Annals of International Medical and Dental Research
Annals of International Medical and Dental Research (AIMDR) is indexed in Index Medicus (IMSEAR), Global Index Medicus, Index Copernicus and Google Scholar
Annals of International Medical and Dental Research
Annals of International Medical and Dental Research (AIMDR) is indexed in Index Medicus (IMSEAR), Global Index Medicus, Index Copernicus and Google Scholar
Hadijat Oluseyi Kolade-Yunusa1*, Raji Muhammed Moddibo2
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 1-8 | https://doi.org/10.53339/aimdr.2024.10.4.1
Evaluation of Non-traumatic Recurrent Chronic Headache among adult Patients Using Computed Tomography
Hadijat Oluseyi Kolade-Yunusa1*, Raji Muhammed Moddibo2
Abstract
Background: Headache is a common symptom encountered in clinical practice and may be a manifestation of an underlying neurological diseases. Although many headaches may be benign, however a large number of patients presenting with recurrent chronic headache may require radiological investigations to rule out underlining brain pathology. Neuroimaging with skull x-ray, CT and MRI are common imaging modalities to investigate patients with recurrent headache. However, should all patients with recurrent chronic headache be referred for brain CT and MRI? The objective is therefore, the aim of our study is to document the pattern of Computed tomographic findings among adult patients who presented with non-traumatic recurrent chronic headache with neurological features and compare with patients without neurological features. Material & Methods: This descriptive cross-sectional study comprises of 89 adult patients who presented with history of non-traumatic recurrent chronic headache and referred for brain CT at the Radiology department of University of Abuja Teaching Hospital, Gwagwalada from January 2017 to June 2018. Results: Majority of the patients with chronic headache with neurological features had more abnormal findings representing 35(76.1%) with cerebral atrophy being the commonest. Normal head CT was the commonest finding among patients without neurological features accounting for 25(58.1%) with sinusitis the commonest abnormal CT finding. The difference in the spectrum of CT findings among patients with chronic headache with and without neurological features was statiscally significant with p=0.004. Conclusions: Evaluation of patients who present with headache using neuroimaging should be with caution especially for patients who do not have any neurological symptom.
Headache, computed tomography, recurrent, non-traumatic, adults, chronic.
A Clinical Study of Psychiatric Morbidities Among Elderly Patients and Their Caregiver Burden
Bala Neeru1, Arora Rajiv2*, Kaur Ramandeep3, Attri Pearl4, Kapila Utkarsha5, Singh Jaskaran6
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 9-14 | https://doi.org/10.53339/aimdr.2024.10.4.2
A Clinical Study of Psychiatric Morbidities Among Elderly Patients and Their Caregiver Burden
Bala Neeru1, Arora Rajiv2*, Kaur Ramandeep3, Attri Pearl4, Kapila Utkarsha5, Singh Jaskaran6
Abstract
Background: In the elderly, mental health problems are rising due to changes in our social structure and traditional value system. Psychiatric disease in elderly is frequent, severe and diverse. Among them, depression, anxiety, cognitive and psychotic disorders have a high prevalence. Relatives of patients with major psychiatric disorders feel much burdened, as these diseases are unpredictable and long-lasting. Material & Methods: 100 patients aged 60 years and above of both sexes attending psychiatric OPD and admitted in psychiatric IPD, during period of one year were taken. Diagnosis of the morbidities was made according to ICD- 10 criteria. Care giving burden among primary care givers was assessed by using Zarit Burden Interview scale. Informed consent was taken from patients and caregivers. Results: Prevalence of depression was found to be 26% followed by anxiety disorder 22%. Most common age group is 65-69 years. Women had higher morbidity 57% than male. ZBI score mild to moderate burden was present in 41% and 26% respectively. Conclusions: High prevalence of mental disorders was present in elderly so there is need to raise awareness and to deliver high quality mental health services to them.
Elderly, caregivers, morbidities, burden.
Patricia Nehme1*, Nouhad Choueifaty2, Jad el Bitar3, Perla Nader4
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 15-20 | https://doi.org/10.53339/aimdr.2024.10.4.3
Case Report of Intraoperative Anaphylactic Shock and Post Operative Methemoglobinemia –Cetrimide Induced During Hepatic Hydatid Cyst Surgery
Patricia Nehme1*, Nouhad Choueifaty2, Jad el Bitar3, Perla Nader4
Abstract
Hydatid cyst is a parasitic infection most commonly localized in the liver. They may not be diagnosed early because they remain asymptomatic at small sizes and may reach large sizes at the time of diagnosis. In this situation, compression symptoms may occur and they may present with serious complications such as rupture and anaphylactic shock, which are rare. Treatment methods are determined by classification according to the imaging techniques used in the diagnosis.
Anaphylactic Shock,cetrimide induced hypotension,hydatic cyst surgery
Md Jakirul Islam1*, Md Khairul Islam Mridha2, Mohammad Lanzur Rahman3, Md Ikbal Hosen4
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 21-30 | https://doi.org/10.53339/aimdr.2024.10.4.4
Management of Temporomandibular Joint Dysfunction Syndrome by Occlusal Splint Therapy and Facial Muscles Exercise-A Comparative Study
Md Jakirul Islam1*, Md Khairul Islam Mridha2, Mohammad Lanzur Rahman3, Md Ikbal Hosen4
Abstract
Background: Temporomandibular joint (TMJ) dysfunction syndrome is a type of degenerative musculoskeletal conditions associated with morphologic and functional deformities. It includes abnormalities of the intra-articular discal position and/or structure as well as dysfunction of the associated musculature. This study aimed to compare the role of night guard as a simple soft occlusal splint therapy and facial muscular exercise therapy for the treatment of patients having myofascial pain dysfunction syndrome. Material & Methods: This comparative study was conducted at the Department of Oral and Maxillofacial Surgery, Military Dental Centre, Combined Military Hospital (CMH), Dhaka and Dhaka Dental College and hospital, Bangladesh, from January 2014 to December 2015. A total of 40 patients were selected as study subjects following the convenience sampling technique. Patients were divided into two groups; Group A was treated with an occlusal splint and Group B was treated with facial muscular exercise. Each group consisted of 20 patients. Data were processed and statistically analyzed by the template of SPSS version 16.0. Results: During the follow-up period, there was a consistent reduction in pain scores, muscle tenderness, TMJ (Temporomandibular joint) clicking, and tenderness associated with various jaw movements, along with a significant enhancement in mouth opening observed in patients from both groups. Notably, the improvement in Group A reached 80%, surpassing that of Group B, which achieved a 65% improvement and this difference was statistically significant (p-value ≤ 0.01). Conclusions: Occlusal splint therapy of TMJ using a soft night guard has better and long-term improvement in reducing the symptoms of MPD (Myofascial pain dysfunction) syndrome.
Occlusal splint, Nightguard, Temporo-mandibular joint, Myofascial pain dysfunction.
AHM Kazi Mostofa Kamal1*, Muhammad Abdul Kayum Shaikh2, Nahid Reaz Shapla3, Saiful Islam4, Luna Laila5
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 31-35 | https://doi.org/10.53339/aimdr.2024.10.4.5
Psychosocial Strength and Difficulties Among Normal Conceived Children: A Study in a Tertiary Care Hospital in Bangladesh
AHM Kazi Mostofa Kamal1*, Muhammad Abdul Kayum Shaikh2, Nahid Reaz Shapla3, Saiful Islam4, Luna Laila5
Abstract
Background: Children conceived naturally, without assisted reproductive technologies, are considered normal. Psychosocial strength in children includes emotional resilience, coping skills, interpersonal abilities, and overall mental health. Difficulties refer to challenges and obstacles that may impact psychosocial development in individuals. This study aimed to assess the psychosocial strength and difficulties among normally conceived children. Material & Methods: This retrospective observational study was conducted in the Combined Military Hospital, Dhaka, Bangladesh from September 2017 to September 2022. In this study, 50 parents and their naturally conceived children were enrolled using purposive sampling. MS Office tools were employed for data analysis. Results: In this study, 58% of subjects scored close to the average difficulty level, with a mean of 13.38 ±5.89. Additionally, 12% of subjects showed raised or lowered difficulty scores, 6% exhibited high or low scores, and 24% had very high or low scores. Concerning the emotional problems, conduct problems, hyperactivity, peer problems, and pro-social category, the mean ±SD scores were 2.20 ±2.13, 4.48 ±1.69, 3.76 ±1.95, 2.94 ±1.41 and 5.86 ±1.93 respectively. Conclusions: In Bangladesh, normally conceived children generally demonstrate psychosocial functioning scores close to the average difficulty. Further research is essential to identify factors influencing these challenges and to formulate specific interventions for supporting the psychosocial well-being of these children.
Psychosocial strength, Difficulty, Normal conceived children, Pro-social category, Closer to average, Emotional problems.
Association of Sexual Dysfunctions and Substance Use Related Factors among Married Couples
M. Zikrul Islam1*, Bipasha Mosharof2, Md. Rafiqul Islam3, Ahmed Riad Chowdhury4, Taslima Rahman5, Md. Jasim Uddin6, Rahat Emam7, Shafiul Alam8
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 36-48 | https://doi.org/10.53339/aimdr.2024.10.4.6
Association of Sexual Dysfunctions and Substance Use Related Factors among Married Couples
M. Zikrul Islam1*, Bipasha Mosharof2, Md. Rafiqul Islam3, Ahmed Riad Chowdhury4, Taslima Rahman5, Md. Jasim Uddin6, Rahat Emam7, Shafiul Alam8
Abstract
Background: Sexual dysfunction is a significant health issue that can be exacerbated by substance use, affecting both individual well-being and marital relationships. This study aims to explore the association between substance use and sexual dysfunction among married couples in Sylhet, Bangladesh, and to identify the sociodemographic factors that influence this relationship. Material & Methods: This cross-sectional study was conducted at the Addiction Clinic, Outpatient and Inpatient Department of Psychiatry, Sylhet MAG Osmani Medical College Hospital, from September 2020 to August 2022. A total of 49 married patients with substance use disorders were selected through purposive sampling. Data were collected using a pre-designed structured questionnaire, the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), and the Bangla version of the Arizona Sexual Experience Scale (ASEX). Statistical analysis was performed using SPSS version 25, with Chi-square tests to assess the significance of associations. Results: The study found that 37% of participants reported sexual dysfunction. Among these, 61.11% had low sexual desire, 50.00% had arousal problems, 66.67% had difficulty in vaginal lubrication, 55.56% had difficulty reaching orgasm, and 83.33% had problems with orgasmic satisfaction. Duration of substance use was significantly associated with sexual dysfunction (p=0.002), with 66.67% of participants using substances for more than 10 years experiencing dysfunction. The type of substance used also showed a significant association (p=0.01), with higher prevalence among poly substance users (66.67%). Age, gender, and education level were significantly associated with sexual dysfunction, while occupation, monthly income, habitat, and family history of psychiatric illness were not. Conclusions: The study underscores the complex interplay between substance use and sexual dysfunction, influenced by various sociodemographic factors. These findings highlight the need for integrated treatment approaches that address both substance use and sexual health. Targeted interventions and public health policies are essential to improve the sexual health and overall well-being of individuals with substance use disorders.
Substance use, Sexual dysfunction, ASEX, Marital relationships, Bangladesh.
Pattern of Differentiated Thyroid Carcinoma and Their Management Plan
Md. Khaled Shahrear1*, Muhammad Mahmudul Haque2, Ashik Iqbal3, Ali Azim Muhammad Nafis4, Mst. Romena Khatun5
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 49-56 | https://doi.org/10.53339/aimdr.2024.10.4.7
Pattern of Differentiated Thyroid Carcinoma and Their Management Plan
Md. Khaled Shahrear1*, Muhammad Mahmudul Haque2, Ashik Iqbal3, Ali Azim Muhammad Nafis4, Mst. Romena Khatun5
Abstract
Background: Carcinoma of the thyroid gland is an uncommon cancer, 0.6% and 1.6% of all cases of malignant neoplasms in men and women respectively. But is the most common malignancy in the endocrine system. This study aimed to analyze the pattern of differentiated thyroid carcinoma and its management plan. Material & Methods: This cross-sectional observational study was conducted at the Department of Otolaryngology, Rajshahi Medical College Hospital, Rajshahi, and Department of Otolaryngology Bangabandhu Sheikh Mujib Medical University (BSMMU), from July 2011 to Jun 2012. A total of 40 patients were selected as study subjects by simple random sampling technique. A descriptive analysis of data was carried out by using a statistical package for social science (SPSS) 22.0 for Windows. Results: The highest number of cases were found in the 3rd and 5th decade of life in papillary and follicular carcinoma respectively. The male-to-female ratio was 1:2.5 in papillary, and 1:5 in follicular carcinoma, with a majority (55.0%) from rural areas. Most of the cases (35, 87.5%) suffered from papillary carcinoma, followed by (5,12.5%) follicular carcinoma. The commonest symptom for seeking medical admission was swelling in the neck (Lymph node swelling included), which was present in 39(97.5%) cases. Symptoms of distant metastasis and dyspnoea were present in 3(7.5%) and 1(2.5%) case respectively. Through FNAC 38 (95.0%) cases were diagnosed or suspected preoperatively. Conclusions: The majority of the patients present in the 3rd and 5th decade of life in papillary and follicular carcinoma respectively, with a female preponderance. Moreover, papillary carcinoma is more common than follicular carcinoma, which commonly presents with unilateral tumors. Concerning the symptoms, swelling of the neck (including lymph node swelling) is the most common feature. It can be emphasized that nodal metastasis needs total thyroidectomy, and neck dissection with radio-iodine ablation. Distant metastasis needs total thyroidectomy, surgical resection of the metastatic mass, radio-iodine ablation (if the radio-iodine scan is positive), and/or radiotherapy with thyroxine.
Neck swelling, Thyroid Carcinoma, FNAC, Metastasis.
Incidence and Maternal Outcome of All Caesarean Hysterectomy in Tertiary Level Hospitals
Tahmina Sultana1*, Tayeba Sultana2, Nilaxi Paul3
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 57-66 | https://doi.org/10.53339/aimdr.2024.10.4.8
Incidence and Maternal Outcome of All Caesarean Hysterectomy in Tertiary Level Hospitals
Tahmina Sultana1*, Tayeba Sultana2, Nilaxi Paul3
Abstract
Background: Cesarean hysterectomy is a significant obstetric intervention, often performed in life-threatening circumstances. Understanding its incidence, demographic patterns, and associated complications is essential for improving maternal and neonatal outcomes. Material & Methods: This observational study was conducted at a tertiary level hospital, analyzing cesarean hysterectomy cases over a six-month period. The study employed purposive consecutive sampling, including all patients undergoing the procedure during the study period. The methodology focused on examining the incidence, patient demographics, indications for surgery, and subsequent maternal and neonatal outcomes. Results: Among 9205 total deliveries, cesarean hysterectomies constituted 0.39%, increasing to 1.05% of the 3441 cesarean deliveries. The majority of patients were aged 27-33 (50%), primarily from low-income backgrounds (75%). Major indications included major degree placenta previa (41.67%) and fetal distress/oligohydramnios (38.89%). Significant complications were observed, with all patients experiencing massive obstetric hemorrhage, 86.11% requiring blood transfusions, and severe outcomes like stillbirths and neonatal deaths recorded at 13.89% and 2.78%, respectively. Conclusions: The study offers critical insights into the incidence and outcomes of cesarean hysterectomy in a tertiary hospital setting. The findings emphasize the importance of effective management strategies and comprehensive care to address the complexities and risks associated with the procedure, aiming to enhance maternal and neonatal health outcomes.
Cesarean Hysterectomy, Maternal Outcome, Neonatal Outcome, Placenta Previa.
Gender-Based Disparities in Glycemic Control: Insights from Diabetes Mellitus Populations
Israt Zerin Eva1*, Chandina Ferdous2, Nazmul Kabir Qureshi3, Farhana Afrooz4
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 67-73 | https://doi.org/10.53339/aimdr.2024.10.4.9
Gender-Based Disparities in Glycemic Control: Insights from Diabetes Mellitus Populations
Israt Zerin Eva1*, Chandina Ferdous2, Nazmul Kabir Qureshi3, Farhana Afrooz4
Abstract
Background: Diabetes mellitus (DM) is a chronic metabolic disorder characterized by persistent hyperglycemia due to either inadequate insulin secretion, insulin action, or both. Disparities in glycemic control among different demographic groups, particularly between genders, have been observed and warrant further investigation. This study aims to assess the gender-based disparities in glycemic control among a population of individuals with diabetes mellitus. Material & Methods: This study was a cross-sectional design to assess gender-based disparities in glycemic control among individuals with diabetes mellitus, conducted from November 2022 to October 2023 at National Healthcare Network (NHN), Uttara, Dhaka, Bangladesh. Data were collected from patient medical records and structured interviews, focusing on the primary outcome measure of glycemic control as assessed by the most recent HbA1c levels. Chi-square tests examined associations between gender and categorical variables like FBG levels and HbA1C. Pearson correlation coefficients were calculated to assess the strength of linear relationships between gender and glycemic control measures, with statistical significance set at p < 0.05. Results: Among the 108 participants, males (n=30) showed a relatively balanced distribution with 53.3% (n=16) having fasting blood glucose levels within the range of 4.4-7.2 mmol/L and 46.7% (n=14) having levels above 7.2 mmol/L. In contrast, females (n=78) exhibited a marked disparity, with only 18.0% (n=14) having within the range of 4.4-7.2 mmol/L and a significant 82.1% (n=64) presenting with above 7.2 mmol/L. Among the 108 participants, males (n=30) had 36.67% (n=11) with HbA1C levels below 7% and 63.3% (n=19) with levels at or above 7%. In contrast, females (n=78) had a lower percentage with controlled HbA1C levels, with only 21.80% (n=17) below 7% and a substantial 78.2% (n=61) at or above 7%. Conclusions: Based on the findings of this study, it is recommended to develop and implement gender-specific intervention programs aimed at improving glycemic control among females with diabetes, focusing on education, lifestyle modification, and adherence to medication.
Glycemic control, Gender-based disparities, Diabetes Mellitus.
Aslam Hossain1*, Farhat Tabassum Nishat2, Tania Nusrat Shanta3, Abul Bashar Maruf4, Sumaia Binte Shawkat5
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 74-85 | https://doi.org/10.53339/aimdr.2024.10.4.10
Skeletonized Left Internal Mammary Artery Harvesting is better than Pedicled Left Internal Mammary Artery Harvesting in the Context of Sternal Wound Complication Following Off-Pump Coronary Artery Bypass Grafting
Aslam Hossain1*, Farhat Tabassum Nishat2, Tania Nusrat Shanta3, Abul Bashar Maruf4, Sumaia Binte Shawkat5
Abstract
Background: Off-pump coronary artery bypass grafting’s most difficult complication is sternal wound. Left internal mammary artery harvesting affects sternal wound complications. It is unclear which left internal mammary artery harvesting method prevents sternal wound complications. Skeletonized and pedicled left internal mammary artery harvesting were compared for sternal wound complications during off-pump coronary artery bypass grafting. As a result, proper methodology might be supported as an attractive method to decrease the incidence of sternal wound complication. Material & Methods: This comparative cross-sectional study was conducted at the department of cardiac surgery, Bangabandhu Sheikh Mujib Medical University. Total 120 patients were enrolled after fulfilling the selection criteria and divided into two groups. Among them,60 patients of group A received skeletonized left internal mammary artery whereas 60 patients of group B received pedicled left internal mammary artery. After performing off-pump coronary artery bypass grafting postoperative ICU care was given to each patient as per ICU protocol. Statistical analysis was conducted using Statistical Package for Social Science (SPSS) version 26.0 for windows software. Comparisons between groups were made with Student’s t-test, Chi-Square test and Fisher’s exact test. Observations were recorded as statistically significant if ap-value ≤0.05. Results: In this study 10 (8.33%) patients developed sternal wound complication. Among them2 (1.67%) patients in group A and 8 (6.66%) patients in group B developed sternal wound complication. Occurrence of sternal wound complication was more in group B than group A which was not statistically significant(p=0.35). The mean age of patients in Group A and Group B were 54.34±10.55 years and 53.50±11.70 years respectively. Age was not statistically significant between two groups (p=0.89). The gender difference among two groups were not also statistically significant(p=0.69). Mean BMI was 24.33±1.65 in group A and 24.55±1.45 in group B and findings were not statistically significant between groups (p=0.76). The differences between comorbidities (HTN, DM, dyslipidaemia, anaemia) of both groups were statistically insignificant (p>0.05). However, number of smokers was statistically significant between groups (p=0.03). Sternal wound complication was
more in smoker patients in group B and this finding was statistically significant(p=0.04). Mean ± SD number of bypass grafts used by group A was 2.76±0.79 and group B was 2.83 ±0.65(P=0.69). Pre-operative parameters such as duration of operation and post-operative parameter like duration of mechanical ventilation, duration of chest drains, duration of central venous line and amount of postoperative mediastinal bleeding were found statistically not significant between groups (p>0.05). Comparison of postoperative laboratory parameters was statistically not significant between groups. Distribution of wound complications, duration of ICU and hospital stay between two groups were also not statistically significant (p>0.05). Conclusions: Occurrence of sternal wound complication was found less in skeletonized left internal mammary artery harvesting than pedicled left internal mammary artery harvesting after off-pump coronary bypass grafting in this study. But this finding was not statistically significant.
Left Internal Mammary Artery, Harvesting, Off-Pump Coronary Artery Bypass Grafting.
Demographic and Environmental Factors Associated with Skin Disorders
Md. Ashraful Haque1*, Md Nazim Uddin2, Sadia Sarwar3, Sazib Miah4
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 86-93 | https://doi.org/10.53339/aimdr.2024.10.4.11
Demographic and Environmental Factors Associated with Skin Disorders
Md. Ashraful Haque1*, Md Nazim Uddin2, Sadia Sarwar3, Sazib Miah4
Abstract
Background: Skin disorders are prevalent worldwide, influenced by a myriad of demographic and environmental factors. Understanding these associations is crucial for effective prevention and management. This study explores the complex interplay between demographics, environmental exposures, and skin disorders to inform targeted interventions and public health strategies. Material & Methods: This observational study employed a cross-sectional design to capture data from a diverse population at Central Medical College & Hospital, Cumilla, Bangladesh, spanning from January 2023 to January 2024, with a total of 109 participants. The primary variables include the type and incidence of skin disorders, demographic information (age, gender, ethnicity), environmental factors (exposure to allergens, pollutants, sunlight), lifestyle factors (diet, hygiene practices), and family history of skin disorders. Data is collected using standardized data collection forms and instruments to ensure consistency and comparability across participants. Data were analyzed by SPSS version 20.0. Descriptive statistics were used in this study. Results: The study revealed varying prevalence rates of skin disorders across demographics and environmental factors. Acne vulgaris was more prevalent among females and urban residents, while eczema was notably higher among manual laborers. Psoriasis exhibited significant associations with ethnicity. These findings underscore the complex interplay between demographic factors and environmental influences on skin health. Conclusions: The comprehensive analysis of demographic and environmental factors in this study sheds light on the complex dynamics underlying skin disorders. By elucidating these associations, our findings underscore the pivotal role of demographics and environmental influences in shaping the prevalence of skin disorders. This understanding is paramount for crafting tailored interventions and public health strategies aimed at mitigating the burden of these conditions.
Skin Disorders, Prevalence, Demographics, Environmental Factors.
Monica Kotwal1, Sunny Sharma2*, Reecha Gupta3, Nitin Gautam4, Aditi Sharma5
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-4 | July-August 2024 | Page: 94-98 | https://doi.org/10.53339/aimdr.2024.10.4.12
Papillo-incisal Distance: A guide to Maxillary Anterior teeth placement during Complete Denture Fabrication in Population of Jammu Region – An Original Research
Monica Kotwal1, Sunny Sharma2*, Reecha Gupta3, Nitin Gautam4, Aditi Sharma5
Abstract
Background: The incisive papilla is a prominent landmark for fabrication of complete denture. Many studies have been conducted to know the relationship of incisive papilla and maxillary central incisors which can be helpful for placement of maxillary central incisors in position as close as possible to natural teeth. Material & Methods: A total number of 100 patients were selected randomly. The incisive papilla shape was outlined and the measurements were made from the mesio-incisal edge of central incisor to the mid-point of incisive papilla. Results: The most common shape of incisive papilla was cylindrical. The mean Papillo-incisal distance was 12.09mm where in case of Pear-shaped papilla it was 12.15mm which is slightly different from cylindrical shape. Conclusions: The Papillo-incisal distance can be helpful in determining the actual position of central incisors during complete denture fabrication.
Incisive papilla, Central incisors, Complete denture, Papillo-incisal distance.
