Objective: This study aims to find the association of fractured orbital walls with other possible fractures reported in the maxillofacial trauma cases in the Oral Maxillofacial Clinic Oral Maxillofacial ward, Hospital USM Kelantan, Malaysia. Materials and methods: From 2013 to June 2018, records of patients who sustained maxillofacial fractures and presented them to the Accident and Emergency Department, Oral Maxillofacial Clinic, Hospital USM were reviewed, recorded, and analyzed. Data were obtained from 294 patients who met the study's eligibility requirements. The medical records of every patient with a comprehensive medical history were reviewed. The following factors were studied: age, gender, zygomatic arch, maxillary sinus, orbital wall, symphysis of the mandible, parasymphysis, and the condyle. The broken orbital walls in these patients were examined in detail. In the first stage, all of the variables that have been picked will be assessed for their significance from a clinical standpoint. All potential factors contributing to the orbital wall fracture were analyzed using the SPSS and R studio programs. As a result of meeting the inclusion criteria, 294 patients' data has been gathered. Each patient who had a complete medical record was subjected to an examination. In these patients, the cracked orbital walls were examined in greater depth. All chosen variables will be tested in the first stage to see if they are clinically significant. Results: The participants in this study were 228 men (77.6%) and 66 women (22.4%). It was found that the most common age ranges are 11-20 years (39.8%), 21-30 years, and 31-40 years (26.2%). According to Spearman correlation, all of the studied variables have a significant accosiation, with a p-value of less than 0.05. According to the findings of the multiple logistic regression, it was discovered that gender is significant, [0.2652 (0.1761); p < 0.25], Zygomatic Arch fracture, [ (SE)= -0.4511(0.2403); p < 0.25], Maxillary Sinus, [ (SE)= -0.5917 (0.2403) ; p < 0.25], Symphysis of the mandible, [ (SE)= 2.4826 (0.7298); p < 0.05], the condyle of the mandible, [ (SE) = 0.9479 (0.4315); exp (0.9479) = 2.58 3 times], the body of the mandible, [ (SE)= 0.4893 (0.4315) ; p < 0.25] and the angle of the mandible, [ (SE) = 0.6911 (0.4286); p < 0.25]. The validation of the factor through the Multilayer Neural Network (MLNN) and the accuracy obtained 97.71% with the predicted mean square error (PMSE) 0.159%. Conclusion: The matrix spearman correlation, multiple logistic regression, and neural network uncovered a clear association between orbital wall fracture and several other parameters. This discovery will help researchers understand the most common orbital wall fracture causes in maxillofacial trauma.

Introduction: General anaesthesia (GA) dental care is one of the clinical strategies used to treat non-cooperative those, patients with chronic medical problems or with specialised and comprehensive treatment by some paediatric dentists. Objective: The purpose of this retrospective research was to analyse cases of general anaesthesia in paediatric dentistry at Hospital Universiti Sains Malaysia (USM), Kubang Kerian, Kelantan. Methods: A total of 298 patients reports were collected for data processing from 2015 to 2018. Results: About 54% of patients in the Malay ethnic community were male and the mean age was 5 years. The highest treatment is on the fissure sealant restoration, 100(33.6%) and follows by extraction of deciduous teeth 218(73.2%). The lowest treatment was found in Sandwich Technique Restoration 1(0.3%), excision of chronic mucocele, which is about 2(0.7%), and the treatment based on GIC Fuji IV 2(0.7%). The next analysis is focusing on the type of treatment. The result from multiple responses shows that patients with a combination of three treatment having 61%, this is the highest percentage. While patients with four types of treatment are the second highest, 59 cases or 25.4% and the third highest comes from the category of patients with two types of treatment. Conclusion: An annual rise in referred cases for dental care under GA has been observed. it is believed that the number of patients receiving dental treatment under GA is likely will continue to show an upward trend, and for the specific finding it was found that the extraction deciduous teeth are the highest case which is about 31.2%, fissure sealant restoration about 14.3% and stainless steel crown which is 13.3%.