Effect of Training School Teachers on Oral Hygiene Status of 8-10 Years Old Government School Children of Udaipur City, India.

INTRODUCTION: Provision of oral health knowledge to the children by their teachers at the school level can prove to be more fruitful because it is the time period during which the children begin to learn the basic oral hygiene practices and are most prone to dental caries. AIM: This study was carried out to assess the effect of training school teachers on oral hygiene status of 8-10 years old government school children of Udaipur city, India. MATERIALS AND METHODS: A total of nine school teachers and 279, 8-10 year old school children from two government schools were included in the study. The questionnaire on oral health knowledge and practice contained 17 questions to evaluate the knowledge and practice of children towards oral hygiene before and after the teachers training program. Baseline and six months post training data on oral health knowledge and practice was obtained by the questionnaire method. Baseline and six months post training data on oral hygiene status was obtained by OHI-S Index. Statistical analysis was done using software SPSS 22, the test used were McNemar's test, paired t-test. RESULTS: Pre and post training data were compared and it was found that there was a significant improvement in oral health knowledge and practices of school teachers and children. Also oral hygiene status of school children was significantly improved after the program. CONCLUSION: Results of the present study suggest that experiential learning is an effective school based oral health education method for improvement of oral hygiene in primary school children.

Effectiveness of 3% hypertonic saline nebulization in acute bronchiolitis among Indian children: A quasi-experimental study.

OBJECTIVE: To compare the effects of 3% hypertonic saline (HS) and 0.9% normal saline with nebulized 0.9% normal saline with salbutamol in patients of acute viral bronchiolitis. MATERIALS AND METHODS: Participants were divided into three groups, that is, 3% HS group, 0.9% normal saline group and 0.9% saline with salbutamol group. Four doses at interval of 6 h were given daily until discharge. Average CS score and length of hospital stay were compared. One-way analysis of variance paired t-test and Chi-square test were utilized for statistical analysis. RESULTS: The mean ages of the patients in three groups were 6.03 ± 3.71, 5.69 ± 3.34 and 5.48 ± 3.35 respectively. The 3(rd) day CS scores for all the groups were 1.0 ± 1.1, 1.9 ± 1.1 and 3.3 ± 0.5 respectively (P = 0.000). The average length of hospital stay was 3.4 ± 1.7, 3.7 ± 1.9 and 4.9 ± 1.4 days respectively (P = 0.001). CONCLUSION: The present study concludes that 3% HS nebulization (without additional bronchodilators) is an effective and safe treatment for nonasthmatic, moderately ill patients of acute bronchiolitis. The economic benefit of this comparably priced modality of treatment can be enormous in terms of hospital costs with parents returning to work sooner.

Assessment of Dental Nutrition Knowledge among Nutrition/Dietetics Students.

INTRODUCTION: Diet and nutrition plays an important role in signifying the health of an individual. Oral health is the most important aspect of the body when it comes to food intake and its health benefits. It is important for the nutrition/dietetics students to be aware of the health modalities related to oral aspect. AIM: The aim of the present study was to assess knowledge towards the effect of diet and nutrition on oral health among nutrition/dietetics students of Udaipur city, Rajasthan, India. MATERIALS AND METHODS: A descriptive cross-sectional study was conducted among all the nutrition and dietetics students of Udaipur city. A self-administered, pretested 14 item questionnaire was given to 180 students to assess their knowledge about dietary factors related to caries, anti-cariogenic foods, frequency and duration of sugar intake etc. One-way analysis of variance and independent sample t-test were utilized for statistical analysis. Confidence level and level of significance were set at 95% and 5%, respectively. RESULTS: The mean score for knowledge was 28.92±1.72. Mean knowledge scores for III, II and I year students were 29.91±1.94, 29.56±1.27 and 27.30±1.66 respectively. When post-hoc Bonferroni test was applied, mean knowledge score was found to be at a higher end among III year as compared to I year (p=0.03) students. CONCLUSION: This study highlights about low dental nutrition knowledge among nutrition/dietetics students. Health profess-ionals should have more information outside their immediate fields. Inter-professional team members should work in collaboration with each other to improve patient outcomes.

Assessment of oral hygiene habits, oral hygiene practices and tooth wear among fertilizer factory workers of Northern India: A Cross sectional study.

BACKGROUND: The association between oral hygiene habits & practices and severity of tooth wear lesion varies from community to community and also from occupation to occupation. The present study was conducted with to assess oral hygiene habits & practices and tooth wear among fertilizer factory workers of Punjab, India. MATERIAL AND METHODS: A descriptive cross sectional survey was conducted among 965 male workers who were aged between 19-58 years, who were the workers of fertilizers factory of Bathinda, India. An interview on the demographic profile, oral hygiene practices, and adverse habits followed a clinical examination for recording the Tooth Wear (Smith and Knight Index 1984) using Type III examination. The Chi-square test and a Stepwise multiple linear regression analysis were used for the statistical analysis. Confidence interval and p-value set at 95% and ≤ 0.05 respectively. RESULTS: In the present study majority (47.2%) of the study population used chew sticks for cleaning their teeth. Overall prevalence of adverse habits was reported (92.4%). Study population showed higher prevalence of tooth wear (77.1%). Best predictors identified for Tooth Wear were oral hygiene practices, adverse habits, years of work experience and age respectively. CONCLUSIONS: Considerable percentages of fertilizer factory workers have demonstrated a higher prevalence of tooth surface loss. This may be useful in designing the investigations that aim to further explore the causes for these findings and more importantly to plan oral health promotion program implementing both preventive and curative strategies. KEY WORDS: Tooth wear, smith & knight index, fertilizer factory.

Assessment of Fluoride Concentration of Soil and Vegetables in Vicinity of Zinc Smelter, Debari, Udaipur, Rajasthan.

BACKGROUND: As of late, natural contamination has stimulated as a reaction of mechanical and other human exercises. In India, with the expanding industrialization, numerous unsafe substances are utilized or are discharged amid generation as cleans, exhaust, vapours and gasses. These substances at last are blended in the earth and causes health hazards. OBJECTIVE: To determine concentration of fluoride in soils and vegetables grown in the vicinity of Zinc Smelter, Debari, Udaipur, Rajasthan. MATERIALS AND METHODS: Samples of vegetables and soil were collected from areas situated at 0, 1, 2, 5, and 10 km distance from the zinc smelter, Debari. Three samples of vegetables (i.e. Cabbage, Onion and Tomato) and 3 samples of soil {one sample from the upper layer of soil (i.e. 0 to 20 cm) and one from the deep layer (i.e. 20 - 40 cm)} at each distance were collected. The soil and vegetable samples were sealed in clean polythene bags and transported to the laboratory for analysis. One sample each of water and fertilizer from each distance were also collected. RESULTS: The mean fluoride concentration in the vegetables grown varied between 0.36 ± 0.69 to 0.71 ± 0.90 ppm. The fluoride concentration in fertilizer and water sample from various distances was found to be in the range of 1.4 - 1.5 ppm and 1.8 - 1.9 ppm respectively. CONCLUSION: The fluoride content of soil and vegetables was found to be higher in places near to the zinc smelter.

Assessment of oral health among seafarers in Mundra Port, Kutch, Gujarat: a cross-sectional study.

BACKGROUND: A seafarer is a person who navigates waterborne vessels or assists as a crewmember in their operation and maintenance in all tough weather, but little research has been done to identify conditions that may lead to assess seafarer general health as well as oral health. AIM: To assess oral diseases including dental caries and periodontal conditions among seafarer's population arrived in Mundra Port, Kutch, Gujarat, India. MATERIALS AND METHODS: A descriptive cross-sectional survey was conducted to assess oral health condition of seafarer community of Mundra Taluka of Kutch District, Gujarat, India, from July 2014 to September 2014. RESULTS: Total of 385 subjects participated in the survey. Adverse habits show the overall 72.3% prevalence among the study population. Occurrence rate of caries, periodontal disease and prosthetic status were 88%, 75.1% and 6.5%, respectively. The best predictors for Decayed Missing Filled Teeth (DMFT), Community Periodontal Index (CPI) and prosthetic status were oral hygiene practices, adverse habit and educational status. CONCLUSIONS: Findings of the present study suggest that oral health condition of seafarer community was relatively poor, with high caries prevalence and poor periodontal health. This epidemiological survey has provided baseline information to underpin the implementation of oral health programmes.

Association of Temporomandibular Joint Signs & Symptoms with Dental Fluorosis & Skeletal Manifestations in Endemic Fluoride Areas of Dungarpur District, Rajasthan, India.

INTRODUCTION: Endemic fluorosis resulting from high fluoride concentration in groundwater is a major public health problem. India is among the numerous nations, where fluoride sullied groundwater is creating wellbeing issues. Safe drinking water in rural areas of India is predominantly rely on groundwater sources, which are exceptionally contaminated with fluoride. AIM: To investigate the association of temporomandibular joint Signs & Symptoms with Dental Fluorosis & Skeletal Manifestations among people living in Dad, Bokersal & Deotalab villages of Dungarpur District, Rajasthan, India. MATERIALS AND METHODS: The study group consisted of 750 subjects who were born & brought up in Dad, Bokersal & Deotalab villages of Dungarpur District, Rajasthan. Temporomandibular joint & Dental fluorosis was assessed by performing type III clinical examination according to WHO guidelines (1997). For the assessment of skeletal manifestations, participants were asked to perform three diagnostic tests: (1)Touching the toes without bending the knees; (2) Touching the chest with the chin; (3) Stretching the arms sideways & folding the arms to touch the back of the head. Chi Square test & Multiple Logistic Regression were applied for statistical analysis. RESULTS: Among the 750 (462 males & 288 females) who participated in the study, 53% had moderate grade of dental fluorosis. The most prominent symptom suggesting Temporomandibular Joint Disorder was the clicking sound affecting 21.4% population.(p>0.001). TMJ Signs & Symptoms were prominent in the age group of 45-54 years & males were highly affected than females. CONCLUSION: Clinical examination of TMJ in Dental Fluorosis & Skeletal Fluorosis subjects showed a significant association with Dental Fluorosis & Skeletal Fluorosis.