scholarly journals Perceived Practitioner Barriers to the Management of Orofacial Pain in the Kingdom of Saudi Arabia: A Cross-sectional Study

2020 ◽  
Vol 14 (1) ◽  
pp. 520-528
Author(s):  
Emad M. Hadlaq

Background: Orofacial Pain (OFP) is a group of non-dental painful conditions affecting the oral cavity and facial area. Objectives: The objective of this study was to explore which barriers to manage the patient with chronic OFP as perceived by general dentists versus dental specialists and to investigate whether if professionals with degrees from their home country versus another country or number of years of professional experience differ in their perceptions. Methods: A closed-end questionnaire was hand-delivered to 600 participants [300 general dentists and 300 dental specialists] in four major provinces in Saudi Arabia. Demographic data were expressed as frequency. Proportional t-tests and chi-square tests were used to analyse intergroup differences. Statistical significance for all analyses was set at P-value < 0.05. Results: Overall, the response rate was 56.6% (340/600). Around two-thirds of the participants were general dentists (60.9%), while the remainder were dental specialists (39.1%). There was an obvious consensus by the participants that “Low payment/reimbursement” and “Lack of OFP knowledge” were among the most common barriers (85% and 83.5%, respectively). In contrast, “Legal risks” were the least frequently reported factor (38.8%). The most commonly reported barrier by general dentists was “Shortage of patients/lack of demand;” this was significantly different from the experience of dental specialists (87% vs. 72.2%; P- value < 0.01). In terms of the country of graduation or years of experience, there were no significant differences. Conclusion: The study demonstrates the existence of many significant barriers other than OFP knowledge, such as reimbursement, facility and demand that could present obstacles and challenges to the management of OFP by general dentists and dental specialists. Most participants believed that dentists should manage this condition and that OFP courses should be included in the dental school curriculum.

2021 ◽  
Vol 15 (1) ◽  
pp. 636-643
Author(s):  
Ali R. Alqahtani ◽  
Khalid Gufran ◽  
Abdulaziz M. Alqahtani ◽  
Faisal N. Alazemi ◽  
Khaled M. Alzahrani

Background: Recently, implants have been widely considered as an option for replacing missing teeth. There are several biological conditions that must be considered for the success of an implant. Failure to satisfy any of these factors may result in complications, such as peri-implantitis or failure of the implant. Aim: The aim of this study was to evaluate the general dentist's attitude towards the management of peri-implant diseases in Saudi Arabia. Methods: A multicenter cross-sectional electronic-based questionnaire was formulated based on the validated questionnaire from a previous study. It was targeted towards the general dental practitioners in Saudi Arabia. The study sample consisted of 721 general dental practitioners. The questionnaire consisted of 17 questions divided into five sections. Pearson's chi-square test was used for inferential statistical analysis with Holm's correction, for adjusted p-value, the alpha at 95% confidence interval was 0.05, and all values below alpha were considered statistically significant. Results: The majority of participants had attended an implant training course (51.2%) while the rest had not (48.7%). The majority of the participants (67.3%) thought they need special instruments for the detection of peri-implantitis but only 29.5% thought they do not need any special instruments for the intended purpose. Most participants (79.3%) said they can identify and differentiate between normal and abnormal soft tissue around an implant, while 6.5% of the respondents could not. More than half of the participants (54.8%) could differentiate between peri-implant mucositis and peri-implantitis, and 19.4% had no idea about this. Amoxicillin & metronidazole was considered as the best and most effective antibiotic by the majority of respondents (76%), while only (5%) of dentists selected ciprofloxacin. Conclusion: This study concludes by suggesting that most of the participants have adequate knowledge about peri-implant soft tissue assessment, mechanism of periodontitis and peri-implantitis, its initiation and progression along with its management. Most of the participants found the training courses on peri-implantitis to be efficient. It is recommended to conduct more courses and studies that would aim at understanding the pathogenesis, etiology, diagnosis, and treatment of peri-implant diseases so as to increase awareness among general dentists.


Author(s):  
Kaliyamoorthy Kayalvili ◽  
Murugan Duraivel ◽  
Elangovan Nivedhitha ◽  
Subramanian Arul Selvan

Introduction: Chikungunya (CHIK) infection has caused many outbreaks in India with more than 13 lac people affected by the disease. Epidemics of CHIK infection occur during post monsoon period when there is a high vector density. Evidences on the prevalence of CHIK infection during non epidemic periods are limited. Aim: To determine the seroprevalence of CHIK infection during non epidemic periods among patients attending fever clinic in Chennai, Southern India. Materials and Methods: This cross-sectional study was done in 180 suspected cases of CHIK infection between the months of September 2014 and February 2015. A 5 mL of blood samples were collected from the suspected cases and serum was separated to detect for the presence of CHIK-IgM antibody by using CHIK-IgM antibody capture Enzyme Linked Immunosorbent Assay (ELISA) kit. Chi-square test was done to find out the statistical significance with p-value <0.05 kept as statistically significant. Results: The seroprevalence of CHIK infection during non epidemic periods was found to be 5.5% (10/180). Fever and joint pain were the major complaints present in all the study population. All the seronegative cases were tested for the presence of other infections and it was found that 13% were positive for typhoid, 9% were positive for leptospirosis, 4% for malaria and 2% for dengue infections. Conclusion: There are no vaccines or specific medications available till date. Prevention is the only effective approach against the disease. Even though the prevalence of CHIK infection is low during non epidemic periods, strict vector control and elimination of mosquito breeding sites are very important in controlling the disease transmission.


2014 ◽  
Vol 8 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Daniella Antunes Pousa Faria ◽  
Luciana Silva Revoredo ◽  
Maria José Vilar ◽  
Maia Eulália Maria Chaves

Background: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune, rheumatic inflammatory disease that can cause significant morbidity with evident psychological impacts and obvious harm to quality-of-life that require the patient to adapt treatment. Objective: Assessment of resilience and the self-reported treatment adhesion behaviors of patients with SLE, investigating which of these factors are associated to resilience. Method: Cross-sectional study of 40 women with SLE. A questionnaire with social demographic data, health history and the Wagnild Young Resilience Scale were used. Results: 62.5% followed the medical treatment properly but 55% found it difficult. 27.5% of the patients presented low resilience, 57.5% medium and 15% high resilience. Resilience was associated in the chi-square test (p-value < 0.05) with the variables work, understanding SLE, trying to find out about SLE, following the treatment correctly, difficulty in following the treatment and stopping some activity because of the disease. In the correlation analysis, resilience was associated with age (-0.3960), number of working hours (0.5533), specialized treatment duration (-0.8103) and disease duration from diagnosis (-0.8014). Conclusion: Patients with high resilience tended to follow treatment correctly, tried to understand the disease and adhered more to the treatment to avoid risks and promote protection factors. Therefore knowledge of resilience in patients with SLE is necessary. It is important that the state takes necessary actions to facilitate access to treatment, to educational programs and to medical support. Awareness and counselling sessions must be initiated to develop and promote individual capacities to learn how to tackle with the disease for which psychological support of family and doctors can play a significant role.


Author(s):  
Karunakar Shetty ◽  
Raghad Mohammed Mona ◽  
Fatmah Abdulrahman Ashy ◽  
Sarah Naji Aljahdali ◽  
Lama Salman Alhazmi

Introduction: Improving communication and collaboration between members of the dental team is important to the long term aim of improving the quality of dental care for patients. The aim of this cross‑sectional study was to compare and assess the communication and interactions between dental students and laboratory technicians for fixed prosthesis. Materials and Methods: The Survey based study was conducted online using a self-structured, pre-tested, closed ended with Face validity and content validity and consisting of 18 questions for dental students and 18 questions for dental technicians. Questionnaire was designed to compare and assess the quality of communication between dental students and laboratory technicians for fixed prosthodontics in Makkah region of Saudi Arabia. The data were tabulated and analyzed using SPSS version 21. Chi-square test was used to compare and assess the quality of communication between dental students and laboratory technicians for fixed prosthodontics. P-value of less than 0.05 was considered statistically significant. Results: In our survey around forty percent of technicians indicated that work authorization forms were complete and legible to provide the prosthesis. Regarding Communication with the dental technicians by the dental students, 38.5% (77) of them communicate by filling the authorization form, 38.5% (77) of them giving instructions to the delivery boy and 21% (42) of them giving instructions over the phone. Conclusion: Communication between dentist and dental students are very important and it is recommended to fill the authorization form for fixed prosthesis. Technicians should undergo training with designing of fixed prosthesis especially pontic design. 


2020 ◽  
Vol 3 (1) ◽  
pp. 1-10
Author(s):  
Ernawati Ernawati ◽  
Mitra Mitra ◽  
Yessi Harnani ◽  
Nurhapipa Nurhapipa ◽  
Syamsul Bahri Rivai

Adolescent sexual behavior is all forms of behavior that are driven by sexual desire, a form of sexual behavior that is risky and is at low risk. The purpose of this study was to determine the sexual behavior of high school adolescents in Indragiri Hilir Regency in 2018, including risk factors, enabling and reinforcing. Cross sectional study design. Sample 233 people. The sampling procedure by systematic random sampling, data collection using questionnaires and data analysis was carried out univariately, bivariately by chi-square test and multivariate with multiple logistic regression tests. The results showed that the proportion of adolescents who carry out sexual behavior is at risk of 11.2%. Variables related to sexual behavior in adolescents are attitudes with p value 0.021 (POR: 3.441) and peers with p value 0.007 (POR: 3.906) and role family is a counfounding variable on attitudes and peers. It can be concluded that the bad influence of peers 4 times adolescents have a risky sexual behavior compared to the good influence of peers. It is expected that there should be school cooperation with the Education Agency in terms of providing counseling and including reproductive health education into the school curriculum, for parents and adolescents to be selective in choosing friends so that adolescents are not easily affected by the risk, especially in sexual matters.  


2020 ◽  
Vol 14 (01) ◽  
pp. 144-151
Author(s):  
Sadeq Ali Al-Maweri ◽  
Maha Naif Alshammari ◽  
Abdulaziz Rabah Alharbi ◽  
Aisha Abdullah Bahein ◽  
Mohammed Nasser Alhajj ◽  
...  

Abstract Objectives Bisphosphonates (BPs) are used for treatment of various benign and malignant medical conditions. Medications-related osteonecrosis of the jaws (MRONJ) is a very serious complication of prolonged therapy with BPs. This study aimed to assess the level of knowledge among dental professionals in Saudi Arabia regarding MRONJ. Materials and Methods This was a questionnaire-based, cross-sectional study. A self-administered questionnaire comprising close-ended questions about BPs and MRONJ was sent to a convenience sample of dentists in Saudi Arabia.Statistical Analysis SPSS software was used for data analysis. Chi-square test was used to compare between the groups. The significance level was set at p < 0.05. Results A total of 607 dentists participated in this survey. Overall, the respondents showed insufficient level of knowledge regarding BPORNJ, with only 70% of the respondents had heard about BPORNJ, and less than 50% recognized the risk factors and clinical features of the disease. Additionally, while two-thirds of the respondents recognized the importance of taking BPs history, the majority did not know the correct treatment approach. Respondents with higher degrees (specialists) showed far better knowledge than general dentists. Conclusion The knowledge regarding BPs therapy and its complications among Saudi dentists is unsatisfactory. Hence, interventions are highly required to improve dentists’ knowledge regarding BPs and MRONJ.


2021 ◽  
pp. 26-26
Author(s):  
Muhammad Kamran ◽  
Rawan Saddah ◽  
Afnan Alasmari ◽  
Salem Almoammar ◽  
Abdullah Alnazeh ◽  
...  

Objective: To evaluate the awareness of orthodontic problems and referral practices among general dental practitioners and non-orthodontic specialists practicing in Kingdom of Saudi Arabia. Methods: Cross-sectional prospective study included general dentists and specialists/consultants of both genders, aged between 22-60 years, practicing General dentistry and as specialist other than orthodontics for 2 or more years. Non-practicing dentists and non-registered dentists were excluded. Data was analysed on SPSS version 21.00. Results: Results revealed that males were 55.5% and general dental practitioners were 44%. It is evident that 53.5% (107) GDPs and 33% (66) non orthodontic specialists practiced orthodontic referral in their practices. Cross-tabulation of variables compared with gender and general dental practitioners and non-orthodontic specialists, using chi-square test, revealed significant p-value of orthodontist referral, but recommendation of orthodontic treatment only after the eruption of all permanent teeth, awareness of tooth extraction for alignment of irregular teeth, and awareness regarding worsening of TMJ problems by orthodontic treatment. Conclusion: It has been concluded that the referral practices of dentists practicing in Kingdom of Saudi Arabia, concerning orthodontic patients, were satisfactory, although awareness regarding orthodontic problem requires unremitting learning and considerate positive progression towards basic orthodontics.


2020 ◽  
Vol 4 (2) ◽  
pp. 113-121
Author(s):  
Fadhilah Rosyid Pradana ◽  
Sri Widiyati ◽  
Arwani Arwani

Background: Tuberculosis (TB) in children needs special attention. Enforcement of the diagnosis of childhood TB which is an important component in controlling pulmonary TB itself. Nurses as health workers have a role as providers of nursing care, educators, communicators and extension agents needed in an effort to overcome diseases including pulmonary TB in children. The nurse is also one of the human resources or health workers trained and responsible for implementing pulmonary TB prevention programs. For this reason nurses are required to have competent knowledge.Purpose: To determine the relationship of characteristics with the level of knowledge of nurses about pulmonary TB in children in the Health Center’s area of Semarang City.Methods:.This study used a descriptive survey design with a cross sectional study design. The sampling technique uses purposive sampling. The number of respondents was 44 respondents. The instruments used were questionnaires about demographic data and the level of knowledge about pulmonary TB in children. The data was analised using chi square.Results:.The results of this study using the Chi-square test obtained p value (Age 0.677), (Gender 0.531), (Education Level 0.230), and (Working Period 0.424) which shows p-value 0.05.Conclusion: There is no correlation between the characteristics and level of knowledge of nurses about pulmonary TB in children in Health Center’s area of Semarang.


Author(s):  
Karunakar Shetty ◽  
Othman Wali ◽  
Abdulaziz Talal M. Maleh ◽  
Zaid Naif Alharthi ◽  
Mahmoud Hani Zahran ◽  
...  

Introduction: COVID-19 is a highly infectious disease caused by an RNA virus belonging to a large family of coronaviruses. WHO declared COVID-19 as a public health emergency and classified it as a pandemic. The COVID-19 pandemic affected the medical education globally. Aim of the Study: The aim of the study is to evaluate the impact of COVID-19 on the internship program. Materials and Methods: A cross‑sectional study was conducted among the medical and dental students of various universities in Makkah region of Saudi Arabia. A questionnaire consisting of 15 close ended, pre-tested questions was developed to determine the experiences and perceptions of medical and dental interns due to COVID-19. The data were tabulated and analyzed using SPSS version 21. Chi-square test was used to assess the experiences and perceptions among the Medical and Dental interns. P-value of less than 0.05 was considered statistically significant. Results: The study included 453 participants, out of which 253 were dental interns and 200 were medical interns. 231 (51%) of male interns participated in this study and 222 (49%) female interns participated. 140 (55.6%) and 138 (69.3%) of the participants of the dental and medical interns respectively felt COVID-19 affected options to select specialties of their interest for post-graduation, whereas, 112 (44.4%) and 61 (30.7%) of the dental and medical interns felt other way. Conclusion: Majority of the participants reported that COVID-19 did not affect them psychologically. In addition, most of the medical and dental interns felt covid -19 affected opinions to select specialties of their interest for post-graduation.


2021 ◽  
Vol 14 (4) ◽  
pp. 176-179
Author(s):  
Mohammad Ahmed Saifullah ◽  
Amer Ahmad Khan ◽  
Sarmad Zahoor ◽  
Sidra Saif ◽  
Javed Sajjad Hashmi ◽  
...  

Background: Many studies have been conducted worldwide to evaluate the proportion of patients with Celiac disease (CD) in persons presenting with Irritable Bowel Syndrome (IBS), showing a positive association between the two diseases. However, reports from Pakistan remain scanty. This study aims to find out the prevalence of CD in patients presenting with IBS and to establish the correlation of both diseases. Patients and methods: It was a descriptive cross-sectional study conducted at Combined Military Hospital, Lahore (CMHL) from January 2018 till March 2019. Consecutive, nonprobability sampling was used to include 210 patients of both genders with the age range of 15-65 years fulfilling ROME IV criteria and were not previously diagnosed as CD or CKD or CLD. Demographic data was noted. Serum Anti tTG levels and Duodenal Biopsy from the second part was assessed to diagnose CD. CD was labeled if the disease was present on both serological and Histopathological reports. Data were analyzed by using SPSS version 20. Descriptive statistics were calculated and a Chi-square test was used to compare the outcome variables with P-value < 0.05 as significant. Results: Of 210 enrolled patients, 113 (53, 8%) were male and 97 (46.2%) were female. The mean age of the patients was 28.40 ± 5.06 years. Eight patients (3.8%) were positive for Anti tTg and on histopathological findings suggestive of CD. Seven of 8 were less than 35 years old. Out of 8 positive patients, 6 (75%) were females. However, the p-value was found to be insignificant for age (0.549) and gender (0.096). On stratification with respect to duration of IBS, all 8 patients diagnosed with celiac disease were having symptoms of IBS for less than 12 months (100%) which was significant statistically (7.1% vs 0.0%; p=0.007). Conclusion: The frequency of CD was 3.8% among IBS patients. Considering this percentage of CD in IBS patients s, a high index of suspicion for CD in IBS patients is required,


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