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ORIGINAL ARTICLES
Social networking trends among female health college students in King Khalid University, Saudi Arabia
Ibrahim Al-Shahrani, Rafi Ahmed Togoo, Shreyas Tikare, Amal Saeed Shiban Al-Shahrani, Noura Abdulaziz Abu-Melha, Zainab Ali Al-Qahtani
January-June 2016, 1(1):19-23
Objective: The present research was to study the social networking trends among female health college students in KKU Abha, Saudi Arabia. Methodology: A pretested questionnaire was developed consisting of 11 items concerning with individual’s usage of social media. All female students of colleges in King Khalid University were considered for the study. Results: A total of 466 female students participated in the research. 96% of the students had registered themselves at some social networking site. Whatsapp was found to be the most popular application (17.4%) followed by Twitter (16.2%), YouTube (15.2%), Google-plus (13%), Facebook (13%), Skype (10.7%) and others. Majority of students (64%) accessed Google for their academic assignments and information gathering.76% of students had practice of accessing to SNS on a daily basis. Majority (43%) of students’ accessed social networking sites late night before sleep or after college hours (32%).The most common reason for SNS usage was for Entertainment (45%). The Pearson’s correlation analysis showed that there was no significant correlation between the frequency of SNS usage and student’s average academic grades (r = 0.064, p = 0.174). Conclusions: The female students at the university are very active on SNS. The social media platforms are mainly used for social interactions or entertainment. There was no statistically significant correlation between social media usage and academic outcomes. Social media platforms should be considered as an effective and informal media in engaging students for academic purposes.
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The influence of forward head posture on cervical proprioception in dentists
Ravi Shankar Reddy
January-June 2020, 5(1):26-32
DOI:10.4103/WKMP-0204.291956  
Objective: The study aims to determine the influence of FHP on cervical proprioception in dentists. Method: In the study, 84 dentists were divided into two groups based on their craniovertebral (CV) angle: the FHP group (44 subjects with mean age 34.95 ± 6.68 years and CV angle 49° or less) and a healthy group (40 subjects with mean age 29.80 ± 6.46 years, CV angle ≥ 49°). CV angle: an angle formed between a line extending from 7th cervical vertebrae (C7) to the tragus of the ear and a horizontal line passing through C7. The cervical Joint Position Error (JPE) testing is performed as an estimate of cervical proprioception in sagittal (flexion, extension) and transverse plane (rotation to the left and the right). Three trials of JPE’s were tested in each direction, and the mean of these errors is used for analysis. Results: There were significant differences between the FHP and healthy subjects in the cervical JPEs (p<0.001) in all four directions. There was a weak to moderate negative correlation between the CV angle and the JPEs tested. Conclusion: The dentists with FHP demonstrated reduced cervical proprioception. Changes in the length-tension relationship in cervical musculature due to FHP may affect cervical position sense. Also, cervical proprioception may become worse as the degree of FHP increases.
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Patients’ perception towards comprehensive model of dental care delivery at a teaching institute of Saudi Arabia
Mohammad Shahul Hameed, Ali Azhar Dawasaz, Khalid Mohammed Altali, Mohammed Shaya Almazni, Mohammed Abdullah Asirri, Abdulrhman Saad Ali Alqhtani
July-December 2019, 4(2):25-31
Objective: To evaluate patients’ perception and satisfaction with regard to the treatment provided by final year dental students enrolled in comprehensive care courses at King Khalid University College of Dentistry Clinics, Saudi Arabia. Methods: A total of 120 patients (mean age, 28.3 years; age range, 15–57 years) who underwent comprehensive dental treatment provided by final year dental students were enrolled in the study. A questionnaire designed in English and Arabic was employed, and the level of patient satisfaction was evaluated using a five-point Likert scale ranging from 1 to 5 (strongly agree, agree, neither agree nor disagree, disagree, and strongly disagree). Results: The majority of the patients (>90%) appeared to be satisfied with the attitude, cheerful disposition, and competency of the dental students. More than 75% of the patients were satisfied with the manner in which the procedures were performed (painless and adequate infection control). Nonetheless, a proportion (25%) of the patients was dissatisfied with the time taken for the treatment procedures and facilities provided at the hospital. Conclusion: Most of the patients were happy with the services provided by the final year dental students at the clinic. However, addressing issues such as waiting time, appearance of waiting area, and time taken for the dental procedures may help improve the perception and satisfaction of the patients with regard to the services provided at our college.
  127 11 -
Functional endoscopic sinus surgery in treating pediatric chronic rhinosinusitis: The Aseer Region experience
Nasser A Fageeh
January-June 2016, 1(1):1-6
Objectives: This study aimed to investigate the clinical outcomes of functional endoscopic sinus surgery (FESS) in treating chronic rhinosinusitis (CRS) in Aseer Region children, and to look at the most likely etiologies that might be attributed to the need of surgical intervention in these children. Methods: Hospital charts for 47 children underwent FESS for CRS were retrospectively reviewed. We looked at the demographic information, clinical presentation, preoperative CT-scan reports and indications for the surgical procedure. Exclusion criteria include cases of FESS done by other surgeons, children below 4years and above 15 years, allergic fungal sinusitis, cystic fibrosis, mucocele and cases of antro-choanal polyps. Results: The majority of patients 38 (81%) presented with CRS were under the age of 8 years. The mean age was 6.5 years at presentation. There were 31 (66 %) males and 16 (34)% females. The persistent nasal discharge was the main symptom in 38 (81%) of the children. Eight (17%) children only presented with an associated nasal obstruction that was attributed directly to adenoid hypertrophy. Nineteen (40.4%) patients had obstructive anatomical variants and 28 (59.6%) patients were diagnosed having allergic rhinitis. Forty- one (87.2%) patient improved and required no further treatment and the remaining 6 (12.8%) patients required revision. Conclusions: Results of the present study are commensurate with findings from prior research in that they confirm that the FESS procedure is recommended to those who fail medical therapy and continue to have bothersome symptoms. Congenital anatomical obstruction (concha bullosa and Haller cells) followed by allergic rhinosinusitis havebeen found to be the most common etiological factors among the experimental group of children treated surgically.
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CASE REPORTS
Unconventional single - visit interim prosthesis – A case report
SH Hassan Wijdan, Adel M Abdelmonem, Muhammad Farhan Khan, Saurabh Chaturvedi
January-June 2019, 4(1):25-30
Replacement of missing anterior teeth is of utmost importance for esthetics and function. Fixed partial dentures (FPDs) are the most commonly used prostheses but are usually associated with failure either due to faulty fabrication, inadequate retention, or negligence in maintenance by the patient. During fabrication of new FPDs, transitional prostheses have an important role in providing esthetics and function to the patient. The aim of the current work was to provide adequate esthetics to a patient during the treatment period. During the transition phase of fabrication, a new fixed partial denture, patients should be provided with an interim prosthesis. In this case report, interim prosthesis was fabricated using acrylic resin. The contours of existing fixed prosthesis were duplicated, and an unconventional interim prosthesis was fabricated in single-visit for a young adult female patient with failed anterior fixed partial dentures. Step by step treatment was carried out to fabricate the interim prosthesis for the patient. The interim prosthesis fabricated was clinically acceptable. After insertion of the prosthesis, the patient and her family were satisfied with the esthetics. During follow-up as well, the patient was satisfied with the prosthesis and did not show any discomfort. The unconventional approach for the fabrication of an interim prosthesis used herein for a young adult female patient fulfilled the requirements of the patient and successfully protected the tissues during the fabrication of the final prosthesis.
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ORIGINAL ARTICLES
Health related quality of life of adolescent school aged students in southwestern Saudi Arabia
Awad Saeed Alsamghan, Abdullah Moraya Assiri, Shehata Farag, Safar Abadi Al-Saleem, Mohamed Abadi Al-Saleem
January-June 2020, 5(1):19-25
DOI:10.4103/WKMP-0204.291955  
Objectives: The present work aimed to measure the quality of life among adolescents in Abha City in southwestern Saudi Arabia. Methods: A descriptive cross-sectional study was performed targeting all male and female students enrolled in Abha secondary schools. The Arabic version of the World Health Organization Quality of Life Questionnaire (condensed edition) was used. Results: The study included 400 students. The reported average score of quality of life ranged from 60.6 for the physical health domain to 70.8 for the environmental domain. Factors that significantly affect the physical health domain were age, gender, nationality, mothers’ education, and monthly income. Regarding the psychological health domain, the significant determinants were age, gender, birth order, parental status, and income. As for the social relationship domain, the only significant factor was age. Regarding the environment domain, the significant determinants were birth order and income. Conclusion: The study augments evidence to boost relations between individual characters, lifestyle health behaviors, and quality of life among adolescents so that health managers, health instructors, and health advocates can create and execute relevant plans and services to specific groups to improve their quality of life.
  103 20 -
Isolation of acanthamoeba species from fresh water sources in southern regions of Saudi Arabia
Ahmed Mossa Al-Hakami, Shubayli Hassan Al-Shehri, Saud Mohammed Al-Shahrani, Mohammed Abdullah Al-Qarni, Ali Saeed Kadasah, Saeed Abdulrahman Alghamdi, Mohamed El-Amin Hamid
July-December 2016, 1(2):1-5
Objective: The present study aimed to investigate the occurrence of Acanthamoeba species and other FLAs in freshwater sources in southern regions of the Kingdom of Saudi Arabia and to estimate the prevalence of their existence in these areas. Methods: Water samples from both fresh water course and hot springs (n = 15) were collected from five different zones in Aseer region, southern western parts of the kingdom. Isolation and identification of Acanthamoeba species and other FLAs were carried out from these water sources (fresh water course and hot spring). The methods included filtration, in vitro culture and incubation for up to three weeks for the selected samples according to standard methods. Results: Examination of water samples by direct microscopic methods showed no amoebic parasites among all of the 15 samples collected from five different sites. However, when the water samples were cultured on non-nutrient agar (NNA), four (26.7%) of the 15 samples showed growth of Acanthamoeba species. Principle component analysis (PCA) indicated that the water bodies/ sources that were positive for Acanthamoeba spp. shared a common natural characteristic that the water bodies were exposed to contamination. Conclusion: The study demonstrated that Acanthamoeba spp. were prevalent in some sites (3 out 5 sites were positives; 60%), low in two sites (1 out 3 samples) while absent in two sites (0 out of six samples). More comprehensive research is needed to find out the true prevalence of these parasites and factors affecting their existence.
  101 21 -
Musculoskeletal disorders among ophthalmologists in the Kingdom of Saudi Arabia: A cross-sectional study
Abdulrahman M Alamri, Jaya Shanker Tedla, Irshad Ahmad, Abdullah Laftal, Abdulhamid Al Ghamdi
January-June 2018, 3(1):7-12
Objective: This study aimed to determine the most common musculoskeletal disorders among ophthalmologists in the Kingdom of Saudi Arabia. Methods: Ophthalmologists throughout the Kingdom were contacted by mail or by person. After obtaining their informed consent, we requested them to fill the Health Status Questionnaire. Results: Out of the 330 ophthalmologists contacted, 150 of them responded, but 43 provided insufficient data and 15 were practicing abroad and they were excluded. The remaining 92 surveys were analyzed for this study. Most of the ophthalmologists complained of low back pain (48%) and neck pain (40%). Other common areas of pain reported were that of the shoulders (27%), mid back (23%), upper back (16%), knee (16%), and gluteal region (15%). Conclusion: The common musculoskeletal disorders among ophthalmologists were found to be low back pain and neck pain. Most of the ophthalmologists believed that abnormal posture during surgery and lack of exercise are the most common reasons for their pain. Many of them reported that pain affected both their professional and personal lives.
  109 13 -
A study of student awareness of radiation protection skills at jazan university
Nouf H Abuhadi
January-June 2019, 4(1):6-13
Objectives: To evaluate radiology students’ awareness of ionising radiation exposure and its related risks during common diagnostic imaging procedures, to evaluate students’ radiation protection knowledge for assessment of educational processes and clinical training. Materials & Methods: A total of 200 senior students at the Diagnostic Radiology Department were requested to complete a questionnaire consisting of 26 questions. The data were analysed using the statistical package for social sciences software (SPSS). Results: The response rate was 90.5% (181 students). Awareness level depended on student grade point average (GPA), age, and relevant courses attended in radiation. Gender and marital status did not predict awareness of radiation protection standards. Conclusion: Our results showed a general lack of knowledge regarding radiation protection for fourth level students, which slightly improved in the subsequent levels. Including specific courses of radiation protection for medical and dental students is highly recommended. Such courses will improve skills specific to professional handling of radioactivity as well as radiation awareness.
  106 15 -
CASE REPORTS
Comprehensive treatment of endo-perio lesion: A case report
Shahabe Saquib, Nabeeh AlQahtani, Mukhatar Ahmed Javali
July-December 2016, 1(2):27-30
Pulpal infection may cause a tissue destructive process that proceeds from the apical region of a tooth toward the gingival margin. The term “retrograde periodontitis” was suggested in order to differentiate this from marginal periodontitis in which the infection spreads from the gingival margin toward the root apex. Proper diagnosis of the various disorders affecting the periodontium and the pulp is important to exclude unnecessary and even detrimental treatment. This is a clinical case report of an endodontic–periodontic lesion in relation to lower centrals and left lateral incisor. Root canal treatment has been done with the respected teeth six months ago, but the lesion showed no sign of healing. Radiographic examination revealed peri-radicular radiolucency in relation to 31, 41, and 42. Periodontal flap surgery was performed with apicectomy and the defect was filled with bone graft. Patient reviewed for one year which showed uneventful healing and no recurrence of the lesion.
  100 19 -
ORIGINAL ARTICLES
An adjusted h-index: A new recipe to evaluate the researcher's productivity
Anwar Hamdi
January-June 2016, 1(1):7-11
Objectives: To present an equation that will solve some of the problems related to the utilization of h-index in researcher’s evaluation. Methods: Adjusted h-index TOTAL = (Ad h-index1) + (Ad h-index2) + (Ad h-index3) and so on till (Ad h-index N) (N = Number of last publication). (Ad h-index1: for the First (1) publication); (Ad h-index1) = (A1)*(B1)*(C1)/(D1); A1 = H –index of the journal where the publication (1) had been published; B1 = the number of citations for publication (1); C1 = {(number of authors +1) – (order of author)}/(number of authors for publication 1); D1 = 1 + current year-year of publication (1). Results: The obtained results enlightening the superiority of the new equation to furnish the appropriate recognition to a scientist. Conclusion: The proposed equation will solve many of the problems linked to the h-index.
  105 13 -
Radiation dose measurements in intraoral and panoramic dental radiography in the Southern Region of Saudi Arabia
Hussain M Almohiy, Khalid I Hussein, Mohammed S Alqahtani, Mohammed K Saeed, El Hussain Hassan, Abdullah Ali M. Asiri, Mohammed Saad, Emad M Mukhtar, Mohamed Adam, Madshush Alshahrani, Haney A Alsleem, Muhammed Ajmal, Ibrahim Alshahrani, Nouf Abuhadi
January-June 2020, 5(1):39-46
DOI:10.4103/WKMP-0204.291958  
Objective: This study aims to estimate patient radiation doses for intraoral and panoramic dental radiography in the southern region of Saudi Arabia. Material and Methods: For intraoral units, the radiation doses were measured in terms of incident air kerma, Ki, and the detector was placed at 50 cm from the focus point. For panoramic dental radiography, the radiation doses were measured in terms of air Kerma-area product, PKA, using a calibrated CT ionization chamber. Results: For intraoral, the values for the estimated incidence of air kerma, Ki, ranged from 1.25 to 4.61 mGy (average: 2.55 mGy). For panoramic, the values for estimated Kerma-area product, PKA, values ranged from 79.5 to 122.1 mGy.cm2 (average: 99 mGy.cm2) for adults and ranged from 43.3 to 80.2 mGy.cm2 (average: 58.5mGy.cm2) for paediatrics. Conclusion: The study’s outcomes were compared with previous studies from other countries, indicating similar or slightly higher values. These results could serve as baseline data for radiation protection optimization and the development of national diagnostic reference levels in Saudi Arabia.
  97 18 -
CASE REPORTS
LIP repositioning surgery and its sequelae in the treatment of a gummy smile: A case report
Saad M Alqahtani
January-June 2019, 4(1):21-24
Excessive gingival display, also known as “gummy smile” has several etiologies. A gummy smile is a drawback for the esthetics and social behavior of various patients. Lip repositioning surgery confers predictable results. However, lip repositioning surgery is indicated in patients with a hyperactive upper lip, while gummy smile owing to altered passive tooth eruption and vertical maxillary excess need to be addressed with crown lengthening and orthognathic surgeries, respectively. Lip repositioning surgery is an uncomplicated procedure, which reduces the muscular pull on the upper lip to achieve minimal display of dento-gingival unit while smiling. Nonetheless, few authors question the relapse of the lip position. This report describes a case showing satisfactory results with lip repositioning surgery and after 1 year follow-up shows a nonsignificant relapse in the position of the upper lip. Hence, lip repositioning surgery is a safe and predictable approach for gummy smiles with negligible relapse.
  102 11 -
ORIGINAL ARTICLES
Patterns and outcomes of in-hospital cardiac arrest in a tertiary-care centre in the southern region of Saudi Arabia
Ali Al Bshabshe, Shahid Aziz, Abeer Aslouf, Rawan Hadi, Hayfa Al-Alfard, Nouf AlQahtani, Mariam Suhluli, Fahad Aljarad, Asmaa Almalky
July-December 2019, 4(2):39-46
Objective: To study patterns and outcomes of IHCA. Setting: Tertiary care centre in the southern region of Saudi Arabia. Design: Retrospective case-series study. Methods: Patients aged ≥12 years exhibiting IHCA and subjected to the hospital protocol including CPR from January 2014 to July 2017 were enrolled. Results: The study included 700 patients with a mean age of 59 years (range, 12–103 years; 59% males). Cardiac arrest occurred in 93% of patients, while 7% presented with respiratory arrest. The majority (94%) of cardiac arrest cases were asystole, followed by ventricular fibrillation (3%), pulseless electrical activity (2%), and pulseless ventricular tachycardia (1%). Of the arrest rhythms, 4% were classified as shockable. Overall return to spontaneous circulation occurred in 36.9% of cases. A logistic regression model revealed that age, need of mechanical ventilation, and CPR duration were the most significant predictors of survival among the arrested patients. Conclusions: Asystole was the predominating arrest rhythm in patients with IHCA. CPR duration, age, and need of mechanical ventilation are the main predictors of survival.
  95 17 -
CASE REPORT
Prolonged transient cerebellar eye closure in a postoperative cerebellar juvenile pilocytic astrocytoma tumor resection. case report and literature review

July-December 2018, 3(2):23-25
We report one of the longest periods of TCES in a 5-year-old child who underwent cerebellar tumor resection. Our findings suggest that TCES can extend beyond what has been described in the literature.
  102 9 -
ORIGINAL ARTICLES
Dermatologists’ knowledge towards computed tomography radiation dose in the Kingdom of Saudi Arabia
Hend M Al Atif
January-June 2020, 5(1):1-6
DOI:10.4103/WKMP-0204.291961  
Objective: To assess the knowledge of Saudi dermatologists regarding protection against hazards of ionizing radiation during computed tomography (CT) procedure. Methods: It was a cross-sectional research design, comprising of dermatologists. A study questionnaire was designed and developed by the researcher, which included personal characteristics of the participants and statements on their knowledge regarding risks of exposing patients to ionizing radiation during radiological investigations. Results: This study included 120 dermatologists. The majority of participants (93.3%) did not attend any course on protection against ionizing radiation. Only 19.2% were familiar with the ALARA principle, while 51.7% were aware of a link between radiation exposure and increased risk of developing cancer. Recommended dose limits (1.7%) concern about radiation doses delivered to patients (31.79%) from requested CT, and alternative imaging investigations (80%) other than CT known to the participants, was found unsatisfactory. Most participants (86.7%) had poor knowledge regarding exposure to ionizing radiation. Attending courses on radiation protection was significantly associated with better knowledge (p<0.001). Conclusion: Knowledge of most Saudi dermatologists regarding hazards of ionization radiation is poor. This can be attributed to their lack of exposure to any courses on radiation protection. Awareness of Dermatologists can be done by conducting more workshops and associated seminars, in order to enhance their knowledge regarding this issue.
  86 23 -
Qualitative analysis of student perceptions assessing active learning methods in a therapeutics course
Abdulrahman Alsayari, Dalia Almaghasalah, Arwa Khaled, Yahya Alhamhoom, Asif Ansari Mohammad, Mohammed Ghazwani
July-December 2017, 2(2):8-17
Objectives: To evaluate the implementation of active learning methods in a therapeutic course from students’ perspective. Methods: The project consisted of two phases of work: Phase I was a fieldwork, where students were exposed to the different active learning methods. Phase II was a feedback from students by interview through conducting focus groups, to assess their preference for each learning method. Results: The students regarded the newly implemented active learning methods as generally helpful in developing most of the skills required for the practice of pharmacy, but there were a number of suggestions for improvement. Conclusion: Students indicated that incorporation of these active learning methods resulted in better academic outcomes including in their examinations.
  95 14 -
CASE REPORT
Rare healing pattern of tooth after fracture: A case report
Suraj Arora, Gurdeep Singh Gill, Namita Jain, Shahabe Saquib Abullais, Anshad Mohamed Abdulla
July-December 2018, 3(2):26-30
Dental trauma is one of the prime reasons for tooth loss in permanent dentition. Horizontal intra alveolar root fractures are rare with an incidence of less than 7% as compared to other dental impact trauma outcomes. Most of the root fractures heal without treatment, complications like pulpal necrosis and resorption may require endodontic intervention. This case report discusses the management of multiple horizontal intra- alveolar fractures in maxillary central incisor. Radiographically multiple healing patterns including the rare type 3 were observed. Combined surgical and non-surgical approaches were used for the management of the fractures.
  92 12 -
CASE REPORTS
Unique case of dental practice negligence using calcium hydroxide intracanal medicament: A case report
Adel S Alobaid, Rayan O Alnefaie, Mutassim A Elnager
January-June 2017, 2(1):26-31
Safe dental practice is based on the rule of do no harm. Procedural errors in endodontics are mainly based on wrong case selection with underestimation of case difficulty. The aim of this report was to discuss a case of negligence in dental practice leading to multidisciplinary treatment and pain management approach. This case reported to emergency clinics at King Khalid University, College of Dentistry (KKUCOD) after an accident of overextrusion of calcium hydroxide (Ca(OH)2) from tooth # 22 extended distally to greater palatine foramen area without sinus communication. Patient pain was unbearable and needed strong acting pain medication. The tooth was treated with nonsurgical endodontic with buccal perforation repair followed by surgical endodontic to establish apical seal and remove the extruded material. Then a full thickness palatal flap was needed to remove the extended material. This approach was effective in alleviating patient pain. Such incidence could have been avoided if a safe practice rules were strictly followed thus case difficulty assessment form must be used in such cases.
  92 11 -
ORIGINAL ARTICLES
Attitudes and perceptions of community pharmacists to antibiotic dispensing and microbial resistance. A study in aseer region, Kingdom of Saudi Arabia
Khaled M Alakhali
July-December 2016, 1(2):6-11
Purpose: The aim of this study was to study and explore the attitudes, perceptions, and dispensing habits of community pharmacist about antibiotic usage and microbial resistance. Material/Methods: It is a descriptive study conducted during April 2015 - July 2015in community pharmacies located in multiple places of Southern region of Saudi Arabia. 120 pharmacists were selected randomly and were invited to participate in the study by structured interview answering the question in the questionnaire. Results: The results of the present study included from both the chain pharmacies (n=84) and single pharmacies (n=36). Most of them had a Bachelor of Pharmacy (80.8%) and few had Pharm.D. (19.2%) degree. Attitudes related to the problem of resistance were attributed external responsibility, to patients, to physicians, to other pharmacies. Some attitudes were identified that could lead to antibiotic dispensing without a prescription. These were commercial interest and pressure from the patient. Conclusions: To conclude the present study, the community pharmacist had positive attitude towards improving antibiotic use and bacterial resistance. However, we are of opinion that strong regulation coupled with education intervention both to the pharmacist and public would be the way forward to tackle this issue of fight against antimicrobial resistance
  91 12 -
REVIEW ARTICLES
Root resorption after orthodontic treatment: A literature review
Abdulaziz Alshahrani
January-June 2019, 4(1):1-5
One of the most feared complications after orthodontic treatment is the external root resorption. Root resorption leads to shortening of root and thus, the integrity of teeth arch is broken down. Both the cervical and apex zones of the roots can be affected by it due to orthodontic forces involved in the tooth movement. The future of the teeth involved may also be compromised due to orthodontic treatment. It is necessary that the patient is pre-informed about the root resorption’s risks as a result of orthodontic treatment. It is possible to detect the orthodontic-induced root resorption both during the active phase of treatment and after the orthodontic treatment. The degree and severity of orthodontic-induced root resorption are dependent on a number of factors involving environmental factors and the host himself. The paper talks about the root resorption, its degree of severity, mechanism, detection methods, and significant correlation with individual susceptibility, tooth structure, fixed appliance treatment, orthodontic tooth movement, orthodontic force, and treatment duration.
  90 13 -
ORIGINAL ARTICLE
Management of failed subtrochanteric fractures with a proximal femoral nail by a reverse supracondylar locking plate
Mohammed Lafi Shaher Al-Otaibi
July-December 2018, 3(2):14-17
Objective: To show the advantages of distal femoral anatomical locking plates for salvaging failed subtrochanteric femoral fractures. Material & Methods: 11 patients (9 males, 2 females) with subtrochanteric fractures with nonunion following implantation with a PFN (10 patients) or an interlocking nail (1 patient) were managed by removal of the implant, open reduction, freshening of bony ends, and internal fixation by a reverse supracondylar locking plate along with autogenous corticocancellous bone grafting. All patients were followed up clinically and radiologically. Functional outcomes were assessed in terms of the Harris Hip score. Results: All patients showed union at an average of 23.2 weeks after revision surgery. The Harris Hip score at the most recent follow-up was 84.6. Functional outcomes were excellent in 18.1%, good in 45.4%, fair in 27.2%, and poor in 9% of patients. Conclusion: A reverse supracondylar locking plate can be used as a viable option for failed primary osteosynthesis in subtrochanteric fractures and is associated with good functional outcome.
  90 12 -
ORIGINAL ARTICLES
Periodontal health knowledge and oral hygiene behavior among non-teaching staff from Taibah University, Madinah, K.S.A
Ahmed Salah Al-ahmadi, Mazen Saleem Al mohammadi, Wed Khalid Al maysari, Alhanouf Mohna Al-rehili, Mohammad Sami Ahmad
January-June 2018, 3(1):21-27
Objective: This study was aimed to assess the periodontal diseases awareness and knowledge among non-teaching staff at Taibah University. Material and Methods: This is a questionnaire based cross sectional descriptive study conducted on 450 non-teaching staff (250 male and 200 female) at Taibah University. The questionnaire composed of three parts, socio-demographic, periodontal health knowledge and oral hygiene practice. Results: The periodontal health knowledge were high among females (87%) compared to males (75%) P=0.01. The staffs that were visiting a dentist regularly every 6 months had more good knowledge (91%) P<0.001. There was a significant relation between periodontal health knowledge and tools of cleaning and times of cleaning teeth P<0.001 as well as the participants who got preventive advice had significant relation with the periodontal health knowledge P<0.001. Conclusion and recommendation: The female participants were having high level of periodontal health knowledge and awareness. The staff who were regularly visiting a dentist and cleaning their teeth two time a days with cleaning tools had more periodontal health knowledge. Oral health educational programs and aids, like leaflet written oral hygiene instructions, educational posters and lectures, are needed in the campus of Taibah University.
  87 12 -
CASE REPORTS
Localized longstanding chronic inflammatory gingival overgrowth - A case report
Shankar T Gokhale, Saurabh Chaturvedi, Shashit Shetty Bavabeedu, N Raghavendra Reddy, Astha Agrawal
January-June 2016, 1(1):48-50
We report a young patient who presented with longstanding gingival swelling. Based on the clinical, radiological, and histopathology findings following excision, a diagnosis of localized longstanding chronic inflammatory gingival overgrowth was made. Chronic longstanding inflammatory gingival overgrowth might be seen either localized or generalized owing to fibrosis. It might mimic the appearance of idiopathic gingival overgrowth. Generally, these overgrowths are painless, appear pale pink in color, vary in size and are leathery firm in consistency. Careful examination & proper history would help us in diagnosis and treatment planning.
  87 11 -
ORIGINAL ARTICLES
Bordetella pertussis IgG level among pregnant women and their newborns in Najran, Southwestern, Saudi Arabia, an evidence for urgent update of the local maternal vaccination guidelines
Mohammed S AlAyed
January-June 2018, 3(1):28-32
Objective: To determine the pertussis IgG among pregnant women and their newborns at delivery in Najran Maternity and Children Hospital, Saudi Arabia. Methods: paired maternal-neonatal cord blood samples collected at delivery between November 2016 and July 2017 at Najran Maternity and Children hospital. Using ELISA, sera analyzed for pertussis IgG. According to the manufacturer instructions (Diagnostic Automation, INC, DA-B. Pertussis IgG, USA). Results: Out of 271 samples, the maternal mean age was 28 years (range 16-46) and that of gestation age was 38.5 weeks (range 33-42). Forty mothers (14.76%) were seropositive, thirty-five (12.91%) were borderline and 196 (72.32%) were seronegative. Only two (0.73%) infants were seropositive and their maternal antibodies were > 40 U/ml. Conclusion: this is the first report of maternal pertussis immunity from Saudi Arabia, which will stimulate serious discussion on updating maternal vaccination policy in our country. Maternal immunization with Tdap before pregnancy or during the second or third trimester could provide protective immunity to the newborns, covering the gap between birth and the first dose of Tdap. However, still further larger research on safety and effectiveness of maternal vaccination would be very valuable.
  87 11 -