Browsing by Author "Khapung, Anju"
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Publication Assessment of Severity and Pattern of Early Childhood Caries Using ICDAS II Criteria: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Rai, Amita; Sundas, Sunanda; Dhakal, Neha; Khapung, AnjuAbstract Introduction: Early childhood caries is highly prevalent worldwide. The International Caries Detection and Assessment System incorporates both the non-cavitated and cavitated carious lesions with acceptable reliability. The objective of the present study was to assess the prevalence, severity and pattern of early childhood caries among children visiting outpatient department of a dental college in Nepal. The study also aimed to compare the severity and pattern based on individual tooth type. Methods: A cross-sectional study was conducted among 200 children of age group 24-71 months. The International Caries Detection and Assessment System II criteria was used to detect dental caries, and its severity and pattern. The ethical approval was taken from the institutional ethical committee (IRC Reference number: 1, 36, 2079/2080 IRC PDCH 2022 21). Results: Highest caries prevalence was seen among 48 to 60 month olds, whereas lowest prevalence was seen among the 24 to 35 month-old children. Based on severity, dentinal caries (Code 5) 526 (13.19%) was the most prevalent and undermined dentinal caries (Code 4) 36 (0.9%) was the least prevalent. The most common pattern of dental caries was multi-surface caries 644 (16.15%), and the least common pattern was the lingual surface caries 22 (0.55%). Prevalence of dental caries was highest in occlusal surface of mandibular second molars 151 (37.75%), and 227 (5.69%) of the teeth had received restoration and sealants of some sort (CARS). Conclusions: Majority of the children enrolled in the study had multiple cavitated and non-cavitated carious teeth involving different surfaces. Severity and pattern of caries also varied among individual tooth type.Publication Self-Assessment of Oral Health Status among Adults Residing at Chautara, Sindhupalchowk, Nepal(Nepal Health Research Council, 2025) Dahal, Sirjana; Khapung, Anju; Dahal, Samarika; Poudel, PrakashBackground: Little is known about attitudes and practices regarding oral health of developing countries. This study aimed to determine the self-assessment of oral health status among adults residing at Chautara, Sindhupalchowk, Nepal. Methods: A descriptive cross-sectional study was conducted among 440 adults selected by convenience sampling method. Interview using WHO oral health questionnaire for adults 2013 was taken after receiving informed consent. Data were entered in Microsoft Excel Sheet and analysed in SPSS version 24. Mean, standard deviation, frequency and percentage were calculated. Results: Majority had positive assessment regarding their teeth (366, 83.18%) and gums (384, 87.27%). Many (417, 94.77%) cleaned their teeth ?one times a day. Majority used toothbrush (434, 98.64%) and paste (411, 93.41%) for cleaning their teeth. Some, (184, 41.82%) visited a dentist at least once in their lifetime and the main reason was pain or trouble in teeth/gums/mouth (94, 51.09%). Very often, they faced problems chewing (31, 7.0%) and biting (27, 6.1%) foods. They mostly consumed tea with sugar (132, 30.0%) and biscuits, cakes and cream cakes (59, 13.4%) several times a day. Most of them smoked cigarettes every day (93, 21.1%), followed by tobacco chewing (67, 15.2%). In the past 30 days, 179 (40.7%) drank one or more drinks of alcohol. Conclusions: The study findings showed that most of the adult residents of Chautara, had positive self-assessment of their oral health status. However, they faced many oral health problems which may be due to their unhealthy lifestyle suggesting need for oral health awareness programs. Keywords: Adults; oral health; self-assessment.