Open Access Original Research Article

A Comparative Study of Shahid Beheshti and Isfahan Universities Dental Students’ Self Confidence in Managing Uncooperative Pediatric Dental Patients (A Cross-sectional Study)

Mehdi Jafarzade, Dana Tahririan, Amir Hossein Bonyadian, Mojde Habibi

Asian Journal of Dental Sciences, Page 1-8

Introduction: Psychological variables affect dental treatment, especially pediatric dentistry, and complicate the control of uncooperative pediatric patients. Therefore, dentists are to use recommended behaviour management techniques to cause cooperative behaviour in order to achieve treatment success. The aim of this study was to assess their behaviour management techniques and self-confidence in coping with uncooperative children in pediatric dentistry in order to help the students have sufficient knowledge and skills to start treatment independently.

Methods and Materials: For this cross sectional-descriptive-analytical study, 50 dental students from Isfahan Medical Science University and 50 from Shahid Beheshti University were selected. Then, a two-part questionnaire was given to each of the participants. The first part, which used a Likert scale, was to evaluate the participants' self-confidence. The second part consisted of open questions for the participants to write their techniques for managing children's behaviour in different situations. The data were analyzed using SPSS software for t-test and the Mann Whitney test. (α=0.05)

Results: The analysis of the data revealed that the dental students had a high level of self-confidence in the majority of situations; in cases that children had uncooperative behaviour, their self-confidence scores were lower. The results of the t-tests showed that the participants’ self-confidence scores did not significantly vary by university or gender. (P value=0.425) Also, a Mann Whitney test revealed that the most commonly observed behaviour management techniques, used by the participants, did not significantly vary by their gender or university. (P value=0.499)

Conclusion: According to the results, gender or university does not have any statistically significant impact on the participants’ scores on self-confidence and behaviour management techniques.

Open Access Original Research Article

Dental Myth, Fallacies and Misconceptions in Rural Population of Bhopal City: A Cross-sectional Study

Manish Sen Kinra, Amit Sharma, Alpana Tiwari, Mandar Todkar, Mangleshwar Dubey

Asian Journal of Dental Sciences, Page 1-7

Aim: The aim of the study was to determine the prevalence of myths related to dentistry in the rural population of Bhopal city. The minimum sample size calculated was 100 individual persons.

Introduction- The underlying cultural beliefs and practices influence the conditions of the teeth and mouth, through diet, care-seeking behaviour, or use of home remedies. Myths may arise as either truthful depictions or over­ elaborated accounts of historical events, as allegory or personification of natural phenomena, or as an explanation of ritual.

Materials and Methods: The questionnaire consisted of two parts. The first part included a provision for recording socio-demographic data of the participant. The second part consisted of a set of 23 closed-ended questions on myths related to dentistry classified under five domains—decayed tooth, oral hygiene, primary dentition, tobacco,  and treatment.

Statistical Evaluation: The questionnaire was investigator administered. A calibrate examiner was asked the question to the participants for the better response rate of the study. For the statistical analysis, SPSS version 23 was used.

Result- In the present study 24% of the study participants were 20 to 30 years of age 56% participants were 30-40 years of age 16% participants were 40-50 years of age and 4% participants were more than 50 years of age.  In the present study, 54% were male and 46% were female. 41% of study participants were educated and 59% of study participants were uneducated.  There was 91% of study participants had a dental history.

Discussion: Inequalities in oral health persist worldwide, with mainly affected being the deprived population. India has a low budget to meet the general populations’ oral health treat­ment needs, a high disease burden and a low literacy rate. All these factors predispose the general population to poor oral healthcare, false treatment needs assumptions and false beliefs.

Open Access Original Research Article

Self-medication for Oral and Non-oral Conditions among Visitors of Outpatient Clinics- Alexandria- Egypt

Mohannad Naser, Maha El Tantawi

Asian Journal of Dental Sciences, Page 1-8

Aim: To assess the prevalence of self-medication for non-oral and oral conditions and associated factors.

Study Design: Cross-sectional study.

Place and Duration: The outpatient clinics of Alexandria University teaching hospital, Alexandria, Egypt in 2015.

Methodology: Visitors responded to a pilot-tested Arabic questionnaire that collected information about medical and dental histories, self-medication and its reasons. The study outcomes were the most frequent non-oral and oral conditions for which antibiotics self-medication was used. Regression analysis was used to assess the association with independent variables and the relationship between the two outcomes.

Results: The response rate was 94.3%. The prevalence of antibiotics self-medication for non-oral and oral conditions was 31.6% and 19.4%. The most frequent non-oral and oral conditions where antibiotics self-medication occurred were common cold and toothache (26.3% and 18.2%). Perceiving the condition as non-serious and leftover medications were associated with higher odds of antibiotics self-medication for common cold and toothache (OR= 1.99, 1.99 and 2.84, 1.81). Antibiotics self-medications for the two conditions were strongly associated (OR= 52.00).

Conclusions: Self-medications for oral and non-oral conditions are associated and related to modifiable factors including how serious the patients perceive their condition to be and if they have access to left-over medication.

Open Access Case Study

Aesthetic Considerations When Restoring Single Maxillary Central Incisor

Ahmed Besrour, Nissaf Daouahi, Dalenda Hadyaoui, Adel Amor, Mounir Cherif

Asian Journal of Dental Sciences, Page 1-6

The aim of this article is to illustrate the aesthetic rehabilitation of a discoloured maxillary central incisor according to dominance principle based on establishing ideal proportions.

The factors that can affect the aesthetic value of a dental supported crown in the aesthetic zone are also discussed.

These parameters include abutment colour, ceramic thickness, the opacity of luting agent and gingival contours.

The article describes a clinical situation of restoring a discoloured maxillary central incisor using an all ceramic crown. The patient presented with a hidden smile and was asking for improvement of its aesthetic appearance. Clinical examination showed a discrepancy between the central incisors.

The treatment plan included crown lengthening followed by Lithium Disilicate Ceramic crown. The opacity of the material was selected according to the abutment discolouration.

An IPS Natural Die Material shade guide was also used. The restoration was bonded using a resin material.

Finally, Pink/white aesthetic score PES/WES was applied to evaluate the aesthetic outcome.