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   2011| July-December  | Volume 1 | Issue 2  
    Online since June 29, 2012

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Applications of teledentistry: A literature review and update
ND Jampani, R Nutalapati, B. S. K. Dontula, R Boyapati
July-December 2011, 1(2):37-44
DOI:10.4103/2231-0762.97695  PMID:24478952
Teledentistry is a combination of telecommunications and dentistry involving the exchange of clinical information and images over remote distances for dental consultation and treatment planning. Teledentistry has the ability to improve access to oral healthcare, improve the delivery of oral healthcare, and lower its costs. It also has the potential to eliminate the disparities in oral health care between rural and urban communities. This article reviews the origin, rationale, scope, basis, and requirements for teledentistry, along with the current evidence that exists in the literature. This article also reviews the ethical and legal issues related to the practice of teledentistry and the future of this alternative and innovative method of delivering dental care.
  25,987 6,132 100
Dental caries experience and salivary Streptococcus mutans, lactobacilli scores, salivary flow rate, and salivary buffering capacity among 6-year-old Indian school children
B Sakeenabi, SS Hiremath
July-December 2011, 1(2):45-51
DOI:10.4103/2231-0762.97697  PMID:24478953
Context: Dental caries is a disease of multifactorial etiology. A variety of potential predictors have been examined for the association with caries increments in longitudinal and cross-sectional studies. Aims: The aim of this study was to assess the possible relationship among salivary cariogenic microflora, buffer capacity, secretion rate, and caries experience among 6-year-old school-going children in Davangere city, India. Settings and Design: A total of 196 6-year-old school children were selected by a two-stage random sampling method. Materials and Methods: Parents were interrogated regarding sociodemographic details. Clinical examination of children was conducted to assess dental caries experience, and stimulated saliva was collected to assess S. mutans levels, lactobacilli, salivary flow, and buffering capacity of saliva. Statistical Analysis: The difference in proportions was tested using Kruskal-Wallis analysis of variance (ANOVA) followed by the Mann-Whitney U-test for intragroup comparison, and the difference in mean was tested using ANOVA and independent sample t-test as necessary. Caries experience was correlated with salivary factors using Spearman's correlation coefficient. Results: Out of 196 children, 96 were boys and 100 were girls. Overall, 97 (49.49%) children were caries free (dmft, DMFT = 0) and 99 (50.51%) children presented with caries (dmft, DMFT>0). The mean dmft and dmfs score for the overall group was 3.20 and 5.43, respectively. The mean DMFT and DMFS score was 0.23 and 0.25, respectively. A highly significant correlation was seen between mean the caries score and salivary variables. Conclusions: High levels of salivary microbiological counts in correlation with the caries data stress the importance of these factors and urge the necessity of elective preventive programs in this region.
  8,761 2,072 13
Oral health related quality of life among dental students in a private dental institution in India
H Priya, PS Sequeira, S Acharya, M Kumar
July-December 2011, 1(2):65-70
DOI:10.4103/2231-0762.97708  PMID:24478957
Background: The compartmentalization involved in viewing the mouth separately from the rest of the body must cease. This is because oral health affects general health by causing considerable pain and suffering; and, by changing what people eat and their speech, can bring about a change in their quality of life and well-being. There are several instruments for measuring oral health related quality of life, and, OIDP (Oral Impact on Daily Performance) is one among them. Aim: The aim of this study is to assess the OIDP among dental students and to know whether students in different stages of the dental course had any difference in impact on their daily performance. Materials and Methods: 372 students of Bachelor of Dental Sciences' (BDS) course at Manipal College of Dental Sciences, Manipal, Karnataka, India, from the first to final year, and interns answered a structured questionnaire recording their demographic characteristics, behavioral characteristics and eight items of OIDP. Results: The mean OIDP Additive scores (ADD) and OIDP Simple count scores (SC) scores were 7.02 (sd = 3.3, range 8 - 40) and 2.16 (sd = 1.55, range 0 - 8), repectively. A total of 36.6%, 12.9% and 12.9% of the dental students confirmed difficulties with eating, enjoying contact with other people and carrying out major college work, respectively. Logistic regression analysis revealed that compared with the first BDS dental students, the Odds ratio (OR) for the second, third, fourth year and intern dental students for being without oral impacts, despite reporting poor oral health, were 0.21 (95% CI: 0.24 - 1.9), 0.61 (95% CI: 0.06 - 6.2), 0.70 (95% CI: 0.61 - 8.2) and 0.54 (95% CI: 0.3 - 9.3), respectively. Conclusion: The study reported the OIPD among dental students and provided evidence of importance of social and behavioral characteristics in shaping the response by dental students.
  5,916 611 2
Prevalence of torus palatinus and torus mandibularis among Malay population
VK Hiremath, A Husein, N Mishra
July-December 2011, 1(2):60-64
DOI:10.4103/2231-0762.97704  PMID:24478956
The aims of this study were to determine the prevalence, size, shape, and location of torus palatinus (TP) and torus mandibularis (TM), and to assess their sex-related and age-related differences in the Malay population. Sixty-five subjects were assessed for the presence of both tori at the School of Dental Sciences University Sains Malaysia. The prevalence of TP was 38-63% and that of TM was 1-10%. TP was frequently more common in females than males (90.9% versus 9.1%; P < 0.05) and was frequently found in medium sizes, spindle shaped, and was often located at the combined premolar to molar areas. The prevalence of TM was not significantly different in males and females (33.3% versus 66.7%; P = 0.523), occurred most commonly in bilateral multiple form, and was often located at the canine to premolar area.
  5,372 733 17
Dental prosthetic status, prosthetic needs in relation to socioeconomic status of the state government employees in Shimla city (Himachal Pradesh) - A cross sectional study
VK Bhardwaj, KL Veeresha, KR Sharma
July-December 2011, 1(2):52-56
DOI:10.4103/2231-0762.97699  PMID:24478954
Objective: To know the dental prosthetic status, prosthetic needs in relation to socioeconomic status (SES) of the state government employees in Shimla city, Himachal Pradesh. Materials and Methods: The study was carried on 1008 (705 males and 303 females) state government employees in Shimla city between February 25, 2009 and April 10, 2009. Type III examination was conducted and the prosthetic status and prosthetic needs were recorded on W.H.O. format 1997. Modified Kuppuswamy scale, with readjustment of the per capita income to suit the present levels, was used for SES classification. Results: 10.3% of the subjects in the study had prosthesis of some kind. The prosthetic status was better in the upper middle and upper SES category as compared with the other categories and the findings were statistically significant. Prosthetic need in the study population was 33.2%, which was maximum for the subjects in the lower SES category and minimum for the higher SES category. Awareness on the provision of reimbursement for dental care was highest among the upper class and negligible in the lower SES category. Conclusions: Present study shows a direct relationship between SES and percentage of the subjects having prosthesis of some kind. SES shows an inverse relationship with prosthetic need and awareness on the provision of reimbursement of dental care.
  4,034 471 -
A peer group approach model of oral health promotion among orphans at Puduchery, South India
VH Sushanth, M Krishna, AM Suresh Babu, GM Prashant, GN Chandu
July-December 2011, 1(2):71-75
DOI:10.4103/2231-0762.97710  PMID:24478958
Background: Interactions between oral and systemic health are bi-directional and complex, involving many pathways. The orphans have been sympathized with, ignored, vitrified or even hidden away in the community. Hence, providing health care services for orphans remains a challenge. Oral health education has a positive impact in lowering plaque and gingivitis scores in health educational programs. Objective: The objective of this study is to assess the effectiveness of peer group health promotion model among 11 to 16 year old orphans at Puduchery, South India. Materials and Methods: A clinical trial of 6 months duration was carried out among 72 orphans with age ranging from 11 to 16 years residing in Cluny Padmini Sneha Illam, at Puduchery, India. The baseline data regarding oral health and oral hygiene practices were obtained using a pre-tested close-ended questionnaire. Oral health education was provided to 4 randomly picked children who in turn provided the same to their peer group orphans, supervised by the investigator. Tooth brushes and fluoridated tooth pastes were provided to all the participants throughout the study period. Oral hygiene of the participants was assessed using Modified Plaque Index by Loe H and Gingival Index by Loe H and Silness at baseline, 3 rd and 6 th month interval. Paired Student t test was used to analyze the categorical data. Results: Majority of the respondents felt consuming sugar was not harmful for dental health, while 15 respondents were not sure about the outcome. When asked if oral hygiene was important for general health, 45.8% were not aware of its association. Although all the participants brushed their teeth daily, none of them reported the use of dental floss. The findings of this study indicated a statisticallysignificant lower mean plaque score of 0.54 ± 0.20 at 6 th month when compared to the baseline score of 1.76 ± 0.24. Similarly, statistically significant lower gingival index score of 0.65 ± 0.11 at 6 th month was observed when compared to the baseline score of 1.76 ± 0.24. Conclusions: The results of this study indicate that oral hygiene of orphans was improved using a peer group approach model of oral health promotion.
  3,785 503 6
Change in dental caries status over 2 years in children of Panchkula, Haryana: A longitudinal study
S Kalra, M Simratvir, R Kalra, K Janjua, G Singh
July-December 2011, 1(2):57-59
DOI:10.4103/2231-0762.97701  PMID:24478955
Background: Despite credible scientific advances and the fact that it is preventable, dental caries continues to be a major public health problem in developing countries like India. The first step toward disease prevention at community level is assessment of the disease activity. Aim: Hence this study was conducted to evaluate the change in dental caries status over 2 years in children of Panchkula, Haryana. Materials and Methods: 207 school children having mixed dentition (age 7-8 years) and 103 children (age 12-13 years) were assessed for change in their dmf/DMF status over 2 years. Results and Conclusion: Results revealed that 81% of 7-8-year-old children and 83 % 12-13-year-olds had caries. There was a statistically significant increase in DMFT score of children over 2 years; thus necessitating implementation of rigorous preventive strategies at community level.
  3,448 422 2