Imran Alam Moheet

Prevalence of dental caries in primary and permanent teeth and its relation with tooth brushing habits among schoolchildren in Eastern Saudi Arabia

Objectives: To determine the prevalence of dental caries in the primary and permanent teeth, and evaluate the brushing habits of school children in Dammam, Kingdom of Saudi Arabia (KSA). Methods: This study was conducted at Dammam, KSA. Oral examination of the participants was conducted from February to May 2014. The total sample size for this cross-sectional study was 711. There were 397 children between the age of 6-9 years, who were examined for primary teeth caries, and 314 between the age 10-12 years were examined for permanent teeth caries. Primary and permanent dentitions were studied for decayed, missing, and filled teeth (dmft [primary teeth], DMFT [permanent teeth]). Results: The overall prevalence of dental caries in primary and permanent teeth was almost 73% (n=711). Among the 6-9-year-old, the prevalence of caries was approximately 78% (n=397) whereas, among the 10-12-year-old children, it was approximately 68% (n=314). Mean dmft value among the 6-9-year-olds was 3.66±3.13 with decayed (d) component of 3.28±2.92, missing (m) component of 0.11±0.69, and filled (f) component of 0.26±0.9. Mean DMFT value among the 10-12-year-old children was 1.94±2.0 with decayed (D) component of 1.76±1.85, missing (M) component of 0.03±0.22, and filled (F) of component 0.15±0.73. Daily tooth brushing had a positive effect on caries prevention, and this effect was statistically significant for caries in primary teeth. Conclusion: Although the prevalence of dental caries in primary and permanent teeth was not found to be as high as other researchers reported from different cities of KSA, still the prevalence was high considering the World Health Organization future oral health goals. Awareness should be provided to students, as well as, teachers and parents regarding the importance of good brushing habits and regular dental visits.

In vitro dentin tubule occlusion and remineralization competence of various toothpastes

OBJECTIVES The purpose of this study was to evaluate dentin tubule occlusion and remineralization competence of various toothpastes containing fluoride, bioactive glass (BG), and hydroxyapatite (HAP) as active ingredients. MATERIALS AND METHODS Sixty dentin discs that were etched with ethylene-diamine-tetraacetic acid (EDTA) were randomly divided into nine groups. The first five groups containing eight dentin discs corresponded to subsequent brushing experiments: control, distilled water, fluoride toothpaste, BG toothpaste, and HAP toothpaste. Scanning electron microscopy (SEM) was used to demonstrate tubule occlusion after 7 days of simulated brushing (twice a day for 2min), which was followed by a citric acid challenge. The discs were stored in freshly prepared artificial saliva (AS) after every brushing cycle. The remaining four groups that contained five discs each received the following treatment: discs kept in distilled water (control), discs kept in a mixture of AS (pH 7.2) and 2g fluoride toothpaste, discs kept in a mixture of AS and 2g BG toothpaste, and discs kept in a mixture of AS and 2g HAP toothpaste. These discs were left in the mixture for one week at 37°C and were then examined under SEM. The pH of the leftover mixture was analyzed using a pH meter. The Wilcoxon signed-rank test was used to identify any statistically significant differences (p<0.05). RESULTS All toothpastes demonstrated tubule occlusion after simulated brushing experiments. However, after the citric acid challenge, particles of fluoride toothpaste were completely washed away from the tubules whereas HAP and BG toothpastes demonstrated tremendous resistance to the acid challenge. After immersion of the discs in the mixture of AS and toothpaste, HAP and BG toothpastes again showed superior tubule occlusion in comparison to the other groups, but the highest pH increase was observed for fluoride toothpaste after mixing the toothpastes in AS. CONCLUSION The results of this study demonstrate that the highest tubule occlusion competence (both pre-and post-citric acid challenge) was achieved by HAP toothpaste, followed by BG toothpaste. After mixing the toothpastes in AS, the highest pH increase was observed for fluoride toothpaste, showing its superior remineralization and buffering capacity.

Attitude and experiences of undergraduate dental students and interns towards research

Objective: This study was designed to evaluate the perception of students and interns toward research. Materials and Methods: The study was conducted in January 2014. Participants of the study were fourth, fifth, and 6 th year students and interns. A questionnaire comprised thirteen questions was distributed to evaluate students′ and interns′ perception about the importance of research in their learning. Results: The results showed that interns and 6 th year students were more interested in research as compared to their junior counterparts as they realized the importance of research in their educational growth. This was reflected by the number of interns who completed the questionnaire. Conclusion: Dental students realized the importance of research in the education, but it was found that the proportion of students who did research as part of their course was very low. Students should be actively engaged in research, which can be achieved by introducing research as a compulsory component of their course.

Frequency of root canal treatment among patients attending a teaching dental hospital in Dammam, Saudi Arabia

Objective: The purpose of the study was to evaluate the frequency and status of root canal-treated teeth in patients treated at the College of Dentistry, University of Dammam in the Eastern Province of Saudi Arabia. Materials and Methods: A total of 3701 patients visited the clinics during the study period. Through the use of radiographs, 161 patients were initially selected who had endodontically treated teeth. However, after applying the inclusion criteria, the total number of eligible cases was reduced to 155. Patients were divided into three groups according to age (children 1–12 years, adults 13–65 years and geriatrics >65 years). Results: On average, each patient had 2.28 ± 1.88 root canal-treated teeth and 24.02 ± 5.03 teeth without root canal treatment. The average number of endodontically treated teeth increased with an increase in age. The adult group showed the highest number of root-filled teeth 314 (93.4%). Of the 336 endodontically treated teeth, only 75 (22.3%) teeth exhibited periapical radiolucency. First molars (28.43–36.36%) and second premolars (20.1–27.27%) were the most frequently root-filled teeth in both jaws, followed by the first maxillary premolars (11.76%). Periapical lesions showed an almost similar pattern with the highest number of radiolucencies found in the first molars in both jaws (29.3–33.3%) followed by the second premolars in the mandible (30.6%) and first premolars in both jaws (20.8–25%). Conclusion: The first molars and second premolars were the most frequently root-filled teeth in both jaws, followed by maxillary first premolars. Periapical lesions showed an almost similar pattern among teeth with a higher number of radiolucencies found in the first molars in both jaws, followed by the second premolars in the mandible and the first premolars in both jaws.

An observation of the concentration and type of fluoride compound present in "over-the-counter" adult toothpastes available in Saudi Arabia

Objectives: This study was performed to observe the type and level of fluoride compounds existent in ′over-the-counter′ (OTC) adult toothpastes available in the open market of Saudi Arabia and to compare them with local and international guidelines. Materials and Methods: More than 100 hyper stores, shops and pharmacies of Dammam and Al Khobar cities were selected randomly and searched for the availability of fluoride containing adult toothpastes. Only toothpastes in which fluoride was present as an active ingredient were included and name of the compound of fluoride and its concentration stated on the packaging of the toothpaste were noted. Results: There were 59 different commercial brands of OTC toothpastes in which sodium fluoride was found in 59.3% of the toothpaste brands (35 of 59), 32.2% of the brands (19 of 59) had sodium monofluorophosphate, 3.3% toothpaste brands (2 of 59) had a combination of sodium fluoride and sodium monofluorophoshpate as an active ingredient, and 5% of the brands (3 of 59) mentioned the fluoride concentration in parts per million (ppm) but did not indicate the type of compound of fluoride present in them. Fluoride concentration found in toothpastes ranged between 1,000-1,470 ppm. Conclusions: Types of fluoride compounds found in toothpastes were consistent with internationally published guidelines. However, majority of toothpastes had 1,450 ppm fluoride which was consistent with Gulf Cooperation Council (GCC) and European guidelines but exceeded the normal range set by United States Food and Drug Administration (US-FDA) and American Dental Association (ADA). Care should be taken when these toothpastes are being used to prevent possible side-effects of fluoride over-exposure.

Prevalence of dental fluorosis in school going children of Dammam, Saudi Arabia

Objective: Purpose of the study was to determine the prevalence of dental fluorosis and its pattern in primary and permanent teeth among 6-12-year-old Pakistani school going children living in Dammam, Saudi Arabia. Materials and Methods: This cross-sectional study was performed between June and September 2014. A total number of screened children were 496 among them 259 were males and 237 were females. World Health Organization′s scale was used to examine children for dental fluorosis. Results: Prevalence of dental fluorosis was found to be 33% among a total number of examined children. Among the children who had dental fluorosis (n = 164), it was observed that mild and moderate level of fluorosis were prevailing in 113 (69%) children. Furthermore, a number of males who were suffering from fluorosis was more than the females. There were 97 males and 67 females found affected from dental fluorosis and this difference was found statistically significant (P = 0.038). Conclusion: Prevalence of dental fluorosis among Pakistani school going children was not high. However, the severity of fluorosis was alarming, mild, and a moderate level of fluorosis was observed in most of the children who were affected from fluorosis.