Tooth Cleaning Research Articles

Veterinary clients prefer benefit-focused online communication while clinic websites uncommonly communicate benefits of preventive care services.

To explore client preferences for how value is communicated via written means and to assess the consistency of this preference with how veterinary clinic websites present this information for preventive care services. First, a questionnaire was developed to assess clients' preference between 2 researcher-developed paragraphs recommending senior pet screening (one focused on the function of screening, the other on pet benefits of screening) and distributed from August 17 to November 2, 2023. Second, veterinary clinic websites were retrieved with a search engine using predefined search phrases related to 4 preventive care topics (flea and tick prevention, heartworm prevention, dental cleaning, and senior bloodwork). Each website was coded for the frequency of 4 codes related to how the value of the preventive care service was communicated (feature, function, pet benefit, or client benefit). From the questionnaire, 58.0% (166/286) of participants preferred the benefit-focused communication. Those who saw the benefit-focused paragraph were more likely to indicate being "extremely likely" to discuss senior pet screening with a veterinarian. Of the 128 website pages coded, the mean text percentages for each code were 13.3% feature, 10.5% function, 6.4% pet benefit, and 1.0% client benefit. Results suggest that opportunities exist to increase communication of the benefits of veterinary care on veterinary clinic websites, which may align more with clients' preferences. Through online communication, veterinary professionals may have an opportunity to increase client engagement with preventive care services by emphasizing the benefits of preventive care services in addition to the function.

Beyond the Surface: Uncovering the PML::RARA Fusion in Cytogenetically Cryptic and FISH-Negative Acute Promyelocytic Leukemia- A Case Report and Review of the Literature

Abstract Introduction/Objective Chromosomal t(15;17)(q22;q21), resulting in a fusion between the PML gene on chromosome 15q22 and the RARA gene on chromosome 17q21, is the cytogenetic hallmark of acute promyelocytic leukemia (APL). Conventional karyotyping, along with fluorescence in situ hybridization (FISH), can detect the PML/RARA rearrangements in up to 98% of APL cases. Reverse transcriptase-polymerase chain reaction (RT-PCR) is often used to confirm the initial diagnosis. APL with PML::RARA fusion, which is negative with FISH and conventional karyotyping approaches but positive with RT-PCR, is extremely rare. Herein, we report a de novo APL case that was positive by RT-PCR but negative by cytogenetics and FISH studies. A comprehensive review of the literature was also performed. Methods/Case Report A 23-year-old male presented to the ED for left upper extremity weakness 2 days after post- dental cleaning. Upon admission, he developed intracranial hemorrhage, necessitating urgent decompressive hemicraniectomy. Blood smear revealed promyelocytes; flow cytometric analysis showed a CD13+, CD33+, MPO+, CD117+, CD34-, and HLA-DR- abnormal cell population. STAT interphase FISH analyses for PML/RARA fusion and RARA break-apart were negative. A diagnosis of APL was made based on abnormal promyelocytes and characteristic flow cytometry findings. ATRA was immediately administrated. However, the post-operative course was complicated by significant coagulopathy, pancytopenia, and multi-organ failure, and the patient expired 7 days later. RT-PCR returned positive for PML::RARA long fusion transcript; the conventional cytogenetics study was uninformative. The clinical, pathological, and genetic features of 31 cases of FISH/Cytogenetics-negative APL harboring cryptic rearrangements of PML-RARA, detected by RT-PCR in the literature, have been reviewed. Various detection methods were also discussed. Results (if a Case Study enter NA) N/A Conclusion Conventional cytogenetics, FISH and RT-PCR analysis are complementary studies for all clinical suspected APL cases. The clinicopathological characteristics also play critical roles in APL diagnosis when genetic confirmation of the PML::RARA fusion is unavailable.

Management of antithrombotic therapy in patients undergoing dental procedures

A growing number of patients receiving antithrombotic therapy require dental procedures. Dental interventions in these patients can be challenging, as the risk of bleeding from the continuation of antithrombotic therapy needs to be weighed against the thromboembolic risk associated with drug interruption or de-escalation. Most minor dental procedures, including simple dental cleaning and filling, pose minimal bleeding risk, and antiplatelet or anticoagulation therapy can be continued without interruption. Local hemostatic measures, such as tranexamic mouthwash, can be used, as needed, to reduce bleeding events following these interventions. Managing antithrombotic therapy during more invasive dental interventions and oral surgeries with a higher risk of perioperative bleeding necessitates the consideration of specific factors influencing the bleeding risk and thromboembolism. In patients receiving antithrombotic therapy for primary prevention, temporary interruption is reasonable. In others, the decisions may be more complex and more nuanced. In this article, we review the current evidence for managing patients receiving oral antiplatelet or anticoagulant drugs scheduled for various dental procedures and present a practical approach for the periprocedural management of antithrombotic treatments.

Oral Health Literacy and Patient Education Practices Among Non-Dental Professionals in Chongqing, China: A Cross-Sectional Study.

BACKGROUND Preventing oral diseases is a critical aim in maintaining general health. Non-dental professionals (NDPs) should understand oral health-related knowledge to help patients maintain oral and general health. We investigated the oral health knowledge, behaviors, and attitudes of NDPs regarding patient education and intersectoral collaborations for oral health. MATERIAL AND METHODS For this cross-sectional study, a web-based questionnaire of 36 questions was designed to collect characteristics, oral health knowledge, behaviors, and attitudes of spreading oral health knowledge. A total of 406 NDPs, including 166 doctors and 240 nurses, at 3 randomly selected hospitals in Chongqing, China, were included. Data were collected electronically and statistically analyzed using the chi-square test. RESULTS Only 35.96% and 39.41% of respondents disagreed with "extraction can cause loosening of adjacent tooth" and "tooth loss is a natural part of aging", respectively. Of the respondents, 92.12% were aware of oral healthcare needs before pregnancy; 67.48% agreed with cleaning the gums before the eruption of children's teeth; only 57.14% and 56.16% knew the start time of dental cleaning for children and the relatively safe period of dental treatment for pregnant women, respectively; 73.40% of respondents were interested in oral health knowledge, and they mainly consulted dental professionals; 95.56% agreed with intersectoral collaborations for oral health; and 68.47% thought to conduct oral health education in the future. CONCLUSIONS NDPs knew about common oral health knowledge; however, the oral healthcare knowledge for special groups was insufficient. NDPs should improve their ability to educate the public on oral health and establish intersectoral collaborations.

Comparison of the Effectiveness of Chewing Pineapple and Jicama on Reducing Debris Index in Sidoarjo: A Quasi-Experimental Study

ABSTRACT School-age children aged between 6-12 years are one of the groups most vulnerable to experiencing dental and oral health problems. In school-age children, consuming sticky foods tends to stick to their teeth and can cause dental problems. Debris is food waste that contains bacteria. Different from plaque and white material, debris is easier to clean. Chewing fibrous foods is a natural way to control plaque or debris. Fibrous and watery foods such as pineapple and jicama fruit can clean the surface of the teeth by chewing them. because these fruits have the ability to clean teeth which have self-cleaning capabilities. Research Objective: This study aims to determine the difference in the effectiveness of chewing pineapple and jicama fruit on reducing the debris index in class V students at SDN Pagerwojo Sidoarjo. Method: The type of research carried out was Quasi Experimental with a pretest and posttest design. The subjects of this research consisted of 86 class V students at SDN Pagerwojo. The data collection method uses a debris index inspection sheet by making direct observations of respondents. The data analysis technique used is the Shapiro-Wilk test if the data is normally distributed, if the data is not normally distributed using the Wilcoxson test. Results: The results of the research that has been carried out can be concluded that there is a difference in the effectiveness of chewing pineapple and jicama fruit in reducing index debris, that chewing jicama fruit is more effective in reducing index debris than chewing pineapple fruit.

Knowledge, Attitudes, and Practices Regarding Periodontal Diseases Among First-Year Undergraduates of Different Faculties of Krishna Vishwa Vidyapeeth University.

Introduction Periodontal diseases, encompassing gingivitis and periodontitis, are prevalent and complex conditions with significant implications for overall health, particularly in India. This study aimed to assess the knowledge, attitudes, and practices (KAP) regarding periodontal diseases among first-year undergraduate students across various faculties at Krishna Vishwa Vidyapeeth Deemed to be University, Karad. Methods A cross-sectional questionnaire-based survey was conducted among 200 students from the medical, dental, physiotherapy, pharmacy, and nursing faculties. Descriptive statistics and Pearson's chi-squared test were utilized for data analysis. Results They revealed suboptimal oral hygiene practices among participants, with only 30% reporting twice-daily tooth cleaning. Additionally, less than half of the participants used soft toothbrushes and fluoridated toothpaste. Notably, 40% had never visited a dentist. While 86% recognized the correlation between gum and systemic health, significant proportions had experienced symptoms of gum disease. Dental first-year undergraduate students have a better understanding, attitude, and practices toward periodontal diseases, while nursing first-year undergraduate students displayed the lowest KAP scores compared to other faculties. Conclusion The first-year dental students demonstrated a better understanding, attitude, and behavior towards periodontal diseases compared to students in other faculties. Our study emphasizes the necessity of incorporating oral and periodontal health education into both healthcare professional curricula and those of higher secondary school students. Such educational programs will empower individuals to enhance their oral and systemic health. Moreover, equipping medical and paramedical practitioners with proper knowledge of periodontal health will ultimately lead to improved oral health outcomes for the general population.

Isolation, Identification and Antimicrobial Susceptibility of some Bacterial Species Isolated from Dental Plaque

Dental plaque is a sticky bacterial film that develops on teeth producing plaque as a result. If it ‘is not removed with regular dental cleanings and daily brushing, it can initiate oral health issues such as gum diseases and dental caries. This study aimed to determine the prevailing bacterial species found in some patients’ dental plaque cases and dental caries and to analyze the antimicrobial susceptibility of the obtained bacteria. A total of 60samples of dental plaque were taken from patients who attended the health centres in Baghdad with different ages using cotton swabs. All gained swabs were transported to the microbiology laboratory and cultured on culture media. According to standard laboratory diagnosis protocols, primary diagnosis was performed. VITE 2Compact Automated-System (GP (and (GN (diagnosis cards used according to manufacturer company constructions (BioMérieux)to confirm the diagnosis. Antibiotic susceptibility test was done by using antibiotic disks according to Kirby-Bauer method. Out of 60samples, forty-two (70%) samples showed growth on culture media, while 18(30%) showed no growth, most of the isolates, 29(69.0%) were Gram-positive bacteria represented by Streptococcus mutans, Staphylococcus aureus, and only 13(30.9%) of isolates were Gram-negative includes Klebsiella pneumonia and Escherichia coli.According to the antibiotic susceptibility test results, Gram-positive bacteria showed high resistance against amoxicillin, Cefotaxim and erythromycin with percentages of 86.2%-and 89.6%respectively. Gram-negative bacteria showed high resistance against amoxicillin and erythromycin with percentages of 76.9%and 69.2%against Cefotaxim

Formulation and evaluation of toothpaste for sensitivity

Toothpastes are complex mixtures of abrasives and surfactants; anticaries agents, such as fluoride; tartar control ingredients; pH buffers; humectants (to prevent dry-out and increase the pleasant mouth feel); and binders, to provide consistency an shape. Binders keep the solid phase properly suspended in the liquid phase to prevent to the separation of the liquid phase out of the toothpaste. The dental paste preparations of clove oil tooth paste are designed using different bases for treatment of gingivitis and properties and other dental plaque. During our physicochemical evaluation studies, all the formulations were found to have PH, good tube extrudability, good spread ability and viscosity characteristics. In the current context of oral dental care, the use of toothpaste containing natural ingredients are more widely accepted in public belief than chemical-based formulations for safety and efficacy in reducing tooth decay, and preventing other dental problems that this generation is prone to. It's usually a toothpaste-used product used by all people. Toothpaste is usually used to clean tooth enamel and mouth It is also used to solve many email problems. Many dentists recommend applying toothpaste to treat diseases such as sensitivity, chronic gingivitis, etc toothpastes are used in the treatment of gum disease, bad breath, dry mouth, periodontal damage, tartar, and dental caries. To develop a stable and functionally effective toothpaste, eliminating all synthetic additives that are usually included in such Formulation is an important task. Herbal toothpastes have received a lot of attention for reducing gingivitis.Studies show mixed results about the effectiveness of these toothpastes.

ISOLATION OF BACTERIA CAUSING DENTAL CARIES FROM THE CLINICS OF THE COLLEGE OF BILAD AL-RAFIDAYN UNIVERSITY

This study deals with Isolation of bacteria causing dental caries from the Forty samples (male and female) were collected from patients attending the clinics of the Department of Dentistry at Bilad Al-Rafidayn University College for the period 7/11/2022 to 4/5/2023. The total of (58) isolates before and after cleaning and tooth extraction collected from male and female samples .After diagnosing these isolates, it was found that. Streptococcus (42.5%) and gram-negative (20%) before dental work and cleaning . The Percentage of Streptococcus after cleaning (30%) and the gram-negative rod (7.5%). The percentage of Streptococcus isolated from tooth extraction (20%) and staphylococcus (2.5%) and gram-negative rod(2.5%). The spacemen were collected from the oral cavity and the culture was on mitis salivarius(Himedia/India) agar base, that was determined by biochemical tests by use of blood agar to detect hemolysis, the results revealed the samples were positive.

More than clean teeth! Identifying factors that contribute to the development of early childhood caries.

This review aimed to identify established and updated evidence-based factors that could contribute to a child's development of Early Childhood Caries (ECC). Four online databases were used to source evidence including the Cochrane Library, EMBASE, MEDLINE, and Scopus. The data search selected studies published between 2017 and 2021. Three specific terms were used to search: Dental Caries, Children, and Risk Assessment. There were three teams involved in data collection, two teams then reviewed selected articles. Exclusion criteria included any duplicate studies, commentaries, and editorials. Inclusion criteria included only randomised control trials and cohort studies. Selected studies must include children younger than 72 months, define the demographics, their clinical characteristics, and have clear follow-up of the patients involved. Commonly identified factors that were mentioned in multiple studies were then collected and assigned strength depending on the evidence measured using ratios. These could then beutilised to form a draft Caries Risk Assessment tool. 512 abstracts and 52 articles were screened, having matched the criteria set. Extraction of the data was completed under four headings: the child's age at the time of study (in years/months), risk predictors, the outcome, and the quality of the evidence presented. The GRADE system was then employed to separate the studies into high, moderate, low, and very low categorisation. Eventually, 22 new studies were included that would build on the original 25 articles that were identified in the previous systematic review. The most defining factors across the most recent systematic reviews in 2021 highlighted behavioural factors such as toothbrushing quality - parental supervision, frequency, and fluoride exposure. Specifically, the presence of plaque was used as a marker for oral hygiene evaluation. Dietary history included snacking frequency and, controversially, baby-toddler breastfeeding patterns. However, this does not take into consideration the dental impact - mainly the frequency or timing of breastfeeding (e.g. overnight). The review emphasises the importance of consideration of socio-economic factors though this may be a difficult topic of discussion if families are struggling i.e. household income and education level of parents or guardians. There is also mention of factors that do not have a significant evidence base such as the child's gender, ethnicity, and parental smoking status. In conclusion, the factors found to be relevant in the development of ECC were the child's age, toothbrushing quality/plaque control, parental involvement in toothbrushing, fluoride exposure, pattern of dental attendance, dietary sugar exposure, and habits, clinically carious active lesion presence, the oral bacterial composition (Streptococcus mutanspresence) and the socio-economic status of the child and their family. Though the review encourages identification of the caries risk factors in the mentioned groups, separated by both dental and non-dental professionals, ideally the aim would be to create a holistic care approach for management and signposting.

Adverse childhood experiences and dental cleaning during pregnancy: Findings from the North and South Dakota PRAMS, 2017-2021.

Research demonstrates that adverse childhood experiences (ACEs)-that is, experiences of abuse, neglect, and household dysfunction-are related to lower preventive dental care utilization in childhood and adolescence. However, limited research has explored the connection between ACEs and preventive dental care utilization in adulthood, and no research has examined this relationship during pregnancy. The current study extends existing research by investigating the relationship between ACEs and dental cleaning and dental care utilization during pregnancy among a sample of women who delivered live births in North Dakota and South Dakota. Data are from the 2017 to 2021 Pregnancy Risk Assessment Monitoring System (PRAMS) in North Dakota and South Dakota (n = 7391). Multiple logistic regression is used to examine the relationship between the number of ACEs (0, 1, 2, 3 or 4 or more) and dental cleaning during pregnancy. Relative to respondents with 0 ACEs, those with 4 or more ACEs were significantly less likely to report having dental care during pregnancy (OR = 0.757, 95% CI = 0.638, 0.898). By racial and ethnic background, the results showed that the significant associations are concentrated among White and Native American respondents. The results suggest that exposure to 4 or more ACEs is associated with a significantly lower likelihood of dental cleaning during pregnancy among women who delivered a live birth in North Dakota and South Dakota. Further investigations are necessary to understand the mechanisms underlying the relationship between ACEs and dental cleaning during pregnancy and replicate the findings in other geographic contexts.

Antibacterial Herbal Mouthwash Formulation and Evaluation Against Oral Disorders

The goal of the present study is to create and assess a herbal mouthwash and determine how well it works to lower oral cavity bacterial counts. Following their collection, the plant materials' water-soluble components were removed. We also assessed the mouthwash's physicochemical characteristics and antibacterial efficacy. The mouthwash that is now available on the market has strong antimicrobial qualities. The stability investigation's findings attest to the preparation's efficacy. These days, mouthwash is marketed as a liquid and usually includes antiseptic and antibacterial ingredients. These solutions have the potential to serve several purposes, including inhibiting the growth of germs in the oral cavity and acting as an analgesic, anti-inflammatory, or anti-fungal agent. The oral cavity is home to a variety of microbes. While certain types of oral bacteria are harmless, others can lead to mouth illnesses, plaque buildup in the mouth, and bad breath. Therefore, keeping good oral hygiene is essential for both physical and mental well-being. The effectiveness of herbs is thought to be relatively high when compared to chemical products. Medicinal plants are crucial in treating a variety of illnesses due to their potent antibacterial and antifungal effects against human infections. Herbal remedies aid in tooth cleaning, reduce dental plaque, inhibit the growth of bacteria, and freshen breath. Herbal mouthwashes can be used in addition to your normal dental hygiene routine, which includes brushing and flossing. They are helpful in supportive periodontal treatment because of their potent antiinflammatory and anti-plaque characteristics. Many herbal remedies and their extracts, including those made from peppermint, cloves, neem, and turmeric, have demonstrated notable benefits over synthetic alternatives. Due to their long-lasting anti-bacterial, antimicrobial, and anti-fungal actions on human pathogens, medicinal herbs are essential for the treatment of illness. Using natural mouthwash in place of conventional ones may have several advantages. If a formulation like this could be invented that folks could safely and simply prepare at home using natural ingredients. As a result, the general oral health of the community could get better. Because they function on oral infections, quickly relieve pain, have few or no side effects, and target oral pathogens, herbal mouthwashes are quite popular. Among the most common infectious diseases that many individuals encounter at different times in their life are dental caries and periodontal disease. The purpose of this article is to give a general review of natural substances that can be effective mouthwashes. The objective of this study was to use polyherbal components to make mouthwash that has antibacterial properties.

Evaluation of oral self-care behavior among laypersons and dental students

Background. The goals of this study were to identify oral self-care behavior and knowledge among dental students at Basrah Dentistry College and laypersons, as well as to assess the effectiveness of knowledge in improving oral hygiene performance in our culture. Materials and methods. Students and laypersons completed a self-administered questionnaires in their dormitories that included information on age, gender, tooth cleaning material, and frequency of tooth cleaning. The questionnaire was based on Google form questions found on the internet. The data were analyzed using SPSS statistics for Windows version 22. The association was considered statistically significant when P <0.05. Result. The total of 281 persons from both dental students & laypersons participated in the study. All the questionnaires were returned after the completion and were analyzed. The study shows that there is low deference between dental students and laypersons due to the availability of many sources of information nowadays such as dental clinics, internet and TV. Dental students perform better in oral hygiene than laypersons, which is undoubtedly owing to the lectures they receive in their studies and the setting of practical work in the college clinic, which makes them more interested and motivated. Conclusion. The outcome of the study is that there is a low level of knowledge about oral self-care procedures in dental students than in lay persons. So, there is a need to educate laypersons to increase their concern about oral hygiene and a need to instruct dental students on how to influence laypersons that will visit their clinic in the future.

Linear measurement evaluation according to UV-type ultrasonic cleaning of artificial teeth for temporary dentures manufactured using a light-curing type printer produced by a DLP printer

Linear measurement evaluation according to UV-type ultrasonic cleaning of artificial teeth for temporary dentures manufactured using a light-curing type printer produced by a DLP printer

Tobacco use, self-reported professional dental cleaning habits, and lung adenocarcinoma diagnosis are associated with bronchial and lung microbiome alpha diversity

RationaleThe lung microbiome is an inflammatory stimulus whose role in the development of lung malignancies is incompletely understood. We hypothesized that the lung microbiome associates with multiple clinical factors, including the presence of a lung malignancy.ObjectivesTo assess associations between the upper and lower airway microbiome and multiple clinical factors including lung malignancy.MethodsWe conducted a prospective cohort study of upper and lower airway microbiome samples from 44 subjects undergoing lung lobectomy for suspected or confirmed lung cancer. Subjects provided oral (2), induced sputum, nasopharyngeal, bronchial, and lung tissue (3) samples. Pathologic diagnosis, age, tobacco use, dental care history, lung function, and inhaled corticosteroid use were associated with upper and lower airway microbiome findings.Measurements and Main ResultsOlder age was associated with greater Simpson diversity in the oral and nasopharyngeal sites (p = 0.022 and p = 0.019, respectively). Current tobacco use was associated with greater lung and bronchus Simpson diversity (p < 0.0001). Self-reported last profession dental cleaning more than 6 months prior (vs. 6 or fewer months prior) was associated with lower lung and bronchus Simpson diversity (p < 0.0001). Diagnosis of a lung adenocarcinoma (vs. other pathologic findings) was associated with lower bronchus and lung Simpson diversity (p = 0.024). Last professional dental cleaning, dichotomized as ≤ 6 months vs. >6 months prior, was associated with clustering among lung samples (p = 0.027, R2 = 0.016). Current tobacco use was associated with greater abundance of pulmonary pathogens Mycoplasmoides and Haemophilus in lower airway samples. Self-reported professional dental cleaning ≤ 6 months prior (vs. >6 months prior) was associated with greater bronchial Actinomyces and lung Streptococcus abundance. Lung adenocarcinoma (vs. no lung adenocarcinoma) was associated with lower Lawsonella abundance in lung samples. Inhaled corticosteroid use was associated with greater abundance of Haemophilus among oral samples and greater Staphylococcus among lung samples.ConclusionsCurrent tobacco use, recent dental cleaning, and a diagnosis of adenocarcinoma are associated with lung and bronchial microbiome α-diversity, composition (β-diversity), and the abundance of several respiratory pathogens. These findings suggest that modifiable habits (tobacco use and dental care) may influence the lower airway microbiome. Larger controlled studies to investigate these potential associations are warranted.

Oral hygiene practices and associated factors among rural communities in northwest Ethiopia

BackgroundPoor oral hygiene affects the overall health and quality of life. However, the oral hygiene practice in rural communities and contributing factors are not well documented. Accordingly, this study was conducted to assess oral hygiene practices and associated factors among rural communities in northwest Ethiopia.MethodsA cross-sectional study was conducted among 1190 households. Data were collected using a structured and pretested questionnaire, prepared based on a review of relevant literature. The questionnaire comprises socio-demographic information, access to health and hygiene messages, oral hygiene practices, and water quality. We assessed oral hygiene practices with these criteria: mouth wash with clean water in every morning, mouth wash with clean water after eating, brushing teeth regularly, and avoiding gum pricking. Gum pricking in this study is defined as sticking needles or wires into gums to make the gums black for beauty. Multivariable logistic regression was used to identify factors associated with oral hygiene practices. Significant associations were declared on the basis of adjusted odds ratio with 95% confidence interval and p-values < 0.05.ResultsResults showed that all the family members usually washed their mouth with clean water in everyday morning and after eating in 65.2% and 49.6% of the households, respectively. Furthermore, 29.9% of the households reported that all the family members regularly brushed their teeth using toothbrush sticks and one or more of the family members in 14.5% of the households had gum pricking. Overall, 42.9% (95% CI: 39.9, 45.6%) of the households had good oral hygiene practices. Health and/or hygiene education was associated with good oral hygiene practices in the area (AOR: 1.66, 95% CI: 1.26, 2.21).ConclusionMore than half of the households had poor oral hygiene practices in the area and cleaning of teeth with toothpastes is not practiced in the area, where as gum pricking is practiced in more than one-tenth of the households. The local health department needs provide community-level oral health education/interventions, such as washing mouth with clean water at least twice a day, teeth brushing using indigenous methods such as toothbrush sticks or modern methods such as toothpastes, and avoiding gum pricking to promote oral health.

Bacteriological Study and Antibacterial Susceptibility in Ludwig’s Angina in a Tertiary Level Hospital in Dhaka, Bangladesh

Background: The knowledge of the local pattern of infection and antibacterial sensitivity in Ludwig’s angina is essential to enable efficacious treatment for it. Objective: To find out the pattern of bacteria responsible for developing Ludwig’s angina and their antibacterial susceptibility. Methods: It is a prospective, observational type of study carried out in the Department of Otolaryngology &amp; Head-Neck Surgery, Dhaka Medical College Hospital, Dhaka, and the Department of Clinical Microbiology, ICDDR, B, Dhaka, Bangladesh, between April and September of 2016. A total of 100 patients were included in this study. Results: This study was done among 100 patients. In this study, 42 cases (42%) were in the 31-45 years age group. The male patients were 60 (60%) and females were 40 (40%). Majority of patients 70(70%) came from poor class family with educational level up to HSC (75%), maximum 35(35%) patients use meswak to clean teeth, 70 (70%) patients came from rural area, 70 (70%) patients had dental infection, 25 (25%) patients had diabetes mellitus, all the cases (100%) presented with swelling in the floor of the mouth and neck, pain and tenderness and fever. The major complication was necrotizing fasciitis 8 (8%), 36 (36%) patients were discharged within 1-2 weeks after treatment, Streptococcus 40 (40%) was the most common organism and the most effective antibiotic was Ceftriaxone (65%). Conclusion: The most frequently isolated organism in Ludwig’s angina is Streptococcus and sensitivity results showed a majority of isolates are susceptible to Ceftriaxone. Mugda Med Coll J. 2023; 6(2): 71-76

Plants as Regular Phytochemical Sources of Dentistry - Formulation and Evaluation of Polyherbal Tooth Paste

Different plant components have been used in medicinal preparations in indigenous systems of medicine to clean teeth or treat oral diseases such as periodontal disease. Herbal toothpaste is equally as good at controlling plaque and gingivitis as dentifrices made according to standard formulas. Streptococcus mutants, out of all the examined bacteria, were shown towards the most susceptible to the created dentifrice, as evidenced by a zone inhibition (7-8 mm), followed by Escherichia coli (7 mm), as well as oral micro-biota (8mm). The created Poly-herbal dentifrice was successfully tested using a variety of industry-recognized standards to verify its high quality and physio-chemical qualities. According to the findings, the created Poly-herbal dentifrice shows promise for having antibacterial properties on both gramme-positive and gramme-negative organisms. Compared to completely synthetic dentifrice, it must be safer. For the development of Poly-herbal dentifrice to be proven safe and effective, more research is required. According to the study’s findings, herbal toothpaste is safer and has fewer side effects than synthetic preparations. It is also more commonly used in dentistry research. The toothpaste that is designed for oral hygiene and teeth shows antimicrobial activity against pathogens. The market preparation was contrasted with the formulation. Therefore, it demonstrates an equal amount of patronizing and engrossing passion for the promoted formulations. The development of herbal toothpaste has a promising future in the research of natural cures and general dental health.

The prevalence and patterns of common chief complaints among patients at Taif University Dental Hospital, Saudi Arabia

Background: The primary reasons for individuals seeking dental care, often referred to as chief complaints (CC), have significant importance in the process of gathering patient histories and devising treatment strategies before commencing treatment. Aim: The aim of this study was to assess and describe the prevalence and patterns of CC among a sample of dental patients attending the University Dental Hospital (UDH) at Taif University, Taif City, Saudi Arabia, and also to examine the association between the type of CC and gender and age. Settings and Design: This study was a retrospective study. Materials and Methods: The process of data extraction and organization included the use of a standardized form. The form primarily consisted of demographic characteristics, including age and sex, as well as CC. The dataset comprises information gathered from a sample of 900 dental patients who sought treatment at the dental clinics of the UDH at Taif University during the period from September 2022 to December 2022. Statistical Analysis: All statistical analyses were conducted using the Statistical Package for the Social Sciences (SPSS) software, version 17 (Chicago Inc.). Results: The most primary complaints stated by patients were related to dental pain and the need for restorative procedures, involving 83.7% of the total number of visits. Dental pain was the most common CC (48.4%), followed by teeth restorations (35.3%), a routine checkup (6.6%), tooth cleaning (6.3%), and others (3.3%). There was a significant association between the CCs and the patient’s age and gender (P &lt; 0.001). Conclusions: The findings of this study highlight the importance of acquiring an accurate CC. Moreover, dental pain and the need for restorative procedures were identified as the key reasons for seeking dental care.

Review on Formulation of Polyherbal Toothpaste Using Medicinal Plants

Toothpaste is a gel or paste formulation product and is use to clean and maintain oral hygiene with the aid of toothbrush. But some of these substances show undesirable side effects such as tooth staining and altered taste. India is that the largest producer of healthful herbs and is termed the “Botanical Garden of the world”. The objective of the present review to formulate herbal toothpaste containing natural ingredients like clove fruit, Neem leaves, Honey and Acacia powder, Betel, Peppermint, Turmeric, Guava etc. which were traditionally used for tooth cleaning. They not only show antimicrobial property for naturally action diseases however even have essential concentration of bound phytochemical present in them which will profit our body in some ways. Based on increased usage of herbal cosmetics we tried to make a comprehensive review on herbal toothpaste that helps to maintain a proper oral hygiene and free from periodontal disorder, reduce stain, gingivitis, calculus and caries. The present review gives basic information regarding antimicrobial potential of various herbs, formulation excipients, that can be used in preparation of toothpaste. Herbal toothpaste which can be used as a tool for proper oral hygiene and to overcome the side effect of the conventional toothpaste by synthetic ingredients.