Browsing by Author "Bhattarai, Rosina"
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Publication Tobacco Users among the Patients who Visited Dental Outpatient Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study Authors(Nepal Medical Association, 2021) Bhattarai, Rosina; Adhikari, SantoshAbstract: Introduction: Smoked and smokeless forms of tobacco is a preventable cause of morbidity and mortality with inevitable effects on the oral cavity as well. The aim of the study was to find out the prevalence of tobacco users among the patients who visited dental outpatient departments of a tertiary care hospital. Methods: A descriptive cross-sectional study was carried out among 255 patients visiting the dental outpatient department of a tertiary care hospital over the duration of six months. Data collection was done through personal interviews and clinical examinations. History of tobacco use was taken and patients were divided into current users, never users and ever users. Clinical examination was done using Decayed Missing Filled Teeth index, community periodontal index modified and loss of attachment. Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. Results: Among 255 patients, 91 (35.69%) (95% Confidence Interval = 29.81-41.57) patients used tobacco. Among them, 72 (28.2%) were current users, who had taken tobacco at least once during the past 30 days and 19 (7.5%) were ever users who had taken tobacco but not during the past 30 days. Conclusions: The prevalence of tobacco use among our study participants is similar in comparison to that of the general population. Our study shows greater prevalence of the use of a smokeless form of tobacco than the smoked form of tobacco.Publication Type 2 Diabetes Mellitus in Patients with Periodontitis at a Tertiary Care Hospital: A Cross-Sectional Study(Nepal APF Hospital, 2026) Shrestha, Sweta; Agrawal, Shweta; Thakur, Amresh; Bhattarai, RosinaAbstract: Introduction: Periodontitis is a chronic inflammatory disease affecting the tissues surrounding the teeth. Bacteria or bacterial products may enter the general circulation through the ulcerated periodontal pocket, and cytokines produced locally will also have systemic effects, altering the body's internal environment and causing insulin resistance. The aim of this study was to determine glycemic parameters among patients diagnosed with chronic periodontitis. Methods: This descriptive, cross-sectional study was conducted among 350 patients diagnosed with chronic periodontitis at a tertiary-level hospital from February 2025 to August 2025. Ethical approval was obtained from the Institutional Review Committee (Ref 030/2024). The patients were recruited by convenience sampling, written informed consent was obtained and they were sent for glycemic parameters. Data were entered in Statistical Package for the Social Sciences version 21 and Microsoft Excel 2019. Chi-square test was utilized to compare categorical data. Results: Among 350 participants with periodontitis, the majority, 219 (62.60%) had normal glycemic levels. However, a substantial proportion showed dysglycemia in which 87 (24.90%) were classified as having pre-diabetes and 44 (12.60%) had diabetes mellitus. The chi-square test suggested that, with progression of periodontitis, poor glycemic control was observed, and periodontitis staging showed significant associations with glycemic status (p < 0.001). Conclusions: Glycemic parameters were higher in patients with periodontitis. The study showed a significant correlation between the severity of periodontitis and poor glycemic control.