scholarly journals Analysis of Factors Associated with Orthodontic Microscrew Failure

2014 ◽  
Vol 25 (4) ◽  
pp. 346-351 ◽  
Author(s):  
Adriano Dobranszki ◽  
Jorge Faber ◽  
Isabela Von Muehlen Carvalho Scatolino ◽  
Nara Pereira d´Abreu Cordeiro Dobranszki ◽  
Orlando Ayrton de Toledo

The objective of this study was to examine whether factors such as insertion site, patient's facial pattern, microscrew features, type of tooth movement desired, level of experience handling orthodontic microscrews and operator expertise were associated with failure of microscrews. After the approval of an ethics committee, 166 patients of one practice signed an informed consent and received 293 microscrews randomly distributed by 3 operators with different levels of practical experience and expertise in handling microscrews. The microscrews were observed in a period of 365 days or as long as orthodontic forces had to be applied and independent variables were recorded. Analysis by the chi-square test did not produce enough evidence as to allow the assertion that there was an association between the variable "failure" and the variables "maxilla" (p=0.4775), "face" (p=0.1081), "facial pattern" (p=0.7522), "microscrew length" (p=0.9113), "desired movement" (p=0.0584), and "operator" (p=0.5785). The variable "insertion side" was significantly associated with "failure" (p=0.0022). In a 365-day survival analysis, the Log Rank test yielded a p-value of 0.00178 for the curve of variable "insertion side," and showed no significant differences for other variables. With a total success rate of 87.38%, the only variable found to be significant was "insertion side" (p=0.0022), with 3.088 more likelihood of a microscrew failing if placed on the left side than on the right side. The procedure of inserting microscrews involved a rapid learning curve for an inexperienced operator, which justifies their placement by orthodontists.

2021 ◽  
pp. 030157422110448
Author(s):  
Ankita Singh ◽  
Pradeep Tandon ◽  
Dipti Shastri

Objective: To estimate the maximum voluntary molar biting force (MBF) and incisor biting force (IBF) and their relationship to morphological variables in subjects with different vertical skeletal patterns. Materials and Methods: Maximum voluntary MBF, IBF, and morphological variables were recorded in 120 subjects (60 males and 60 females) with skeletal class I pattern in the age range of 14 to 24 years. All subjects were divided into 3 groups: Normodivergent, hypodivergent, and hyperdivergent, according to the maxillomandibular plane angle and Jarabak ratio. Bite force measurements were undertaken using a custom-made portable digital gnathodynamometer on the left and the right sides of the jaw in the molar and incisor regions during maximal clenching. Statistical analysis was performed using independent t-test, chi-square test, and ANOVA test using SPSS version 22.0.0.0 software. Results: MBF and IBF are influenced by gender with higher values obtained for male subjects in all groups in the following order: hypodivergent > normodivergent > hyperdivergent. No significant changes were seen with morphological variables in different groups. Conclusion: Molar and incisor biting forces are highest in hypodivergent subjects and least in hyperdivergent subjects as a reflection of jaw morphology and muscular efficiency. In all groups, males exhibit higher force values than females, underlining a strong gender influence on biting force and facial pattern.


2016 ◽  
Vol 5 (2) ◽  
pp. 118-122 ◽  
Author(s):  
Mohammed Jasim Aljuboori ◽  
Hussien Ali Al-Wakeel ◽  
Lor Yen Fang ◽  
Navenithamaria Eirutharajan ◽  
Santhanalaxmi A Balachandran

ABSTRACT Objectives Previous studies showed there were variations in the interforamina distance of mental foramen between races. The aim of our study is to determine the interforamina distance of mental foramen among Malaysian populations. Materials and methods A total of 503 orthopantomogram (OPG) radiographs were observed. Interexaminer calibration was estimated using the Kappa-Cohen formula. A sheet of transparent paper was superimposed on the panoramic film and the mental foramen was traced on it by using a fine marker pen. A vertical line marking the midline was drawn passing between the maxillary central incisors, the mandibular central incisors, or the nasal septum by using a ruler. The distance of the mental foramen from the midline was then recorded from both the left and the right side. The data were analyzed using chi-square test. Results According to our inclusion and exclusion criteria, 110 OPGs have been excluded and 393 OPGs were selected. In the Malay population, the most common interforamina distance for a male is between 55 and 60+ mm (n= 73, 54.8%). Also, the most common interforamina distance for a female is 55 to 60+ mm (n = 84, 50%). In the Chinese population, the most common interformina distance for a male is between 55 and 60+ mm (n=60, 66.8%). Similarly, the most common interforamina distance for a female is between 55 and 60+ mm (n= 73, 53.8%). Among the Indian population, the most common interforamina distance for a male falls between 55 and 60+ mm (n= 53, 43.4%) and for a female as well (n=50, 54%). According to the chi-square test, the results show that the study is statistically insignificant since the p-value is >0.05 for both the male and female population. Conclusion There is no relationship between the interforamina distance and the ethnicity. The most common interforamina distance for all the races falls between 55 and 60+ mm. How to cite this article Al-Juboori MJ, Saini R, Al-Wakeel HA, Fang LY, Eirutharajan N, Balachandran SA. Evaluation of the Intermental Foramina Distance among Malaysian Population by using Orthopantomogram Radiograph. Int J Experiment Dent Sci 2016;5(2):118-122.


2019 ◽  
Vol 21 (1) ◽  
pp. 7-11
Author(s):  
Kundan Kumar Shrestha ◽  
K Acharya ◽  
RR Joshi ◽  
S Maharjan ◽  
D Adhikari

Computed tomography (CT) of the para-nasal sinuses (PNS) has nowadays become the investigation of choice for the diagnosis of sinonasal diseases. Numerous sinonasal anatomic variants exist and are frequently seen on CT scans. A sound knowledge of these variations is important not only for diagnosis but also for planning surgery in order to avoid complications. The aim of this study is to investigate the frequency of these variations in patients with sinonasal symptoms and also to determine their relation to sinonasal disease if any. A total of 76 patients were included in the study from August 2017 to July 2018 of which 43 (56.6%) were males and while 33 (43.4%) were females with male to female ratio of 1.3:1. The ages of patients ranged from 14 to 72 years with a mean age of 33.2±14.2 years. Out of 76 patients, 68 (89.5%) had at least one type of anatomical variation while 8 (10.5%) had no variation. Only one variation was seen in 39 (51.3%) patients while 29 (38.2%) had two or more variations. The most common variant was deviated nasal septum (DNS), occurring in 49 (64.5%) patients followed by concha bullosa (CB) and agger nasi cell (AN) seen in 15 (19.7%) and 14 (18.4%) patients respectively. Genderwise, anatomical variations were seen more in males but the difference was not statistically significant. Some variations were seen more on the right side while others on the left. Some variations were present bilaterally. The difference was not statistically significant. The presence of DNS was statistically significant in the study population (p value 0.012 in nonparametric chi square test). The age group 14 to 30 years showed maximum variations though not significant statistically. Therefore, during management of patients with sinonasal symptoms, these variations need to be addressed, if required, surgically. Proper knowledge of both common and uncommon sinonasal variations in our community could help in better surgical planning and overall management of sinonasal disorders.


2020 ◽  
Vol 1 ◽  
pp. 142-145
Author(s):  
Wasis Sapto Putro ◽  
Sodikin Sodikin

Fast and accurate services are essential in the Emergency Departement (ED). Services in the emergency room will be hampered if it is are full of patients. If this is not managed well, the right services cannot be implemented. In turn, it will have a bad effect on patient satisfaction. To analyze the correlation between response time and waiting time with patient satisfaction during service at the Emergency Department of the Banyumas Regional General Hospital.This research is quantitative research. The sampling technique in this study used purposive sampling of 96 respondents. The statistical test used is the chi square test.Most respondents percieved the responding time in ER is fast; most of them also rated that the waiting time in ER is short. Most of them are also satisfied with ER services. The chi square test results in p value of <0.05 for each variable. It means there is a relationship between response time and waiting time with patient satisfaction during service at the Emergency Department of Banyumas Regional General Hospital.Response time and waiting time are related to patient satisfaction during service at the Emergency Department of Banyumas Regional General Hospital.


2020 ◽  
Vol 16 (1) ◽  
pp. 93-100
Author(s):  
Viranda Nedine Putri Watulinggas ◽  
Mona Lestari ◽  
Novrikasari Novrikasari ◽  
Desheila Andarini ◽  
Anita Camelia

The port has a fairly dense loading/unloading activity according to the total flow of goods it manages. In addition to high work activities, environment factors such as noise and work climate can also affect the occurrence of work fatigue.  Therefore, this study aims to determine factors associated with work fatigue in loading/unloading workers at the port.  This study uses cross sectional study design with simple random sampling.  Data analysis used the Paired Sample T-Test and Chi-Square test.  The results showed that there was a difference of fatigue before and after work and as many as 71.2% of workers experienced moderate fatigue.  It is known that age (p-value = 0,000), breakfast habits (p-value = 0,000), and years of service (p-value = 0,000) have a significant correlation with work fatigue, while nutritional status (p-value = 0.203), workload (p-value = 0.140), hot work climate (p-value = 0.362), and noise (p-value = 0.880) have no correlation with work fatigue.  It was concluded that age, breakfast habits and work duration were related to work fatigue in loading/unloading labor.  Therefore, workers are advised to be used to have breakfast with the right menu and time and workers should wear hats while working to reduce sun exposure.


2016 ◽  
Vol 3 (1) ◽  
pp. 079-088
Author(s):  
Tutu April Ariani

Mental health is the emotional and sosial maturity of a person which is accompanied by acompatibility with himself and his surroundings. One of the deviant behavior of clients with mentaldisorders are violent behavior. The management of violent behavior can be done with therapeuticcommunication. The right therapeutic communication can be used to reduce the level of violent behavior.This study aimed to determine comparison completeness of client care with violent behavior whoreceive therapeutic communication between the nurses and sosial workers. Methods: The researchdesign used in this research was the kind of research the comparative analysis with cross sectionalapproach. The sample in this research consisted of 16 clients violent behavior, 3 nurses, and 7sosialworkers in UPT RSEP Pasuruan. The Sampling technique in this research was purposive sampling. Thedata analysis used Chi-Square test. Results: Based on the research result client violent behavior whoreceive therapeutic communication nurses with complete catagory were 3 people (18,8%), and notcomplete category were 5 people (31,3%). While the violent behavior of respondents who receivetherapeutic communication with sosial workers complete catagory were 5 people (31,3%), and notcomplete catagory were 3 people (18,8%). Chi-Square test result in comparison completeness clientcare violent behavior who receive therapeutic communication between the nurses and sosial workers,the p value = 0,317 more than the tariff of significance (0,05). Conclusion: It was concluded that therewas no difference in complete treatment of violent behavior between nurses and sosial workers in UPTRSEP Pasuruan


Author(s):  
Priyanka Jain ◽  
Rakesh Jain

Background & Method: This study was carried out at Index Medical College Hospital & Research Centre, Indore, when baby come to scnu, SPO2 is measured by pulse oximeter (ChoiceMMed MD300C2.). Fit the pulse oximeter on the foot, the light part of the sensor should be placed over soft tissue supported by a bony area. If the foot is cold or blue the pulse oximeter can be attached at the wrist. If the signal is poor re-position the probe. In a resuscitation situation the pulse oximeter should be attached to the right arm to read pre-ductal saturations. Result: In this study, 28.46% newborns oxygen saturation was less than 85% and 71.53% newborns oxygen saturation was more than 85%. In this study, 67.81% newborns having oxygen saturation less than 85% and 1.9% newborns having oxygen saturation more than 85% died during first 48 hrs of admission. Chi square test was applied and p value was <0.05 and was significant. Conclusion: Most of neonatal transports are self transport without any pre-treatment stabilization or care during transport These new born thus transported can become cold, blue and hypoglycaemic. This can have serious clinical implications. As it is seen in this study that all those babies who were given proper care during transportation were less affected & more over survival was also better among these babies. Keywords: Oxygen Saturation, Neonates & TOPS score.


2020 ◽  
Vol 8 (2) ◽  
pp. 155-161
Author(s):  
Suryati ◽  
Nita Ana Pratiwi

Background: Toddler age children are in important concept in the growth process. That age is the right time for children to learn various skills, such as learning to defecate and urinate. In do defecate and urinate in toddler need preparation by physical, psychological, and intellectual. The attitude of mother determines the children to use toilet training. Objective:This research is aim to determine the relationship of mother’s attitude with the readiness of toilet training in PAUD Avicena Yogyakarta Methods: This research design is descriptive correlational with cross-sectional approach. The sample of this research was 32 respondents taken with total sampling technique. The data collection is use questionnares with hypothesis testing technique using Chi Square test Results:This research shows that the majority of mother’s attitude in use of diapers in the postive category  (84,4%), the readiness of  toilet training majority are in category less ( 53,1%) Chi Square correlation value between mother’s attitude in use of diapers to the toilet training readiness is p value 0,000 < 0,05 Conclusion:The more attitude of the mother in supports of using diapers, it will be influential in less toilet training readiness in toddler children Keywords: Attitude, Toilet Training Readiness    


2020 ◽  
Vol 4 (2) ◽  
pp. 15-19
Author(s):  
Dimas Gusrizal ◽  
Febrian Febrian ◽  
Aria Fransiska

The socialization about the right of participation has been carried out by BPJS Health to the community at the puskesmas. There are 4 stages in socialization, namely the stages of sensitization, publicity, education, and motivation. The government has determined that all Indonesian citizens must become BPJS Health participants, but socialization to the community is still not optimal, causing many BPJS participants who do not know about their membership rights. The purpose of this study was to find out how the socialization process of the JKN program relates to the knowledge of the rights of BPJS Health participants. The Method of the research is an observational analytic study with a cross-sectional approach. The number of samples is 106 respondents with consecutive sampling techniques. Data were analyzed by Chi-Square test with a p-value <0.05. The results of this study indicate that each stage of socialization is not optimal and results in low knowledge of BPJS Kesehatan participants. The Conclusion is a relationship between the socialization of the National Health Insurance program on the knowledge of the rights of BPJS Health participants at the Padang City Health Center.


2017 ◽  
Vol 2 (2) ◽  
pp. 74
Author(s):  
Nurul Fitri ◽  
Yuniar Lestari ◽  
Lisma Evareny

Exclusive breastfeeding is one of ways to maintain a good growth and development for the baby. Exclusive breastfeeding in Indonesia is the right for every baby which is regulated in government regulations, but the coverage of exclusive breastfeeding is still low in some areas. The lowest exclusive breastfeeding coverage in Padang is in the working area of Air Dingin health center. The aims of this study is to determine the relationship between husbands support with exclusive breastfeeding in Air Dingin public health center.This study was a quantitative study with cross sectional design conducted at Air Dingin health centerfrom Marchto December 2017. Subject of this studywere mothers who had 6-12 month babies whichwere106 people. Data was collected by using questionnaires and guided interviews. Data analysis was performed using univariate and bivariate using chi square test with  p-value ≤  0,05.The results showed 76,4% of mothers did not provide exclusive breastfeeding for their babies and 59,4% of mothers did not get support from their husbands.Bivariate analysis showed  that there was a relationship between husband support with exclusive breastfeeding with p-value=0.000.There was a relationship between husband support with providing exclusive breastfeeding for the babies. Because of the importance of husbands role, husbands must be the target for exclusive breastfeeding counseling.Therefore, husbands can also be active to find the information and participate in the success of exclusive breastfeeding for the babies.


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