Update Dental College Journal
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Published By Bangladesh Journals Online

2307-3160, 2226-8715

2021 ◽  
Vol 11 (2) ◽  
pp. 32-34
Author(s):  
Mohammad Nazmul Kabir ◽  
Md Monoarul Islam ◽  
Md Shahrin Tarafder

Background: Diabetes is a predominant health problem today and characterized by abnormally high blood sugar. According to World Health Organization (WHO) this clinical condition is increasing worldwide due to urbanization and physical inactivity uncontrolled diabetes develop ulceration, infection, tooth decay and decrease oral health status. Objectives: For the assessment of oral health condition and according to treatment required among the diabetic and non-diabetic patients is dental department of Cox’s Bazar Medical College Hospital, Cox’s Bazar. Method: This was a case-control type of study carried among 150 diabetics and 150 non-diabetics for 8 months period. Date was collected by direct interview of both diabetics and non-diabetics and clinical examination of oral cavity & also lab test. Results: Prevalence of Dental caries was higher in diabetics (58.6%) than non-diabetics (21.6%) and also prevalence of periodontal disease more in diabetics (93.2%) than non-diabetics (82.6%). Conclusion: Oral health is mirror image of general health. Dental caries and periodontal disease are more in diabetics than non-diabetics complex treatment required more in diabetics than non-diabetics. So, regular dental care is necessary for diabetic patients. Update Dent. Coll. j: 2021; 11(2): 32-34


2021 ◽  
Vol 11 (2) ◽  
pp. 26-31
Author(s):  
Farzana Hoque Tanmi ◽  
Md Abdul Hannan Sheikh ◽  
Mozammal Hossain ◽  
SM Abdul Quader ◽  
Salahuddin Ahmed ◽  
...  

Introduction: The use of Bioceramic sealer in the obduration of the root canal system has been expected by many of the previous studies. However, the clinical outcome has not yet been established. Objective: To compare the effectiveness of bioceramic and calcium hydroxide based root canal sealer in treatment of non-vital permanent teeth with periapical lesion (Periapical periodontitis). Materials and Methods: A total 100 mature permanent anterior teeth were selected after clinical and radiological examination which had non-vital pulp with periapical lesion. Clinically pulp vitality test, palpation and percussion test was performed maintaining standard procedure. Following cavity preparation and biomechanical preparation, each canal was obturated either with bioceramic (Endosequence BC) or calcium hydroxide based sealer  (Sealapex, Kerr). All participants were evaluated immediately after obturation, at  3 and 6 months for the assessment of change in size of periapical lesion, condition of periodontal ligament space, lamina dura and incidence of post-operative pain, swelling. Statistical analysis was performed using Chi- square(X2) test and t-test. A value of p<0.05 was considered as statistically significant. Results: Bioceramic was more effective in reducing the lesion size than that of calcium hydroxide. At 6 months, the mean lesion size was reduced from 3.52±0.7 to 1.30±0.462 mm in Bioceramics and from 3.48±1.07 to 1.58± 0.498 mm in sealapex treated teeth.. Furthermore, 98% of bioceramic treated teeth and 94% of sealapex treated teeth showed absence of swelling. The differences between two groups were statistically significant (p<0.05). Conclusion: In this short period of study, Bioceramics based sealer seems to be more effective than calcium hydroxide based sealer in repair of periapical lesions of the nonvital teeth. Update Dent. Coll. j: 2021; 11(2): 26-31


2021 ◽  
Vol 11 (2) ◽  
pp. 1-3
Author(s):  
Nadia Sultana Shuborna ◽  
Sultana Sadia Islam ◽  
Shah Saif Jahan ◽  
Ehsanul Hoque Apu ◽  
Osama Bin Noor ◽  
...  

Dentistry is the top listed most risky jobs in this pandemic Covid 19 situation, as dentist contain close face-to-face contact with the patients which increase the potential transmission of the (SARS)-CoV-2 virus from human to human through direct contact via oro-pharyngeal droplets and indirect contacts with fomites where dental professionals are highly vulnerable to get infected from the coronavirus. Thus, dental practice has mostly been suspended during this period. Teledentistry introduces a novel solution to resume dental practice by providing dental treatment, guidance, and education through teleconsultation, telediagnosis and telemonitoring through Information Technology (IT) instead of direct contact with patients. But there are some major challenges like lack of government initiatives, compensation strategy, legal issues, technical base, co-ordination among doctors, along with patients’ co-operation and limitations in telediagnosis. This technical note highlighted these limitations and challenges to make a concern to the dentist as at least teledentistry can accompaniment the existing threaten dental system during this living pandemic. Update Dent. Coll. j: 2021; 11(2): 1-3


2021 ◽  
Vol 11 (2) ◽  
pp. 16-19
Author(s):  
Norun Nahar ◽  
AKM Bashar ◽  
Md Abdul Gafur ◽  
Didarul Haque Jeorge

Background: Clinicians always faces some challenges to reconstruct proper proximal contact while restoring class-II cavity with composite resin due to its viscosity, elastic property and polymerization shrinkage. It has been claimed that use of sectional pre-contoured matrix band with separation ring will produce more reliable result for reconstruction of optimal proximal contact in class II composite resin restoration. Purpose: To evaluate the efficacy of sectional pre-contoured matrix band with separation ring for reconstruction of optimal proximal contact in class II resin composite restoration. Methodology:  One Nissin manikin model having the facility of placing and screwing all upper and lower sets of artificial human teeth and sixty-two (62) artificial human mandibular permanent 1st molar teeth were collected. These 62 artificial human mandibular permanent 1st molars were randomly assigned in two groups (A & B) having 31 teeth in each. Standardized class II MO (mesio-occlusal) cavity were prepared on total 31 artificial 1st molar in group A. The 2nd premolar in the manikin model was replaced by metal cast duplicate and permanently fixed into the socket. All the Thirty-one (31) 1st molar teeth in group A, having Prepared class II cavity in each, were replaced one by another in the manikin distal to cast duplicated 2nd premolar and restored with composite resin by using sectional pre-contoured matrix band with separation ring and another 31 uninstrumented intact artificial 1st molars were include in group B as a reference group. After completion of restoration, newly developed proximal contact points were measured by using universal testing machine one after another. Same were also done in intact reference Group B. Measurement was done to assess the position of contact point, contact tightness and contact area of Group A and Group B on the same typodont. The results were analyzed statistically with post hoc Bonferroni test (P<0.05). Result: Teeth restored with sectional pre-contoured matrix with separation ring (group A) provided the tighter contact and broadened area of contact where all the contact points were placed  more occlusally compared to that of the intact un-instrumented reference teeth (group B).Statistically significant differences (P<0.05) were produced in all the three parameters with each other. Conclusion: Teeth restored with sectional pre-contoured matrix band with separation ring failed to reconstruct the optimal proximal contact in class-II composite resin restoration in comparison to intact uninstrumented reference tooth. Update Dent. Coll. j: 2021; 11(2): 16-19


2021 ◽  
Vol 11 (2) ◽  
pp. 20-25
Author(s):  
Shaikh Abdullah Al Jami ◽  
Ashek Elahi Noor

This cross-sectional type of descriptive study was conducted to assess the DMFT, oral health related behavior and practice in Rajer Deuri Government primary school in old Dhaka, Bangladesh.About 158 school children were selected by the purposive type of non-probability sampling technique. Face to face interview with questionnaire followed byChecklist. Out of 158 students, 78 (49.4%) were 12-14 years whereas maximum 80 (50.6%) of them were male and 78 (49.4%) were female. Againmajority students fathers were secondary level 34.2 and mothers were primary level passed 41.1%. Maximum family income belongs to 81 (51.3%) which is ranges from 10000-20000 Tk.Majority 89(56.3%) of the respondents never visited dentist. Again, maximum uses tooth paste with brushes 155(98.1%) and also majority 64(40.5%). use a new tooth brush as long as last Maximum make a visit to the dentist about 62(39.2%) on having toothache. Moreover,though128 (81.0%) agree that consumption of sugar in between meals causes dental caries but 130(82.3%) did not know about fluoride. Again, 64(40.5%) respondents knows not cleaning their teeth may cause tooth decay. In addition, 89(56.3%) students don’t know aboutgum bleeding while 52(32.9%). About 116 (73.4%) of the students didn’t know how to protect their gumMoreover, 118(74.7%) & 135(85.4%) of the respondents don’t know about dental plaque & calculus but 136(86.1%) & 98(62.0%) knows sweet food & soft drinks may affect dental health. Again, maximum 100(63.3%) respondents think that the health of mouth impact on the health of body as well as their treatment is also important. About130 (82.3%) of the respondents thinks that brushing teeth may prevent tooth decay while maximum 134 (84.8%) of the respondents did not know using fluoride strength their teeth. Maximum, 122 (77.2%) & 134(84.8%) did not know using toothbrush& floss help them preventing periodontal disease. Though 79(50.0%) of the respondents mentioned that using toothbrush & flossing is the best method for prevention of tooth decay. About 89(56.3%) of the respondents brush their teeth more than 2 minutes. Maximum 83(52.5%) & 129 (81.6%) of them did not know about the number of their permanent & deciduous tooth. About 136(86.1%) of the students did not know eruption time of 1st permanent molar. Finally, 118 (74.7%) out of 158 get knowledge about oral health from their family.There is a significant association between fathers & mothers education with knowledge which resembles (P value is 0.001). Again, therewas a statistical significant association between cleaning in between teeth and their knowledge (P value is 0.012) and also on having toothache maximum did not visit to the dentist where (P value is <0.001).There is also statistical significant association between DMFT and their knowledge where (P value is 0.004).Finally, a comprehensive oral health educational program for both children and their parents are required to achieve this goal. Update Dent. Coll. j: 2021; 11(2): 20-25


2021 ◽  
Vol 11 (2) ◽  
pp. 38-42
Author(s):  
Kazi Hossain Mahmud ◽  
Fathimath Maaisha

Purpose: This clinical case discusses the step-by-step implementation of a core and a post system that uses a single resin composite material for cementation of a glass fibre post and core build up of a fracture endodontically treated maxillary left first premolar with gingivectomy as a crown lengthening procedure. Clinical considerations: Several materials and methods has been discussed in the literatures regarding restoration of endodontically treated teeth with minimal tooth structure left which require fibre post and core build up. Gingivectomy as a crown lengthening is also a common procedure that facilitates restorative dentistry. This case presents a restoration of a tooth with a short clinical crown by gingivectomy and post core build up by glass fibre post with a mono-block technique or core-and-post technique with dual cure composite resin as a luting and core build up material. Conclusion:Post and core is needed to restored tooth with little tooth structure remaining.Glass fibre post are prefabricated posts which makes it easy to manipulate and reduces chairs side time among other advantages. Use of single material system for post-and-core reduces the steps of manipulation and chair side time compared to conventional techniques. Clinical significance: More measures are required when different materials are used for post-cementation and core build-up, increasing the chair time and the number of interfaces between the materials. However, these shortcomings can be overcome by the mono-block technique where only one material is used for both cementation and core build up. Update Dent. Coll. j: 2021; 11(2): 38-42


2021 ◽  
Vol 11 (2) ◽  
pp. 35-37
Author(s):  
Abdullah Al Faruk ◽  
Mohammad Rifat Rahman

Severe acute respiratory syndrome coronavirus (SARS-COV-2) presented with pulmonary symptoms and various extra pulmonary manifestations including dermatological manifestations like urticarial, acralvascular lesion erythematous maculopapular rash, and vesicular rash. Herpes zoster is a painful vesicular rash resulting from reactivation of varicella-zoster (VZ) virus that also a causative agent of chickenpox. The incidence of HZ infection (HZI) more prevalent in older ages and various immunosuppressive conditions. Coronavirus disease in 2019(Covid19) causing immune exhaustion and VZ virus reactivation, which is commonly presented as HZ in middle-aged adults. Here we report a case of HZ infection in association with COVID 19 positive 60 years male.  Update Dent. Coll. j: 2021; 11(2): 35-37      


2021 ◽  
Vol 11 (2) ◽  
pp. 43-51
Author(s):  
Md Ashif Iqbal ◽  
Marjana Hossain Mim ◽  
Nayna Binte Shahabuddin

In these days, periodontal diseases are very much common in Asian subcontinent especially in Bangladesh, due to some relevant factors that is more prevalent in this country. Most of the time patient neglect their condition and ultimately loss their teeth. Even after doing phase 1 therapy that is scaling, polishing with antimicrobial agents, it could not heal the periodontal condition with advanced bone destruction or clinical attachment loss. Therefore, after proper oral hygiene maintenance therapy, different flap surgery should consider. . In recent study, it is found that platelet rich fibrin (PRF) PREPARED From the patient’s Own blood and then placement within defect could enhance the early healing procedure. This PRF membrane is also used in a variety of discipline in dentistry, including regenerative surgery. This PRF membrane is now used in a variety of disciplines in dentistry, including regenerative surgery and enhancing early healing. The goal of this study is to critically analyze and appraise the currently available research with an emphasis on the use of PRF in regenerative periodontal surgery.  An electronic search was conducted (PubMed/MEDLINE, Google Scholar, BanglaJOL, Cochrane library). Various combinations of the following keywords were used: ‘prf’, ‘prf membrane’, ‘periodontal regenerative surgery’, ‘prf in dentistry’, ‘systemic diseases and periodontitis’, ‘drawback of prf’, ‘platelet-derived growth factors’, ‘prf in oms’, ‘prf in orthodontics’. Articles were searched until August 2021 All of these studies reveal that the PRF membrane enhances the healing of various defects in a variety of periodontal diseases and in several fields of dentistry. Studies are going on pulp regeneration and socket healing after extraction with PRF in dentistry. More emphasis should have to give to the prevention of periodontal diseases as well as more concern should have to give on PRF with flap surgery to enhance healing and improve the social health of the general population by preventing tooth loss and for different research purposes on PRF in different other fields of dentistry in Bangladesh. Update Dent. Coll. j: 2021; 11(2): 43-51


2021 ◽  
Vol 11 (2) ◽  
pp. 4-9
Author(s):  
Md Shahidul Islam ◽  
Mahbur Rashid Sarker ◽  
Farkhanda Mah Jebin ◽  
Md Rubayet Alam Prodhan

Background: Oral mucosal lesion (OML) is defined as any abnormal alteration in color, surface aspect, swelling, or loss of integrity of the oral mucosal surface. Some oral mucosal lesions are benign and require no treatment but some may present with significant pathology. Several oral potential disorders frequently progress into malignancy Objective: The present study was carried out to assess the pattern of various oral cavity lesions of patients attending in a regional tertiary care hospital in northern area of Bangladesh. Materials and Methods: This prospective cross-sectional study was carried out in the Department of Dentistry in collaboration with department of Pathology of Khwaja Yunus Ali Medical College and Hospital, Sirajgonj, Bangladesh during the period of one year from December 2016 to December 2017. An elaborate schedule was prepared before undertaking the study. A total of 73 patients in the Dental OPD of the hospital presenting with oral lesion for more than 3 weeks were randomly selected. An incisional biopsy was taken from all patients and histological examinations were done. The collected data were analyzed using SPSS (V-20) and MS Excel. Results: Most common site of oral lesion is Buccal Mucosa (36.99%), then supraglotic region (26.03%), lower lip 6.85%, gingiva 5.48%, anterior palate and oral flor 4.11% each. Most of the lesion was Squamous cell carcinoma (58%), then lichen planus, leukoplakia, inflammatory lesion, pyogenic granuloma and verrucous carcinoma, each of them was around 5% of lesion. Conclusion: The epidemiological data on the prevalence of oral lesion is an important determinant in planning appropriate levels of services and further studies are required to provide accurate estimates of the treatment need in Bangladeshi population with oral lesion. Update Dent. Coll. j: 2021; 11(2): 4-9


2021 ◽  
Vol 11 (2) ◽  
pp. 10-15
Author(s):  
Faria Tabassum Tanni ◽  
Tanzila Rafique ◽  
Tanjila Akter ◽  
Khanum Huzzatun Nahar Khawla Binta Harun ◽  
Gazi Shamim Hasssan

Objective: To determine the prevalence of malocclusion in school-age children from a selective area of the urban and rural community of Bangladesh. Methods: A cross-sectional descriptive survey was conducted among 748 children aged 08-12 years old were examined from October 2019 to September 2020 in Sylhet Sardar Upazila, Bangladesh. Angle”s classification was used for recording molar relationship with malocclusion traits. The study participants were examined by disposable dental tools (calibrated probs and mirror) including torchlight. After the collection of all data, it was compiled and analyzed by Statistical Package for the Social Sciences (SPSS) Windows version 23. Chi-square test was used for categorical variables. P values <0.05 were considered as statistically significant. Result: The prevalence of malocclusion in urban school-age children was 237(63.4%) and in rural 213(57.0%).In urban area, the prevalence of malocclusion was 109(58.3%) in boys and 128(68.4%) in girls group. The majority (70.5%) were found Angle’s class I in urban group and 148(69.5%) in rural. One forty three (60.3%) patients were found increased overbite with malocclusion in urban group and 124(58.2%) in rural. Angle’s class-I malocclusion and Increased overbite were the most commonly occurring   malocclusion. Conclusion: Prevalence of malocclusion was more in urban school age children when compared with rural. Malocclusion was significantly more in girls than boys in both urban and rural area. Angle’s class-I malocclusion and Increased overbite were the most commonly occurring malocclusion of school age children from a selected urban and rural community of Bangladesh. Update Dent. Coll. j: 2021; 11(2): 10-15


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