scholarly journals Investigating perceptions of patient-centred care in orthodontics

2020 ◽  
Vol 47 (4) ◽  
pp. 320-329
Author(s):  
Nima Amin ◽  
Susan J Cunningham ◽  
Elinor M Jones ◽  
Fiona S Ryan
Keyword(s):  
Orthodontic Treatment ◽  
Initial Assessment ◽  
Cross Sectional ◽  
Patient Gender ◽  
Gender And Age ◽  
Significant Difference ◽  
Dental Hospital ◽  
High Engagement ◽  
Score Range ◽  
Patient Centredness

Objectives: To assess and compare patient and clinician perceptions of patient-centredness for adults about to commence active orthodontic treatment, and to assess whether the following variables affected perceptions of patient-centredness: patient gender and age; clinician gender and grade; and stage of treatment. Design: A prospective, cross-sectional questionnaire study. Setting: Eastman Dental Hospital, UCLH NHS Foundation Trust. Participants: A total of 112 adult patients and 30 clinicians completed 224 questionnaires (112 patient and 112 clinician questionnaires). Methods: A validated, dyadic questionnaire, the ‘9-Item Patient Perception of Patient-Centredness’ (PPPC), was used to collect data from both patients and their corresponding clinicians after initial assessment or records/treatment planning consultations. Total PPPC scores (possible score range = 9–36) were calculated for each patient and clinician to ascertain the extent to which they perceived they were engaging in patient-centredness, where higher scores corresponded with better performance. Results: Patients and clinicians perceived high engagement in patient-centredness with median scores of 32/36 and 29/36, respectively. There was a statistically significant difference between total scores with patients perceiving consultations to be more patient-centred than clinicians ( P < 0.001). None of the variables (patient gender and age, clinician gender and grade, stage of treatment) were statistically significant. Conclusion: Patients and clinicians both perceived high engagement in patient-centredness. Patients perceived consultations to be significantly more patient-centred than clinicians ( P < 0.001).

scholarly journals Correlation between Serum Homocysteine and Vitiligo Area Scoring Index

2017 ◽  
Vol 5 (3) ◽  
pp. 332-334 ◽  
Author(s):  
Dina R. U. Hasibuan ◽  
Imam B. Putra ◽  
Nelva K. Jusuf
Keyword(s):  
Family History ◽  
Homocysteine Level ◽  
Cross Sectional ◽  
Characteristic Finding ◽  
Serum Homocysteine ◽  
Gender And Age ◽  
Significant Difference ◽  
Chronic Skin ◽  
Scoring Index

Background: Vitiligo is a chronic skin disorder. White macules caused by melanocyte destruction is a characteristic finding that cosmetically disturbing. Until recently, pathogenesis of vitiligo is still unclear. The role of homocysteine in vitiligo is mentioned in previous studies thus it is probable that it can be a biomarker to determine vitiligo severity. Aim : To determine correlation between serum homocysteine and vitiligo area scoring index (VASI)Subject and method: This was a cross-sectional analytic study which involved 30 vitiligo patients that were diagnosed by clinical and Wood’s lamp examinations then VASI score was determined and same numbers of control. We conducted blood sampling and measurement of serum homocysteine level to the patients.Results: There is no significant correlation between serum homocysteine and VASI score (p= 0,133, r= 0,281), family history (p=0,447), and duration of vitiligo (p= 0,993, r= 0,002). There is no significant difference between serum homocysteine in vitiligo patients and controls (p= 0,191). There is a correlation between serum homocysteine with gender (p= 0,001) and age (p= 0,036;r= 0,385)  in vitiligo patient but not in controls (p= 0,266), (p= 0,872; r= 0,031). There is a correlation between serum homocysteine and types of vitiligo. Conclusion: There is no significant correlation between serum homocysteine and VASI score, family history, and duration of vitiligo. There is no significant difference between serum homocysteine in vitiligo patients and controls. There is a correlation between serum homocysteine with gender and age in vitiligo patients.

scholarly journals To what extent are GCS and AVPU equivalent to each other when assessing the level of consciousness of children with head injury? A cross-sectional study of UK hospital admissions.

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e023216 ◽  
Author(s):  
Amy GL Nuttall ◽  
Katie M Paton ◽  
Alison M Kemp
Keyword(s):  
Head Injury ◽  
Hospital Admissions ◽  
Diagnostic Yield ◽  
Cross Sectional Study ◽  
Initial Assessment ◽  
Clear Correlation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Level Of Consciousness

ObjectiveTo evaluate utility and equivalence of Glasgow Coma Scale (GCS) and the Alert, Voice, Pain, Unresponsive (AVPU) scale in children with head injury.DesignCross sectional study.SettingUK hospital admissions: September 2009–February 2010.Patients<15 years with head injury.InterventionsGCS and/or AVPU at injury scene and in emergency departments (ED).Main outcomeMeasures used, the equivalence of AVPU to GCS, GCS at the scene predicting GCS in ED, CT results by age, hospital type.ResultsLevel of consciousness was recorded in 91% (5168/5700) in ED (43%: GCS/30.5%: GCS+AVPU/17.3%: AVPU) and 66.1% (1190/1801) prehospital (33%: GCS/26%GCS+AVPU/7%: AVPU). Failure to record level of consciousness and the use of AVPU were greatest for infants. Correlation between AVPU and median GCS in 1147 children <5 years: A=15, V=14, P=8, U=3, for 1163 children ≥5 years: A=15, V=13, P=11, U=3. There was no significant difference in the proportion of infants who had a CT whether AVPU=V/P/U or GCS<15. However diagnostic yield of intracranial injury or depressed fracture was significantly greater for V/P/U than GCS<15 :7/7: 100% (95% CI 64.6% to 100%) versus 5/17: 29.4% (95% CI 13.3% to 53.1%). For children >1 year significantly more had a CT scan when GCS<14 was recorded than ‘V/P/U only’ and the diagnostic yield was greater. Prehospital GCS and GCS in the ED were the same for 77.4% (705/911).ConclusionThere was a clear correlation between Alert and GCS=15 and between Unresponsive and GCS=3 but a wider range of GCS scores for responsive to Pain or Voice that varied with age. AVPU was valuable at initial assessment of infants and did not adversely affect the proportion of infants who had head CT or the diagnostic yield.

Correlation of lip profile preferences in Pakistani population; and its comparison with orthodontic norms

2021 ◽  
Author(s):  
Hashim Bin Mansoor ◽  
Zahra Khalid ◽  
Abdullah Jan ◽  
Rumeesha Zaheer
Keyword(s):  
Orthodontic Treatment ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Pakistani Population ◽  
Significant Difference ◽  
Difference Of Opinion ◽  
General Dentists ◽  
Group B ◽  
Treatment Seekers

Objective: To determine the most desired lip profile and compare the subjective sense of aesthetics among orthodontists, general dentists and the general population. Method: The cross-sectional study was conducted at the Orthodontic Department of the Armed Forces Institute of Dentistry, Rawalpindi, Pakistan, from January 1 to February 25, 2020, and comprised different silhouettes for each gender with increasing lip procumbence from -6mm to +6mm with respect to Rickett’s E-line which were created using Photoshop CS 8.0 after cephalometric analysis of 20 cephalograms. The sample comprised an equal number of orthodontists in group A, general dentists in group B and orthodontic treatment-seekers in group C with equal representation of the two genders. Data was analysed using SPSS 24. Results: Of the 180 subjects, there were 60(33.3%) in each of the three groups, with 30(50%) males and as many females in all the groups. All the three groups preferred the average lip profile for males (p=0.018) and 2mm procumbent lips for females (p=0.008). There was significant difference of opinion between groups A and C (p=0.034) and between groups  B and C (p=0.022). Conclusion: There was found to be a marked difference of opinion among the orthodontists, the general dentists and the orthodontic treatment-seekers regarding the desired lip profile. Key Words: Aesthetics, Pakistani population, Cephalometrics, Lip profile. Continuous...

scholarly journals Orthodontic Treatment Knowledge among General Dentists and Non-orthodontic Specialists

2019 ◽  
Vol 9 (1) ◽  
pp. 40-44
Author(s):  
Asal Acharya ◽  
Praveen Mishra ◽  
Rabindra Man Shrestha ◽  
Pooja Shah
Keyword(s):  
Orthodontic Treatment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Multiple Choice Questions ◽  
Cross Sectional ◽  
Significant Difference ◽  
Treatment Knowledge ◽  
Treatment Concepts ◽  
The Mean ◽  
General Dentists

Introduction: General dentists and specialists other than orthodontist may encounter patient requiring orthodontic treatment. For proper counseling and referral, it is important that general dentists and non-orthodontic specialists have adequate level of orthodontic knowledge. Objective: To assess the knowledge of orthodontic treatment among general dentists and non-orthodontic specialists and to compare the knowledge between the two groups. Materials & Method: A descriptive cross sectional study using questionnaire was performed among 185 actively practicing general dentists and non-orthodontic specialists of Nepal. The questionnaire comprised of three parts. The first part included demographic details, second part contained 5 multiple choice questions regarding orthodontic counseling and third part integrated 18 questions for evaluating knowledge of orthodontic treatment. Each correct answer was given score 1 and every incorrect answer was scored zero in the third part of the questionnaire. Result: Among total participants, 60.5% think first orthodontic evaluation of a child should be carried out within 7 to 8 years of age and 44.3% think orthodontic treatment can even be started after 40 years of age. Around 66% of the participants think that orthodontic treatment cannot be performed in periodontally compromised cases. No significant difference was found between the mean scores of knowledge among general dentists and non-orthodontic specialists (p=0.891), or among dentists with different years of experience (p=0.644). Conclusion: There is a need for more education of orthodontic treatment concepts to the dentists who do not belong to orthodontic field for proper counseling and referral.

scholarly journals Oral hygiene habits and status of orthodontic patients attending the University of Pretoria, Oral and Dental Hospital

2021 ◽  
Vol 76 (3) ◽  
pp. 130-135
Author(s):  
Noluthando L Buthelezi ◽  
Thomas K Madiba
Keyword(s):  
Oral Hygiene ◽  
Plaque Index ◽  
Gingival Index ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
University Of Pretoria ◽  
Dental Hospital ◽  
Orthodontic Patients ◽  
Oral Hygiene Habits

Most orthodontic patients struggle to maintain good oral hygiene during treatment. To determine oral hygiene habits and status of patients undergoing fixed orthodontic treatment at University of Pretoria, Oral and Dental Hospital. A cross-sectional descriptive study. A modified, validated, self-administered questionnaire was used, and clinical examinations were conducted using Orthodontic Plaque Index, Gingival index, and Bleeding index. The questionnaire sought to determine knowledge and practice patterns. Data analysis included frequencies and correlations using chi-square test, with a significance of p<0.05.Fifty patients participated with 34(68%) being female with ages from 10 to 28 and a mean of 18,5. Seventy percent avoided sticky foodstuff, 74% used mouthwash, 56% flossed daily and 84% brushed twice daily. However, 82% consumed sugar containing drinks. Clinical exam revealed an Orthodontic Plaque Index mean of 2.6, Gingival Index mean of 0.1 while the Bleeding Index was 13.3 and 90% had normal gingiva. There was a significant difference in Gingival Index score between patients at age category 10-19 and 18-24 (p< 0.05). This study revealed a satisfactory oral hygiene status among patients at the institution with the majority of patients maintaining good oral hygiene practices. However, 82% consumed sugar sweetened beverages.

scholarly journals Occlusal Traits of Primary Dentition among Children Visiting a Dental Hospital in Kathmandu, Nepal

2019 ◽  
Vol 21 (2) ◽  
pp. 122-127
Author(s):  
Priyanka Shah ◽  
J. Acharya ◽  
S. Khanal
Keyword(s):  
Longitudinal Studies ◽  
Cross Sectional Study ◽  
Primary Dentition ◽  
Deciduous Teeth ◽  
Sectional Study ◽  
Deciduous Dentition ◽  
Cross Sectional ◽  
Significant Difference ◽  
Dental Hospital ◽  
Different Populations

 Occlusion in deciduous dentition varies among children of different populations and races. Paucity of information in Nepalese literature provided the motive for this study. The objective of this study was to examine the occlusal traits of Primary Dentition among children aged 2-6 year old. A cross-sectional study comprising total of 307 children all having deciduous teeth were included in the study. The dentition was examined using a mouth mirror and explorer under illuminated light in Department of Pedodontics and the data was recorded. All the children were screened for molar and canine relationship, overjet, overbite, spaced and non-spaced dentition. Out of the total, Mesial step terminal plane (62%-left; 58%-right), Flush terminal (33%-left; 36% -right) and Distal step (5%-left; 6%-right) were seen. Most of the children had class I canine relation (83%-left; 84%-right), ideal overjet (68.4%), overbite (63.1%) and spaced dentition. Statistical significant difference was found among the gender with respect to overjet. Presence of spacing was more in maxilla than in mandible which was statistically significant. These findings suggested desirable occlusal characteristics and spacing in primary dentition. However, future longitudinal studies are required to examine whether the transition of these occlusal characteristics will lead to favorable outcome in permanent dentition.

scholarly journals Prevalence of Impacted Teeth among the Orthodontic Patient in Bangabandhu Sheikh Mujib Medical University

2018 ◽  
pp. 24-26
Author(s):  
Luthfun Nahar ◽  
Digamber Jha ◽  
Gazi Shamim Hassan
Keyword(s):  
Orthodontic Treatment ◽  
Early Recognition ◽  
Cross Sectional Study ◽  
Age Group ◽  
Central Incisor ◽  
Cross Sectional ◽  
Impacted Teeth ◽  
Tooth Impaction ◽  
Significant Difference ◽  
Medical University

Aim: This study was attempted to find out the prevalence of impacted teeth among the patients attended for orthodontic treatment in Bangabandhu Sheikh Mujib Medical UniversityMaterials and Method: For this cross sectional study 200 patients were taken according to selection criteria who were seeking orthodontic treatment, age between 10 and 30 years in Bangabandhu Sheikh Mujib Medical University.Results: 42.0 % respondents belong to age group 11-15 years, 65.5% respondents were female and 34.5% were male, who had impacted teeth with other orthodontics problems. Among 3.0% respondents 1.5 % showed impaction in right upper central incisor and other showed impaction in right upper canine, in left upper central incisor and also left upper canine. The prevalence of impacted teeth was not significant for age group ( p=0.449) and there was no significant difference between male and female (p=0.695).Conclusion: The prevalence of tooth impaction is a common dental anomaly. The early recognition of tooth impaction is very important from a therapeutic point of view.Ban J Orthod & Dentofac Orthop, April 2015; Vol-5 (1-2), P.24-26

scholarly journals Frequency of cusp of carabelli in maxillary permanent first molars and its association with dental caries in patients visiting Peshawar Dental Hospital, Peshawar.

2021 ◽  
Vol 28 (08) ◽  
pp. 1101-1106
Author(s):  
Sana Arbab ◽  
◽  
Munawar Aziz Khattak ◽  
Syed Amjad Shah ◽  
◽  
...  
Keyword(s):  
Dental Caries ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Common Finding ◽  
P Value ◽  
Cross Sectional ◽  
Maxillary Molars ◽  
Number Of Teeth ◽  
Significant Difference ◽  
Dental Hospital

Objective: To find out the frequency of cusp of Carabelli and its association with dental caries in maxillary permanent first molars in both male and female patients of Peshawar. Study Design: Cross Sectional Study. Setting: OPD of Peshawar Dental Hospital, Peshawar. Period: July 2016 to December 2016. Material & Methods: A total of 300 patients (125 males and 175 females) were selected through consecutive sampling technique and the number of teeth examined was 600 (two teeth per patient). Age group selected for the patients was from 13 to 30 years. Both the genders having fully erupted maxillary permanent first molars on both sides of the jaw were included in the study and the teeth were examined usin0g mouth mirror while the presence of caries in Carabelli groove was checked with the help of dental explorer (probe). Results: Of the total 300 patients, 118 (39.3%) presented the cusp of Carabelli on maxillary permanent first molars and the number of teeth having the cusp was 192 (32%) out of the total 600 among them. 24.7% of the patients had cusp present on both right and left MPFM while 10.3% of patients had CC present only on right maxillary molars and in 4.3% of patients, it was located on left molars. Gender differentiation of the cusp did not show a statistically significant difference (p-value 0.140). The frequency of caries associated with the cusp of Carabelli groove was found to be 17.7%. Out these patients, 8 males (34.7%) and 15 females (65.2%) were affected. P value for this distribution was 0.651, which shows no statistically significant difference between genders for the presence of caries. Conclusion: The cusp of Carabelli is a common finding on the palatal surface of mesiolingual cusp of maxillary permanent first molars in a hospital-based population of Peshawar with no statistically significant difference between males and females. Caries in cusp of Carabelli groove is a common association with the cusp having no significant difference between genders.

COMPARISON OF PERIODONTAL STATUS AMONG MILD, MODERATE AND HEAVY SMOKERS IN FACULTY OF DENTISTRY, UNIVERSITAS SUMATERA UTARA

2017 ◽  
Vol 20 (2) ◽  
pp. 57-61
Author(s):  
Siti Muthi’atun Naila ◽  
Pitu Wulandari
Keyword(s):  
Wide Spectrum ◽  
Analysis Data ◽  
Cross Sectional ◽  
Periodontal Status ◽  
Informed Consent Form ◽  
Periodontal Index ◽  
Significant Difference ◽  
Dental Hospital ◽  
The Mean ◽  
Heavy Smokers

Smoking is associated with a wide spectrum of disease including systemic diseases such as cancer, lung,and cardiovascular disease. Smoking is one of the risk factors that cause the severity of periodontal disease which is influenced by the number of cigarettes consumed per day. This study was aimed to analyze the comparison among periodontal status in mild, moderate, and heavy smokers in the Faculty of Dentistry, Universitas Sumatera Utara. This study was an observational analytic study with the cross-sectional approach,and sampling was done by purposive sampling method. This study was held in PeriodonticsInstallation, USU Dental Hospital (RSGM USU) with a total number of 80 sampleswas selected based on inclusion and exclusion criteria. A questionnaire and informed consent form were distributed to the samples at the beginning of the study followed by oral examination such as Periodontal Index Russell. The analysis data was performed by one way ANOVA test to show the differences in periodontal status among mild, moderate, and heavy smokers. The results showed that there was a significant difference among the mean of periodontal index scores in mild, moderate, and heavy smokers (p<0,05). As a conclusion,the more cigarettes consumed the worse of periodontal status.

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