Journal of Nepalese Society of Periodontology and Oral Implantology, Jun 29, 2022
Introduction: Poor oral health affects quality of life. Experience of pain, eating, and chewing p... more Introduction: Poor oral health affects quality of life. Experience of pain, eating, and chewing problems; embarrassment about shape of teeth or about missing, discoloured or damaged teeth can adversely affect people's daily lives and well-being. Objective: To assess knowledge, attitude, and practices regarding oral health among patients visiting a medical college. Methods: A cross-sectional descriptive study was conducted at Nobel Medical College, after obtaining ethical clearance from the institutional review committee. Convenience sampling technique was utilised for data collection from 2021 March to 2021 June. Total of 250 patients visiting Department of Community and Public Health Dentistry and Department of Periodontics were included. Data on the oral health knowledge, attitude, and practices, were collected by means of a self-administered closed-ended questionnaire. Prior written informed consent was taken from all the study participants. Descriptive statistics were used for data analysis. Results: Total of 250 outpatients participated in this study out of which 167 (66.8%) were males and 83 (33.2%) were females. Majority, 170 (68%) brushed their teeth for <3 minutes, and only 25 (10%) subjects used interdental aids. More than half of respondents were aware about the role of tobacco in oral cancer and its impact on general health. Majority (88, 35%) yielded sources of information about oral health from radio and television. Conclusions: The knowledge and attitude regarding oral health in selected population was low. Hence, to promote good oral health and education about correct oral hygiene practices, there is need for conducting oral health education programs at periodic intervals.
Journal of Kathmandu Medical College, Feb 28, 2023
Background: Plaque accumulate on orthodontic appliances when proper oral hygiene is not maintaine... more Background: Plaque accumulate on orthodontic appliances when proper oral hygiene is not maintained, leading to destruction of periodontal tissues. Good oral hygiene during fixed orthodontic therapy will prevent periodontal disease, which eventually will reflect final outcome of orthodontic treatment. Objectives: To find out whether professional prophylaxis midway during fixed orthodontic treatment will reduce adverse changes on periodontal health due to poor oral hygiene maintenance when compared to homecare measures only. Methods: This analytical cross-sectional study was conducted from 2022-05-06 to 2023-02-05 after institutional ethical approval among 24 patients (eight males, 16 females) undergoing fixed orthodontic treatment in Orthodontics department, Nobel Medical College. The effect of regular homecare measures only, as compared to professional prophylaxis during orthodontic treatment in addition to regular homecare on the periodontal health was evaluated on two separate visits over a nine-month period. SPSS 11.5 was used for statistical analysis. Results: This study showed improved periodontal health in "experimental group" when oral prophylaxis was done in fifth month of fixed orthodontic therapy and worsened periodontal health in "control group" during a nine-month study period. Conclusion: Significant improvement of gingival and periodontal health with an improvement in plaque control with professional prophylaxis was observed which was in accordance with most previous studies. Plaque control with professional prophylaxis after initial alignment is also of utmost importance in the maintenance of periodontal health as well as the prevention of periodontal disease during fixed orthodontic treatment. It can be considered key to good periodontal health of patients undergoing fixed orthodontic treatment.
The patients were given information regarding their participation in the study. The data was coll... more The patients were given information regarding their participation in the study. The data was collected by personnel interview and clinical examination after obtaining written informed consent. Ethical clearance
Pakistan Oral & Dental Journal Vol 33, No. 3 (December 2013) Address for correspondence: 1Dr. Dhi... more Pakistan Oral & Dental Journal Vol 33, No. 3 (December 2013) Address for correspondence: 1Dr. Dhirendra K Giri, Assistant Professor, Department of Periodontology, BPKIHS, Dharan, Nepal, Email:drdhiren19@yahoo.co.in, mobile: 9852049814 2 Additional Professor, Department of Periodontology, Manipal College of Dental Sciences, Manipal, Manipal University, Karnataka, India 3 Dept. of Orthodontics, BPKIHS, Dharan, Nepal Received for Publication: August 4, 2013 Revision Received September 2, 2013 Accepted: November, 10, 2013 INTRODUCTION
Objectives : The purpose of the study is to find the association between obesity and periodontal ... more Objectives : The purpose of the study is to find the association between obesity and periodontal disease by age in adults. Methods : The subjects were 5,728 adults in the first year of the Fifth National Health and Nutrition Examination Survey in 2010. The questionnaire included oral examinations, periodontal disease, and body mass index screenings. Chi-square test was performed to confirm the periodontal disease.
Background: Oral cancer is one of the most common life-threatening conditions. Lack of awareness,... more Background: Oral cancer is one of the most common life-threatening conditions. Lack of awareness, knowledge, risk factors and early sign and symptom of oral cancer .Thus the aim of present study was to to evaluate the awareness and knowledge about oral cancer among patients. Materials and Methods: The descriptive cross-sectional study was done in Nobel Medical College Teaching Hospital, Biratnagar, Nepal from December 2020 to February 2021. Approval was acquired from Institutional Review Committee. A total of 300 patients above 25years of age group were included in the study. Self -administered questionnaire was prepared and distributed to obtain information about patient’s age, gender, education level and occupation. The questions regarded habits, awareness of oral cancer, knowledge of the risk factors, signs and symptoms and source of information about oral cancer. Results: A total of 300 patients participated in this study out of which male was 70%, and the female was 30%. The re...
Background: Nepalese population consists of people from different cultural backgrounds having str... more Background: Nepalese population consists of people from different cultural backgrounds having strong influence of the various myths on health seeking behaviour. Myths are defined as stories shared by a group of people which are a part of their cultural identity. They have a strong influence in the life of individuals and their way of living including seeking treatment during illness. Objectives: The objective of this study was to assess the prevalence of myths related to oral health. Methods: A descriptive cross-sectional study was conducted in Nobel Medical College and Teaching hospital after obtaining ethical clearance from January 2021 to March 2021 using convenience sampling technique. Patients above 15 years visiting dental OPD were included and refused to participate were excluded. SPSS Statistics for Windows, version 21.0 was used for statistical analysis. Results: There were total 250 participants: 103 (41.2%) male and 147 (58.8%) female with mean age 34.43 ± 10.75 years and...
Background: Various modifications of the coronally displaced flap have been proposed in the liter... more Background: Various modifications of the coronally displaced flap have been proposed in the literature with the attempt of treating gingival recession. This study is undertaken to evaluate the predictability of the modified coronally positioned flap in isolated gingival recession not only in terms of root coverage but also with the esthetic outcome. Materials and Methods: Fifteen isolated gingival recessions with at least 1mm of keratinized tissue apical to the defect were treated with a modified coronally advanced flap. All recessions fall into Miller class I. The clinical re-evaluation was performed 3 months and 1year after the surgery. Statistical analysis was performed using statistical application software (SPSS16.0). Multivariate ANOVA was used for analysis. Results: At the 1-year examination, the average root coverage was 94.6% of the pre-operative recession depth. There was a mean clinical attachment gain of 3.3±0.1 mm at 1 year follow-up.The average increase of keratinized ...
Journal of Nepalese Society of Periodontology and Oral Implantology, 2019
Smile expresses a feeling of joy, success, sensuality, affection, and courtesy, and reveals self-... more Smile expresses a feeling of joy, success, sensuality, affection, and courtesy, and reveals self-confidence and kindness. The harmony of the smile is determined not only by the shape, the position, and the colour of the teeth, but also by the gingival tissues. Although melanin pigmentation of the gingiva is completely benign and does not present a medical problem, complaints of "black gums" are common, particularly in patients having a very high smile line. Thus, perio-aesthetic treatment modalities strive to achieve a harmonious interrelationship of the pink with white, which is imperative of all treatment procedures. Excessive gingival pigmentation is a major aesthetic concern for many people complaining of dark gums as unaesthetic. Aesthetic gingival depigmentation can be performed in such patients with excellent results. A case is reported here in which a simple and effective surgical depigmentation was performed without the use of any sophisticated instruments or apparatus.
Introduction: Orthodontic treatment is a highly technique sensitive process; which takes long dur... more Introduction: Orthodontic treatment is a highly technique sensitive process; which takes long duration and its success depend on many factors. Patient cooperation is one of the important determinants of orthodontic treatment.Objective: To investigate the relationship between patients’ cooperation and orthodontic treatment result as rated by the orthodontist.Materials & Method: Orthodontic Patient Cooperation Scale (OPCS) was used to evaluate 57 orthodontic patients’ cooperation who had undergone active orthodontic treatment in Nobel Medical College Hospital, Biratnagar from 2014 January to 2017 June and were under retention phase. Orthodontic treatment results of these patients were graded as good, acceptable and poor by the orthodontist. Independent t-test was applied to test the mean of OPCS score, the treatment result and gender.Result: Mean OPCS score was higher in good treatment result category; as the OPCS score increased treatment result improved, which was statistically sign...
Background: Biofilm usually is a group of micro-organisms in which bacterial cells adhere to each... more Background: Biofilm usually is a group of micro-organisms in which bacterial cells adhere to each other. It may form on a living or non-living surfaces within a self-produced matrix of glycocalx. Recently, plaque has been identified as a biofilm, and its structure, microbiology and patho-physiology have been described. The effectiveness between modified bass technique and normal brushing technique has been compared in this study. Material…
Background: Ultrasound in the form of low intensity pulsed ultrasound (LIPUS) has found various a... more Background: Ultrasound in the form of low intensity pulsed ultrasound (LIPUS) has found various applications in medical therapies including bone healing. Orthodontic tooth movement is a lengthy procedure owing to the slow process of bone remodelling. Various pharmacological aids have been utilized in accelerating this tooth movement. Aim: This study was designed to evaluate the effectiveness of LIPUS in accelerating orthodontic tooth movement. Material and Methods: This case-control study was conducted on thirty young adults undergoing orthodontic treatment. LIPUS was applied to the right maxillary quadrant at two week intervals whereas the left maxillary quadrant was considered as control. The amount of space closure was measured at the beginning of treatment, one month and three months after beginning of treatment. Data was entered in excel sheet and statistical analysis done. Results: LIPUS showed a significant acceleration in orthodontic tooth movement when compared to non-treatment side. Conclusion: LIPUS can be used as an effective tool in reducing the duration of orthodontic treatment by accelerating the rate of tooth movement.
Iranian Journal of Psychiatry and Behavioral Sciences, 2016
Background: Depression and anxiety are common among hemodialysis patients and affect their treatm... more Background: Depression and anxiety are common among hemodialysis patients and affect their treatment outcomes. Dialysis adequacy also affects the hemodialysis patients' survival rates. Objectives: This study aimed to evaluate the correlation between anxiety and depression with dialysis adequacy. Patients and Methods: In this cross-sectional study, 127 hemodialysis patients (73 males, 57.5%) with the mean age of 55.7 ± 17.5 were enrolled. Demographic and recent laboratory data were collected using self-administered questionnaires and by reviewing medical records. Dialysis adequacy measures including the Kt/V and urea reduction rate (URR) were calculated using standard formulas. The Hospital Anxiety and Depression Scale (HADS) was used to diagnose depression and anxiety. Independent sample t-test and Chisquare test were used to compare the values in different groups. Pearson correlations and linear regression were used to analyze the data using SPSS version 21. Results: The prevalence rates of depression and anxiety (HADS score ≥ 8) were 31.5% and 41.7%, respectively. The prevalence of both conditions was significantly higher in women than in men (P < 0.05). The mean values of Kt/V and URR were not different in patients with and without depression or anxiety. The anxiety scores were correlated with age (P = 0.007, r =-0.24) and parathyroid hormone (P = 0.04, r =-0.19). Younger age and lower parathyroid hormone were the only factors that predicted higher scores of anxiety in linear regression. The Kt/V or URR were not significantly correlated with depression and anxiety scores. Conclusions: Depression and anxiety are common among hemodialysis patients. There are no statistically significant correlation between depression and anxiety and dialysis adequacy.
Background: Associations between obesity and several chronic inflammatory diseases are emerging. ... more Background: Associations between obesity and several chronic inflammatory diseases are emerging. Research from some parts of the world has also indicated that a relationship between periodontal disease and obesity is possible. The aim of the present study was to determine the association of obesity with periodontal disease in a semi urban Indian population. Methods: Body Mass Index (BMI) was determined for 323 patients visiting the department of Periodontics. Other demographic variables such as age, gender, stress, educational background and smoking were also considered. Clinical examination of the periodontal health was assessed using the Plaque index (PI), the Gingival index (GI) and the Community Periodontal Index (CPI). Results: No association was obtained between BMI and periodontitis. Other demographic variables were also not significantly related. Lower gingival index scores, were significantly associated with better periodontal health. Conclusion: Good oral hygiene and norma...
Betel quid chewing has been in practice among people in many Asian countries since ages. It is th... more Betel quid chewing has been in practice among people in many Asian countries since ages. It is the most widely used psychoactive substance and an important environmental risk factor for development of oral premalignant lesions and cancer. Arecoline, the major alkaloid of areca nut, has been known to cause cytotoxicity and genotoxicity in mammalian cells in vivo and in vitro and even contributes to carcinogenicity. It also increases the risk and severity of periodontal disease. This paper presents a case of betel nut chewing associated with severe periodontitis in a 32 year old male patient.DOI: http://dx.doi.org/10.3126/hren.v12i1.11990Health Renaissance 2014;12(1):57-60
Palatoradicular groove is an anomaly which is found more frequently in upper lateral and central ... more Palatoradicular groove is an anomaly which is found more frequently in upper lateral and central incisors. This condition may lead to endo-perio lesions. A 19- year- old female presented with chief complaint of swelling and pus discharge from the gums of the right side of the upper front teeth and she also complained of loose tooth and intermittent pain. On clinical examination, probing pocket depth of 10 mm, grade II mobility and extrusion of the tooth was found. A combined endo-perio treatment was performed and elimination of the groove, pain and reduction in probing pocket depth and mobility was achieved. The purpose of this case is to highlight an interdisciplinary approach towards the management of an anomaly which may affect the endodontic status of the tooth and periodontal health of the patient. DOI: http://dx.doi.org/10.3329/bjms.v13i3.15216 Bangladesh Journal of Medical Science Vol.13(3) 2014 p.345-349
Journal of Nepalese Society of Periodontology and Oral Implantology, 2019
Introduction: Gingival and periodontal diseases are a matter of serious concern in Nepalese popu... more Introduction: Gingival and periodontal diseases are a matter of serious concern in Nepalese population. These diseases may also be present in visually impaired individuals. So, the scientific fact is necessary to unmask this and the pathogenesis behind it. Objective: To assess the oral hygiene and periodontal status of visually impaired individuals of a residential school in Eastern Nepal. Methods: A study was conducted at Gyanchakchu Vidyalaya in Dharan-15. A total of 130 visually impaired individuals (88 males and 42 females) with the mean age of 6-20 years were included in the study. Information regarding oral hygiene practices was gathered through personal interaction by the interviewers. Oral hygiene status was assessed by using Plaque Index of Silness and Loe (1964) and Gingival Index of Loe and Silness (1963) and to assess the periodontal status, Community Periodontal Index was used. Results: A total of 112 (86.2%) participants, brushed their teeth with the help of toothbrus...
Stress is defined as the body's nonspecific response or reaction to demands made on it, or to... more Stress is defined as the body's nonspecific response or reaction to demands made on it, or to disturbing events in the environment. The current study was undertaken to determine the prevalence of the sources of stress among the undergraduate dental students of, BPKIHS, Nepal. The des criptive cross sectional study was conducted using the Dental Environmental Stress Questionnaire (Westerman et al, 1993). The questionnaire was administered in the classroom. Data analysis was carri ed out using SPSS version 12.0.Based on the results obtained it was concluded that fear of failing, academic w orkload and requirements for completing the graduation were the most prevalent stressors. Clinical f actors related to lack of time, patients unavailability a nd attitude of the faculty were considerately stressful. The living conditions and social factors were found to be the least of the stressful events. Factors related to marri age and children were deemed not related to creating any stress ...
Journal of Nepalese Society of Periodontology and Oral Implantology, Jun 29, 2022
Introduction: Poor oral health affects quality of life. Experience of pain, eating, and chewing p... more Introduction: Poor oral health affects quality of life. Experience of pain, eating, and chewing problems; embarrassment about shape of teeth or about missing, discoloured or damaged teeth can adversely affect people's daily lives and well-being. Objective: To assess knowledge, attitude, and practices regarding oral health among patients visiting a medical college. Methods: A cross-sectional descriptive study was conducted at Nobel Medical College, after obtaining ethical clearance from the institutional review committee. Convenience sampling technique was utilised for data collection from 2021 March to 2021 June. Total of 250 patients visiting Department of Community and Public Health Dentistry and Department of Periodontics were included. Data on the oral health knowledge, attitude, and practices, were collected by means of a self-administered closed-ended questionnaire. Prior written informed consent was taken from all the study participants. Descriptive statistics were used for data analysis. Results: Total of 250 outpatients participated in this study out of which 167 (66.8%) were males and 83 (33.2%) were females. Majority, 170 (68%) brushed their teeth for <3 minutes, and only 25 (10%) subjects used interdental aids. More than half of respondents were aware about the role of tobacco in oral cancer and its impact on general health. Majority (88, 35%) yielded sources of information about oral health from radio and television. Conclusions: The knowledge and attitude regarding oral health in selected population was low. Hence, to promote good oral health and education about correct oral hygiene practices, there is need for conducting oral health education programs at periodic intervals.
Journal of Kathmandu Medical College, Feb 28, 2023
Background: Plaque accumulate on orthodontic appliances when proper oral hygiene is not maintaine... more Background: Plaque accumulate on orthodontic appliances when proper oral hygiene is not maintained, leading to destruction of periodontal tissues. Good oral hygiene during fixed orthodontic therapy will prevent periodontal disease, which eventually will reflect final outcome of orthodontic treatment. Objectives: To find out whether professional prophylaxis midway during fixed orthodontic treatment will reduce adverse changes on periodontal health due to poor oral hygiene maintenance when compared to homecare measures only. Methods: This analytical cross-sectional study was conducted from 2022-05-06 to 2023-02-05 after institutional ethical approval among 24 patients (eight males, 16 females) undergoing fixed orthodontic treatment in Orthodontics department, Nobel Medical College. The effect of regular homecare measures only, as compared to professional prophylaxis during orthodontic treatment in addition to regular homecare on the periodontal health was evaluated on two separate visits over a nine-month period. SPSS 11.5 was used for statistical analysis. Results: This study showed improved periodontal health in "experimental group" when oral prophylaxis was done in fifth month of fixed orthodontic therapy and worsened periodontal health in "control group" during a nine-month study period. Conclusion: Significant improvement of gingival and periodontal health with an improvement in plaque control with professional prophylaxis was observed which was in accordance with most previous studies. Plaque control with professional prophylaxis after initial alignment is also of utmost importance in the maintenance of periodontal health as well as the prevention of periodontal disease during fixed orthodontic treatment. It can be considered key to good periodontal health of patients undergoing fixed orthodontic treatment.
The patients were given information regarding their participation in the study. The data was coll... more The patients were given information regarding their participation in the study. The data was collected by personnel interview and clinical examination after obtaining written informed consent. Ethical clearance
Pakistan Oral & Dental Journal Vol 33, No. 3 (December 2013) Address for correspondence: 1Dr. Dhi... more Pakistan Oral & Dental Journal Vol 33, No. 3 (December 2013) Address for correspondence: 1Dr. Dhirendra K Giri, Assistant Professor, Department of Periodontology, BPKIHS, Dharan, Nepal, Email:drdhiren19@yahoo.co.in, mobile: 9852049814 2 Additional Professor, Department of Periodontology, Manipal College of Dental Sciences, Manipal, Manipal University, Karnataka, India 3 Dept. of Orthodontics, BPKIHS, Dharan, Nepal Received for Publication: August 4, 2013 Revision Received September 2, 2013 Accepted: November, 10, 2013 INTRODUCTION
Objectives : The purpose of the study is to find the association between obesity and periodontal ... more Objectives : The purpose of the study is to find the association between obesity and periodontal disease by age in adults. Methods : The subjects were 5,728 adults in the first year of the Fifth National Health and Nutrition Examination Survey in 2010. The questionnaire included oral examinations, periodontal disease, and body mass index screenings. Chi-square test was performed to confirm the periodontal disease.
Background: Oral cancer is one of the most common life-threatening conditions. Lack of awareness,... more Background: Oral cancer is one of the most common life-threatening conditions. Lack of awareness, knowledge, risk factors and early sign and symptom of oral cancer .Thus the aim of present study was to to evaluate the awareness and knowledge about oral cancer among patients. Materials and Methods: The descriptive cross-sectional study was done in Nobel Medical College Teaching Hospital, Biratnagar, Nepal from December 2020 to February 2021. Approval was acquired from Institutional Review Committee. A total of 300 patients above 25years of age group were included in the study. Self -administered questionnaire was prepared and distributed to obtain information about patient’s age, gender, education level and occupation. The questions regarded habits, awareness of oral cancer, knowledge of the risk factors, signs and symptoms and source of information about oral cancer. Results: A total of 300 patients participated in this study out of which male was 70%, and the female was 30%. The re...
Background: Nepalese population consists of people from different cultural backgrounds having str... more Background: Nepalese population consists of people from different cultural backgrounds having strong influence of the various myths on health seeking behaviour. Myths are defined as stories shared by a group of people which are a part of their cultural identity. They have a strong influence in the life of individuals and their way of living including seeking treatment during illness. Objectives: The objective of this study was to assess the prevalence of myths related to oral health. Methods: A descriptive cross-sectional study was conducted in Nobel Medical College and Teaching hospital after obtaining ethical clearance from January 2021 to March 2021 using convenience sampling technique. Patients above 15 years visiting dental OPD were included and refused to participate were excluded. SPSS Statistics for Windows, version 21.0 was used for statistical analysis. Results: There were total 250 participants: 103 (41.2%) male and 147 (58.8%) female with mean age 34.43 ± 10.75 years and...
Background: Various modifications of the coronally displaced flap have been proposed in the liter... more Background: Various modifications of the coronally displaced flap have been proposed in the literature with the attempt of treating gingival recession. This study is undertaken to evaluate the predictability of the modified coronally positioned flap in isolated gingival recession not only in terms of root coverage but also with the esthetic outcome. Materials and Methods: Fifteen isolated gingival recessions with at least 1mm of keratinized tissue apical to the defect were treated with a modified coronally advanced flap. All recessions fall into Miller class I. The clinical re-evaluation was performed 3 months and 1year after the surgery. Statistical analysis was performed using statistical application software (SPSS16.0). Multivariate ANOVA was used for analysis. Results: At the 1-year examination, the average root coverage was 94.6% of the pre-operative recession depth. There was a mean clinical attachment gain of 3.3±0.1 mm at 1 year follow-up.The average increase of keratinized ...
Journal of Nepalese Society of Periodontology and Oral Implantology, 2019
Smile expresses a feeling of joy, success, sensuality, affection, and courtesy, and reveals self-... more Smile expresses a feeling of joy, success, sensuality, affection, and courtesy, and reveals self-confidence and kindness. The harmony of the smile is determined not only by the shape, the position, and the colour of the teeth, but also by the gingival tissues. Although melanin pigmentation of the gingiva is completely benign and does not present a medical problem, complaints of "black gums" are common, particularly in patients having a very high smile line. Thus, perio-aesthetic treatment modalities strive to achieve a harmonious interrelationship of the pink with white, which is imperative of all treatment procedures. Excessive gingival pigmentation is a major aesthetic concern for many people complaining of dark gums as unaesthetic. Aesthetic gingival depigmentation can be performed in such patients with excellent results. A case is reported here in which a simple and effective surgical depigmentation was performed without the use of any sophisticated instruments or apparatus.
Introduction: Orthodontic treatment is a highly technique sensitive process; which takes long dur... more Introduction: Orthodontic treatment is a highly technique sensitive process; which takes long duration and its success depend on many factors. Patient cooperation is one of the important determinants of orthodontic treatment.Objective: To investigate the relationship between patients’ cooperation and orthodontic treatment result as rated by the orthodontist.Materials & Method: Orthodontic Patient Cooperation Scale (OPCS) was used to evaluate 57 orthodontic patients’ cooperation who had undergone active orthodontic treatment in Nobel Medical College Hospital, Biratnagar from 2014 January to 2017 June and were under retention phase. Orthodontic treatment results of these patients were graded as good, acceptable and poor by the orthodontist. Independent t-test was applied to test the mean of OPCS score, the treatment result and gender.Result: Mean OPCS score was higher in good treatment result category; as the OPCS score increased treatment result improved, which was statistically sign...
Background: Biofilm usually is a group of micro-organisms in which bacterial cells adhere to each... more Background: Biofilm usually is a group of micro-organisms in which bacterial cells adhere to each other. It may form on a living or non-living surfaces within a self-produced matrix of glycocalx. Recently, plaque has been identified as a biofilm, and its structure, microbiology and patho-physiology have been described. The effectiveness between modified bass technique and normal brushing technique has been compared in this study. Material…
Background: Ultrasound in the form of low intensity pulsed ultrasound (LIPUS) has found various a... more Background: Ultrasound in the form of low intensity pulsed ultrasound (LIPUS) has found various applications in medical therapies including bone healing. Orthodontic tooth movement is a lengthy procedure owing to the slow process of bone remodelling. Various pharmacological aids have been utilized in accelerating this tooth movement. Aim: This study was designed to evaluate the effectiveness of LIPUS in accelerating orthodontic tooth movement. Material and Methods: This case-control study was conducted on thirty young adults undergoing orthodontic treatment. LIPUS was applied to the right maxillary quadrant at two week intervals whereas the left maxillary quadrant was considered as control. The amount of space closure was measured at the beginning of treatment, one month and three months after beginning of treatment. Data was entered in excel sheet and statistical analysis done. Results: LIPUS showed a significant acceleration in orthodontic tooth movement when compared to non-treatment side. Conclusion: LIPUS can be used as an effective tool in reducing the duration of orthodontic treatment by accelerating the rate of tooth movement.
Iranian Journal of Psychiatry and Behavioral Sciences, 2016
Background: Depression and anxiety are common among hemodialysis patients and affect their treatm... more Background: Depression and anxiety are common among hemodialysis patients and affect their treatment outcomes. Dialysis adequacy also affects the hemodialysis patients' survival rates. Objectives: This study aimed to evaluate the correlation between anxiety and depression with dialysis adequacy. Patients and Methods: In this cross-sectional study, 127 hemodialysis patients (73 males, 57.5%) with the mean age of 55.7 ± 17.5 were enrolled. Demographic and recent laboratory data were collected using self-administered questionnaires and by reviewing medical records. Dialysis adequacy measures including the Kt/V and urea reduction rate (URR) were calculated using standard formulas. The Hospital Anxiety and Depression Scale (HADS) was used to diagnose depression and anxiety. Independent sample t-test and Chisquare test were used to compare the values in different groups. Pearson correlations and linear regression were used to analyze the data using SPSS version 21. Results: The prevalence rates of depression and anxiety (HADS score ≥ 8) were 31.5% and 41.7%, respectively. The prevalence of both conditions was significantly higher in women than in men (P < 0.05). The mean values of Kt/V and URR were not different in patients with and without depression or anxiety. The anxiety scores were correlated with age (P = 0.007, r =-0.24) and parathyroid hormone (P = 0.04, r =-0.19). Younger age and lower parathyroid hormone were the only factors that predicted higher scores of anxiety in linear regression. The Kt/V or URR were not significantly correlated with depression and anxiety scores. Conclusions: Depression and anxiety are common among hemodialysis patients. There are no statistically significant correlation between depression and anxiety and dialysis adequacy.
Background: Associations between obesity and several chronic inflammatory diseases are emerging. ... more Background: Associations between obesity and several chronic inflammatory diseases are emerging. Research from some parts of the world has also indicated that a relationship between periodontal disease and obesity is possible. The aim of the present study was to determine the association of obesity with periodontal disease in a semi urban Indian population. Methods: Body Mass Index (BMI) was determined for 323 patients visiting the department of Periodontics. Other demographic variables such as age, gender, stress, educational background and smoking were also considered. Clinical examination of the periodontal health was assessed using the Plaque index (PI), the Gingival index (GI) and the Community Periodontal Index (CPI). Results: No association was obtained between BMI and periodontitis. Other demographic variables were also not significantly related. Lower gingival index scores, were significantly associated with better periodontal health. Conclusion: Good oral hygiene and norma...
Betel quid chewing has been in practice among people in many Asian countries since ages. It is th... more Betel quid chewing has been in practice among people in many Asian countries since ages. It is the most widely used psychoactive substance and an important environmental risk factor for development of oral premalignant lesions and cancer. Arecoline, the major alkaloid of areca nut, has been known to cause cytotoxicity and genotoxicity in mammalian cells in vivo and in vitro and even contributes to carcinogenicity. It also increases the risk and severity of periodontal disease. This paper presents a case of betel nut chewing associated with severe periodontitis in a 32 year old male patient.DOI: http://dx.doi.org/10.3126/hren.v12i1.11990Health Renaissance 2014;12(1):57-60
Palatoradicular groove is an anomaly which is found more frequently in upper lateral and central ... more Palatoradicular groove is an anomaly which is found more frequently in upper lateral and central incisors. This condition may lead to endo-perio lesions. A 19- year- old female presented with chief complaint of swelling and pus discharge from the gums of the right side of the upper front teeth and she also complained of loose tooth and intermittent pain. On clinical examination, probing pocket depth of 10 mm, grade II mobility and extrusion of the tooth was found. A combined endo-perio treatment was performed and elimination of the groove, pain and reduction in probing pocket depth and mobility was achieved. The purpose of this case is to highlight an interdisciplinary approach towards the management of an anomaly which may affect the endodontic status of the tooth and periodontal health of the patient. DOI: http://dx.doi.org/10.3329/bjms.v13i3.15216 Bangladesh Journal of Medical Science Vol.13(3) 2014 p.345-349
Journal of Nepalese Society of Periodontology and Oral Implantology, 2019
Introduction: Gingival and periodontal diseases are a matter of serious concern in Nepalese popu... more Introduction: Gingival and periodontal diseases are a matter of serious concern in Nepalese population. These diseases may also be present in visually impaired individuals. So, the scientific fact is necessary to unmask this and the pathogenesis behind it. Objective: To assess the oral hygiene and periodontal status of visually impaired individuals of a residential school in Eastern Nepal. Methods: A study was conducted at Gyanchakchu Vidyalaya in Dharan-15. A total of 130 visually impaired individuals (88 males and 42 females) with the mean age of 6-20 years were included in the study. Information regarding oral hygiene practices was gathered through personal interaction by the interviewers. Oral hygiene status was assessed by using Plaque Index of Silness and Loe (1964) and Gingival Index of Loe and Silness (1963) and to assess the periodontal status, Community Periodontal Index was used. Results: A total of 112 (86.2%) participants, brushed their teeth with the help of toothbrus...
Stress is defined as the body's nonspecific response or reaction to demands made on it, or to... more Stress is defined as the body's nonspecific response or reaction to demands made on it, or to disturbing events in the environment. The current study was undertaken to determine the prevalence of the sources of stress among the undergraduate dental students of, BPKIHS, Nepal. The des criptive cross sectional study was conducted using the Dental Environmental Stress Questionnaire (Westerman et al, 1993). The questionnaire was administered in the classroom. Data analysis was carri ed out using SPSS version 12.0.Based on the results obtained it was concluded that fear of failing, academic w orkload and requirements for completing the graduation were the most prevalent stressors. Clinical f actors related to lack of time, patients unavailability a nd attitude of the faculty were considerately stressful. The living conditions and social factors were found to be the least of the stressful events. Factors related to marri age and children were deemed not related to creating any stress ...
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