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Occurrence of Extra Roots in Permanent Mandibular Molars: A Cone Beam Computed Topography Study 下颌恒磨牙外根的发生:锥梁计算地形研究
Pub Date : 2021-07-01 DOI: 10.3126/jnspoi.v5i1.38180
A. Chakradhar, M. Nepal, Siras Pradhan, N. Acharya, P. Poudel
Introduction: Permanent mandibular first and second molars may display extra roots namely radix entomolaris and radix paramolaris which may have implications in endodontic treatment outcome, if missed. Objective: To evaluate the occurrence of extra roots in permanent mandibular first and second molars in a sample of Nepalese population. Methods: This analytical cross-sectional study was done at Dhulikhel hospital. Convenience sampling technique was utilised for data collection of 773 CBCT images. Images from June 2018 to June 2020 were retrospectively screened for presence of fully erupted bilateral mandibular first and second molars. Presence of extra roots were recorded and laterality, gender, and racial variations were analysed by Fisher’s exact test and Chi-square test using SPSS v.20. Results: For mandibular first molars, out of 517 patients, 65 (11.38%) had radix entomolaris: 38 (13.2%) female and 27 (9.54%) male. Among 38 females; occurrence was 21 (7.3%) bilateral, 16 (5.56%) unilateral right and 1 (0.34%) unilateral left side. Likewise, among 27 males, the occurrence was 15 (5.3%) bilateral, 6 (2.1%) unilateral right and 6 (2.1%) unilateral left side. Regarding races, 50 (14.6%) were Mongoloids and 15 (6.6%) were Aryans. No radix paramolaris was found in mandibular first molars. For mandibular second molars, out of 623 patients, radix entomolaris and paramolaris were observed in 0.8% and 0.48% respectively. Conclusion: The overall occurrence of radix entomolaris in mandibular first and second molars was found to be 11.38% and 0.8%, respectively. Practitioners should be aware of these unusual variations to avoid iatrogenic mishap due to missed canal.  
永久下颌第一和第二磨牙可能显示额外的根,即虫根根和副根根,这可能会影响根管治疗的结果,如果错过。目的:探讨尼泊尔人群恒下颌第一、第二磨牙外根的发生情况。方法:本分析性横断面研究在Dhulikhel医院进行。采用方便采样技术对773张CBCT图像进行数据采集。回顾性筛查2018年6月至2020年6月双侧下颌第一和第二磨牙完全萌出的影像。记录多余根的存在,并使用SPSS v.20通过Fisher精确检验和卡方检验分析偏侧性、性别和种族差异。结果:517例下颌第一磨牙患者中,65例(11.38%)有虫根,其中女性38例(13.2%),男性27例(9.54%)。38名女性;双侧21例(7.3%),单侧右侧16例(5.56%),单侧左侧1例(0.34%)。男性27例,双侧15例(5.3%),右侧6例(2.1%),左侧6例(2.1%)。在种族方面,50人(14.6%)是蒙古人种,15人(6.6%)是雅利安人。下颌第一磨牙未见副臼齿根。下颌第二磨牙623例中,虫虫根和副磨牙分别占0.8%和0.48%。结论:昆虫根在下颌第一磨牙和第二磨牙的总发生率分别为11.38%和0.8%。从业者应注意这些不寻常的变异,以避免因漏管而引起的医源性事故。
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引用次数: 1
Relationship Between Body Mass Index and Chronic Periodontitis 体重指数与慢性牙周炎的关系
Pub Date : 2021-07-01 DOI: 10.3126/jnspoi.v5i1.38176
Shreeya Aryal, A. Pradhan, Shilu Shrestha, S. Shrestha
Introduction: Obesity is regarded as unnecessary body fat in ratio to lean body mass. Besides being an established risk factor for cardiovascular and other systemic diseases, obesity has been suggested to be a potential threat for periodontitis as well. Objective: The objective of the study was to learn relationship between body mass index (BMI) and periodontal disease. Methods: This analytical cross-sectional study was conducted at People’s Dental College from February 16 to April 15, 2021 after ethical approval. Seventy-two participants were selected conveniently who, on the basis of calculation of weight and height were allocated into two groups: Group A: participants with normal BMI, Group B: Obese/ overweight individuals. Plaque index, gingival index, periodontal pocket, and clinical attachment loss were recorded in both the groups to assess the periodontal disease status. On basis of findings, the two groups were statistically compared. Results: The result showed clinical attachment loss was significantly higher (P <0.001) in overweight/obese group than in normal BMI group (P =0 .001). Conclusion: The findings of this study suggest that obesity and overweight can be a possible predisposing factor for periodontal disease.
简介:肥胖被认为是多余的身体脂肪与瘦体重的比例。肥胖不仅是心血管疾病和其他全身性疾病的危险因素,也被认为是牙周炎的潜在威胁。目的:了解身体质量指数(BMI)与牙周病的关系。方法:本分析横断面研究经伦理批准,于2021年2月16日至4月15日在人民牙科学院进行。在计算体重和身高的基础上,方便地选择了72名参与者分为两组:A组:BMI正常的参与者;B组:肥胖/超重个体。记录两组牙菌斑指数、牙龈指数、牙周袋、临床附着丧失情况,评估两组牙周病状况。根据结果对两组进行统计学比较。结果:超重/肥胖组临床依恋丧失明显高于BMI正常组(P <0.001)。结论:本研究结果提示肥胖和超重可能是牙周病的易感因素。
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引用次数: 0
Variations in Maxillary Frenal Morphology in a Sample of Newari Children of Bhaktapur 巴克塔普尔地区纽瓦里儿童上颌系趾形态的变异
Pub Date : 2021-07-01 DOI: 10.3126/jnspoi.v5i1.38181
Ujjwal Joshi, M. Pradhan, Aastha Neupane, Nita Lawaju, Nirmal Khadka, R. Chaulagain
Introduction: Frenum attachments are fold of mucous membrane attaching the lips to alveolar mucosa and underlying periosteum. Aberrant location of attachment of maxillary labial frenum poses many clinical problems such as mucogingival problems and midline diastema. Objective: The study was performed to assess the variations in morphology of maxillary labial frenum in a sample of Newari children of Bhaktapur, Nepal. Methods: A descriptive cross-sectional study was performed enrolling 340 Newari children residing in Bhaktapur from August 14, 2020 to March 30, 2021. The study comprised both genders within age group of 6 to 16 years. The frenal attachment was recorded according to Mirko and Sewerin classification. The data was analysed with Statistical Package for the Social Sciences version 16 using descriptive statistics. Results: In total, 340 Newari children participated in this study. The mucosal type was observed in 204 (60%) of the participants followed by gingival type 101 (29.7%). More than 80% of the participants had simple frenum (283, 83.2%). The frenum with nodule was present in 25 (7.4%) and frenum with appendix in 22 (6.5%) of study participants. Frenum with appendix was mostly present in males 18 (10.1%) than females 4 (2.5%). Conclusion: Within the Newari children, the mucosal type of maxillary labial frenum was more prevalent followed by gingival type. The simple frenum was the most common type on basis of morphology.  
简介:系带附着物是连接唇部与牙槽黏膜及下面骨膜的粘膜褶皱。上颌唇系带附着体的位置异常,引起了许多临床问题,如牙龈粘膜问题和中线隔膜。目的:研究尼泊尔巴克塔普尔的纽瓦里儿童上颌唇系带形态的变化。方法:从2020年8月14日至2021年3月30日,对居住在巴克塔普尔的340名纽瓦里儿童进行了描述性横断面研究。该研究包括6至16岁年龄组的男女。根据Mirko和Sewerin分类记录静脉附着物。使用描述性统计,使用社会科学统计软件包第16版对数据进行分析。结果:共有340名纽瓦里儿童参与了本研究。其中粘膜型204例(60%),其次是牙龈型101例(29.7%)。单纯性系带283例,占83.2%,超过80%。25例(7.4%)系带有结节,22例(6.5%)系带有阑尾。男性18例(10.1%)多见系带伴阑尾,女性4例(2.5%)多见。结论:在Newari儿童中,上颌唇系带粘膜型多见,牙龈型次之。单纯系带是形态学上最常见的类型。
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引用次数: 4
Pattern of Malocclusion in Patients undergoing Orthodontic Treatment at a Tertiary Care Teaching Hospital 三级护理教学医院正畸治疗患者的错颌模式
Pub Date : 2021-07-01 DOI: 10.3126/jnspoi.v5i1.38179
N. Giri, Ānanda Āchārya, R. Jha
Introduction: Malocclusion can cause dental caries, periodontal disease and aesthetic problems. Malocclusion is most common dentofacial abnormality found in human population. However, the awareness for orthodontic treatment is increasing. Objective: The aim of this research was to evaluate pattern of malocclusion in patients undergoing orthodontic treatment at Nobel Medical College Teaching Hospital of Biratnagar, Nepal. Methods: Two hundred and eighty preoperative study casts (2018 Jun to 2020 Jun) of orthodontic patients aged from 12-55 years were selected from 680 patient’s records of department of orthodontics of Nobel medical college teaching hospital, Biratnagar. Standard protocol of Angle’s classification of malocclusion was used to classify malocclusion and its traits were recorded. Data were entered in Microsoft Excel and descriptive statistics were calculated. Results: The prevalence of malocclusion were 59.65% (167) of Angle’s class I, 35.71% (100) of Angle’s class II and 4.64% (13) of Angle’s class III malocclusion. Among various attributes of malocclusion, deep bite was the most common trait (188, 67.14%). Increased overjet was found in 169 (60.35%) subjects. Crowding and spacing were found in 164 (58.57%), and 109 (38.92%) respectively. Conclusion: Angle’s class I malocclusion is most prevalent malocclusion seen followed by Angle’s class II and Angle’s class III.
错牙合会导致龋齿、牙周病和审美问题。错牙合是人类最常见的牙面畸形。然而,人们对正畸治疗的认识正在提高。目的:本研究的目的是评估在尼泊尔比拉特纳格尔诺贝尔医学院教学医院接受正畸治疗的患者的错牙合模式。方法:选择诺贝尔医学院教学医院正畸科680例患者的术前研究模型280例(2018年6月~ 2020年6月),年龄12 ~ 55岁。采用标准的Angle错牙合分类方法对错牙合进行分类,并记录其特征。数据在Microsoft Excel中输入,并进行描述性统计。结果:角氏ⅰ类错合发生率为59.65%(167例),角氏ⅱ类错合发生率为35.71%(100例),角氏ⅲ类错合发生率为4.64%(13例)。在错牙合的各种属性中,深咬合是最常见的特征(18.8,67.14%)。有169例(60.35%)患者出现过喷增高。拥挤性和间隔性分别为164个(58.57%)和109个(38.92%)。结论:Angle的I类错牙合最常见,其次是Angle的II类错牙合,其次是Angle的III类错牙合。
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引用次数: 1
Assessment of Labial Alveolar Bone Thickness in Maxillary Central Incisor using Cone Beam Computed Tomography 锥形束计算机断层扫描评价上颌中切牙唇槽骨厚度
Pub Date : 2021-07-01 DOI: 10.3126/jnspoi.v5i1.38175
S. Pradhan, Rejina Shrestha, R. Gorkhali, P. Koirala
Introduction: The maxillary anterior region is becoming a major concern due to its aesthetic relevance. The buccal bone thickness is important for implant placement, orthodontic treatment and restorative treatment. Objective: To assess the thickness of alveolar bone in the maxillary central incisor using cone beam computed tomography (CBCT). Methods: A cross-sectional observational study was conducted at Department of Dental Surgery, Bir Hospital where CBCT of 53 samples from July 2019 till December 2019, the archived CBCT images was assessed retrospectively. The thickness of the labial bone in a direction perpendicular to the outer surface of the tooth root was measured at a distance of 2 mm from the cementoenamel junction (CEJ). The measurement was taken thrice and the mean measurement was considered. Results: The labial alveolar bone thickness in maxillary central incisor was found to be 0.55±0.27 mm at a distance of 2 mm from the CEJ. Only 2 (3.8%) of the samples had an alveolar thickness of >1 mm. No statistically significant difference was found with respect to gender and age. Conclusion: The average thickness of the labial alveolar bone in maxillary central incisor using cone beam computed tomography was found to be thin. 
简介:上颌前区正成为一个主要的关注,由于其美学的相关性。颊骨厚度对种植体植入、正畸治疗和修复治疗具有重要意义。目的:应用锥形束计算机断层扫描(CBCT)评价上颌中切牙牙槽骨厚度。方法:在Bir医院口腔外科进行横断面观察研究,对2019年7月至2019年12月53例样本的CBCT进行回顾性评估。在距牙髓-牙釉质交界处(CEJ) 2 mm处测量垂直于牙根外表面方向的唇骨厚度。测量了三次,并考虑了平均值测量。结果:上颌中切牙唇槽骨厚度为0.55±0.27 mm。只有2个(3.8%)样本的肺泡厚度为bb0.1 mm。性别和年龄差异无统计学意义。结论:锥形束ct显示上颌中切牙唇槽骨平均厚度偏薄。
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引用次数: 1
Prevalence of Gingival Pigmentation and its Association with Gingival Biotype and Skin Colour 牙龈色素沉着的患病率及其与牙龈生物型和皮肤颜色的关系
Pub Date : 2021-07-01 DOI: 10.3126/jnspoi.v5i1.38178
A. Rijal, B. Dhami, Nashib Pandey, D. Aryal
Introduction: The facial appearance depends on several oral and extraoral factors including colour of facial skin and pigmentation of gingival epithelium. The colour of the gingiva varies among individuals and is thought to be associated with cutaneous pigmentation which ranges from light to dark brown or black colour. Objective: To assess the prevalence of physiological gingival pigmentation, gingival biotype and their association with skin colur in Nepalese subjects visiting Kantipur Dental College and Hospital (KDCH). Methods: This was an analytical cross-sectional study which was carried out from February 2020 to June 2020 in all patients of age-group 16 to 80 years visiting the Department of Periodontics at KDCH after ethical approval. Patients were recruited by convenience sampling and examined thoroughly to find out gingival biotype and extent of gingival pigmentation intraorally as well as skin colour extraorally. Results: In this study, 210 patients were examined among which, 105 (50%) were males and 105 (50%) were females. Out of 210, 33 (15.7%) had pink tissue without pigmentation, 84 (40%) had pigmentation only in attached gingiva, 58 (27.6%) in attached gingiva and interdental papilla, 32 (15.2%) had diffuse pigmentation involving all parts of gingiva, 2 (1%) had in marginal gingiva only, and 1 (0.5%) in marginal gingiva and interdental papilla. Conclusion: A strong association was found between gingival pigmentation and facial skin colour in present study (P <0.001). Establishing the pattern of gingival pigmentation in Nepalese population will help to choose a specific depigmentation therapy that will harmonise with skin colour.  
面部外观取决于几个口腔和口腔外的因素,包括面部皮肤的颜色和牙龈上皮的色素沉着。牙龈的颜色因人而异,被认为与皮肤色素沉着有关,皮肤色素沉着的范围从浅棕色到深棕色或黑色。目的:了解尼泊尔康提普尔牙科学院和医院(KDCH)受试者的生理性牙龈色素沉着、牙龈生物型及其与肤色的关系。方法:这是一项分析性横断面研究,于2020年2月至2020年6月在伦理批准后访问KDCH牙周病科的所有16至80岁患者中进行。采用方便抽样的方法对患者进行全面检查,了解口腔内的牙龈生物型、牙龈色素沉着程度以及口腔外的皮肤颜色。结果:本研究共检查210例患者,其中男性105例(50%),女性105例(50%)。210例患者中,33例(15.7%)为无色素沉着的粉红色组织,84例(40%)为仅附着龈色素沉着,58例(27.6%)为附着龈及牙间乳头色素沉着,32例(15.2%)为弥漫性色素沉着,2例(1%)为仅边缘龈色素沉着,1例(0.5%)为边缘龈及牙间乳头色素沉着。结论:本研究发现牙龈色素沉着与面部肤色有较强的相关性(P <0.001)。在尼泊尔人口中建立牙龈色素沉着的模式将有助于选择一种与肤色相协调的特定色素沉着治疗。
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引用次数: 1
Microinvasive Oral Squamous Cell Carcinoma of Gingiva: An Enigma 口腔牙龈微型鳞状细胞癌:一个谜
Pub Date : 2021-07-01 DOI: 10.3126/jnspoi.v5i1.38198
Prashamsa Shakya, Poojan Acharya, Shivalal Sharma, A. Shrestha, N. Paunju
Microinvasive oral squamous cell carcinoma (MIOSCC) of gingiva is an early stage relatively ‘thin’ tumour without invasion of deep tissues. A 55-year old male reported with the chief complaint of gum swelling in lower right back jaw region for one month. On examination, diffuse, unscrappable, white homogenous plaque extending from 35 to 48 was present with a firm, sessile gingival growth approximately eight millimetre in diameter. A provisional diagnosis of verrucous leukoplakia was made. Hence, biopsy was performed which confirmed MIOSCC and mild dysplasia for different sites. The patient is on regular follow-up and with no signs of recurrence.
牙龈的微创口腔鳞状细胞癌(MIOSCC)是一种早期相对“薄”的肿瘤,没有侵犯深部组织。男,55岁,主诉右下后颌区牙龈肿胀1个月。检查发现,弥漫性,不可刮擦,白色均匀斑块,从35到48,坚固,无根牙龈生长,直径约8毫米。初步诊断为疣状白斑。因此,活检证实了不同部位的MIOSCC和轻度不典型增生。患者定期随访,无复发迹象。
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引用次数: 0
Congenital Maxillary Double Lip: A Case Report 先天性上颌双唇部1例
Pub Date : 2021-07-01 DOI: 10.3126/jnspoi.v5i1.38199
Kashmira Pokhrel, Sajeev Shrestha, Shivalal Sharma
A double lip is an infrequent anomaly that may either be congenital or acquired. It commonly effects the upper lip with more predilection in males. Double lip may require surgical correction for aesthetic or masticatory reasons. Treatment includes excision of the mucosa and submucosal tissue that gives good result. A 19-year-old male presented with bulge under central portion of upper lip with no constriction. Surgical correction was done using an elliptical incision to remove excess mucosal tissues. Satisfactory aesthetic result was obtained with an uneventful healing.
双嘴唇是一种罕见的畸形,可能是先天性的或后天的。它通常影响上唇,更倾向于男性。由于美观或咀嚼的原因,可能需要手术矫正。治疗包括切除粘膜和粘膜下组织,效果良好。19岁男性,上唇中部隆起,无收缩。手术矫正采用椭圆切口去除多余的粘膜组织。获得满意的美学效果,愈合平稳。
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引用次数: 0
Clark’s Technique of Vestibuloplasty - A Case Report 克拉克前庭成形术1例报告
Pub Date : 2020-12-31 DOI: 10.3126/jnspoi.v4i2.34305
Benju Shrestha, Krishna Prasad Lamichhane, S. Pradhan, R. Gorkhali, P. Koirala
Shallow vestibule can create a barrier in oral hygiene maintenance and can cause gingival recession due to the muscular traction. Inadequate vestibular depth in combination with inadequate attached gingiva is said to cause more food accumulation during mastication. Hence, shallow vestibule impeding with oral hygiene maintenance requires correction. Vestibuloplasty involves surgical procedure for repositioning of mucosa and muscle attachment thereby increasing the vestibular depth. There are various techniques of vestibuloplasty. This case report highlights upon the Clark’s technique of vestibuloplasty for correction of shallow vestibule.
浅前庭会造成口腔卫生维护的障碍,并会因肌肉牵拉而导致牙龈萎缩。前庭深度不足加上附着龈不足据说会导致咀嚼时更多的食物堆积。因此,浅前庭妨碍口腔卫生维护需要纠正。前庭成形术包括通过外科手术重新定位粘膜和肌肉附着,从而增加前庭深度。有各种各样的前庭成形术。本病例报告着重介绍了克拉克前庭成形术矫正浅前庭的方法。
{"title":"Clark’s Technique of Vestibuloplasty - A Case Report","authors":"Benju Shrestha, Krishna Prasad Lamichhane, S. Pradhan, R. Gorkhali, P. Koirala","doi":"10.3126/jnspoi.v4i2.34305","DOIUrl":"https://doi.org/10.3126/jnspoi.v4i2.34305","url":null,"abstract":"Shallow vestibule can create a barrier in oral hygiene maintenance and can cause gingival recession due to the muscular traction. Inadequate vestibular depth in combination with inadequate attached gingiva is said to cause more food accumulation during mastication. Hence, shallow vestibule impeding with oral hygiene maintenance requires correction. Vestibuloplasty involves surgical procedure for repositioning of mucosa and muscle attachment thereby increasing the vestibular depth. There are various techniques of vestibuloplasty. This case report highlights upon the Clark’s technique of vestibuloplasty for correction of shallow vestibule.","PeriodicalId":282202,"journal":{"name":"Journal of Nepalese Society of Periodontology and Oral Implantology","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132556065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Dental education in the era of COVID-19 pandemic 新冠肺炎大流行时代的口腔教育
Pub Date : 2020-12-31 DOI: 10.3126/jnspoi.v4i2.34316
Nashib Pandey
No abstract available.
没有摘要。
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引用次数: 0
期刊
Journal of Nepalese Society of Periodontology and Oral Implantology
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