Browsing by Author "Sapkota, B"
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Publication A Study of Assessment of Partial Edentulous Patients Based on Kennedy’s Classification at Dhulikhel Hospital Kathmandu University Hospital(Kathmandu University, 2013) Sapkota, B; Adhikari, B; Upadhaya, CABSTRACT Background Oral health contributes significantly towards quality of life(QOL). Edentulousness falls in a special category among the various conditions of dental origin. Dietary intake and nutritional status is affected by poor oral health and loss of teeth. This will ultimately compromise general health. Objective To identify the frequency of Kennedy’s classification among partial edentulous patients and to compare occurrence among gender and between upper and lower arches and also to compare edentulousness among employed and unemployed population. Methods This study was carried out at Dhulikhel Hospital Dental Department. The study was conducted randomly among 194 patients in dental OPD who were partially edentulous. A structured pro forma was used to find out the edentulousness based on Kennedy,s classification. Results Among the Kennedy’s classification ClassIII was found to be most common. Among them females and unemployed group were found to have more edentulousness and upper arch was more common. It was also found that females were more conscious and get the replacement of missing teeth among which those having Class IV missing were replaced most often. Conclusion The Kennedy Class III partial edentulousness type is most commonly found in this study. KEY WORDS Edentulousness, kennedy’s classificationPublication Epidemiological Survey on Edentulousness in Elderly Nepalese Population(Kathmandu University, 2014) Basnyat KC, S; Sapkota, B; Shrestha, SABSTRACT Background A lot of epidemiological surveys have been conducted in dental caries and periodontal problems, but prosthetic sector is lacking such study. Objective The aim of this study was to assess the level of edentulousness, the cause of edentulousness, the denture wearing and denture needs of selected Nepalese population. It will also analyze how factors, such as habits, built, educational needs influence edentulousness. Method Patients visiting the Dental Outpatient Department of Dhulikhel Hospital and various dental camps organized by the hospital were selected for study. The examination was conducted using basic diagnostic tools (Mouth mirror, straight probe and explorer). Statistical software SPSS 16.0 was used for data analysis, chi-square test was performed for each parameter. Result The statistical analysis showed that age was statistically associated to edentulousness, but gender and built were not associated to edentulousness. Furthermore educational status and habit were statistically associated with edentulousness. Conclusion Oral health awareness and education programs should be conducted at the community level for every individual. The role of oral hygiene practice, the negative effect of various oral habit, especially smoking and tobacco chewing habits, the need to replace missing teeth and care of artificial denture should be explained. KEY WORDS Built, dental caries, edentulousness, educational status, periodontal disease.Publication Pattern of Occlusal Contacts in Lateral Excursions (Canine Protection or Group Function)(Kathmandu University, 2014) Sapkota, B; Gupta, AABSTRACT Background Establishing or providing occlusion that successfully permits efficient masticatory function is basic to dentistry. To maintain harmony of the occlusal condition, the posterior teeth must pass close to but not contact their opposing teeth during mandibular movement. Anterior guidance is essential to a harmonious functional relationship in the masticatory system. Objective The objective of this study was to find out the frequency of pattern of occlusal contacts in lateral position and to compare the accuracy of shim-stock and articulating paper. Method This study was conducted in the Department of Prosthodontics, Kathmandu University School of Medical Sciences. The study consisted of 80 healthy subjects between the age group of 18-30 years. They were selected randomly from undergraduate students and dental hygienist of college of dental science and written consent was taken. This age was selected because of minimal occlusal wear. Results In the present study with 80 participants the majority of the contact patterns with shimstock on the working side were group function( 84%), the canine protected occlusal patterns were found to be 12% and the unclassifiable pattern were found to be 4%. On the otherhand, the data with articulating paper were group function type (94%), the canine protected occlusal patterns as 2.5% and the unclassifiable pattern were found to be 3.5%. In this study, with shim stock, the majority of the contact patterns were group function being 84% whereas with the articulating paper it was 94%. When shim stock occlusal strip (12 μm thick) was compared to commonly used articulating paper (40 μm), the excessive thickness of articulating paper that exceed the maximum recommended thickness of occlusal recording strips markedly must have given much more false contacts. Conclusion It was concluded that the majority of the contact pattern were group function being 84% with shim stock and 94% with articulating paper. Also shim stock exhibits superior accuracy and reliability. KEY WORDS Canine guided, GPT, group function, nonworking side, unclassified pattern, working side.