Journal of Advanced Clinical and Research Insights

ORIGINAL ARTICLE

Pheiroijam Herojit Singh, Manohar Bhat

Prevalence of molar incisor hypomineralization among primary schoolchildren of three villages of Jaipur city, Rajasthan, India

[Year:2019] [Month:September-October] [Volume:6 ] [Number:5] [Pages No:131-133]


ABSTRACT


Background: Molar incisor hypomineralization (MIH) occurs due to defect during the developmental stages of tooth. The prevalence of MIH is reported to vary between 2.4% and 40.2%. Studies on MIH in Jaipur city are not available till date.

Aim: This study aims to determine the prevalence of MIH among primary schoolchildren of three villages of Jaipur city, Rajasthan, India.

Materials and Methods: A cross-sectional epidemiological study was carried out in three government primary schools of Gunawata, Toda Meena, and Basna villages under school dental camp program of Jaipur Dental College. A total of 430 children age between 6 and 9 years were examined and MIH was found in 18 children. Among the affected children, there were 12 girls and 6 boys.

Conclusion: The prevalence of MIH among primary schoolchildren of three villages of Jaipur city was 4.19% without gender predilection.

Keywords: Amelogenesis, molar incisor hypomineralization, prevalence

How to cite this article: Herojit Singh PH, Bhat M. Prevalence of molar incisor hypomineralization among primary schoolchildren of three villages of Jaipur city, Rajasthan, India. J Adv Clin Res Insights 2019;6: 131-133.

Received: 16 August 2019;

Accepted: 18 September 2019

ORIGINAL ARTICLE

P. S. Manoharan, K. R. Sethuraman, B. V. Adkoli, R. Saravanakumar

Perception of students and faculty toward a new curriculum based on SPICES model for dental interns

[Year:2019] [Month:September-October] [Volume:6 ] [Number:5] [Pages No:134-137]


ABSTRACT


Clinical dental training of interns is crucial in an undergraduate program to prepare the graduates to manage patients in real-time situations. Traditional training in the 4 years of undergraduation and council regulated examinations do not facilitate learning in the intended manner. Competency-oriented education for health-care training by evaluating the trainee in all dimensions apart from just procedural skills has resulted in favorable outcomes. SPICES guidelines by Dr. RM Harden in 1984 have outlined the educational strategies for curriculum planning. The primary investigator has implemented a hybrid model of curriculum for the dental interns after approval from the ethics committee and board of studies. The curriculum was in place from the year 2017 to 2019 for the regular and supplementary batch interns of the institution. Before implementation of the curriculum and after implementation of the curriculum, two validated measurement tools were used to check the strategy of curriculum from the traditional to the SPICES approach. One was SPICES to traditional continuum and the another was a questionnaire with the SPICES components built in it. The results showed a definite shift of the components of SPICES such as student centeredness, problem based, community based, electives, and systematic. Integrated showed least change from the SPICES component. It was concluded that all the SPICES components were appreciated by the facilitators and students. Implementation challenges were mainly due to lack of trained faculty, inadequate human resources, additional time required for planning, training, and evaluation for interns group who do not have council mandated formal training and assessments.

Keywords: Curriculum evaluation, dental interns, SPICES model

How to cite this article: Manoharan PS, Sethuraman KR, Adkoli BV, Saravanakumar R. Perception of students and faculty toward a new curriculum based on SPICES model for dental interns. J Adv Clin Res Insights 2019;6:134-137.

Received: 20 August 2019;

Accepted: 22 September 2019

ORIGINAL ARTICLE

Hortencia Recio, Leili de Leon, Juan Carlos Sebastian Sanchez

Effect of different polishing time on the color stability of provisional materials: An In vitro study

[Year:2019] [Month:September-October] [Volume:6 ] [Number:5] [Pages No:138-143]


ABSTRACT


Background: Provisional fixed restoration is an essential component in prosthodontics treatment. These materials may experience color change for surface roughness. To reduce it, a polishing technique is required with a time setting specified.

Aims and Objectives: The aim of this study was to evaluate the effect of different polishing time on the color stability of provisional materials.

Materials and Methods: One hundred and forty-four resin blocks were prepared, divided into Group A, PMMA acrylic resin and Group B, bis-acryl resin. They were polished with goat hairbrush and diamond paste. Twenty-four hours stored in distilled water and 12th day on the staining solution coffee and wine. They were measured with a spectrophotometer, analyzed, and processed with the CieLab system, to calculate color difference ΔE.

Results: On the 3rd day of the immersion period, the lowest mean value was showed with 1 min polishing on Group A, showing to be statistically significant, P = 0.011. In Group B, the lowest mean value was showed with 1 min 30 s. At the 7th and 12th days immersion period, the lowest mean value was showed with 30 s polishing among the groups.

Conclusion: Polishing 30 s showed the lowest ΔE values on PMMA and bis-acryl resin. Mean color differences were above the clinical acceptability threshold ΔE > 3.3. Regarding the staining agent, the highest ΔE values were observed in coffee.

Keywords: Acrylic resin, bis-acryl composite resin, color, polishing

How to cite this article: Recio H, de Leon L, Sanchez JCS. Effect of different polishing time on the color stability of provisional materials: An In vitro study. J Adv Clin Res Insights 2019;6:138-143.

Received: 25 August 2019;

Accepted: 26 September 2019

ORIGINAL ARTICLE

Naga Karthik Garikapatri, Vasanth Dunna, Harini Konakyana, Kameshwari Kolachana

Characterization of neoplastic and cystic abdominal masses in children, reporting to the government tertiary care center in Vishakhapatnam – A longitudinal, prospective study

[Year:2019] [Month:September-October] [Volume:6 ] [Number:5] [Pages No:144-148]


ABSTRACT


Aim: This study aimed to characterize the neoplastic and cystic abdominal masses in children, reporting to the tertiary care center in Visakhapatnam.

Objectives: The objectives include reporting on the age of presentation, sex distribution, incidence, history, presenting features, organs involved, investigations, resectability of tumor, operative procedures, post-operative status, and recurrence. Additionally for malignant swellings, the stages of presentation, adjuvant chemotherapy, or radiotherapy are reported.

Materials and Methods: A longitudinal, prospective study was conducted from 2014 to 2017 in which 370 participants were recruited by consecutive systematic sampling. The children presenting with abdominal mass to the department of pediatric surgery, below the age of 13 were included in the study. Abdominal masses having acute presentations and hepatosplenomegalies due to medical causes were excluded from the study. Descriptive statistics were used to report on various stated objectives.

Results: Wilm’s tumor was the most common malignant tumor, and pelvic-ureteric junction (PUJ) obstruction was the most common benign condition causing abdominal mass. The other abdominal masses are reported in terms of stated objectives.

Conclusion: Wilm’s tumor was the most common malignant tumor. The incidence of advanced and metastatic tumors is considerably higher with tumors being reported at Stage 3 or Stage 4 in initial presentations. PUJ obstruction was the most common cause of benign renal masses, with half of the cases being detected antenatally and had improved renal function post-pyeloplasty. Masses involving the gastrointestinal tract and those proved benign in histology had a good prognosis. The prognosis of malignant tumors could only be commented by further studies with higher samples and strict follow-up.

Clinical Significance: The abdominal swellings in children are reported when parents find a notable change in children. Awareness, education, and parental motivation may help in the early diagnosis of swellings that could be initial stages of fatal diseases. The importance of a child’s age as a prognostic factor must be considered by the clinicians while planning surgical treatments.

Keywords: Abdominal mass, malignant neoplasms, pediatric neoplasms, pelvi-ureteric junction obstruction, Wilm's tumor

How to cite this article: Garikapatri NK, Dunna V, Konakyana H, Kolachana K. Characterization of neoplastic and cystic abdominal masses in children, reporting to the government tertiary care center in Vishakhapatnam – A longitudinal, prospective study. J Adv Clin Res Insights 2019;6:144-148.

Received: 28 August 2019;

Accepted: 29 September 2019

REVIEW ARTICLE

Pragati K. Kempwade, Swetha Kattimani, D. N. S. V. Ramesh, Amit Byatnal, Amruta Bansode, Karishma K. Mujawar

Evaluation of the prevalence of bifid mandibular condyle detected on digital panoramic radiographs in North Karnataka region

[Year:2019] [Month:September-October] [Volume:6 ] [Number:5] [Pages No:149-152]


ABSTRACT


Aim: The aim of this study was to determine the prevalence of bifid condyle using digital panoramic radiographs and to evaluate correlation of bifid condyle with gender.

Materials and Methods: Retrospective records of 1000 panoramic radiographs which were taken for their own diagnostic or treatment purpose in the Department of Oral Medicine and Radiology were evaluated by observer.

Results: Among the 1000 radiographs studied, bifid condyles were found in 60 radiographs, giving an overall prevalence of bifid condyles as 6%. Among the population studied, 28 (2.8%) had unilateral bifid condyle and 32 (3.2%) had bilateral bifid condyle. There was no statistically significant difference in the prevalence of bifid condyles in males compared to females.

Conclusion: The frequency of bifid condyle is higher in the North Karnataka population than previous studies. It is possible that bifid condyle is a more frequent condition that is commonly perceived. As it is asymptomatic condition, it usually remains incidental finding.

Keywords: Bifid condyle, bifid mandibular condyle, panoramic radiographs

How to cite this article: Kempwade PK, Kattimani S, Ramesh DNSV, Byatnal A, Bansode A, Mujawar KK. Evaluation of the prevalence of bifid mandibular condyle detected on digital panoramic radiographs in North Karnataka region. J Adv Clin Res Insights 2019;6:149-152.

Received: 28 August 2019;

Accepted: 29 September 2019

REVIEW ARTICLE

P. S. Manoharan, K. R. Sethuraman, B. V. Adkoli, R. Saravanakumar

Current curricular trends and future directions for dental education – The Indian perspective

[Year:2019] [Month:September-October] [Volume:6 ] [Number:5] [Pages No:153-158]


ABSTRACT


Dental curriculum has not seen much modification for a few decades. The Medical Council of India has outlined contemporary educational strategies to incorporate the global and national relevance to the curriculum and also stressed on the training of attitudinal and communication skills in the clinical practice. Although these aspects are mentioned in the Dental Syllabus of India, the importance of these is not stressed. In the global scenario, many contemporary strategies have been proposed and introduced, but the outcomes and feasibility of such strategies have been questioned. There is no single curricular pattern which can satisfy all the requirements of a graduate. The institutions should tailor the curriculum based on the dental council guidelines and syllabus. In the current literature, there is no evidence of the development or assessment of outcomes of a contemporary dental curricular model developed which is culturally relevant to the Indian scenario. This paper is an endeavor to urge and motivate the dental facilitators to break the chains of conventional training and assessment strategies and open the possibilities of scientifically sound contemporary educational strategies. This is also the need of the hour to address the changing generation of trainees who are reluctant, withdrawing and showing resistance to the conventional educational patterns.

Keywords: Competencies in dentistry, dental curriculum model, recent trends in dental education

How to cite this article: Manoharan PS, Sethuraman KR, Adkoli BV, Saravanakumar R. Current curricular trends and future directions for dental education – The Indian perspective. J Adv Clin Res Insights 2019;6:153-158.

Received: 12 September 2019;

Accepted: 14 October 2019