The objective was to assess the distribution of types of cleft lip and palate (CLP) among different racial groups living in Malaysia. METHODOLOGY: This study was carried out in two tertiary care hospitals of Malaysia, during August 2007 to March 2009. Total 526 CLP patients registered in the hospital records during the study period were included. The Modified Craniofacial Anomalies Registration (CARE) form was used to collect data of different types of oral clefts in relation to race among Malaysian. RESULTS: Of the total 526 patients registered in the study hospital records during the study period. Majority (86.7%) of these patients were in the age group < 18years, most (56.7%) of them were females. The racial distribution of patients was 88.6 % Malays, 8.7 % Chinese, 2.5 % Indian and 0.2% others. The right side oral cleft was found in 96.1% of Malay study subjects and 3.9 % Chinese. Among Chinese ethnic participants, majority (52 %) had bilateral oral cleft. Overall data indicates hard palate cleft was present in 3.7% Malay, 4.6% Chinese, and 23% Indian study participants. However, soft plate cleft was present in 4 % Malay and 7.6% Indian. Among ethnic groups 92% of Malay patients, 95% of Chinese and 69% of Indian had hard and soft palate cleft. CONCLUSION: Malay ethnic group was most commonly affected racial group in this study followed by Chinese and Indian origin.
Material and Methods: Three hundred and thirty two patients were randomly selected over a period of almost eight months at department of periodontology, Bibi Aseefa Dental College, Larkana. A self-designed questionnaire was used to collect data by interviewing the patients. The questionnaire comprised of two parts. First part consisted of questions regarding demographic data. The second part was consisted of seven (7) multiple choice question to collect data regarding assessment of awareness and practices regarding periodontal health. Results: Out of the total 332 patients, 214 (64%) were male and 118 (36%) were females. The most common age decade was third. Total 77% of participants were unaware regarding consequences of periodontal diseases. Approximately 75% of participants reported using a toothbrush and toothpaste to clean their teeth. 68% of participants used to brush their teeth once a day in this study. About 46% of participants brushed their teeth for up to 1 minute. Television and media were the sources of selecting the toothbrush and toothpaste by 57% of participants. Dental floss was not used by 96% of participants. 87% of participants visited the dentist due to dental problem. Conclusion: It is concluded that the awareness and practices of patients about periodontal health was not satisfactory and needs to be improved through community based dental programs. Oral health awareness programs at schools, colleges, universities, and community levels should be commenced in urban especially in rural areas.
The present study was carried out in Malaysia to explore satisfaction of non-syndrome cleft lip and plate (CLP) patients and their parents with treatment outcome. Study Design: Descriptive cross sectional study. Setting: This study was carried out in two tertiary care hospitals of Malaysia, namely Univer sity of Malaya Medical Centre (UMMC) and Hospital Kota Bharu/ Hospital Raja Perumpuan Zainab II (HKB/ HRPZII) during August 2007 to March 2009. Materials and Methods: Total eighty three CLP patients (age > 10 years) and eighty three parents were included. The Cleft Profile Evaluation Proforma designed by Royal College of surgeons Cleft Lip and Palate Audit Group was used to assess satisfaction with oral cleft related features. It consisted of an eight item list speech, hearing, lip, nose, teeth, bite, breathing and facial profile. Results: The results of present study revealed that majority of the patients (89.8%) and parents (86.7%) were satisfied with the care and attention provided by the oral cleft team overall. Moreover, It was found that (90.3%) of CLP patients and (83%) parents were satisfied with the overall treatment results. After treatment, speech was very satisfactory for (57.8%) and very unsatisfactory for (8.40%) patients. The hearing after treatment, was very satisfactory for (62.7%), and very unsatisfactory for (7.2%) patients. Out of total 83 patients, appearance of nose was very satisfactory for (36.1%) patients and for (15.7%) patients it was very unsatisfactory. The speech of their child after treatment was very satisfactory for (48.2 %) parents, satisfactory for (37.3%) of the parents, unsatisfactory for (7.4%) parents and very unsatisfactory for (6.0%) parents. The hearing of their child after treatment was very satisfactory for (65.1 %) parents, satisfactory for (30.1%) of the parents, unsatisfactory for (2.4%) parents and very unsatisfactory for (2.4%) parents. It may be concluded that most of patients and parents were satisfied with the treatment provided. There was complete agreement between the patients and parents with regard to their satisfaction about facial appearance.
Objectives: The present study was carried out in Malaysia to explore satisfactionof non-syndrome cleft lip and plate (CLP) patients and their parents with treatment outcome.Study Design: Descriptive cross sectional study. Setting: This study was carried out in twotertiary care hospitals of Malaysia, namely Universityof Malaya Medical Centre (UMMC) andHospital Kota Bharu/ Hospital Raja Perumpuan Zainab II (HKB/ HRPZII) during August 2007to March 2009. Materials and Methods: Total eighty three CLP patients (age > 10 years) andeighty three parents were included. The Cleft Profile Evaluation Proforma designed by RoyalCollege of surgeons Cleft Lip and Palate Audit Group was used to assess satisfaction with oralcleft related features. It consisted of an eight item list speech, hearing, lip, nose, teeth, bite,breathing and facial profile. Results: The results of present study revealed that majority of thepatients (89.8%) and parents (86.7%) were satisfied with the care and attention provided by theoral cleft team overall. Moreover, It was found that (90.3%) of CLP patients and (83%) parentswere satisfied with the overall treatment results. After treatment, speech was very satisfactoryfor (57.8%) and very unsatisfactory for (8.40%) patients. The hearing after treatment, was verysatisfactory for (62.7%), and very unsatisfactory for (7.2%) patients. Out of total 83 patients,appearance of nose was very satisfactory for (36.1%) patients and for (15.7%) patients it wasvery unsatisfactory. The speech of their child after treatment was very satisfactory for (48.2%) parents, satisfactory for (37.3%) of the parents, unsatisfactory for (7.4%) parents and veryunsatisfactory for (6.0%) parents. The hearing of their child after treatment was very satisfactoryfor (65.1 %) parents, satisfactory for (30.1%) of the parents, unsatisfactory for (2.4%) parentsand very unsatisfactory for (2.4%) parents. It may be concluded that most of patients andparents were satisfied with the treatment provided. There was complete agreement betweenthe patients and parents with regard to their satisfaction about facial appearance.
Objective: The objective of this study was to evaluate the knowledge and attitude regarding Silver Diamine Fluoride (SDF) among Pakistani Dental Professionals worked at various institutes of Karachi. Methodology: This cross-sectional survey-based study was conducted among the house surgeons, general dental practitioners and specialists worked at various institutes of Karachi. Questionnaire was distributed among 375 participants through social media. Questionnaire was kept on google forum and link was sent to all participants through social media including Facebook, WhatsApp by non-probability consecutive sampling. Questionnaire was composed of two portions. Questions in first portion were related to demographic data and in second portion of Questionnaire had 13 closed ended questions regarding Knowledge and Approach towards Silver Diamine Fluoride. Statistical package for social sciences SPSS-25 was used for data entry and analysis with descriptive statistic, which used frequency, percentage, mean, and standard deviation. Results: Out of the total 375 participants, 160(43%) were male and 215 (57%) female. Mean age of participants was 33 + 11.8 years. 191(51%) heard about SDF and only 108(29%) attended lectures/discussions about SDF. 189(50.40%) responded that SDF is used in enamel lesion. 251(67%) participants responded that SDF is used in both anterior and posterior teeth. Only 160(42.66%) of participants responded that SDF is used for both dentitions. 122(32.53%) were agreed that SDF is an alternative to removing dental lesion by a dental drill, while only 118 (31.47%) agreed that many patients would not accept treatment of dental caries with SDF due to the permanent black staining of the carious lesion. 240 (64%) of participants were disagree about the SDF require the use of local anesthesia and more than half of participants responded that the silver is an antimicrobial ingredient in SDF. 237(63.2%) of participants responded that SDF is indicated in Children with High caries rate and most of them responded that black staining of tooth is main disadvantage and barrier to the use of SDF. Majority of participants did not know about reapplication interval for use of SDF. Conclusion: SDF is an appropriate alternative for restoring dental cavities in children. As it doesn’t require local anesthesia, it is the safest way to limit the progression of lesion in patient with high caries index. But there are some barriers related to the use of SDF in their regular dental practice is that, SDF causes permanent staining of tooth and also practitioners had little knowledge about their application protocols and recall or reapplication intervals.
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