scholarly journals Perception of Pain resulting from Orthodontic Separators in Orthodontic Patients Visiting Dental Department at a Private Hospital

2018 ◽  
Vol 20 (4) ◽  
pp. 150-154
Author(s):  
Anshu Piya ◽  
B.V. Shrestha ◽  
J. Acharya
Keyword(s):  
Orthodontic Treatment ◽  
Pain Perception ◽  
Age Groups ◽  
Medical College ◽  
Continuous Type ◽  
Orthodontic Patients ◽  
Permanent Molars ◽  
Orthodontic Separators ◽  
Patients Experience ◽  
Age Range

Pain is a response, which varies from one individual to another. Factors such as age, gender, magnitude of force applied, emotional status, individual pain threshold, etc., might affect pain. Patients who desire for orthodontic treatment are often afraid of having pain and discomfort during various stages of orthodontic treatment. This has become one of the most commonly reported complaint and reason for discontinuing orthodontic treatment. This study aims at examining the intensity of pain in orthodontic patients’ experience following the insertion of separators attending Department of Orthodontics in Nepal Medical College. Eighty six patients (26 males and 60 females) who came to department of orthodontics for fixed orthodontic treatment were selected with age range of 15-26 years. Elastomeric separators were placed mesially and distally to the upper and lower first permanent molars in all patients. Following placement of separator, the patients were given self‑administrated questionnaires and they were properly instructed on how to answer the questions. Descriptive statistics of different factors for pain perception were assessed using SPSS 16. Most of the patients had pain on second day of separator placement and among them females experienced more pain than males. Then pain slowly decreased after day 3 and disappeared after day 5. More females experienced continuous type of pain and took analgesics compared to males. Results showed that pain began a few hours after application of orthodontic force and lasted for around 5 days. Most of the patients reported pain during eating and chewing on second day and had to change their food habits into softer one. Younger age group patients experienced more pain compared to older age groups.

scholarly journals Pain in Separation of the Molars among the Orthodontic patients

2019 ◽  
Vol 1 (1) ◽  
pp. 48-52
Author(s):  
Pushkar Manandhar ◽  
Anjana Rajbhandari ◽  
Resina Pradhan ◽  
Manju Bajracharya ◽  
Surendra Maharjan
Keyword(s):  
Orthodontic Treatment ◽  
Pain Perception ◽  
Assessment Tool ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Significant Difference ◽  
Perceived Pain ◽  
Orthodontic Patients ◽  
Spring Type ◽  
Orthodontic Separators

Introduction: Pain has been the most common and foremost reason for discontinuing the orthodontic treatment. The patients usually experience pain in Orthodontic treatment during separator placement, wire placement, headgear wear, and rapid palatal expansion. Placement of orthodontic separators (brass wire, elastomeric, spring-type steel separators, and latex elastics) results in a painful experience. Therefore the purpose of the study is to assess the pain perception among the patients seeking orthodontic treatment. Methods: This study was carried out amongst 120 (53 male and 67 female) patients seeking orthodontic treatment. Elastomeric separators were placed mesially and distally to the first molars and the participants were given a self-administrated Universal pain assessment Tool to document perceived pain and pain upon chewing, using a visual analog scale for seven days. Total scores were calculated and descriptive statistics in the form of a number (mean) and percentage were calculated. Results: This study showed a mean score for perceived pain of each day to be 7.16, 7.1, 6.05, 4.67, 3.69, 2.88, and 2.27 respectively with a mean of 4.831 +/- 1.273. Similarly, the mean score for pain on chewing was 8.21, 7.53, 6.62, 5.19, 4.38, 3.65, and 3 with a mean of 5.5119 +/- 1.269. Conclusions: There was a significant difference in pain perception among the male and female participants, females having higher pain perception. There was a significant difference in pain perception between the Adolescent and Adult in both normal life and during eating.

Prevalence of Dental Fear and Anxiety among Orthodontic patients visiting Nobel Medical College

2021 ◽  
Vol 11 (1) ◽  
pp. 3-6
Author(s):  
Anand Acharya ◽  
Bhushan Bhattarai ◽  
Nidhi Giri ◽  
Jitendra Singh ◽  
Tarakant Bhagat
Keyword(s):  
Orthodontic Treatment ◽  
Dental Anxiety ◽  
College Teaching ◽  
Dental Procedure ◽  
Actual Treatment ◽  
Medical College ◽  
Dental Patients ◽  
Orthodontic Patients ◽  
Response To Stress ◽  
Fear And Anxiety

Introduction: Anxiety is the state of feeling nervous or worried that something bad is going to happen. Dental anxiety is defined as a patient’s response to stress that is associated with a dental procedure. The aim of our study is to investigate the anxiety status of dental patients visiting Orthodontic department at Nobel Medical College Teaching Hospital, Biratnagar. Materials and Method: Total 80 ongoing orthodontic patients (M =21 F=59) who completed modified Dental Anxiety Scale questionnaire were included in the study. Result: Majority of patients (65%) had moderate anxiety where as 25% had mild anxiety and around 9% had severe to extreme anxiety. Patients’ age and education level had significant association with the level of dental anxiety. Conclusion: Dental anxiety in orthodontic patients is unavoidable but needs appropriate counseling. Orthodontist’s role is crucial in bridging the gap between patients’ perception towards orthodontic treatment and the actual treatment.

scholarly journals Efficacy of misoprostol over dinoprostone gel as a cervical ripening agent: a comparative study

2017 ◽  
Vol 6 (12) ◽  
pp. 5251 ◽  
Author(s):  
Pankajkumar B. Nimbalkar ◽  
Jaldhara N. Patel ◽  
Nilesh Thakor
Keyword(s):  
Age Groups ◽  
Induction Of Labor ◽  
Cervical Ripening ◽  
Healthy Baby ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Misoprostol Group ◽  
Vaginal Misoprostol ◽  
Age Range

Background: Timely induction of labour could reduce maternal mortality and morbidity as well as assure a delivery of healthy baby. The objective of this study was to evaluate the efficacy of Misoprostol as a cervical ripening agent and its comparison with Dinoprostone gel in terms of success rate, safety, side effects and patient compliance.Methods: A total of 250 pregnant women requiring induction of labor were recruited. Out of 250 cases, 150 were induced with 50 microgram Misoprostol and 100 cases with 0.5 mg intracervical Dinoprostone gel during September 2014 to August 2017 at the department of Obstetrics and Gynaecology, GMERS Medical College, Dharpur-Patan. Written and informed consent was taken from the patients. Outcome measures, such as change in Bishop's score, need of augmentation, induction delivery interval; complications like hyperstimulation, fever and meconium passage were compared between two groups. Statistical analysis was performed by Epi Info 7.Results: Age range of the patients was 21 to 35 years. 74.8% of the patients were in 21-25 years age groups. 50.4% patients were multigravida. 57.6% patients had more than 37 weeks of pregnancy. 50.4% of the patients had premature rupture of membrane as indication of labour. The mean Bishop's score for induction was 3.21 in Misoprostol group. 81.3% patients in Misoprostol group and 93% of patients in Dinoprostone group were delivered by vaginal delivery. 60% patients delivered within 6 hours in Misoprostol group. (Misoprostol: 60%, Dinoprostone: 27%, p<0.001). Incidence of thin meconium was 11.3% in Misoprostol group, 9% in Dinoprostone group. In Misoprostol group 3.3 women had fever after induction.Conclusions: Vaginal misoprostol is more efficacious in cervical ripening and for induction of labor than Dinoprostone.

scholarly journals Pattern of Malocclusion in Patients undergoing Orthodontic Treatment at a Tertiary Care Teaching Hospital

2021 ◽  
Vol 5 (1) ◽  
pp. 26-28
Author(s):  
Nidhi Giri ◽  
Anand Acharya ◽  
Rajkumar Jha
Keyword(s):  
Teaching Hospital ◽  
Orthodontic Treatment ◽  
Tertiary Care ◽  
College Teaching ◽  
Class Ii ◽  
Class I ◽  
Class Iii ◽  
Deep Bite ◽  
Medical College ◽  
Orthodontic Patients

Introduction: Malocclusion can cause dental caries, periodontal disease and aesthetic problems. Malocclusion is most common dentofacial abnormality found in human population. However, the awareness for orthodontic treatment is increasing. Objective: The aim of this research was to evaluate pattern of malocclusion in patients undergoing orthodontic treatment at Nobel Medical College Teaching Hospital of Biratnagar, Nepal. Methods: Two hundred and eighty preoperative study casts (2018 Jun to 2020 Jun) of orthodontic patients aged from 12-55 years were selected from 680 patient’s records of department of orthodontics of Nobel medical college teaching hospital, Biratnagar. Standard protocol of Angle’s classification of malocclusion was used to classify malocclusion and its traits were recorded. Data were entered in Microsoft Excel and descriptive statistics were calculated. Results: The prevalence of malocclusion were 59.65% (167) of Angle’s class I, 35.71% (100) of Angle’s class II and 4.64% (13) of Angle’s class III malocclusion. Among various attributes of malocclusion, deep bite was the most common trait (188, 67.14%). Increased overjet was found in 169 (60.35%) subjects. Crowding and spacing were found in 164 (58.57%), and 109 (38.92%) respectively. Conclusion: Angle’s class I malocclusion is most prevalent malocclusion seen followed by Angle’s class II and Angle’s class III.

scholarly journals Efficacy of misoprostol over Foley’s catheter as a cervical ripening agent: a comparative study

2017 ◽  
Vol 6 (12) ◽  
pp. 5288
Author(s):  
Pankajkumar B. Nimbalkar ◽  
Jaldhara N. Patel ◽  
Nilesh Thakor
Keyword(s):  
Foley Catheter ◽  
Age Groups ◽  
Cervical Ripening ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Catheter Group ◽  
Misoprostol Group ◽  
Vaginal Misoprostol ◽  
Foley’S Catheter ◽  
Age Range

Background: Timely induction of labour could reduce maternal mortality and morbidity as well as assure a delivery of healthy baby. Objective of present study was to evaluate the efficacy of Misoprostol as a cervical ripening agent and its comparison with Foley’s catheter in terms of success rate, safety, side effects and patient compliance.Methods: A total of 250 pregnant women requiring induction of labor were recruited. Out of 250 cases, 150 were induced with 50 microgram Misoprostol and in 100 cases Foley catheter 18 F, was placed through the internal os of the cervix during September 2014 to August 2017 at the department of Obstetrics and Gynecology, GMERS Medical College, Dharpur-Patan. Written and informed consent was taken from the patients. Outcome measures, such as change in Bishop's score, need of augmentation, induction delivery interval; complications like hyperstimulation, fever and meconium passage were compared between two groups. Statistical analysis was performed by Epi Info 7.Results: Age range of the patients was 21 to 35 years. 72.4 % of the patients were in 21-25 years age groups. 54.4% patients were multigravida. 59.2% patients had more than 37 weeks of pregnancy. 46.4% of the patients had premature rupture of membrane as indication of labour. The mean Bishop's score for induction was 3.21 in Misoprostol group. 81.3% patients in Misoprostol group and 88% of patients in Foley’s catheter group were delivered by vaginal delivery. 60 % patients delivered within 6 hours in Misoprostol group. (Misoprostol: 60%, Foley’s catheter: 9%, p<0.001) Incidence of thin meconium was 11.3% in Misoprostol group, 9 % in Foley’s catheter group. In Misoprostol group 3.3 women had fever after induction while it was 6% in Foley’s catheter group.Conclusions: The results of the present study confirm that vaginal misoprostol is more effective than Foleys catheter in pre-induction cervical ripening.

scholarly journals Effect of Orthodontic Treatment in Occurrence of Dental Caries

2013 ◽  
Vol 3 (1) ◽  
pp. 31-36
Author(s):  
Sandhya Shrestha ◽  
Lipika Shrestha ◽  
Namita Shrestha ◽  
Rabindra M Shrestha
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Age Groups ◽  
Age Group ◽  
Cross Sectional ◽  
Fixed Appliance ◽  
Hygiene Measures ◽  
Orthodontic Patients ◽  
And Gender

Introduction: Attaining improved aesthetics and proper occlusion are main reasons for commencing orthodontic treatment in any patient. However it is anticipated that orthodontic treatment increases the risk of carious lesions. Objective: To analyze prevalence of dental caries in relation to gender, age group, duration of orthodontic treatment and malocclusion type; and to assess oral hygiene and food habit practice in Nepalese orthodontic patients. Materials & Method: A cross sectional study was done in 212 orthodontic patients (age range 11-30 years) having fixed appliance for at least six months duration. A survey form based on ‘Dentition Status & Treatment Need, WHO’ was used to depict DMFT Index and prevalence of dental caries. A questionnaire was used to assess the practice of oral hygiene measures and food habits of the orthodontic patients. The association between dental caries and gender, age group, duration of orthodontic treatment and malocclusion type were analyzed using chi-square test (p<0.05). Result: The prevalence of dental caries (DMFT) was 79.2% and mean DMFT value was 2.87 among Nepalese orthodontic patients. Occurrence of dental caries among male and female patients was 69.44% and 60% respectively. Caries occurrence was highest in age group 16-20 years (72.22%), in more than 18 months treatment duration group (63.92%) and in Class I malocclusion group (68.38%). Similarly, 30.2% consume sweets foodstuff, 26.9% consume junk food and 14.2% consume snacks in between meals frequently. Conclusion: Fairly good proportion of Nepalese orthodontic patients practice normal oral hygiene methods but very few use special oral hygiene measures. The study showed no association between dental caries occurrence and gender groups, age groups, duration of orthodontic treatment and malocclusion types. DOI: http://dx.doi.org/10.3126/ojn.v3i1.9279 Orthodontic Journal of Nepal, Vol.3, No.1, 2013: 31-36

scholarly journals Relationship between Patient Cooperation and Treatment Result among Orthodontic Patients in Biratnagar, Nepal

2018 ◽  
Vol 8 (1) ◽  
pp. 11-13
Author(s):  
Anand Acharya ◽  
Bhushan Bhattarai ◽  
Dhirendra Giri ◽  
Tarakant Bhagat
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Result ◽  
College Hospital ◽  
Medical College ◽  
Long Duration ◽  
Patient Cooperation ◽  
Positive Treatment ◽  
Orthodontic Patients ◽  
The Relationship ◽  
Determining Factor

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 significant (p < 0.01). Conclusion: Orthodontic patients’ cooperation is a strong determining factor for positive treatment outcome. 

scholarly journals Appendicular Mass: A Conservative Approach

2016 ◽  
Vol 5 (2) ◽  
pp. 47-50 ◽  
Author(s):  
Ashok Koirala ◽  
Dipendra Thakur ◽  
Sunit Agrawal ◽  
Kamal Raj Pathak ◽  
Manoj Bhattarai ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Age Groups ◽  
Age Group ◽  
Conservative Approach ◽  
Medical College ◽  
Number Of Patients ◽  
Interval Appendicectomy ◽  
To Come ◽  
Age Range ◽  
Appendicular Mass

Introduction Appendicular mass is one of the most common complications following acute appendicitis and seen in 2-6% of the patients. The treatment of appendicular mass is controversial with three general approaches. The aim of this study is to evaluate outcome of conservative approach.Material & Methods A retrospective analysis of the patients managed with appendicular mass from 1st January to 31st December 2014 was carried out in NMCTH, Biratnagar. A total of 173 patients with diagnosis of appendicular mass admitted in emergency and OPD of our hospital were studied. All age groups and both sex were included.Results Out of 496 patients with appendicitis, 173 patients [34.87%] were diagnosed with appendicular mass. Age range of the patient in the study varied between 4-84 years and maximum patients found in the age group of 21-30 years. Onset of symptoms was between 2-6 days and greater number of patients reporting between 5-6 days. During study period 10(5.7%) patients came with recurrence, 9 [5.2%] developed abscess, 35(20.23%) patients came for interval appendicectomy, whereas 119 [68.78%] failed to come for a follow up.Conclusion Our study concluded that the appendicular mass can be managed successfully by conservative approach, although few complications may arise which can be managed by surgical intervention.Journal of Nobel Medical College Vol.5(2) 2016; 47-50

scholarly journals Orthodontic treatment in National Dental Centre of Singapore: Trends toward higher proportion of adult patients

2019 ◽  
Vol 9 ◽  
pp. 89-93 ◽  
Author(s):  
Elaine Li Yen Tan ◽  
Yi Lin Song ◽  
Zhengyi Zhang ◽  
Kevin Jia Jun Yong ◽  
Yang Zhang ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Linear Trend ◽  
Adult Patients ◽  
Significant Linear Trend ◽  
Significant Difference ◽  
Increasing Trend ◽  
Chi Squared ◽  
Orthodontic Patients ◽  
Fixed Appliances ◽  
Age Range

Background Adult patients used to be daunted with the prospect of having fixed appliances to correct malocclusions. However, this has gradually changed and recent literature reported an increasing trend in adults receiving orthodontic treatment. To date, there has been no information regarding the trend of adult orthodontic patients in Singapore. Objective The objective of this study was to determine the changes in the proportion of adult patients seeking orthodontic treatment at the National Dental Centre Singapore (NDCS) from 2011 to 2017. Materials and Methods The study sample consists of all patients who commenced active orthodontic treatment from 2011 to 2017 at the NDCS. The data collected were analyzed for the number, gender, and proportion of adult orthodontic patients treated annually from 2011 to 2017. Linear-by-linear association test was used to test for any significant linear trend in proportion of adult orthodontic patients over the 7 years. Pearson’s Chi-squared test was used to test for any significant gender differences. Results There was a significant increasing linear trend (p = 0.001) in the proportion of adult orthodontic patients from 2011 to 2017. No significant difference (p = 0.770) between the proportions of male and female adults undergoing orthodontic treatment was found. The ages of adults undergoing orthodontic treatment ranged from 21 to 73 years old and majority (48.61%) of them was in the 21–25 years old age range. Conclusion There is a rising trend in adults seeking orthodontic treatment at the NDCS from 2011 to 2017. No statistically significant gender difference was observed in this rising trend.

Orthodontic patients peridontal diseases prevalence study

2020 ◽  
Vol 25 (1) ◽  
pp. 37-41 ◽  
Author(s):  
S. B. Ulitovskiy ◽  
A. V. Shevtsov
Keyword(s):  
Periodontal Disease ◽  
Orthodontic Treatment ◽  
Periodontal Diseases ◽  
Oral Care ◽  
Age Groups ◽  
Hygiene Measures ◽  
Periodontal Index ◽  
High Prevalence ◽  
Orthodontic Patients

Relevance. Patients undergoing orthodontic treatment of dental anomalies using braces have a high risk of developing inflammatory periodontal diseases, the occurrence of which is caused by an insufficient level of hygienic oral care and orthodontic apparatus. The quality of preventive measures during the period of orthodontic treatment affects the structure and prevalence of inflammatory periodontal diseases due to the low awareness of patients, their non-observance of the doctor’s instructions for hygiene measures, lack of hygiene quality monitoring and its correction during treatment [1-5, 7, 9].Purpose. The purpose of the research was studying the prevalence of periodontal diseases and its structure among orthodontic patients, taking into account the fixed appliances used.Materials and methods. 79 patients undergoing orthodontic treatment were involved in the study, they were divided into 4 age groups. In all groups, an inspection was conducted to determine the prevalence and intensity of the periodontal disease. From the outpatient records of dental patients, form «043/y», data was extracted. The intensity of periodontal diseases was determined using the communal periodontal index (CPI), the papillary-marginal-alveolar index (PMA), the gingival sulcus bleeding index (SBI), complex periodontal index ICP were also determined [19-22].Results. As a result of the study, a high prevalence of periodontal disease was established in patients with bracket systems, which was 84,81±6.12%, in the first group it was 77.78%, in the second group this indicator was equal to 81.25%, and in the third and fourth groups – 85.72% and 91.67%, respectively.Conclusion. The results obtained revealed a high prevalence of periodontal disease in orthodontic patients, which necessitates an improvement in the quality of dental health in this groups by means of dental education and improved hygienic procedures.

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