International Healthcare Research Journal (IHRJ)
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Comparison of Scalpel and Diode Laser in Management of Gingival Enlargement: A Case Report
Full text linkInflammatory gingival enlargement is an excessive growth of gingival tissue due to inflammation in response to plaque accumulation. Enlargement of gingiva hampers the efficiency of daily oral hygiene practices which in turn accumulates more plaque, thus causing inflammation. Phase I therapy, consisting of scaling and root planning only reduces the inflammatory component of the enlarged gingival tissues but the fibrotic gingival enlargement remaining thereafter is then removed surgically by gingivectomy. Apart from the conventional scalpel gingivectomy, many other treatment modalities such as gingivectomy by lasers and electrocautery are now being widely used in the field of surgical periodontal therapy. This case report describes the management of gingival enlargement in relation with gingivae of maxillary teeth by administering separate treatment modalities i.e. diode laser and conventional scalpel gingivectomy
Whitening of a Non-Vital Tooth with Walking Bleach Technique: A Case Series
Full text linkA significant aspect of cosmetic dentistry is the treatment of tooth discoloration. Discoloration of non-vital anterior teeth can cause significant esthetic concern and requires efficient treatment. Discoloration of teeth can be extrinsic or intrinsic or a combination of both based on etiology, appearance, localization, and severity. Walking bleach involves the use of chemical substances like sodium perborate or hydrogen peroxide which in contact with the tooth release oxidizing agents that diffuse through the enamel and dentin and oxidize the pigments responsible for discoloration. This article aims at presenting a case series on the walking bleach method performed on discolored endodontically treated teeth associated with superior esthetic outcomes
What’s in a Name?
Full text linkGuest Comment by Dr. Manisha Lakhanpal Sharma, Professor & Head, Department of Oral Medicine and Radiology, ITS Dental College, Hospital and Research Centre, Greater Noid
Managing Class II Malocclusion Using Twin Block Therapy in a Young Adolescent Female: A Case Report
Full text linkTwin block therapy is highly effective in patients with remaining growth potential. However, its successful use is confounded by many patient related factors such as age, gender, compliance of the patient and other miscellaneous criteria’s. If treated within time, growth modification and orthopedics can harness suitable forces to cause skeletal correction of the malocclusion. The appliance is highly successful in a patient with retruded mandible and presenting with a positive visual treatment objective. This paper discusses a case of 11-year-old female patient with characteristic twin block appliance indication in which successful skeletal modification was achieved
Muscular Adverse Events Associated with Statins
Full text linkStatins are an important group of lipid lowering medications that have helped to control cardiovascular mortality globally. Muscular side effects, mostly myalgia, is a known adverse event of statins. Intense physical activity, kidney or liver failure, hypothyroidism, inherited or metabolic myopathies, and some medications, are risk factors for statin-induced myalgia. Muscular adverse events are more often observed with higher doses or with the use of lipophilic statins. Much is not known about the precise mechanisms responsible for the statin related muscular adverse effects, a few hypothesis have been suggested. It is important to measure plasma creatine phosphokinase in subjects who encounter myalgia while being treated with statins. In this review we present some general safety information on muscular adverse events caused due to statins
A Cross-Sectional Study to Assess Awareness and Practices Related to Prevention of COVID-19 Amongst Local Vendors around Medical and Dental Establishments
Full text linkINTRODUCTION: Even as the world is returning to normalcy after COVID-19, there is still a need to be cautious and adopt proper hygiene practices and social distance norms. AIM: To assess the awareness and practices related to prevention of Covid-19 amongst local vendors around medical and dental establishments in Northern India. MATERIALS AND METHOD: This cross-sectional study was conducted over a period of one month using a pre-tested and pre-validated questionnaire. Vendors near ten medical and dental establishments in north India were contacted by standardized volunteers to prevent bias. They were located within the range of 250 meters on both sides of these facilities through convenience sampling. Data was coded, entered in MS excel, descriptive statistics were applied. Statistical tests included the student’s independent t-test and multiple logistic regression. P value was kept significant at <0.5 and software used was SPSS version 23.0. RESULTS: Most vendors were males (76.7%), were operating shops on rent (47.7%) and had passed middle school (40.2%). A Majority of them were aware of common symptoms (99.4%), while 90.1% were aware about the mode of transmission. All vendors knew about the availability of the vaccine (100%). and 78.2% of the vendors were fully vaccinated, while 04 (1.3%) were not vaccinated yet. However, only 60% (p=0.03) of the vendors practised hand washing, distancing from sick, no handshake, use a cloth while coughing/sneezing as preventive measures. CONCLUSION: There is still a need for continuous education of the food vendors regarding proper and hygienic practices as well as mask wearing to fight off this dreaded pandemic and return to normalcy as soon as possible
Knowledge, Attitude and Practice towards COVID-19 among Dental Practitioners in Bhutan
Full text linkINTRODUCTION: Corona virus disease was first reported in Wuhan city of China in 2019. The disease is caused by a highly infectious virus which can be transmitted from human to human through physical contact, droplets, or touching surfaces contaminated with the virus. AIM: The study aims to get an assessment of knowledge, attitude and practices towards COVID-19 disease among the dental practitioners in Bhutan.MATERIAL AND METHODS: An online cross- sectional study was conducted among dental practitioners working in different hospitals across the country. All dental professionals who provided their email address were included in the study. Data were collecting using a structured questionnaire shared though email. A total of 157 dental professionals were invited through e-mail to participate in the study. RESULTS: A total of 125 dental professionals participated in the study (response rate 79.6%). Over half of the participants (51.2%) were between the age group 20-30 years. Despite almost everyone (98.4%) knowing the causative agent and management of COVID-19 positive patients, only around a half of the participants (48%) had a good level of knowledge on COVID-19.CONCLUSION: The study found that less than half of the participants have a good level of knowledge on COVID-19 while a majority of them feel that there is discrimination against COVID-19 positive patients and health professionals working for COVID-19 patients. The study highlights the need to conduct sensitization, trainings or CME on COVID-19 periodically to keep all health professionals updated with latest advancements to help maintain safety in clinical practice
Can Mohalla Clinics be a Catalyst for Ayushman Bharat Pradhan Mantri Jan Arogya Yojna to achieve Universal Health Coverage in India?
Full text linkBACKGROUND: Expenditure on health sector in India is one of the lowest public health expenditures in the world at just over 1% of GDP, with substantial disparities in population, infrastructure, availability and provision of services that define the Indian health care system. In a reform of Indian health systems approved by the Indian Government in March 2018, Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) was launched on 23rd September, 2018 to provide financial health insurance coverage of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalizations to more than 10.74 million poor families that form the bottom 40% of population in India. OBJECTIVES: The objective of this paper is to discuss and analyze the benefits and weaknesses of the AB-PMJAY model and investigating the position that these clinics can play in (I) improving the provision of urban health facilities (II) resolving health inequities (III) and enhancing primary health care.MATERIALS AND METHOD: The authors explored different databases. Government portals, research publications on AB-PMJAY and Mohalla clinics (MC) to do in-depth analysis of various parameters.RESULTS: Although there are significant obstacles to the programme, by building impetus for program reform, AB-PMJAY offers an opportunity for the nation to resolve long-standing and ingrained shortcomings in governance, quality control and stewardship, and to accelerate India's development towards the stated UHC supply goal. The main achievement of these facilities in the last 18 months has been to introduce wellness to civic and political dialogue. CONCLUSION: Mohalla Clinics can prove as a major catalyst for Ayushman Bharat Pradhan Mantri Jan Arogya Yojna for health reforms and progress towards universal health coverage in India
Yoga and Dental Health: A Review
Full text linkYoga is a holistic healing process which provides overall balance to the human body. Yoga has also proved its worth in prevention and management of various oral-facial conditions by stimulating and relaxing various bodily systems which leads to the decrease in the inflammation in the body. The complete information about yoga in dental health had been collected from various journals for the time period of 1997-2018.Conditions such as oral lichen planus, MPDS, xerostomia, aphthous ulcers, bruxism and burning mouth syndrome have been effectively managed by yog