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Factors Influencing Selection of Oral Hygiene Aids Among an Urban Population of Kathmandu District 加德满都地区城市人口口腔卫生助剂选择的影响因素
Pub Date : 2020-12-31 DOI: 10.3126/jnspoi.v4i2.34230
Sunita Khanal, R. Bhattarai, S. Shrestha, G. Rao
Introduction: The exact origin of mechanical device for cleaning teeth is not known. In past, plants with high aromatic properties were chewed by people in twigs form. These twigs freshened breath and spread out fibres at their tips as they were used for cleaning teeth and gum surfaces. China was the first country to invent toothbrush. Widely used oral hygiene aids are toothbrush and toothpaste. Objective: To assess the factors influencing selection of oral hygiene aids among an urban population of Kathmandu district. Methods: A cross-sectional analytical study was conducted during July-October 2019 among the adult population from outreach programs and outpatient department of Kantipur Dental College Teaching Hospital after receiving ethical approval from Institutional Review Committee. Convenience sampling was done. A predesigned questionnaire was used for data collection purpose. Data was entered in Microsoft Excel and analysed using SPSS v.20 software. Chi-square test was done at ≤ 0.05 level of significance. Results: Among 301 participants, 133 (44.2%) were male and 168 (55.8%) were female. The factors that influenced selection of toothpaste were: taste 169 (56.1%), fluoride content 160 (53.2%), previous experience 209 (69.4%), dentist’s advice 180 (59.8%). Factors that influenced selection of toothbrush were: texture of bristle 274 (91%), cost of toothbrush 169 (56%), brand 211 (70%), previous experience, 200 (66.4%), 184 (61%) by size of head of toothbrush, and 184 (61.1%) by dentist’s advice. Conclusion: Previous experience, cost, and dentist’s advice seemed influential factors in the choice of oral hygiene aids among the urban population of Kathmandu district.
导读:清洁牙齿的机械装置的确切起源尚不清楚。过去,人们以细枝的形式咀嚼具有高芳香性的植物。这些小树枝可以清新口气,并在其尖端散布纤维,因为它们被用来清洁牙齿和牙龈表面。中国是最早发明牙刷的国家。广泛使用的口腔卫生辅助工具是牙刷和牙膏。目的:探讨加德满都地区城市人群口腔卫生助剂选择的影响因素。方法:在获得机构审查委员会的伦理批准后,于2019年7月至10月对Kantipur牙科学院教学医院外展项目和门诊部的成年人群进行横断面分析研究。进行了方便抽样。使用预先设计的问卷进行数据收集。数据在Microsoft Excel中输入,并使用SPSS v.20软件进行分析。卡方检验在≤0.05水平上具有显著性。结果:301名参与者中,男性133人(44.2%),女性168人(55.8%)。影响牙膏选择的因素为:口味169(56.1%)、氟化物含量160(53.2%)、既往经历209(69.4%)、牙医建议180(59.8%)。影响选择牙刷的因素依次为:刷毛质地274(91%)、牙刷价格169(56%)、品牌211(70%)、使用经验200(66.4%)、牙刷头大小184(61%)、牙医建议184(61.1%)。结论:既往经验、费用和牙医建议是加德满都地区城市人口选择口腔卫生辅助工具的影响因素。
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引用次数: 0
Awareness of Adult Basic Life Support among Graduates in a Medical College of Kathmandu 加德满都一所医学院毕业生对成人基本生命支持的认识
Pub Date : 2020-12-31 DOI: 10.3126/jnspoi.v4i2.34233
S. Dixit, S. Dahal, P. Dixit, G. Lama
 Introduction: Survival after sudden cardiac arrest depends upon early intervention, quality of cardiopulmonary resuscitation (CPR) and time of defibrillation. So, it is very important that at least the medical personnel know about Basic Life Support (BLS) as they are frequently facing the life threatening situations. Objective: To assess the level of awareness regarding adult basic life support among graduates in a medical college of Kathmandu. Methods: A descriptive cross-sectional study was conducted after ethical approval in Kathmandu Medical College and Teaching Hospital from April to September 2018 among 150 medical and dental graduates including interns and dental/medical officers. A structured self-administered questionnaire was used to assess their awareness regarding Adult BLS. Data were entered and analysed in Microsoft Excel Sheet. Mean, standard deviation, frequency, and percentage were calculated. Results: Most of the graduates surveyed (122, 81.3%) had heard about Adult BLS and felt the need to know about it (142, 94.7%). They felt the necessity including BLS training as a part of medical curriculum (144, 96%). Some of them (58, 38.7%) had seen BLS being done. However, very few (2, 1.3%) had actually done BLS on a patient. Some (54, 36%) had attended workshop on BLS. Conclusion: The findings of the study concluded that although most of the medical and dental graduates felt the need, very few had attended workshop for BLS. The BLS training should be included in the medical curriculum so that the graduates would be able to effectively manage the life-threatening emergencies.
心脏骤停后的生存取决于早期干预、心肺复苏(CPR)的质量和除颤的时间。因此,至少医务人员了解基本生命支持是非常重要的,因为他们经常面临生命威胁的情况。目的:了解加德满都某医学院毕业生对成人基本生命支持的认知水平。方法:2018年4月至9月,加德满都医学院和教学医院经伦理批准,对150名医学和牙科毕业生(包括实习生和牙科/医务人员)进行了描述性横断面研究。采用结构化的自我管理问卷来评估他们对成人劳工统计局的认识。数据在Microsoft Excel表格中输入和分析。计算平均值、标准差、频率和百分比。结果:大部分受访毕业生(122人,81.3%)听说过成人劳工统计局(Adult BLS),有必要了解(142人,94.7%)。他们认为有必要将劳工统计局培训作为医学课程的一部分(144,96%)。其中一些人(58.38.7%)见过劳工统计局的工作。然而,很少(2.1.3%)对患者进行了劳工统计局。一些人(54,36%)参加了劳工统计局的研讨会。结论:研究结果表明,虽然大多数医学和牙科毕业生感到有必要,但很少有人参加过劳工统计局的讲习班。劳工统计局的培训应纳入医学课程,以便毕业生能够有效地处理危及生命的紧急情况。
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引用次数: 1
Nicotine Dependence and Periodontal Status among Tobacco Users in a Dental Hospital of Kathmandu Valley 加德满都谷地一家牙科医院烟草使用者尼古丁依赖与牙周状况
Pub Date : 2020-12-31 DOI: 10.3126/jnspoi.v4i2.34235
S. Dahal, P. Poudel, Shradha Adhikari
 Introduction: Tobacco use in any form (smoking or smokeless) has been recognised to be a significant risk factor for the development and progression of periodontal disease. Objective: To assess the nicotine dependence and periodontal status among tobacco users of a dental hospital of Kathmandu Valley and determine their association. Methods: A cross-sectional study was conducted among 164 tobacco users visiting a dental hospital of Kathmandu. Nicotine dependence was assessed using the Fagerstrom Test for Nicotine Dependence-Smokeless Tobacco and the Fagerstrom Test for Nicotine Dependence. Their periodontal status was examined using community periodontal index and loss of attachment. Data were entered in Microsoft excel sheet and analysed in IBM SPSS Statistics for Windows, version 20. Mean, standard deviation, proportion, and percentage were calculated depending upon the nature of data. Chi-square test and Fisher’s exact test were used to determine the association between different variables. Results: Most of the tobacco smokers (34, 63.0%), chewers (12, 48.0%), and dual users (smoke=55, 64.7%; smokeless= 46, 54.1%) in this study showed low nicotine dependence. Majority of the tobacco users surveyed had periodontal pocket of 4-5 mm (73, 44.5%) and loss of attachment of 6-8 mm (79, 48.2%). Tobacco smokers and chewers having moderate or high nicotine dependence had periodontitis significantly higher than those who had low dependence. Conclusion: The findings in this study conclude that most of the individuals using tobacco in any form have periodontal diseases. Nicotine dependence is significantly associated with increased periodontal breakdown.
导言:任何形式的烟草使用(吸烟或无烟)已被认为是牙周病发生和发展的一个重要危险因素。目的:了解加德满都谷地某牙科医院吸烟者尼古丁依赖与牙周状况的关系。方法:对在加德满都一家牙科医院就诊的164名烟草使用者进行横断面研究。使用Fagerstrom尼古丁依赖试验-无烟烟草和Fagerstrom尼古丁依赖试验评估尼古丁依赖。采用社区牙周指数和牙周附着物丧失指数检测患者牙周状况。数据在Microsoft excel表格中输入,在IBM SPSS Statistics for Windows, version 20中进行分析。根据数据的性质计算平均值、标准差、比例和百分比。采用卡方检验和Fisher精确检验来确定不同变量之间的相关性。结果:吸烟者34人(63.0%),咀嚼者12人(48.0%),双重吸烟者55人(64.7%);无烟者为46人,54.1%),尼古丁依赖性较低。大多数被调查的烟草使用者牙周袋为4-5 mm(73,44.5%),附着物缺失为6-8 mm(79,48.2%)。中度或高度依赖尼古丁的吸烟者和咀嚼者患牙周炎的几率明显高于低依赖尼古丁者。结论:本研究的结果表明,大多数使用任何形式烟草的人都有牙周病。尼古丁依赖与牙周破裂的增加显著相关。
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引用次数: 0
Early Implant Placement with Delayed Loading in Anterior Aesthetic Zone - A Case Report 早期种植体植入前美学区负荷延迟1例报告
Pub Date : 2020-12-31 DOI: 10.3126/jnspoi.v4i2.34304
M. Humagain, S. Lamichhane, M. Subba, M. Neupane, A. Dawadi
To prevent the sequelae of hard and soft tissue loss after tooth extraction, future need of bone augmentation procedures and utilisation of benefits during early stages of tissue healing, early implant promises to be an armoury for dental implantologists to perfectly simulate the natural dentition in anterior aesthetic areas. Here, a case of 30 years old male with a missing #11 (according to two-digit numbering system) planned for early implant placement and immediate temporisation with delayed loading is presented.
为了防止拔牙后硬软组织损失的后遗症,未来对骨增强手术的需求以及在组织愈合的早期阶段利用益处,早期种植体有望成为牙科种植学家在前美学区域完美模拟自然牙列的武器。在此,我们报告一例30岁男性患者,由于缺少11号(根据两位数编号系统),计划早期植入种植体并立即延迟加载。
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引用次数: 1
Localised Gingival Overgrowth in Patient taking Amlodipine 服用氨氯地平患者局部牙龈过度生长
Pub Date : 2020-12-31 DOI: 10.3126/jnspoi.v4i2.34315
A. Rijal, B. Dhami, Nashib Pandey, D. Aryal, Kamana Neupane
 Gingival enlargement is an increase in the size of gingiva. It is one of the side effects of systemic administration of antihypertensives, anticonvulsants, and immunosuppressants. Amlodipine, a new third-generation dihydropyridine, very useful in middle-aged to older aged patients for various cardiovascular conditions can cause gingival enlargement. Treatment modalities for drug induced gingival enlargement include removal of local irritating factors, meticulous plaque removal and drug substitution after consultation with a physician. This article reports an amlodipine induced gingival enlargement and its treatment in a 40 years old hypertensive male patient.
牙龈肿大是指牙龈的体积增大。它是全身服用抗高血压药、抗惊厥药和免疫抑制剂的副作用之一。氨氯地平是一种新的第三代二氢吡啶,对中老年患者非常有用,用于治疗各种心血管疾病,可引起牙龈肿大。药物性牙龈肿大的治疗方法包括去除局部刺激因素、仔细清除菌斑和咨询医生后替代药物。本文报道一例氨氯地平引起的40岁男性高血压患者牙龈肿大及其治疗。
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引用次数: 1
Salivary Alkaline Phosphatase Level in People with Healthy Periodontium and Generalised Chronic Periodontitis 唾液碱性磷酸酶水平在健康牙周组织和广泛性慢性牙周炎患者中的应用
Pub Date : 2020-12-31 DOI: 10.3126/JNSPOI.V4I2.34232
P. Koirala, S. Pradhan, R. Gorkhali
 Introduction: Periodontal disease is a multifactorial chronic inflammatory disease affecting the soft and hard supporting structures of teeth leading to alveolar bone loss and exfoliation of involved teeth when left untreated. Traditional periodontal diagnostic methods are not always able to assess present disease states. Saliva as possible biological sample helps measure current disease state, monitor treatment, and indicate prognosis. Oral fluids contain mediators of disease that include microbial host response and bone-specific resorptive markers. Objective: To investigate and compare salivary alkaline phosphatase level in people with healthy periodontium and generalised chronic periodontitis. Methods: This cross-sectional analytical study was conducted in the department of dental surgery, Bir hospital from January to December 2017. Ethical clearance was obtained from institutional review board. Unstimulated saliva sample for the evaluation of alkaline phosphatase was collected from 35 generalised chronic periodontitis (GCP) patients and 35 volunteers with healthy periodontium after informed consent was obtained and periodontal parameters were recorded. Data collected was analysed using SPSS software v.16. Results: Three and half fold increased level of salivary alkaline phosphatase level in GCP patients than healthy volunteers was found which is highly significant. Correlation of salivary alkaline phosphatase level with clinical features of the chronic periodontal disease was observed. Conclusion: An expected benefit of an oral fluid-based periodontal diagnostics would be identification of highly susceptible individuals prior to aggressive disease. Timely detection and diagnosis of disease offer earlier, less invasive, and more cost-effective treatment.
牙周病是一种影响牙齿软硬支撑结构的多因素慢性炎症性疾病,如果不及时治疗,会导致牙槽骨丢失和脱落。传统的牙周诊断方法并不总是能够评估当前的疾病状态。唾液作为可能的生物样本,有助于测量当前疾病状态,监测治疗,并提示预后。口服液含有疾病介质,包括微生物宿主反应和骨特异性吸收标志物。目的:探讨和比较健康牙周组织与广泛性慢性牙周炎患者唾液碱性磷酸酶水平。方法:对2017年1 - 12月在Bir医院口腔外科进行横断面分析研究。获得了机构审查委员会的伦理许可。收集35例广泛性慢性牙周炎(GCP)患者和35例牙周健康志愿者的非刺激唾液样本,经知情同意并记录牙周参数,用于碱性磷酸酶的评估。收集的数据使用SPSS v.16软件进行分析。结果:GCP患者的唾液碱性磷酸酶水平比正常人高3.5倍,具有显著性。观察唾液碱性磷酸酶水平与慢性牙周病临床特征的相关性。结论:以口腔液体为基础的牙周诊断的预期好处是在侵袭性疾病之前识别高度易感个体。及时发现和诊断疾病可提供更早、侵入性更小和更具成本效益的治疗。
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引用次数: 0
Evaluation of Bovine Derived Xenograft Combined with Bioresorbable Collagen Membrane in Treatment of Intrabony Defects 牛源异种移植物联合生物可吸收胶原膜治疗骨内缺损的疗效评价
Pub Date : 2020-12-31 DOI: 10.3126/jnspoi.v4i2.34231
R. Gorkhali, S. Pradhan, Rejina Shrestha, Shweta Agrawal, Krishna Lamicchane, P. Koirala, Benju Shrestha
Introduction: Treatment of periodontal diseases done by surgical therapy depends upon extent and severity of disease. The ultimate goal of periodontal reconstructive surgery is to regenerate tissues destroyed during periodontal disease. Objective: To evaluate the effectiveness of bovine-derived xenograft with collagen membrane in treatment of intrabony defects by comparing it with open flap debridement alone. Methods: This non-randomised controlled trial was conducted after ethical clearance, at Bir hospital from 2018 March to 2019 April. The study recruited 38 patients by convenience sampling, age from 25-44 years, with chronic periodontitis, and willing to sign informed consent. Intrabony defects were treated by open flap debridement with bovine-derived xenograft and bioresorbable collagen membrane (Test group) and open flap debridement alone (Control group). Probing pocket depth, clinical attachment level, gingival recession, oral hygiene status, and gingival status were assessed at baseline and six months. Results: Six months after therapy, in Test group probing pocket depth reduction was 5.2 mm and gain in mean clinical attachment level was 4.3 mm. In Control group, mean probing pocket depth reduction was 3.8 mm and mean gain in clinical attachment level was 2.7 mm. The test treatment resulted in statistically higher probing pocket depth reduction and clinical attachment level gain than Control group. Conclusion: Both therapies resulted in significant probing pocket depth reductions and clinical attachment gains, and treatment with open flap debridement with bovine-derived xenografts and collagen membrane resulted in significantly higher probing pocket depth reduction and clinical attachment gain than treatment with open flap debridement alone.
牙周病的手术治疗取决于疾病的程度和严重程度。牙周重建手术的最终目的是使牙周疾病中受损的组织再生。目的:通过与单纯开瓣清创术的比较,评价牛源异种胶原膜移植术治疗骨内缺损的疗效。方法:该非随机对照试验经伦理许可,于2018年3月至2019年4月在Bir医院进行。本研究采用方便抽样的方法招募了38例慢性牙周炎患者,年龄在25-44岁之间,并愿意签署知情同意书。采用牛源异种骨移植和生物可吸收胶原膜联合开放瓣清创治疗骨内缺损(试验组)和单独开放瓣清创治疗骨内缺损(对照组)。在基线和6个月时评估探测袋深度、临床附着水平、牙龈退缩、口腔卫生状况和牙龈状况。结果:治疗6个月后,试验组探诊袋深度减小5.2 mm,平均临床附着度增加4.3 mm。对照组探查袋深度平均减少3.8 mm,临床附着水平平均增加2.7 mm。试验性治疗的探查袋深度减小和临床依恋水平增加均高于对照组。结论:两种治疗方法均可显著降低探囊深度和增加临床附着,且牛源异种移植物和胶原膜开放瓣清创治疗的探囊深度和增加临床附着明显高于单独开放瓣清创治疗。
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引用次数: 1
COVID-19 and Impact in dental academia COVID-19及其对牙科学术界的影响
Pub Date : 2020-12-31 DOI: 10.3126/jnspoi.v4i2.34227
S. Pradhan
No abstract available.
没有摘要。
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引用次数: 0
Peripheral Ossifying Fibroma: A Case Report 外周骨化性纤维瘤1例
Pub Date : 2020-08-28 DOI: 10.3126/jnspoi.v4i1.30903
B. K. Sah, B. Koirala, M. Dali, S. Shrestha
Peripheral ossifying fibroma (POF) is a common solitary gingival growth thought to arise from the periodontal ligament. Though the etiology of POF remains unknown, some investigators consider it an inflammatory or reactive process, while others suggest it is a neoplastic process. Here, we present a case of POF in a 10-year-old boy, affecting the maxillary anterior gingiva along with its clinical, radiographic, histologic characteristics, differential diagnosis, treatment and one year follow-up.
外周骨化纤维瘤(POF)是一种常见的孤立性牙龈生长,被认为起源于牙周韧带。虽然POF的病因尚不清楚,但一些研究人员认为它是一种炎症或反应过程,而另一些研究人员则认为它是一种肿瘤过程。在此,我们报告一例10岁男孩的POF,影响上颌前龈,以及其临床,影像学,组织学特征,鉴别诊断,治疗和一年随访。
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引用次数: 1
Gingival Depigmentation: A Surgery for Aesthetics 牙龈脱色:一种美学手术
Pub Date : 2019-09-20 DOI: 10.3126/jnspoi.v3i1.24825
A. Yadav, D. Giri
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引用次数: 0
期刊
Journal of Nepalese Society of Periodontology and Oral Implantology
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