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 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 The perception of COVID-19 among Italian dental patients: an orthodontic point of view

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Stefano Martina ◽  
Alessandra Amato ◽  
Paolo Faccioni ◽  
Alfredo Iandolo ◽  
Massimo Amato ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Point Of View ◽  
Dental Practice ◽  
Online Questionnaire ◽  
Chi Square ◽  
Dental Patients ◽  
Patient Health ◽  
Chi Square Test ◽  
Orthodontic Patients ◽  
Level Of Significance

Abstract Background The present study aimed to investigate the patients’ perception of the dental practice during the COVID-19 outbreak, and whether the pandemic will affect the attendance of orthodontic patients at the dental practice. An online questionnaire, including the Patient Health Questionnaire-4 (PHQ-4), was submitted to Italian dental patients with items about their perceived risks when going to the dentist, concerns about continuing orthodontic treatment, and the onset of temporomandibular disorders (TMD). Data were analyzed with a chi-square test and logistic regression analysis. The level of significance was set at P < 0.05. Results A total of 1566 subjects completed the survey, including 486 who were under orthodontic treatment or who had a child in orthodontic treatment. A total of 866 participants (55.3%) thought the risk of contracting the COVID-19 infection was higher in a dental practice; this perception was associated with gender (women more than man), age (over 60 years old) and high levels of distress (P<0.001). However, 894 patients (57.1%) felt comfortable going back to the dentist. Most of the orthodontic patients (84%) would continue their treatment. After the lockdown, there was a slight increase in the frequency of TMD pain (356 versus 334). Conclusions Most of the participants believed that the dental practice is a place at greater risk of contracting COVID-19, even if they continue to go to the dentist. Gender, age, and the level of distress were associated with the increase in the fear of going to the dentist due to COVID-19. Because of the pandemic, 16% of patients undergoing orthodontic treatment would not return to the dental practice to continue their orthodontic treatment after the lockdown. The prevalence of TMD pain in the population increased due to the pandemic.

Dental Psychological Stress or Phobia among Orthodontic Patients of Mardan

2021 ◽  
Vol 15 (12) ◽  
pp. 3442-3443
Author(s):  
Nazish Falak ◽  
Sadia Nisar Ahmed ◽  
Syed Shah Faisal Jan ◽  
Haris . ◽  
Alina Iqbal ◽  
...  
Keyword(s):  
Key Words ◽  
Psychological Stress ◽  
Orthodontic Treatment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Dental Procedure ◽  
Cross Sectional ◽  
Orthodontic Patients ◽  
The Mean ◽  
High Level

Objective: To assess the psychological stress or phobia due to dental procedure among patients. Study Design: Descriptive cross-sectional study Place and Duration of Study: Department of Orthodontic, Bacha Khan College of Dentistry/Medical Teaching Institute, Mardan from 1st January 2020 to 31st August 2021. Methodology: One hundred and twenty patients coming for orthodontal treatment with age between 12-31 years were enrolled. The demographic and psychological stress information was recorded. Results: There were more females (65%) than males (35%). The mean age was 15.5±3.2 years. About 82.5% patients reported high level of psychological stress or phobias towards dental treatments while 19.1% were those who had moderate psychological stress or phobias. Majority of the patient’s fear of pain was between 12-17 years. Patients having highest anxiety also belonged to the same group Conclusion: Dental phobias and fears are widespread among patients seeking dental treatments. Orthodontists should recognize the dental phobias and fears so they efficiently interconnect with the patients. Key words: Orthodontic treatment, Pain, Dental phobia

scholarly journals Assessment of the anxiety levels of orthodontic patients during the COVID-19 pandemic

2021 ◽  
Vol 11 (Suppl. 1) ◽  
pp. 74-80
Author(s):  
Ersin Yıldırım ◽  
Artemisa Adıgüzel ◽  
Şeniz Karaçay
Keyword(s):  
Orthodontic Treatment ◽  
Online Survey ◽  
Pearson Correlation ◽  
Dental Anxiety ◽  
Main Concern ◽  
Primary Concern ◽  
Cross Sectional ◽  
Study Results ◽  
Orthodontic Patients ◽  
Anxiety Levels

Aim: This study aims to determine the anxiety levels of orthodontic patients related to the coronavirus pandemic and to evaluate the effects of quarantine on orthodontic appointments and orthodontic treatment. Methodology: This cross-sectional study was conducted as an online survey with the participation of patients who were actively receiving orthodontic treatment. A total of 281 orthodontic patients (191 [67.97%] females and 90 [32.03%] males) participated in the survey. The questionnaire consisted of five sections that included questions about demographics, the COVID-19 pandemic, and the patients’ orthodontic status. Anxiety levels were measured using Turkish versions of the Beck Anxiety Inventory and the Corah’s Dental Anxiety Scale. Descriptive statistics, the Kolmogorov-Smirnov and Shapiro-Wilk normality tests, the Pearson correlation test, and the Mann Whitney U test were used for statistical analysis. Results: Regarding patients’ perceptions of the pandemic, 251 patients (89.32%) reported that they were sufficiently informed about COVID-19. The main concern about the effects of quarantine on orthodontic treatment was the delay of orthodontic treatment at a rate of 58.36% (164/281). This study found that 36% (103/281) of the participants exhibited anxiety symptoms. The prevalence of dental anxiety specifically was 33% (95/281). Our study results reveal a significant relationship between dental anxiety and general anxiety, which indicates that dentally anxious people tend to also be generally anxious. Females had significantly higher anxiety levels than males (p <0.001). Conclusion: The coronavirus pandemic and quarantine seem to impact orthodontic patients’ anxiety. Delay of treatment was the primary concern of patients during the COVID-19 pandemic. Female patients were more anxious than males.   How to cite this article: Yıldırım E, Adıgüzel A, Karaçay Ş. Assessment of the anxiety levels of orthodontic patients during the COVID-19 pandemic. Int Dent Res 2021;11(Suppl.1):73-9. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.12   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.  

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 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.

Study on Knowledge and Prevalence of Computer Vision Syndrome among Computer Operators in Nobel Medical College Teaching Hospital, Biratnagar, Nepal

2020 ◽  
Vol 9 (2) ◽  
pp. 45-49
Author(s):  
Pramod Sharma Gautam ◽  
Uday Chandra Prakash ◽  
Subreena Dangol
Keyword(s):  
Computer Vision ◽  
Teaching Hospital ◽  
Human Life ◽  
College Teaching ◽  
Extended Period ◽  
Visual Display ◽  
Work Place ◽  
Medical College ◽  
Computer Vision Syndrome ◽  
Department Of Ophthalmology

Background: The eye and vision related problems that results from continuous use of computers and other visual display terminals for extended period of time leads to computer vision syndrome. Due to rapid digitalization in human life, the risk of developing it has also increased in many folds. So, with an aim of determining the prevalence and level of awareness of computer vision syndrome among computer users along with their attitude and practices to prevent it, this study was conducted in the office employees who use computer for a considerable period of time. Materials and Methods: A hospital based observational descriptive study was conducted in the out-patient department of Ophthalmology in Nobel Medical College and Teaching Hospital, Biratnagar, where 105 employees working in different work stations of same institution were enrolled. A questionnaire and the clinical findings were used to collect data. Results: About 80% of the employees were using computer for about (8-11) hours per day. Prevalence of computer vision syndrome noted was (92.4%) with low level of knowledge (85.7%) about it. About 45% of them wore glasses for their refractive errors but attitude and practices in work place to prevent the bad effects of using visual display terminals were found to be lacking (53.3%). Burning sensation in the eye, headache, ocular irritation and itching and neck, shoulder or back pain were the common symptoms. Around (60-70)% of the eyes tested positive for dry eye. Conclusion: Lack of awareness of computer vision syndrome and lack of personal protective measures were associated with its high level of prevalence.  

scholarly journals Level of Knowledge, Understanding, and Impact of the COVID-19 Pandemic on Continuing Fixed Orthodontic Treatment in Adults: A Questionnaire Study

2021 ◽  
Vol 55 (2) ◽  
pp. 184-189
Author(s):  
RSVM Raghu Ram ◽  
I Ranganayakulu ◽  
K Anand Viswanadh ◽  
TSS Manikanta Kumar ◽  
C Viswa Chaitanya ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Adult Patients ◽  
Missed Appointments ◽  
Clinical Area ◽  
Cross Sectional ◽  
Orthodontic Patients ◽  
Level Of Knowledge ◽  
Orthodontic Treatment In Adults ◽  
Status Disclosure ◽  
Descriptive Survey

Objectives: To evaluate the level of knowledge, understanding, and impact of the coronavirus disease 2019 (COVID-19) pandemic on adult patients regarding their ongoing fixed orthodontic treatment. Subjects and Methods: A cross-sectional and descriptive survey was conducted on 108 adult patients undergoing fixed orthodontic treatment at GSL Dental College (GSLDC), India. All the candidates were aged 18 years and above, who were in lockdown due to the COVID-19 pandemic and devoid of treatment. Results: Among the patients 43.5% were male and 56.5% were female; 22.3% were not at all aware that the COVID-19 virus spreads quickly in a dental setup; 64.8% were definitely willing for their status disclosure and to undergo pretreatment screening; 71.3% were definitely willing to adhere to strict appointment timings for adequate sanitization of the clinical area; 60.2% thought that missed appointments during the COVID-19 pandemic would prolong their overall orthodontic treatment and affect their treatment outcome; and 51.9% were financially affected due to the pandemic. Conclusions: Not all adult orthodontic patients were in knowledge of COVID-19 cross infection. The majority were in a state of understanding and willing to follow infection-eradicating protocols. Patients’ view on overall orthodontic treatment was altered due to the psychological and financial impact of COVID-19.

scholarly journals Histopathological Analysis of Endometrial Biopsy in Gandaki Medical College Teaching Hospital, Pokhara, Nepal

2019 ◽  
Vol 12 (1) ◽  
pp. 25-30
Author(s):  
B Parajuli ◽  
G Pun ◽  
S Ranabhat ◽  
S Poudel
Keyword(s):  
Histopathological Examination ◽  
Hydatidiform Mole ◽  
College Teaching ◽  
Histopathological Diagnosis ◽  
Age Group ◽  
Medical College ◽  
Dilatation And Curettage ◽  
Partial Mole ◽  
Proliferative Endometrium ◽  
The Common

Objective: To study the spectrum of histopathological diagnosis of endometrial lesions and their distribution according to age. Methods: All the endometrium samples obtained by the procedure of dilatation and curettage and hysterectomy sent for histopathological examination at Pathology Department of Gandaki Medical College Teaching Hospital, Pokhara, Nepal. The study duration was total 12 months ranging from July 2016 to June 2017. All the endometrial samples were processed, sectioned at 4 - 6 μm and stained with routine H & E stain. Patient’s data including age, sex, procedure of the biopsy taken and histopathological diagnosis were noted. A pathologist, using Olympus microscope, reported the slides. Cases were reviewed by a second pathologist whenever necessary. Results: A total of 128 cases were studied. The most common histopathological diagnosis was proliferative endometrium (28.9%) followed by disorder proliferative endometrium (15.65%). Most of the patients were in age group 36 - 45 years comprising 32.03%. Hydatidiform mole comprised of 7.03% and among Hydatidiform mole, partial mole was more common. Dilatation and curettage (82.8%) was the common procedure in compare to hysterectomy for the evaluation of endometrial lesions. Conclusions: In this study, we observed a variety of endometrial lesions. Most of them are benign; among benign, proliferative endometrium was the common histopathological diagnosis followed by disorder proliferative endometrium. Most common presenting age group was found to be at 36 - 45 years. In evaluation of hydatidiform mole, partial mole was more frequent in compare to complete mole. Conventional dilatation and curettage is the preferred method in developing countries with limited resource to screen endometrial lesion and therefore biopsy should be sent for histopathological examination. Thus histopathological examination of routinely stained hematoxylin and eosin is readily available and widely accepted standard technique for evaluation of the endometrial lesions.

scholarly journals Knowledge and attitude towards infection control among supporting staffs of Chitwan Medical College, Bharatpur, Chitwan

2017 ◽  
Vol 6 (1) ◽  
pp. 40-47
Author(s):  
M Lopchan ◽  
G Gurung ◽  
L Rajbanshi ◽  
C Osti ◽  
A Baniya
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Infection Control ◽  
Health Care Providers ◽  
Nosocomial Infections ◽  
Infection Prevention ◽  
College Teaching ◽  
Care Providers ◽  
Medical College ◽  
Regular Training

Nosocomial infections (NIs) are one of the most important health issues, particularly in developing countries, because these infections cause high mortality and morbidity, and economic and human resource loss as a consequence Nosocomial infections can be defined as those occurring within 48 hours of hospital admission, 3 days of discharge or 30 days of an operation. Many studies have examined risk factors of nosocomial infections. However, knowledge of frontline workers (attendants) in infection prevention have been reported rarely in developing countries. The aim of this study was to investigate the knowledge of attendants working in different wards and OPDs about infection prevention. S: Data were collected from 100 attendants in Chitwan Medical College Teaching Hospital. Regarding the knowledge on hand washing, gloving and personal accessories for Infection Prevention, majority of the respondents had good knowledge ranging from 94-100%. Though hospital has established Infection Prevention Committee and regular training on infection prevention is provided to all the staffs, the data indicated that only 68% respondents were benefitted by the infection prevention training and proper use of virex solution to disinfect the equipment’s was found unsatisfactory. Infection control is the responsibility of all Health Care Facility (HCF) personnel. The goal of the infection control policies are to identify and reduce risks of acquiring and transmitting infections among patients, staff, students, volunteers, contract service workers, and visitors Although significant effort has been made to reduce the Nosocomial infections, regular training as well as monitoring supervision will enhance the capacity of the health care providers and front line workers for cleaning services they are our valued respondents.DOI: http://dx.doi.org/10.3126/jcmc.v6i1.55069

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