Open Access Case Study

Is There a Correlation Between Radiographic Presentation of Multilocularity and Aggressive Histology of Unicystic Ameloblastomas. – Report of Two Cases and Review of Literature

Sunil Sidana, Prachi Goyal, Srivalli Natarajan, Shilpa Patel, Niharika Swain, Padmakar Baviskar

Asian Journal of Dental Sciences, Page 39-48

Conventional or Solid/ Multicystic Ameloblastomas (SMA) are conventionally treated with resection while Unicystic Ameloblastoma (UA) is usually treated conservatively.  Mural variety of UA has shown to be more aggressive and behaves similar to conventional ameloblastoma and is therefore advised to be treated aggressively. So treating a mural variety of unicystic ameloblastoma conservatively can lead to recurrence. Recurrence of multilocular ameloblastoma is high as compared to unilocular if treated conservatively. Does this hold true for multilocular unicystic ameloblastoma. Also, do multilocular ameloblastoma show aggressive mural type of lining on histopathology.  We present two cases of multinodular unicystic ameloblastoma and try to correlate if multilocular unicystic ameloblastoma show aggressive histology from literature review.

Open Access Commentary

Geriatric Oral Health in Rural India: Care Options during the COVID-19 Pandemic

Aditi Tomar

Asian Journal of Dental Sciences, Page 11-15

The long-existing prevalence of maladaptive behaviors, particularly tobacco consumption and smoking continue to be a public health concern in rural India. The COVID-19 pandemic has engendered a state of prolonged home-confinement and social isolation across the globe. The bio-psychosocial changes associated with aging impact the overall wellbeing of older individuals. In addition to impaired physical health and cognitive ability, a vast proportion of older adults in rural India suffer from sub-optimal dental and periodontal health. Dental workers are recommended to thoroughly evaluate the patient’s medical history, underlying conditions and overall susceptibility COVID-19. Fostering preventive dental care among the geriatric, rural population may delay progression of oral infections, and prevent life threatening complications. Efforts towards advancing preventive dental care must persevere, even after the pandemic ceases.

Open Access Original Research Article

Oral Hygiene Practices among Young School Children of Kohalpur Municipality of Banke District, Nepal

Bikram Chand, Jagannath Purushotam, Sushila Baral, Neeti Sedhain, Ram Sharan Gopali, Rajesh Kumar Yadav

Asian Journal of Dental Sciences, Page 1-10

Background: Oral diseases remains a major public health problem with teeth decay as the most common global disease affecting many individuals and families. About 60-90% of school children worldwide had experience caries, with higher prevalence in Asian and Latin American countries. A healthy mouth helps to individual to talk, eat and interact with people without having active disease, discomfort or pain. The study aims to assess the oral hygiene practices among the school children.

Materials and Methods: A cross-sectional study was conducted among 432 school children from private school of grade 8, 9 and 10. Semi structured and self-administered questionnaire was used for data collection. Multistage sampling technique followed by simple random sampling was done to reach the participants. The data was entered and analysed using SPSS software V.16.0 and MS-excel.

Results: The study found that only about one third (36%) of the respondents had good oral hygiene practices and more than three-fifth (64%) of the respondents had poor self-reported oral health status. The study found the significant difference between sex, mother's education and monthly household income with oral hygiene practices (p < 0.05). Self-reported oral health status was found statistically significant with age group, dental visit, duration of cleaning teeth and use of interdental aids.

Conclusion: Poor oral health practice among school children is still prevalent and is major public health problem in Nepal. School health knowledge, awareness and practice need to be emphasized and start from preschool so that this habit is practiced from early childhood.

Open Access Original Research Article

Knowledge, Attitude and Practices (KAP) of Parents Regarding Prevention of Early Childhood Caries (ECC) in Brunei Darussalam: A Cross-sectional Study

Chu Sae Chiau, Shahid Mitha, Hanif Abdul Rahman, Ponnuswamy Manikandan

Asian Journal of Dental Sciences, Page 16-29

Background: Dental caries is widespread health alignment that effects the overall health and general well-being of both adult and children. Dental caries can be classified into many types based on aetiology, progression, anatomical site, extend, path of spread and involvement of surfaces. This study provides insight parents understanding regarding ECC as well as revealing any misconceptions concerning the disease.

Objectives: The aim of the study was to assess the knowledge, attitude and practices of Bruneian parents regarding the information and prevention of early childhood caries (ECC)

Methods and Materials: The study was carried out as a cross-sectional survey targeted towards parents whose children are in Pre-school, primary 1 and Primary 2. Online surveys were used in place of hardcopy surveys due to the ongoing pandemic. The validated questionnaire used in this study was developed and used in a similar study in Malaysia. Statistical analysis was conducted using R-software version 3.6. 2

Results: 226 parents participated in the survey, the majority of which are mothers with 175 responses and 51 responses from fathers. Some questions were associated with education level. No association were seen in the results regards to the number of children or working status.

Conclusion: Parents showed good knowledge in certain areas of ECC prevention. However, good knowledge is not necessarily translated to better attitude or practices. Intervention should be given especially in areas of misconceptions especially those involving primary teeth as well as feeding/ dietary habits.

Open Access Original Research Article

The Use of Conventional and Mobile Application in Removable Partial Denture Designing Jan Iryne A. Filoteo

Jan Iryne A. Filoteo

Asian Journal of Dental Sciences, Page 30-38

Aims: This study was conducted to compare the level of performance of the dental students following the principles of Removable Partial Denture with the use of conventional paper-based method and mobile software application.

Study Design: A descriptive research design was utilized in this study. Assessment of performance of students using conventional paper-based methods in RPD designing was measured and compared with using the mobile application.

Place and Duration of Study: This research study is a pilot study in Prosthodontics using mobile software application as a supplemental teaching aid in the design of a removable partial denture for the dental students enrolled in a private University in the Philippines for the academic year 2018-2019.

Methodology: A descriptive research design was utilized in this study. Assessment of performance of students using conventional paper-based methods in RPD designing was measured and compared with using the mobile application. The level of performance of dental students using both methods was also measured following the RPD principles. An exercise was given to the students to design RPD using the conventional method and with RPD mobile application. Output of their given tasks was evaluated using rubrics.

Results: Based on the data gathered and results obtained, the respondents agreed that conventional method in RPD designing is easy to use, yield accurate results and they are satisfied on its use. The mobile application software was considered as a practical supplement for RPD designing. When the two methods were compared, the results show that there is no significant difference in the use of conventional paper based method and mobile application with regards to its ease of use, accuracy of results as well as with the satisfaction of students When the level of performance of dental students were grouped according to the two methods used following the principles of RPD designing, significant difference were noted in terms of major connector, minor connector, rest, denture base, and overall design. The dental students performed better using conventional method in designing the major connector, minor connector, rest and denture base compared to supplemental mobile applications.

Conclusion: Dental students perform well in the conventional RPD designing using conventional methods under the supervision of their Clinical Instructors compared to their level of performance using mobile application software.