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Aim: This study aimed to determine the efficacy and safety of platelet‑rich plasma (PRP) as an adjuvant for tympanoplasty for perforations of the tympanic membrane with temporalis fascia versus tympanoplasty with temporalis fascia only. Materials and Methods: A total of 100 patients diagnosed with chronic suppurative otitis media tubotympanic type were divided into groups of 50 each. Patients in group one underwent tympanoplasty with PRP, while those in the second group underwent tympanoplasty without PRP. Pre‑ and postoperative graft status and pure‑tone audiometry were performed for all the patients, and the outcomes were compared. Results: Graft uptake in the case group was 90% and while in the control group was 84%. The result was better in cases that underwent tympanoplasty with PRP. The improvement in the A‑B gap was significantly more in the case group as compared to that of the control group. Conclusion: Temporalis fascia graft alone and along with PRP, both techniques has excellent results. The use of PRP along with temporalis fascia in cases of large central perforation gives an additional benefit in respect to healing time and audiological gain. [ABSTRACT FROM AUTHOR]

Objective: Understanding patients' perspectives is essential for treatment planning and assessing healthcare efficacy. This study explored the influential factors in root canal treatment (RCT) on patient satisfaction. Methods: This prospective study involved 390 eligible patients who underwent RCT at the Department of Conservative Dentistry and Endodontics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal. We collected data by assessing endodontic factors before treatment and using a post-treatment semantic differential scale questionnaire. Patients' satisfaction was measured using a visual analogue scale (VAS) from 0 (least satisfaction) to 10 (highest satisfaction possible). Mann-Whitney U-test and Kruskal-Wallis test were employed for data analysis, and Pvalue< 0.05 was considered statistically significant. Results: Patients expressed high levels of satisfaction post-endodontic treatment (VAS 8.08). Patients were particularly satisfied with improved chewing ability (VAS 7.77), overall comfort (VAS 7.76), and aesthetics (VAS 7.63) after treatment. However, concerns were raised about treatment cost (VAS 5.97) and duration (VAS 5.86). Several factors were significantly associated with higher patient satisfaction levels including a diagnosis of pulpitis, younger age, lower DMFT (Decayed, Missing, Filled Teeth) score, fewer teeth requiring treatment, absence of flareups, teeth not used as an abutment for prosthesis, primary endodontic therapy, treatment of either molar or non-molar teeth (as opposed to both conditions), smaller periapical lesion size, and single-visit treatment Conclusions: Our findings reveal high overall general satisfaction, with chewing ability generating the highest contentment. Cost and treatment duration were areas of concern. Demographics, clinical variables, and treatment settings played roles in shaping perceptions. These findings offer insights for enhancing endodontic care and patient satisfaction outcomes. [ABSTRACT FROM AUTHOR]