International Healthcare Research Journal (IHRJ)
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A Cross-Sectional Study to assess the Oral Mucosal Conditions of Institutionalized Elderly People in India
INTRODUCTION: Institutionalized health care is expensive in most of the developing countries such as India. Due to which people residing in old care homes were having higher rate of oral disease.OBJECTIVES: To assess oral mucosal condition of institutionalized elderly people living in India.MATERIALS AND METHOD: A cross sectional survey was conducted among the 8old care homes in India and clinical examination was done to check any mucosal changes of oral cavity among the studied subjects. After the data collection descriptive statistics was done by using SPSS 22.0 version.RESULTS: Majority of the people were having oral mucosal conditions i.e. 31.75% and 26.35 % of the total study participants had OSMF (Oral Submucous Fibrosis) and Denture Stomatitis respectively.CONCLUSION: The present study concludes that oral mucosal condition is relatively poor in institutionalized elderly livin
Tobacco Use and Oral Health Status among Adolescents in an Urban Slum, Gurugram
INTRODUCTION: Tobacco use is one of the main risk factors for number of chronic diseases including cardiovascular diseases, lung cancer and oral cancer. Tobacco epidemic is one of the public health threats killing nearly six million people yearly. Tobacco use also contributes to poor oral health causing staining, bad breath and tooth decay. Different studies in India are suggestive of upward trend in use of tobacco even in adolescents.OBJECTIVES: To find the prevalence of tobacco use among adolescents in an urban slum and to assess the oral health status among them.METHODOLOGY: This cross sectional study was done as a part of oral health assessment camp conducted in an urban slum. All adolescents attending the camp were recruited in the study after due informed consent, the final sample size being 130.RESULTS: The overall tobacco use among adolescents was found to be 95.8% adolescent boys and 27.6% among adolescent girls. The most common reasons cited for tobacco use were peer pressure followed by parent’s influence. Smokeless tobacco (dry tobacco, lime, guthka) was consumed by 39.13% boys and 19% girls. Smoking was prevalent among 16.7% boys and 8.6% girls. However 41.7 % adolescent boys consumed both forms of tobacco. Prevalence of dental caries was high in both boys (77.7%) and girls (55.2%). The presence of tartar was found in 47.3% boys and 22.4% girls. Bleeding gums was found in more no. of girls (29.3%) as compared to boys (25%). The other morbidities found on examination were ulcer (16.7% boys and 3.5% girls), Oral submucous fibrosis was seen in 27.8% boys and 3.5% girls.CONCLUSION: Appropriate intervention is required as adolescence is a tender period where these risk factors like tobacco consumption and oral hygiene could be modified by awareness and counselling
Milk and Its Products: Effect on Salivary pH
BACKGROUND: Dairy products are perceived to be important for one’s overall and dental health. Dairy products have been identified as having anticariogenic activity due to the high content of calcium and phosphorous ions and casein phosphopeptides.AIM: To determine the pH levels of human saliva after consuming different dairy products.DESIGN: sixty students were divided into 2 groups (30 with caries and 30 caries free) aged 5-9 years, visited to department of paedodontics and preventive dentistry, who agreed to refrain from oral hygiene procedures for 24 hours were selected for this study. Both groups were further randomly sub-divided into 3 groups (milk, curd and paneer group). After determining baseline salivary pH using a digital pH meter, the subjects were asked to eat the test foods (milk 50ml, curd 50g and paneer 50 g) and salivary pH was measured at time intervals of 1, 5, 15 and 30 minutes.RESULTS AND CONCLUSION: The results were statistically measured by using ANOVA test for intergroup and intragroup comparison. Significant decrease in pH was observed at various time intervals and more decrease was observed in caries active group
A Cephalometric Comparative Study for Upper Airway Dimensions in Different Craniofacial Growth Patterns
AIM AND OBJECTIVES: To compare different craniofacial patterns with pharyngeal widths. In OSA (Obstructive Sleep Apnea) patients, a mutual association between the pharyngeal structures and the dentofacial patterns has been suggested. The present study was performed to compare the nasopharynx, oropharynx and hypopharynx dimensions of persons with hypodivergent, normodivegent and hyperdivergent facial types and to predict and to facilitate treatment for OSA patients.Hypothesis: The Null hypothesis for the study was that there is no difference between the upper airway for patients with different growth pattern.MATERIALS AND METHODS: The sample comprised 60 patients divided into three groups: hypodivergent (n=20), normodivergent (n=20), and hyperdivergent (n=20) according to Jarabak’s ratio and FH-MP angle, which were used to compare the soft tissue airway dimensions. The statistical analysis was performed using Student’s t-Test, one way ANOVA (analysis of variance) and LSD (Least significant difference) test.RESULT: Overall narrower anteroposterior pharyngeal dimension was found in the hyperdivergent group as compared to the normodivergent group. Whereas, the superior part of upper pharyngeal width in the subjects with hypodivergent growth pattern was significantly narrower than in normal growth pattern groups.CONCLUSION: In hyperdivergent patients, the narrower anterioposterior dimension of the airway may be due to the skeletal features common to such patients, i.e., posterior vertical maxillary excess, posterior position and decreased mandibular size. The variations of the upper airway may be attributed to the horizontal and vertical growth patterns. Upper airway obstruction and later on OSA may be predisposed by skeletal deficiency
Leprosy: An Overview (World Leprosy Day Guest Comment)
World Leprosy Day Guest Editorial by Dr. Aayushi Manocha and Dr. Apurv Manoch
Comparison of Surface Roughness of Two Restorative Materials after the Application of Topical Fluorides
INTRODUCTION: Surface roughness and microhardness are the two important properties which provide compressive strength as well as abrasion resistance to the restorative materials. On the other side topical fluorides provide the protective function with its anti-cariogenic properties. GIC as a restorative material fulfills both of the requirements.AIM: The aim of this study is to evaluate the effect of topical fluoride application on surface roughness of various restorative materials.MATERIALS AND METHODS: This study was done on 20 extracted teeth, Conventional Glass Ionomers (Fuji II) and Resin Modified Glass Ionomers (3M ESPE Vitremer) were used as restorative materials. Topical fluoride application i.e. with 2% sodium fluoride using Knutson’s technique was done followed by storing in artificial saliva for 24 hours and then blot dried for testing of surface roughness.RESULTS: Through this study it was observed that the no statistical difference was found between both of the restorative materials. (P>0.05).CONCLUSION: In oral environment strength and life span of restorative material is one of the important criteria and roughened surface can clinically deteriorate these properties of restoration. So it’s important for a dentist to consider all the factors while applying and restoring the tooth surface
The Prevalence of OSMF among Biscuit Factory Workers in Delhi NCR Region: A Cross-Sectional Study
INTRODUCTION: The consumption of tobacco and related products is on the rise and promotes various medical/oral conditions that leads to increased morbidity/mortality in people.AIM: To assess the prevalence of Oral Submucous Fibrosis (OSMF) among biscuit factory workers in Delhi NCR region, IndiaMATERIALS AND METHOD: A total of 496 biscuit factory workers in Delhi NCR region, were interviewed and examined for OSMF and associated lesions with the help of a preformed, pre-tested questionnaire. The population was divided into four stratas according to age(≤34 years, 35- 44 years, 45-60 years and >60 years). Data was entered into Microsoft Excel. Descriptive statistics were applied and statistics (t-test) was done using SPSS 19.0.RESULTS: OSMF was observed in 173(34.9%)[ males 116 (23.4%), females 57(11.5%)] and the difference was statistically significant (p=0.02). The majority of subjects having OSMF (48, 27.8%) were seen in the age group of ≤34 years. Male: Female predilection was observed as 2.03CONCLUSION: Efforts and strategies need to be directed to reduce the overall consumption of tobacco and related products in both urban and rural areas
Prevalence of Anterior Traumatic Dental Injuries among Children Aged 12-15 Years in Dera Bassi Region, Punjab, India
INTRODUCTION: Tooth trauma, may result in unnecessary pain and an increased burden in the society, apart from increased costs of dental treatmentAIM: To assess the prevalence of trauma of anterior teeth (both maxillary and mandibular) among school going children aged 12-15 years in Dera Bassi Region, Punjab, IndiaMATERIALS AND METHOD: This cross-sectional study employed a convenience sampling among 415 school-going children (both public and private schools) aged 12-15 years with the help of a pre-tested, pre-validated questionnaire and ADA type III examinations during the day using artificial light. The responses were recorded in a pre-structured proforma and relevant statistical tests were applied.RESULT: Dental trauma was seen in 104(25.1%) anterior teeth, while the maximum number of fractures were seen in the maxillary teeth (53%), followed by maxillary laterals (30%) while the least affected teeth were the mandibular laterals (8%). No statistical differences were seen among both the genders upon comparing the location and type of tooth fracture.CONCLUSION: Efforts should be made to educate the general population to get their tooth fracture treated as soon as possible and avoid further complications that arise with fractured teet
Doctor-Patient Relationship; National Doctor’s Day Special Editorial
National Doctor’s Day Special Editorial by Dr. Naimutullah Habibi, Member of International Editorial Board, IHR
Maxillary Odontogenic Keratocyst Masquerading a Periapical Cyst
Odontogenic keratocysts previously termed, as keratocystic odontogenic tumor is a developmental odontogenic cyst. It is one of the most commonly occurring odontogenic cyst and is characterized by its aggressive behaviour, high recurrence rate and association with syndromes. A case of odontogenic keratocyst occurring in the maxillary anterior region is described here with emphasis on the importance of advanced imaging modalities like computed tomography in the diagnosis and treatment planning