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Dr. Sujaya Gupta
  • Kathmandu, Nepal
Introduction: Dental professionals frequently encounter infectious agents. Those not practicing proper infection control measures are at serious risk of infections. This study was conducted to assess knowledge, attitude, practice, and... more
Introduction: Dental professionals frequently encounter infectious agents. Those not practicing proper infection control measures are at serious risk of infections. This study was conducted to assess knowledge, attitude, practice, and satisfaction of dental professionals regarding infection control guidelines to be followed in Prosthodontics. Materials and Methods: This cross-sectional descriptive study was conducted from August to October 2020 in department of Prosthodontics, Kathmandu Medical College after obtaining ethical clearance and informed consent. Participants comprised of dental surgeons, interns, students, and faculties who were recruited by convenience sampling. The data on the questionnaire were collected via Google forms and analysed with Microsoft Excel. Descriptive statistics have been presented as frequency and percentages. Results: A total of 154 questionnaires filled by 39 (25.32%) males and 115 (74.68%) females of mean age of 25.02±4.85 years were analysed. Of a...
Background: Coronavirus disease 2019 (COVID-19) is the most recent disease of corona virus family that impacted people all over the world. Subsequent lockdown and fear of disease transmission greatly affected the orthodontic appointments,... more
Background: Coronavirus disease 2019 (COVID-19) is the most recent disease of corona virus family that impacted people all over the world. Subsequent lockdown and fear of disease transmission greatly affected the orthodontic appointments, treatments, as well as mental health. Objectives: To assess the mental stress among patients undergoing orthodontic patients during COVID-19 pandemic. Methods: A descriptive cross-sectional study was conducted among individuals undergoing orthodontic treatment in the department of Orthodontics and Dentofacial Orthopaedics in Dental Hospital of Kathmandu Medical College from 2020 December to 2021 February after institutional ethical approval. Data were collected from 108 participants by convenience sampling technique using questionnaire. Exclusion criteria included patients who answered <75% questions and those who did not sign the informed consent form. Data were analysed for descriptive statistics in SPSS v.22. Results: Among all 108 patients, ...
Background: Among various replacement options available for maxillary molars, implants necessitate the need to examine available ridge height and width. Panoramic radiographs (orthopantomograms) are routinely used for preliminary... more
Background: Among various replacement options available for maxillary molars, implants necessitate the need to examine available ridge height and width. Panoramic radiographs (orthopantomograms) are routinely used for preliminary determination of ridge height which is helpful in communicating with patients regarding treatment needs and options. This study was designed with the aim to assess the sub sinus ridge height at dentulous and edentulous first molar sites.Methods: A cross-sectional study was conducted from March to November 2019 among patients visiting the dental college. The orthopantomograms of 455 patients were prospectively collected and analysed using Carestream imaging software (version 7.0.0). Distance from alveolar crest to maxillary sinus was measured in first molar region. Results: Mean minimal sub sinus ridge height at non-missing maxillary first molar site was 8.16 ± 2.6 mm, whereas for missing maxillary first molar site it was 5.25 ± 2.28 mm and the difference wa...
Introduction: Understanding the anatomical variations in the position of mental foramen are significant for different dental procedures. This study identified the position of the mental foramen among a sample of Nepalese population... more
Introduction: Understanding the anatomical variations in the position of mental foramen are significant for different dental procedures. This study identified the position of the mental foramen among a sample of Nepalese population visiting a dental college in Kathmandu. Methods: Total 417 panoramic radiographs (orthopantomograms) were selected from a total of 567 radiographs. The mental foramen location was determined by drawing imaginary line parallel with the long axis of the lower premolars . The mental foramen location was then classified into six classes. Results: In the study population, the mental foramina were located mostly between the lower premolars 163 (39.1%), followed by in line with second premolar 148 (35.5%) of the mental foramen was located under the second premolar apex. Conclusions: The study shows that the anaesthetic solution should be injected between the lower premolars or below the lower 2nd premolar in the Nepalese population for successful and secure ment...
Introduction: Oral mucosa can be affected by a variety of soft tissue lesions and conditions. Benign as well as malignant lesions of oral cavity are common. Squamous cell carcinoma is one of the commonest malignancies. The present... more
Introduction: Oral mucosa can be affected by a variety of soft tissue lesions and conditions. Benign as well as malignant lesions of oral cavity are common. Squamous cell carcinoma is one of the commonest malignancies. The present retrospective study was undertaken to study the prevalence of various oral mucosal lesions in a tertiary care dental hospital of Kathmandu. Methods: This retrospective study was carried out in the Department of Oral and Maxillofacial Pathology at Kantipur Dental College and Teaching hospital from January 2015 to January 2017. The study included biopsy specimen from the oral cavity. The parameters included in the study were age, gender, site of the lesion and histopathological diagnosis. The data collected was statistically analyzed. Results: A total of 111 biopsy cases were included in the present study. Out of which, there was 16 (14.4%) cases of non neoplastic and 16 (14.4%) cases of benign pathology. The oral cavity lesions were commonly seen in age ran...
Introduction: In developing countries drug monitoring system is not efficient and patients can easily buy drugs without any prescription. The users believe those drugs to be all safe. There is more awareness regarding over-the-counter... more
Introduction: In developing countries drug monitoring system is not efficient and patients can easily buy drugs without any prescription. The users believe those drugs to be all safe. There is more awareness regarding over-the-counter drugs in urban population. Objectives: To assess the awareness and practice of over-the-counter (OTC) drugs among young and adults in a selected Nepalese community. Materials and Methods: A descriptive cross-sectional study was carried out among people of Basundhara, Kathmandu of age group 20-40 years. Non-probability convenience sampling was done to select 384 respondents. Structured questionnaire was used for data collection. The data was analysed in SPSS version 16.0 program. Results: The majority of the participants were in the age range of 31-40 years with the mean age of 30.16±5.28. Findings regarding the awareness revealed that 60.7% and 88.1% participants knew the correct meaning and precaution of over-the-counter drugs respectively, 32.8% obta...
Desquamative gingivitis is characterized by erythematous gingiva, desquamation and erosion of the gingival epithelium.It is a clinical manifestation of various disorders that can manifest as a desquamative lesion of gingiva rather than a... more
Desquamative gingivitis is characterized by erythematous gingiva, desquamation and erosion of the gingival epithelium.It is a clinical manifestation of various disorders that can manifest as a desquamative lesion of gingiva rather than a disease entity.It is seen mainly in adults, especially women, although rare cases have been observed in children. Failure to evaluate properly and systematically a patient with a clinical condition consistent with desquamative gingivitis can lead to unpleasant outcomes. Clinical features may be symptomatic to asymptomatic with complaints ranging from burning sensation to intense pain.Lesions are found in skin, genitalia, or oral mucosa, although confined to gingiva alone in some patients.Diagnosis and treatment planning depends on history,clinical features,histopathology and immunofluorescence. Correct diagnosis of mucocutaneous disorders where DG is a presenting manifestation involves taking a careful history and thorough intra-oral examination. A ...
Immediate implants following extraction has become an increasingly popular strategy to preserve bone and reduce treatment duration. This technique also improves aesthetics by preserving the soft tissues. Immediate implant placement is... more
Immediate implants following extraction has become an increasingly popular strategy to preserve bone and reduce treatment duration. This technique also improves aesthetics by preserving the soft tissues. Immediate implant placement is technically challenging and should only be undertaken by clinicians with considerable experience in implant dentistry, both surgically and prosthetically. The purpose of this article is to provide a general review about immediate implant placements and to summarise various aspects in which this technique can be indicated.
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Introduction: Sagittal jaw relationship is an important parameter for orthodontic treatment planning. Angular and linear measurements both have been proposed and used in orthodontic cephalometrics to assess the sagittal jaw relationships.... more
Introduction: Sagittal jaw relationship is an important parameter for orthodontic treatment planning. Angular and linear measurements both have been proposed and used in orthodontic cephalometrics to assess the sagittal jaw relationships. However, angular measurement has been questioned over the years for its reliability as a result of changes in facial height, jaw inclination and the variable positions of Nasion. So, the objective of our study was to assess the linear anteroposterior jaw relation in a sample of Nepali population using occlusal (Wits appraisal) and palatal planes as reference lines.Methods: A descriptive cross-sectional study was conducted using the lateral cephalogram of 101 individuals visiting the Department of Orthodontics, Kantipur Dental College, Kathmandu, Nepal. Individuals with Class I skeletal relation were selected using convenience sampling method. Radiographs were standardised and traced. Occlusal and palatal planes were drawn that were bisected by the ...
Preventive dentistry is what every dentist and periodontist aims for. A hospital-based study in Nepal showed that staggering 52.5% suffered from gingivitis and 47.5% suffered from periodontitis (28.3% localised, 18% generalised).1 The two... more
Preventive dentistry is what every dentist and periodontist aims for. A hospital-based study in Nepal showed that staggering 52.5% suffered from gingivitis and 47.5% suffered from periodontitis (28.3% localised, 18% generalised).1 The two major risk factors for various periodontal diseases that can easily be prevented are: tobacco smoking and dental plaque.
Background: Periodontal disease is an inflammatory oral disease that affects the soft and hard tissues supporting the teeth. Gingivitis, an early stage, when untreated leads to periodontitis that causes progressive tooth mobility leading... more
Background: Periodontal disease is an inflammatory oral disease that affects the soft and hard tissues supporting the teeth. Gingivitis, an early stage, when untreated leads to periodontitis that causes progressive tooth mobility leading towards tooth loss. Periodontitis is ubiquitous and commonly manifests in adult life. Early detection of oral diseases makes them more amenable to treatment and allows better chance of cure. BDS students are young adults who are going to be future oral health care provider. Their knowledge and oral hygiene practices may impact oral health status of a society. Aims: The aim of this study was to evaluate the knowledge of oral health and periodontal disease and correlate it with oral hygiene practices among BDS students not exposed to clinical practice. Materials and Methods: This cross-sectional study was carried out among 120 students of first, second and third year BDS at Kantipur Dental College. The students who were not exposed to clinical practic...
Background: Chronic periodontitis is a highly prevalent and recurrent form of periodontal disease and locally delivered tetracycline fibres are considered to exert tremendous benefits for its treatment. Aim: The aim of the study was to... more
Background: Chronic periodontitis is a highly prevalent and recurrent form of periodontal disease and locally delivered tetracycline fibres are considered to exert tremendous benefits for its treatment. Aim: The aim of the study was to observe the clinical results of locally delivered tetracycline fibres in the treatment of chronic periodontitis. Materials and Methods: Patients aged 35-54 years diagnosed with chronic periodontitis of both gender fulfilling the inclusion criteria were selected. A sample size of 30 was calculated and total number of 60 posterior sites were selected. These sites were divided into two sets in a split mouth design as control sites treated with SRP alone and test sites treated with SRP plus tetracycline fibres. Results: A combination of scaling, root planing and local drug delivery in the form of tetracycline fibres resulted in added benefits in the control of chronic periodontitis on the basis of the clinical findings from this study. Conclusion: This st...
Background: Lack of knowledge and awareness about oral cancer, its risk factors and negligence of the early warning signs play crucial role in raising the incidence of the disease. The present study was carried out to evaluate the... more
Background: Lack of knowledge and awareness about oral cancer, its risk factors and negligence of the early warning signs play crucial role in raising the incidence of the disease. The present study was carried out to evaluate the awareness of oral cancer among patients visiting Kantipur Dental College, Kathmandu, Nepal.Methods: The cross-sectional study was done in 471 patients from 15-85 years. Self administered questionnaire was prepared which comprised of knowledge of oral cancer, source of information, its early signs and symptoms along with the awareness of its risk factors.Results: Most of the participants (41.80%) had not heard of oral cancer. 31.60% recognized tobacco smoking and tobacco chewing as the chief risk factor with 15.50% and 10.80% of participants who identified white patch and red patch as early sign of oral cancer respectively. Pearson’s chi square test was used which showed statistically significant association of total mean knowledge score and awareness score...
Background: Dental caries and periodontal diseases are the most common oral health problems seen globally. Schools provides an ideal environment for all forms of education, including oral health and teachers can be instrumental in... more
Background: Dental caries and periodontal diseases are the most common oral health problems seen globally. Schools provides an ideal environment for all forms of education, including oral health and teachers can be instrumental in imparting it. The teachers, therefore, need to be well versed in the knowledge regarding oral health as well as practice good oral hygiene measures to teach the children. Objectives: The objective of this study is to assess pre-school teachers’ oral health knowledge and oral hygiene practices in a selected region of Kathmandu city. Methodology: An observational, descriptive cross-sectional study was conducted on preschool teachers in a selected region of Kathmandu city. The teachers of pre-school level completed a self-administered structured questionnaire on knowledge of oral health and oral hygiene practices Result: The pre-school teachers had more knowledge about dental caries than about periodontal diseases. Overall, scores of school teacher’s (n=95) o...
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  Introduction: Periodontitis is multifactorial disease that along with dental caries remains one of the commonest cause of tooth loss worldwide. Effective management requires clear understanding of risk factors. Smoking has a... more
  Introduction: Periodontitis is multifactorial disease that along with dental caries remains one of the commonest cause of tooth loss worldwide. Effective management requires clear understanding of risk factors. Smoking has a dose-dependent effect on periodontium. Similarly, individuals with diabetes have severe forms of periodontal diseases. We aim to assess the prevalence of periodontal disease in dental patients in relation to smoking and diabetes. Methods: The study was conducted among 522 patients visiting the Periodontics Department, Kantipur Dental College. Individuals willing to participate had to sign an informed consent and undergo interview and clinical examination. Data collection, done on a structured proforma, was analysed using SPSS 20.0. Results: Prevalence of periodontitis was 372 (71.3%), diabetes 33 (6.3%) and smoking as 138 (26.4%). Hypertension was observed in 64 (12.3%) patients and family history of diabetes among 94 (18%). Among the 372 periodontitis patient...
Introduction: Self-medication among adolescents has become a serious global problem that plays an important role in irrational use of medication and tends to increase with the age of adolescents. Limited research has been done in Nepal... more
Introduction: Self-medication among adolescents has become a serious global problem that plays an important role in irrational use of medication and tends to increase with the age of adolescents. Limited research has been done in Nepal regarding antibiotic knowledge among non-medical students. Hence, this study aims to assess the knowledge of higher secondary non-science students regarding antibiotic use, resistance and its consequences. Methods: A cross-sectional descriptive study was done during antibiotic awareness week 2017 among 471 grade 11 and 12 non-science students of private schools in Kathmandu. Convenience sampling technique was used. Data was collected through self-administered questionnaires. Descriptive statistics was utilised to find out the knowledge level of the students. Results: The mean age of the students 245 (52%) male, 226 (48%) female) was 17.19 years and 335 (71.1%) were from grade 12. Approximately all 462 (98.1%) the participants had inadequate knowledge ...
<p><strong>Background & Objectives:</strong> The use of dental implants in partially or completely edentulous patients has proved effective and an accepted treatment modality with... more
<p><strong>Background & Objectives:</strong> The use of dental implants in partially or completely edentulous patients has proved effective and an accepted treatment modality with predictable long-term success. Dental implants are becoming a popular choice for replacing the missing teeth because of increased awareness about implants both in dentists and patients. The objective of the study was to assess the basic knowledge and education about dental implants among general dental practitioners (GDPs) of Nepal.</p><p><strong>Materials & Methods:</strong>  A cross sectional questionnaire was carried out among 110 GDPs which consist of twenty questions that were divided into three categories; first with some basic knowledge in implant dentistry, second with clinical knowledge of dental implants and third with dental implant education and training.</p><p><strong>Results:</strong> Out of 110 GDPs, 72.7% had basic knowledge about implant dentistry and 65.5% were not aware about advance surgical procedures like sinus lift and guided bone regeneration. All the GDPs were positive regarding more training and education in dental implants and 95.5% of them would like to incorporate dental implant treatment in their practice in future. </p><p><strong>Conclusion:</strong> GDPs should have adequate knowledge and training of dental implants which can be incorporated at undergraduate or post doctoral level so that they are skilled to provide quality dental implant therapy to their patients confidently.</p>
<p><strong>Introduction:</strong> Gingival recession is characterized by apical migration of gingival margin from the cementoenamel junction. Prevalence varies from 3-100%, and appears to be lower in younger age... more
<p><strong>Introduction:</strong> Gingival recession is characterized by apical migration of gingival margin from the cementoenamel junction. Prevalence varies from 3-100%, and appears to be lower in younger age groups.</p><p><strong>Objective:</strong> To determine the prevalence and severity of gingival recession in young adult Nepalese population and to assess the relationship between brushing technique, smoking habit and past orthodontic treatment with gingival recession.</p><p><strong>Materials & Method:</strong> A cross-sectional study was carried out among 160 healthy patients (age 18-25 years) with routine dental examinations and information regarding age, smoking habit, oral hygiene habits, brushing technique and past orthodontic treatment. Clinical examination included visible gingival inflammation, visible dental plaque, and gingival recession. SPSS version 20 was used to analyze the data. Chi-Square test was used to evaluate relationships between the variables.</p><p><strong>Result:</strong> Out of total participants; gingival recession was found in 21.3%, gingivitis in 40% and plaque in 20%. The prevalence, extent, and severity of recession were correlated with past orthodontic treatment. There was association between gingivitis, past orthodontic treatment and smoking with gingival recession.</p><p><strong>Conclusion:</strong> Orthodontic patients must undergo regular oral hygiene performance and periodontal maintenance in order to maintain healthy gingival tissue during active orthodontic therapy. The combined orthodontic-periodontic interdisciplinary approach could be effective in these situations.</p><p>Orthodontic Journal of Nepal, Vol. 6 No. 1, June 2016, pp.7-11<strong></strong></p>
Introduction: Chronic periodontitis is an infectious disease resulting in inflammation within the supporting tissues of the teeth, progressive attachment loss, and bone loss. In addition to declining oral health, there is always low grade... more
Introduction: Chronic periodontitis is an infectious disease resulting in inflammation within the supporting tissues of the teeth, progressive attachment loss, and bone loss. In addition to declining oral health, there is always low grade infection present in periodontitis. Studies show increased levels of systemic biomarkers in periodontal disease such as CRP, which is considered a key-marker of CVD. Research has also shown positive association between BMI and smoking with periodontitis and CRP. The objective of the study was to assess the levels of CRP in patients with and without periodontitis and their relation with BMI and smoking behaviour.
Research Interests:
Introduction: Periodontitis is a chronic inflammatory disease that results in the destruction of supporting tissue and bone leading to tooth mobility. Tooth mobility if untreated can lead to tooth loss. However, very few studies exist for... more
Introduction: Periodontitis is a chronic inflammatory disease that results in the destruction of supporting tissue and bone leading to tooth mobility. Tooth mobility if untreated can lead to tooth loss. However, very few studies exist for its assessment. The aim of this study was to find out the prevalence of tooth mobility among patients visiting a tertiary care centre. Methods: This descriptive cross-sectional study was conducted among individuals visiting a tertiary care dental hospital from 1st April to 30th June 2022 after obtaining ethical clearance from the Institutional Review Committee (Reference number: 2202202202). Individuals more than 13 years who gave consent and fulfilled the study criteria were enrolled. Tooth mobility was assessed using Lindhe and Nyman’s classification. Proforma also included demographics, simplified oral hygiene index, gingival index, body mass index, and smoking status. Convenience sampling was done. Point estimate and 95% Confidence Interval wer...
Understanding the anatomical variations in the position of mental foramen are significant for different dental procedures. This study identified the position of the mental foramen among a sample of Nepalese population visiting a dental... more
Understanding the anatomical variations in the position of mental foramen are significant for different dental procedures. This study identified the position of the mental foramen among a sample of Nepalese population visiting a dental college in Kathmandu. Total 417 panoramic radiographs (orthopantomograms) were selected from a total of 567 radiographs. The mental foramen location was determined by drawing imaginary line parallel with the long axis of the lower premolars . The mental foramen location was then classified into six classes. In the study population, the mental foramina were located mostly between the lower premolars 163 (39.1%), followed by in line with second premolar 148 (35.5%) of the mental foramen was located under the second premolar apex. The study shows that the anaesthetic solution should be injected between the lower premolars or below the lower 2nd premolar in the Nepalese population for successful and secure mental nerve blocking.
Research Interests:
Introduction: Periodontitis is chronic disease leading to tooth loss. Oral hygiene practices combined with regular dental examinations keep oral cavity disease free and maintain periodontal health. The primary objective was to find out... more
Introduction: Periodontitis is chronic disease leading to tooth loss. Oral hygiene practices combined with regular dental examinations keep oral cavity disease free and maintain periodontal health. The primary objective was to find out the prevalence of periodontal disease of patients measured by the Simplified Oral Hygiene Index and Community Periodontal Index. Methods: This descriptive cross-sectional study was conducted in department of Periodontics of a tertiary care dental hospital from April to June 2019 after obtaining ethical clearance and informed consent. Participants were recruited by convenience sampling and 183 sample size was calculated. Proforma included demographics, Simplified Oral Hygiene Index, Community Periodontal Index, body mass index, and smoking status. Data were entered in Statistical Package for Social Sciences version 23 and descriptive statistics were presented as frequency, percentage, mean, and standard deviation. Results: Prevalence of periodontal dis...
Introduction: Periodontal disease and caries are the most common causes of tooth loss worldwide. Studies have demonstrated strong association between periodontitis and adverse pregnancy outcomes. Medical doctors, who are the primary... more
Introduction: Periodontal disease and caries are the most common causes of tooth loss worldwide. Studies have demonstrated strong association between periodontitis and adverse pregnancy outcomes. Medical doctors, who are the primary healthcare providers, seldom advise women to seek dental care during pregnancy. This study was undertaken to explore the knowledge, attitudes and behaviours of medical doctors towards oral health and to identify the barriers of prenatal periodontal healthcare in their practices and its possible implications on pregnancy outcomes.Methods: Total 377 doctors filled the questionnaire. The data collected through personal contacts, social networking, emails, online forms and networking at conferences were analysed using Statistical Package for the Social Sciences 20 software program and presented in tables, charts and diagrams.Results: Out of 263 (69.8%) male and 114 (30.2%) female doctors enrolled in the study, only 52 (13.8%) had received education or traini...
Introduction: Self-medication among adolescents has become a serious global problem that plays an important role in irrational use of medication and tends to increase with the age of adolescents. Limited research has been done in Nepal... more
Introduction: Self-medication among adolescents has become a serious global problem that plays an important role in irrational use of medication and tends to increase with the age of adolescents. Limited research has been done in Nepal regarding antibiotic knowledge among non-medical students. Hence, this study aims to assess the knowledge of higher secondary non-science students regarding antibiotic use, resistance and its consequences. Methods: A cross-sectional descriptive study was done during antibiotic awareness week 2017 among 471 grade 11 and 12 non-science students of private schools in Kathmandu. Convenience sampling technique was used. Data was collected through self-administered questionnaires. Descriptive statistics was utilised to find out the knowledge level of the students. Results: The mean age of the students 245 (52%) male, 226 (48%) female) was 17.19 years and 335 (71.1%) were from grade 12. Approximately all 462 (98.1%) the participants had inadequate knowledge ...
Background: Healthy teeth, their supporting structures and gingiva play an important role in oral health. Gingivitis progresses to periodontitis in a phased manner causing continuous deterioration. In severe cases, removal of the tooth... more
Background: Healthy teeth, their supporting structures and gingiva play an important role in oral health. Gingivitis progresses to periodontitis in a phased manner causing continuous deterioration. In severe cases, removal of the tooth becomes inevitable. Hence, if gingivitis and periodontitis can be identified and treated earlier, tooth loss can be minimized. Aim: To assess the status of oral hygiene, gingival and periodontal health of Urban population of Kathmandu district. Materials and methods: Data on cross-sectional study of 252 individuals was collected using pre-designed survey form utilizing Gingival Index, Oral Hygiene Index–Simplified and Community Periodontal Index. Collected data was analyzed using SPSS version 20. Results: An urban population of 126 males and 126 females were examined in Kathmandu for this survey. In this study, 55.6% were of age-group 20-39 years while 44.4% were of 40-60 years, 35.31% and 54.76% of individuals had good and fair oral hygiene respectiv...
Tobacco use persists as a chronic global public health concern. The deadly habit affects almost all organs of the body including the oral and periodontal structures. Smoking is established as one of the major preventable etiological risk... more
Tobacco use persists as a chronic global public health concern. The deadly habit affects almost all organs of the body including the oral and periodontal structures. Smoking is established as one of the major preventable etiological risk factors for the initiation and progression of periodontitis. The habit dependence typically requires a continuous assessment and repeated intervention. Emerging evidence has suggested the benefit of smoking cessation on periodontal health that trends for greater probing depth reductions and a favorable response to treatment outcomes. The dental settings are now increasingly being recognized as a place to target patients to quit or even prevent the initiation of smoking habit. The dental practitioner and the periodontal specialist may, therefore play a pivotal role by the inclusion of smoking cessation programs in their daily practice and reduce the major risk involving oral tissues and the systemic health. This review addresses the impact of smoking...
Introduction: Chronic periodontitis is an infectious disease resulting in inflammation within the supporting tissues of the teeth, progressive attachment loss, and bone loss. In addition to declining oral health, there is always low grade... more
Introduction: Chronic periodontitis is an infectious disease resulting in inflammation within the supporting tissues of the teeth, progressive attachment loss, and bone loss. In addition to declining oral health, there is always low grade infection present in periodontitis. Studies show increased levels of systemic biomarkers in periodontal disease such as CRP, which is considered a key-marker of CVD. Research has also shown positive association between BMI and smoking with periodontitis and CRP. The objective of the study was to assess the levels of CRP in patients with and without periodontitis and their relation with BMI and smoking behaviour.Methods: Patients visiting the Dental department of Bir Hospital were invited to participate in the study. Total 31 subjects in each group: Case (periodontitis) and Control (without periodontitis) were selected using convenience sampling technique. All subjects underwent periodontal examination by a single examiner. Serum CRP samples were ta...
Introduction: The COVID-19 global pandemic has affected all aspects of human life, with education no exception. Online lectures have been practiced in different academic institutions around the world. The objective was to know the... more
Introduction: The COVID-19 global pandemic has affected all aspects of human life, with education no exception. Online lectures have been practiced in different academic institutions around the world. The objective was to know the perception towards online lectures by the undergraduate students of a medical college. Methods: This descriptive cross-sectional study was conducted among the undergraduate students of dentistry, medicine, and nursing at Kathmandu Medical College via self-administered online questionnaire. Data were collected from November to December 2020 after ethical clearance from institutional review committee (Ref. no. 0311202002). Students who had not attended even one hour of online learning per week were excluded. Responses were collected using Google Forms which were analysed in Microsoft Excel. Descriptive statistics are presented as means, standard deviations, frequencies, and percentages. Results: Out of 318 valid questionnaires, 143 (44.97%) students agreed t...
INTRODUCTION Third molar impaction is a common patient complaint in dentistry. Common symptoms are localized pain, swelling, bleeding, and difficulty in mouth opening. Since dental students deal with patients early in their education, for... more
INTRODUCTION Third molar impaction is a common patient complaint in dentistry. Common symptoms are localized pain, swelling, bleeding, and difficulty in mouth opening. Since dental students deal with patients early in their education, for better skill, they should have knowledge of various teeth impactions. Hence, the objective was to find out the knowledge of impacted teeth among undergraduate dental students of a medical college. METHODS A descriptive cross-sectional study was conducted among bachelor in dental surgery students of a medical college from November 30, 2020 to April 3, 2021. Data collection was done by convenience sampling after receiving ethical clearance from Institutional Review Committee (Reference 1208202006). A structured questionnaire in Google Forms was sent to 221 participants via Viber. Out of 213 responses received, 144 were analyzed in Excel after discarding for duplication and other errors. Descriptive statistics such as mean, standard deviation, frequen...
Introduction: Pharmacovigilance is the science that relates to the collection, detection, assessment, monitoring and prevention of adverse drug reactions (ADR). The incidence of ADR is 2.4-6.5% in western countries, with only 6-10%... more
Introduction: Pharmacovigilance is the science that relates to the collection, detection, assessment, monitoring and prevention of adverse drug reactions (ADR). The incidence of ADR is 2.4-6.5% in western countries, with only 6-10% reported worldwide. The under-reporting of ADR is due to inadequate knowledge, attitude, and practice among the prescribers about the system. Thus, medical students who are the future drug prescribers bear a crucial role in bridging this gap. Materials and Methods: This cross-sectional questionnaire survey was carried out among 261 medical undergraduates including interns at Maharajgunj Medical Campus in Kathmandu. Self-administered questionnaire was used for data collection. The responses were analyzed and descriptive statistics are presented as frequencies and percentages. Results: In this study, 94.3% of students responded that doctors, nurses, and pharmacists need to report ADR as they encounter them but only 13.8% responded to have reported ADR to th...
INTRODUCTION The aetiological factors of dental fear include negative information, witnessing or having a bad experience, and negative conditions related to periodontal treatment. Modified Dental Anxiety Scale Nepali version, is one of... more
INTRODUCTION The aetiological factors of dental fear include negative information, witnessing or having a bad experience, and negative conditions related to periodontal treatment. Modified Dental Anxiety Scale Nepali version, is one of the tools used in epidemiological studies to measure dental anxiety in adults. The objective was to find out the prevalence of anxiety among dental patients visiting for periodontal therapy in a tertiary care hospital. METHODS This descriptive cross-sectional study was conducted among patients visiting for periodontal therapy from November 2020 to January 2021 at a tertiary care dental hospital. Ethical clearance from Institutional Review Committee (Reference no. 0311202001) was taken before the study. Convenient sampling was done. A standard questionnaire for dental anxiety was used for data collection after receiving informed consent from the participants. Data were entered and analyzed in Microsoft Excel Sheet. Descriptive data are presented as mea...
Introduction: Periodontal disease is regarded as one of the preventable diseases. It can be prevented through effective plaque control measures that require mechanical instrumentation with various surgical or non-surgical periodontal... more
Introduction: Periodontal disease is regarded as one of the preventable diseases. It can be prevented through effective plaque control measures that require mechanical instrumentation with various surgical or non-surgical periodontal therapies as well as daily oral hygiene measures. Dental professionals must be competent enough to promote good oral health by educating patients with daily oral hygiene practice measures. In this regard, the study was designed to assess the knowledge, attitude, and practice behaviour for using as well as prescribing dental floss among the dental interns of Nepal. Methods: An online questionnaire consisting of two sections; the first comprised of the socio- demographic and professional aspects and the second consisted of questions related to knowledge, attitude, and practice regarding the use of dental floss, and its prescription was prepared using Google forms and the link was shared. The data were analysed in Statistical Package for Social Sciences (S...
Gingival recession is frequently occurring in patients coming to dental clinic which could lead to pain or hypersensitivity, esthetic problem, retention of plaque hence inflamed gingiva, root caries, abrasion and fear of tooth loss.... more
Gingival recession is frequently occurring in patients coming to dental clinic which could lead to pain or hypersensitivity, esthetic problem, retention of plaque hence inflamed gingiva, root caries, abrasion and fear of tooth loss. Gingival recession can be managed by surgical or non-surgical approaches. Non-surgical approaches include-restorations, crowns, veneers and gingival masks whereas surgical management includes various techniques of increasing the width of keratinized tissue such as frenectomy in case of high frenal attachment & root coverage procedures. Lateral pedicle graft (LPG), is a technique where graft is elevated from donor site which remains attached at its base for nourishment and is transferred to adjacent site in isolated denuded root. A case of gingival recession is presented that was managed in our department using LPG technique. This technique was selected because of the advantages such as – single surgical area, preservation of blood supply of flap, the postoperative color being in harmony with surrounding tissue.
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