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Fulltext Influence of hypnotic suggestions to increase periodontal patients’ compliance

Abdul,Halim,R,, Mohamad,H,A,, Zulkiflee,A,S,, Noor,E.

Compendium of Oral Science, 2021;8(1):22-28.
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ABSTRACT
Objective: To evaluate the effectiveness of hypnosis 1) to reduce dental anxiety in periodontal patients, and
2) to increase periodontal patients’ compliance through the reduction of dental anxiety. Methods: This was a
randomized control trial of 22 patients (13 males, 9 females; 40.14 ± 19.59 years) who underwent non-surgical
periodontal therapy in the Postgraduate and Undergraduate Clinics. Patients were divided into the case, H,
(hypnosis; n=11) and controlled, N, (no hypnosis; n=11) groups, where patients’ dental anxiety level was assessed
twice for both groups using IDAF-4C+ during the first visit and the second visit. The compliance was evaluated
during the follow-up visit. Results: The result showed statistically significant differences (p < 0.05) in the H
group during the second visit indicating a reduction in dental anxiety as compared to N group. However, there
were no statistically significant differences (p > 0.05) in the pattern of reduction of blood pressure between both
case and control groups. Based on the heart rate, patients were found to be more relaxed with hypnotherapy
at the beginning of the treatment but halfway through, patients without hypnotherapy had a more significant
reduction in heart rate level. Conclusion: Hypnotic suggestions were found to help reduce patient’s fear and
anxiety. However, the compliance of the patients with or without hypnotherapy proved to have a similar outcome.
Periodontal health status of children and adolescents with diabetes mellitus: a systematic review and meta-analysis

Zainal Abidin Z, Zainuren ZA, Noor E, Mohd Nor NS, Mohd Saffian S, Abdul Halim R

Aust Dent J, 2021 03;66 Suppl 1:S15-S26.
PMID: 33864280 DOI: 10.1111/adj.12845

Diabetes mellitus (DM) is a complex metabolic disease characterized by hyperglycaemia resulted from defects in insulin secretion or action, or both. Various studies have reported on the bidirectional relationship between DM and periodontal disease. A systematic search of the literature was performed in several databases, EBSCO Medline Complete, PubMed, Science Direct and a manual search for articles from 2000 until 2019. Literature that fulfilled the inclusion criteria were identified, and data measuring plaque index (PI), gingival index (GI), clinical attachment loss (CAL) and periodontal probing depth (PPD) were extracted and subjected to Random-effects meta-analysis. From 947 titles and abstracts screened, 11 articles were included for meta-analysis. It was found that PI, GI, CAL and PPD were significantly higher in DM children than in non-DM children according to the Standardized Mean different (SMD) and 95% confidence intervals (CI) (SMD 0.54, 95% CI 0.20-0.87, P = 0.002; SMD 0.63, 95% CI 0.39-0.87, P
Molecular characterisation and potential pathogenicity analysis of Acanthamoeba isolated from recreational lakes in Peninsular Malaysia

Abdul Halim R, Mohd Hussain RH, Aazmi S, Halim H, Ahmed Khan N, Siddiqui R, et al.

J Water Health, 2023 Sep;21(9):1342-1356.
PMID: 37756200 DOI: 10.2166/wh.2023.186

The present study aims to identify the Acanthamoeba genotypes and their pathogenic potential in three recreational lakes in Malaysia. Thirty water samples were collected by purposive sampling between June and July 2022. Physical parameters of water quality were measured in situ while chemical and microbiological analyses were performed in the laboratory. The samples were vacuum filtered through nitrate filter, cultured onto non-nutrient agar and observed microscopically for amoebic growth. DNAs from positive samples were extracted and made to react with polymerase chain reaction using specific primers. Physiological tolerance tests were performed for all Acanthamoeba-positive samples. The presence of Acanthamoeba was found in 26 of 30 water samples by PCR. The highest rate in lake waters contaminated with amoeba was in Biru Lake (100%), followed by Titiwangsa Lake (80%) and Shah Alam Lake (80%). ORP, water temperature, pH and DO were found to be significantly correlated with the presence of Acanthamoeba. The most common genotype was T4. Temperature- and osmo-tolerance tests showed that 8 (30.8%) of the genotypes T4, T9 and T11 were highly pathogenic. The presence of genotype T4 in habitats related to human activities supports the relevance of this amoeba as a potential public health concern.
Type 1 Diabetes Mellitus Patients' Self-perception of Periodontal Diseases

Zainal Abidin Z, Noor E, Mohd Nor NS, Mohamed Nazari NS, Anuar Zaini A, Azizi NZ, et al.

Eur J Dent, 2023 Dec 04.
PMID: 38049120 DOI: 10.1055/s-0043-1772777

OBJECTIVES: The study aimed to evaluate type 1 diabetes mellitus (T1DM) patients' self-perceived periodontal health status and to identify the association between periodontal disease (PD) and DM.
MATERIALS AND METHODS: This cross-sectional study included 113 T1DM children between 3 and 18 years old from the Universiti Teknologi MARA and the University of Malaya. Periodontal health parameters, including plaque index, gingival index, probing pocket depth, simplified basic periodontal examination, and clinical attachment loss, were recorded. Self-perceived periodontal health status was assessed with questionnaires.
STATISTICAL ANALYSIS: Statistical analysis was performed to evaluate the sensitivity of the questionnaire and the relationship between T1DM and periodontal parameters.
RESULTS: The median age was 11.4 years. Half of them (50.4%) were females. A total of 83.5% rated their oral condition as good, whereas 27.5% reported a history of gingival bleeding. Clinical examination revealed that 48.7% had healthy gingiva, whereas 47.8% had gingivitis. The question "Do you have bleeding when brushing, flossing, or eating food?" showed good accuracy in the evaluation of PD (p