These premalignant lesions usually manifest as erythematous or whitish patches within the oral mucosa. Histo-pathological grading of these lesions still remains the gold standard in diagnostic pathology; being interpreted as Epithelial Dysplasia. It refers to a premalignant change in epithelium characterized by a combination of cellular and architectural alterations. Histopathological grading of epithelial dysplasia poses many challenges to Oral and diagnostic pathologists, including inter and intra observer variability and choice of optimum parameters based on which the grading should be done. Pathologists must resort to using uniform standards and defined criteria for interpretation of dysplasia. Herein, we have briefly discussed regarding various grading systems of Epithelial dysplasia.

Ossifying fibroma of mandible- case report

2019-05-11T06:01:08-06:00

The term ossifying fibroma (OF) is a slow â€“ growing benign neoplasm but some lesions behave aggressively reaching massive proliferation thus demanding careful management and follow up. In this case report we discussed 25 years old female patient who presented with a mandibular swelling due to ossifying fibroma one month after undergoing the management of marginal resection for same. We discussed the presentation and management of the case along with a review of literature.

Key words- OF- Ossifying fibroma, GA- General anesthesia

STANDING THE TEST OF TIME : FREE GINGIVAL AUTOGRAFTS A VIABLE OPTION FOR GINGIVAL AUGMENTATION

2019-05-11T06:09:19-06:00

Traditionally, free gingival grafts(FGG) have been judiciously employed in the augmentation of the gingival complex, First described by Bjom (1963), free gingival grafts have been widely used in the treatment of a variety of mucogingival problems This technique has proved to increase the width of attached gingiva cosiderably. Furthermore, the results are predictable and also have been reported to be stable. Free gingival grafting is a surgical modality with reportedly few clinical complications, excessive hemorrhage, necrosis of the graft, and esthetic alterations due to colour, mis-match are some of them. Despite of the fact of a number of other effective surgical root coverage techniques being developed & routinely used in clinical practice, the free gingival graft still continues to be a viable and effective modality of mucogingival surgery. FGG is the only best treatment option for gingival recession when an increase in the apicocoronal dimension is desired. A proper case selection and execution of the surgical steps are crucial in maximizing the predictability of the free gingival graft in correcting mucogingival problems. Here we have two cases of gingival augmentation using free gingival autografts.