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      • KCI등재

        Interventions for anesthetic success in symptomatic irreversible pulpitis: A network meta-analysis of randomized controlled trials

        Sivaramakrishnan, Gowri,Alsobaiei, Muneera,Sridharan, Kannan The Korean Dental Society of Anesthsiology 2019 Journal of Dental Anesthesia and Pain Medicine Vol.19 No.6

        Background: Local anesthetics alone or in combination with adjuncts, such as oral medications, have routinely been used for pain control during endodontic treatment. The best clinical choice amongst the vast numbers of agents and techniques available for pain control for irreversible pulpitis is unclear. This network meta-analysis combined the available evidence on agents and techniques for pulpal anesthesia in the maxilla and mandible, in order to identify the best amongst these approaches statistically, as a basis for future clinical trials. Methods: Randomized trials in MEDLINE, DARE, and COCHRANE databases were screened based on inclusion criteria and data were extracted. Heterogeneity was assessed and odds ratios were used to estimate effects. Inconsistencies between direct and indirect pooled estimates were evaluated by H-statistics. The Grading of Recommendation, Assessment, Development, and Evaluation working group approach was used to assess evidence quality. Results: Sixty-two studies (nine studies in the maxilla and 53 studies in the mandible) were included in the meta-analysis. Increased mandibular pulpal anesthesia success was observed on premedication with aceclofenac + paracetamol or supplemental 4% articaine buccal infiltration or ibuprofen+paracetamol premedication, all the above mentioned with 2% lignocaine inferior alveolar nerve block (IANB). No significant difference was noted for any of the agents investigated in terms of the success rate of maxillary pulpal anesthesia. Conclusion: Direct and indirect comparisons indicated that some combinations of IANB with premedication and/or supplemental infiltration had a greater chance of producing successful mandibular pulpal anesthesia. No ideal technique for maxillary anesthesia emerged. Randomized clinical trials with increased sample size may be needed to provide more conclusive data. Our findings suggest that further high-quality studies are required in order to provide definitive direction to clinicians regarding the best agents and techniques to use for mandibular and maxillary anesthesia for irreversible pulpitis.

      • KCI등재

        Use of Social Media to View and Post Dentistry-related Information in Bahrain: A Cross-Sectional Study

        Gowri Sivaramakrishnan,Fatema AbdulAmeer,Fatema Faisal,Zainab Mansoor,Sawsan Hasan,Shagra Ebrahim,Leena AlSalihi,Muneera Alsobaiei 대한의료정보학회 2023 Healthcare Informatics Research Vol.29 No.1

        Objectives: Healthcare-related information sharing via social media is on the rise following the coronavirus disease 2019(COVID-19) pandemic. Dental practices primarily use social media to search, share, and communicate health-related information. Considering the increasing trend of using social media, the primary aim of the present study was to identify theuse of social media by dentists and laypeople to post and view dentistry-related content in Bahrain. Methods: This questionnaire-based cross-sectional study included adult participants and dentists. A pretested validated questionnaire was administered. The chi-square test for association was used to assess the association between categorical outcomes. A p-value of ≤ 0.05was considered statistically significant. Results: In total, 249 adult participants and 53 dentists were included. A substantialmajority (83.5%) of the participants reported that they always used social media to view dentistry-related content, and 69.8%of the dentists felt that patients who use social media have better oral health awareness. A longer duration of social mediausage showed significant associations with particularly viewing dentistry-related content (p = 0.008) and contacting dentistsdirectly through social media for consultation (p = 0.055). Conclusions: An extremely high percentage of the younger populationin Bahrain is using various social media to discuss dentistry. This engagement should be wisely managed to promotedentistry-related information sharing, which can lead to increased awareness related to overall dental health. There is a definiteneed to enforce certain standard operating procedures in every country that will prevent the misuse of this technologicaladvancement.

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        Can parents prevent tooth loss related to dental avulsion? An assessment of knowledge related to permanent teeth

        Sivaramakrishnan Gowri,Abawi Deena,Shoaib Fatima Mohammad,Bucheery Fatema,Salman Ahmed Ali,Kadhem Majeed Jasim,AlSulaiti Fatema,Alsobaiei Muneera,AlSalihi Leena 대한외상학회 2023 大韓外傷學會誌 Vol.36 No.1

        Purpose: Dental avulsion injuries have a poor prognosis that largely depends on the immediate steps taken to manage the avulsed tooth. A lack of knowledge about the initial management can lead to tooth loss, with further adverse implications for esthetics, phonetics, and overall growth and function. Hence, the present study aimed to assess parents’ knowledge regarding dental avulsion and the variables associated with their knowledge of avulsion injuries. Methods: A series of closed-ended questions on parents’ knowledge regarding avulsion, such as immediate management, storage media, handling, and urgency of visiting the dentist, was asked. Univariate associations between the outcomes were assessed using the Pearson chi-square test. The chi-square goodness-of-fit test was used to check whether the sample data were representative of the population. Results: In total, 211 mothers and 149 fathers were included, of whom 46.7% had experienced dental trauma during their own childhood. Sixty-one percent of mothers believed that they knew everything necessary about tooth avulsion and its management. A significant number of participants who thought that they had a good level of knowledge about avulsion chose water, tissue, or paper wrap to transport the tooth, and preferred tap water, alcohol, or antiseptic to clean the avulsed tooth.Conclusions: Both mothers and fathers had poor knowledge about tooth avulsion, indicating that there is an immediate need for educational programs focusing on this issue. Since a substantial proportion of participants believed incorrect information, it is vital to disseminate accurate information.

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