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Objective: To evaluate the frequency and severity of Non-carious cervical lesions (NCCLs) in patients reporting for provision of fixed dental prosthesis to the Department of Prosthodontics at Khyber College of Dentistry. Study Design: Descriptive Cross-sectional study. Setting: Department of Prosthodontics Khyber College of Dentistry, Peshawar. Period: March to September, 2019. Material & Methods: Patients of both genders above 18 years of age who reported to prosthetics department for provision of fixed dental prosthesis were included in this study. Frequency of Non-Carious Cervical Lesions was evaluated by visual and clinical examination. The severity levels of NCCLs were classified according to Smith-Knight tooth wear index (TWI) after assessment using William's probe and plain dental mirror. The data was analysed using SPSS version 21. Results: Participants ages ranged from 18 to 50 years with a mean age of 46 years ± 2.3 SD. Among the total 149 patients evaluated, 89 (59.7%) had Non-Carious Cervical Lesions. Of these, 52 (58.4%) respondents had level 2 severity. The presence of NCCLs lesion was not associated with the gender and different age groups. Conclusion: High frequency of non-carious cervical lesions were found among local population. Thorough investigations of etiological factors is required for the prevention and managements of these lesions. [ABSTRACT FROM AUTHOR]

Objective: To determine the common locations of traumatic ulceration in denture supporting tissues following implantation of new complete dentures by prosthodontic postgraduate students. Methodology: This cross sectional study was conducted in the department of prosthodontics, Khyber College of Dentistry, Peshawar on 184 patients. Patients with newly placed dentures were examined after 3 to 4 days, on their first follow up visit, for the presence of traumatic ulceration. Pre-defined locations in the edentulous jaw were examined for the presence of traumatic ulcers. Data was entered and analyzed with the help of SPSS version 20. Results: The mean age was 55.85±2.22 years with male to female ratio of 1:1.9. Patients returning with one or more traumatic ulcers 3 to 4 days following the placement of their complete dentures were 141 (76.6%). More traumatic ulcers were found in tissues beneath mandibular dentures (n=,134 72.82%) compared to tissues beneath maxillary dentures (n=105, 57.06%). The most common sites to develop traumatic ulcers were the retromylohyoid area (n=73, 39.7%), maxillary vestibular sulcus between labial frenum and buccal frenum (n=52, 28.3%), maxillary tuberosity (n=51, 27.7%), mandibular vestibular sulcus at buccal shelf region (n=47, 25.5%) and the lingual sulcus at paralingual region (n=36, 19.6%). Conclusion: Traumatic ulcers in denture bearing tissues were reported in majority of the patients who received complete dentures. Retromylohyoid area was reported as the most prone area to the ulceration than others. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To study the frequency of cardiogenic shock in patients with non-ST elevation myocardial infarction (Non-STEMI). METHODOLOGY: This descriptive cross-sectional study was conducted from May 2011 to October 2011, at Cardiology Department of Hayatabad Medical Complex, Peshawar. Sample size was calculated using WHO sample size as 600 patients. Consecutive non probability sampling technique was used. All patients with diagnosed Non-STEMI, meeting the inclusion criteria were enrolled in the study after taking informed consent. All patients were admitted in the cardiology unit and were evaluated for cardiogenic shock on the basis of operational definitions and were managed as per ward and unit protocols. All relevant information was recorded in a predesigned proforma. RESULTS: Out of 600 patients, 408(68%) patients were male and 192(32%) patients were female. Mean age of the patients was 60±1.26 years and majority (n=246; 41%) of patients were in age range 61-70 years. Overall 30 (5%) patients with Non-STEMI developed cardiogenic shock. Out of 30 patients, 6 (20%) patients were in age range 51-60 years, 8 (26.7%) patients were in age range 61-70 years and 16 (53.3%) patients were above 70 years of age. Mean time interval from onset of chest pain and ECG diagnosis of myocardial infarction was 8±2.71 hours. In patients with cardiogenic shock, 16 (53.3%) and 10 (33.3%) patients had time interval of 4-8 hours and >8-16 hours respectively. CONCLUSION: Cardiogenic shock occurs in 5% patients with Non- STEMI in our set up and is more common in patients above 70 years of age. [ABSTRACT FROM AUTHOR]

The Objective of this study was to determine the frequency of common signs of temporomandibular disorders (TMDs) in subjects with partial edentulism. This cross sectional (descriptive) study was conducted at the department of Prosthodontics, Khyber College of Dentistry, Peshawar. Relevant history was recorded. Patients were screened for the presence of signs of TMD. Detailed intraoral and extra oral examination was carried out using standardized technique of inspection, palpation and percussion along with measurement of mouth opening. Patients were checked for facial pain by palpation, mouth opening and jaw sounds. A total of 143 Prosthodontic patients in which males were 78 and females were 65. The mean age was 42.60±16.42 years. The mean number of missing teeth was 9.38±6.90. TMJ sound was the most common signs of TMDs in this sample of patients. Fifty seven (39.9%) patients reported clicking sound of TMJ, 42(29.4%) had muscles tenderness, 27(18.9%) had restricted mouth opening and 21(14.7%) had mandibular deviation. As the number of missing teeth increases the increase frequency of signs of TMDs were found. The highest frequency of signs of TMDs was found in patients having more than 20 missing teeth. All signs of TMDS when stratified by number of missing teeth were statistically significant except the mandibular deviation. Patients having reduced occlusal support due to partial edentulism have higher prevalence of signs of temporomandibular disorders. So, within the limitations of this study it can be concluded that the preservation and replacement of missing teeth may help in prevention of TMDs. [ABSTRACT FROM AUTHOR]