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INTRODUCTION: The use of antibiotics in recent years has become more aggressive and more common. The inappropriate use, to be more precise, the abuse of these prescriptions, is the root cause for increasing bacterial resistance and adverse outcomes. Antisepsis can be suggested as an appropriate alternative to antibiotics, to control the increasing antibiotic resistance among individuals. OBJECTIVE: The objective of this study was to compare the awareness of antibiotic prescription and resistance among BDS and MDS practitioners and students. MATERIALS AND METHODS: A total of 361 dental professionals were included in this study. Each of them was given a questionnaire containing questions pertaining to antibiotic prescription and awareness. RESULTS: Most of the participants prescribed antibiotics as pre and post treatment management of all the oral diseases during their routine interaction with the patients. Overprescription of antibiotics, amoxicillin being the most common, was significantly more among the BDS practitioners than the MDS practitioners. BDS practitioners (78%) preferred a 3-day antibiotic prescription whereas MDS practitioners (80%) prescribed a 5-day course, which was statistically significant. Mindfulness with respect to antimicrobial prophylaxis and antibiotic resistance was observed to be satisfactory in both the groups. However, there was a general absence of mindfulness with respect to the rules for antibiotic prescription recommendations in both the groups. CONCLUSION: Antibiotic prescription should be given with care to prevent its resistance, an upcoming iatrogenic health hazard.
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BACKGROUND: Local anesthetic injection is one of the most anxiety provoking procedure in dentistry. Knowledge about change in pain related behaviour during consecutive visits helps in and scheduling of treatment procedures and management of children in dental clinic. AIM: To compare the pain perception, behavioural response and the associated change in physiological parameters while receiving local anesthesia injection with cartridge syringe and computer controlled local anesthetic delivery system (CCLAD) over two consecutive visits. MATERIAL AND METHODS: In this randomized controlled cross over trial, 120 children aged 7 - 11 years were randomly divided into group A: receiving injections with CCLAD during first visit; group B: receiving injections with cartridge syringe during first visit. The physiological parameters (heart rate and blood pressure) were recorded before and during injection procedure. Objective evaluation of disruptive behaviour and subjective evaluation of pain perceived were done using Face Legs Activity Cry Consolability (FLACC) scale and modified facial image scale (FIS) respectively. RESULTS: No statistical difference in pain response (p= 0.164) and disruptive behaviour (p = 0.120) between cartridge syringe and CCLAD injections were seen during the first visit although the latter showed lesser scores. However, during the second visit there were significant increase in pain response (p = 0.004) and disruptive behaviour (p = 0.006) in cartridge syringe group with an associated increase in heart rate. CONCLUSIONS: Injections with CCLAD produced lesser pain ratings and disruptive behaviour than cartridge syringe in children irrespective of order of visit. KEY WORDS: Behaviour, cartridge syringe, CCLAD, local anesthesia.