Penang International Dental College

George Town, Malaysia

Penang International Dental College

George Town, Malaysia
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PubMed | Penang International Dental College
Type: Journal Article | Journal: Journal of the Indian Society of Pedodontics and Preventive Dentistry | Year: 2016

Childs behavior on dental visit depends on variables such as age, parental behavior, parental anxiety, medical/dental history, and dental procedures. Behavioral-screening questionnaire, such as the Strengths and Difficulties Questionnaire (SDQ), can be used to preassess the childs mental health status which further predicts child behavioral pattern in dental clinics.To measure emotional status among children of 3-14 years age group attending dental clinics.A total of 176 parents of children aged 3-14 years were involved in this study. The childs emotional and behavioral statuses were assessed using SDQ.On analyzing the SDQ data, it was found that 80% of children came under the abnormal category whereas only 8% of children were found to be in normal category. Twelve percent of children came under borderline category. On the individual behavioral subsets scores, 13% were rated as abnormal on emotional subset, 40% on conduct problems, 12% on hyperactivity, and 29% on peer problems subset.Findings of this study suggest that incorporating tools to identify the current emotional state would give a clue and allow the dentist to develop a behavior guidance plan to accomplish the necessary oral health care. However, the results are preliminary; studies with larger sample should be done to validate the results among diverse populations.

Gopal D.,Penang International Dental College | Telang A.,Penang International Dental College | Telang L.A.,Penang International Dental College | Loganathan K.,Penang International Dental College | Reddy B.T.,Penang International Dental College
Journal of Clinical and Diagnostic Research | Year: 2015

Nasopalatine duct cyst (NPDC) is described as most common non-odontogenic developmental cyst of the jaws. Despite being common, its clinical and radiographic presentation could be varied and it can sometimes be a diagnostic challenge. This paper presents an unusual case of an infected NPDC associated with an impacted inverted mesiodens and a history of trauma that misled the clinical diagnosis. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.

Chacko J.P.,Penang International Dental College | Joseph C.,Penang International Dental College | James H.,Penang International Dental College
Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology | Year: 2013

Oroantral fistula (OAF) is an epithelialized communication between the oral cavity and maxillary sinus. This article describes the use of a turn over flap pedicled to the sinus membrane and harvested from the edentulous area immediately anterior or posterior to the defect for closure of chronic OAF. We describe a case of long standing OAF of 15 years duration that was closed at our unit using this new technique. An attempt is also made to discuss the prerequisites for the use of this technique. © 2012 Asian AOMS, ASOMP, JSOP, JSOMS, JSOM, and JAMI.

PubMed | Penang International Dental College and Meenakshi Ammal Dental College
Type: Journal Article | Journal: American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics | Year: 2013

The objective of this study was to determine whether dental calcification can be used as a first-level diagnostic tool for assessment of skeletal maturity.A total of 150 healthy subjects (79 boys, 71 girls; mean age, 12.19 2.03 years; range, 8-16 years) were enrolled in the study. Dental maturity was assessed through the calcification stages from panoramic radiographs of the mandibular canine, the first and second premolars, and the second molar. Determination of skeletal maturity was according to the modified middle phalanx of third finger (MP3) stages method on digital radiographs.Diagnostic ability was evaluated according to the dental maturation stages for each tooth for identification of the MP3 stages and the growth phases (prepubertal, pubertal, postpubertal) using positive likelihood ratios. Dental maturation stage E of the first premolars and the combination of canine stage F, first premolar stage E, second premolar stage E, and second molar stage D (FEED) gave the highest values for identification of the prepubertal growth phase, and stage H of the second molar had the highest value for identification of the postpubertal growth phase.Dental maturation assessment is only useful for diagnosis of the prepubertal and postpubertal growth phases.

PubMed | Penang International Dental College, KSR Institute of Dental Science and Research and Narayana Dental College and Hospital
Type: Journal Article | Journal: Contemporary clinical dentistry | Year: 2014

Prediction of the childs behavior can adequately equip the dentist in rendering effective and efficient dental treatment.This study was planned to evaluate and validate a specially prepared questionnaire as a child behavior prediction scale.A two-center cross-sectional study was done to validate the new scale.Children aged 3-12 years (n = 296), from two different centers participated in this study. The questionnaire used was a 10-point observational scale. Observations involved perceiving overt and subtle behavioral characteristics of a child, to assess the childs behavior in the dental office before treatment. An independent observer approached the children and their parents in the waiting room. The childs behavior was then evaluated by the dentist using Frankl behavior rating scale during and after treatment. The prediction of behavior compared to the Frankl scale was assessed and validated.Sensitivity, specificity tests, and receiver operating curve analysis were used to validate the new scale and calculate the cut-off score for positive and negative behavior. All data were processed by SPSS software (16.0, SPSS Inc., Chicago, Ill, USA).The best cut-off score to predict a positive Frankl rating was 8.0 in both the centers. The sensitivity and specificity scores were 93.4% and 62.5% in center 1; 83.1% and 59.6% in center 2 respectively.This novel prediction scale can be of great importance in predicting childrens behavior in the dental environment.

PubMed | Penang International Dental College
Type: Journal Article | Journal: Iranian endodontic journal | Year: 2013

The aim of this in vitro study was to compare the accuracy of radiography in assessing working length to Propex II apex locator.Thirty single canal extracted human teeth with patent apical foramen were selected. Access cavities were prepared. Anatomic length (AL) was determined by inserting a K-file into the root canal until the file tip was just visible at the most coronal aspect of the apical foramen; subsequently 0.5 mm was deducted from this measured length. Working length by radiographic method (RL) was determined using Ingles method. Propex II apex locator was used to determine the electronic working length (EL). From these calculated lengths, AL was deducted to obtain D-value. D-value in the range of +/-0.5 mm was considered to be acceptable.The percentage accuracy of RL and Propex II apex locator was 76.6% and 86.6%, respectively. Paired t-test revealed significant difference between the RL and Propex II apex locator (P<0.05).Under these in vitro conditions, Propex II apex locator has determined working length more accurately than radiographic method.

PubMed | Penang International Dental College and Sri Ramachandra University
Type: Journal Article | Journal: The journal of contemporary dental practice | Year: 2015

Diabetes mellitus (DM) has become a global problem. By monitoring the health status of these individuals, diabetic complications can be prevented. We aimed to analyze alterations in the morphology and cytomorphometry of buccal epithelial cells of type 2 DM patients using oral exfoliative cytology technique and determine its importance in public health screening, diagnosis and monitoring of diabetes mellitus.The study was carried out in 100 type 2 DM patients and 30 healthy individuals. Smears were taken from the right buccal mucosa and stained by the Papanicolaou technique. Staining with Acridine orange was carried out to view qualitative changes with confocal laser scanning microscope (LSM-510 Meta). The cytomorphometry was evaluated using IMAGE PRO PLUS 5.5 software with Evolution LC camera. All findings were statistically analyzed.The results showed that with increase in fasting plasma glucose levels, there is significant increase in nuclear area, decrease in cytoplasmic area, and increase in nuclear cytoplasmic ratio (p < 0.05) when compared to the control group. Various qualitative changes were noted, such as cell degeneration, micronuclei, binucleation, intracytoplasmic inclusion, candida and keratinization.In the present study, we found significant alterations in the cytomorphometry and cytomorphology of buccal epithelial cells of type 2 DM patients. This study supports and extends the view that these cellular changes can alert the clinician to the possibility of diabetes and aid in monitoring of diabetes throughout the lifetime of the patient.

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