Evaluation of governmental oral health-care infrastructure in the state of Haryana.

Health system should be organized to meet the needs of entire population of the nation. Oral diseases are the most common of the chronic diseases, but there are few efficient dental care systems to cope with these problems. The present cross-sectional study was conducted among 135 dental care units of various primary health centers, community health centers, and general hospitals existing in the state to evaluate the government oral health-care infrastructure in Haryana. Data regarding provision of water and electricity supply, dental workforce and their qualification, number and type of instruments in the dental operatory unit, etc., were collected on a structured format. There is a shortfall in infrastructure and significant problem with the adequacy of working facilities. This can prove to be a big hurdle in the provision of adequate oral health care to people with greatest health-care needs. A great deal of effort is required to harmonize the oral health-care delivery system.

Disaster management: Role of dental professionals.

Natural or manmade catastrophic events place great manpower demands on communities and their health care and public health systems. This calls for ever preparedness on the part of the health care workers. Dentists are not perceived as much of help in case of any disaster event. Although the first responders are primarily looked upon for in case of any disaster response; if called upon dentists can be a source of vital support in medical surge events. Dentists and dental auxiliaries can augment the existing medical professionals, in responding to a declared medical emergency. Dentists are exposed to information in many general medical areas during their pre-doctoral education that can be useful in disaster response situations. Dentists have the clinical skills and medical knowledge that are invaluable assets in a mass casualty event. Dentists can be given the opportunity with additional targeted training to become more effective responders to natural disasters and other catastrophic events. Inculcating disaster training in the undergraduate and post graduate curriculum will better prepare the dentist for any surge event. The present article explores the various duties which dental professionals can play in a major public health disaster.

Non-syndromic oligodontia in permanent dentition: a rare case report / Oligodontia não sindrômica nad entição permanente: relato de caso raro

Tooth agenesis is one of the most common congenital anomalies seen in humans. Although absence of one or more teeth is common, absence of multiple teeth is rare. Oligodontia is a rare developmental anomaly, involving agenesis of six or more permanent teeth, excluding the third molars. The reported prevalence of oligodontia in permanent dentition is 0.14%. Oligodontia can be presented as an isolated condition or as a part of a syndrome. Discussion: The present case report highlights a unique case of non-syndromic oligodontia, with agenesis of four permanent incisors, left permanent canine and right second premolar in the mandibular arch and its management with a novel fixed functional prosthetic appliance. Conclusion: Prosthetic rehabilitation is an urgent need for these kind of patients so that they do not suffer from masticatory and esthetic problems which can eventually lower the self esteem of individuals...

A agenesia dentária é uma das anomalias congênitas mais comuns em humanos. Embora a ausência de um ou mais dentes seja comum, a ausência de vários dentes é rara. A oligodontia é uma anomalia de desenvolvimento rara, envolvendo agenesia de seis ou mais dentes permanentes, excluindo os terceiros molares. A prevalência de oligodontia na dentição permanente é de 0,14%. A oligodontia pode apresentar-se como uma condição isolada ou como parte de uma síndrome. Discussão: O presente relato destaca um caso único de oligodontia não sindrômica, com agenesia de quatro incisivos permanentes, canino permanente esquerdo e segundo pré-molar direito no arco inferior, e seu manejo com um novo aparelho de prótese fixa funcional. Conclusão: A reabilitação protética é uma necessidade urgente para este tipo de paciente para que ele não sofra de problemas de mastigação e estética, os quais podem eventualmente reduzir a autoestima do indivíduo...

Assessment of prevalence of dental caries among 5 and 12-year-old schoolchildren in Chandigarh (U.T. ), India / Avaliação da prevalência de cárie dental em crianças com idades entre 5 e 12 anos em Chandigarh (U.T. ), Índia

Objectives: To assess the prevalence of dental caries among 5 and 12-year-old schoolchildren in Chandigarhand to explore and suggest suitable preventive programmes for the prevention of dental caries in this population.Materials and methods: Twenty out of 101 schools were randomly selected for the study. A totalof 1113 subjects were examined from May 2008 to September 2009. Data regarding dental caries experienceusing dmft index for 5-year-old and DMFT index for 12-year-old school children were collected on astructured format. Results: Among the 5-year-old children examined, 46.8% (271) were females and 53.2%(308) were males. Considering the 12-year-old age group, 46.6 % (249) were females and 53.4% (285) weremales. Regarding the 5-year-old age group, 48.3% (579) of subjects were affected with dental caries, andin the 12-year-old age group, the amount was 30.52% (534). The prevalence of dental caries was more in5 years age group. Conclusion: In the present study, it was observed that 51.7% of the 5-year-old subjectswere caries free and the mean DMFT was 0.53 at 12 years of age. Hence, it may be concluded that W.H.O.global oral health goals for 5 and 12 year olds are achieved in Chandigarh. Still, as public health people, wehave to aim at achieving ‘0’ (zero) DMFT for all school going children.

Objetivos: Avaliar a prevalência de cárie dentária em crianças com idade entre 5 e 12 anos em Chandigarh,e explorar e sugerir programas para a prevenção da cárie dentária nesta população. Materiais e métodos:Vinte de 101 escolas foram selecionadas aleatoriamente para o estudo. Um total de 1.113 indivíduos foramexaminados entre maio de 2008 e setembro de 2009. Os dados referentes à experiência de cárie foram coletadosem um formato estruturado pelo índice cpo-d para 5 anos e índice CPO-D para crianças de 12 de idade.Resultados: Dentre as crianças de 5 anos examinadas, 46.8% (271) eram do gênero feminino e 53.2% (308)eram do gênero masculino. No grupo de 12 anos, 46.6% (249) eram do gênero feminino e 53.4% (285) eramdo gênero masculino. No grupo de 5 anos de idade, 48.3% (579) dos sujeitos foram afetados por cáries; já nogrupo de 12 anos de idade, o percentual foi de 30.52% (534). A prevalência de cárie foi maior no grupo de5 anos. Conclusão: No presente estudo, observou-se que 51.7% das crianças de 5 anos eram livres de cáriee a média de CPO-D foi de 0.53 para o grupo de 12 anos. Desse modo, foi possível concluir que as metas daOMS para saúde bucal para crianças de 5 e 12 anos de idade foram atingidas em Chandigarh. Porém, nacondição de pessoas de saúde pública temos que atingir o objetivo de CPOD “zero” para todas as criançasem idade escolar.