scholarly journals Preference of Gingival Retraction Methods - Mechanical Over Chemico Mechanical Method in University Based Setting - A Retrospective Study

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 720-725
Author(s):  
Ashwin Shravan Kumar M ◽  
Revathi Duraisamy

Tooth preparation is done in the treatment of fixed partial dentures. It is necessary to obtain a good amount of gingival retraction for accuracy in marginal positioning of prosthesis. The aim of this study is to evaluate the efficiency of gingival retraction by mechanical and chemico mechanical methods. A retrospective data collection was done by reviewing 86000 case sheets from Saveetha dental college. Study period was about 10 months. Inclusion criteria & exclusion criteria were available. Parameters were tabulated and analysed using SPSS software. There were 899 patients treated for fixed partial dentures in the study period. Among these, 398 were males and 501 were females. Chi square t test was performed and p value was found to be 0.02  and the results are significant as p value is <0.05. Also, 95% of both the population irrespective of age and gender underwent mechanical method of gingival retraction. This study is in consensus with existing literature that gingival retraction can be efficiently obtained through the mechanical method. Whether systemic health issues or socioeconomic reasons played a role in the acceptance of choice of treatment needs to be further evaluated with larger sample size and multicentre studies among our population.

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 700-704
Author(s):  
Ashwin Shravan Kumar M ◽  
Revathi Duraisamy

Full mouth rehabilitation seeks to convert all unfavourable force to induce normal oral health. The restoration of normal shape, form, the function should always remain the prime goal in such an approach. The main aim of the study is to evaluate the role of multidisciplinary- approach in the treatment of full mouth rehabilitations. A retrospective data collection was done by analysing and reviewing the patient records from total 86000 case sheets from Saveetha dental college with the period between June 2019-march 2020. Inclusion criteria & exclusion criteria were available. Parameters were tabulated and analysed using SPSS software. There were totally 66 patients treated for full mouth rehabilitation in the study period. Among these, 22 were males and 44 were females .66% of both the population irrespective of age and gender had been treated with the involvement of 4 departments which includes periodontics, endodontics, oral surgery and prosthodontics. Chi-square t-test was performed, and the p-value was found to be 0.018 and the results show a significant relationship between age and the multidisciplinary treatment as p-value is <0.05. This study is in consensus with existing literature that full mouth rehabilitation treatment is to be done by a multidisciplinary approach rather than a single approach. Whether systemic health issues or socioeconomic reasons played a role in the acceptance of choice of treatment needs to be further evaluated with larger sample size and multicentre studies among our population.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 225-229
Author(s):  
Ashwin Shravan Kumar M ◽  
Revathi Duraisamy

The goal of prosthetic treatment is to restore the normal function, contour and comfort of the teeth. In replacement of anteriors enormous effort is required to bring up aesthetics whereas in posterior teeth replacement effort to replace the function should not be compromised. This study aims to evaluate the preference of FPD and implants in replacement of single lower anterior teeth. A retrospective data collection was done by collecting and reviewing 86000 case sheets of the outpatients department. The study period was about 10 months. Inclusion criteria & exclusion criteria were available. Parameters were tabulated and analysed using SPSS software. There were totally 667 patients treated for replacement of a single missing tooth in the study period. Among these 346 were males and 321 were females.90% of both the population irrespective of age and gender had been preferring fixed partial dentures in replacement of single missing tooth. This study is in consensus with existing literature that fixed partial dentures are widely used for the replacement of single teeth. However, though not statistically significant,10-20% of our study group still preferred to be treated with conventional fixed partial denture treatment. Whether systemic health issues or socioeconomic reasons played a role in the choice of treatment needs to be further evaluated with larger sample size and multicentre studies among our population.


Objective: This study was carried out to determine the prevalence of microdontia among patients undergoing orthodontic treatment. Materials and Methods: This was a cross-sectional study conducted at Sindh Institute of Oral Health Sciences, (JSMU) from January-2020 to May-2020. Pre-treatment casts were taken of 140 subjects. The mesiodistal dimension of each tooth was recorded through the vernier caliper. Frequency and percentage were calculated for the presence of microdontia. The test applied was Pearson’s Chi-square test to assess the relationship between microdontia and variables like age and gender. P-value <0.05 was taken as statistically significant. Data analysis was performed on SPSS version 22. Results: A total of 140 subjects were selected i.e. 105 (75%) females and 35 (25%) males aged range 13 -30 years with mean age 18.29 ± 3.88. Out of 42, single tooth microdontia was found in 3 (7.1%), more than one tooth microdontia, and generalized microdontia was present in 36 (85.7%) and 3 (7.1%) respectively. Microdontia was found to be more common in the maxilla (n=42, 100%) than the mandible (n=14, 33.3%). It was found more common in females (n=37, 35.2%) as compared to males (n=5, 14.3%). Statistically significant relationship was found among gender and prevalence of microdontia (p=0.019) with a statistically insignificant relationship between age and presence of microdontia (p=0.228). Conclusions: Microdontia was found to be a frequent dental anomaly, was more common in maxilla and females with a significant association with gender.


Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Gloria Kim ◽  
Arati A Gangadharan ◽  
Matthew A Corriere

Introduction: Some approaches to frailty screening use diagnostic or laboratory data that may be incomplete. Grip strength can identify weakness, a component of phenotype-based frailty assessment. We compared grip strength as a reductionist, phenotype-based approach to frailty screening with comorbidity and laboratory-based alternatives. Hypothesis: Grip strength and categorical weakness are correlated with the modified frailty index-5 (mFI-5) and lab values associated with frailty. Methods: Weakness based on grip, BMI, and gender was compared with mFI-5 comorbidities and lab values. Patients with at least 3/5 mFI-5 comorbidities were considered frail. Lab data collected within 6 months of grip measurement was assessed. Associations were evaluated using multivariable models and kappa. Methods: 2,597 patients had grip strength measured over 5 months. Mean age was 64.4±14.6, mean BMI was 29.5±6.9;46% were women, and 87% white. Prevalent comorbidities included hypertension (28%), CHF (22%), diabetes (29%), and COPD (26%); 9% were functionally dependent. 34% were weak, but only 13% were frail based on mFI-5. Hemoglobin, creatinine, and CRP differed significantly based on weakness ( Table ). Laboratory data were missing for 36%- 95% of patients. Multivariable models identified significant associations between weakness, hemoglobin, and all MFI-5 comorbidities. Categorical agreement between weakness and frailty was limited (kappa =0.09; 95% CL 0.0641-0.1232). Conclusion: Weakness based on grip strength provides a practical, inexpensive approach to risk assessment, especially when incomplete data excludes other approaches. Comorbidity-based assessment categorizes many weak patients as non-frail. Table. Demographic, laboratory values, and comorbidities by categorical weakness based on grip 20 th percentile. Mean values for continuous variables by weakness adjusted for gender and BMI, p-value for T-test; frequency and total percent for categorical variables, p-value represents chi-square test.


2017 ◽  
Vol 24 (09) ◽  
pp. 1316-1321
Author(s):  
Shibber Ahmed ◽  
Ishtiaq Ahmad ◽  
Humayun Amjid ◽  
Aamir Furqan

Objectives: Is to compare outcomes in terms of mean post-operative pain andhospital stay between stapled versus conventional hemorrhoidectomy. Hypothesis: There isa difference in mean post-operative pain and hospital stay between stapled and conventionalhemorrhoidectomy, stapled technique is better than conventional technique. Study Design:Randomized control trial. Setting: Department of General Surgery Bakhtawar Amin MemorialHospital Multan. Period: February 2016 February 2017. Methodology: A total number of 60patients enrolled in the study, both genders. Statistical software SPSS ver.23 was used toanalyze the data. Mean and SD were calculated and presented for numerical variables likeduration of hemorrhoids, age and pain score while frequencies and percentage were calculatedand presented for categorical variables like ender and grade of hemorrhoids. Independent t-testand chi square test were applied to see effect modification. P value ≤0.05 was considered assignificant. Results: Total number of 60 (100%) patients in the study, 32 (53.3%) were maleand 28 (46.7 %) were female. Mean hospital stay in group A was 1.63 ± 0.71 and in groupB means duration of hospital stay was 1.73 ± 0.74. A P value was 0.001. On stratification ofdata it is concluded that in group A 9 patients have no pain 6 have mild and 6 have moderatepain and 5 patients have severe pain, similarly in group B, 3 patients have no pain 2 have mildpain 1 have moderate pain and no patient have severe pain. P value for male patients was2.65. Conclusion: This study confirms that stapled hemorrhoidectomy is associated with lesspostoperative pain with no effect of age and gender on outcome.


2020 ◽  
pp. 147-156

Background. Lifestyle encompasses, among other things, eating habits, physical activity, and the use of stimulants. Individual choices in this area have a direct impact on human health. Objective. The aim of this study was to assess the lifestyle in adolescents and to verify whether there is a relationship between selected lifestyle elements and gender. Materials and methods. A total of 304 students (160 women and 144 men) were included in the study. The study used an original questionnaire. Chi-square test was used to assess the correlations between gender and eating habits, physical activity and the use of stimulants among adolescents. A p-value Results. The students surveyed usually have 4-5 meals daily at 3-4-hour intervals (50.33% and 53.8%, respectively). They consume confectionery up to several times a week (35.2%), as declared by more women than men (41.9% of women and 27.8% of men). Adolescents usually practise physical exercise several times a week (36.51%), as reported by 29.38% of women and 44.44% of men. Occasional alcohol consumption was reported by 44.38% of women and 42.4% of men. A total of 61.92% of respondents were non-smokers, as declared by more women than men. Conclusions. The majority of adolescents lead an unhealthy lifestyle in terms of eating habits, alcohol consumption and smoking. Positive behaviours were observed for physical activity. Some lifestyle elements were correlated with gender. Women devote less time to physical activity compared to men. Men have a higher tendency to consume carbonated beverages and higher amounts of alcohol than women. The obtained research results indicate the need for health education.


2019 ◽  
Vol 2 (2) ◽  
pp. 66
Author(s):  
Rasyidah AZ ◽  
Hazria Dayani ◽  
Maulani Maulani

<p><em>Low Back Pain (LBP) is one of the health problems that are often found in the community. Every year 15-45% of adults suffer from low back pain, and one in 20 sufferers must be hospitalized due to acute attacks. Risk factors that influence the occurrence of low back pain include work period, work attitude and gender. This study aims to determine the relationship between Work Period, Work Attitude and Gender with Low Back Pain Pain Complaints in the Neurological Polyclinic of Royal Prima Jambi Hospital. The population in this study were all low back pain sufferers at the Nerve Polyclinic at Royal Prima Jambi Hospital from 425 people in May and sampling was done using accidental sampling technique which amounted to 78 patients. The analysis in this study using the Chi-square test. The results of the analysis show that there is a relationship between Work Period, Work Attitude and Gender with Low Back Pain Complaints in the Neurological Polyclinic of Royal Prima Jambi Hospital with a P-Value value of &lt;0.05. There is a relationship between Work Period, Work Attitude and Gender with Low Back Pain Complaints in the Nerve Polyclinic Royal Prima Jambi Hospital. </em></p><p> </p><p><strong>Keywords: </strong><em>Working Period, Work Attitude, Gender, Low Back Pain</em><strong></strong></p>


2019 ◽  
Vol 2 (2) ◽  
pp. 73-77
Author(s):  
Anuj Khanal ◽  
P Parajuli ◽  
SR Niraula ◽  
RK Singh ◽  
P Suwal

Introduction: Arranging artificial teeth has always been a challenging work since edentulous alveolar ridges are in a constant verge of physiological resorptive changes. Incisive papilla is a reliable biometric guide which can be used as a reference for arrangement of anterior teeth, since it is a stable intraoral anatomical landmark unless surgically modified. Objective: This study was conducted to determine the mean distance between the most prominent labial surface of maxillary central incisors to the posterior limit of incisive papilla in various arch forms. Materials and Methods: The study was carried out among 170 undergraduate students of BPKIHS, after obtaining ethical clearance from Institutional Review Committee, BPKIHS. Maxillary impressions were made with alginate impression materials and casts were poured with dental stone. Distance from the posterior limit of incisive papilla to maximum convexity of central incisor (Papillo-Incisal Distance, PID) was measured with a Digital Vernier caliper with a precision of 0.01mm. The arch forms were analyzed and classified into ovoid, tapering and squarish arch, subjectively based on morphological parameters. The intra-examiner reliability of the measurement was tested in 17 casts calculating Cronbach’s Alpha. Pearson Chi-square test was applied to explore the relation of the arch forms with age and gender. One-way ANOVA was used to check the association between the mean PID between with different arch forms.(p value = 0.05) Results: The mean distance from the labial surface of maxillary central incisors to the posterior limit of incisive papilla was 11.58±1.32 mm. The mean papillo-incisal distance varied with respect to different arch forms which was statistically significant (P<0.05). The mean PID of oval, squarish and tapering arch forms were 11.86 mm, 10.82 mm and 11.93 mm respectively. Conclusion: Incisive papilla is a valuable starting point in the preliminary location of maxillary incisors during fabrication of dentures. The suggested mean PID for arranging central incisors is 11.58 mm.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 609-613
Author(s):  
Reshmi B ◽  
Bhagyalakshmi T ◽  
Arvind S

Anterior tooth fractures are more commonly found in younger patients than in adults. Kids in school accidentally fall and break their anterior tooth. It not only has an impact on aesthetics but physiological disturbances due to their friends. The aim of this study is to assess the gender difference in patients who underwent root canal treatment in anterior teeth after trauma. The data was collected from the dental information archiving software of saveetha dental college, from June 2019 to March 2020. The parameters collected were age, gender, a tooth which had undergone trauma. The data was collected and tabulated in the excel sheet and was transferred to the SPSS software by IBM for statistical analysis like chi-square test between trauma teeth and age and gender and traumatized tooth. This study reveals that males had a higher incidence of fracture than females and they belonged to the age group of 2-4 years with a P-value of 0.213 >0.05 (statistically insignificant).   This study concludes that male children are more prone for anterior tooth fracture than the female children, and they must be educated on the importance of teeth and safety during sporting or any other physical activities.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1737-1742
Author(s):  
Nurul Syamimi Binti Mohd Azlan Sunil ◽  
Santhosh Kumar M P ◽  
Revathi Duraisamy

Pre-prosthetic surgery is part of the oral and maxillofacial surgery, which concerns restoration of facial form and oral function. Pre-prosthetic surgery is a surgery done to obtain a better anatomic environment and to provide proper supporting structures for denture construction. The aim of this study was to analyse the various pre-prosthetic surgeries performed in a private dental institution. In this retrospective study, digital case records of all patients who underwent pre-prosthetic surgeries in Saveetha Dental College and Hospital from June 2019 to March 2020 were reviewed. Demographic details of patients and types of pre-prosthetic surgeries performed were recorded from digital case records. Retrieved data was analysed using IBM SPSS Software Version 23.0. Descriptive statistics and tests of association for categorical variables by Chi square tests were done and results were obtained. P value <0.05 was considered statistically significant. In this study, we observed that pre-prosthetic surgery was more commonly performed in the age group of 51-60 yrs (23.3%). Pre-prosthetic surgeries were done more in males than females. The most common type of pre-prosthetic surgery was valvuloplasty (62.2%), followed by frenectomy (20.7%). Statistically, a significant association was found between pre-prosthetic surgery and age group; pre-prosthetic surgery and gender; pre-prosthetic surgery and quadrant involved (p<0.05) Within the limits of this study, it can be concluded that the most common pre-prosthetic surgery performed was valvuloplasty. Pre-prosthetic surgery was performed more in males and the age group of 51-60 years, mostly in the third quadrant.


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