Medico Legal Awareness:Where are we? – A Survey among Health Professionals in Maharashtra and Haryana

Medicine is a noble profession but there is also growing anxiety both within the medical profession and in the community regarding increasing trends of complaints and lawsuits against doctors. Knowledge about medical ethics is as fundamental to the practice of medicine as clinical skills. To assess the knowledge of health care professionals regarding medico-legal issues. The questionnaire study consisted of questions pertaining to basic knowledge of COPRA (Consumer Protection Act 1984), informed consent and Medico-legal courses. A total of 325 health care professionals enrolled for the study. Most of the health care professionals were able to answer questions about informed consent. Almost 80% of health professionals were aware about informed consent, 41.84% of health professionals were not aware about consumer protection act 92%of health professionals don’t know about the courses regarding Medico-legal issues. The participants were knowledgeable about medical ethics and informed consent but when it came to Consumer Protection act, professional indemnity claim and medico- legal courses their information was basic, they lacked knowledge about finer details hence showed an immediate need to update the understanding of these issues to be on legally safer side.​

Two-step impression for atrophic mandibular ridge.

BACKGROUND: The clinical difficulties encountered while treating edentulous patients with atrophic mandibular ridges are legion. Capturing tissue details while making an impression of a resorbed mandibular ridge poses a great clinical challenge. Extending the denture bases adequately to cover all of the available supporting tissues is one of the prime requisite. Surgical approach is necessary only when the patient is incapable of wearing a conventional denture. This article describes a technique of making an impression of an atrophic mandibular ridge by the use of monophase and light-bodied impression material where surgical options such as implants, vestibuloplasty or ridge augmentation may not be feasible. This procedure results in improved stability and retention of the denture base.

Efficacy of various spray disinfectants on irreversible hydrocolloid impression materials: an in vitro study.

BACKGROUND: Most of the materials (casts, impressions, etc.) that are sent to the dental laboratories show the presence of numerous pathogenic microorganisms. All the spray disinfectants are not equally effective against these microorganisms. AIMS AND OBJECTIVES: The aim was to compare the effectiveness of different spray disinfectants on irreversible hydrocolloid impressions and to find out the most effective dilution, contact time, and effect against each microorganism studied. MATERIALS AND METHODS: The effects of four spray disinfectants, 5.25% sodium hypochlorite, 0.525% sodium hypochlorite, 1:213 (1 part in 213 parts of water) povidone iodine, and 2% glutaraldehyde along with control (distilled water) on irreversible hydrocolloid impressions contaminated with Staphylococcus aureus, Bacillus subtilis and Streptococcus viridans were studied. RESULTS: Sodium hypochlorite, 5.25%, showed 1-min exposure time which was able to effect a 4 log 10 reduction in bacterial counts against S. aureus and S. viridans followed by 0.525% sodium hypochlorite and 2% glutaraldehyde for 10 min. None were able to effect a 4 log10 reduction against B. subtilis. CONCLUSION: Sodium hypochlorite with a concentration of 5.25% was the most effective disinfectant and required the shortest contact time (1 min). Not all ADA-approved concentrations of surface disinfectants work equally well on irreversible hydrocolloid impression materials.

Flexural strength of heat-polymerized polymethyl methacrylate denture resin reinforced with glass, aramid, or nylon fibers.

STATEMENT OF PROBLEM: Despite the favorable properties of conventional PMMA used as a denture base material, its fracture resistance could be improved. PURPOSE: This in vitro study was performed to determine whether the flexural strength of a commercially available, heat-polymerized acrylic denture base material could be improved through reinforcement with 3 types of fibers. MATERIAL AND METHODS: Ten specimens of similar dimensions were prepared for each of the 4 experimental groups: conventional acrylic resin and the same resin reinforced with glass, aramid, or nylon fibers. Flexural strength was evaluated with a 3-point bending test. The results were analyzed with a 1-way analysis of variance. RESULTS: All reinforced specimens showed better flexural strength than the conventional acrylic resin. Specimens reinforced with glass fibers showed the highest flexural strength, followed by aramid and nylon. CONCLUSION: Within the limitations of this study, the flexural strength of heat-polymerized PMMA denture resin was improved after reinforcement with glass or aramid fibers. It may be possible to apply these results to distal extension partial denture bases and provisional fixed partial dentures.