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Knowledge and attitude of dental surgeons in India toward ocular complications of intra-oral local anesthesia

机译:印度牙科医生对口腔内麻醉的眼部并发症的知识和态度

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Background:Ocular disturbances such as blurring of vision, mydriasis, palpebral ptosis, diplopia, ptosis, enophthalmos, miosis, and blindness (temporary or permanent) are rare complications due to intra-oral local anesthesia. Currently, the guidelines to dentists on preventing and caring for such ocular problems are lacking. Hence, we evaluated the knowledge and attitudes of dentists toward ocular complications of intra-oral anesthesia as a means to assess the need for such guidelines.Materials and Methods:A cross-sectional prospective survey targeting dentists was conducted using a self-administered questionnaire. Totally 500 standardized self-administered questionnaires were sent out by E-mail to practicing dentists or academicians. In total, 390 replies were received, and the data were analyzed.Results:About 39% of graduates and 14% postgraduate dentists knew about ocular complications. Journals were the leading source of information among both graduates and postgraduate dentists. 8.3% graduates and 17.6% postgraduate dentists encountered ocular complications. Interestingly most of the graduates and postgraduates responded that ocular complications are underreported in the literature. 90.5% graduates and 84.3% postgraduates are in the opinion that more research should be carried on ocular complications. 98.3% postgraduates and 97.3% graduates favored the prevention of ocular complications.Conclusion:The dentist's knowledge about ocular complications due to intra-oral anesthesia in our study group is not adequate and needs improvement. Although the awareness and practice of taking preventive measures are satisfactory, there is a need for specific guidelines to dentists in identifying and clinically managing ocular complications of intra-oral anesthesia.
机译:背景:由于口腔内局部麻醉,罕见的并发症是视力障碍,例如视力模糊,瞳孔散大,睑睑下垂,复视,上睑下垂,眼睑凹陷,瞳孔缩小和失明(暂时或永久性)。当前,缺乏针对牙医的预防和护理此类眼部疾病的指南。因此,我们评估了牙医对口腔麻醉的眼部并发症的知识和态度,以此来评估对此类指南的需求。材料与方法:采用自我管理的问卷调查针对牙医的横断面前瞻性调查。通过电子邮件向实践中的牙医或院士总共发送了500份标准化的自我管理调查表。结果共收到390份答复,并对数据进行了分析。结果:约39%的毕业生和14%的研究生牙医知道眼部并发症。期刊是毕业生和研究生牙医的主要信息来源。 8.3%的毕业生和17.6%的研究生牙医遇到了眼部并发症。有趣的是,大多数毕业生和研究生回答说,文献中关于眼部并发症的报道不足。 90.5%的毕业生和84.3%的研究生认为应该对眼并发症进行更多的研究。 98.3%的研究生和97.3%的毕业生赞成预防眼部并发症。结论:我们研究组的牙医对口内麻醉引起的眼部并发症的知识不足,需要改进。尽管采取预防措施的意识和做法令人满意,但仍需要牙医在识别和临床处理口腔内麻醉的眼部并发症方面的具体指南。

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