Are We Causing Antibiotic Resistance with Antibiotic Abuse? A Study among Dentists

INTRODUCTION: With the invention of any new technology their comes the boon and curse both. The invention and use of antibiotics comes a problem of antibiotic resistance which is much more in extent than treating the infectious disease. Keeping this in mind the WHO in 2011 gave the theme “combat drug resistance- No action today, No cure tomorrow” which was very significant. The present study was done with the aim to know the prescription pattern of antibiotics for various dental procedures by dental practitioners.MATERIALS AND METHODS: A specially prepared questionnaire exclusively designed for the study recording all the required relevant general information and information related to antibiotic prescribing patterns was used for data collection. The questionnaire consisted of three sections. The first part of the questionnaire collected the demographic details of the study population like age, gender, Graduate or postgraduate degree, area of specialization and years of practice. In the second section the Questions related to antibiotics use in certain dental clinical procedures and conditions in apparently healthy people were asked from the participants. In the last section of the questionnaire the participants were asked about the questions related to antibiotics use for certain dental clinical procedures in medically compromised cases.RESULTS: Questionnaire response rate of 73% was recorded. The study showed Augmentin to be the first choice of antibiotic by most of the respondents.  The study showed that 64% of the endodontists and 74% of the general dentists prescribed  antibiotics during root canal therapy where ideally operative intervention would have sufficed. Overuse of antibiotics for routine scaling and extraction was observed.CONCLUSION: The dental profession as a whole needs to acquire a deeper understanding of the global effects of unnecessary antibiotic prescription. Antibiotics when judiciously used are precise life-saving drugs

Assessment of Oral Health Care Delivery System in Greater Noida Using Five A’s Model

BACKGROUND: Access to dental health services refers not only to utilization but also to the extent by which the utilization is judged as per the professional norms using five independent dimensions of accessibility, availability, accommodation, affordability and acceptability. AIM: The aim of the study is to assess the dental services utilization among population of Greater Noida using Five A’s model. MATERIALS AND METHOD: The study was conducted in Dental College in Greater Noida. This cross-sectional study was carried out on the 200 subjects using convenient sampling on the patients visiting dental OPD.A self-administered structured questionnaire in English and Hindi language was used. Data was entered in the Microsoft excel sheet and analysed using SPSS (version 20.0).RESULTS: Mean level of access to dental services in the study population was 60.3.Corresponding figures for affordability, availability, accessibility, accommodation and acceptability were 55.2 ± 12.1,57.1± 12.8,60.75 ± 14.7,61.75 ± 8.7,58.65± 11.4 respectively.CONCLUSION: According to the results of our study , the level of access to dental care services is not very good with family income, location and level of education being the determinants of this access

Self-reported oral health and denture satisfaction in partially and completely edentulous patients

Context: Edentulism is a handicap that affects the quality of life and nutrition. Tooth loss leads to functional impairment at the level of the orofacial system, significantly interfering with chewing, swallowing and speech, as well as to temporomandibular joint dysfunction, disorders of intermaxillary relation, and facial physiognomy. Aim: The aim of the study was to explore variables that influence self-reported oral health and denture satisfaction in partially and completely edentulous patients using oral health impact profile for edentulous (OHIP-EDENT). Materials and Methods: A hospital-based study was carried out on the patient's age ranged from 30 to 70 years in the dental college who had been treated with complete dentures and removable partial denture using convenience sampling method. Prevalidated questionnaire consisting of OHIP-EDENT was self-administered to all the study participants. The information about the appetite, perceived general and oral health, and satisfaction from the dentures was recorded using a 4-point Likert scale. Data were collected, entered, and analyzed using SPSS version 20.0. One-way ANOVA was performed to test for comparison between different denture groups. P < 0.05 shows statistically significant difference. Results: When the mean of denture satisfaction level was calculated between different denture group and different domains of OHIP-EDENT, there was no difference found in level of denture satisfaction between different denture groups, i.e., overall denture satisfaction mean in Group 1 was 2.18 ± 0.32, Group 2 has 2.23 ± 0.36, Group 3 has the mean of 2.18 ± 0.42, Group 4 has 2.23 ± 0.67, and P value was 0.810 which shows nonsignificant difference. Conclusion: The results of the present study suggest that the poor self-perceived satisfaction among denture wearers affect their quality of life