Adaptation Of Oral Hygiene Habits In Dental Professionals: A Kap Study

Objective: The present survey was carried out to assess the practice and perception of dental professionals towards their own dental care. Methods: This cross-sectional study was carried from May 2019 to April 2020, in Altamash Institute of Dental Medicine, Karachi. Ethical approval was obtained from institutional review board. A self- administered questionnaire was developed comprising of 20 questions among the dental personnel (Staff and BDS students) of Altamash Institute of Dental Medicine Karachi, Pakistan, to assess their practice and care, regarding their own oral hygiene. Responses were collected through both, the hard copy and an online google form link. Data was evaluated for 176 complete forms. For all the asked questions, a comparison was also made between male and female candidates, and between their academic levels. For all the variable as categorical values, percentages were tabulated using SPSS 21. Results: The results indicated that not all the dental professionals had their same practice to maintain oral hygiene. Not all of them were following the proper theoretical knowledge. From their choices of toothpastes to their habits of flossing and using additional aids for maintaining oral hygiene, majority factors varied individually in spite of the fact that there is well-awareness of consequences of negligence. Conclusion: It was found that not all the dental practitioners follow the proper guidelines to maintain oral hygiene, and not all of them follow the instructions they give to their patients. Key Words: Oral Hygiene, Dental Professionals, Tooth Paste, Mouth Wash, Dentistry, Oral Hygiene Maintenance, Dental practitioners.

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Association between sleeping patterns, oral hygiene status, and self-reported academic performance among dental students

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v10i1.38967 ◽

2021 ◽

Vol 10 (1) ◽

pp. 23-27

Author(s):

Sunita Khanal ◽

Sujita Shrestha ◽

Rosina Bhattarai

Keyword(s):

Academic Performance ◽

Sleep Quality ◽

Oral Hygiene ◽

Cross Sectional Study ◽

Dental Students ◽

The Body ◽

Cross Sectional ◽

Institutional Review ◽

Ethical Approval ◽

Methods Analytical

Background: Sleep is very important for normal functioning and overall development of the body for all. Information on association between sleeping patterns, oral hygiene status, and self-reported academic performance among dental students is not available in Nepal. Objectives: The aim of the study was to assess the association between sleeping patterns, oral hygiene status, and selfreported academic performance among dental students. Methods: Analytical cross-sectional study was conducted among second year to final year students of Kantipur Dental College for a period of four months. Ethical approval was obtained from the institutional review committee of Kantipur Dental College before collecting the data. Convenience sampling was used. Data collection was done by using self administered, Pittsburgh Sleep Quality Index (PSQI) questionnaire for assessing sleep quality. For assessing oral hygiene status, Greene and Vermillion OHI-S index was used. Academic performance was measured by the performance of the students in their previous university exam. Data were entered in Microsoft Excel and analysis was done by using SPSS version 20 and p <0.05 was considered to be statistically significant. Results: Altogether 138 students participated in the study. Self-reported sleep quality was fairly good among 82 (59.4%) students but the actual sleep quality determined by PSQI was good among 92 (67 %) students. Mean hours of actual sleep of participants was 7 ± 1.52 hours. The association between sleeping patterns, academic performance, and oral hygiene status was found to be statistically insignificant. Conclusion: The sleeping patterns, oral hygiene status and academic performance had no significant association.

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Oral Hygiene status among patients treated with fixed orthodontic appliance in the Department of Orthodontics in BSMMU

Bangladesh Journal of Orthodontics and Dentofacial Orthopedics ◽

10.3329/bjodfo.v7i1.43690 ◽

2019 ◽

pp. 16-19

Author(s):

Md Ali Kawsar ◽

Marina Akhtar ◽

Md Ahsan Habib ◽

Zafrina Islam ◽

Md Nurul Islam

Keyword(s):

Oral Hygiene ◽

Cross Sectional Study ◽

Mean Value ◽

Orthodontic Appliances ◽

Cross Sectional ◽

Dental Floss ◽

Fixed Orthodontic Appliances ◽

History Of ◽

Mouth Wash ◽

Medical University

Background: Oral hygiene maintenance is difficult for patients who are receiving fixed orthodontic treatment. Objective: The aim of the study was to find out deterioration of oral hygiene status during treatment of fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Methodology: This cross sectional study was carried out in the Department of Orthodontics at Bang- abandhu Sheikh Mujib Medical University, Dhaka from July 2013 to July 2014. All the patients taking treatment with fixed orthodontic appliances for more than 6 months were included as study population. During treatment in the OPD all the information of the patients’ oral hygiene maintenance like brush- ing, dental floss use, use of mouthwash, and history of sugar consumption, taking sticky food were recorded. The Orthodontic Plaque Index (OPI) was calculated and recorded. In addition to that frequency of brushing, type of tooth brush, technique of brushing and inter dental brush were also considered. Result: A total number of 100 patients were studied. Mean OPI was 81.78 (22.97). Mean value of OPI was 86.35 (13.27) among patients who brushed their teeth once a day but it was decreased gradually as the patients increased frequency of toothbrush use per day and became 85.74 (±26.12) among the patients who brushed their teeth thrice a day. Mean value of OPI was 81.98 (±23.27) who did not use dental floss and 75.00 (±7.00) who used dental floss once a day. Mean value of OPI was 84.65 (±23.10) who used inter dental brush irregularly but 35.00 (±0.00) who used it thrice a day. Mean value of OPI was 85.70 (±22.43) who did not use mouth wash whereas it reduced to 46.00 (±0.00) among them who used mouth wash thrice a day. Conclusion: All the indexes of oral hygiene are increased in patients treated with fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.16-19

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Self-reported tooth and implant prognosis evaluation based on radiographic bone loss: a cross sectional study

Acta Stomatologica Marisiensis Journal ◽

10.2478/asmj-2020-0003 ◽

2020 ◽

Vol 3 (1) ◽

pp. 262-268

Author(s):

Danielle Clark-Perry ◽

Jaimie Baybrook ◽

Raisa Catunda ◽

Liran Levin

Keyword(s):

Bone Loss ◽

Cross Sectional Study ◽

Oral Diseases ◽

Patient Centered ◽

Cross Sectional ◽

Current Trends ◽

Dental Practitioners ◽

Treatment Plans ◽

Dental Professionals ◽

Prognosis Evaluation

AbstractIntroduction: Tooth prognosis evaluation involves continual assessments to guide patient-centered treatment plans. This means that the tooth prognosis may dictate whether a tooth is restored, extracted, or maintained.Aim of study: The aim of this work was to evaluate current trends in tooth prognosis evaluation based on radiographic bone loss amongst dental practitioners.Material and Methods: A survey including demographic questions and ten radiographs (vertical bitewings or peri-apical) showing bone loss around teeth and implants were distributed to dental practitioners. Practitioners were asked to determine the prognosis of the tooth or implant and suggest a percentage describing the likelihood of the tooth or implant surviving for ten years.Results: One of the ten radiographs provided for assessment was given good to fair prognosis by 100% of the participants. Only three out of the ten radiographs presented had strong suggestions for tooth retention. Recommendation for extraction by dental practitioners varied from 1-66% across the radiographs. Furthermore, practitioners predicted a 0% chance of ten-year survival for many of the teeth.Conclusions: Assessing prognosis based on radiographs only, is insufficient and clinical data provides invaluable information to establishing tooth prognosis. Dental professionals should understand that compromised teeth can outlive dental implants and our role as dental professionals is to prevent and treat oral diseases to preserve the dentition as long as possible.

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Dentist’s Perspective Regarding Usage of Different Fixed Prosthesis Removal Systems in Islamabad and Rawalpindi

10.53350/pjmhs2115103182 ◽

2021 ◽

Vol 15 (10) ◽

pp. 3182-3184

Author(s):

Parivash Anwar ◽

Aafia Waheed ◽

Adnan Munir Raja ◽

Muhammad Shakeel Akram Khawaja ◽

Sidra Kazmi ◽

...

Keyword(s):

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Dental Crowns ◽

Dental Practitioners ◽

Prosthesis Removal ◽

Dental Practices ◽

Fixed Prosthesis ◽

Bridge Failure ◽

Dental Professionals

Background: Crowns and multi-unit fixed partial dentures have a limited lifetime. They fail for a number of reasons. The removal of provisional crowns and bridges is generally simple, however for permanent crowns, it becomes more challenging. Careful removal of FPD can help a dentist simplify a resto or endo procedure. The aim of this article was to analyze the different methods available for the removal of crowns and bridges and their awareness among dental practitioners Study Design & location: This was a cross-sectional study based on a questionnaire. The questionnaire was filled by a total of 250 general and specialist dentists who were practicing in various individual and group-based dental practices as well as private and government setups of Islamabad and Rawalpindi. Methodology: The questionnaire comprised a total of 13 questions to find out dentists' views about the usage of different system’s available for dental crowns and FPD removal. Participants were selected by random sampling. The results were then analyzed using SPSS version 23. Frequencies, percentages of different variables used in the study were calculated to identify the co-relation among different attributes. P-value of less than or equal to 0.05 was considered statistically significant. Results: The study reflected that out of those who answered, 247 dental professionals (98.5 %) preferred using hemostats or Morrell sliding hammer or a combination of both as they offered better control of force. A small percentage (approx 2%) of dentists used diamond or carbide burs as their first preference to trim off old crowns. Clinicians rarely used laser due to its high cost and less availability and its effectiveness primarily related to Porcelain jacket/ Zirconium crowns. Conclusion: It was concluded from this study that the majority of dentists preferred Morrell type crown remover with sliding hammer due to its ease of availability, universal acceptance, simple to use and because as it offered better control of force as opposed to spring-lock type Keywords: Crown and bridge removal, Crown and bridge disassembly, Crown and bridge failure.

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Awareness of Denture Cleansers and its Recognition among Dental Professionals

Journal of Bahria University Medical and Dental College ◽

10.51985/jbumdc2020012 ◽

2020 ◽

Vol 10 (3) ◽

pp. 211-214

Author(s):

Maria Abbasi ◽

Maleeha Ishfaq ◽

Naseer Ahmed ◽

Maryam Rahman ◽

Yusra Kanwal ◽

...

Keyword(s):

Adverse Effects ◽

Sampling Technique ◽

Cross Sectional Study ◽

Cross Sectional ◽

Dental Practitioners ◽

Qualitative Variables ◽

Knowledge And Attitude ◽

Oral Hygiene Instructions ◽

Denture Cleansers ◽

Dental Professionals

Objective: To assess the awareness of denture cleansers and its recognition among dental professionals in Karachi, Pakistan. Study Design and Setting: Cross-sectional study conducted at various institutes and hospitals of Karachi, over a period of 06 months from March to August’ 2019. Methodology: Total 200 dental practitioners were included in this study using nonprobability convenience sampling technique and according to the inclusion criteria. Those dental practitioners who were currently in practice; either at a hospital or clinic setting were included; others who were not in practice or only working as an academician were excluded. This study was conducted by administering a well-structured questionnaire, comprising of 12 close ended questions divided into two sections including demography and responses concerning the knowledge and attitude of dental practitioners regarding denture cleansers. The data was entered in SPSS version 25 for descriptive statistics for qualitative variables. Results: The study showed that 86.5% dentists were aware of denture cleansers and 89% prescribe them. However,58.5% were not aware of the adverse effects. Conclusion: Our analysis has shown that the dental professionals reinforce oral hygiene instructions in their dental practice and prescribe denture cleansers according to need. However, the knowledge regarding adverse effects among the subjects should be addressed

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Practice of Breastfeeding and its Barriers among Women Working in Tertiary Level Hospitals

Journal of Nepal Medical Association ◽

10.31729/jnma.4035 ◽

2019 ◽

Vol 57 (215) ◽

Author(s):

Mukta Singh Bhandari ◽

Pratibha Manandhar ◽

Dipesh Tamrakar

Keyword(s):

Exclusive Breastfeeding ◽

Complementary Feeding ◽

Data Entry ◽

Recurrent Infection ◽

Cross Sectional Study ◽

Tertiary Level ◽

Cross Sectional ◽

Institutional Review ◽

Ethical Approval ◽

Breastfeeding Practice

Introduction: Breastfeeding provides ideal food for newborns and prevents recurrent infection and malnutrition in infants. In Nepal, breastfeeding is a universal practice but exclusive breastfeeding is low. As there is increased involvement of women in workforce, practice of breastfeeding may have been compromised. The main objective of the study was to examine the practice and barriers of breastfeeding among women working in tertiary level hospitals of Nepal. Methods: This was a hospital based descriptive cross-sectional study. Study participants were wom- en working in Dhulikhel Hospital and Kathmandu Medical College and Teaching Hospital and was conducted from December 2017 to June 2018. Ethical approval was taken from institutional review committee of both institutions. Total of 208 women were included in the study and face to face interview was conducted. Data entry and analysis was done using statistical package of social sciences (SPSS).Results: Breastfeeding practice was universal and colostrum was fed by 195 (94%) women. Pre- lacteal feeding was given by 14 (7%) women and 119 (57%) initiated breastfeeding within one hour of birth. Total of 93 (45%) children were exclusively breastfed for any duration while 10 (11%) were exclusively breastfed for six months. The mean duration of breastfeeding was 14.57 months and 90 (43%) started complementary feeding before six months. Total of 97 (51%) women and 42 (47%) women stated work as barrier for not exclusively breastfeeding and early complementary feeding respectively. Conclusions: Exclusive breastfeeding was very low and children were breastfed for less than two years. Complementary feeding was also started earlier and work was stated as the main barrier for poor breastfeeding practice. Keywords: breastfeeding; complementary feeding; working women.

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Higher Termination of Brachial Artery in Cadavers in the Department of Anatomy of a Medical College: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.6483 ◽

2021 ◽

Vol 59 (240) ◽

Author(s):

Sanzida Khatun ◽

Diwakar Kumar Shah

Keyword(s):

Surgical Procedures ◽

Brachial Artery ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Institutional Review ◽

Reference Number ◽

Ethical Approval ◽

Usual Site

Introduction: The main blood supply for arm is provided by the brachial artery. It shows variation in branching and termination patterns in some individuals. Variation in brachial artery may cause difficulties during various clinical and surgical procedures. The present study aims to find out the prevalence of higher termination of brachial artery in cadavers in the department of anatomy of a medical college. Methods: A descriptive cross-sectional study was carried out from 10th January 2020 to 20th April 2021 after the ethical approval was taken from the Institutional Review Committee of Nobel Medical College (reference number: IRC-NMCTH 280/2020). The study was done in 58 upper limbs of 29 properly embalmed cadavers. Convenient sampling was done. They were carefully dissected. The level of termination of brachial artery was noted. The length of the brachial artery and the distance between its termination and the intercondylar line of humerus was recorded. Results: Higher termination of brachial artery was observed in 3 (5.17%) extremities; one (1.72%) at middle third of arm and two (3.45%) at lower third of arm. In 52 (89.66%) extremities, the site of termination was at the level of neck of radius. The brachial artery terminated a few centimeters below its usual site at the level of upper part of shaft of the radius in 3 (5.17%) extremities. Conclusions: The prevalence of higher termination of brachial artery in cadavers is slightly lower than the studies performed in similar settings. It is not an uncommon finding. It may have impact on clinical and surgical procedures.

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Prevalence of Selected Non-Metric Dental Traits in Indo-Nepalese and Tibeto-Nepalese Ethnic Groups of Western Hilly Region

Journal of Nepal Medical Association ◽

10.31729/jnma.4603 ◽

2019 ◽

Vol 57 (219) ◽

Author(s):

Sanjay Kumar Sah ◽

Santosh Kandel ◽

Raju Shrestha ◽

Alok Atreya

Keyword(s):

Ethnic Group ◽

Sampling Method ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Review Committee ◽

Cross Sectional ◽

Institutional Review ◽

Hilly Region ◽

Ethical Approval ◽

Dental Traits

Introduction: Additional anatomic features present on teeth are called non-metric dental traits. Carabelli’s cusp and shovelling are such traits which are mostly evaluated for identification of ethnicity. The present study aims to determine the prevalence of Carabelli’s cusp and shovelling among Indo-Nepalese and Tibeto-Nepalese ethnic group. Methods: A descriptive cross-sectional study was conducted in a tertiary hospital from March 22 to June 22 2019 after obtaining ethical approval from the institutional review committee. The study was conducted among 274 patients and convenient sampling method was applied. Data were analyzed by the help of Statistical Package for Social Sciences version 21. Results: Among 274 cases, 153 (55.84%) cases were Indo-Nepalese and 121 (44.16%) were TibetoNepalese. Carabelli’s cusp (16/26) was noticed in 87 (56.86%) of Indo-Nepalese and 45 (37.19%) of Tibeto-Nepalese. Shovelling (11, 12, 21, 22) was present in 47 (30.71%) Indo-Nepalese and 79 (65.28%) of Tibeto-Nepalese. Further, Carabelli’s cusp (16/26) was found in 77 (53.10%) females and 55 (55.12%) males. Shovelling was present in 75 (51.72%) females and 51 (39.53%) males. Bilateralism with respect to Carabelli’s cusp was present in 82 (62.2%) cases. Presence of bilateral shovelling on upper central incisors and lateral central incisors were among 117 (94.35%) and 56 (91.80%) respectively. Conclusions: Carabelli’s cusps are frequently found in Indo-Nepalese ethnic group and shovelling of teeth most commonly present in Tibeto-Nepalese population. Further, bilaterism for shovelling of teeth is more common than bilaterism for cusp of Carabelli.

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Understanding Constraints and Enablers of Turnaround Time for Ethics Review: The Case of Institutional Review Boards in Tanzania

Journal of Empirical Research on Human Research Ethics ◽

10.1177/15562646211026855 ◽

2021 ◽

pp. 155626462110268

Author(s):

Mwifadhi Mrisho ◽

Zaynab Essack

Keyword(s):

Turnaround Time ◽

Cross Sectional Study ◽

Institutional Review Boards ◽

Cross Sectional ◽

Electronic Submission ◽

Ethics Review ◽

Institutional Review ◽

Ethical Approval ◽

Human Participants ◽

Review Boards

Background. Independent ethics review of research is required prior to the implementation of all health research involving human participants. However, ethics review processes are challenged by protracted turnaround times, which may negatively impact the implementation of socially valuable research. Previous research has documented delays in ethics review in developed and developing countries. This study aimed to determine the extent of variability in turnaround times for protocol review among different institutional review boards (IRBs) within Tanzania. Methods. This descriptive cross-sectional study employed a mixed-method approach, with qualitative and quantitative components. Seven IRBs were purposively sampled from the 15 accredited IRBs operational in Tanzania during the study period, April 2017–April 2018. Quantitative data were analysed using STATA software and qualitative data were analysed thematically. Results. The median time for review across all IRBs was 32 days, with a range of 1–396 days. Qualitative results identified five key themes related to turnaround time from interviews with participants. These included: (1) procedures for receiving and distribution of protocols, (2) number of reviewers assigned to protocols, (3) duration of reviewing protocols, (4) reasons for delayed feedback, and (5) training of research ethics committee members. Conclusion. The study showed that the median days for ethical approval in Tanzania was 32 days. We observed from this study that electronic submission systems facilitated faster turnaround times. Failure to adhere to the submission checklists and guidelines was a major obstacle to the turnaround time.

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Comparison of gingival biotype in smokeless tobacco users (Gutka and Paan) and non-tobacco users

Journal of the Pakistan Medical Association ◽

10.47391/jpma.1197 ◽

2021 ◽

pp. 1-12

Author(s):

Prena Moorpani ◽

Fazal Ur Rehman Qazi ◽

Shahbaz Ahmed Jat ◽

Hira Akhtar ◽

Munazza Aziz ◽

...

Keyword(s):

Smokeless Tobacco ◽

Age Groups ◽

Cross Sectional Study ◽

Cross Sectional ◽

Institutional Review ◽

Significant Difference ◽

Ethical Approval ◽

User Groups ◽

Gingival Biotype

Abstract Objective: To assess the gingival biotypes in smokeless tobacco (Gutka and Paan) users and compare it with non-tobacco users in Karachi sub-population using trans-gingival probing method (TRAN). Methods: This in-vivo, cross sectional study was conducted in the department of Operative Dentistry from 20th February 2019 to 25th June 2019 Dow University of Health Sciences, Karachi after obtaining ethical approval from the Institutional review board of DUHS (Ref: IRB-1207/DUHS/Approval/2019/21). A total of 70 participants, 35 subjects currently using smokeless tobacco (Gutka and Paan) and 35 non-tobacco users from both genders were included in the study after taking informed consent. Gingival biotype was recorded using probe transparency method. Probing of the gingival sulcus was performed at the mid-buccal aspect of both maxillary incisors. Depending on the visibility of the underlying probe gingiva was categorized as thin or thick. Results: Statistically significant differences in gingival biotype was observed of both groups (p=0.005). Males were recorded with a higher percentage of thick gingiva in both groups (81% in smokeless tobacco and 65% in non-tobacco) while in females thick gingiva was more prevalent in smokeless tobacco group (85.7%) whereas thin gingiva was noted in non-tobacco group (66.7%); although the results between genders was statistically insignificant. The comparison between different age groups, genders and both groups was statistically insignificant. Conclusion: Significant difference was observed between gingival biotype of smokeless tobacco and non-tobacco user groups. No statistically significant results were observed between genders and age groups. Keywords: Gingival biotype, smokeless tobacco, Continuous...

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