A 15 year old boy was presented with pain in his upper anterior teeth. On clinical examination both the maxillary central incisor revealed slight discoloration and fracture of the crown. Radiographic evaluation revealed open apex of the left central incisor and apex of the right central incisor was fully developed. Apexification with MTA apical plug was carried out in left central incisor and conventional root canal treatment was done in right central incisor. In two months follow up both the tooth were clinically and radiographically asymptomatic and the healing of the apical area of the left central incisor was continued. These finding suggests that MTA can induce formation of apical barrier in the case of non-vital tooth with open apex.

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Hospital acquired infections (HAI) are important causes of morbidity and mortality. The purpose of this study was to see the type of HAI and causative organisms of these infections among the paediatric patients in tertiary level hospitals of Dhaka city. This cross sectional study was conducted in three tertiary level hospitals in Dhaka City over a period of two years. A total of 1055 patients were observed and the study population comprised of all the admitted paediatric patients irrespective of sex and basic diseases who were found present during data collection period as admitted patients in the paediatric wards of the hospitals under study. Among 1055 pediatric patients admitted in all the three hospitals under study a total of 115 (10.9%) were affected by hospital acquired infections. Higher prevalence (14.0%) of Hospital-Acquired Infections (HAI) was found in surgery ward and the lower prevalence (9.2%) of HAI was found in medicine ward. The most common type of HAI was surgical wound infection 26(22.6%). Out of 115 HAI patients highest number 44(38.3%) were affected by staphylococcus aureusfollowed by E. coli23(20%).

Background: Musculoskeletal disorders (MSDs) are the most important occupational health problems particularly in dental professionals. Dentists are among the workers who are more often susceptible to this disorder, as because their work includes risk factors that may lead to this disorder. The study aims to determine the prevalence of MSDs among dental surgeons , also the risk and exposure of this disorder by assessing job postures and the correlation between them. Methods : This cross sectional study was conducted among purposively selected 86 dental surgeons working in eight different tertiary level public and private hospitals in Dhaka city. A structured questionnaire was used for data collection, where Nordic Musculoskeletal Questionnaire(NMQ) used which records the prevalence of MSDs in terms of musculoskeletal symptoms and to assess the risk and exposure of MSDs, Rapid Entire Body Assessment (REBA) score sheet, Quick Exposure Check (QEC) have been used respectively by 10- 15 minutes observing each study subject during different dental operating procedures. After data collection analysis of data was performed by using SPSS software (Version 22). Results : More than 63 % and 47 % of the participants reported pain and discomfort in at least one body region in the last 12 months and the last 7 days respectively. The major affected part was neck, followed by lower back, shoulders and hands / wrists. In different field of specialization among the study subjects musculoskeletal symptoms were highest in oral and maxillofacial surgeons followed by general practitioners, orthodontists, endodontists, prosthodontists. The exposure assessment (QEC) showed that a small percentage (22.1%) have acceptable exposure, where 30.2%, 47.7% had medium exposure and high exposure respectively. Whereas the risk assessment (REBA) showed that 59.3% of the participants were in medium risk group that necessitates further investigation and needs to implement change. Pearson’s correlation test indicated that there is a strong positive correlation between the current exposure and the risk (r = 0.832) and the relationship between exposure and risk of MSDs was found to be highly significant as p < 0.01. Highly significant association found between risk level according to REBA score and the exposure level according to QEC score with MSDs ( as p value < .01). Conclusion: This study concludes that high prevalence of MSDs and high risk levels as well as exposure levels according to REBA and QEC, suggest inappropriate and incorrect ergonomic postural habits existing among the dental surgeons which necessitates further investigation and attention on this issue to combat with this disorder among dental professionals.

Odontogenic Keratocyst is an aggressive odontogenic cyst with a high recurrence rate. After radicular and follicular cysts, odontogenic keratocysts are the third most common cyst of the jaws and approximately 12-14% of all odontogenic cysts. It has been retermed to Keratocystic odontogenic tumour (KCOT) as it better reflects its neoplastic nature but recently it has been re classified and retermed into the cystic category. Various surgical methods have been proposed but comparatively, conservative treatment options such as Dredging methods might be the treatment of choice due to preservation of anatomical structure. Objective: The aim of this study was to analyse the clinical, radiological and histopathological characteristics of Odontogenic Keratocyst and provide a proper management system affected by this type of lesions. Materials and methods: The prospective study was performed in Dhaka Dental College and Hospital from a period of January 2014 to January 2018. A total number of 75 patients were selected for this study based on clinical, radiological and histopathological confirmation of odontogenic keratocysts. The treatment options were enucleation, enucleation with curettage, enucleation with peripheral ostectomy, Dredging method and surgical resection. After treatment patients were followed up 1months, 3 months and 6 months in every year at least for 5 years. Results: Among 75 patient of odontogenic keratocyst; the mean age was 27.69±13.35 and age range was 11 to 66 years. Male were 53(71%) and 22 (29%) were female patients. 53 (70.67%) cases were found in the mandible, 15(20%) cases in the maxilla and in 7(9.33%) cases were involved in both maxilla and mandible; mandibular posterior region was the most specific region involved 37(69.81%).The most common clinical features revealed pain and swelling. Radiologically, 70.66% unilocular, 96% well defined and 94.66% radiolucent area were prominent. Bone expansion 37.38%, root resorption 30.00% and 36% were associated with an impacted tooth. Regarding treatment options enucleation with curatage 12%, enucleation, curettage & peripheral ostectomy 29.33%, Dredging 52% and surgical resection 6.6% was done. Recurrence occurred in 18 patients with recurrence rate of 24%. Conclusion: Odontogenic keratocyst is an aggressive cyst, male predominant, posterior mandible is the commonest site and well defined unilocular radiolucency are commonest radiological feature. Radical treatment options such as resection reduced the recurrences of the tumour but higher morbidity and jaw deformity. Comparatively, conservative treatment options such as Dredging methods might be the treatment of choice due to preservation of anatomical structure. A long term follow up is paramount importance for the research and understanding the clinical pattern, behavior, treatment and recurrence of the lesion.

Introduction: The use of all types of smokeless tobacco poses a serious risk to the health of community members. The present study was conducted to classify the guild merchants using smokeless tobacco in Chabahar, Iran, based on the Trans-Theoretical Model (TTM) and then analyze the relationships between the examined variables based on the constructs of this model. Materials and Methods: This descriptive cross-sectional study was conducted on 320 merchants working in different guilds in Chabahar in 2018, who were selected through simple random sampling. The data collection tool was a researcher-made questionnaire with a demographic and background information section, behavioral items and items on the constructs of the transtheoretical model, and was used after its validity and reliability were confirmed. Data were analyzed in SPSS software using statistical tests such as mean and SD, the Chi-square test, the ANOVA and Tukey’s test. Findings: Most of the participants in the study were in the age group of 20-30 years (69%). Hairdressers and textile stores (19%) were the largest and hotel and restaurant businesses (2%) the smallest trade guilds in this study. Most people in the study consumed Gutkha (24%). A total of 85% of the subjects were in the precontemplation stage, 12.5% in the contemplation stage and 2.5% in the preparation stage, and the stages of change had a significant difference with constructs including counter-conditioning, self-liberation, decisional balance and temptation to use tobacco (P<0.05). Conclusion: Since most merchants were in the precontemplation stage, and given their age and the proven harms of smokeless tobacco, interventions to encourage these people to quit tobacco consumption using the TTM constructs are necessary.

Background: Orthopantomograph (OPG) is one of the most common radiograph use by dental surgeon for evaluate information about teeth, Maxilla, Mandible and other bony structure. It is also available, low price and low doses of radiation. Mandibular condyle is most important landmarks of mandible, which is changes due to ageing process, developmental abnormalities, distinct diseases, trauma, endocrine shock, radio therapy etc. Panoramic radiographs remain the best screening modality for temporomandibular joint abnormalities today. Objectives: The aims at objective of observing and documentation of shapes of condyle on an orthopantomogram, which were very important for treatment of patient in different branch of dentistry specially in oral and maxillofacial surgery. Materials and Methods: This study composed radiographic evaluation of 500 condylar heads after imaging 250 digitalized OPGs taken for analysis. Then evaluate the mandibular condylar shape in 2D dimensional view (OPG). Results: In our study, an attempt to common prevalent radiographic shapes of the condylar head on the OPG. 200 pairs of condylar heads were evaluated. Out of them 60% were oval in shape, followed by bird beak (29%), diamond (9%) and least being crooked finger (2%). Oval-oval was commonly occurring mix (67%), whereas crooked/ crooked finger was a rarity. Conclusion: Due to low radiation exposer and availability, OPG is common chose of dentist for primary evaluate the tooth, mandible and facial skeleton. Shapes of the mandibular condyle also evaluate by OPG which showing ovaloval being most accepted in both genders.

Background: Acetylsalicylic acid (ASA) generically known as Aspirin is an analgesic, antipyretic, anti-inflammatory and also an antiplatelet drug. In order to avoid excessive bleeding and to be on the safer side, dentists have traditionally advised their patients to stop taking aspirin before extraction of teeth although this surgical procedure can be done without cessation of aspirin intake. Objective: The purpose of the study was to assess the necessity of interrupting aspirin therapy prior to dental extraction. Materials and Methods: A cross sectional study was conducted in November 2015 at outpatient department of dentistry, BIRDEM Hospital, Dhaka. Sample of 50 patients who took low dose aspirin (75mg) once daily were purposely selected for this study. The blood pressure of all the subjects was recorded preoperatively. The extractions were done atraumatically under local anesthesia using 2% lidocaine with 1:100,000 epinephrine. A gelatin sponge piece was placed in socket and closed by atraumatic silk. The subjects were instructed to apply pressure pack with sterile gauze for 30 min. Evaluation was done in every 10 minutes for 30 minutes. Results: Among 50 patients, 82.0% patients were suffering from IHD. Simple extraction was done in 92.0% of patients while the remaining extractions were done surgically. 68% was managed by pressure pack and gelatin sponge while 26.0% were managed by pressure pack only. According to Post-extraction bleeding, it was found that the bleeding time was 10 min in case of 94% patients while only 2% showed 30 minutes of bleeding time. Conclusion: The study revealed that it is not necessary to alter or stop aspirin therapy and local hemostatic measures are sufficient to control bleeding. Therefore it can be assumed that extraction can be done without cessation of low dose aspirin and avoiding the life threatening issues.

Background: Pulpotomy is measured as one of the most worldwide accepted favourable clinical procedure for the treatment of deciduous tooth with reversible pulpitis with carious destruction of tooth tissue. Objectives: To evaluate the clinical and radio-graphical findings of primary tooth with reversible pulpitis by Biodentine and Calcium Hydroxide as pulpotomy material. Study Design: Randomized comparative study. Study place and period: Conservative Dentistry & endodontics department of Bangabandhu Sheikh Mujib Medical University, Dhaka, September 2013 to September 2014. Study Population: The study population comprised of patients having primary tooth with reversible pulpitis irrespective of sex. Methods/Procedure: According to inclusion and exclusion criteria, out of 100 primary teeth 50 teeth were treated with Biodentine (Group-A) and the remaining 50 teeth were treated with Ca(OH)2 (Group-B). Clinical and radiographic follow up examination were done at 3months,6 months and 12 months’ interval to evaluate the rate of postoperative pain, swelling and periapical radiolucency. Statistical package for Social Science (SPSS) version 17 was used to analyze the collected data Main outcomes measures (s): 01. Pain 02. Dentinal bridge 03. Root resorption Results: At 3 months observation period, Biodentine and Ca(OH)2 pulptomy of primary teeth showed 100% success rate in treating teeth with reversible pulpitis; neither pain nor swelling or radiographic sign of resorption was observed. At 6 and 12 months following the completion of treatment except in two case in group A and four case in group B in observation period, there results were similar to that of 3 months. Two Biodentine (4%) and four Ca(OH)2 (8%) therapy reported pain, swelling. There was no statistical difference between the two group (p>0.05). Conclusion: So, we can say that clinical and radiographic end result of Biodentine is better than Ca(OH)2 as a pulpotomy material in mature primary tooth with reversible pulpitis.