Open Access Clinical Practice Article

Odontogenic Infections in a Regional Hospital in Kuwait: 7 Years Retrospective Study

Petr Schütz, Mahmoud Ahmed Anous

International Journal of Research and Reports in Dentistry, Page 16-25

Objective: We review our experience with odontogenic infections requiring hospitalization, to identify etiological factors, the most frequently affected anatomical spaces, prognostic signs, bacterial pathogens and adequacy of initial empiric antibiotic therapy, surgical interventions, and the influence of these variables on the length of hospitalization.

Methods: A retrospective study of all patients hospitalized for management of odontogenic maxillofacial space infections from May 2013 to May 2020 was performed utilizing the admission database of the Oral & Maxillofacial Surgery Unit and computerized hospital information system of Al-Farwaniya Hospital in Kuwait. The databases were manually searched and the relevant data analyzed.

Results: The records of 95 (6.6% of all admitted) patients diagnosed with acute odontogenic infections were analyzed. They were 63 males and 32 females, M:F ratio 2:1. The age of patients ranged from 4 to 71 with a mean 32 and a median of 30 years. Twenty patients suffered from underlying medical conditions. The most frequently affected anatomical space was the submandibular one. In 85 patients the causative tooth was still present at the time of admission. Causative teeth were most frequently lower molars (n=72). An extraoral incision was performed in 74 patients, intraoral incision in 10 patients. All still present causative teeth were extracted in the same session. The length of hospital stays varied from 1 to 19 days with mean 4.5 days and modus 3 days.

Conclusions: No statistically significant relation was found between length of hospital stay and patient age, initial WBC value, CRP value, presence of diabetes, or adequacy of empiric antibiotic treatment. We believe that the overwhelming majority of hospital admissions for odontogenic infections could be prevented by timely and competent treatment including the extractions of causative teeth in outpatient settings.

Open Access Case Study

Closure of Oroantral Communications with Bichat’s Buccal Fat Pad: A Case Series

Joseph Bassil, Ronald Younes, Abdallah Menhall, Stephanie Mrad

International Journal of Research and Reports in Dentistry, Page 26-32

Aims: The aim of this report is to describe the detailed surgical technique of Oroantral communication (OAC) closure with Bichat’s Buccal fat pad (BFP), and to provide valuable clinical material for dental practitioners. This report also evaluates the ability of BFP to successfully seal OACs, and reports patient’s satisfaction and post-operative complications.

Presentation of Cases:  This case series is a retrospective study on 5 patients. Patients who presented to the medical center of Saint Joseph University of Beirut with unilateral OAC between January 2019 and July 2019 were included. Detailed surgical steps of OAC closure using the BFP are described. Data concerning patient age, perforation location and etiology, defect size, and complications are evaluated during surgery. Also, success and patient satisfaction level are registered after 3 weeks of surgery.

Results: All OACs were successfully closed with BFP and complete healing was observed 3 weeks post-operatively. Mean OAC dimensions was 8.8mm and overall patient satisfaction was 9 out of 10.

Conclusion: BFP was a simple and successful technique for OAC closure in the 5 cases. Patients were highly satisfied with the phonetic, aesthetic and functional outcomes of this surgery.

Open Access Minireview Article

Fundamentals in Paediatric Dental Clinic Set – up: A Comprehensive Review

M. Sojan, S. Thakur, D. Chauhan

International Journal of Research and Reports in Dentistry, Page 1-6

The behavior management of the child patient includes many techniques and policies. It requires skills in communication, empathy, coaching, and listening. Designing a paediatric dental clinic that accommodates these management strategies and techniques is a part of the “art” of behavior management. The dental environment as such has an important role in physical, physiological, and psychological health and nowadays it is becoming a topic of concern. Designing a dental clinic in yesteryear, evolved into an art form into which subjectivity, creativity, and aesthetics were introduced. In therapeutic and mechanical amenities, in designing a child - friendly dental environment that promotes a positive psychological attitude is discussed.

Open Access Original Research Article

Comparative Assessment of Salivary pH as a Diagnostic Marker in Dental Caries and Chronic Periodontitis

Mahavish Khan, Sangeeta Muglikar, Rahul Kale, Samad Aziz, Fouzia Shaikh, Azhar Sheikh

International Journal of Research and Reports in Dentistry, Page 33-37

Background: Saliva contains various host defining factors. It influences calculus formation leading to periodontal diseases and also plays and important role in caries development. Saliva provides an easily accessible, non-invasive diagnostic marker for a rapidly widening range of diseases and clinical situations.

Aims and Objective: To assess and determine the role of salivary pH in Dental Caries and Chronic Periodontitis.

Materials and Methods: The study population consisted of 60 patients who were divided into three groups of 20 patients each: Group A with clinically healthy gingiva, Group B with Dental Caries and Group C with Chronic Periodontitis. Fasting unstimulated whole saliva from each patient was collected; pH was evaluated using pH meter. Data were analysed statistically using analysis of variance technique.

Results: The results of the study showed that when compared to control group (group A) (6.76±0.13), salivary pH of Dental Caries group (group B) (6.08±0.12) and Chronic Periodontitis group (group C) (6.61±0.16) were more acidic. Nonetheless when salivary pH of Dental Caries group is compared to that of Chronic Periodontitis group it was more alkaline for Chronic Periodontitis group.

Conclusion: The result of the study showed that salivary pH was more acidic in caries and periodontitis group compared to healthy group which signifies that the salivary pH can be used as an essential tool for Dental Caries and Chronic Periodontitis assessment.

Open Access Review Article

Insight on Improving Professional Performance in Dental Practice: Essentials of Verbal and Nonverbal Communication in Dentist-Patient Relationship (A Critical Review)

Nadya Avramova

International Journal of Research and Reports in Dentistry, Page 7-15

Background and Aim: In contemporary world, patient’s expectations of his dentist include not only professional performance of treatment procedures, but also a high standard of communication skills and individual approach. The current paper aimed to outline some essential elements in dentist-patient relationship regarding verbal and nonverbal communication techniques.

Methods: Based on available literature on the issue as well as some assumptions that arose from the author’s personal experience and observations, the article underlined the importance of acquiring effective communication skills by the dentists, thus providing quality dental assistance, and ensuring patient’s satisfaction.

Results: Literature review summarized basic theoretical aspects regarding communication media, verbal and nonverbal communication techniques and their relevant application in dental practice.  The results indicated that developing communication skills can help dentists to build trust, security, and respect in the patient during the therapeutic process. As a result of effective communication, it can be expected that the patient will be more motivated to follow the prescriptions and thus he will have a better chance of successful treatment.

Conclusion: To achieve high standards in practice, dentists need to be not only good specialists, but also excellent psychologists. Mastering a high level of verbal and nonverbal communication skills is a good solution towards their better professional performance and fulfillment.