Lower Lip Paresthesia in a Patient With Carious Mandibular Premolar: A Case Report

Several dental operations, including local anaesthetic administrations, wisdom teeth procedures, orthognathic surgical treatments, ablative operations, implantation, and root canal therapy, can cause numbness and tingling of the inferior alveolar nerve. The present case report explains a case report of lower lip paresthesia arising due to carious mandibular premolar

Impact of transformational leadership on work performance, burnout and social loafing: a mediation model

The aim of this research was to study the effect of transformational leadership on employees’ work outcomes which include their work performances and working burnout, and their working behavior such as social loafing at workplace. Also, it studies the impact of intrinsic motivation as a mediator between transformational leadership and other stated variables. A cross-sectional survey was conducted to collect data from 308 employees working in the telecommunication sector. To test the hypotheses, Model 4 of Process Hayes was used to test direct and mediating effects among transformational leadership and employees’ work outcomes and working behavior. The results showed that transformational leadership has a significant positive relationship with mediator intrinsic motivation. The results also concluded that work performance has positive significant relationship with transformational leadership. However, there is indirect and insignificant relationship of transformational leadership with working burnout and social loafing. Therefore, it can be stated that organizational leaders must have transformational attributes by getting informed of their employees well because transformational leader can inspire employees to achieve anticipated or significant outcomes. It gives employees self-confidence over specific jobs, as well as the power to make decisions once they have been trained

Laser Gingivectomy in a Patient Undergoing Orthodontic Treatment: A Case Report

ABSTRACT The benefits of using a laser in soft tissue treatment include less oedema, reduced inflammation, and quicker recovery. Nowadays, soft-tissue interventions, including periodontal recontouring, operculectomy, or frenectomy, are possible thanks to the introduction of diode lasers that are strongly absorbable melanin and haemoglobin. In this case, a 17-year-old patient at the near end of her orthodontic treatment was concerned about her gummy smile. She also had a gingival swelling in the lower anterior segment. Furthermore, she had a high labial frenum attachment. It was decided to go for a gingivectomy and frenectomy with the help of a laser (Diode Lasotronix 980nm).

Radiolucencies Associated with the Second Molar Adjacent to the Impacted Third Molar in the Maxilla in Comparison to the Mandible

OBJECTIVES To find the frequency radiolucencies associated with the second molar adjacent to an impacted third molar in the maxilla as compared to the mandible. METHODOLOGY A cross-sectional descriptive study was conducted on 385 Orthopantomograms (OPG) of patients visiting Sharif Medical and Dental College (SMDC), Services Institute of Medical Sciences (SIMS) and Institute of Dentistry, CMH, Lahore Medical College, Lahore over a period of three months from December 2020 to February 2021. Patients above the age of 21 years were included in this study. Grossly carious third molars with inadequate tooth structure to be evaluated and patients with missing maxillary and mandibular third molars were excluded from the study. RESULTS The association between periapical radiolucencies (p=0.140), pericoronal radiolucencies (p=1.000) and external root resorption (p= 0.157) with the arch type (mandible/ maxilla) were not statistically significant but that of caries with the arch was significant (p≤0.001). CONCLUSION The periapical and pericoronal radiolucencies, caries and external root resorption associated with the second molar in the presence of an impacted third molar were higher in the mandible as compared to the maxilla

Association of Sociodemographic Factors with Trends of Self-Medication Practice and Its Hazard Perception for Oral Health Problems among Patient

OBJECTIVES: To assess the impact of sociodemographic factors with the trends of self-medication practice and its hazard perception among patients METHODOLOGY: A cross sectional descriptive study was conducted on the patients visiting Sharif Medical and Dental College from June 2019 to June 2020. Data was collected using a validated questionnaire from 142 patients. Chi-square and fisher exact tests were used to find the association of trends of self-medication practice and hazard perception with sociodemographic factors. RESULTS: The patients in the age range of 18 to 29 years practiced self-medication the most. The triggering factor for use of medication was toothache among all ages. The most commonly used drug was reported to be analgesics. The main reason for self-medication was lack of time to visit the doctor. The females practiced self-medication more than the males. The triggering factor for both the genders was toothache and analgesics were mostly used. The patients with tertiary level education and those who were unemployed practiced self- medication the most. The triggering factor was toothache across all levels of education and employed as well as unemployed patients. Drug resistance was stated the main hazard. CONCLUSION: The triggering factor for use of medication was toothache, most commonly used drugs were analgesics and the main reason for self-medication was lack of time across all ages, both the gender, married and unmarried patients, levels of education and employment. Un-employed patients and those with tertiary level of education-practiced self- medicated themselves the most. The highest percentage of patients considered drug resistance to be the biggest hazard

Periodontal Treatment Needs of Patients Undergoing Orthodontic Treatment in Comparison To Non-Orthodontic Treatment Patients: A Comparative Study

OBJECTIVES To determine the periodontal treatment needs of patients undergoing orthodontic treatment compared to those not undergoing the treatment.   METHODOLOGY A cross-sectional comparative study was conducted on 100 patients visiting the Dental OPD of Sharif Medical and Dental College, Lahore, from June 2019 to July 2020. Clinical examination was done using the Community Periodontal index for treatment needs (CPITN) to assess the participants' periodontal health and treatment needs. RESULTS There was a statistically significant difference in the scores of CPITN across the treatment and control groups (≤0.001). The patients requiring scaling and prophylaxis and Oral hygiene instructions (TN 2) were more (94%) in the orthodontic treatment group in comparison to the non-orthodontic treatment group (62%). A higher percentage of patients (6%) requiring complex treatment (deep scaling, root planning and complex surgical procedures), scaling and prophylaxis and Oral hygiene instructions (TN3) belonged to the non-orthodontic treatment group, while only 4% required it from the orthodontic treatment group. CONCLUSION All orthodontic and non-orthodontic treatment group participants required oral hygiene instructions and had periodontal treatment needs (TN1). The patients requiring scaling and prophylaxis and Oral hygiene instructions (TN 2) were more in the orthodontic treatment group than the non-orthodontic treatment group. A higher percentage of patients requiring complex treatment (deep scaling, root planning and complex surgical procedures), scaling and prophylaxis and Oral hygiene instructions (TN3) belonged to the non-orthodontic treatment group

Knowledge and Practices Regarding Informed Consent among Dental Practitioners

  To assess the knowledge and practices of dental practitioners regarding informed consent. METHODOLOGY: A descriptive cross-sectional study was conducted on 150 dentists at the College of Dentistry, Sharif Medical and Dental College, Lahore from June 2019 to June 2020. A pre-validated questionnaire was used. Mann Whitney U test was performed to find the statistical difference in the knowledge and practice scores across the gender and place of practice of dentists and the Kruskal Wallis test for scores across the years of clinical experience and qualification of dentists. RESULTS: The mean practice score was significantly different across levels of qualification (p=0.032) but not across years of practice (0.366). There was no significant difference in the mean knowledge score across years of practice (p=0.744) and levels of qualification (p=0.366). The highest mean score among knowledge questions was seen for the questions which inquired if informed consent should be taken before treatment. The highest mean score among practice questions was seen for the question which inquired if dentists obtained informed consent from parents before treating children.   CONCLUSION: The mean knowledge score for females was higher in comparison to males and was the highest in dentists with an experience of greater than 10 years. Most dentists were aware of the concepts, types and processes of informed consent and the importance of taking the patient`s consent before treatment. Taking informed consent from patients before treatment, keeping it as part of their record and taking parents’ consent before treating children were practiced

The Association of Gender with the Patterns of Impactions and Associated Radiolucency’s in Mandible and Maxilla

OBJECTIVES To find the association between gender and the patterns of impactions and associated radiolucency in Mandibleand Maxilla. METHODOLOGY A cross-sectional descriptive study was conducted on 385 Orthopantomograms (OPG) of patients visiting SharifMedical and Dental College (SMDC), Services Institute of Medical Sciences (SIMS) and Institute of Dentistry,CMH, Lahore Medical College, Lahore over a period of three months from December 2020 to February 2021.The angle of the impacted third molar was classified using Winters classification. The Pell and Gregoryclassification was used for depth of third molar impaction and ramus relationship of mandibular third molars.Statistical analysis was done using SPSS 23 and a P value ≤ 0.05 was considered significant. RESULTS The angle of impaction and gender in impacted mandibular third molars were significantly associated with eachother (p=0.011) while the depth of impaction (p=0.729), and ramus relationship(p=0.318) were not significantlyassociated with gender. The associa tion between gender and periapical radiolucency (p=0.605), peri coronalradiolucency (p=0.591), caries (p=0.499) and external resorption (p=0.499) were non-significant. In maxillaryimpacted third molars the association between gender and depth of impaction (p=0.121), angle of impaction(p=0.284), periapical radiolucency (p=0.111), peri coronal radiolucency (p=0.805) and caries (p=1.000) werenon-significant. CONCLUSION In impacted mandibular third molars the periapical, peri coronal radiolucency,caries and external resorption weremore in the males as compared to the females. In maxillary third molar impactions, the periapical radiolucencyradiolucency was greater in males while peri coronal radiolucency was greater in females

Impact of Personality Trait of Agreeableness on Oral Parafunctional Habits

OBJECTIVES To find the impact of agreeable personality trait on oral parafunctional habits.METHODOLOGY A Cross-sectional descriptive study was conducted at the College of Dentistry, Sharif Medical and Dental College, Lahore, over 5 months, from July to November 2021. Data was collected using medical questionnaire and ten item personality inventory scale (TIPI). Kruskal Wallis test was to find the difference in the scores of agreeable personality trait across groups of oral parafunctional habits.RESULTSThere was a statistically significant difference in the agreeable personality trait across the parafunctional habits of tooth grinding (p=0.023) and biting on hard objects (p=0.013). A non-significant difference was seen in the personality trait across the habits of nail biting (p=0.495), tooth clenching (p=0.097) and habit of chewing gum (p=0.371). CONCLUSION The individuals who disagreed to having the habit of tooth grinding had the highest score for agreeableness and the least was seen in those who neither agreed nor disagreed to having the habit. The personality trait was the most prevalent in individuals who strongly agreed to having the habit of biting on hard objects and the least in those who agreed to having the habit

Frenectomy Using Diode Lasers: A Case Report

OBJECTIVES Lasers are used in almost every aspect of dentistry, be it surgeries, restorations, periodontal procedures, and even aesthetic dentistry. One certain area that requires extra emphasis and importance is the laser-assisted frenectomy. Frenectomy, as the name suggests, is the excision of frenum attachment to the underlying bone. Frenectomy is carried out in the mandible as well as the maxilla. This is a case of a patient undergoing orthodontic treatment who also required a frenectomy, and to minimize the postoperative pain and swelling, the procedure was carried out using a diode laser rather than the conventional surgical procedure