Perception and assumptions of young waterpipe smokers in Mumbai, India.

Background: Hookah smoking has been on raise all over the world, including India, especially among youngsters. There is growing evidence suggesting the high school children experimenting this form of tobacco. Objective: The objective of this study was to investigate the characteristics, behavior, and perceptions related to hookah smoking among the hookah smokers in Mumbai. Materials and Methods: A cross-sectional survey was conducted among 200 randomly selected young adults between the age group of 15-35 years in Mumbai who visited different dental clinics. The questionnaire was distributed as Google Forms online in the month of November and December 2019 and those who submitted completed responses were included in the study. Results: Only 114 participants returned with the completed forms in the time period of 2 months. The results showed that the majority of participants were between 20 and 24 age, comprising 58% who were having the habit of hookah smoking. Among which 24% females, 76% males had history of hookah habit. Eight percent of males started smoking hookah from very young age. Males (29.89%) shared one hookah pot with four members. Forty percent of the participants stated that they are interested to smoke again because of hookah flavor. Conclusion: Easy availability of newer forms of smoking at online markets could play a role in promoting the use of hookah among youngsters. Most products are being sold without any warnings, and there is no means to control the selling of the products to minors. Educational intervention is urgently needed to create awareness among youth about the harmful effects of hookah smoking.

Résumé Contexte: L'usage du narguilé est en hausse dans le monde entier, y compris en Inde, en particulier chez les jeunes. Il existe de plus en plus de preuves suggérant que les lycéens expérimentent cette forme de tabac. Objectif: L'objectif de cette étude était d'enquêter sur les caractéristiques, comportement et les perceptions liées à la consommation de narguilé parmi les fumeurs de narguilé à Mumbai. Matériaux et méthodes: Une enquête transversale a été menée auprès de 200 jeunes adultes sélectionnés au hasard dans la tranche d'âge 15-35 ans à Mumbai, qui ont visité différentes cliniques dentaires. Le questionnaire a été distribué sous forme de Google Forms en ligne au cours des mois de novembre et décembre 2019 et ceux qui ont soumis des réponses complétées ont été inclus dans l'étude. réponses complétées ont été incluses dans l'étude. Résultats: Seuls 114 participants sont revenus avec les formulaires remplis dans la période de temps de 2 mois. Le site résultats ont montré que la majorité des participants avaient entre 20 et 24 ans, comprenant 58% qui avaient l'habitude de fumer le narguilé. Parmi eux, 24% de femmes et 76% d'hommes avaient des antécédents de narguilé. Huit pour cent des hommes ont commencé à fumer le narguilé dès leur plus jeune âge. Les hommes (29,89%) partageaient un pot de narguilé avec quatre membres. Quarante pour cent des participants ont déclaré qu'ils sont intéressés à fumer à nouveau à cause de la saveur du narguilé. Conclusion: La disponibilité facile de nouvelles formes de fumer sur les marchés en ligne pourrait jouer un rôle dans la promotion de l'utilisation du narguilé parmi les jeunes. du narguilé chez les jeunes. La plupart des produits sont vendus sans aucun avertissement, et il n'existe aucun moyen de contrôler la vente des produits aux mineurs. aux mineurs. Une intervention éducative est nécessaire de toute urgence pour sensibiliser les jeunes aux effets nocifs du narguilé. Mots clés: Narguilé, salons de narguilé, tabac, pipe à eau, jeunes.

Role of Superficial Cervical Plexus Nerve Block as an Adjuvant to Local Anesthesia in the Maxillofacial Surgical Practice.

PURPOSE: Infiltration techniques are used as an adjuvant to regional anesthesia. In this study, we evaluated the efficacy of the superficial cervical plexus nerve block, as an alternative to local infiltration techniques; in the management of mandibular fractures and peri-mandibular space infections. METHODS: A prospective randomized controlled trial was conducted on 24 patients having either mandibular fractures or peri-mandibular space infections; and were scheduled for surgery under regional anesthesia (eg, inferior alveolar nerve block, long buccal nerve block). The control group involved delivering a combination of regional anesthesia along with local infiltration. The experimental group received regional anesthesia with a superficial cervical plexus nerve block. The following parameters were studied: pain, onset and duration of anesthesia, time interval until first analgesic request, pulse rate and blood pressure [at different time intervals]. RESULTS: Intergroup comparison was done using unpaired t-test. Intragroup comparison was done using repeated measures ANOVA (for >2 observations), followed by a post hoc test. The superficial cervical plexus nerve block group showed highly statistically significant (P < .01) improvement in terms of intra-operative pain at 30 minutes, duration of anesthesia, intraoperative anesthetic requirement, time interval until first analgesic request and intraoperative diastolic blood pressure at 10 minutes. CONCLUSION: It can be concluded that the combination of a regional anesthesia technique with a superficial cervical plexus nerve block is an alternative and safe technique for patients undergoing surgery for mandible fractures and perimandibular space infections, with clear advantages over local infiltration.

Influence of Hypertension on pH of Saliva and Flow Rate in Elder Adults Correlating with Oral Health Status.

INTRODUCTION: One of the most prevalent systemic conditions seen in the elderly individuals is hypertension, but very sparse knowledge regarding the influence of hypertension on oral health in known. AIM: Therefore, this study was carried out to evaluate the relationship between hypertension and salivary pH, flow rate and its effect on oral health status. MATERIALS AND METHODS: The study included 40 elderly individuals above 60 years of age, of which 20 individuals (control group) were normotensive without using any medication and 20 individuals (study group) were hypertensive using anti-hypertensive medication. Stimulated and unstimulated saliva samples were collected from all individuals and pH was measured using saliva pH strips, flow rate was measured using calibrated test tubes and was correlated with oral health status. Then the values were sent for statistical analysis where unpaired t-test, chi-square test were used. RESULTS: The results showed that there was no significant association of hypertension with stimulated and unstimulated flow rate, rather there was a significant association of hyper-tension with stimulated salivary pH i.e., there was a significant decrease in the pH of stimulated saliva. The study also revealed a significant association with presence of bleeding on probing and periodontal pockets in individuals who were hypertensive and using anti-hypertensive medication. CONCLUSION: Hence, it is a necessity to monitor blood pressure for reconstruction and maintenance of oral health in older adults. More longitudinal studies are to be carried out to explore further relationship between oral health and hypertension in older adults.