Browsing by Author "Tripathi, Rupam"
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Publication Mandibular Third Molar Impaction among Patients Visiting Outpatient Dental Department of a Tertiary Care Centre(Nepal Medical Association, 2023) Lamichhane, Narayan Sharma; Sigdel, Bhawana; Lamichhane, Sushma; Tripathi, Rupam; Koirala, Ujjwal; Bajgain, Dwarika PrasadAbstract Introduction: Mandibular third molar impaction is the most common impaction as third molars are last to erupt at the age of 17-25 years. Despite its high prevalence and negative impacts, there is limited study about mandibular third molar impaction. The aim of this study is to find out the prevalence of mandibular third molar impaction among patients visiting the outpatient Dental Department of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients visiting the Outpatient Dental Department of a tertiary care centre from 1 January 2023 to 30 June 2023. Ethical approval was taken from the Institutional Review Committee of the same institute. A total of 414 orthopantomograms were prospectively reviewed for the angulation of impaction, depth and position. The indication for extraction was recorded from patients’ cards during the time of extraction. Convenience sampling method was used. The point estimate at a 95% confidence interval was calculated. Results: The prevalence of mandibular third molar impaction was 37.13% (34.29-39.97, 95% Confidence Interval). There was a high prevalence of mesioangular 344 (45.38%) pattern followed by vertical 249 (32.85%) for mandibular third molar impaction, the most commonly involved group was 20-30 years, with female 247 (59.70%) predominance. Bilateral impaction 344 (83.10%) was more prevalent than unilateral. Depth A, 639 (84.3%), ramus relation level I, 602 (79.42%) was the most common level of impaction. Recurrent pericoronitis 160 (38.6%) was the common indication for extraction followed by dental caries 145 (35%). Conclusions: The prevalence of mandibular third molar impaction was lower than other similar studies done in similar settings.Publication Perceived Stress and Stressors among Medical and Dental Students of Bhairhawa, Nepal: A Descriptive Cross-sectional Study(Nepal Medical Association, 2020) Bali, Harleen; Rai, Vaibhav; Khanduri, Nitin; Tripathi, Rupam; Adhikari, Khushbu; Sapkota, BinamAbstract Introduction: Medical school is recognized as a stressful environment that may have a negative effect on a student’s academic performance, health, and psychosocial well-being. This could further impact future health professionals’ attitudes and compromise patients’ care. This study aims to find out various sources of stress for medical and dental students to help prevent many future health problems in a student’s life. Methods: It was a cross-sectional study done in Universal College of Medical Sciences, Bhairhawa, Nepal, among undergraduate final year bachelor of medicine and bachelor of surgery and third and fourth year (phase I and phase II) dental students, using a questionnaire with Likert’s scale. Data obtained was tabulated and analyzed using analysis of variance. Results: Results showed that stress during exam 210 (92.9%) and preparation phase 200 (88.5%) stood out as the maximum stressors for our study group. The least stress-causing element was recorded as terms with seniors 45 (19.9%), adjustment with roommates 52 (23.01%), and competing with peers 69 (30.53%). Length of course 187 (82.74%), understanding the course 173 (76.55%), reading several textbooks 171 (75.66%), and work overload 165 (73.01%) amounted to significant stressors. Conclusions: Stress has a detrimental effect both on health as well as academic performance. The stressors at the campus should be identified and proper coping assistance should be provided to individual students. Systemic efforts are needed to address their concerns and make mental health care easily accessible to them. Counseling and awareness are recommended. Keywords: academic performance, medical school, mental health, stressPublication Post Operative Pain During and After Root Canal Treatment in a Government Hospital Setting in Nepal(Nepal Health Research Council, 2025) Tripathi, Rupam; Dahal, Sirjana; Acharya, Nisha; Nepal, Manisha; Khanduri, Nitin; Lamichhane, SamitaAbstract: Background: Postoperative pain is a most common symptom of endodontic patients after root canal treatments (RCTs). The aim of this study was to evaluate Postoperative pain during and after root canal treatment (RCT) among patients at a government hospital of Nepal. Methods: Maxillary and mandibular teeth with necrotic pulp or irreversibly inflamed pulp, with or without preoperative pain, were included in this study. Subject’s age and gender, as well as pulp status and preoperative pain status, were recorded. Root canal treatment was done using a standard protocol. Visual analog scale (VAS) and facial rating scale were used to record the level of pain felt. Results: A total of 400 patients were enrolled in the study. The VAS score for pain decreased from 6(4-8) recorded before RCT, to 0 (0-4) during and 0 (0-0) after RCT and the difference was statistically significant (P<0.001). Similarly, in Facial rating scale, the scores decreased significantly from 2(2-5) before RCT to 0(0-0) during and 0(0-0) after RCT (P<0.001). There was significant difference in facial rating scores during root canal treatment between males and females (P=0.014). Conclusions: Postoperative pain significantly decreases after the initiation of root canal treatment. No significant difference was found in VAS score between male and female whereas significant difference was found in facial rating scores during root canal treatment between males and females. These findings of facial rating score emphasize that biological and psychosocial factors make females more susceptible to experiencing pain. Keywords: Facial rating scale; necrotic pulp; post-operative pain; RCT; visual analog score.