Open Access Case Study

Tooth Fragmentation Reattachment using a Strip Crown with Resin Composite-A Case Report

Sushmita Roy, Madhumanti Karmakar, Pratik Lahiri, Shabnam Zahir

Asian Journal of Dental Sciences, Page 30-36

Coronal fracture of the anterior teeth is a common form of dental trauma. If the initial tooth fragment is maintained following fracture, reattachment of the broken fragment to the remaining tooth may offer higher and durable esthetics, a positive psychological response and could be a quicker and less complicated procedure. This report presents a case of a twelve-year-old boy, who came with a broken incisor due to an accident that occurred a month back. The patient also presented the fragment of the detached tooth. On radiographic examination it was revealed to be Elis class II fracture. The treatment plan was the reattachment of the fractured crown fragment using strip crown with resin composite on right central incisor.

Open Access Original Research Article

Prosthetic Oral Rehabilitation Needs in Patients Of Patients Attending Dental Clinics in Ngaoundere- Cameroon

Salomon Zing, Ashu Michael Agbor, Tatiana Djomo Minsi, Jean Paul Sekele

Asian Journal of Dental Sciences, Page 1-9

Background: Tooth loss though preventable is still considered as a natural consequence of senility as it limits a person's esthetics, function and psychosocial well-being. In order to restore these deficits, dental prosthetics are needed. The objective of the current study was to describe oral prosthetic needs of patients attending dental clinics in the city of Ngaoundéré-Cameroon.

Methodology: This was a descriptive cross sectional carried out in the city of Ngaoundéré between January to June 2019 using structured questionnaires. A WHO questionnaire was used for evaluating the prosthetic needs.

Results: A total of 266 participants made up of 54.9% males and 45.1% females were recruited in the study. The 25 to 34 age range was more predominant with a frequency of 41%.The prevalence of partial edentulousness was 99.2 % while that of total tooth loss was 0.8%.  A third of the edentulous space  31.6% was in the maxilla and 44.4% in the mandible. The average number of tooth lost was 2 teeth and most of the teeth lost were molars. More than half 115 (43.2%) participants perceived the needed oral rehabilitation. From clinical examination, 4(2.6%) did not need oral rehabilitation, 37(24.9%)  needed one unit prosthesis like dental implants  in the mandible and 31(20.3 ) in the maxilla, 118 (77.2%)  needed multi unit prosthesis in the maxilla and 95(62.9) in the mandible, and 2 (1.3%) needed full prosthesis (replacement of all teeth) e.g.  implant retained full dentures. The relationship between the prevalence of edentulousness , marital status , and socio-cultural factors were statistically significant.

Conclusion: The average number of teeth lost was 2 teeth and the most lost types of teeth were molars. Partial edentulousness was higher than that of total. Kennedy class III was the most common. Financial difficulties were the main reason for the lack of prosthetic rehabilitation. Three quarter of the respondents needed prosthesis with Code 1 and code 2 WHO prosthetic needs.

Open Access Original Research Article

An Online Survey on the Effect of COVID-19 Pandemic on Psychological Health and Impact on Dissertation of Dental Postgraduate Students in India

Pinki Gupta, Ankita Singh, Atul Bhatnagar, Gargi Goel

Asian Journal of Dental Sciences, Page 10-18

Background: Corona virus disease 2019 (COVID-2019) is caused by a novel virus which belong to a family of corona virus. It is highly infectious and transmissible disease. First case of COVID-19 was reported in china on 31st December 2019 and on March 11, 2020 it was declared pandemic by WHO. In india the first case of COVID-19 was reported in Kerala, On January 27, 2020. COVID 19 has caused an immense pressure on the population, especially among doctors and health care workers. Post graduate dental students were also facing the high increasing risk, increase workloads as well as pressure to complete their thesis due to this COVID-19.

Aims and Objectives: The aim of this study is to assess the effect of COVID-19 pandemic on psychological health and impact on dissertation of post graduate students of dental field.

Materials and Methods: A web based cross- sectional study was conducted during July 2021 targeting dental postgraduate students. A self-developed questionnaire was circulated among the targeting population. Descriptive statistics was applied to calculate proportions and frequencies.

Results: Total of 223 participants completed the survey. Among the responses received 51.6% students had their dissertation in in vitro design and rest 48.4% had in vivo. More than 50% students were facing some kind of problems to complete their dissertation due to COVID-19. 36% students are planning to change their dissertation topic among them 75% planning to change their study design to in vitro. 100% of students were facing some kind of psychological problems and seeking help for the same.

Conclusion: This study suggests that COVID 19 has posed a negative impact on the academic works especially the dissertation work and the psychological state of the postgraduate dental students. Most of the students decided to change their area of dissertation towards in vitro study design.

Open Access Original Research Article

Quality of Oral Health and Satisfaction of Patients with Dental Prostheses in the City of Ngaoundere

Ashu Michael Agbor, Zing Salomon, Yasmine Mohamadou, Djoumou Francois

Asian Journal of Dental Sciences, Page 19-29

Introduction: Tooth loss affects speech, eating, social wellbeing as well as the quality of life of an individual. Determining the subjective effect of prosthetic treatments makes it possible to identify the needs of patients with dentures and also evaluate their prosthetic adaptability. The objective of our study was to evaluate the quality of life and the satisfaction of patients wearing dental prostheses in the city of Ngaoundéré.

Methodology: This was a cross-sectional descriptive study carried out in dental departments of some hospitals in the city of Ngaoundéré. The study population consisted of all consented patients who had been wearing dentures for at least one week. Data collection was carried out through a dental consultation using a pre-established consultation form to evaluate the oral health quality of life of participants the using OHIP 20 questionnaire and a secondly a questionnaire whichwas used to evaluate  their degree of satisfaction with the wearing of  dentures. This was followed by clinical evaluation to evaluate their treatment needs.

Results: A total of 100 patients with dentures made up of51% males were recruited in the study. The 41-50 and 51-60 years age groups were the most represented with a rate of 21%.A third 38(38%) of our population were workers in the formal sector, and 52(52%) were married. The DMFT index of our population was 8.9.Only 16(16%) of the patients had a fixed prosthesis with 42(42%) in the (esthetic zone) anterior section. More than half 53(53%) of the patients recorded a score higher than 95 on the OHIP scale, synonymous with a very good oral quality of life. More than two thirds 77(77%) of patients were generally satisfied with their prosthesis while 86% were dissatisfied with the cost.

Conclusion: Though the quality of oral life and satisfaction of edentulous patients with prostheses was good poverty and lack of insurance were factors affecting patients prosthetic rehabilitation. There was statically significant relationship between gender and quality of life but the type of prosthesis and duration of prosthesis did not have any statically significant relationship.

A re-evaluation of the cost of prosthetic treatments would improve their condition, by favoring their access to new prosthetic rehabilitation techniques such as implantology.