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Browsing by Author "Sapkota, D"

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    Oral and Craniofacial Anomalies of Fraser Syndrome: Prosthetic Management
    (Kathmandu University, 2022) Amornvit, P; Rokaya, D; Sapkota, D; Sanohkan, S
    ABSTRACT Fraser syndrome (FS, MIM 219000) is a rare autosomal disorder characterized by systemic and oro-facial malformation, usually comprising cryptophthalmos, laryngeal malformations, syndactyly, and urogenital defects. We presented a 21-year-old FS case with partial missing teeth seeking aesthetic dental treatment. Clinical examination revealed bilateral cryptophthalmos, extensive syndactyly of hands and feet broad nose with the depressed nasal bridge, and surgically corrected bilateral cleft lip. She presented class III jaw relation and reduced the vertical height of the face. Prosthetic rehabilitation of the patient was done with upper and lower overlay dentures made from acrylic resin (VIPI BLOCK TRILUX®, VIPI Industria, Pirassununga, SP, Brazil) using computer-aided design (CAD) and computer-aided manufacturing (CAM) process. At the follow-up visit, the patient presented improved aesthetics and function. Proper management and rehabilitation of FS patients are challenging, but standard guidelines for oral health management are currently lacking. This article presents a case of Fraser syndrome presenting oral and craniofacial anomalies, and prosthetic rehabilitation was done. We also provided recommendations for the optimal oral health care for the FS patients. Functional adaptation and rehabilitation have significant roles in the various functions, survival, and quality of the life of FS patients. Integrated medical- dental care is needed in such patients with support from family members, friends, and colleagues. KEY WORDS Cryptophthalmos, Fraser syndrome, Overlay denture, Syndactyly
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    Prevalence and Associated Factors of Dental Caries among School Children in Bharatpur, Chitwan
    (Kathmandu University, 2024) Poudel, S; Sapkota, D; Poudel, L; Poudel, S; Khatri, E; Sapkota, K
    ABSTRACT Background The burden of dental caries among children is increasing due to consumption of sugary substances, poor oral care practices, and inadequate health service utilization. This study aimed to identify the prevalence and associated factors of dental caries among school children. The objectives of the study were to assess the prevalence of dental caries and associated factors among school children of private school of Bharatpur metropolitan city. Objective To assess the prevalence of dental caries and associated factors among school children of private school of Bharatpur metropolitan city. Method A descriptive cross-sectional study was carried out among 150 children of two different private schools of Chitwan by using multi-stage probability sampling technique. The data was collected from 22nd November 2019 to 4th December 2019. Data were collected by using a semi-structured questionnaire to identify the prevalence of and associated factors of dental caries and decayed, missing and filled Permanent teeth (DMFT) index criteria. Result Out of total 150 children, 68% had dental caries. Among them, 64.5 % had caries in deciduous teeth, 17.6 % in permanent teeth and 17.6% had caries on both types of dentition. Only 40.7% of children had received dental check-ups. The mean Decayed, missing and filled primary teeth (DMFT)/ decayed, missing and filled Permanent teeth (DMFT) was 1.91 and 0.54 respectively. 83.3% and 57.1% of children had low severity caries in permanent and deciduous dentition respectively. The educational level, brushing habits, sugar consumption, and snack consumption, bottle feeding at infancy and mother’s occupation was found to be associated with dental caries. Conclusion The study showed high prevalence of dental caries among school children. Less than 50% of children had a dental checkup in case of dental problems only. Association of dental caries was found with level of education, brushing habits, sugar consumption, snack consumption bottle feeding at infancy and mother’s occupation. KEY WORDS Children, Dental caries, Prevalence, Severity

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