scholarly journals The Effect of Extra Educational Elements on the Confidence of Undergraduate Dental Students Learning to Administer Local Anaesthesia

2021 ◽  
Vol 9 (7) ◽  
pp. 77
Author(s):  
Mats Sjöström ◽  
Malin Brundin
Keyword(s):  
Local Anaesthesia ◽  
Dental Students ◽  
Peer Instruction ◽  
Practical Training ◽  
Student Group ◽  
Correct Model ◽  
Fellow Student ◽  
Group A ◽  
Group B ◽  
Practical Instruction

Local anaesthesia is taught early in the practical part of dental programs. However, dental students express uncertainty and concern before their practical training in local anaesthesia. The aim of this study was to evaluate how extra educational elements in the teaching of local anaesthesia affect students’ confidence using local anaesthesia. The students were divided into three groups (A, B and C). Group A received the same education that was used the previous year (i.e., four hours of theoretical lectures followed by four hours of practical exercises performed on a fellow student). Group B did their practical training on fellow students in groups of three, with each student taking turns performing, receiving and observing the procedure. Group C received training using an anatomically correct model before their practical training on a fellow student. After each training step, the students completed a questionnaire about their confidence administering local anaesthesia. The students experienced a significant increase in confidence after each educational step. Combining theory and practical instruction, including the use of anatomically correct models and peer instruction, improved students’ confidence in administering local anaesthesia. The greatest increase in confidence was in the students placed in groups of three where each student performed, received and observed the procedure.

scholarly journals Comparative study of knowledge about oral cancer among undergraduate dental students

2016 ◽  
Vol 14 (3) ◽  
pp. 338-345
Author(s):  
Samara Ribeiro da Silva ◽  
Yara Juliano ◽  
Neil Ferreira Novo ◽  
Ilan Weinfeld
Keyword(s):  
Risk Factors ◽  
Oral Cancer ◽  
Undergraduate Students ◽  
Dental Students ◽  
Clinical Aspects ◽  
Significance Level ◽  
First Semester ◽  
Group A ◽  
Group B ◽  
Self Examination

ABSTRACT Objective: To evaluate and compare the knowledge of dental undergraduate students about oral cancer. Methods: The students were divided into two groups according to semester attended in the undergraduate course: Group A, the first semester; and Group B, seventh semester. They were asked to answer a questionnaire about epidemiology, risk factors, clinical aspects, therapeutic solutions and oral self-examination. For statistical analysis, the Fisher's exact test, the Cochran's G test and Kendall's concordance test were used, with significance level set at 0.05. Results: Regarding the prevalent sex, only 8.0% of Group A and 56.0% of Group B judged males as the frequent affected by the disease (p=0.0006). In terms of age, 84.0% of the Group B and 44.0% of the Group A estimated that most cases were diagnosed over 40 years (p=0.0072). Smoking was identified as the major risk factor for 64.0% and 91.6% of Groups A and B, respectively (p=0.0110). On issues related to sex, ethnicity, age, risk factors, self-examination, treatment, professional responsible for treatment and profile of an individual with the disease, the seventh-semester showed significantly higher correct answer percentages than first-semester undergraduates. Conclusion: There was significant correlation between the right and wrong answers given by first and seventh semester students, making necessary a specific approach directed to their lack of knowledge.

Effects of Total Intravenous Anaesthesia with Propofol in Patients Undergoing Burr Hole Drainage for Chronic Subdural Haematoma: A Prospective, Randomized, Controlled Clinical Trial

2019 ◽  
Vol 8 (2) ◽  
pp. 100-104
Author(s):  
Muhammad Shamsul Arefin ◽  
Kazi Nur Asfia ◽  
Abdur Rahim ◽  
AZM Saifuddin ◽  
Md Monzurul Islam ◽  
...  
Keyword(s):  
Local Anaesthesia ◽  
Subdural Haematoma ◽  
Chronic Subdural Haematoma ◽  
Sedation Score ◽  
Burr Hole ◽  
Total Intravenous Anaesthesia ◽  
Intravenous Anaesthesia ◽  
Group A ◽  
Group B ◽  
Ramsay Sedation Score

Background: Burr hole drainage for chronic subdural haematoma is a common neurosurgical treatment. Traditionally which were done under local anaesthesia with sedation. The primary aim of this prospective study was to assess the effects of Total intravenous anaesthesia with Propofol forBurr hole drainage of chronic subdural haematoma. Method: Sixty adults patients age group ranging from 20-80 years without gender discrimination scheduled for Burr hole drainage of chronic subdural haematoma were enrolled in this study. The patients were randomized into two groups. Group A received Inj. propofol I/V @ 1mg/kg over 10 min followed by 25-50 ìg/kg/ min infusion. Group B received Inj. Midazolam0.05mg/kg I/V followed by normal saline infusion at 0.2 ml/ kg/hr infusion. Perioperative GCS Score, Heart Rate (HR), mean arterial pressure (MAP), SpO2, Ramsay sedation score (RSS), complications, rescue drugs requirements are recorded and compared at specific time. Results: The MAP and HR was monitored throughout the perioperative period in both groups and they were more in Group B than Group A in most time intervals and was statistically significant. The Ramsay sedation score (RSS) was significantly lower in Group B patients when compared with Group A.Perioperative requirements of rescue drugs and complications like nausea, vomiting (11.7%) and shivering (13.3%) consecutively were more in group B than in group A and it was statistically significant. Conclusion: This study suggests that Total intravenous anaesthesia with propofol is safe & effective technique alone for Burr hole drainage of CSDH than local anaesthesia with sedation. It also facilitates patient comfort and surgical competence during surgery, perioperative haemodynamicstability,less perioperative complications, thus reduced hospital stay. Bang. J Neurosurgery 2019; 8(2): 100-104

scholarly journals COMPARISON OF SUBCOSTAL TRANSVERSUS ABDOMINIS PLANE BLOCK WITH PORT SITE INFILTRATION OF LOCAL ANAESTHESIA IN LAPAROSCOPIC CHOLECYSTECTOMY

2021 ◽  
Vol 71 (2) ◽  
pp. 625-28
Author(s):  
Kaukab Majeed ◽  
Nazish Shaukat ◽  
Muhammad Ali Muazzam ◽  
Usman Khalid ◽  
Junaid Zafar ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Local Anaesthesia ◽  
Transversus Abdominis Plane Block ◽  
Port Site ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Ultrasound Guided ◽  
Group A ◽  
The Mean ◽  
Group B

Objective: To compare the efficacy of ultrasound guided subcostaltransversus abdominis plane block and port site infiltration of local anaesthesia in patients undergoing laparoscopic cholecystectomy. Study Design: Comparative cross sectional study. Place and Duration of Study: Anesthesiology department, Pak Emirates Military Hospital, Rawalpindi, from Jan to Jun 2019. Methodology: A sample size of 62 patients calculated by World Health Organization calculator were randomized in a doubleblind study to undergo Sub costal transversus abdominis plane block or port site infiltration by non-probability, consecutive sampling into two equal groups. Group A received sub costal transversus abdominis plane block and group B local anaesthetic. Postoperative pain perception was measured using visual analogue scale. Results: The mean age of patients in group A was 33.39 ± 8.91 years and in group B was 33.77 ± 8.45 years. Out of 62 patients 38 (61.29%) were males and 24 (38.71%) were females. Mean pain score in group A (ultrasound guided sub costal transversus abdominis plane block) was 1.61 ± 0.91 while in group B (port site infiltration of local anaesthetic) was 3.61 ± 1.05 (p-value 0.0001). Conclusion: The mean pain score was less following use of ultrasound guided sub costal transversus abdominis plane block in patients undergoing laparoscopic cholecystectomy as compared to port site infiltration of local anaesthesia.

scholarly journals Comparison of Flipped classroom to traditional classroom lecture in Pharmacology among second year Dental Students

2021 ◽  
Vol 9 (1) ◽  
pp. 31-36
Author(s):  
Vibha Rani
Keyword(s):  
Antiepileptic Drugs ◽  
Flipped Classroom ◽  
Teaching Method ◽  
Learning Experience ◽  
Dental Students ◽  
Traditional Classroom ◽  
Group A ◽  
Second Year ◽  
Power Point ◽  
Group B

Flipped classroom is a teaching method where the students are involved in pre class preparations like watching related videos of lectures, reading relevant books and class time is utilized for clarifying doubts, discussion, class activity and problem solving Objectives: To compare traditional classroom lecture with Flipped classroom and to study the effectiveness and acceptability of the Flipped classroom approach in teaching Pharmacology. Methods: Second year dental students were divided into two groups-A and B of 37 each. Group A students, were given videos and voice over power point through Google group and What’s app group on Antiepileptic drugs and after two weeks they were exposed to Flipped class using think pair and share class activity while group B students were given traditional lecture class on antiepileptic drugs. Both groups knowledge was compared using a post test questionnaire and group A students perception on flipped class was assessed using a three point Likert’s questionnaire. Mean score between the two groups was compared using Man Whitney U test and p < 0.005 was considered as statistically significant. Results: 86% students preferred flipped class over conventional class and 95% liked think pair and share activity as it guided them in deeper understanding of the subject. Mean score was better among students involved in flipped class when compared to lecture class. Conclusion: Dental students had a good learning experience with the Flipped classroom method as it allowed them to learn at their pace and also guided them to apply learned information accurately

scholarly journals Feasibility of local anaesthesia in lateral internal anal sphincterotomy for chronic anal fissure

2018 ◽  
Vol 5 (7) ◽  
pp. 2578
Author(s):  
Bhimanagouda Venkanagouda Goudar ◽  
Eshwar B. Kalburgi ◽  
Yamanur P. Lamani ◽  
Veerabhadra Gowd Y. C.
Keyword(s):  
Hospital Stay ◽  
Local Anaesthesia ◽  
Primary Outcome ◽  
Treatment Options ◽  
Fissure In Ano ◽  
Post Operative Pain ◽  
Group A ◽  
Prospective Comparative Study ◽  
The Common ◽  
Group B

Background: Fissure in Ano is one of the common and most painful anorectal conditions encountered in surgical practice. Inspite of several conservative treatment options, surgical treatment in the form of Lateral Anal Spincterotomy (LAS) remains the gold standard of treatment for Chronic Anal Fissures (CAF).Methods: Prospective comparative study conducted on 90 patients randomly divided into two groups Group A under Local anaesthesia (LA) and Group B under Spinal anaesthesia (SA) respectively. The primary outcome variables studied were postoperative pain, hospital stay, and cost effectiveness.Results: A total of 90 patients randomly divided into 45 patients in each group. There was no statistically difference in the pain at surgery, but post-operative pain was significantly less in LA group at 5th hour, 24 hours after surgery. Hospital stay in LA group is significantly less when compared to SA group (1.92, 3.75 respectively).Conclusions: LAS can be comfortably performed under LA with added advantages.

Mirror Training in Three Dimensions for Dental Students

1992 ◽  
Vol 75 (3) ◽  
pp. 923-928 ◽  
Author(s):  
Robert S. Kunovich ◽  
Robert G. Rashid
Keyword(s):  
Analysis Of Variance ◽  
Dental Students ◽  
Two Dimensions ◽  
Three Dimensions ◽  
Time Error ◽  
Significant Difference ◽  
Group A ◽  
Mirror Training ◽  
Group B

Dental students have significantly improved skills of indirect vision following mirror exercises in two dimensions. The objective of this study was to assess whether freshmen improved these skills after mirror training in three dimensions. A pretest was given to 60 subjects, maneuvering a handpiece-shaped probe through a brass block maze. Total time, error time, and total errors were recorded for each of three perceptually different mirror positions. Subjects were then randomly divided into two groups. Group A participated in 2 training sessions; Group B (a control) received no training. Both groups then performed a posttest. Transformed time scores examined by analysis of variance indicated a significant difference for total time between Groups A and B at posttest at each mirror position. For error time, Groups A and B were significantly different at posttest at Positions 2 and 3. For total errors, groups were significantly different at posttest at Mirror Position 3 only. Indirect vision skills improved significantly with training in three dimensions.

scholarly journals Comparison of Antiplaque Efficacy of Commercially Available HiOra (Herbal) Mouthwash with Listerine Mouthwash: A Clinical Study

2017 ◽  
Vol 9 (2) ◽  
pp. 53-57
Author(s):  
Sanjeet Gill ◽  
Daljit Kapoor ◽  
Jagjit Singh ◽  
Tarun Nanda
Keyword(s):  
Phase 1 ◽  
Dental Students ◽  
Plaque Score ◽  
Naturally Occurring ◽  
Group A ◽  
The Difference ◽  
Two Phases ◽  
Group B ◽  
Antiinflammatory Effects ◽  
Single Blind

Background. Herbal mouthwashes nowadays are gaining popularity because they contain naturally occurring ingredients that achieve the desired antimicrobial and antiinflammatory effects. The aim of this study was to compare the efficacy of a commercially available herbal mouthwash (HiOra) with that of an essential oil-containing mouthwash, Listerine. Methods. A single-blind cross-over study was conducted on 30 dental students aged 18‒25 years. The subjects were randomly divided into two groups: A and B (n=15) and the study was divided into two phases. In phase 1, Listerine mouthwash was given to group A and HiOra mouthwash to group B. The plaque score was recorded with Turesky modification of the Quigley–Hein plaque index consecutively for 10 days. After 15 days of wash-out period, in phase 2 both groups were given the other mouthwash. Results. The plaque scores were compared and the difference between the HiOra and Listerine mouthwash was determined using Wilcoxon and Mann-Whitney tests. The differences between plaque scores were statistically insignificant (P>0.05). The results showed that HiOra and Listerine mouthwashes yielded comparable results in plaque reduction. Conclusion. Herbal mouthwash was found to be a potent plaque inhibitor, yielding results comparable to those of Listerine mouthwash. These formulations may be more appealing because they do not contain alcohol, artificial preservatives, flavors or colors.

scholarly journals Dimensional analyses of frontal posed smile attractiveness in Japanese female patients

2015 ◽  
Vol 86 (1) ◽  
pp. 127-134 ◽  
Author(s):  
Kyoko Hata ◽  
Kazuhito Arai
Keyword(s):  
Orthodontic Treatment ◽  
Transverse Dimension ◽  
Dental Students ◽  
Lower Lip ◽  
Mean Values ◽  
Significance Level ◽  
Female Patients ◽  
Japanese Female ◽  
Group A ◽  
Group B

ABSTRACT Objective:  To identify appropriate dimensional items in objective diagnostic analysis for attractiveness of frontal posed smile in Japanese female patients by comparing with the result of human judgments. Materials and Methods:  Photographs of frontal posed smiles of 100 Japanese females after orthodontic treatment were evaluated by 20 dental students (10 males and 10 females) using a visual analogue scale (VAS). The photographs were ranked based on the VAS evaluations and the 25 photographs with the highest evaluations were selected as group A, and the 25 photos with the lowest evaluations were designated group B. Then 12 dimensional items of objective analysis selected from a literature review were measured. Means and standard deviations for measurements of the dimensional items were compared between the groups using the unpaired t-test with a significance level of P &lt; .05. Results:  Mean values were significantly smaller in group A than in group B for interlabial gap, intervermilion distance, maxillary gingival display, maximum incisor exposure, and lower lip to incisor (P &lt; .05). Conclusions:  Significant differences were observed only in the vertical dimension, not in the transverse dimension. Five of the 12 objective diagnostic items were correlated with human judgments of the attractiveness of frontal posed smile in Japanese females after orthodontic treatment.

scholarly journals COMPARISON OF ULTRASOUND GUIDED MODIFIED PECTORAL NERVE BLOCK WITH LOCAL ANAESTHESTIC INFILTRATION FOR ANALGESIA IN BREAST CANCER SURGERY

2021 ◽  
Vol 71 (6) ◽  
pp. 1981-84
Author(s):  
Usman Saqib ◽  
Rashid Iqbal ◽  
Sana Usman ◽  
Rashid Hanif
Keyword(s):  
Nerve Block ◽  
Local Anaesthetic ◽  
Local Anaesthesia ◽  
Breast Surgery ◽  
P Value ◽  
Nerve Blocks ◽  
Pectoral Nerve ◽  
Analgesia Requirement ◽  
Group A ◽  
Group B

Objective: To compare the frequency of pain and mean analgesia requirement after breast surgery under general anaesthesia when comparing pectoral nerve block with local anaesthesia infiltration. Study Design: Comparative prospective study. Place and Duration of Study: Combined Military Hospital, Rawalpindi from Mar 2018 to Sep 2019. Methodology: A total of 60 patients undergoing modified radical mastectomy were included in the study. Group A (n=30) received pectoral nerve blocks while Group B (n=30) received local anaesthetic infiltration. Outcome was assessed at 12 hours after injection of local anaesthetic. Results: Pain in 7 (23.33%) patients in Group A (Pectoral nerve blocks) and in 20 (66.67%) patients in Group B (Local anaesthetic infiltration), p-value of 0.001 which was considered statistically significant. Mean analgesic requirement was found to be 80 ± 33.73 mg in the Group A (pectoral nerve blocks) compared with 141.67 ± 47.50 mg in Group B (Local anaesthesia infiltration) patients with a p-value of <0.001 which was statistically significant. Conclusion: Pectoral nerve block significantly reduces early postoperative pain and analgesia requirement when compared with Local anaesthesia infiltration after breast surgery.

scholarly journals Evaluation of an educational concept for risk-oriented prevention in undergraduate dental education

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Gerhard Schmalz ◽  
Felix Krause ◽  
Martin Grzelkowski ◽  
Cordula Merle ◽  
Daisy Rotzoll ◽  
...  
Keyword(s):  
At Risk ◽  
Dental Students ◽  
Clinical Treatment ◽  
The Self ◽  
Oral Diseases ◽  
Clinical Patient ◽  
Educational Concept ◽  
Group A ◽  
Group B

Abstract Background Aim of this observational study with a three-month follow-up was to evaluate an educational concept for risk-oriented prevention applied by fifth-year undergraduate dental students. Methods Dental students from two clinical treatment courses of the last undergraduate year were included. The subjects were divided into two groups according to their assignment to the two clinical classes. Group A received a sequence of seminars, including the basics of a risk classification system (RCS) with the theoretical background and case studies in the context of preventive dentistry. Thereby, 1) a theoretical seminar (background, RCS, cases) and 2) the transfer of the RCS on a clinical patient case chosen by the student, and its presentation within a discussion round was applied. Group B served as a comparison group with students who did not receive any of teaching events in terms of RCS. The self-perceived knowledge and importance of RCS, as well as objective knowledge (qualitative questions), were assessed with a standardized questionnaire at baseline and after 3 months. Results Out of 90 students at baseline, 79 (group A: 39, group B: 40) were re-evaluated after 3 months. At this follow-up, Group A estimated their confidence in handling the medication (p = 0.02), the RCS (p < 0.01), and in identifying the risk of oral diseases (p = 0.02) higher than group B. Furthermore, group A felt it was more important to identify patients at risk (p = 0.02), the risk of complications (p = 0.02) and to apply an RCS (p = 0.03). At follow-up, group A exhibited more correct answers of qualitative questions than group B regarding risk of complications (p < 0.01) and bacteremia (p < 0.01). Group A felt more confident with at-risk patients and more competent concerning RCS than group B (p < 0.01). Conclusion The concept for educating risk-oriented prevention increased the self-perceived skills and the knowledge of undergraduate dental students after 3 months within a clinical treatment course.

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