Journal of Oral Health and Community Dentistry

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2015 | January-April | Volume 9 | Issue 1

RESEARCH ARTICLE

Y Upadhyay

Management Procedures Pain Used by Dental and Maxillofacial Surgeons: An Investigation With Special Regard To Odontalgia

[Year:2015] [Month:January-April] [Volume:9] [Number:1] [Pages:4] [Pages No:1 - 4]

PDF  |  DOI: 10.5005/johcd-9-1-1  |  Open Access |  How to cite  | 

Abstract

Background

Little is known about the procedures used by indian dental and maxillofacial surgeons treating patients suffering from chronic orofacial pain (COP). This study aimed to evaluate the ambulatory management of COP.

Methods

Using a standardized questionnaire we collected data of dental and maxillofacial surgeons treating patients with COP. Therapists described variables as patients’ demographics, chronic pain disorders and their aetiologies, own diagnostic and treatment principles during a period of 3 months.

Results

Although only 14.5% of the 520 addressed therapists returned completely evaluable questionnaires, 985 patients with COP could be identified. An orofacial pain syndrome named atypical odontalgia (16.0 %) was frequent. Although those patients revealed signs of chronification, pain therapists were rarely involved (12.5%). For assessing pain the use of Analogue Scales (7%) orinterventional diagnostics (4.6%) was uncommon. Despite the fact that surgical procedures are cofactors of COP therapists preferred further surgery (41.9%) and neglected the prescription of analgesics (15.7%). However, most therapists self-evaluated the efficacy of their pain management as good (69.7 %).

Conclusion

Often ambulatory dental and maxillofacial surgeons do not follow guidelines for COP management despite a high prevalence of severe orofacial pain syndromes.

RESEARCH ARTICLE

DK Singhal, S Acharya, AS Thakur

Dental Caries Experience Among Pre-School Children Of Udupi Taluk, Karnataka, India

[Year:2015] [Month:January-April] [Volume:9] [Number:1] [Pages:5] [Pages No:5 - 9]

PDF  |  DOI: 10.5005/johcd-9-1-5  |  Open Access |  How to cite  | 

Abstract

Aim

To determine the dental caries experience of pre-school children attending anganwadi and day care centre in Udupi Taluk.

Materials and Methods

A cross-sectional survey was conducted on 825 pre-school children attending Anganwadi and day care centers in Udupi Taluk. Dental caries was assessed using Dentition status and treatment needs (WHO, 1997). Data was analyzed using SPSS 16.0 with significance level at P value < 0.05. Chi-square test was used to find out the significant differences. Level of significance was taken

Results

Dental caries experience was significantly higher among anganwadi children (3.74±3.58) as compared to day care children (3.26±3.32). The prevalence of dental caries was 64.2% among anganwadi children and 61.0% among day care children. Girls had slightly higher mean deft score, mean number of decayed teeth, filled teeth and lower missing teeth as compared to boys.

Conclusion

High caries experience in this study revealed that there is a great need to plan and conduct oral health promotion initiatives and treatment activities for preschool children. The oral health education at initial stages would help in improving preventive dental behavior and attitude which is beneficial for lifelong.

RESEARCH ARTICLE

R Gupta, NA Ingle, N Kaur, R Haloi, BK Roy

Oral Health Status and Treatment Needs Among Government and Private Primary School Teachers in Mathura City

[Year:2015] [Month:January-April] [Volume:9] [Number:1] [Pages:6] [Pages No:10 - 15]

PDF  |  DOI: 10.5005/johcd-9-1-10  |  Open Access |  How to cite  | 

Abstract

Objectives

To assess the oral health status and treatment needs among Government and Private primary school teachers in Mathura city.

Materials and Methods

This cross-sectional study was conducted upon 650 primary school teachers who were randomly selected from the 5 zones of Mathura city. The oral health status and treatment needs were recorded using standard WHO proforma 1997 (modified).

Results

The mean DMFT was found to be higher in Government school teachers than the Private school teachers. It was seen that among Government school teachers, 12.6 percent and among the Private school teachers 18.5 percent had healthy periodontal tissue (code 0). Majority of the school teachers both from Government and Private schools showed the prevalence of shallow pockets.

Conclusion

In conclusion the results of the study showed the increased prevalence of gum diseases, periodontitis and dental caries in Government schoolteachers as compared to Private schoolteachers. Regular dental check- ups and practice of routine oral hygiene procedures will enable them to lead a healthier life.

RESEARCH ARTICLE

A Gupta, V Goyal, J Duhan, S Hans, P Sangwan

The Effectiveness of Three Different Plant Extracts Used as Irrigant in Removal of Smear Layer: A Scanning Electron Microscope Study

[Year:2015] [Month:January-April] [Volume:9] [Number:1] [Pages:7] [Pages No:16 - 22]

PDF  |  DOI: 10.5005/johcd-9-1-16  |  Open Access |  How to cite  | 

Abstract

Aim

In the present study, the role of three plant extracts as irrigant in root canal cleaning after instrumentation was evaluated. The effect of Syzygium aromaticum (S. Aromaticum), Ocimum sanctum (O. Sanctum) and Cinnamomum zeylanicum (C. zeylanicum) plant extracts was evaluated in smear layer removal.

Methods

The study was divided into different groups having 5 teeth each using various irrigating agents to evaluate smear layer removal. Group A: O. Sanctum extract; group A1: O. Sanctum extract with EDTA, group B: S. Aromaticum extract; group B1 S. Aromaticum extract with EDTA, group C: C. zeylanicum extract; group C1 C. zeylanicum extract with EDTA and two control group of 5 teeth each in group D: 3% NaOCl; group D1 3% NaOCl with EDTA (as positive control) and group E: Distilled water (as negative control); group E1 3% Distilled water with EDTA. Each tooth was split longitudinally and prepared for examination by scanning electron microscopy.

Results

The herbal extracts were effective in cleaning root canal walls when combine with EDTA with maximum activity of S. Aromaticum extract with EDTA group.

Conclusion

Under the condition of present study the three herbal plant extracts were ineffective in removal of smear layer when used alone.

RESEARCH ARTICLE

V Jain, A Sharma, K Arora, M Jain, S Akhilandan, US Sohlot

Views of Indian Dental Students on Tobacco Cessation Counseling and Their Skills as Counselors

[Year:2015] [Month:January-April] [Volume:9] [Number:1] [Pages:7] [Pages No:23 - 29]

PDF  |  DOI: 10.5005/johcd-9-1-23  |  Open Access |  How to cite  | 

Abstract

Objectives

This study aimed to determine Indian dental students’ views on tobacco cessation counselling, their skills as counsellors and the barriers faced by them.

Methods

A questionnaire study was conducted among 182 dental students in dental colleges of Faridabad, India. Significant differences among responses and demographic variables were calculated using chi square test.

Results

Majority (62.1 percent) of the participants indicated willingness to counsel their patients about the effects of tobacco and planned to advise patients about tobacco cessation (90 percent) while 74.2 percent felt that tobacco cessation counselling by dentist would help patients to quit. A majority disagreed that giving tobacco cessation counselling is not a part of their role (78.1 percent) or that they did not consider tobacco cessation counselling a part of their role (74.8 percent). However, 53.3 percent agreed that they do not have sufficient training to provide tobacco cessation counseling.

Conclusion

Dental students did not show much confidence in providing tobacco cessation counselling despite their perception that tobacco users look forward to them for such counselling.

RESEARCH ARTICLE

NA Ingle, N Kaur, R Sirohi, A Siwach

Oral Health Related Quality of Life in Adult Population Attending Outpatient Department of KD Dental College and Hospital, Mathura

[Year:2015] [Month:January-April] [Volume:9] [Number:1] [Pages:5] [Pages No:30 - 34]

PDF  |  DOI: 10.5005/johcd-9-1-30  |  Open Access |  How to cite  | 

Abstract

OBJECTIVE

To assess oral health related quality of life in adult population attending the Outpatient Department of K.D Dental College and Hospital, Mathura.

MATERIALS AND METHOD

A cross sectio nal study was carried out for a period of one month in OPD of K.D Dental College and Hospital, Mathura. Three twenty individuals were selected randomly. An investigation was done by using a combination of questionnaire and clinical examination of dental caries was done by using WHO 1997 criteria.

RESULTS

Majority of the participants (70.9%) reported oral health problems affecting at least one daily performance in six months preceding the survey. The performance most affected was on ‘eating’ (52.8%) followed by ‘cleaning teeth’ (29.7%). Chronbach's alpha for the OIDP frequency items was 0.70.

CONCLUSION

The highest impact was ‘eating’ and lowest on ‘speaking and pronouncing’ in the study population, which in turn, had an impact on their Quality of Life.

REVIEW ARTICLE

CM Marya, S Dhingra, A Jnaneswar, H Kumar, N Dahiya, V Dahiya

Role of Sugar Free Chewing Gums in Oral Health

[Year:2015] [Month:January-April] [Volume:9] [Number:1] [Pages:5] [Pages No:35 - 39]

PDF  |  DOI: 10.5005/johcd-9-1-35  |  Open Access |  How to cite  | 

Abstract

Dental caries and periodontal diseases have historically been considered the most important global oral health burdens. Hence, the dental health care needs to apply strategies for prevention of oral health problems. Chewing gum gained interest due to its ability to stimulate salivation and accelerate the clearance of fermentable carbohydrates from the dietary intake. Chewing gum with Xylitol has received special attention due to its mechanical cleaning together with saliva stimulation. These actions could lead to a therapeutic, caries lowering action and various other oral health benefits.

REVIEW ARTICLE

A Sharma, A Kumar, V Kumar, M Goel, A Hooda, A Dahiya

Trigeminal Neuralgia: The New Surgical Treatment Modalities

[Year:2015] [Month:January-April] [Volume:9] [Number:1] [Pages:4] [Pages No:40 - 43]

PDF  |  DOI: 10.5005/johcd-9-1-40  |  Open Access |  How to cite  | 

Abstract

Trigeminal Neuralgia is a painful condition of the oro-facial structures. The diagnostic criteria are based upon the patient's history, examination and clinical evaluation. In the course of the disease patients experience dull, aching, throbbing or burning, constant pain in the same distribution as the paroxysms. A long interval between the attacks is often described as a period of increasing paresthesias in the nerve distribution. The trigger stimulus, applied to the “trigger zone”, often arouses intense pain in divisions beyond the one stimulated. Treatment involves the medicinal as well as surgical procedures. Medicinal therapy is usually first to start. With time patient became refractive to medicinal therapy. Under this condition, surgical treatment is recommended. This paper focus particularly on the surgical aspect of this painful condition.

CASE REPORT

S Aneja, S Mittal, J Duhan, S Hans, R Maheshwari

Implant Supported Mandibular Overdenture with Bilateral Balanced Occlusion: A Case Report

[Year:2015] [Month:January-April] [Volume:9] [Number:1] [Pages:3] [Pages No:44 - 46]

PDF  |  DOI: 10.5005/johcd-9-1-44  |  Open Access |  How to cite  | 

Abstract

Implant Supported overdentures have been a common treatment for edentulous patients for the past 25 years and predictable achieve good clinical results. Many patients, especially those who are uncomfortable with dentures, enjoy the additional retention and support implants provide for their dentures. The implant-supported overdenture has been accepted as the standard of care for fully edentulous patients and should be the first choice of treatment for the edentulous mandible. Implant-supported overdentures offer many practical advantages over conventional complete dentures and removable partial dentures. These include decreased bone resorption; reduced or eliminated prosthesis movement; better esthetics; improved tooth position; better occlusion, including improved occlusal load direction, increased occlusal function and maintenance of the occlusal vertical dimension. Supported overdentures improve phonetics, the patient's psychological outlook and quality of life. Conventional dentures rely upon the residual alveolar ridge and mucosa for support and retention. Many patients have problems adapting to their complete dentures, especially to the mandibular prosthesis. The widespread use of denture adhesives is one indication that these prostheses generally provide inadequate comfort and function.

CASE REPORT

M Goel, J Batra, M Kamal, G Attresh, A Agrawal

Contemporaneous Impaction of Primary Maxillary Second Molar and Its Succedaneous Tooth - A Rare Occurrence

[Year:2015] [Month:January-April] [Volume:9] [Number:1] [Pages:3] [Pages No:47 - 49]

PDF  |  DOI: 10.5005/johcd-9-1-47  |  Open Access |  How to cite  | 

Abstract

A tooth is considered impacted when it has failed to fully erupt into the oral cavity within its expected developmental time period and can no longer reasonably be expected to do so. The prevalence of impacted premolars has been found to vary according to age. Submergence is a term defining a tooth that remains below the occlusal plane. Dental ankylosis is thought to be major etiological mechanism of submergence. Early detection and intervention of any impacted tooth must be done either surgical or orthodontically else it may lead to sequelae of malocclusion

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