Background & Objectives:The study was conducted with objective to compare the horizontal condylar guidance (HCG) obtained by protrusive interocclusal records and panoramic radiographic images in completely edentulous patients.Materials & Methods:The horizontal condylar guidance was measured in 25 completely edentulous patients by protrusive interocclusal records using zinc oxide eugenol paste through a face bow transfer (HanauTM Spring bow, Whip Mix Corporation, USA) to a semi-adjustable articulator (HanauTM Wide-Vue Articulator, Whip Mix Corporation, USA). In the same patients, HCG was traced in the panoramic radiograph. The angles formed by the intersection of two lines: Frankfurt’s horizontal plane and posterior slope of articular eminence was measured using protractor to represent the horizontal condylar guidance angle on each side.Results:The mean difference between the horizontal condylar guidance angles values obtained using protrusive interocclusal record and panoramic radiograph was 2.68 degrees and 3.40 degrees for the right and the left side respectively, with the panoramic radiograph values being higher. This difference between the values was found to be highly significant between the two methods for the right side (t = 2.70, p = 0.012) and left side (t = 3.69, p = 0.001). A significant positive correlation was found between the horizontal condylar guidance obtained from protrusive interocclusal record and panoramic radiograph for the right (r = 0.643, p = 0.001) and left sides (r = 0.622, p = 0.001) separately.Conclusion:The panoramic radiographic tracing can be used to calculate the mean horizontal condylar guidance in the completely edentulous patients and these values can be used to programme semi-adjustable articulators avoiding the cumbersome process of obtaining protrusive interocclusal records.
Introduction: Tooth loss causes impairment, functional limitation, physical, psychological, and social disability. Hence, the study of pattern of tooth loss can provide a rough information about the frequency, cause and magnitude of oral problems, its sequelae that eventually can act as mirror image of prosthodontic treatment needs. Objectives: To assess the prevalence of partial edentulism and its etiology, to determine its association with sociodemographic parameters, and to find out the motivational factor/s for replacement in willing patients. Methods: Total 417 patients with partial edentulism were examined intraorally on the basis of Kennedy’s classification with Applegate’s modification. The descriptive analysis was done using frequency distribution. Pearson Chi-square analysis test was used to determine the association between demographic variables and type of tooth loss where p-value ≤0.05 was considered statistically significant. Results: Partial edentulism was more prevalent in mandibular arch (41.7%) followed by both arches (30.9%). Kennedy’s Class III was the commonest and Kennedy’s class III modification 1 was second most common type of partial edentulism. Age and educational status had statistically significant association while gender had no association with various classes of partial edentulism. Dental caries (62.8%) followed by periodontitis (25.9%) were the major causes of tooth loss. Functional demand (46.8%) was the key motivational factor for the replacement among those who were willing (78.4%). Conclusions: This study can help in assessing the epidemiological features of partial edentulism of one community in a more classified form and can help gather information necessary to assess the treatment needs.
Fluvial terraces are remnants of the former floodplain of a stream or river. Wide river valley with spectacular terraces are the well-known places of the Himalaya because of their unique morphology and history of origin. The Modi Khola and Kali Gandaki valleys in west Nepal, Lesser Himalaya are characterized by a number of spectacular river terraces. In the present study, the river terraces along the Modi Khola valley were mapped at 1:25,000 scale and their lithological and sedimentological characteristics were investigated. The river terraces along the Modi Khola are distributed in at least three levels. They are named as Godam Formation (Higger Terrace), Badagaun Formation (Middle Terrace) and the Modibeni Formation (Lower Terrace). The Godam Formation is standing out at an elevation between 860 m and 1100 m. The upper surface of the terrace is extremely rugged with karstic features. The Godam Formation is characterized by matrix-supported, calcite cemented conglomerate with angular to sub-angular clasts of calcareous shale, laminated siliceous limestone and quartzite. The Badagaun Formation (Middle Terrace) is distributed at an altitude from 700 to 860 m on both sides of the Modi Khola valley. It is deeply weathered forming a very thick (almost 3-5 m) residual soil (mostly lateritic soil). Karst features such as caves and sink holes are common in this terrace. This formation is mainly composed of matrix-supported conglomerate with granule-, cobble- and boulder-sized clasts of calcareous shale, siliceous limestone and rarely quartzite. The Lower Terrace (Modibeni Formation) is fluvial deposit consisting of rounded and subrounded clast-supported conglomerate. Both the Upper and Middle Terraces have been interpreted as cohesive debris flow facies derived from the Annapurna Range. Presence of three levels of terraces indicates at least three phase of uplift in the area in the Holocene time. The debris flow deposit in the upper and Middle Terraces indicates catastrophic outbursts from natural dams or large rock-ice avalanches in the Annapurna Range triggered probably by megaearthquakes as in Pokhara valley as suggested by Schwanghart et al. (2015).
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