Orthodontic Journal of Nepal最新文献

{"title":"A cross sectional study into the use of YouTube™ as a source of patient education in orthodontic treatment risks","authors":"C. Hutchison, Fatima A. Elmahgoub, V. Cave","doi":"10.3126/OJN.V10I3.35489","DOIUrl":"https://doi.org/10.3126/OJN.V10I3.35489","url":null,"abstract":"Introduction: To investigate the quality of information offered by videos on YouTube™ for those individuals seeking information regarding risks associated with orthodontic treatment. The quality of information was compared the British Orthodontic Society (BOS) patient information leaflet ‘Orthodontic treatment- what are the risks’. \u0000Materials and Method: YouTube™ was searched systematically for videos on orthodontic treatment risks using the terms ‘orthodontic risks’ and ‘braces risks’. Videos were selected based on a strict inclusion and exclusion criteria and demographics recorded. Completeness was assessed using a 8-point score based on the BOS patient information leaflet ‘Orthodontic treatment- what are the risks’. Descriptive statistics and statistical analysis using correlation tests were generated. \u0000Result: 19.2% videos met the specified criteria with 80.8% videos excluded. Videos varied in regards to completeness with the mean completeness score of 3 and only 13% meeting all criteria. The risk of pain and discomfort was most commonly included orthodontic risk 61%. No statistical significance was found for completeness of the video with viewers interaction (R = 0.2665, P=0.219897) viewing rate (R=0.1138, P=0.617326) or length of video (R=0.0062, P= 0.977601). \u0000Conclusion: YouTube™ generally hosts videos with low completeness with regards to orthodontic treatment risks. Therefore, orthodontists should be aware of this resource and caution patients regarding the comprehensiveness of information. In addition to the potentially misleading content which is avail-able within YouTube™ videos","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"31-34"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47699150","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}

{"title":"Assessment of early prediction of mandibular third molar impaction by panoramic indices: A radiological study","authors":"Asha, S. Shrestha","doi":"10.3126/OJN.V10I3.35494","DOIUrl":"https://doi.org/10.3126/OJN.V10I3.35494","url":null,"abstract":"Introduction: Mandibular third molar is one of the most frequently impacted tooth. The assessment and early prediction of the mandibular third molar impaction is of considerable clinical significance as it helps in early intervention so as to opt for its prophylactic removal. This reduces the risk of developing various pathologies like cysts, tumors, root resorption of adjacent teeth, pericoronitis etc, and also reduces risk of complications associated with extraction of fully developed tooth. The objective of this study is to compare different linear and angular measurements between the impacted and erupted mandibular third molar groups on digital panoramic radiograph and to assess the predictive validity of these panoramic measurements in mandibular third molar impaction. \u0000Materials and Method: 90 mandibular third molars were assessed using the linear and angular measurements made on digital panoramic radiograph. Mesiodistal width of mandibular third molar (MDW), lower eruption space- ramus (LES-R), lower eruption space- Rickett’s Xi (LES-Xi), alpha angle (α-angle), gamma angle (γ-angle) and gonial angle (Go-angle) were the measurements made. Space/width ratio 1 (R1) and space/width ratio 2 (R2) were also calculated. These parameters were compared between the impacted and erupted groups using Independent sample t-test and predictive validity with sensitivity and specificity of these parameters was assessed using ROC curve analysis. \u0000Result: LES-R, LES-Xi, R1, R2 and α-angle showed significant statistical difference between the impacted and erupted groups. R1 followed by R2, LES-R showed good predictive validity and LES-Xi showed fair predictive validity in mandibular third impaction. \u0000Conclusion: Decrease in lower eruption space, space/width ratio and increase in the mandibular third molar angulation favor impaction of the mandibular third molar. Among different panoramic linear and angular measurements, R1, R2 and LES-R can prove to be a relatively good predictor for mandibular third molar impaction.","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47621203","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}

{"title":"Comparison of Accuracy of Gonial Angle of Orthopantomogram and Lateral Cephalogram for Mandibular Measurements among Orthodontic Patients Attending Tertiary Care Dental Hospital in Kathmandu","authors":"Vikash Veer Shrestha, Ansu Piya, A. Khapung, Prakash Bhattarai","doi":"10.3126/OJN.V10I3.35497","DOIUrl":"https://doi.org/10.3126/OJN.V10I3.35497","url":null,"abstract":"Introduction: Gonial angle is an important parameter of the craniofacial complex which is generally used to evaluate the vertical parameters and symmetry of the facial skeleton. Gonial angle can be measured in both orthopantomogram (OPG) and lateral cephalograms. Due to the superimpositions seen while measuring the bilateral strucuture on lateral cephalograms, reliable measurement of the gonial angle becomes difficult. This study is done to clarify the possible application of orthopantomogram (OPG) for evaluating angular measurement of the mandible specifically gonial angle by comparing with lateral cephalogram. \u0000Materials and Method: All the patients (104) being treated from January 2018 to August 2020 in department of Orthodontics in Nepal Medical College were included in the study. Gonial angle measurements were made on lateral cephalograms and orthopantomograms of 104 patients – 54 males and 50 females with mean age of 22.20 ± 3.25 years. Patients aged 15-35 years were included in the study. Data was processed in SPSS version 16.0. \u0000Result: Mean Gonial angle in lateral cephalogram was greater than mean gonial angle in OPG and this difference was found to be statistically significant (p-value < 0.05). The difference in mean gonial angle was found to be statistically significant when compared between right gonial angle in OPG and gonial angle in lateral cephalogram (p-value < 0.05) and also between left gonial angle in OPG and gonial angle in lateral cephalogram (p-value < 0.05). \u0000Conclusion: When gonial angle values obtained from both sides of OPG were compared, no statistically significant difference was found. Significant differences were found when gonial angle values obtained from OPG right and left sides were compared with that of lateral cephalogram.","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"57-61"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48178427","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}

{"title":"Determination of Sagittal Skeletal Discrepancy through Beta Angle: A Lateral Cephalometric Study","authors":"F. Saleem, Zubair H Awiasi","doi":"10.3126/OJN.V10I3.35492","DOIUrl":"https://doi.org/10.3126/OJN.V10I3.35492","url":null,"abstract":"Introduction: Accurate classification and treatment planning relies on correct diagnosis of skeletal and dentalrelationships. Commonly used measurements used to classify sagittal relationship ANB and Wit’s appraisal are not without potential inherent problems which might lead to less accurate classification of sagittal dysplasia. To avoid these problems, a new approach Beta angle was introduced by Baik in 2004. Beta angle as it involves different landmarks of classifying anterior-posterior relationships is said to be devoid of those problems thus more reliable. We conducted a cross sectional study to measure the angle among patients presenting in Nishtar Institute of Dentistry Multan Pakistan. \u0000Materials and Method: Ninety pretreatment cephalometric x-rays of patients between ages 12 to 30 years were selected and studied. They were divided into three classes based on ANB angle and Wit’s appraisal. For the measurement of Beta angle, a line was drawn from the center of condyle (C) to point A and other to point B. A third line joining A to B was drawn. A line from point A perpendicular to line C-B was drawn and angle was measured between this perpendicular and line joining A-B. ANOVA was used to compare means of three groups. Pearson correlational coefficient was used to correlate relationship between Beta angle and ANB angle. \u0000Result: The results showed Beta angle ranged between 27° and 34° for class I. Subjects having angle less than 27° can be classified as skeletal class II and those with angles larger than 34° as skeletal class III subjects. \u0000Conclusion: Beta angle is reliable method for assessing and classifying sagittal skeletal discrepancies ","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":" ","pages":"40-43"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47167561","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}

{"title":"Covid 19- An Orthodontists’ perspective","authors":"A. Mantri, Suchita Tarvade","doi":"10.3126/ojn.v10i2.31069","DOIUrl":"https://doi.org/10.3126/ojn.v10i2.31069","url":null,"abstract":"COVID 19 has created havoc in the entire world in past few months Starting from Wuhan, China the disease has spread to the entire world in couple of months The highly contagious and notorious nature of the disease has made WHO declare it as a pandemic and sixth public health emergency of international concern The nature and course of disease is constantly being upgraded by the researchers all over the world Amongst all the health professionals, Dental fraternity is at utmost risk due to the mode of spread of infection via respiratory droplets The fact has lead to increased anxiety amongst the fraternity and orthodontists are not an exception to it In this article, an effort has been taken to summarise and review the cause and effects of SARS CoV 2, the precautions to be taken by the orthodontists and patients during the pandemic and smooth re opening of the practice post lockdown so as to minimise the anxiety and serve the patients in a safer way","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"45-51"},"PeriodicalIF":0.0,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/ojn.v10i2.31069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43310233","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}

{"title":"Knowledge, attitude and practice of Nepali medical and dental practitioners on infection control during Covid-19 Pandemic","authors":"A. Acharya, P. Thapa, R. Shrestha, S. Shrestha, Alka Gupta","doi":"10.3126/ojn.v10i2.31065","DOIUrl":"https://doi.org/10.3126/ojn.v10i2.31065","url":null,"abstract":"Introduction: Coronavirus Disease 2019 (COVID-19) has been declared a global public health emergency which is affecting people across the world Health care professionals and their working environment are in close by vicinity to the patient The chance of cross-contamination and spread of infection is high if proper infection control measures are not taken Hence, the aim of this study was to assess the knowledge, attitude and practice (KAP) of Nepali medical and dental practitioners on infection control during the COVID-2019 pandemic &#x0D;Materials and Method: A self administered questionnaire was formulated and circulated online among health care practitioners Questionnaire consisted of questions on knowledge, attitude and practice regarding infection control on COVID-19 pandemic A scoring criteria was set, giving score 1 to the correct answer and score 0 to the incorrect answer Total scores were calculated and levels of knowledge, attitude and practice were assessed Mean scores for medical and dental practitioners were also assessed and compared &#x0D;Result: Total 80% of the total participants had not received training on infection prevention and control practices specifically for COVID-19 Only 19 3%, 4 7%, 9 5% participants scored maximum scores for knowledge, attitude and practice, respectively Majority of the participants (around 80%) had good attitude towards infection control regarding COVID-19 pandemic &#x0D;Conclusion: There is a need for specific training on infection prevention and control on COVID-19 for Nepali health care professionals Supply of personal protective equipment materials required for infection control against COVID-19 in health care facility should improve to combat against this pandemic","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/ojn.v10i2.31065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42858530","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}

{"title":"Incidence and pattern of dental emergencies and their management during Covid-19 pandemic : An experience of Nepali dentists working during lock down","authors":"D. Kafle, R. Mishra","doi":"10.3126/ojn.v10i2.31147","DOIUrl":"https://doi.org/10.3126/ojn.v10i2.31147","url":null,"abstract":"Introduction: Corona Virus Disease-2019 (COVID-19) is highly contagious nature of disease which has spread all over the world in short span of time leading to significant number of death WHO has declared pandemic and every nation is fighting with their all possible resources to control this disease The impact of COVID-19 in dentistry is enormous Most of the dental hospitals and clinic are providing emergency dental services only So the aim of this research is to find out the nature of dental emergency during the initial month of lock down in Nepal Additionally this research will try to find out the number of dental emergencies as well as perception of dentists on impact of COVID-19 on dentistry Materials and Method : A set of electronic questionnaires were sent to 150 Nepal Medical Council registered Nepalese dentists out of which only 122 dentists responded A consent was obtained prior to collecting data for research purpose All the quantitative answers were recorded in SPSS spread sheet where as qualitative data were collected in Microsoft word Descriptive statistics were applied to explain the responses whenever applicable Result: Out of 122 respondents, maximum were from province 3 and 4 (50% and 34%) Almost half of the respondents were general dental practioners and similar percentage of respondents were working at dental/medical colleges and government centers 90% of the doctors had consulted patients during lock down period Average 5-20 cases were seen during the lock down by majority of doctors Nearly 58% of the doctors had done only virtual consultation and most common emergency was dental pain(n= 92) and swelling( n= 37) Majority of the respondents thought that standard of dental disinfection and sterilization will increase after pandemic, however most of the dentists thought they will be using PPE for dental work and cost of dental treatment will be increased because of the added cost of extra precaution 90% of the dentists believed that they are going to change the way they practice dentistry after they reopen their clinic Conclusion: The most common type of dental emergency during lock down is dental pain ,swelling, dento-maxillofacial trauma and broken orthodontic appliances Virtual dental consultation is gaining popularity among dentists in Nepal and Nepalese dentists are going to change the way of dental practice because of COVID-19","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/ojn.v10i2.31147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49064519","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}

{"title":"Covid-19: Oral manifestations, impact and lessons for the future","authors":"Bashu Dev Pant","doi":"10.3126/ojn.v10i2.31070","DOIUrl":"https://doi.org/10.3126/ojn.v10i2.31070","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) is a respiratory infectious disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) The SARS-CoV-2 is mainly transmitted through respiratory droplets and close contact Most of the infected people present with fever, cough and difficulty in breathing;some develop severe pneumonia, renal and multi-organ failure and some may remain asymptomatic It has halted the economy and many people have lost their job or reduce their income significantly across the globe Orthodontic patients coming for the treatment are under fear of contracting disease therefore number of patients are decreased and orthodontic practitioners are also afraid of doing treatment because of fear of contracting disease so;it has direct negative effect on the economy of orthodontic practitioners Large number of orthodontic patients are in need of orthodontic return-visits, all patients who come for orthodontic visits should be performed with preventive measures to control transmission COVID-19","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"52-54"},"PeriodicalIF":0.0,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/ojn.v10i2.31070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47150506","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}

{"title":"COVID-19 impact on doctors and health workers","authors":"R. Shrestha, A. Kunwar","doi":"10.3126/ojn.v10i2.31060","DOIUrl":"https://doi.org/10.3126/ojn.v10i2.31060","url":null,"abstract":"The present article probes the current situation of doctors and health workers in Nepal as the impact of COVID-19 pandemic It mainly discusses the social, occupational and psychological effects on the professionals The article also documents the global occurrences and data related to COVID-19 pandemic Lastly, it enlists the key recommendations to decrease the spread of COVID-19 and mental health measures to protect the health of the healthcare workers","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"2-5"},"PeriodicalIF":0.0,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/ojn.v10i2.31060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42802554","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}

{"title":"Perception of BDS students of Kathmandu University on online learning during COVID-19 pandemic","authors":"Alka Gupta, R. Shrestha, S. Shrestha, A. Acharya, Nashib Pandey","doi":"10.3126/ojn.v10i2.31064","DOIUrl":"https://doi.org/10.3126/ojn.v10i2.31064","url":null,"abstract":"Introduction: The spread of COVID-19 pandemic has gripped the entire world and caused widespread public health concerns, hampered economics and education system immensely Online classes have been an alternative to give continuity to the theory classes The objective of this study is to assess the various aspects of online classes and perception of Bachelor of Dental Surgery (BDS) students of Kathmandu University (KU) during COVID-19 pandemic &#x0D;Materials and Method: Cross-sectional, questionnaire based descriptive study using online Google form was distributed among the BDS students of KU The questionnaire was distributed via social media Frequency distribution of the descriptive data was done Chi-square test was done to assess the difference in perception about online classes between the basic science and clinical science students &#x0D;Result: 89% of the students had never attended any online classes before online education due to COVID-19 pandemic 76 9% agreed that the online class is distracting 57 5% used smartphone for seeking online class and medium most frequently used was Zoom platform 70 2% students could ask questions, communicate &amp;receive response during online class 55 4% students disagreed that online classes are more effective Statistical significant differences were seen in students submitting assignments, communication and practical simulation among basic science and clinical science students &#x0D;Conclusion: Online class can serve as an alternative effective educational tool With more practice, system upgrading, capacity building of the student-teacher;it is bound to be more effective as well as efficient The online class should be designed in such a way that student can focus and find it more interesting and should introduce various strategies to increase the interaction between students and teachers Further, training on online class is required for both course recipients and providers","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"20-28"},"PeriodicalIF":0.0,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/ojn.v10i2.31064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48976279","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}