scholarly journals Effect of Dexamathasone in Surgical Extraction of Mandibular Impacted Third Molar

Author(s):  
Abdul Hayee Shaikh ◽  
Kashif Ali Channar ◽  
Ajeet Kumar ◽  
Naveed Iqbal ◽  
Junaid Shakeel ◽  
...  

Objective: The objective of this study was to determine the role of dexamethasone in mandibular third molar surgical extraction. Methodology: This cross sectional study was conducted in Oral & Maxillofacial surgery department, Liaquat University of Medical & Health sciences Hyderabad / Jamshoro. 50 cases were included in this study by using simple random sampling technique. All patients were divided into two groups. Patients in Group-A were given dexamethasone (DM)8 mg intramuscularly (IM) before surgery and 4 mg 24 hours after surgery and Augmentin tablet 625mg Q12 hrs. and Brufen 400 mg Q8 hrs. and patients in group-B were given Augmentin 625 mg BD and Brufen 400 mg  TDS post operatively only. The facial swelling was checked before and after surgery.All information was collected and entered in a proforma. Results: The study sample was consisted of 62% men and 38% women. Mean age was 26.9±6.64.The mean preoperative swelling was 109.20 ± 1.190 mm in control group and 109.44 ± 1.083 in DM group. After 48 hours of surgery, post extraction swelling increased in both group with mean swelling 114.28± 1.242 mm in control group and 114.64± 1.350 in DM group, after a week of surgery more swelling was reduced in DM group as compared to control group. Conclusion: It is found that Dexamethasone group showed decrease in swelling as compared to control group.

2019 ◽  
Vol 26 (07) ◽  
pp. 1141-1146
Author(s):  
Raza Ali ◽  
Tahira Shaikh ◽  
Mahwish Memon ◽  
Salman Shams

Objectives: To determine the efficacy of intra-masseteric and submucosal dexamethasone injection to minimize the postoperative discomfort after the surgical extraction of impacted lower third molar. Study Design: Cross sectional study (Comparative). Setting: Department of Oral & Maxillofacial Surgery, Institute of Dentistry, Liaquat University of Medical & Health Sciences Jamshoro / Hyderabad. Period: January 2017 to June 2017. Subjects and Methods: All surgical extractions were done under local anaesthesia by giving conventional inferior alveolar nerve block. An envelope mucoperiosteal flap was raised to expose the third molar. Then tooth was extracted. After the removal of tooth any sharp bone was smoothened by bone filer and the socket was washed and sutured. The severity of pain was recorded by using Visual Analogue Scale from 0 (no pain) to 10 (worst pain) described as mild, moderate or severe. Degree of swelling was measured by facial size through Amin and laskin criteria which was measured in millimeters. Mouth opening was measured by interincisal distance through ruler (35-45mm normal value). Results: From sixty four patients it was observed that the minimum age was 28.03+6.12 years. There were 35 male patients and 29 female patients. When Chi square test was applied, there was a significant association found between Groups (A and B). By using independent sample t-test, it was observed that there was a significant association found in both groups concerning facial swelling (Facial size in mm) having p-value 0.00. When the independent t-test was applied on the data, there was a significant association found in Group A and B regarding mouth opening (in mm) having p-value 0.001. Conclusions: Dexamethasone has a good efficacy for reducing the postoperative symptoms including severe pain, facial swelling and trismus after the surgical extraction of impacted lower third molar. The better outcomes perceived when it was administered submucosally.


2020 ◽  
Vol 27 (08) ◽  
pp. 1606-1611
Author(s):  
Shuja Hamid ◽  
Mahwish Memon ◽  
Raza Ali ◽  
Salman Shams

Objectives: To evaluate the efficacy of 0.2% chlorhexidine gel placed intra alveolar in the prevention of alveolar osteitis after the surgical extraction of mandibular third molar. Study Design: Randomized Control trial. Setting: Department of Oral and Maxillofacial Surgery, LUMHS, Jamshoro/Hyderabad. Period: January 2016 to July 2016. Material & Methods: This study consisted of 40 patients in control group A and 40 patients of Chlorohexidine gel group B used after surgical extraction. A single dose of 0.2% bio-adhesive gel was introduced in group B while the control group A was left alone. Postoperative complications like pain, swelling, limited mouth opening, and dry socket were seen. Frequency and percentages were calculated. Mean +/- SD were calculated for quantitative variables. Results: On 3rd day patients reported with pain in group A were 24 and in group B were 15. Pain was seen in 4 patients (10%) on 15th day in group A while in group B no patient came with pain. 19 patients reported with dry socket on day 3 in group A and 4 patients in group B, While none of the patient encountered with Dry socket on 15th day in group in both groups. Conclusion: The data presented indicates that the bio-adhesive gel containing 0.2% chlorohexidine, applied post-extraction produced a better patient recovery.


2016 ◽  
Vol 06 (03) ◽  
pp. 10-15
Author(s):  
Merin Cherian ◽  
M. S. Ravi

Abstract Background: The role and involvement of mandibular third molars on mandibular incisor crowding, post retention, in orthodontically treated patients has long been debated. The correlations between lower anterior crowding and lower third molar angulation and space are not completely understood. Aim: To assess the lower third molar space and its angulation in individuals with lower anterior crowding and to compare it with that of individuals without lower anterior crowding. Settings and design: Hospital based Prospective, cross-sectional study on randomly selected individuals. Materials and Methods: Lower third molar space and angulations were measured and compared using orthopantomograph tracings of 80 subjects in the age group of 20-30 years with skeletal Class I malocclusion individuals without lower anterior crowding(Group A) and individuals with lower anterior crowding (Group B). Statistical Analysis: Both the space and angulations of lower third molar were correlated with the lower anterior crowding using Pearson Correlation Coefficient. Results: Significant differences were found in third molar space between the study group and the control group. But there was no significant difference in third molar angulation between the groups. Conclusion: the lower anterior crowding has a significant influence on third molar space but did not have any effect on third molar angulation.


2020 ◽  
Vol 6 (1) ◽  
pp. 53-59
Author(s):  
Mudhawaroh Mudhawaroh ◽  
Septi Fitrah Ningtyas ◽  
Niken Grah Prihartanti

Introduction: Posyandu is one form of Community-Based Health Efforts (UKBM) which is managed and organized from, by, for, and together with the community in organizing health development, in order to empower the community and provide facilities to the public in obtaining basic health services to accelerate the decline in numbers maternal and infant deaths. In addition, posyandu is a form of community participation that truly carries enormous significance for the health and welfare of the community. Posyandu success can be seen from the achievement of SKDN. The purpose of this research is to analyze the influence of father's Posyandu activities on the achievement of SKDN. Method: This study used an observational analytic method with a cross sectional study design. The population in this study is the population in this study are all participants in Posyandu activities, the sampling technique used in this study is simple random sampling. A sample of 50 people in both groups. Data analysis was performed by univariate and bivariate, statistical testing using the Mann Whitney Test with a confidence level of 95% (α = 0.05). Results: Almost all toddlers in the father's posyandu group experienced an increase in July - September by 44 (88%) and in the control group the majority rose by 34 (68%). Respondent participation (D / S) with a value> 80% was found in the case group, while the increase in body weight in the last 3 months with a value> 80% was found in the case group. p <α, where the value is 0.047 <0, 05 so that it can be concluded that there is an influence of the father's Posyandu activity on the achievement of SKDN. Discussion: With the presence of the father's posyandu and toddlers' posyandu, it can increase public awareness about the importance of toddler health, by participating will also increase the child's weight. The simplest indicator in a posyandu is "Healthy children get older, gain weight" And this is also an icon of the existence of a posyandu (weighing post), as well as acting as an output for all activities at the posyandu.  Keywords: Father's Posyandu, SKDN Achievement, Toddler  


2013 ◽  
Vol 40 (2) ◽  
Author(s):  
Ni Ketut Susilawati ◽  
Wayan Sudana ◽  
Eka Putra Setiawan

Background: Noise pollution or noise is an unwanted sound which is disturbing to human beings.However small or soft the sound, if it is undesirable it is considered as noise. Noise induced hearingloss is a sensorineural hearing loss that is commonly encountered second to presbycusis. Purpose: Toknow the effect of traffic noise exposure on hearing impairment to the employees of the Parking DistrictCompany of the Denpasar city and to improve diagnostic detection on hearing impairment caused bynoise. Method: A cross sectional study was conducted at the Parking District Company office. Thepopulations of this study were the employees of the Parking District Company. Samples of this study were the employees who were exposed to traffic noise and control samples were an employee who was unexposed. Samples were selected by simple random sampling. Results: From 40 parking attendants,27 persons (67.5%) aged above 35 years old. The parking attendants who had been working for ten to fifteen years were 36 persons (90%) and no history using ear protection when working. Seven persons(17.5%) had referred DPOAE upon examination with increase hearing threshold on audiogram result.In this study the parking attendants who had hearing deficit induced by noise were 7 persons (17.5%)and only one person (2.5%) in control group. There was a statistically significant effect of traffic noiseto hearing function deficit (p<0.05). Conclusion: Traffic noise has effect in hearing function deficit onthe parking attendants.ORLI Vol. 40 No. 2 Tahun 2010Key words: NIHL, parking attendant, audiometry, DPOAE.


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tariku Gebre Haile ◽  
Eshetu Haileselassie Engeda ◽  
Abdella Amano Abdo

Background. In many studies, compliance with standard precautions among healthcare workers was reported to be inadequate.Objective.The aim of this study was to assess compliance with standard precautions and associated factors among healthcare workers in northwest Ethiopia.Methods.An institution-based cross-sectional study was conducted from March 01 to April 30, 2014. Simple random sampling technique was used to select participants. Data were entered into Epi info 3.5.1 and were exported to SPSS version 20.0 for statistical analysis. Multivariate logistic regression analyses were computed and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.Results.The proportion of healthcare workers who always comply with standard precautions was found to be 12%. Being a female healthcare worker (AOR [95% CI] 2.18 [1.12–4.23]), higher infection risk perception (AOR [95% CI] 3.46 [1.67–7.18]), training on standard precautions (AOR [95% CI] 2.90 [1.20–7.02]), accessibility of personal protective equipment (AOR [95% CI] 2.87 [1.41–5.86]), and management support (AOR [95% CI] 2.23 [1.11–4.53]) were found to be statistically significant.Conclusion and Recommendation.Compliance with standard precautions among the healthcare workers is very low. Interventions which include training of healthcare workers on standard precautions and consistent management support are recommended.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Wossene Negash ◽  
Teshager Dubie

Bovine brucellosis is among the top five diseases primarily threatening both public health and livestock economy. Available data are limited to central and highland areas of the country leaving documented literature on the disease in cattle to be found hardly in pastoral and agropastoral regions of the country. As a result, the magnitude and extent of the disease remained to be investigated. A cross-sectional study design was conducted on local Afar cattle aged six months and above from February 2017 to January 2019 in selected districts of Afar region. Technically, study districts and kebeles were selected purposively whereas simple random sampling technique was applied to select cattle owners and individual animals for sample collection. An average of 8 ml whole blood was drawn of jugular vein into plain vacutainer tube using sterile needle. Using Thrusfield formula, a total of 420 blood samples were collected. The sera were tested by RBPT and CFT tests for detection of Brucella antibodies. Data were analyzed using Stata v14.0. Of the 420 sera tested by RBPT, 50 were positive for Brucella antibodies providing an overall animal level prevalence of 11.9% and those RBPT positive sera were further retested by specific and sensitive confirmatory CFT test and 24 of the retested samples had come positive for the disease providing an overall individual animal seroprevalence of 5.7% over the three districts. Of the 3 associated factors (sex, age, and district) considered, only sex had significantly associated ( P < 0.05 : 0.036 ) with the disease. To estimate the strength of sex impact, odds ratio was generated using bivariate and multivariate logistic regression analyses with 95% CI and P < 0.05 providing OR of 2.484 (1.061–5.815) and 2.514 (1.041–6.07), respectively. Hence, the computations revealed that male cattle were 2.484 and 2.514 times more likely at higher risk for the disease as compared to their female counterparts.


Author(s):  
Dahniar Dahniar ◽  
Nurdiana Nurdiana ◽  
Abdul Halim

Weaning too early can affect the growth of the baby and the mother often ignores the nutritional needs of the baby. In addition, malnutrition is more common today than during the first 4-6 months of life. This is because many families do not understand the special needs of babies and are unable to provide food with good nutritional value. The type of research used is a survey with a cross-sectional study approach. The population is all mothers who have babies aged 6 months and the sample is all mothers who have babies aged 6 months. The sampling technique was simple random sampling. The results showed that there was a significant effect between mothers who did weaning for less than 6 months with education = 0.006. There is a significant effect between mothers who do weaning for less than 6 months with employment status = 0.008. There is a significant effect between mothers who do weaning less than 6 months with birth spacing = 0.007.


2019 ◽  
Vol 5 (3) ◽  
pp. 124
Author(s):  
I Made Subhawa Harsa

Abstract Water is a good medium for bacterial growth, so that contamination is happening especially if less attention in terms of hygiene and sanitation. The use of bed water sources can increase the risk of diarrhea. Diarrhea is one of the environmentally based disease is a major cause of morbidity and mortality. Kampung Baru village located around Jagir Kali Surabaya Most people are in the middle to low socioeconomic level.  The lifestyle of them, also pays less attention to environmental hygiene and sanitation, so that it can cause water pollution which can increase the risk of diarrhea. This study was an observational analytic cross sectional study. Entire study population villagers of Kampung Baru. A sample of 75 respondents drawn with simple random sampling technique. The data used is primary data obtained through the distribution of questionnaires, interviews, and observations. Data analysis using the Spearman rank test with a significance level (α = 0.1). The results showed that 53,3% affected diarrhea and 46,7% didn’t affected (P =0.087, r=0.463). The results showed a medium correlation between the source of water with the incidence of diarrhea in Kampung Baru Resident At Ngagelrejo Wonokromo Surabaya. Keyword : Diarrhae, Water Sanitation


1970 ◽  
Vol 7 (1) ◽  
pp. 62-65
Author(s):  
Muhammad Faisal Qureshi ◽  
Aneeta Rathore ◽  
Nandlal Seerani ◽  
Sumera Qureshi ◽  
Bisharat Faisal ◽  
...  

Background: Children's health is very important for their better learning and timely nourishment everywhere in the world. Malnutrition among school going children has remained a big challenge in under developed countries. Methods: Cross-sectional study was conducted among 422 children of four Government Primary schools of Qasimabad, district Hyderabad after taking the proper consent and administration approval from the head of school. Multi stage simple random sampling technique was adopted. Study was approved from Institutional review board of Health Services Academy Islamabad. Results: Out of total, 217 (51.4%) were boys and 205 (48.6%) were girls. Mean Height of boys and girls were 128.09 cm (±SD 12.90) and 130.36 cm (±SD 12.50) respectively. Mean Weight of boys was 25.27 Kgs (±SD 6.17) while in girls mean Weight was 26.83 Kgs (±SD 7.03). 17.57 cm (±SD 2.34) was mean MUAC for all participants and mean BMI was 15.42 (±SD 2.02). Prevalent of stunting and wasting were 24.4% and 18.3% respectively. While in 13.7% thinness (BMI for age) was seen. Stunting was statistically significant in girls 9-10 year (p value=.015, CI: .118-.823, OR=.311) and 11-≥12 years (p value=.018, CI: .215-.874, OR=.434). Pallor was more in girls (17%) and Dental caries were higher in boys (20.8%). Insufficient breakfast was done by 347 (82.2%), whereas 75 (17.8%) were doing sufficient breakfast. 341 (80.8%) students became ill during last year, out of that 80 (19%) were having history of hospitalization. Conclusion: Poor polices and lack of food aid interventions regarding health of primary school going children was assessed during this study.


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