RESUMO
Background and Objectives: Oral health is an integral part of general health. Providing oral health care facilities and creating awareness about the oral health problem in under-served children and communities may lead to a better oral-health-related quality of life of the individual. The present study aims to assess and compare the oral health status and treatment needs of 12- and 15-year-old children residing in tribal welfare hostels and other private hostels of Bhopal district, Madhya Pradesh. Materials and Methods: The present descriptive cross-sectional study consisted of a total sample size of 800 children, 400 in each group (tribal welfare hostel and private hostel groups). Oral health status and treatment needs were assessed using World Health Organization proforma 1997. Oral health behavior including health of teeth and gums, oral hygiene aids, brushing frequency, consumption of sweets in between meals, and present general and oral health was assessed. Utilization of dental services was also assessed using a pre-designed questionnaire, which was completed by the study participants. Results: Statistical analysis was carried out using Chi-square test. Significant differences were noted between the groups in regarding oral health behaviors and visit to a dentist during the past 12 months (P = 0.002*), which were lower in tribal children. Tribal children were having higher dental fluorosis as compared to the private hostel children (P = 0.043*). Decay in permanent teeth (P = 0.006*) and missing of permanent teeth (P = 0.05*) were higher among tribal children. Conclusion: The present study revealed a poor oral health status and treatment needs of tribal children. Tribal children were having higher dental fluorosis as compared to the private hostel children. Decay in permanent teeth and missing of permanent teeth were higher among tribal children. Oral health behaviors and utilization of dental services were lower in tribal children. Good oral health has a definitive influence on general health and thus contributes to self-image and social interaction.
RESUMO
Multiple myeloma is a plasma cell malignancy that is most commonly observed in males in the sixth and seventh decade of life. The clinical scenario of multiple myeloma with concurrent pregnancy is considered to be very rare. We detail here the case of a young female with known IgG kappa multiple myeloma who was found to have a steady elevation of her IgG kappa paraprotein during pregnancy and symptomatic progression in the postpartum period. She delivered a healthy baby at 40 weeks gestation. We present a review of all reported cases of known multiple myeloma progressing during pregnancy and in the postpartum period, the treatments given, and their outcomes. The report also provides suggestions for diagnosis and management of myeloma during pregnancy in order to have an outcome of successful uncomplicated pregnancy with healthy offspring.
