Orthodontic Journal of Nepal最新文献

{"title":"Knowledge, attitude and practice towards management of orthodontic emergency during COVID-19 pandemic among orthodontic professionals","authors":"S. Gupta, Shristi Rauniyar","doi":"10.3126/ojn.v10i2.31145","DOIUrl":"https://doi.org/10.3126/ojn.v10i2.31145","url":null,"abstract":"Introduction: An orthodontic emergency is a problem arising from an orthodontic appliance and the patient may experience pain and discomfort, where an unscheduled appointment might be required to resolve the issue Dental care settings invariably carry the risk of SARS-CoV-2 infection due to the nature of procedures performed The aim of this study was to assess the knowledge, attitude and practice towards management of orthodontic emergency during COVID-19 pandemic among orthodontic professionals Materials and Method: In this descriptive cross sectional study, evaluation of the knowledge, attitude and practice towards management of orthodontic emergency during COVID-19 pandemic were done by administering the online semi-structured questionnaire consisting of 20 questions to 120 orthodontic professionals of the Nepal through online platforms The filled online forms were then documented for further evaluation Result: This study found that among the total of 120 participants, 74 (61 66%) were male while 46 (38 33%) were female The mean age of the participants was 36 4±6 45 years while mean years of experiences was 6 15±5 55 years Most of the orthodontists think that poking distal wire or ligature wire (87 5%) followed by periodontal abscess (85 8%) around the loose band as the most common orthodontic emergencies Majority of the orthodontists recommended that, the patient should be triaged by telephone or through video call (79 1%), ask the patient to take picture and send to identify the type of problem (74 1%) while offer any interim self-care advise to solve the problem (58 3%) before face to face consultation Around 57 5% of orthodontists were practicing only for urgent and emergency cases during this pandemic and lockdown Conclusion: This study showed that most of the orthodontic professionals had adequate knowledge about orthodontic emergency problems and had positive attitude towards their profession but the practice was limited due to COVID-19 pandemic and the risks involved in this","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"6-13"},"PeriodicalIF":0.0,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41535191","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":"Covidorthodontics: the new normal","authors":"Riddhi Chawla, R. Malik","doi":"10.3126/ojn.v10i2.31068","DOIUrl":"https://doi.org/10.3126/ojn.v10i2.31068","url":null,"abstract":"The purpose of this review article is to summarize the contingency management guidelines of major orthodontic procedures to enable us set new norms for orthodontics keeping in mind the implications of the prevailing pandemic Studies on efficacy of stringent infection control during COVID 19 era for orthodontic procedures published in 2020 were retrieved from various databases like COVID 19 Open Research Dataset, PubMed, MEDLINE, Scopus and Google Scholar Thus, considering the unreliability and the worrisome environment of this COVID era it is evident that clear guidelines are required for defining orthodontic emergencies, prioritizing COVID 19 testing and PPE requirements for orthodontists and secure virtual consultation platforms It’s extremely mandatory for us to evolve with the ever evolving world and successfully strive together as a community maintaining our patients trust as well as the standard of orthodontic care being offered by us This unity amongst us and balance of our duties need to become part of our daily lives and be adopted as a new normal","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"41-44"},"PeriodicalIF":0.0,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/ojn.v10i2.31068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46068969","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":"Study on the effectiveness of online classes for undergraduate medical and dental students of Gandaki Medical College during COVID 19 pandemic period in Nepal","authors":"S. L. Tuladhar, Dilesh Pradhan, U. Parajuli, P. Manandhar, N. Subedi","doi":"10.3126/ojn.v10i2.31146","DOIUrl":"https://doi.org/10.3126/ojn.v10i2.31146","url":null,"abstract":"Introduction: Pandemic situation of COVID 19 had an impact on medical education globally leading to cancellation of lectures, laboratory exercises, clinical postings and exams To continue with the academic program, the online classes are started in different academic streams in large scale This came with challenges and new learning opportunities for medical students and potential to adopt some changes The objective of this study is to find out the effectiveness of online classes for medical and dental students of Gandaki Medical College (GMC) during COVID 19 pandemic period in Nepal with questionnaire based survey distributed to the students attending the online classes 
Materials and Method: This is a descriptive cross sectional questionnaire based online survey The questionnaires were distributed to the undergraduate medical and dental students of GMC, Pokhara, Nepal 
Result: Amongst the students who responded, majority 205 (98 1%) were attending online classes The device used by most of the student to attend the classes was smart phone 156 (74 6%) The strength of internet of the students was good in 41 (19 6%) and satisfactory in 99 (47 40%) The internet was disturbed by electricity cut down as responded by 66(31 6%) students Almost 140 (67%) of the respondents rated the online classes were interactive and 124(59 33%) rated the classes were not disturbing Despite the classes being interactive and non-disturbing, 162(77 51%) of respondents rated that the online classes were not effective The online classes with one to 51 number of students showed good interactions as compared to classes with 51 to 100 number of students (p<0 01) There was no differences seen in the effectiveness in online classes between these medical and dental students (p=0 414) 
Conclusion: Good numbers of students had participated in online classes in medical and dental streams at GMC The students faced problems in internet connectivity due to electricity cut down The online classes were not that effective as class room classes In country like Nepal, various factors affecting the online education should be looked upon to make the online learning effective","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/ojn.v10i2.31146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49129965","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":"Corona-Coaster","authors":"Mohammed Almuzian","doi":"10.3126/ojn.v10i1.30995","DOIUrl":"https://doi.org/10.3126/ojn.v10i1.30995","url":null,"abstract":"","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48434876","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":"Comparative Evaluation of Hyoid Bone Position and Tongue Area with Twin Block and Forsus: A Randomized Clinical Trial","authors":"Raksha Rajput, S. Daokar","doi":"10.3126/ojn.v10i1.31006","DOIUrl":"https://doi.org/10.3126/ojn.v10i1.31006","url":null,"abstract":"Introduction: Class II div 1 malocclusion is most commonly presented with retruded mandible. This backward placement of mandible pushes the tongue posteriorly and inturn impairs the position of hyoid bone and total tongue area. Correction of retruded mandible with functional appliances is also considered to have positive effect on hyoid bone position and tongue area. Aim and Objectives: The objective of this study was to evaluate and compare the effects of Twin Block and Forsus on the hyoid bone position and tongue area in the treatment of Class II division 1 malocclusion. Materials & Method: A 2-arm parallel, randomized controlled trial was designed consisting of 24 Class II division 1 malocclusion patients indicated for treatment with functional appliances. 24 patients were randomized and equally divided among Twin Block (Group A) and Forsus (Group B) group. Preand post functional lateral cephalograms of both groups were traced and statistically analysed using paired t-test and T test of Equality of Means. ‘p’ value of less than 0.05 was considered as statistically significant. Result: A significantly upward and forward movement of hyoid bone was found with both the appliances. Tongue area also improved with Twin Block and Forsus group. On intergroup comparison insignificant results were observed between both the appliances indicating similar effect on tongue area and hyoid bone position. Conclusion: Twin Block has more skeletal effect than Forsus, still both Twin Block and Forsus are effective in improving tongue area and forward and upward displacement of hyoid bone position while correcting Class II malocclusion.","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"55-64"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/ojn.v10i1.31006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43893635","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":"Dental Inclination and Thickness of The Alveolar Bone Around Incisors and Molars According to the Vertical Facial Type","authors":"A. M. Beugre-Kouassi, Boimyo Eric Koffi, J. Beugré","doi":"10.3126/ojn.v10i1.31000","DOIUrl":"https://doi.org/10.3126/ojn.v10i1.31000","url":null,"abstract":"Introduction: The teeth are incline differently according to the vertical skeletal typology and the corresponding alveolar bones do not always have the same thickness. However, the conflicting results in the literature, mainly related to the classification of patients according to vertical characteristics, creates a challenge for the clinician in determining the characteristic inclinations of teeth in a specific patient. The objective of this study was to find out dental inclination and thickness of the alveolar bone around incisors and molars in different facial type. Materials & Method: The sample included 51 CBCT radiographs (28 females and 23 males) and subdivided into three subgroups according to vertical facial skeletal pattern (22 normodivergent subjects, 06 hypodivergent subjects and 23 hyperdivergent subjects). Reformatted CBCT images were used to measure the thickness of the vestibular and lingual alveolar bone around the incisors and first molars at two levels of root length (apical and middle) and their inclination. The Kruskal-Wallis test for the comparison of more than 2 means was applied for statistical analysis. Result: Alveolar bone thickness in the apical region of the lingual side in hyperdivergent subjects was thicker than in the other two groups. The bone wall is thicker in the lingual than in the vestibular, regardless of the vertical skeletal typology. These varied inclinations were more pronounced anterior sector. Conclusion: Dental inclinations have close relationships with the alveolar bone thicknesses associated with them. The apex of the root of the lower incisor is closer to the lingual alveolar crest when it was inclined in the lingual direction. There is a significant association between bone thickness around the teeth and facial skeletal divergence.","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43236206","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":"Prevalence of Congenitally Missing Lateral Incisors and Peg Laterals in Patients Receiving Orthodontic Treatment","authors":"Radha Baral, D. Bajracharya, B. Ojha, Ganesh Silwal","doi":"10.3126/ojn.v10i1.30998","DOIUrl":"https://doi.org/10.3126/ojn.v10i1.30998","url":null,"abstract":"Introduction: Maxillary lateral incisor is a common congenitally missing tooth in the oral cavity. Maxillary lateral incisor is also the most common varying tooth in form than any other tooth. The objective of the study is to estimate the prevalence of congenitally missing maxillary lateral incisors and peg laterals in patients receiving orthodontic treatment. Materials & Method: This is a cross sectional retrospective study carried out among 204 orthodontic patients. Panoramic radiographs taken during the diagnostic procedure of orthodontic treatment was used to confirm the presence or absence of lateral incisors. The presence of peg laterals was determined by dental casts. Result: Prevalence of missing maxillary lateral incisors and peg laterals was found 2.5% and 3.9% respectively. Prevalence of missing lateral in male was 5.7% while among female no missing laterals were observed. Prevalence of peg laterals in male and female was 1.1% and 6% respectively. Among the missing lateral incisors, prevalence of bilaterally missing lateral incisors was 60% while prevalence of both right and left unilateral missing laterals was 20%. Among the peg laterals, bilateral peg laterals were present in 50% patients, followed by left unilateral 37.5% and right unilateral 12.5% peg laterals. Conclusion: The present study shows higher prevalence of peg laterals than missing lateral incisors. Prevalence of missing lateral incisors was higher in male and prevalence of peg laterals was higher in female. Prevalence of bilaterally missing laterals and bilateral peg laterals was higher than unilateral presentation.","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46591296","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":"An Interview with the First Orthodontist of Nepal","authors":"R. Shrestha, A. Acharya","doi":"10.3126/ojn.v10i1.31013","DOIUrl":"https://doi.org/10.3126/ojn.v10i1.31013","url":null,"abstract":"Born on July 4, 1952, Dr Shambhu Man Singh is the first orthodontist of Nepal. He completed his BDS degree from Kerala University in 1974 and D. Ortho from Royal College of Surgeons Edinburgh in 1989. He started specialist orthodontic service in Kathmandu in 1990. He joined Nepal Army in 1977, where he served for thirty years till 2007 when he retired as a Brigadier General. Dr Singh is an Honorary and Life Member of Orthodontic & Dentofacial Orthopedic Association of Nepal. Besides his glorious involvement in military and civil health services, he is recognized as a humble and gentle person in Nepalese dentistry. \u0000Here is an excerpt of the interview between Dr Shambhu Man Singh and the representatives of Orthodontic Journal of Nepal.","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"88-91"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/ojn.v10i1.31013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42718790","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":"Prevalence and Pattern of Canine Impaction and Its Associated Anomalies among Orthodontic Patients Attending Tertiary Care Dental Hospital in Kathmandu","authors":"Anshu Piya, B. Shrestha, A. Khapung, Prakash Bhattarai","doi":"10.3126/ojn.v10i1.30996","DOIUrl":"https://doi.org/10.3126/ojn.v10i1.30996","url":null,"abstract":"Introduction: Permanent canines are considered as the cornerstone of mouth. Canines are important for esthetics and function as they are located in the anterior segment of the mouth and help in tearing of food. An impacted tooth is that tooth that cannot or will not erupt into its normal functional occlusion due to some circumstances. Those impacted tooth are considered pathologic as they might lead to various problems like resorption of roots of adjacent teeth, cystic formation, and infection with partial eruption leading to pain and trismus. Materials & Method: All the patients (550) being treated in department of Orthodontics in Nepal Medical College from January 2017 to December 2019 were included in the study. Patients aged 13-30 years were included in the study. Clinical examinations and panoramic radiographs of patients were taken. Anterior occlusal view was done in those patients having canine impaction to determine the patterns of impaction. Data was processed in SPSS version 16.0. Result: Among 550 orthodontic patients, 31 patients were found to have canine impaction. Among them 18 (58.1%) were females and 13 (41.9%) were males. The overall prevalence of canine impaction was found to be 5.6%. Various dental anomalies were observed in the participants’ radiographs, the most common being the retained deciduous teeth (54.8%) followed by dilacerations of adjacent teeth (51.6%). Peg shaped lateral incisors and root resorption of adjacent tooth were almost equal (22.6%) with least being the odontomas and other impacted teeth. Conclusion: The prevalence of canine impaction in tertiary care dental hospital in Kathmandu was found to be 5.6%. Patients with impacted canines also had other dental anomalies. Knowing the prevalence of impacted canines, will encourage the community to be aware about canine impaction and educate the population about the clinical implications and the importance of performing preventive and interceptive procedures.","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42873651","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":"A Systematic Review of Skeletal, Dental and Soft Tissue Treatment Effects of Twin Block Appliance","authors":"S. Daokar, M. Sharma","doi":"10.3126/ojn.v10i1.31007","DOIUrl":"https://doi.org/10.3126/ojn.v10i1.31007","url":null,"abstract":"This systematic review aims to assess skeletal, dental and soft tissue treatment effects of the conventional Twin-block appliance compared to control in Class II malocclusion till date. The electronic databases of Medline, PubMed and Cochrane library were systematically searched until September 2019. The human studies that had used the conventional Twin block appliance with a control group evaluated by a Lateral Cephalogram were included. A total of 321 articles were examined. 10 articles were selected. Majority studies reported a significant improvement in the mandible and in the vertical height, maxillary restrictive effect was less consistently reported. A restrictive maxillary molar effect and an advancement in the mandibular molar has been suggested. Retroclination of the maxillary incisors and proclination of mandibular incisor inclination has been reported. There is some evidence to suggest a retrusive upper lip effect and a protrusive lower lip effect. Increase in Nasolabial angle and some decrease in the mentolabial sulcus to be expected. In conclusion the conventional Twin Block appliance have shown desirable skeletal, dental and soft tissue effects. However certain inevitable side effects are also seen mainly its effect on lower anterior proclination.","PeriodicalId":31197,"journal":{"name":"Orthodontic Journal of Nepal","volume":"10 1","pages":"65-72"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/ojn.v10i1.31007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45063013","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}