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Al-Qattan M.M.,King Saud University | Al-Munif D.S.,King Saud University | Alhammad A.K.,King Saud University | Alfayez D.I.,King Saud University | Hanouneh S.,Alfarabi Colleges
Journal of Plastic Surgery and Hand Surgery | Year: 2016

Background: Several authors have indicated that there are specific poor prognostic factors which may affect the outcome of management of phalangeal neck fractures. In the authors centre, phalangeal neck fractures with any of these poor prognostic factors are labelled "troublesome". Any of the following five criteria will qualify the fracture to be regarded as "troublesome": concurrent vascular compromise of the fractured digit, open/partial amputation injuries, comminution of the fractured phalangeal head, concurrent epiphyseal or juxta-epiphyseal fractures distal to the fractured phalangeal head, and all Type III fractures (as per Al-Qattan classification).Methods: The effect of these poor prognostic factors has not been investigated in the youngest paediatric age group; the hands of whom are known to be most forgiving. The purpose of this study is to compare the outcome of management of seven "troublesome" vs nine "non-troublesome" phalangeal neck fractures in children less than 2 years of age. Demographic data (age, sex, fracture site/type, and troublesome factors) were reviewed for the 16 cases. All patients were treated according to a specific protocol, and the outcome was documented using a modified Al-Qattans outcome grading system.Results: Of the nine children with non-troublesome fractures, eight obtained a satisfactory outcome and the ninth case had an unsatisfactory outcome. In contrast, all seven children with troublesome fractures had an unsatisfactory outcome and the difference was highly significant (p = 0.0007).Conclusion: The authors strongly advise discussing the outcome of troublesome fractures with the parents and also advise documenting this in the file (prior to management) for medico-legal reasons. © 2015 Taylor & Francis.

Pedir S.S.,Al Farabi Colleges | Mahran A.H.,Ain Shams University | Mahran A.H.,Al Farabi Colleges | Beshr K.,Al Farabi Colleges | Baroudi K.,Alfarabi Colleges
Journal of Clinical and Diagnostic Research | Year: 2016

Introduction: Separation of endodontic files during root canal treatment is a common multifactorial problem facing most of dental practitioners both dentists and students that has high impact on treatment and prognosis outcome. Aim: To compare the incidence, factors and treatment options of separated endodontic files among dentists and undergraduate students in Riyadh area. Materials and Methods: A survery of 35-questionnaire was formulated and e-mailed to all 149 dentists of different dental specialties who are working in different clinical centers in Riyadh area and are attending the 26th Saudi Dental Society International Dental Conference in addition to 130 undergraduate students in different dental colleges in Riyadh. Overall, 118 participants of dentists completed the survey, with response rate of 79% and the same number of students with response rate of 90.7%. Results: Total of 57.6% dentists’ faced separated files problem during root canal preparation, while only 7.6% of students faced this problem. 53% of separated endodontic files (SEF) were hand files, 65% stainless steel files, 81% were small size files most common sizes (#15-20) (p <0.0001). Causes of SEF were root Canal anatomy, in 45%. 66% of SEF occurred in curved canals, 98% were in molars in mesiobuccal and mesiolingual canals, (p <0.0001). 44% of SEF were successfully bypassed, 53% were successfully removed from coronal third of root canal, 42% of SEF successfully removed using ultrasonics under visualization of operating microscope. 73% of retained SEF cases showed good prognosis, (p <0.0001). Conclusion: SEF is a multifactorial clinical problem that must be either removed, by passed to allow complete cleaning, shaping, disinfection, obturation and effective coronal seal. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.

Pradeep K.,Alfarabi Colleges
Anesthesiology Research and Practice | Year: 2016

Context. The initial periodontal examination which includes full-mouth periodontal probing is one of the discomforting procedures for a patient. Aim. To evaluate the efficacy of two local anesthetic gels in the reduction of pain during periodontal probing using Florida probe in CGP patients in comparison with manual probing. Materials and Methods. Ninety systemically healthy patients with moderate to severe CGP patients were recruited. In each patient, the quadrants were randomly assigned to manual probing with UNC-15 probe, probing with Florida probe, and Florida probing with lidocaine 10% gel and with benzocaine 20% gel. In the quadrants undergoing probing with anesthetic gels, the sites were isolated and the gel was injected using syringe and a blunt-end cannula. Pain was measured using 10 mm horizontal VAS. Statistical Analysis. The analysis was carried out using SPSS version 18. The comparison of mean VAS scores was done using repeated measures ANOVA with post hoc Bonferroni test. Results. Mean VAS for manual probing was significantly more than Florida probing. Further, the mean VAS score for Florida probing was higher than the two gels. Conclusion. It is suggested that the gels might be useful in reducing pain experienced during full-mouth periodontal probing in patients with CGP. © 2016 Ashank Mishra et al.

Divakar D.D.,King Saud University | Al Kheraif A.A.,King Saud University | Ramakrishnaiah R.,King Saud University | Khan A.A.,King Saud University | And 3 more authors.
Paediatria Croatica | Year: 2015

The aim of the study was to assess and compare oral manifestations of human immunodefi ciency virus (HIV) infected pediatric patients undergoing antiretroviral therapy (ART) and those not undergoing ART. A cross sectional study included HIV positive children (receiving and not receiving ART) aged 5-15 years, registered at the District Hospital ART Centre, Udaipur, and HIV negative schoolchildren. HIV related oral lesions were diagnosed according to the World Health Organization criteria. Sociodemographic and other related information were also recorded. CD4+ cell count was determined in all study subjects. The Ô2-test, stepwise multiple linear regression and logistic regression were used on statistical analysis. In all tests, confi dence interval and p-value were set at 95% and .0.05, respectively. A greater proportion of HIV patients receiving treatment had CD4+ cell count of more than 750 cells/mm3. The majority of HIV patients receiving ART for more than three years and only 20% of those not receiving ART were free from any oral lesions. The results of the present study demonstrated ART to be eff ective in reducing the prevalence of HIV related oral lesions, as already described in the literature; however, unlike previous studies, the present paper reports more valid fi ndings for having included most of the confounding variables.

Butchibabu K.,Alfarabi Colleges | Baroudi K.,Alfarabi Colleges
Saudi Journal of Anaesthesia | Year: 2016

Background and Aims: Local anesthetics (LAs) are most commonly used agents in dentistry. They are used to prevent the pain and nociception generated during dental procedures. Since pain associated at the time of injection of LA is uncomfortable, most of the dentists are on pursuit of painless administration of LA injection and use of topical anesthetics prior to the injection has proven effective in reducing anxiety and pain to the patient. The aim of this study is to compare pain responses after application of three types of topical anesthetics with control in the patients referred for periodontal full mouth flap surgery. Materials and Methods: A total of 83 patients (42 males and 41 females) participated in the study with age group ranging from 30 to 50 years. The present study is to evaluate the efficacy of three topical anesthetics (Precaine gel, Benzocaine topical paste and Lignocaine spray) before infiltration in altering visual analog scale (VAS) scores of pain during LA injection. The statistical analysis was performed using SPSS version 15.0 software. Repeated analysis of variance was performed to know the effect of each variable and reveal statistical significance. Results: Results revealed that Precaine gel had least VAS score compared with other topical anesthetics. Conclusion: From the present study, it can be concluded that procaine gel is a better than other topical LA agents, as the number of studies on this subject is rare and clinical results are mixed, further studies are required with a larger sample before its routine application in our field. © 2016 Saudi Journal of Anesthesia.

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