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Introduction: Maintaining oral hygiene and handwashing is critical in preschool children for disease prevention; however, limited information exists on the educative value of interventional programs in increasing knowledge among preschool children. The current study evaluated the knowledge and practices of hand and oral hygiene before and after a health educational intervention in preschool settings in Malaysia. Methodology: In a cross-sectional interventional study, 168 preschool children from a kindergarten at Tadika Juju in Petaling Jaya, Malaysia, were included. A pretest questionnaire evaluated the knowledge across different domains of oral and hand hygiene techniques and habitus, followed by an interactive education intervention. Training was conducted via hands-on demonstration, audiovisual videos, posters, and images (handouts/flyers). The impact of educational intervention on knowledge was evaluated 1 month after the initial training using the same questionnaire as used in the pretest survey. Each evaluation form had 10-graded questions, and the cumulative maximal score that could be attained based on the adequate responses to individual questions was 25. The scoring for each participant was categorized into poor (score: 0–9), average (score: 10–19), and good (score: 20–25) based on their scores for their responses. The difference between the means of pre- and postintervention mean scores across the predefined ratings of poor, average, or good was assessed using a paired t-test. Results: Overall, a significant improvement in knowledge on oral health and hand hygiene after the intervention was noted in the study participants (P < 0.05). The improvement in mean test scores following intervention was evident across both male and female children. Conclusion: Intervention programs should be implemented to increase the awareness and knowledge of preschool children for adequate maintenance of oral and hand hygiene practices, thereby averting the burden of preventable infectious diseases.

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Odontomas are the malformation of the dental tissues constituting for 22% of all the odontogenic tumors. Odontomas are benign, nonaggressive, sometimes interfering with the eruption of the associated tooth, leading to impaction or delayed eruption. They are usually painless with neuralgic symptoms presenting only on compression of nerves which is rare. Due to its limited growth potential, odontoma rarely shows their evidence, unless it is secondarily infected or causes complications such as displacement/uneruption of associated tooth, swelling, pus discharge, and esthetic problems which can be avoided on early diagnosis. The purpose of this article is to highlight on the notable presentation of complex odontoma with large swelling and abscess drainage in a very young patient.

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We present a case of a delayed effect of an old humeral head fracture with dislocated shoulder diagnosed an year after a low energy fall. After the injury, the patient experienced only mild pain and avoided radiological evaluation. The clinical and radiological evaluation showed a malunion of an underestimated displaced humeral head fracture with severe secondary arthritic changes.

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