The Examination of Root Morphology of the Maxillary First and Second Molars Using Cone Beam Computed Tomography

Author(s):  
Amirmohamad Esmaeilian ◽  
Azadeh Torkzadeh ◽  
Amin Mortaheb ◽  
Azadeh Zakariaee Juybari

Introduction: Maxillary molars usually have three roots, four canals and the extra canal often exists in the mesiobuccal root. This study aimed to investigate the root morphology of maxillary first and second molars using CBCT. Materials & Methods: In this descriptive-analytical study, CBCT samples of 200 patients referred to maxillofacial radiology centers were selected and evaluated. Two-dimensional images in panoramic, cross-sectional, and transverse axial planes and three-dimensional images of the maxilla building that were reconstructed by a computer were examined. Analyzed data using one-way ANOVA and t-test (p value < 0.05) Results: The highest number of roots in the first molar was 3 (89.5%) and, the highest number of the second molar was 3 (90%). The maximum number of root canals in the first molar was 4 (65%) and, the highest number of root canals in the second molar was 3 (68%). The MB2 canal of maxillary first molars was 67.5% and the MB2 canal of maxillary second molars was absent at 71.5%. The presence of MB2 canal of maxillary first and second molars had no significant difference (p value > 0.05), but the presence of MB2 canal of maxillary first and second molars was significant (p value < 0.001). Conclusion: There is a significant relationship between being unilateral and bilateral with the presence of the mesiobuccal canal. Most of the first maxillary molars and, maxillary second molars had three separate roots. Also, there was no significant relationship between gender and side of study with the presence of mesiobuccal canal.

2021 ◽  
Vol 1 (3) ◽  
pp. 287-293
Author(s):  
Netty Herawati

Pregnancy is a condition in which the fetus is conceived in the mother's body, which begins with the fertilization process. Lack of iron during pregnancy will lead to iron deficiency anemia and can cause bleeding during delivery, facilitate infection and decrease the carrying capacity of acid. The need for pregnant women for Fe increases (for the formation of placenta and red blood cells) by 200-300%, about 300 mg of Fe is transferred to the fetus so that 50-75 mg for the formation of placenta, 450 mg for increasing the amount of red blood and 200 mg disappears when The type of research in this research is descriptive analytic using cross sectional design. In this study, the independent variables are motivation, the role of health workers and family support, the dependent variable is the regularity of consuming Fe tablets. Based on the statistical test, it was obtained p value 0.007 ˂ 0.05, which means that there is a significant relationship between poor motivation and irregularity in consuming Fe tablets in the working area of Puskesmas with difficult water. Based on statistical tests, p value is 0.001 0.05, which means there is a significant relationship There is a significant difference between the role of health workers and irregularity in consuming Fe tablets in the working area of Puskesmas with difficulty in water. Based on statistical tests, the p value is 0.000 ˂ 0.05, which means that there is a significant relationship between poor family support and irregularity in consuming Fe tablets in the region. The Work of Puskesmas is Hard to Water.


2021 ◽  
Vol 28 (08) ◽  
pp. 1101-1106
Author(s):  
Sana Arbab ◽  
◽  
Munawar Aziz Khattak ◽  
Syed Amjad Shah ◽  
◽  
...  

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.


2019 ◽  
Vol 3 (2) ◽  

Introduction: The objective of the study was to make the comparison of the root canal length of different types of teeth in black-Africans (Bantu) to that of Caucasians and Asians. Materials and Methods: Data from a prospective cross-sectional study of Bantu (Black Africans) subjects aged from 18 to 45 years who were admitted in Service of Conservative Dentistry of Kinshasa University, root canal length were compared with already published data from studies involving Caucasians and Asians. Results: This study includes 720 subjects; 480 (66%) were female and 240 (34%) were male. A total of 818 teeth were examined with 1539 root canals. The upper central incisor and the lower first molar predominated respectively in the maxilla and the mandible regions. There is a significant difference between the canal length of Bantu and Asians in the palatal canal of the upper second molar by 3.1 mm (p= 0.00). Eight different canals of Bantu were longer as compared to a single canal for Asians (p <0.05). This include the Vestibular (V) and palatine (P) canals of Bantu the first premolar (PM1 ), palatal of the second premolar (PM2 ), mesio-vestibular (MV), disto-vestibular (DV) and palatine (P) of the first molar (M1 ) mesio-vestibular and palatal of the second molar (M2 ). The lateral incisors (IL) (p= 0,01) and the canines (p= 0.12) of the Asians were longer than that of the Bantu. The Caucasians presented with longer canines than Bantu with a length difference of 1.7 mm (p= 0.11). Four Caucasians also presented with longer canals of the Mesio-Vestibular (MV) and mesiolingual (ML) of the two molars (M1 and M2 ) as compared to one for Bantu are the longest (p <0.05). Exceptionally, the distal canal (D) of the second molar (M2 ) of the Bantu was longer than that of the Caucasians, with a length difference of 1.5 mm. Conclusion: The root canal length of Bantu is between than those of the most Asian and shortest Caucasian.


2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Alexander Juhasz ◽  
Csaba Hegedus ◽  
Ildiko Marton ◽  
Balazs Benyo ◽  
Kaan Orhan ◽  
...  

The objective of this study was to analyse the effectiveness of some parameters which characterise the change in morphology in human root canals subjected to ProTaper rotary enlargement with the help of an X-ray microfocus computed tomography (MCT) and to introduce a novel parameter that is effective in quantifying changes in root canal morphology. Ten each straight and curved root canals with mature apices chosen from extracted human upper incisor and canine teeth were scanned with MCT before and after canal shaping using ProTaper rotary instruments in order to facilitate three-dimensional digital reconstruction and quantitative gauging of relevant instrumental parameters and changes therein (surface area and volume). Root canal geometry change and the effectiveness of shaping were quantified with Structure Model Index change (ΔSMI) and surface area change to volume change ratio (ΔSA/ΔV). These two parameters were also tested on simulated canals. Postinstrumentation cross-sectional changes were also analysed, but only on the plastic blocks. Statistical analysis of parameters was carried out to verify the significance of results. Analysis of cross-sectional shape of postinstrumented resin simulated canals showed statistically significant decrease in Form Factor (p<0.05) and statistically significant increase in Eccentricity (p<0.005). ΔSMI did not show significant difference between straight and curved canals. SMI values showed bidirectional change during root enlargement which questions the reliability of this metric in analysing instrumentation. Statistically significant (p<0.005) deviations in ΔSA/ΔV were quantified as 1.92 and 3.22 for straight and curved human canals, respectively. Instrumentation-induced canal geometry change was determined to be more pronounced in curved canals using the novel parameter ΔSA/ΔV. This has been proven as being a statistically accurate and reproducible parameter for quantitative characterisation of root canal geometry change and differentiation of preparational efficacy for both straight and curved root canals.


2018 ◽  
Author(s):  
Anita Dewi Moelyaningrum

Artikel ini telah terbit pada Jurnal Spirulina. Jurnal Penelitian kesehatan dan Farmasi. Vol. 8 No. 1 Januari 2013. ISSN 1907-2171 Pusat Penelitian Kesehatan. Lembaga Penelitian Universitas Jember. Perception of river water utilization is a process of stimulus acceptance and management that will form an attitude and action. Perception can be influenced by a person`s knowledge, characteristics and cultural. River water utilization incompatible with their use can reduce the quality. This research aims to analyze the characteristics and knowledge of irrigation water quality on the perception of utilization of river water. This research is analytical research which is based on time using cross sectional approach. The number of the sample is 81 sample which is taken based on proportional cluster random sampling techniques. Data collecting in this research using questionnaire. Data that obtain was analyzed using spearman rank correlation coefficient test with α= 0,05. The results showed that there was no significant relationship between the respondent`s age with the respondents perception about the river water utilization with the p value = 0,163; there is a significant relationship between knowledge of irrigation water quality of the respondents with p-value=0,000. There is a significant difference between the perception of Javanese people with Madurese people with a p value=0,000. The water of the river can`t use the daily activation because it contains total coliform 16000 JPT/100ml. Based on these result, it is expected to all figure people to guiding the people the good utilization of river water.


2018 ◽  
Vol 1 (2) ◽  
pp. 114
Author(s):  
Wahdaniah Wahdaniah ◽  
Sri Tumpuk

Abstract: Routine blood examination is the earliest blood test or screening test to determine the diagnosis of an abnormality. Blood easily froze if it is outside the body and can be prevented by the addition of anticoagulants, one of which Ethylene Diamine Tetra Acetate (EDTA). Currently available vacuum tubes containing EDTA anticoagulants in the form of K2EDTA and K3EDTA. K3EDTA is usually a salt that has better stability than other EDTA salts because it shows a pH approaching a blood pH of about 6.4. The purpose of this research is to know the difference of erythrocyte index results include MCH, MCV and MCHC using K3EDTA anticoagulant with K2EDTA. This research is a cross sectional design. This study used venous blood samples mixed with K2EDTA anticoagulant and venous blood mixed with K3EDTA anticoagulants, each of 30 samples. Data were collected and analyzed using paired different test. Based on data analysis that has been done on MCH examination, p value <0,05 then there is a significant difference between samples with K3EDTA anticoagulant with K2EDTA to erythrocyte index value. Then on the examination of MCV and MCHC obtained p value <0.05 then there is no significant difference between samples with K3EDTA anticoagulant with K2EDTA to erythrocyte index value.Abstrak: Pemeriksaan darah rutin merupakan pemeriksaan darah yang paling awal atau screening test untuk mengetahui diagnosis suatu kelainan. Darah mudah membeku jika berada diluar tubuh dan bisa dicegah dengan penambahan antikoagulan, salah satunya Ethylene Diamine Tetra Acetate (EDTA). Dewasa ini telah tersedia tabung vakum yang sudah berisi antikoagulan EDTA dalam bentuk  K2EDTA dan  K3EDTA. K3EDTA  biasanya berupa garam yang mempunyai stabilitas yang lebih baik dari garam EDTA yang lain karena menunjukkan pH yang mendekati pH darah yaitu sekitar 6,4. Tujuan dari penelitian ini adalah untuk mengetahui perbedaan hasil indeks eritrosit meliputi MCH, MCV dan MCHC menggunakan antikoagulan K3EDTA dengan K2EDTA. Penelitian ini merupakan penelitian dengan desain cross sectional. Penelitian ini menggunakan sampel darah vena yang dicampur dengan antikoagulan K2EDTA dan darah vena yang dicampur dengan antikoagulan K3EDTA, masing-masing sebanyak 30 sampel. Data dikumpulkan dan dianalisis menggunakan uji beda berpasangan. Berdasarkan analisis data yang telah dilakukan pada pemeriksaan MCH didapatkan nilai p < 0,05 maka ada perbedaan yang signifikan antara sampel dengan antikoagulan K3EDTA dengan K2EDTA terhadap nilai indeks eritrosit. Kemudian pada pemeriksaan MCV dan MCHC didapatkan nilai p < 0,05 maka tidak ada perbedaan yang signifikan antara sampel dengan antikoagulan K3EDTA dengan K2EDTA terhadap nilai indeks eritrosit.


Author(s):  
Sri Susanti Sri Susanti

ABSTRACT Male adolescent are vulnerable group in doing risky behavior, one of them is smoking behavior. Smoking behavior of male adolescent do are influenced by several factors. The dependent variable in this research is the behavior of smoking and the independent  variables are the knowledge, the influence of peers, and family environment. The sample in this research is total sampling as many as 112  respondents. The research used a analytic survey method with cross sectional approach. Data analysis is using chi square test with 95% confidence level ( α = 0.05 ) . The results if the research showed that 39.3 % of male adolescent smoke and 60.7 % of the male adolescent  do not smoke. The result of Chi-square statistical test showed no significant relationship between knowledge variable ( p value = 0.844 ) and smoking behavior of male adolescent, while peer influence variable ( p value = 0.000 ) and family environment ( 0.000 ) showed a significant relationship with smoking behavior in SMP Negeri 40 Palembang. This research suggests to the school to increase positive activities in groups that can divert adolescents from smoking behavior, for example by  extracurricular activities, sports and so forth, and entered into cooperation between programs with health institutions in giving information about adolescent development and adolescent health problems, especially the dangers of smoking behavior in adolescents.   ABSTRAK Remaja putra merupakan kelompok yang rentan dalam melakukan perilaku berisiko, salah satunya adalah perilaku merokok. Perilaku merokok yang dilakukan remaja putra dipengaruhi oleh beberapa faktor. Variabel dependen dalam penelitian ini adalah perilaku merokok dan variabel indevenden adalah pengetahuan, pengaruh teman sebaya, dan lingkungan keluarga. Sampel dalam penelitian ini adalah Total Sampling dengan jumlah responden 112 remaja putra. Jenis penelitian yang digunakan metode survey analitik dengan pendekatan cross sectional. Analisis data menggunakan uji chi square dengan tingkat kepercayaan 95% (α=0,05). Hasil penelitian menunjukkan bahwa 39,3% remaja putra yang merokok dan 60,7% dari remaja putra yang tidak merokok. Hasil uji statistik chi square menunjukkan tidak ada hubungan bermakna antara variabel pengetahuan (p value= 0,844) dengan perilaku merokok remaja putra, sedangkan variabel pengaruh teman sebaya (p value = 0,000) dan lingkungan keluarga (0,000) menunjukan adanya hubungan yang bermakna dengan perilaku merokok di SMP Negeri 40 Palembang. Penelitian ini menyarankan pada pihak sekolah untuk meningkatkan kegiatan positif yang bersifat kelompok yang dapat mengalihkan remaja dari perilaku merokok misalnya dengan mengadakan kegiatan ekstrakurikuler, olahraga dan lain sebagainya, dan mengadakan kerja sama lintas program dengan Instansi kesehatan dalam pemberian informasi tentang perkembangan remaja dan permasalahan kesehatan remaja, khususnya bahaya perilaku merokok pada remaja.    


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
Javad vatani ◽  
Zahra Khanikosarkhizi ◽  
Mohammad Ali Shahabi Rabori ◽  
mohammad khandan ◽  
Mohsen aminizadeh ◽  
...  

BACKGROUND: Safety climate is a common insight of staff that indicates individuals’ attitudes toward safety and priority of safety at work. OBJECTIVES: Nursing is a risky job where paying attention to safety is crucial. The assessment of the safety climate is one of the methods to measure the safety conditions in this occupation. The aim of this study was to assess the safety climate of rehabilitation nurses working in hospitals in Tehran. METHODS: This is a cross-sectional study which was carried out on 140 rehabilitation nurses selected from all hospitals and clinics in Tehran in 2019. To collect the required data, a two-section questionnaire was used. The first section was related to demographic factors and the second part (22 statements) was to measure the safety climate using nurses’ safety climate assessment questionnaire. The collected data were analyzed by SPSS V16 using independent t-test, ANOVA, Kruskal-Wallis and Mann-Whitney U test at the 5% level. RESULTS: Findings showed that the total mean of safety climate was 3.06±0.56. According to the results, a significant difference was found between the positive and negative satisfaction of nurses with safety climates (P-value = 0.03), communication with nurses (P-value = 0.01) and supervisors’ attitude (P-value = 0.02). Furthermore, a significant difference in safety climate between the individual with the second job and the individual without second could be observed (P-value = 0.01). CONCLUSIONS: The results indicated that the safety climate was not at an acceptable level. Thus, it is essential to introduce safety training courses (e.g. safety, work-rest balance, and so on) and to improve the safety performance at work.


2021 ◽  
Vol 11 (02) ◽  
pp. 65-69
Author(s):  
Maria Shakoor Abbasi ◽  
Naseer Ahmed ◽  
Azad Ali Azad ◽  
Fatima Fouad ◽  
Humza Daudpota ◽  
...  

Objectives: To assess the concepts of complete denture occlusion among dental fraternity. Study Design And Setting: Cross-sectional study conducted at various dental hospitals and institutes of Karachi, for a period of six months, from 1st June’2019 to 30th November’2019 Methodology: Total 849 dental practitioners who are currently practising were included. A well-structured and validated questionnaire was used for data collection. SPSS version 25 was used. Results: Bilateral balanced occlusion was an ideal occlusion by majority subjects i.e, 530(62.4%) in patients with wellformed ridges, followed by 464(54.7%) candidates with skeletal class 1, total 376(44.3%) chose it with uncontrolled diabetes mellitus, 365(43%) in single complete denture cases, 339(39.9%) with increased inter-arch space, 298(35.1%) with parafunction habits, 296(34.9%) in patients with history of neuromuscular disorder and 271(31.9%) where a complete denture opposes a removable partial denture. Furthermore, Lingualized occlusion was preferred by 341(40.25%) participants for patients with skeletal class 3. Total 316(37.2%) candidates chose it for patients with displaceable supporting tissue followed by 264(31.1%) who chose it for skeletal 2 and 260(30.6%) for cases of highly resorbed ridges. Lastly, 311(36.6%) chose canine guided occlusion with highly resorbed ridges accompanied by high aesthetic demand A significant difference between education level and knowledge of occlusal schemes was also found. Chi-square (73.87), df 6, p-value =0.000. Conclusion: Dental practitioners lack adequate knowledge of occlusal schemes in terms of prescription in complete denture patients. A significant difference between the education level and knowledge of occlusal schemes was found. Therefore, awareness of various occlusal schemes should be increased at undergraduate level.


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