Journal of Rehman College of Dentistry

The Nacebo Effect and its Application in Dentistry

Nazma Saleem — Thu, 07 Jul 2022 00:00:00 +0000

Pattern of Palatine Bone Fracture in Le-Fort Maxillary Fractures

Thu, 07 Jul 2022 00:00:00 +0000

Background and Objectives: Palatal fractures occur rarely in isolation and are usually found in patients with Le-Fort 1
maxillary fractures. The objective of our study is to determine the palatine bone fractures in Le-fort maxillary fractures.
Methodology: This cross-sectional study was carried out in the Department of Oral & Maxillofacial Surgery, KCD,
Peshawar from 02 Nov 2016 to 02 Apr 2017. Patients with Leforte 1 fractures fulfilling inclusion criteria were invited
to participate in the study. A detailed history followed by clinical and radiographic examination including
Orthopantomogram (OPG), Occipitomental View (OMV) of the patient was performed. Computed tomography (CT
scan and 3D scan) was advised. The data was collected using a customized Performa.
Results: As per patterns of fractures 53(30.99%) patients were recorded withTransverse,59(34.50%) patients were
recorded with sagittal,38(22.22%) patients were recorded. With parasagittal and 21 (12.72%) patients were
recorded with comminuted
Conclusion: In this study, we came to the conclusion that it is crucial to collect data on the epidemiology of
maxillofacial fractures over the long term because it would help medical professionals create and assess preventive
strategies for lowering the occurrence of facial injuries. Additionally, this will aid in the development of a clinical and
research procedure for the efficient treatment of maxillofacial trauma patients in our community

Comparison of Outcome in Open Reduction Internal Fixation With and Without Maxillomandibular Fixation in the Management of Symphysis and Parasymphysis Fracture

Anum Iqbal, Zainab Shah, Atta ur Rehman — Thu, 07 Jul 2022 00:00:00 +0000

Background and Objectives: Fractures of the jaw can causes malocclusion and widening of the face if ill-treated. To
compare the results of ORIF (open reduction internal fixation) only versus open reduction internal fixation along with
maxilla-mandibular fixation in the management of mandibular symphysis and parasymphysis fractures.
Methodology: In this study, 150 patients were divided into A and B groups (75 each group) by lottery method. One
group (A) was treated with ORIF only, while other (B) was treated by ORIF and MMF. Miniplates were placed in
accordance with Champy’s principle.. Each plate was fixed with monocortical screws that were 2-mm wide and 7-mm
long.
Results: Our study shows that Group A had a mean age of 30 years with Standard Deviation ± 2.76 whereas the Group
B mean age was 32 years with Standard Deviation ± 3.12. 72% of the patients in Group A were male and 28% were
female. In the case of Group B 75% patients were male and the remaining 25% were female. In Group A 5% of the
patients had malocclusion, 3% patients had infection and 4% patients had wound dehiscence. 7% of the patients in
Group B had malocclusion, 5% patients had infection and 7% patients had wound dehiscence.
Conclusion: Our study concludes that the difference of outcomes (malocclusion, infection, wound dehiscence) between
open reduction internal fixation along with maxillomandibular fixation and open reduction internal fixation only in the
treatment of mandibular symphysis and parasymphysis fractures, were not significant.

A Survey of Oral Hygiene Habits of Patients Presenting to Rehman College of Dentistry

Warda Fayyaz, Mashal Ahmad, Mahnoor Parvez, Maimoona Ayaz, Zubair Durrani — Thu, 07 Jul 2022 00:00:00 +0000

Background and Objectives: Wide range of oral hygiene maintenance practices exist in this part of world. While
generally modern techniques of maintaining oral hygiene have become a norm in the society, no data exists
regarding correct use of these practices and the frequency in which they are employed. This study is an attempt to
quantify these techniques and record their usage.
Methodology: A cross sectional analytical study was planned and a questionnaire was developed. A total of 200 adult
patients presenting to Rehman College of Dentistry were interviewed. Data was recorded and analyzed using SPSS
software.
Results: Results in general show that people are using modern techniques along with traditional methods like Miswak
on regular basis to clean their teeth.
Conclusion: Further awareness regarding oral hygiene practices and their correct use needs to be created. People
also need more guidance regarding alternative oral hygiene techniques, and the importance of regular dental
checkups and scaling.

Pattern of Temporomandibular Disorders (TMD) Among Patients Visiting Peshawar Dental College

Thu, 07 Jul 2022 00:00:00 +0000

Background and Objectives: Early diagnosis of Temporomandibular disorders (TMD) is important for prevention of
greater damages of the parts of the maxillofacial region. This study aims to determine the pattern of TMD among patient
visiting Peshawar dental college.
Methods: A cross sectional study was conducted between the periods of January 2021-dec 2022 among the patient
visiting oral medicine department of Peshawar dental hospital. Total sample size of 200 patients were assessed. TMJ
evaluation form’ index was used. Gender, age and all sign symptom’s like pain, TMJ click, mouth opening, deviation
were noted.
Results: Out of 200 patients 110 were female and 90 were male, with age range 10- to 80 years,67 % patient present
with TMJ click and pain both while 93% presented with TMJ click only. 15% present with limited mouth opening. The
pain and click were the most common sign and symptoms noted.
Conclusion: TMD is a common problem and the severity of TMD was found higher among patient visiting Peshawar
dental college. Temporo-mandibular joint disorders give association with gender.

A Prospective Study of Postoperative Pain after Root Canal Treatment

Sonia Zakir, Mashal Zeb Jan — Thu, 07 Jul 2022 00:00:00 +0000

Background and Objectives: A component of endodontic therapy is the prevention and management of post-operative pain
The postoperative discomfort and suffering associated with root canal therapy (RCT) are more severe and frequent than those
associated with other dental procedures. The objective of this study is to determine the frequency and intensity of PEP
(post-operative pain)after root canal therapy (RCT) in teeth having healthy and unhealthy pulps.
Methodology: This prospective study, which was conducted from July 2022 to December 2022. Participants included
all individuals (n=193) who underwent RCT in teeth with pulp (vital or pulp)after receiving initial therapy for symptomatic
irreversible pulpitis at Rehman College of Dentistry in Peshawar. Using a standardized questionnaire, data on things
like gender, age, pulpal diagnosis and tooth location were acquired. Patients were questioned regarding the rate their
level of pain using a 1–5 point scale within 24 hours after therapy at 6, and 18 hours post-treatment.
Results: RCT of teeth with live pulp resulted in higher post-operative discomfort (63.8%; 2.46 1.4, vs. 38.5%; 1.78 1.2,
resp.) than with necrotic pulp. Both spontaneous and prompted pain had no statistically significant correlation with the
pulp state.
Conclusion: In comparison to teeth with necrotic pulp, RCT of teeth with viable pulp caused a considerably greater
degree and incidence of post-operative pain.