Showing 157 results for Dental
Mehrnoosh Jafari, Neda Pournasir, Mojtaba Hosseini,
Volume 33, Issue 4 (1-2021)
Abstract
Background and Aims: Providing quality services is one of the important goals of the health system. Dental services and treatments are expensive. The aim of this study was to investigate the factors influencing the perceived quality of dental treatment services.
Materials and Methods: This descriptive-cross study conducted in 2 qualitative-quantitative phases. Data were collected using interviews and pairwise comparison matrix with 20 dentists working in NAJA dental clinics who were selected by targeted sampling. The validity and reliability of the interviews were determined by long-term engagement of their peers and negative case analysis. The validity of the pairwise comparison matrix was determined through the incompatibility rate (>0.1). Data were analyzed by coding and effect intensity tests (R+J), descriptive statistic test (mean, standard deviation) using SPSS23, Maxqda and matlab R2017b.
Results: Content analysis of the interview showed that tangible factors, assurance, trust, and empathy are the factors affecting the quality of dental treatment services. In the second phase, data analysis showed that trust and empathy (28.204), assurance (24.356), and tangible factors (17.798) are the most to the least important factors in the quality of dental treatment services (P=0.1).
Conclusion: Trust and empathy were the most important factors in the quality of dental treatment services. Managers of dental clinics and dentist need to improve the quality of dental treatment services by emphasizing respect for patients in accordance with the promise to act in the field of providing treatments to patients.
Azin Shishesaz, Reza Yazdani,
Volume 33, Issue 4 (1-2021)
Abstract
Background and Aims: Child’s oral health is believed to be related with maternal dental fear and anxiety. The purpose of the present study was to evaluate the relationship between the demographic status and maternal dental fear and anxiety and its effect on child’s dental caries.
Materials and Methods: This descriptive and analytical study conducted among 374 mothers which had attended to pediatric department of Tehran University of Medical Sciences for their child’s dental treatments in 2019 were evaluated in the present study. In addition to dental fear survey (DFS) and modified dental anxiety survey (MDAS) questionnaires, demographic information, age, marital status, family income, and educational level of the mother was recorded. Dental visit frequency and previous negative experience were also recorded. DMFT/dmft (decayed, missed, filled teeth) of the children was recorded according to WHO criteria. To assess the relationship between the variables, Pearson correlation and multiple linear regression were used using SPSS25 software.
Results: The mean age of the mothers was 35.66±15.75. There was no relationship between maternal dental fear and anxiety and children’s dental caries status (P=0.738). There was no relationship between the mothers’ age and dental fear, and anxiety (P=0.943). Previous negative experience and education were related to the dental fear and anxiety (P=0.02).
Conclusion: dmft of the children was not correlated with the maternal dental fear and anxiety. Higher education which was related with less dental fear and anxiety. Previous negative experience is one of the major factors influencing the maternal dental fear and anxiety.
Afsaneh Pakdaman, Sholeh Ghabraei, Mohammad Javad Kharrazi Fard, Ali Saadatpoor Moghaddam,
Volume 34, Issue 0 (5-2021)
Abstract
Background and Aims: Supporting the preventive approach is important in training future dentists. The purpose of the present study was to evaluate the knowledge, attitude and practice of senior dental students regarding non-invasive management of dental caries.
Materials and Methods: A cross-sectional study was conducted in 2019 using total sampling method and a valid and reliable questionnaire. Knowledge, attitude and self-reported practice of senior dental students regarding caries risk assessment (CRA) and management of lesions in two paper patients were assessed. The data analysis was performed using SPSS20 and the descriptive and analytical statistics were reported.
Results: In overall, 86 students (response rate=91%) were responded. In the knowledge section, caries history in the previous year, having frequent fermentable carbohydrate, xerostomia, and low socio-economic status were considered by more than half of students as factor for caries risk assessment. More than 90% of students had a positive attitude towards CRA in children. Nearly 50% of students tend to restore enamel lesions in proximal and occlusal surfaces in high-risk scenarios. There was significant association between the OHI instruction and debris index improvement (P=0.04) in the integrated comprehensive care clinic (TUMS). The linear regression analysis showed that there was no significant association between the demographic characteristics, place of education, previous course on the level of knowledge and attitude.
Conclusion: Senior dental students despite their general knowledge and positive attitude toward caries risk assessment, tended to aggressively manage the incipient lesions in the enamel and DEJ. Delivering prevention as integrated in the comprehensive care unit in order to improve oral hygiene status of patients is recommended.
Bita Heydarzadeh, Bahareh Tahani, Imaneh Asgari,
Volume 34, Issue 0 (5-2021)
Abstract
Background and Aims: School teachers have key role in providing the basic health information for their students, and their knowledge, attitude, and practice affect children's oral health through developing of the healthy behaviors. The goal of this study was to evaluate the effectiveness of an oral health education program for primary school teachers on their knowledge, attitude, and practice fields in the framework of oral health promoting schools.
Materials and Methods: This quasi-experimental pre-post study was conducted among five oral health promoting schools in Isfahan city in 2019. A validated and reliable questionnaire including four sections of demographic data, knowledge, attitude, and practice was applied for data collection. The questionnaire contained 24 knowledge, 9 attitudes, and 5 practice questions. It was distributed among 63 enrolled teachers at base line and two months later after two educational-emotional workshops. Before and after data were analyzed by SPSS21 (α=0.05) by related samples Wilcoxon signed rank test and background variables by Kruskall-wallis test.
Results: After the educational intervention, their knowledge score increased significantly from 14.1±3.8 to 18.5±3.7 (P<0.001). About 34% of teachers had a high level of knowledge proficiency at the beginning of the study which eventually rose to 76%. Teachers’ attitude decreased significantly from 34.6±5 to 31.4±4.6 (P<0.001). At the beginning of the study, 89% of them had a positive attitude towards oral health programs which decreased to 84% at the end of the study. In the performance part, 63.5% of the teachers paid attention to the fluoride in their toothpaste which reached 87.3% after the workshop and the teachers' performance score increased from 3.07 to 3.39 after the intervention (P<0.012).
Conclusion: The package of educational intervention for teachers in oral health-promoting schools improved the level of knowledge and practice, but slightly reduced the level of attitude. However, due to the importance of changing attitudes in teachers and the existence of structural and programmatic barriers to integrate the health issues into school education, other models need to be evaluated and compared.
Parastou Safania, Raha Barahmand, Amir Mohammad Safania,
Volume 34, Issue 0 (5-2021)
Abstract
Background and Aims: Due to the prevalence of corona virus and restrictions on access to health care in the community, there are clearly many concerns and problems for the lives of people, especially the elderly. Older people are at higher risk for this type of virus than the other ages. The purpose of this study was to investigate the status of dental services for the elderly during the corona outbreak and to provide solutions related to oral health of the elderly during the corona virus pandemic.
Materials and Methods: The present review study was performed and the selected keywords were: coronavirus and dentistry, dentistry and the elderly, corona and the elderly. Articles were selected based on findings and related texts. English language articles were selected using Google Scholar, Science direct, PubMed and Research Gate search engines. Sources were reviewed between January 2019 and October 2020. Based on inclusion and exclusion criteria, 15 articles were reviewed.
Results: Research findings showed that most studies have pointed to the importance of mobile and tele-dentistry. In a coronary pandemic, it is very important to correctly diagnose the patient's problems and determine the best type of treatment for the elderly. In addition, the elderly should be prevented from entering the unnecessary dental treatments. |
Conclusion: Many elderly people avoid the treatment of oral diseases during coronavirus pandemic due to fear of coronavirus, high dental costs, lack of access to appropriate services, and this causes irreparable problems in their health. Therefore, it is recommended to provide practical solutions to facilitate the dental treatment of elderly patients.
Maede Ghasemi, Reza Sharifi, Bahareh Tahani,
Volume 34, Issue 0 (5-2021)
Abstract
Background and Aims: Dental aesthetics has become an important issue in contemporary society. This study was designed to evaluate the patients’ satisfaction with their dental appearance and tendency to improve dental aesthetics.
Materials and Methods: In this descriptive study, a questionnaire with 17 questions was used to collect data from 200 patients referred to the dental school of Isfahan University of Medical Sciences from April-July 2019. A valid and reliable self-administrative questionnaire consisted of questions about the appearance of anterior teeth, receiving cosmetic treatments, and favorite aesthetic dental treatments was designed and used. Data were fed into SPSS22 and analyzed by Mann-Whitney, Kruskal Wallis and Spearman correlation tests (α=0.05).
Results: Among the participants, 27.5% (n=45) were dissatisfied with the appearance of their anterior teeth and the major reason for this dissatisfaction was related to the tooth color (35.8%, n=71). It was also observed that approximately 84% (n=168) of the patients had a history of smile concealment because of their teeth appearance. Among cosmetic dentistry treatments, aesthetic restorations were more commonly used than other treatments (20.5%, n=41). However, the most desired cosmetic treatments were teeth whitening (78.4%, n=156). There was no significant relationship between the satisfaction with the appearance of teeth and interest in the orthodontic treatment with age and education level (P=0.6).
Conclusion: Teeth color was the most important factor determining the degree of satisfaction with the appearance of teeth. Most of subjects desired to receive an aesthetic dental treatment and teeth whitening was the most popular aesthetic dental treatment.
Asie Eftekari, Maryam Bakhtiari, Amir Sam Kianimoghadam,
Volume 34, Issue 0 (5-2021)
Abstract
Background and Aims: Studies have shown that dental anxiety may be caused by various factors such as child mood, age, maternal emotional maturity, previous dental anxiety and parenting styles. Therefore, the aim of this study was to investigate the possible relationship between the parenting styles and pediatric dental anxiety and the predictability of this variable through parenting styles.
Materials and Methods: The present study was a cross-sectional correlational study. The study population was children aged 7 to 12 years who had referred to the dental clinics of Tehran in 1400. Sampling from one of the clinics was done randomly. A total of 100 questionnaires of modified child dental anxiety scale and parenting style inventory were given to the children and their parents and 95 of them could have been analyzed. The questionnaires were analyzed using SPSS22 software and Pearson correlation and regression tests.
Results: The results showed that dental anxiety had a negative and significant relationship with authoritative parenting style (r=-0.286, P<0.01) and a positive and significant relationship with authoritarian parenting style (r=0.342, P<0.01). Authoritarian parenting style can be a predictor of dental anxiety.
Conclusion: Knowing the predictors of dental anxiety can help a pediatric dentist analysing who is most prone to dental anxiety. Based on this approach, a relationship based on trust can be established between the dentist and parents to make the necessary recommendations to parents in the office, reduce dental anxiety and improve oral health conditions in children.
Dr Gelareh Eblaghian, Dr Alireza Reyhani Mohamadi, Miss Maryam Kalantari Nezhad,
Volume 34, Issue 0 (5-2021)
Abstract
Background and Aims: Nowadays, the best choice for replacing missing teeth are dental implants, however, failure is not unexpected. One of the factors that plays an important role in the implant failure is bacterial microleakage which could cause biological complication. The aim of this study was to compare the bacterial microleakage between the two types of implants.
Materials and Methods: In the present interventional study, SPI and Dentis implants were placed bilaterally in the premolar-molar area of the patients' mandible. One day and 14 days after the delivery of the crown, by removing the crown and removing the abutment, sampling was performed using a sterile paper cone from four areas. One day after sample culturing, the number of colonies was counted. All data were entered into SPSS 23 and were analyzed using independent samples t-test and paired t-test with a significance level of 0.05. |
Results: The amount of bacteria in
implant sulcus was significantly different between the two types of implants (P=0.003). After 14 days, the amount of bacteria in SPI implant sulcus significantly decreased more than Dentis implant sulcus (P=0.001). After 14 days, the amount of bacteria also decreased in all other areas which there were no significant difference between the two types of implants (P>0.05).
Farzad Imamverdy, Reza Yazdani,
Volume 35, Issue 0 (5-2022)
Abstract
Background and Aims: The most effective way to maintain and improve oral health is tooth brushing to physically remove dental plaque. In this regard, this study was conducted to compare the efficiency of the usual method of each person in comparison with different methods of brushing to remove dental plaque.
Materials and Methods: This study was conducted in 2020, as a randomized and open clinical trial with 72 non-dental male and female students of Tehran University of Medical Sciences. In this study, the usual method of tooth brushing with Modified Bass and Scrub Horizontal methods after training was evaluated in two random groups with plaque and gingival indices. Plaque index as a percentage and gingival index as a number (numbers between 0-1 mild inflammation, 1.1-2 moderate inflammation, 2-3 severe inflammation) were reported. The results were analyzed using SPSS25 software and paired t-test and variance equality test.
Results: The efficiency of the usual tooth brushing method in comparison with the two Modified Bass and Scrub Horizontal methods using two indicators of dental plaque and gingival indices was not statistically significant (P>0.05). Each method alone after tooth brushing significantly removed dental plaque (P<0.05).
Conclusion: The results of this study showed that the efficiency of the usual method of tooth brushing compared to trained methods in removing dental plaque and reducing gingivitis in short-term evaluation was not statistically significant.
Zahra Borna, Azad Jamei, Mojtaba Ghorbanian, Saman Taram,
Volume 35, Issue 0 (5-2022)
Abstract
Background and Aims: The objective of this study was to evaluate the knowledge, attitude, and practice of ergonomics during dental treatment among students of Urmia university of medical sciences in 2020.
Materials and Methods: In this descriptive-analytical study, self-administered questionnaires were given to 78 dental students of Urmia University in 2020 and the knowledge, attitude, and practice of every participant were evaluated. Demographic data including sex, age, and University grade were recorded as well. Data were analyzed by SPSS software24 with One Way ANOVA and t-test and the significance level of P<0.05.
Results: 78 students (44 males and 34 female) by Mean Age 23.9±2.12 were included in the study. The difference between the attitudes of different age groups was significant (P=0.006). The age group of 20 to 24 years had a more positive attitude than other age groups. However, the results of this study did not show a significant r elationship between the participants' knowledge and practice with their age (P>0.05).
Conclusion: According to this study, the knowledge, attitude and practice of Urmia dental students were in the desired range. 20-24 year students had significantly higher attitude in comparison to others. Therefore, more endeavors should be taken to improve these parameters in ergonomics.
Shirin Taravati, Zahra Abbasihormozi,
Volume 35, Issue 0 (5-2022)
Abstract
Background and Aims: Dental caries affects the quality of life of children and parents, oral health and overall health which can interfere with the childrens’ daily activities and growth. The purpose of this study was to investigate the relationship between the severity of dental caries and quality of life in pre-school children.
Materials and Methods: This cross-sectional descriptive study was conducted on 145 parents and preschool children aged 2-5 years old referring to Ahvaz dental school and a pediatric dentistry office in Ahvaz city. The convenient sampling method was used and participants were patients referred to the faculty of dentistry and one pediatric dentistry office in Ahvaz. Early Childhood Oral Health Impact Scale (ECOHIS) questionnaire was used to evaluate the oral health related quality of life. The demographic information and dmft index (decayed, missing, and filled teeth) was assessed for children. Statistical analyzes included descriptive statistics, Spearman and Pearson tests.
Results: The mean age of children was 4.12 ± 1.2 years. 72 children (49.65%) were boys and 73 of children (50.34%) were girls. Based on our results the mean ECOHIS score was 39.69 ± 18.95. There was a significant correlation between decreased quality of life and the lower age of the children (P=0.047), less parental education (P=0.018), more dmft score (P=0.000).
Conclusion: It can be concluded that severity of dental caries is effective on children's quality of life. The quality of life of children decreases with the increase in the dmft, lower socio-economic status of parents, and higher age of parents.
Soheila Khalili, Hajar Shekarchizadeh, Afsaneh Pakdaman,
Volume 35, Issue 0 (5-2022)
Abstract
Background and Aims: For dental students, communication skills are essential to effectively transfer the necessary information to the patient and meet the patient’s needs and expectations. Therefore, this study was conducted to determine the patient communication skills of dental students at Islamic Azad university of Isfahan in 2021.
Materials and Methods: In the present cross-sectional analytical study, an online standardized questionnaire DCCC (Dental consultation communication checklist) was provided to all clinical dental students applying a census sampling method. In total, from 248 clinical dental students, 230 students participated in the study (response rate=92.7%). The questionnaire included five dimensions of introduction, medical history, clinical examination, closure and patient. In order to determine the patient communication skills, its dimensions, and the association between patient communication skills and students’ demographic characteristics, friedman test, analysis of variance, independent t-test and a linear regression model were used for statistical analysis.
Results: The mean score of total communication skills of the students (117.16±15.6) was above average which was obtained from the maximum score of 155. There was a significant difference between the dimensions of communication skills (P<0.001). The highest scores were assigned to the clinical examination, patient, medical history, introduction and closure, respectively. No significant relationship existed between the score of students' communication skills with gender (P=0.08), age (P=0.17), marital status (P=0.19), and educational background in psychology (P=0.07). No significant relationship revealed between the total score of communication skills (P=0.92) and its dimensions (introduction P=0.79, medical history P=0.90, clinical examination P=0.77, closure P=0.35, and patient P=0.85) with the students’ academic year.
Conclusion: The total score of dental students’ communication skills and all its dimensions was above average. However, students reported poorer performance in dimensions of introduction and closure than the other dimensions. Therefore, it is recommended to design and implement educational interventions specially to improve the dimensions of introduction and closure.
Parichehr Behfarnia, Omid Fakheran, Zahra Zargar,
Volume 35, Issue 0 (5-2022)
Abstract
Background and Aims: The 2019 coronavirus pandemic has resulted in a lot of pressure on health systems around the world. The risk of transmission of infection in dentistry is significantly high. The aim of this study was to evaluate Covid-19 protection knowledge and practice of dentists in Isfahan in clinical environment.
Materials and Methods: In this study which was performed in April 2021 by available sampling method, an online questionnaire was used as a data collection tool. Questions included demographic characteristics, knowledge of proper protective protocols, protection protocols taken against Covid-19, and the prevalence of Covid-19 infection. Descriptive and analytical analyzes were performed using SPSS26 software including frequency distribution tables, graphs, independent t-test, and Pearson and Spearman correlation coefficients.
Results: 310 questionnaires were collected with complete answers. 87.4% of dentists had moderate and high knowledge of proper protective protocols against Covid-19. The mean knowledge score had no significant relationship with the demographic characteristics of age (P=0.59), gender (P=0.31 and r=0.05), work experience (P=0.16 and r=0.07) and degree (0.33=P). In the pandemic period, 87% of dentists treated dental emergencies and 40% delayed the dental treatment for patients with high risk of Covid-19. Dentists used personal protective equipment correctly. Among all the included dentists, 75% used high protection masks, 75% used face shields, 67% used hats, and 60% used sterile gowns in all of their treatment activities. The clinical environment was equipped well to prevent spreading of Covid-19. The results showed that 55.8% of the participants had one or more similar signs/symptoms of Covid-19 and 9% had a positive SARS-CoV-2 test during the last months.
Conclusion: The majorities of dentists had enough knowledge of proper protective protocols against Covid-19 and efficiently used all protections while performing dental procedures.
Hosnie Yusefi Fakhr, Yadollah Soleimani Shayesteh, Afshin Khorsand, Mehrdad Panjnoush, Mohammad Javad Kharazi Fard, Mohadeseh Heidari,
Volume 35, Issue 0 (5-2022)
Abstract
Background and Aims: According to the importance of primary stability on dental implant success and osseointegration, we intend to check and compare the stability and crestal bone loss rate between osteotomy technique and conventional implant insertion techniques.
Materials and Methods: In this study, 26 implants in anterior segment of maxilla in 13 patients were evaluated. The implants were TBR system (Toulouse, France) with 3.5 diameter and 10.5-12 mm length. The implant stability level was recorded immediately after surgery and 3 months later with Ostell mentor. The periapical radiography was taken immediately after surgery, 3 and 6 months to assess crestal bone resorption. Paired t-test and Wilcoxon signed Rank test used for data analysis.
Results: There were no statistically differences between the two treatments techniques in terms of stability (P>0.05). The mean crestal resorption was higher for the osteotomy technique 3 months after implant insertion (P<0.001) but there were no significant differences after 6 months (P=0.678).
Conclusion: Within the limitations of the current study, it can be concluded that the osteotomy it can be considered as a treatment technique in insufficient bone width.
Yasaman Azimi, Zahra Ghorbani, Tayebe Rojhanian,
Volume 35, Issue 0 (5-2022)
Abstract
Background and Aims: Activity-based costing enumerate every input consumed in treatment. The Covid-19 pandemic changed the dental treatment protocols and the ordinary circumstances of patients. The aim of this study was to calculate and compare the costs of three common dental services in Iran from the viewpoint of the providers and recipients of the services before the Covid-19 pandemic (2019) and during the pandemic (2021).
Materials and Methods: Direct medical and non-medical costs were considered from the service provider's perspective. Direct medical costs, indirect costs, direct non-medical costs, and intangible costs were considered from the recipient's perspective. To calculate the equivalent costs, the base year was considered 2021, and the costs of 2019 were calculated with a discount rate of 16%.
Results: From the service provider's perspective before the pandemic, the cost of dental amalgam restoration was 2,851,235 Rials, root canal treatment was 6,351,580 Rials, and tooth extraction was 1,887,295 Rials. The cost of these services in 2021 was 5,562,150 Rials, 8,070,591 Rials, and 4,865,563 Rials, respectively. From the recipient's perspective, before the pandemic, the cost of tooth restoration was 715,466 Rials, root canal treatment was 2,883,001 Rials, and tooth extraction was 3,267,359 Rials. The cost of the mentioned services in the year 2021 was 1,212,528 Rials, 3,971,640, and 3,680,880 Rials, respectively.
Conclusion: The Covid-19 pandemic has had an effect on increasing the cost of dental services from both the service provider and recipient perspective, but economic volatility has a vital role in increasing the estimated costs in the country. Probably, a part of the increase in costs was due to the role of brokers in providing dental materials and equipment.
Shima Golban, Hajar Shekarchizadeh, Simin Zahra Mohebbi,
Volume 36, Issue 0 (5-2023)
Abstract
Background and Aims: Considering the problems associated with occupational stress and burnout caused by this stress, this study aimed to determine the academic burnout, dental environment stress, and their association among dental students in Isfahan.
Materials and Methods: This analytical cross-sectional study was conducted in 2020, applying a convenient sampling method. Data collected from undergraduate dental students from Isfahan University of Medical Sciences and Azad University of Isfahan using the validated Persian version of BCSQ-12-SS (Burnout Clinical Subtype Questionnaire) including 12 questions and DES (Dental Environment Stress) including 32 questions. Volunteer students filled in the online questionnaires using social media including WhatsApp and Telegram. Data were analyzed using SPSS26, U Mann-Whitney test, Kruskal-Wallis test, Spearman correlation coefficient, and a linear regression model (level of significance P<0.05).
Results: Among 300 participants (response rate=64%), the mean age was 24.25±2.72, and 54.7% were women. The mean score of academic burnout was 2.61±0.66 of the maximum score of 5. Overload was the most effective dimension of academic burnout. The mean score of DES was 2.80±0.51 of the maximum score of 4. Clinical education was the most effective dimension of DES. A direct correlation was observed between the dental environment stress and academic burnout (P<0.001; r=0.33).
Conclusion: The academic burnout among dental students in Isfahan was moderate and dental environment stress was high. Considering the direct association between the stress and burnout, more efforts should be made to reduce dental environment stress especially in the field of clinical education.
Pooya Jannati, Faranak Vakili, Saeid Nokar, Somayeh Zeighami,
Volume 36, Issue 0 (5-2023)
Abstract
Background and Aims: Endocrown is a type of monoblock restoration using the pulp chamber and remaining coronal tooth structure for retention. Advancements in adhesive techniques have breathed fresh spirit into endocrown. Nowadays, there are two approaches for endocrown: conventional approach and biomimetic approach. This study aimed to review data on the steps and clinical and philosophical points of using these approaches to help dentists’ selection and performance.
Materials and Methods: The review was conducted by reviewing the articles available in PubMed, Scopus, and Google Scholar databases from 1995 to 2022. The keywords used were; Crown, Endodontically-treated teeth, Light-curing of dental adhesive, Onlay, and Post-Core.
Results: After removing duplicates, titles/abstracts were reviewed. Animal studies, studies without available full text or non-English language studies were excluded from the study. Then, the full texts of the remaining 59 articles were evaluated and 49 articles were eligible for the present study. The articles included clinical trials, in vitro, systematic reviews, and case reports.
Conclusion: Endocrown is a successful alternative to crown, especially in molar teeth. Regardless of the conventional or biomimetic approach, this treatment has a more favorable fracture pattern while preserving the remaining tooth tissue as much as possible.
Firoozeh Nilchian, Saghar Salehi,
Volume 36, Issue 0 (5-2023)
Abstract
Background and Aims: With the advancement of technology, the use of old teaching methods has been replaced by new and more efficient methods such as podcasts, to save the time of students and professors and to provide the opportunity for these two groups to interact more with be given to each other in the classroom. This method has advantages such as lower cost, the possibility of content courses, downloading content, and learning courses remotely. This study aimed to investigate the other benefits of this method as well as the level of students' satisfaction.
Materials and Methods: In this study, which was a randomized, single-blind educational trial, the students at Dental School of Isfahan University of Medical Sciences were divided into two control and intervention groups (via a random number table), with 37 persons in each group. The classroom was held traditionally for both groups in 3 sessions and the podcast file was provided to the intervention group at the end of the session. Then, a test was taken from both groups at the second and third sessions. The students’ answers were evaluated and each score was determined out of 5. The scores of this test were compared in the intervention and control groups. Finally, a questionnaire was provided to students to evaluate their satisfaction. The test scores were analyzed by independent T-test.
Results: In this study, with 74 participants, the average age was 22.47±0.85, and 43% of the participants were male. The scores of the two tests taken out of five were 4.86±0.10 in the intervention group and 4.04±0.94 in the control group, and a significant statistical difference was observed in favor of the intervention group (P=0.02). The average satisfaction of students regarding this educational method was 29.4 out of 50. After taking into account the confounding effect of age, the investigated intervention did not affect the average score of the students' questionnaire (P=0.031).
Conclusion: According to the findings of the present study, podcasts could be effective in students' learning and students had a positive attitude towards this method. The results of this study can be used as a feedback to the educational committees of the Iranian Ministry of Health and Medical Education.
Pegah Rahbar, Leila Basir, Nazila Kiani, Milad Soruri,
Volume 37, Issue 0 (3-2024)
Abstract
Background and Aims: Anxiety is one of the most important issues in the dental environment for children. The aim of this study was to investigate the effect of music on the level of anxiety and cooperation of children during dental treatment.
Materials and Methods: In this study 58 children aged 6 to 8 years were randomly divided into two groups: the intervention group (music played) and the control group (no music played). Children's anxiety was assessed using the Venham Picture Test and Frankel Behavior Rating Scale, and their heart rate was also measured.
Results: The results showed that in the intervention group, the level of anxiety based on the Venham Picture Test and Frankel Behavior Rating Scale was significantly lower. Additionally, the heart rate of children in this group was lower during the treatment (P<0.05).
Conclusion: Based on the findings of this study, the use of music as a non-pharmacological method can be beneficial in reducing anxiety and improving the cooperation of children in the dental environment.
Neda Yousefi Nojookambari, Malihe Naderi, Razie Askari, Somayeh Talebi, Mana Mohammadhosseini, Sahar Shabani, Sajjad Yazdansetad,
Volume 37, Issue 0 (3-2024)
Abstract
Background and Aims: Oral bacteria play an important role in oral diseases, due to their high adaptability to different environmental areas of the mouth. In this article, an attempt was made to describe the molecular mechanisms involved in the physiological relationships of oral and dental environment bacteria and their pathogenic significance with molecular approaches.
Materials and Methods: The present systematic review was written based on the advanced and standard search of keywords including Oral bacteria, Biofilm, and Dental diseases in PubMed, Springer, Scopus, Medline, Google Scholar, Science Direct, and Web of Science databases. For this purpose, an advanced and systematic search of articles published from 1993 to 2023 was conducted to compile the present article.
Results: Bacteria in the oral cavity have nutritional adaptations that are important for living in pathogen-host relationships, including adapting to proteolytic living conditions, using the host's glycome as a nutritional interface. This includes the use of host-derived sialic acid and other glycosidases in oral bacteria. Some of these bacteria adhere to surfaces such as salivary, epithelial proteins, and glycans, which ultimately lead to biofilm formation. Bacteria living in the oral environment are constantly exposed to a wide range of stress-causing factors and oxidative stress in the biofilm.
Conclusion: Dental caries, pulp, periapical, and periodontitis diseases (including gingivitis) are among the most common bacterial diseases. Among them, tooth decay caused by the presence of Streptococcus mutans is the most common dental disease due to the production of acids from carbohydrate fermentation which is characterized by the demineralization of tooth structure.
