Prevalence of dental erosion in Pakistani children: A cross-sectional study

Introduction: Dental erosion has remained a topic of interest for more than a decade and now gripping greater attention with the rise in the number of cases being reported in children and young adults. Prevalence of dental erosion varies in different countries according to their different geographical locations, dietary habits and life styles of their people. However, little is known about the prevalence of tooth erosion in Pakistani children particular regarding the associated risk factors. Aims: This study was designed to explore the prevalence of dental erosion and to determine the associated predictors of dental erosion in school children of Pakistan aged 12 to 14 years. Methodology: A comparative cross-sectional Analytical study was conducted at a private school of Karachi, Pakistan from April 2016 till March 2017. The subjects were selected on the basis of non-probability convenient sampling. Children aged 12-14 years were included for this study and children having frequent hospitalizations were excluded. The two previously calibrated examiners participated in the clinical examinations and visited the selected schools. The clinical examinations were performed in well-lit classrooms or in shaded places under natural light using plane mouth mirrors and sterilized cotton to remove debris. The central incisors, lateral incisors, and first molars in the upper and lower jaws were examined. Results: School children were assessed by O’sullivan index which showed dental erosion of 42.8% on labial or buccal surface, 9.7% on lingual or palatal surface, 7.4% on occlusal or incisal, 4% on labial, incisal/occlusal and 7% on lingual, incisal/occlusal. Grade of severity of dental erosion showed normal enamel in 43.1%, matt appearance of enamel surface with no loss of contour in 20.1%, loss of enamel only in 35.8% and loss of enamel with exposure of dentine in 1%. Conclusion: The study concludes that dental erosion is a multifactor in origin and with time is becoming increasingly commonly in younger age group. It is important that as health providers we need to identify the possible risk factors and make the community aware of the ways to prevent this condition. Key words: Surfaces of teeth, enamel surface, Soft drinks and straw

Use Of Apitherapy: A Sweet Approach To Bony Healing Of Extracted Tooth Socket

Objective: To determine the effect of honey in enhancing the height of bony socket healing after tooth extraction. Methods: This Quasi-experimental study includes 100 patients had were selected through convenience sampling and divided into two groups, i.e. 50 each. A tooth radiograph was taken both preoperatively and postoperatively followed by nonsurgical extraction of tooth. The experimental group was provided with honey and instructed to apply it 3 times daily for the next 10 days using an I/V syringe so that honey reached up to the depth of the socket during the initial healing phase. On the 90th postoperative day, patients were repeated with the periapical radiograph. The bony outline of the extracted tooth socket was traced on a tracing paper on the preoperative radiograph and the 90th postoperative day of the radiograph and compared for wound healing by overlapping and measuring the height through a ruler. Hence, the post-operative height of the socket was evaluated in both groups. Data were analyzed using SPSS version 17.0. Results: The mean age was 30.76 ± 6.57 and 31.02 ± 5.97 years in the non-honey and honey group respectively. A total of 24 (48%) subjects were male in the honey group compared with the non-honey group 19 (38%). Females were 26 (52%) and 31 (62%) in the honey group and non-honey group. Statistically significant  (p-value 0.001) was observed between the radiological Height of the socket on 90 days in honey and non-honey groups. Conclusion: It has been determined that honey is significantly efficient honey in enhancing the height of bony socket healing after tooth extraction. To encourage adequate socket repair after tooth extraction, it may be given as a postoperative treatment.

Prevalence of Oral Manifestations of Systemic Diseases in Patients Visiting the Dental Outpatient Department of Sindh, Pakistan

OBJECTIVES The purpose of the study was to evaluate the awareness of oral health workers in identifying the prevalence of oral manifestations of systemic diseases in patients visiting the Dental Out-Patient Department of Sindh, Pakistan. METHODOLOGY A descriptive, cross-sectional survey-based study was conducted in Karachi, Pakistan, from October to December 2021. The study was conducted in various institutes from all over Sindh, Pakistan. An online, well-structured questionnaire was designed using Google Forms and distributed to the participants through social media platforms in the dental community. Using the Open-Epi software regarding a parent article, the sample size of this study was calculated. Keeping the confidence interval at 95% and the desired percentile at 50, the total sample size was calculated to be 100. Around 175 questionnaires were given out to the candidates. RESULTSThe results showed that  81% male and 19% female participated, including 45% postgraduate trainees, 30% house officers, and 25% general dentists. 80% detected 2-3 systemic diseases in a patient, with 75% observing oral manifestations preceding systemic illness diagnosis. The majority favoured treating underlying ailments (75%), and prevalent conditions included hypertension (90%), diabetes (80%), anaemia (75%), and lichen planus (40.7%). CONCLUSION Oral health workers play a vital role in the initial and early identification and multidisciplinary medical management of various systemic diseases. A coordinated approach between physicians and dentists in diagnosing and managing these conditions is necessary to achieve optimal clinical outcomes