To determine Early Childhood Caries (ECC) prevalence, severity and pattern in preschool children of Mysore City, Karnataka. Methods: A total of 10 preschools, five government and five private were selected randomly from 5 different sectors in Mysore. A total of 500 children and their parents were included in the study. Early Childhood caries was diagnosed using NIDCR definition. Dental caries status was recorded using dmft and dmfs indices. Results: The results show that early childhood caries prevalence in 3-6 year old preschool children was 56.6% with a mean dmft and dmfs of 2.20 and 2.97 respectively. Out of the 500 children, 56% males and 57.1 % females were affected .There was no difference in caries prevalence between children of government and private preschools. 94.84% of total dmf was comprised of decayed component. Maxillary arch was affected more (29.32%) than the mandibular arch (26.14%).The most affected surfaces were the occlusal surfaces (46%) and least affected were the smooth surfaces (16%). Mandibular posteriors were affected the most (39.42%) and lower incisors were the least affected (1.84%). Conclusion: The results support the view that oral counseling should begin within 6 months of eruption of 1 st primary tooth. Prevalence; Dental caries; Tooth, Deciduous. Objetivo: Determinar a prevalência, severidade e características da cárie precoce na infância em Crianças de 3 a 6 Anos de idade de Mysore, India. Método: Dez pré-escolas, cinco públicas e cinco privadas foram aleatoriamente selecionadas de cinco diferentes áreas da cidade de Mysore. Um total de 500 crianãs e seus pais/responsáveis foram incluídas no estudo. A ocorrência de cárie precoce na infância foi diagnosticada com o uso dos critérios NIDCR. A existência de cárie dentária foi feita com o uso dos índices ceo-d e ceo-s. Resultados: A prevalência de cárie precoce foi de 56,6% com um ceo-d e ceo-s médios de 2,20 e 2,97, respectivamente. Do total de crianças, 56% dos meninos e 57,1 % das meninas estavam afetadas. Não se verificou diferença na prevalência de cárie entre os estudantes da rede pública e privada. Cerca de 94,84% do total do ceo-d envolvia o componente cariado. O arco superior foi mais afetado (29,32%) do que o inferior (26,14%). As superficies oclusais foram as mais afetadas (46%) e as menos afetadas foram as superfícies lisas (16%). Os molares inferiores foram os mais acometidos (39,42%) e os incisivos inferiores os menos afetados (1,84%). Conclusão: O aconselhamento oral deve ser iniciado aos seis meses quando da erupção dos primeiros dentes decíduos.
Introduction:The palatal rugae pattern is unique to humans and may be specific to ethnic groups hence useful in population identification in forensic dentistry. The present study has been carried out to analyze the rugae pattern in two populations in and around Coorg, with objectives to analyze the palatal rugae pattern among Kodavas and Malayalees and to analyze the rugae pattern between sexes within each group.Materials and Methods:The sample comprised two population groups in Coorg namely Kodavas and Malayalees, (n = 30) from each group, age-range of 18-30 years, equally distributed between the sexes. The rugae pattern were categorized as ‘straight,’ ‘wavy,’ ‘curved’ ‘circular’, and ‘unification’. Pairwise comparison for two populations was done using non-parametric Mann-Whitney test. Mann-Whitney two-tailed test was used to test the difference between sexes.Results:Wavy pattern (100%) was highest among Kodavas. There was a significant difference between Malayalees and Kodavas for wavy (Mean = 5.867 and 8.400) and unification patterns (Mean = 2.267and 1.000). Significant difference between sexes for straight rugae pattern (Mean, males = 2.267, females = 1.200) among Malayalees was seen.Conclusion:The differences in rugae shape between the two populations (wavy and unification patterns) may be attributed to genetic factors and recent shared ancestry has probably rendered their differences to moderate levels.
Introduction Dental anxiety may be defined as a state of unpleasant feeling combined with an associated feeling of impending doom or danger from within than from without. Anxious patients are difficult to manage and tend to avoid treatment. Aim The aim of the study is to evaluate the level of dental anxiety among patients undergoing endodontic treatment. Materials and methods Consent form and a pro forma of questionnaire [Modified Dental Anxiety Scale (MDAS)] in three different languages were used. The patients undergoing endodontic treatment were first explained about the study and how the study would be carried out with a sample size of 250 patients. The minimum score of 5 and the maximum score of 25 was considered for evaluation. Cut off at 19 or above indicates a highly dentally anxious patient. Statistical analysis Analysis was done using the Student’s t-test and Kruskal–Wallis test. Results There were significant differences in the level of anxiety between male and female patients when the tooth was about to be drilled, when the teeth were about to be scaled, and when the local anesthetic was to be administered (p = 0.05, 0.02, and 0.06 respectively), except for anxiety levels a day prior to treatment and when patients were in the waiting room, which was not significant (p = 0.46 and 0.14 respectively). Conclusion In general, it was observed that patients are slightly anxious related to dental appointments and fairly anxious when related to treatments. Female patients tend to be more anxious than men, and patients in age group below 25 years are more anxious than other age groups. How to cite this article Phodse K, Shenoy VU, Machale PS. Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment. J Contemp Dent 2017;7(2):91-96.
Caries lesion progression is highly dynamic process characterized by alternating periods of dissolution and redeposition of minerals in the dental hard tissue. When outcome of these processes overtime is a net loss of mineral, a caries lesion develops or progresses. However, when redeposition of mineral predominates, the result may be arrest of lesion progression or remineralization. Clinical observations suggest that caries lesion can be arrested at any stage of lesion development provided that clinically plaque-free conditions are maintained. Hence, the profession must become aware of the importance of identifying the early evidence of disease. The effective dentistry requires early identification of disease, early identification of individual at high risk of developing caries so that they may receive early preventive intervention. The profession needs understand pattern of disease distribution and its determinants and should put efforts for its early caries detection and preventive management strategies.
Objective: To assess the prevalence of oral impacts on daily performances and influence of grades of malocclusion on OHRQoL in patients wearing fixed orthodontic appliance, and to assess the other potential factors (Gender, Socioeconomic status, wiring technique of appliance, Operator choice) which are influencing the oral impacts in patients with fixed orthodontic appliance. Methods: 130 participants, 14-22 years old, were selected by convenience sampling from the Department of Orthodontics and Dentofacial Orthopedics of the Dental College, Pune and from three private practitioners. Only those wearing fixed orthodontic appliances since the past 6 months were included. Face to face structured interviews were conducted to collect information about impacts, using the Oral Impact on Daily Performances (OIDP). Pre-treatment casts of participants were examined to record the malocclusion status using Index of complexity, outcome and need (ICON). Comparison was done between OIDP and ICON scores, and other co-variables. Results: The prevalence of oral impacts was 86.92%. 55.35% of the participants had an impact on three or more daily performances, commonly eating, social contact, cleaning teeth, speaking (78.46%, 51.53%, 45.38%, and 40.76% respectively). Only ICON scores had an influence on OIDP scores (P<0.05). Conclusion: Severity of malocclusion has great impact on OHRQoL during fixed orthodontic treatment. Oral health; Quality of life; Orthodontics, Corrective. Objetivo: Avaliar a prevalência de impactos bucais no desempenho diário e a influência da gravidade da má oclusão na qualidade de vida relacionada à saúde bucal em pacientes usando aparelho fixo ortodôntico e avaliar os outros fatores potenciais (sexo, status sócioeconômico, técnica de construção do aparelho, escolha do operador), que influenciam o impacto odontológico em pacientes com aparelho ortodôntico fixo. Método: 130 participantes, de 14 a 22 anos de idade, foram selecionados por amostragem de conveniência, no Departamento de Ortodontia e Ortopedia Facial da Faculdade de Odontologia, Pune e em três consultórios privados. Apenas aqueles que utilizavam aparelhos ortodônticos fixos há pelo menos seis meses foram incluídos. Entrevistas face a face estruturadas foram conduzidas para coletar informações sobre os impactos, usando o Impacto Odontológico no Desempenho Diário, (OIDP). Modelos da fase pré-tratamento dos participantes foram avaliados para registrar a condição da má oclusão por meio do Índice de complexidade, resultado e necessidade (ICON). A comparação foi realizada entre os escores do OIDP e do ICON e outras co-variáveis. Resultados: A prevalência de impactos oral foi 86,92%. 55,35% dos participantes apresentaram um impacto em três ou mais desempenhos diários, comendo freqüentemente, contato social, limpando os dentes, falando (78,46%, 51,53%, 45,38% e 40,76%, respectivamente). Apenas os escores do ICON influenciaram nos escores do OIDP (p<0,05). Conclusão: A gravidade da má oclusão tem grande impacto sobre a qualidade de vida relacionada à saúde ...
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