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   2017| January-March  | Volume 4 | Issue 1  
    Online since July 3, 2017

 
 
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ORIGINAL ARTICLES
Knowledge and attitude toward informed consent in medical and dental practitioners, of Bhopal City, India
Anshika Khare, Vrinda Saxena, Manish Jain, Vijayta Sharva, Prakash Singh, Ashwini Dayma
January-March 2017, 4(1):17-20
DOI:10.4103/jdrr.jdrr_32_17  
Background: Consent is a lawful right of a patient that makes a decision their involvement in clinical procedures. The meaning of consent is that patient not to be touched or in nevertheless treated without their permission, it deems like an endorsed inquiry for their protection. Concept of consent is an endeavor by which the patient can take part in clinical judgment concerning their treatment and protect each and every patient against any litigation. Thus, knowledge and approach of consent are foremost important due to encroachment in clinical procedures in dental and medical field as well as it is also important for general population. Aim and Objectives: The aim of the study was to appraise the knowledge and attitude toward informed consent in medical and dental practitioners of Bhopal city, India. Materials and Methods: A cross-sectional assessment was carried out among 200 medical and dental practitioners of Bhopal city. A self-administered, close-ended planned questionnaire was used to evaluate their knowledge and attitude regarding informed consent. This questionnaire consists of 10 and 5 questions of knowledge and attitude, respectively. The response format was obtained by a 3-point Likert scale. Statistical analysis was done using SPSS version 20; Chi-square test was used for data analysis. Result: Knowledge and attitude regarding informed consent were uneven amid medical and dental professionals. Although it was slight higher in medical professionals. Conclusion: An unbalanced knowledge of informed consent in medical and dental professionals recommended; a need to conduct assort of awareness programs and workshops regarding informed consent. Thus, this gap of knowledge can fill and an affirmative attitude can develop.
  3,918 429 1
Oral health problems among geriatric population and its implication on general health: A cross-sectional survey
BK Sujatha, Mary Shimi S Gomez, Nimi Susan Mathew, Jithya Suresh
January-March 2017, 4(1):13-16
DOI:10.4103/jdrr.jdrr_26_17  
Background: Aging is a natural process seen in all the individuals. The world is on the brink of a demographic milestone. Since the beginning of recorded history, young children have outnumbered their elders. In about 5 years' time, the number of people aged 65 or older will outnumber children under age 5. Driven by falling fertility rates and remarkable increases in life expectancy, population aging will continue, even accelerate the number of people aged 65 or older is projected to grow from an estimated 524 million in 2010 to nearly 1.5 billion in 2050, with most of the increase in developing countries. India being developing as well as a second highest populated country will be affected badly by both general as well as oral diseases which are noncommunicable in nature. Aim: The aim of the study was to assess oral health problems among geriatric population in a dental institution and its effect on general health. Objectives: The objectives of the study were (1) Common oral diseases/conditions among geriatric population and its prevalence and (2) implications of oral diseases/conditions on general health. Materials and Methods: A cross-sectional survey was conducted among 301 study participants of 65–74 years old from March 2016 to August 2016. A self-structured, pretested questionnaire was used to collect data on common oral health problems as well as systemic diseases along with demographic details. Data were compiled and statistically analyzed using Chi-square test and other descriptive statistics. Results: Out of 301 study participants, 42% were edentulous, 12% had denture-related problems, 16% had root caries, 22% had periodontal disease, and 8% were found to have precancerous lesions. Thirty percent of participants were found to have a combination of two or more oral diseases. Most common systemic diseases reported are malnutrition, hypertension, and diabetes. The implication of oral health on general health was found to be significant at P< 0.05. Conclusion: Oral diseases influence general health. Oral health is an integral part of general health.
  3,858 481 2
Comparative evaluation of flexural strength of conventional and reinforced heat cure acrylic resins: An In vitro study
Gopinath Anne, Nagarjuna Prasad Mukarla, Prakash Manne, Ravikanth Anne, Suresh Babu Muvva, G Phani Krishna
January-March 2017, 4(1):9-12
DOI:10.4103/jdrr.jdrr_7_17  
Aim: The aim is to comparatively evaluate flexural strengths (FSs) of conventional and various types of reinforced heat cure acrylic resins. Objectives: To determine the FS of conventional (polymethylmethacrylate [PMMA]) denture base material and reinforced resins by the addition of 2% by weight glass fibers and metal mesh reinforcement, respectively. Materials and Methods: A total of 30 specimens of similar dimensions were prepared for each of the three experimental groups: conventional acrylic resin and the same resin reinforced with glass fibers and with metal mesh. FS was evaluated with a three-point bending test. The results were analyzed with a one-way analysis of variance. Results: All reinforced specimens showed better FS than the conventional acrylic resin. Specimens reinforced with metal mesh showed the highest FS, followed by glass fibers. Conclusion: Within the limitations of this study, the FS of heat-polymerized PMMA denture resin was improved after reinforcement with glass fibers and metal mesh.
  3,615 417 -
Managing amalgam phase down: An evaluation of mercury vapor levels in a dental center in Lagos, Nigeria
Adolphous Odofin Loto, Afolabi Oyapero, Adenike Ololade Awotile, A Olugbenga Adenuga-Taiwo, Lillian Lami Enone, Ifeoma Nkiruka Menakaya
January-March 2017, 4(1):4-8
DOI:10.4103/jdrr.jdrr_20_17  
Background: Occupational exposure to elemental mercury vapor in a dental setting is mainly through inhalation exposure during preparation, insertion, polishing, and removal of amalgam fillings including storage of amalgam waste before disposal. This study aims to determine the indoor air levels of elemental mercury vapor in the dental operatories and ancillary sites at the Lagos State University Teaching Hospital (LASUTH). Materials and Methods: Samples of the ambient air were taken at seven locations the Dental Center of LASUTH by a trained technician between 9:00 and 11:00 a.m. This was done at a predetermined height (41/2feet) above the floor for mercury vapor concentration using Lumex 915 light data logger mercury vapor analyzer manufactured by Ohio Lumex Company Incorporation, USA®. Results: The highest level of 1434 ng/m3 of mercury vapor in the air was found in the restorative clinic while the lowest of 23 ng Hg/m3 was found in the ambient air at the entrance of the dental Center. The Oral Surgery clinic had mercury vapor level of 318 ng/m3 which was slightly higher than Environmental Protection Agency recommended value of 0.3 μg/m3. Conclusion: An unacceptably high level of mercury vapor was detected, especially in the restorative clinic. Every dental clinic should have its ambient air evaluated for mercury vapor level for the purpose of forming a baseline data for monitoring purposes during the period of phase down of amalgam use. Best practices should also be instituted to reduce the level of exposure of patients and dental care workers to mercury vapor.
  3,565 287 2
EDITORIAL
Scenarios for problem-solving activity for the postgraduate students of public health dentistry
Pradnya Kakodkar
January-March 2017, 4(1):2-3
DOI:10.4103/jdrr.jdrr_29_17  
  3,084 379 -
ORIGINAL ARTICLES
Effectiveness of prevention-oriented school oral health program in a private school in Pimpri, Pune
Nitin Gupta, Ladusingh Rajpurohit, Sushil Phansopkar, Deepti Agarwal, Pradnya Kakodkar, Sahana Hegde-Shetiya
January-March 2017, 4(1):21-24
DOI:10.4103/jdrr.jdrr_35_17  
Introduction: Programs oriented toward prevention have proven to be highly rewarding in reducing the dental disease burden in western populations. Some developing countries have also reported studies of school health programs with varying effectiveness. However, reports regarding improved effectiveness due to mobile dental unit are scarce. Thus, the present study aims at assessment of effectiveness of prevention-oriented school health program in a private school in Pimpri, Pune. Materials and Methods: A longitudinal study was conducted from May 2015 to June 2016 in Dr. D.Y. Patil school among 449 students aged 5 and 10 years using census sampling. Ethical clearance was obtained from Institutional Ethics Committee of Dr. D. Y. Patil Dental College and Hospital and permission was obtained from the school principal. The study was conducted in 3 phases. SPSS version 18 was used for analyzing the data. Results: There was significant reduction in decayed component and a significant increase in filled component in primary and permanent dentition. There was a significant reduction in treatment needs, i.e., one surface, two surface fillings, and pulp care and restoration. Conclusion: It can be concluded that this prevention-oriented 1-year program was helpful in improving the oral health of the children.
  3,067 295 -
GUEST EDITORIAL
VIVA cards
Prathiba A Patil
January-March 2017, 4(1):1-1
DOI:10.4103/jdrr.jdrr_36_17  
  2,245 274 -
CASE REPORT
Birds of a feather flock together: An inter-disciplinary orthodontic case report
Sanket S Agarkar, Aabha S Agarkar, Joshua Mall
January-March 2017, 4(1):25-29
DOI:10.4103/jdrr.jdrr_61_16  
Use of orthodontics for tooth corrections has its own advantages with regards to the amount of tooth movement and the health of the supporting periodontal and alveolar bone. However, many times in cases that require a complex approach to treatment, only an orthodontist may not be able to accomplish the ultimate objectives unless associated with colleagues from other dental specialties. Thus, for an exemplary outcome, cooperation of other dental specialists working together is essential. Treatment carried out using periodontics, prosthodontics, and implant supported prosthesis for a patient undergoing orthodontic treatment and with congenitally missing maxillary lateral incisors, is presented as a case report.
  2,226 193 -