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Background Dental personnel are vulnerable to work-related musculoskeletal symptoms (WMSS) due to the nature of their profession. Aim To determine WMSS experienced by dental auxiliaries and their coping strategies toward these symptoms. Setting and Design A cross-sectional study was conducted on 82 dental auxiliaries at a university dental hospital in Malaysia. Materials and Methods Nordic musculoskeletal questionnaire and the Brief COPE questionnaire were used to measure the musculoskeletal symptoms and coping strategies of the respondents, respectively. Data were analyzed using IBM SPSS version 22.0. Results Dental auxiliaries consisted of dental staff nurses (30.5%), dental surgery assistants (40.2%), dental technologists (18.3%), and healthcare assistants (11.0%). Their mean [standard deviation (SD)] age was 33.4 (7.60) years. Most of the respondents had been troubled with ache, pain, and discomfort at the neck, 54.9% (95% confidence interval 44.0%, 66.0%]. In addition, they were troubled mainly with distress at the low back (34.1%) and the ankle or feet (34.1%) which had prevented the respondents from doing their regular job over the past 12 months. The most common areas that had troubled the respondents over the past 7 days were the neck (36.6%), low back (36.6%), and ankle or feet (36.6%). The coping strategy most commonly practiced by the respondents was religion with a mean (SD) score of 3.70 (2.15), followed by active coping [3.13 (0.68)] and acceptance [3.13 (0.69)]. Conclusion The prevalence of WMSS was high in the dental auxiliaries particularly in the neck region. The most common coping strategy used was religion. Awareness programs on the prevention of WMSS among the dental auxiliaries should be increased.Context Independent dental hygiene practice is critical in regions with low accessibility to dental services, as well as for preventing and managing oral diseases among children and the elderly from low-income families, as these individuals are highly vulnerable to oral diseases. Aims We investigated whether the job autonomy of dental hygienists has been maintained, in accordance with the guidelines of the International Federation of Dental Hygienists (IFDH). Settings and Design This study comprised a cross-sectional literature review. Subjects and Methods We reviewed national reports and articles published in 23 countries selected for analysis to determine the degree of dental hygienist job autonomy, based on the extent of dental hygiene education. We divided the countries into two groups, based on the historical length of dental hygienist education. Statistical Analysis Used We classified education as direct access, indirect supervision, and direct supervision. Two researchers reviewed and revised the classification results to ensure reliability. The Kappa value was 0.96 points. Statistical analysis was performed by PASW statistics 23.0 program (SPSS Inc., Chicago, IL, USA.). Results Countries with >40 years of educating dental hygienists exhibited more independent dental hygienist practices than those with less than 40 years of educating dental hygienists. Conclusions Countries with >40 years of experience in educating dental hygienists largely guarantee independent dental hygiene practice for dental hygienists, in accordance with IFDH guidelines. The society's need for dental hygienists is fulfilled and professional competency is maintained in these contexts; thus, it should be required for dental hygienists to maintain independent dental hygiene practices.Objective The aim of the present study was to compare the effect of transdermal diclofenac patch against oral diclofenac for post-endodontic pain control. Materials and Methods Thirty-two patients with symptomatic irreversible pulpitis in single-rooted premolar teeth of either arch were treated endodontically in a single visit by a single endodontist. Oral diclofenac (50 mg twice daily) for group I and transdermal diclofenac patch (100 mg once daily) for group II were administered as post-endodontic analgesics for two days. Visual analogue scale (VAS) chart was used to record pain intensity scores preoperatively and at intervals of 4, 8, 12 and 24 h postoperatively for 2 days. Paracetamol 650 mg tablets were provided as rescue medication. Results There was a significant decrease in the postoperative pain intensity scores for both groups. The postoperative scores gradually decreased from day 1 to day 2 in both groups. Twelve out of sixteen patients who had received diclofenac tablets complained of gastric discomfort. Conclusion Transdermal diclofenac patch was as effective as an oral diclofenac tablet and can be used as an alternative and effective analgesic for post-endodontic pain management, especially in patients with gastric discomfort.Aim To compare routine teaching method with fishbowl and a one-minute preceptor for undergraduate students. Objectives 1. Evaluation of theoretical knowledge for WHO dentition status and treatment need by fish bowl and routine teaching. 2. Effectiveness of the combination of fish bowl and one-minute preceptor in understanding WHO dentition status and treatment need. Materials and Methods This study was conducted on 38 third year undergraduate students, which was divided into two groups (Group A Fishbowl, Group B One-minute preceptor). Routine lecture for WHO dentition status and treatment need was taken, followed by baseline evaluation which was done by giving 10 sets of clinical images to students and asked them to give WHO score. Furthermore, fish bowl and one-minute preceptor method were performed and students were subjected with the same set of clinical images again. At the end of the session, feedback was taken from the students by means of five open-ended questions about their views on fish bowl and one-minute preceptor. Data were analyzed with SPSS version 20 (Chicago IL). Wilcoxon Sign Rank test and Mann Whitney 'U' test was performed for intragroup and intergroup comparison respectively. Results Combination of fishbowl and one-minute preceptor shows statistically significant result over routine teaching method with P value of .000. Conclusion Combination of Fish Bowl and OMP could be used for better teaching method for students, as the students are actively involved and more learning takes place; the deficiencies of one method would be compensated by the other.Aim Temporomandibular disorders (TMDs) comprise a number of signs and symptoms affecting the masticatory muscles, temporomandibular joint (TMJ), or both. Because of the multifactorial etiology of such problems, the treatment usually involves more than one modality. Objectives Therefore, the aim of this study was to compare the effectiveness of transcutaneous electric nerve stimulation (TENS) and low-level laser therapy for the treatment of patients with TMD. Materials and Methods The clinical trial was performed with 60 patients diagnosed with TMD of multiple causes. All the patients received both methods of treatment in 6 consecutive weeks. A paired t-test was applied to verify the significance of the results. Results A significant improvement in the range of motion and pain relief for both the therapies was observed. Conclusions Comparatively after analyzing the two methods, the values obtained after LLLT were significantly higher than those obtained after TENS therapy (P less then 0.01).Aim To compare the microbial leakage of three root canal filling materials AH Plus with Gutta-percha, Epiphany with Resilon, and Guttaflow using Enterococcus faecalis as the bacterial marker. Materials and Methods In total, 30 caries free, human maxillary incisors with straight roots were used. The teeth were de-coronated with a diamond disc and the length was standardized for all specimens. Access opening was done through the coronal portion and the working length was determined. All the teeth were prepared to a standardized size apically and coronally. The teeth were then randomly divided into three experimental groups each. After obturation of the root canals, the outer surfaces of the teeth were coated with two layers of nail enamel except the apical 2 mm. The teeth were then subjected for bacterial leakage test using E. faecalis as a bacterial marker in dual chamber bacterial leakage model for a period of 30 days. Statistical Analysis Used Chi-square test. Results Results showed that Resilon/Epiphany (Group-2) demonstrated less leakage and Gutta-percha/AH Plus (Group-1) showed maximum leakage with the statistically significant difference between the two (P less then 0.05). Guttaflow (Group-3) also showed less leakage than Gutta-percha/AH Plus (Group-1) with the statistically significant difference between the two (P less then 0.05). There was no statistically significant difference between Resilon/Epiphany (Group-2) and Guttaflow (Group-3). Conclusion Resilon/Epiphany and Guttaflow groups demonstrated less microbial leakage than Gutta-percha/AH Plus group.Aim To estimate the age by evaluating the length of dentin translucency in ground sections of extracted teeth using digital scanner and tools of GIMP 2.8 software for dental age estimation. Materials and Methods Fifty extracted single-rooted permanent teeth from 50 different individuals and their 0.25-mm thick sections were prepared. Each tooth section was scanned and the length of dentin translucency was measured in GIMP 2.8 software. Results A linear relationship was observed between dentin translucency and age in the regression analysis. Pearson's correlation analysis showed that there was positive correlation (r = 0.93, P = 0.001) between dentin translucency and age, and the difference between the chronologic age and real age is ± 4.88 years. Conclusion Dentin translucency in the apical part of the tooth can be used for estimating the age of an individual. A method to digitally select and measure translucent root dentin length was used here. This software method is easy to use and less time-consuming. The measurements obtained using this method are more precise and thus help in more accurate age estimation. Considering these benefits, this study recommends the use of digital method to assess translucency for forensic purpose.Aim The study was conducted to assess knowledge and awareness of biomedical waste management (BMWM) among undergraduate students, residents, and nursing staff in a tertiary care dental facility in Delhi. Materials and Methods A questionnaire survey (using ten close ended questions) was conducted regarding various aspects of BMWM among undergraduate students, residents, and nursing staff in a tertiary care dental facility. selleck inhibitor In each group, scores were determined depending upon the correct responses, the participants marked. The data were compiled and subjected to statistical analysis. Results Only 33.3% undergraduate students gave over 70% correct answers as compared to nursing staff (100%) and residents (62.2%). Undergraduate students showed various lacunae in terms of knowledge regarding BMWM. The difference between the knowledge of the 3 groups i.e., nursing staff, residents, and undergraduate students was statistically significant (P = 0.001). Residents exhibited better awareness regarding BMWM as compared to undergraduate students (P = 0.
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