Browsing by Author "Nepal, Manisha"
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Publication Characterization of Etiology and Pattern of Dental Extraction among Patients Presenting to Dental Department of a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Shakya, Mamata; Adhikari, Bhoj Raj; Chaurasia, Nitesh; Upadhyaya, Chandan; Rauniyar, Dilip Prasad; Rijal, Arjun Hari; Nepal, ManishaMamata Shakya Department of Oral and Maxillofacial Surgery, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Nepal Bhoj Raj Adhikari Department of Oral Medicine and Maxillofacial Pathology, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal Nitesh Chaurasia Department of Oral and Maxillofacial Surgery, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal Chandan Upadhyaya Department of Oral and Maxillofacial Surgery, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal Dilip Prasad Rauniyar Department of Oral and Maxillofacial Surgery, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal Arjun Hari Rijal Department of Periodontology, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal Manisha Nepal Department of Conservative Dentistry and Endodontics, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, NepalPublication Endodontic Indications among Patients Visiting a Tertiary Care Center: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Kunwar, Deepa; Manandhar, Archana; Gurung, Gita; Khadka, Jwolan; Nepal, ManishaAbstract: Introduction: Endodontics is the study of prevention, diagnosis and treatment of diseases or injuries to the dental pulp. The ultimate goal of modern dental care is tooth preservation and root canal therapy/treatment is an available therapeutic strategy to retain teeth. The aim of the study is to find the prevalence of patients visiting a tertiary care center who had endodontic indications. Methods: The descriptive cross-sectional study included 516 patients accepted for endodontic treatment, between August 2019 and December 2019 in a tertiary care center. Ethical approval was taken from the ethical review board of Nepal Health Research Council (reference number: 425-2019). Convenience sampling method was used. The data were entered in Statistical Package for Social Sciences version 20 software and analysed using descriptive statistics. Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. Results: Out of 1740 patients, 516 (29.66%) (95% Confidence Interval= 21.46% - 27.51%) had endodontic indications. Symptomatic irreversible pulpitis 306 (59.30%) was the most prevalent pulpal disease. Maxillary teeth 300 (58.13%) had more endodontic diseases. While in individual dental elements most affected by endodontic diseases was the mandibular molar teeth 149 (28.87%). Females 348 (67.44%) were predominant for demanding endodontic management than males 168 (32.5%). Conclusions: More female patients and of younger age group in this study population demanded endodontic treatment. Irreversible pulpitis was responsible for the majority of the cases treated and more affected were the posterior teethPublication Prevalence of Traumatic Dental Injury in a Tertiary Care Hospital: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Shubham, Snigdha; Nepal, Manisha; Mishra, Ravish; Kandel, Laxmi; Gautam, NarayanAbstract: Introduction: Traumatic dental injury is an injury inflicted on the dentoalveolar system. It has a physical as well as a psychological impact. Despite this concern, epidemiological data regarding its prevalence is insufficient in the literature of Nepal. Hence, this study’s objective was to investigate the prevalence of traumatic dental injuries for the patients visiting Universal College of Medical Sciences, Bhairahawa, Nepal, over five years. Methods: A descriptive cross-sectional study was conducted using records from the medical record section for the patients presenting at the dental emergency outpatient department of the Universal College of Medical Sciences, Bhairahawa, Nepal, between April 2014 and April 2019. Ethical approval was taken from the Institutional Review Committee of the Universal College of Medical Sciences. Patient demographic data, type of traumatic dental injuries, and etiologies were evaluated from the record section. Results: Out of 10,080 patients registered during the study period, 793 patients (7.86%) were due to traumatic dental injury, out of which 628 (79.2%) were male, and 165 (20.8%) were female. The most vulnerable age group was 20-29 years (42.4%). Most frequently, injuries occurred in June (16%). Road traffic accidents (57.8 %) were the most common mode, and complicated crown-root fracture (23.3%) was the most common type of traumatic dental injury. Conclusions: The frequency of 7.86% of traumatic dental injury indicates that dental traumatology needs special attention for policy planning and professional training.