Awareness and Knowledge of General Dental Practitioners in Central India Towards Management of Patients with Temporomandibular Disorder: A Questionnaire-based Survey

Author(s):  
Jayashree Sajjanar ◽  
Minal Soni ◽  
Jaykumar Gade ◽  
Megha Agrawal ◽  
Arunkumar Basavaraj Sajjanar

Introduction: Temporomandibular Disorders (TMDs) accounts for common Orofacial Pain (OFP) arising from musculoskeletal origins, affecting almost 80% of the overall population. The multifactorial nature of the disease makes it difficult to diagnose and treat and is challenging to a considerable number of General Dental Practitioners (GDPs). They’re increasingly approached by patients for advice on TMD, but little is understood about how this disorder is addressed with in primary health care. Aim: To assess the awareness and knowledge regarding management of TMDs among GDPs in Central India. Materials and Methods: The cross-sectional study was conducted at Central India, Nagpur, Maharashtra, India from 20th June 2020 to 12th December 2020, including 200 general dental practitioners, who were registered under the Dental Council of India. A questionnaire consisting of 17 questions with reference to TMDs was designed and the questionnaire was circulated through a web designed program. The responses were collected, and data were analysed descriptively using Statistical Package for the Social Sciences (SPSS) statistics for windows version 24.0. Results: The mean age of the participants in the study was 24.80±1.63 years. Predominantly, participants were 164 females (82%). Among all the participants, about 181 (90.50%) of GDP’s were practicing Dentistry. The study findings suggest that the overall general practicing dentists encounter TMD cases and 162 (81%) of GDP’s treat patient at their clinic. A 76% of GDPs acknowledged the causative factor for TMD to be multifactorial and physical examination (88.50%) as the diagnostic tool. Most of the general practitioners around 126 (63%) preferred referring the patient to the specialist, maxillofacial surgeon. Among the practitioners who were confident in treating TMD, occlusal splint was the treatment of choice for 198 (96%) of the GDPs. Conclusion: Many GDPs lack standard protocol knowledge, felt insecure in TMD diagnosis, therapy decisions and treatment. There is a requirement for better quality evidence on which TMD diagnosis and treatment, including the event of a valid, reproducible patient-centered outcome measure to enable dental practitioners to feel confident in managing TMD. It is essential to train GDPs to identify individuals with TMDs through professional courses and training. It would be highly beneficial to educate the undergraduates regarding the diagnosis of TMDs in their curriculum.

2020 ◽  
Vol 3 (1) ◽  
pp. 262-268
Author(s):  
Danielle Clark-Perry ◽  
Jaimie Baybrook ◽  
Raisa Catunda ◽  
Liran Levin

AbstractIntroduction: Tooth prognosis evaluation involves continual assessments to guide patient-centered treatment plans. This means that the tooth prognosis may dictate whether a tooth is restored, extracted, or maintained.Aim of study: The aim of this work was to evaluate current trends in tooth prognosis evaluation based on radiographic bone loss amongst dental practitioners.Material and Methods: A survey including demographic questions and ten radiographs (vertical bitewings or peri-apical) showing bone loss around teeth and implants were distributed to dental practitioners. Practitioners were asked to determine the prognosis of the tooth or implant and suggest a percentage describing the likelihood of the tooth or implant surviving for ten years.Results: One of the ten radiographs provided for assessment was given good to fair prognosis by 100% of the participants. Only three out of the ten radiographs presented had strong suggestions for tooth retention. Recommendation for extraction by dental practitioners varied from 1-66% across the radiographs. Furthermore, practitioners predicted a 0% chance of ten-year survival for many of the teeth.Conclusions: Assessing prognosis based on radiographs only, is insufficient and clinical data provides invaluable information to establishing tooth prognosis. Dental professionals should understand that compromised teeth can outlive dental implants and our role as dental professionals is to prevent and treat oral diseases to preserve the dentition as long as possible.


Author(s):  
Anil Ingole ◽  
Jayashree Sajjanar ◽  
Jaykumar Gade ◽  
Minal Soni ◽  
Karan Jaiswal ◽  
...  

Introduction: This highly infective new virus, named Severe Acute Respiratory Syndrome-Coronavirus-2 (Sars-CoV-2), is a corona virus responsible of an acute respiratory syndrome, often asymptomatic but potentially lethal, named Corona Virus Disease 19 (COVID-19). Airborne and direct contact contamination is a major infection pathway of Sars-CoV-2. SARS-CoV-2 transmission during dental procedures can therefore happen through the inhalation of aerosol/droplets from infected individuals or direct contact with mucous membranes, oral fluids, and contaminated instruments and surfaces .Therefore, dentists have a high risk of getting infected from patients and potentially spreading it to their peers, families, and other patients. Aim: To evaluate fear and assess practice modification among dentist against COVID-19 in India Materials and Methods: In this cross-sectional study a total of 260 general dental practitioners, postgraduates and graduates across Central India, who were registered under the Dental Council of India, were included in the survey. A questionnaire consisting of 22 Questions with regard to COVID -19 fear and practice modification was designed and the questionnaire was circulated through a web designed program. The responses were collected, and data were analyzed descriptively using SPSS Statistics for Windows version 27.0. Results: There is a description of the fear and anxiety levels of dental care professionals towards COVID-19; 83.85% of participants were afraid of getting infected with COVID-19 from either a patient or a co-worker. While treating a coughing or a patient suspected to be infected with COVID-19, 90% were anxious. In terms of using personal protection, 63.85% believed that a surgical mask is not enough to prevent cross-infection of COVID-19. In comparison, 93.08% favored the use of N-95 masks for routine dental procedures during the current outbreak. Although the majority 91.15% recommended routine universal precautions of infection control. Conclusion: Overall, this study sheds light on the association of COVID-19 factors and fear and anxiety elevated among dentists during working in this pandemic. Covid-19 spread all over world and is worsening day by day. On current scenario several dental practices have either modified their services according to recommended guidelines to emergency treatment only, or closed down practices for an uncertain period.


Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1682
Author(s):  
Mohammad Zakaria Nassani ◽  
Sadeq Ali Al-Maweri ◽  
Abdullah AlSheddi ◽  
Ali Alomran ◽  
Mohammed Nasser Aldawsari ◽  
...  

The present survey assessed the knowledge, attitudes, and practice of teledentistry (TD) among dental practitioners in Saudi Arabia. This questionnaire-based cross-sectional study was conducted with dental interns and practicing dentists in Saudi Arabia. An online questionnaire was sent to all potential respondents. Questions related to knowledge, practice, attitudes, and training regarding TD were presented. A total of 603 (227 dental interns, 376 practicing dentists) completed the questionnaire. Generally, the participants revealed poor knowledge and practice of TD, with only 38% having heard about TD and only one-quarter of the sample (23.2%) reporting practicing TD at their current workplace. However, most of the participants expressed positive attitudes and a willingness to practice TD in the future. Specialists and those in practice for >5 years showed significantly better knowledge and practice of TD than general dentists and those with lesser clinical experience (p < 0.01). While only one-fifth of the participants (20.2%) reported having attended a workshop/lecture about TD, the majority (69.7%) felt that they needed training on TD. The results revealed poor knowledge, practice, and training with regard to TD among practicing dentists in Saudi Arabia. However, the positive attitude expressed by most of the participants towards practicing TD in the future is an encouraging sign for dental educators and planners of oral health care. Continuous education through periodic workshops and training courses on TD is crucial to improve dentists’ knowledge, practice, and attitudes towards TD. Integration of TD topics into undergraduate/postgraduate curricula is highly recommended. Special attention should be directed to training general dental practitioners and junior dentists.


Author(s):  
Anjal Muharib

Aim: The aim of this study was to assess the knowledge of dental practitioners in Central Indian region, regarding the treatment and management of dental traumatic injuries, using the International Association of Dental Traumatology (IADT) Guidelines 2020 as a reference. Materials and Methods: A total of 514 dental practitioners across Central India participated in a cross-sectional study by means of virtual survey. A two part electronic questionnaire was created using google forms, investigating 7 profession based questions and 16 trauma based questions and were sent to all the dentists registered with Dental Council of India in Central India.The responses were analysed to evaluate the awareness among dental practitioners regarding the management of dental traumatic injuries. Statistical Analysis: Descriptive statistics was performed by using the proportional or frequency distribution of the parameters. The respondents were then grouped according to the branch of speciality if any and the data was evaluated by the one-way ANOVA with post-hoc, with p value <0.005. Results: In the present study, out of a total score of 20,the mean knowledge score for dental practitioners was 8.20 (only 54.86% of the 20 questions were answered correctly) and 282 participants out of 514 had an average level of knowledge, Conclusion: The overall level of knowledge of dentists from Central India region of the revised IADT guidelines is average.


GIS Business ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. 359-370
Author(s):  
Dr. Ravi S. Dalawai

Indian population is in growing trend from 942.2 million in 1994 to 1.36 billion in 2019.Among this six per cent of India's population was of the age 65 and above (UNFPA, 2019). Today the work culture is totally changed. Both husband and wife are forced to work in the current scenario and unable to take care of their parents. The changing structure created increased problems for old age people leads to loneliness, psychological, physical health and financial insecurity. The study paper provides insight into the social and demographic factor and health related sickness of the oldest people. This research explained the cross-sectional study included a representative sample (n=116) of adults aged ≥60 years. The sample was chosen using a four-stage stratified random-cluster survey sampling method .The Chi Square test and ANOVA test was analyzed using SPSS20.


2017 ◽  
Vol 8 (1) ◽  
pp. 10
Author(s):  
Narendra Kumar Singh ◽  
Nishant Goyal

Background: Schizophrenia is associated with a high familial, social and economic burden. Schizophrenia is also associated with a high level of disability which may create impediments on the social and economic areas of the patients as well as on their respective family networks. Families with schizophrenia may encounter problems such as impairment of health and well being of other family members, restriction of social activities of the family members and shrinking of support from the social network. Aims: The present study examined the difference in perceived social support and burden of care between the male and female caregivers of patients with schizophrenia. Methods: This was a cross-sectional study examining the difference in perceived social support and burden of care between the male and female caregivers of patients with schizophrenia. The sample consisted of 60 (30 male and 30 female) caregivers of the patients with the diagnosis of schizophrenia as per ICD-10-DCR. Results and Conclusion: This study revealed that male caregivers perceived more social support and less burden of care as compared to female caregivers. Key words: Gender, social support, burden


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rana Abu Farha ◽  
Eman Elayeh ◽  
Needa Zalloum ◽  
Tareq Mukattash ◽  
Eman Alefishat ◽  
...  

Abstract Background The fact that pharmacists are in the front line of patients’ care gives a great responsibility to focus on education and training of pharmacy students to build a ‘patient-centered’ clinicians. Unfortunately, pharmacy education in the developing countries, have been lagging behind actual practice delivered by pharmacists. This highlighted the need to evaluate the perceptions of undergraduate pharmacy students regarding their current pharmacy training practices and experiences. Methods This is a cross-sectional study that was conducted in Jordan during the period from August 2018 to October 2018. During the study period, a questionnaire was distributed to pharmacy students to collect information regarding 1) pharmaceutical care services provided by them during their experiential training, 2) their perceptions towards training sites, 3) their perceptions of the outcomes of their training experience, 4) information about their training site and 5) their demographics characteristics. Results A total of 202 pharmacy students responded to the questionnaire. The majority of them reported having the opportunity to dispense refill or new prescriptions (73.8%, n = 149), and conduct patient interviews (69.8%, n = 141, but they were not provided good opportunities to create electronic patient profiles using the information obtained (53.0%, n = 107), perform required dose calculations based on patient information (37.6%, n = 76), and interact with other healthcare professionals (34.6%, n = 70). In addition, students showed positive attitudes toward training sites, positive feedback about the outcomes of their training experience (median scores range between 4 and 5 for all statements (IQR = 1 for all)). Conclusion Students showed positive feedback about the outcomes of their training experience, but they felt that the selected training sites do not have adequate resources to meet their training competencies. Memorandums of understanding development is needed to specify the purpose of training and define the responsibility for both parties of the training process.


BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
◽  
Joshua Clements

Abstract Background The COVID-19 pandemic has resulted in dynamic changes to healthcare delivery. Surgery as a specialty has been significantly affected and with that the delivery of surgical training. Method This national, collaborative, cross sectional study comprising 13 surgical trainee associations distributed a pan surgical specialty survey on the COVID-19 impact on surgical training over a 4-week period (11th May - 8th June 2020). The survey was voluntary and open to medical students and surgical trainees of all specialties and training grades. All aspects of training were qualitatively assessed. This study was reported according to STROBE guidelines. Results 810 completed responses were analysed. (M401: F 390) with representation from all deaneries and training grades. 41% of respondents (n = 301) were redeployed with 74% (n = 223) redeployed &gt; 4 weeks. Complete loss of training was reported in elective operating (69.5% n = 474), outpatient activity (67.3%, n = 457), Elective endoscopy (69.5% n = 246) with &gt; 50% reduction in training time reported in emergency operating (48%, n = 326) and completion of work-based assessments (WBA) (46%, n = 309). 81% (n = 551) reported course cancellations and departmental and regional teaching programmes were cancelled without rescheduling in 58% and 60% of cases respectively. A perceived lack of Elective operative exposure and completions of WBA’s were the primary reported factor affecting potential training progression. Overall, &gt; 50% of trainees (n = 377) felt they would not meet the competencies required for that training period. Conclusion This study has demonstrated a perceived negative impact on numerous aspects of surgical training affecting all training specialties and grades.


2021 ◽  
pp. 25-27
Author(s):  
Shrishty Bhardwaj ◽  
Apoorva Anand ◽  
David K ◽  
Abhinav Kathuria

Inhalation sedation is a minimally depressed level of consciousness that retains the patient's ability to maintain an airway independently and continuously and respond to stimulation and command. Found to be safe for use in dentistry with positive outcomes, it is used to manage anxiety in pediatric patients during procedures. Aim of our study was to determine the frequency of usage of inhalation sedation as adjunctive management technique in children by Dentists. A Cross sectional study was conducted with pre-structured questionnaire given to Pedodontists and General dental practitioners in various Dental colleges and clinics in and around Mangalore. Total sample size was 72. Data was collected and analyzed using SPSS version 17.0 with the Test of Proportions. 32 out of 72 participants were trained in usage of Inhalation Sedation, out of which 14 used it regularly. Out of the 80.56% dentists not using it, majority said that expensive equipment, increased cost of treatment and potential complications were the main reasons for not using it. 59.72% of participants wanted to gain information, knowledge and undergo training in the usage of Inhalation Sedation.58.33% agreed to use it in their future dental career. 70.83% believed that knowledge and training to use Inhalation Sedation is integral part of dental curriculum for undergraduates. This study showed willingness of the dentists to provide Inhalation Sedation as a behavior management technique to their patients. The lack of training, costly equipment, increased cost of treatment are the main barriers to providing such services to the patients.


2018 ◽  
Vol 91 (3) ◽  
pp. 328-335 ◽  
Author(s):  
Preene Juneja ◽  
Sadanand Kulkarni ◽  
Sapna Raje

Background. Dental injuries result in functional, esthetic and psychological disturbances accompanied by great concern from the child, the parent and the dentist. Oral injuries are fourth most common area of bodily injuries among 7-30 year-old individuals.Aim. a) To assess the prevalence of traumatic dental injuries (TDI) and their relation with predisposing factors among 8-15 years old school children in Indore city, India.b) To collect baseline data as there have been no reported studies of TDI in central India to this date.Methods. A cross sectional study was carried out among 4000 children of 60 schools in Indore using multistage random sampling method. Examination of permanent incisor teeth was done in accordance with the modified Elli’s and Davey Classification using a standard mouth mirror and probe. Subjects who had clinical evidence of trauma were interviewed for details of the injury event by using structured questionnaire. Chi square test was used to analyze the distribution of all the measurement in this study at the statistical significance of 0.05.Results. Among the 4000 children of 60 schools examined, 10.2% experienced TDI. 68.38% boys experienced TDI, which was approximately twice as higher in females being 31.62%. The most commonly affected teeth were maxillary central incisors. A higher number of children with incisal overjet greater than 3 mm had TDI than those with less than 3mm, although this difference was not statistically significant. Lip closure incompetence was found to be more common in subjects having a TDI. Fall was the most common cause for TDI and place of occurrence was home. Most common type of fracture was class I and most of them were untreated.Conclusion. The high level of dental trauma and low percentage of children with trauma seeking treatment stresses the need for increased awareness in Indore population.


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