Browsing by Author "Khanal, Sunita"
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Publication Age and Caries Status of Children at the First Dental Visit in a Tertiary Care Hospital: A Cross-sectional Study(Institute of Medicine, 2023) Malla, Manisha; Dikshit, Parajeeta; Limbu, Senchhema; Khanal, SunitaABSTRACT Introduction: Children's oral health is a vital part of their overall general health. Early first dental visit can influence the child's future oral health. The objective of this study was to assess the average age, reason, and caries status of children on their first dental visit at a tertiary care center in Kathmandu. Methods: A cross-sectional observational study was conducted among the children aged upto 14 years visiting the outpatient departments of Kantipur Dental College. A Validated questionnaire was provided to the parents visiting with the child and dental checkup was carried out in their first dental visit. Results: Out of 334 children a total of 43 (12.9%) visited by 3 years of age and only 9 (2.7%) children visited by 1 year of age. Majority of children were of age 4-6 years (n=127) with a mean age of 6.71±2.95. Most common chief complaint for their first dental visit was decayed tooth (n=95, 28.4%), followed by pain (n=93, 27.8%) and 4 of them (1.2%) visited for routine checkup. Conclusion: The majority of the children make their first dental visit too late. Children delaying their first dental appointment had much greater dental caries experience. Dental caries and associated complications were the primary reasons for the child's first dental appointment. Keywords: Age; children; dental caries; first dental visitPublication Perceived Stress among Undergraduate Students in a Dental College: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Khanal, Sunita; Shrestha, SujitaAbstract: Introduction: An individual may feel stressed when he/she is unable to cope with past, present, and future situations. A high level of stress in dental students is due to the fact that dental students need to acquire diverse proficiencies such as theoretical knowledge, clinical competencies, and interpersonal skills. So, this study was conducted to find out the prevalence of perceived stress among undergraduate students in a dental college. Methods: A descriptive cross-sectional study was conducted among first-year to final year students of a tertiary care centre from May-August 2020. The sample size was calculated to be 177. Convenience sampling technique was used. Data collection was done after taking ethical approval from the institutional review committee (Ref no.21/020). Data collection was done by using a selfadministered, modified Dental Environmental Stress Questionnaire. Data analysis was done by using Statistical Package of Social Sciences version 20 software. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: The prevalence of perceived stress was found to be 80.55 (45%) at 95% Confidence Interval (37.71-52.28). Students perceived more stress from the domain related to personal factors i.e. fear of failing 78 (43.6%), academic factors i.e. examination and grades 71 (39.7%), unable to catch up with the back lock work 68 (38%), and for the clinical phase students, patients not coming or coming too late was most stressful 69 (60%) followed by getting an ideal case for clinical examination 60 (52.2%). Conclusions: Overall stress levels were slight to severe and were comparatively higher in clinical phase students due to factors related to patients.Publication Survival of Resin-Bonded Fixed Metal-Ceramic Dental Prostheses Placed in the Anterior Region: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Bhusal, Dinesh Sharma; Khanal, Sunita; Parajuly, Prakash KumarAbstract: Introduction: Resin-bonded fixed dental prostheses have an advantage over conventional fixed dental prostheses in terms of conservation of tooth structure but many clinicians refrain from using this treatment plan over the concern of the retention of those prostheses. In anterior region, it has better survival rate because of the less masticatory force. This study was conducted to find out the survival of resin-bonded fixed metal-ceramic dental prostheses placed in anterior region of a tertiary care hospital. Methods: A descriptive cross-sectional study was carried out in a tertiary care hospital from September 2020 to February 2021. Ethical approval was taken from the Institutional Review Committee of Kantipur Dental College (reference number: 29/020). One hundred fifty-five patients who underwent prosthesis placement at least 5 years ago in the institution were identified from the hospital record and called, out of which only 80 agreed to be enrolled in the study. Consent was taken and data were collected using questionnaires filled by investigators and analyzed using the Statistical Package for the Social Sciences version 25. Point estimate at 90% Confidence Interval was calculated along with frequency and percentage for binary data. Results: Out of 80 patients, the prostheses survived in 72 (90%) (90% Confidence Interval 84.48-95.51). The mean duration for which the prostheses survived in the mouth was 73.33±13.493 months with minimum 28 and maximum 98 months. Conclusions: This study showed that the survival after five years of resin-bonded fixed dental metal ceramic was high. The study's findings are comparable with international studies.