A simple solution to help with feeding difficulties in neonates with cleft palate: A case report.

Feeding a neonate baby with a complete cleft lip and palate is a problematic pursuit because of the communication between the oral and the nasal cavity and associated problems. This present case is of a 6-day-old underweight neonate with feeding difficulties due to the cleft palate. In this case report, simple, uncomplicated steps for the fabrication of a feeding obturator are explained to aid in the proper nourishment of neonates for definite corrective procedures in the future with overall growth.

Assessment of Knowledge, Attitude, and Practice of Pharmacovigilance and Materiovigilance among Oral Health Practitioners in India.

Aim: This electronic survey was carried out to assess the knowledge, attitude, and practices among the oral health practitioners. Methods: A questionnaire survey was conducted among undergraduates, graduated practitioners, and specialist practitioners. A Google Form that included a specified instruction format, informed consent with a clear description of the purpose of the study, and questions in different categories were sent through Whatsapp and email. Descriptive statistics were used to analyze responses. The association of knowledge and attitude with respect to oral health professionals was analyzed with the Chi-square test. Results: The questionnaire was completed by 570 participants. Thirty percent of participants encountered ADR related to the drugs available in the market and 33.2% of participants encountered adverse reaction related to materials used in practice. ADR should be reported as soon as it is detected, according to this study about 12.1% of participants reported the ADRs, and this reporting is primarily for patient safety. Almost 66.8% of participants perceived that dental products can cause ADR owing to a lack of information about ADR and reporting procedures, or due to fear of legal concerns. Only about 9.5% of the participants had previously attended an ADR workshop. Conclusion: Oral health practitioners have a general understanding of ADR; however, there is substantial evidence of underreporting and a lack of reporting system information. Organizing an orientation program and raising awareness about ADR reporting could help improve spontaneous reporting and better patient care.

Comparative Assessment of Anxiety, Pain, and Discomfort During Rapid Maxillary Expansion Using Two Different Activation Protocols in Patients With Cleft Lip and Palate.

OBJECTIVE: The aim of this study was to compare and assess the pain perception, anxiety, and discomfort between two different rapid maxillary expansion (RME) protocols in patients with unilateral cleft lip and palate (UCLP). DESIGN: This is a prospective study. SETTING: The study was done in a comprehensive cleft care center. PATIEN AND PARTICIPANTS: The sample included 26 patients between ages 6 and 9 years with a history of repaired UCLP. INTERVENTIONS: The patients were randomly allotted into 2 groups-Group A and Group B. Group A received 1 RME activation per day and Group B received 2 activations per day. The participants after RME activation completed a self-report questionnaire and ranked the pain and anxiety levels using Faces pain scale and Hamilton anxiety scale, respectively. The evaluation was done every day for 1 week. MAIN OUTCOME MEASURE: The Faces Pain Scale, Hamilton Anxiety Scale, and self-report questionnaires assessed the pain, anxiety, and discomfort experienced by the patients after 2 different types of RME activation protocols. RESULTS: Group B experienced significantly higher pain in the molars than Group A (P < .001). There was no significant difference between the 2 RME activation protocols regarding anxiety and jaw discomfort. CONCLUSION: Patients who received 2 activations per day experienced significantly higher levels of pain in the molars compared to the patients who received a single activation per day. There were no significant differences between the 2 activation protocols in terms of pain in the palate, tongue, anxiety, and jaw discomfort.

Comparative study of effect of different lever arm positions and lengths on transverse and vertical bowing in lingual orthodontics - An FEM study.

OBJECTIVE: To assess the influence of changing the size and position of lever arm on transverse and vertical bowing effects during retraction in lingual biomechanics. METHODS: A three dimensional 3D finite element method was used to simulate en masse anterior teeth retraction using lingual appliance with sliding mechanics. Two groups were made, 1st group had lever arm mesial to canine while 2nd group had distal to canine. Each group had 4 subgroups with lever arm height varying from 0mm to 12mm. Displacements of the maxillary anterior teeth were noted in each group. RESULTS: As the Lever Arm Height (LAH) increased in group I, the vertical bowing effect reduced while the transverse bowing increased with respect to canines. In group II, both vertical and transverse bowing effects increased but transverse bowing was less as compared to group I. CONCLUSION: Strategic location of the lever arm is required in different clinical situations during en-mass retraction, keeping in mind the location of Centre of Resistance (CRes) as well as the vertical and the transverse bowing effects.