Journal of Nepalese Society of Periodontology and Oral Implantology 2024-02-06T09:46:08+00:00 Prof. Dr. Manoj Humagain Open Journal Systems <p>The Journal of Nepalese Society of Periodontology and Oral Implantology (JNSPOI) is the official, peer-reviewed journal of the Nepalese Society of Periodontology and Oral Implantology. The journal can also be found on its own <a href="" target="_blank" rel="noopener">website</a>.</p> Artificial Intelligence in Periodontics - Boon or a bane? 2024-01-03T10:45:37+00:00 Simant Lamichhane Prakriti Rupakhety <p>Not available.</p> 2023-12-31T00:00:00+00:00 Copyright (c) 2024 Nepalese Society of Periodontology and Oral implantology (NSPOI) Association between Subjective Happiness and Periodontal Disease in Patients Visiting at a Tertiary Care Centre of Central Nepal 2023-12-20T11:20:44+00:00 Manoj Humagain Sachita Thapa Simant Lamichhane Arjun Hari Rijal Manisha Neupane Prativa Koirala <p><strong>Introduction</strong>: Happiness has been considered as a colloquial term for subjective well-being. There is a causal relationships and factors contributing to happiness achievement and satisfaction. One of the major factors is oral health in which periodontitis plays a major role.</p> <p><strong>Objective</strong>: To explore the association between subjective happiness and periodontal disease.</p> <p><strong>Methods</strong>: A descriptive cross-sectional study was conducted in the Department of Periodontology and Oral Implantology from August 2018 to June 2019 after obtaining ethical clearance from the institutional review committee (IRC). Where 103 patients with chronic periodontitis according to the 1999 classification system were recruited by convenient sampling methods and were asked to fill out the questionnaire of subjective happiness scale given by Lyubomirsky. This scale was compared on the basis of periodontitis severity. Data were collected and entered into Microsoft Excel and statistical analysis was done using SPSS v.20. Data were represented as mean and standard deviations and the association between happiness and periodontitis was determined using Chi-square test.</p> <p><strong>Results</strong>: Out of 103 patients the mean subjective happiness score was found to be 18.78±1.692. Similarly, there was no significant association between happiness scale and periodontitis in the present study (P value = 0.821).</p> <p><strong>Conclusion</strong>s: There is evidence of the relationship between subjective happiness and periodontitis. The findings of this study revealed a new perspective on periodontitis, including the potential for innovative treatments of a specific population with periodontitis.</p> 2023-12-31T00:00:00+00:00 Copyright (c) 2023 Nepalese Society of Periodontology and Oral implantology (NSPOI) Effect of Systemically Administered Amoxicillin and Metronidazole in the Treatment of Chronic Periodontitis 2023-12-20T12:14:31+00:00 Sirjana Niraula Surendra Man Shrestha Ameena Pradhan Shreeya Aryal Shilu Shrestha <p><strong>Introduction: </strong>Nonsurgical periodontal therapy reduces periodontal inflammation, but complete removal of toxin and bacterial deposits is not always possible. Thus, adjunctive therapeutic strategies like use of systemic amoxicillin and metronidazole have evolved.</p> <p><strong>Objective: </strong>To evaluate effect of systemically administered amoxicillin and metronidazole in the treatment of chronic periodontitis.</p> <p><strong>Methods: </strong>A pretest post-test study was conducted from February 2021 to November 2021 in Department of Periodontics and Oral Implantology at Peoples Dental College and Hospital after ethical clearance from Institutional Review Committee of PDCH. Thirty-six patients with chronic periodontitis were recruited through convenient sampling. The patients were assigned into two groups meeting the criteria of at least six teeth with probing pocket depth 5-7 mm. Group A received scaling and root planing and Group B received adjunctive systemic Amoxicillin and Metronidazole three times daily for seven days. Clinical parameters were evaluated at one month, three months and six months post-treatment. Data were analysed in SPSS v.20.</p> <p><strong>Results: </strong>Mean values of pocket depth (PD), clinical attachment level (CAL), plaque index (PI) and gingival index (GI) were reduced significantly after treatment in both treatment groups with more clinical improvement in adjunctive systemic amoxicillin and metronidazole. However, on intergroup comparison, clinical attachment level and plaque index was not significantly reduced.</p> <p><strong>Conclusions:</strong> The findings of the current study showed significant improvements in both groups compared with baseline. Thus, adjunctive systemic amoxicillin and metronidazole provide better results than scaling root planing alone.</p> 2023-12-31T00:00:00+00:00 Copyright (c) 2023 Nepalese Society of Periodontology and Oral implantology (NSPOI) Oral Health Status and Treatment Needs of School Teachers in Kathmandu District 2023-12-20T12:27:53+00:00 Sunita Khanal Sujita Shrestha <p><strong>Introduction:</strong> Oral health is an integral part of general health. The high prevalence of dental diseases and conditions like dental caries, periodontitis, and malocclusion may lead to absenteeism from work as well as economic loss.</p> <p><strong>Objective:</strong> To assess the oral health status and treatment needs of school teachers in Kathmandu district.</p> <p><strong>Methods:</strong>&nbsp; An analytical cross-sectional study was conducted from January-June 2022 among the school teachers of Kathmandu after getting approval from the institutional review board of Kantipur Dental College. Informed consent was also obtained before the study. Data was entered in Microsoft Excel and analyzed using SPSS version 20. <em>P </em>value˂ 0.05 was considered statistically significant.</p> <p><strong>Results:</strong> A total of 165 teachers participated in the study out of which 125 (75.80%) were females and 40 (24.20%) were males with a mean age of 36.29±10 were there. The prevalence of dental caries was 98 (59.40%), gingivitis138 (83.60%), periodontal pocket 40 (24.20%), and 39 (23.60%) had 4-5 mm pocket but only 1 (0.60%) had more than 6mm pocket, 2 (1.20%) had upper and 14 (8.50%) had lower dentures. There was no significant difference in dental caries and periodontal status among the government and private school teachers (<em>p</em>=0.081), (<em>p</em>=0.101) respectively but a significant difference in gingivitis status <em>(p=</em>0.001)</p> <p><strong>Conclusion:</strong> The oral health status of the teachers was not satisfactory since there was a high prevalence of dental diseases. So, it can be improved by periodically conducting oral health education programs at schools and motivating them</p> 2023-12-31T00:00:00+00:00 Copyright (c) 2023 Nepalese Society of Periodontology and Oral implantology (NSPOI) Stem Cells in Dentistry: Knowledge among the Dental Practitioners of Nepal 2023-12-20T12:42:38+00:00 Nashib Pandey Sushmit Koju Nisha Maharjan Rajan Chaudhary Rajib Chaulaagain <p><strong>Introduction:</strong> Dentists are expected to play a major role in advancing the field of stem cell research as well as directing and implementing future stem cell therapies in dentistry. Accordingly, good basic knowledge and a positive attitude toward stem cells and their potential applications are essential among the dentists.</p> <p><strong>Objective:</strong> This study aimed to assess the prevalence of knowledge on stem cell among the dental practitioners.</p> <p><strong>Methods: </strong>A descriptive cross-sectional study was conducted among the registered dental practitioners in Nepal. An online questionnaire was created with the help of Google forms between 27 October, 2021 to 22 July, 2022 after receiving ethical approval from the Institutional Review Committee of a tertiary care center. The questionnaire was designed after reviewing pertinent literatures. Convenience sampling method was used. Data from Google forms were entered in Microsoft Excel version 2016 and were analysed with IBM SPSS v.20.</p> <p><strong>Results:</strong> Among the total of 280 responses received, the prevalence of good knowledge about stem cells was found to be 53 (18.93%) (14.34- 23.52, 95% Confidence Interval). Majority of the respondents with good knowledge score were female 41 (77.36%). Almost all of the respondents knew about the term stem cells and its sources. But very few 68 (24.29%) of them knew about the availability of stem cell banks in Nepal.</p> <p><strong>Conclusions:</strong> The prevalence of good knowledge about stem cell in dentistry was found to be less than half the sample size. Hence, there is a need to cover stem cells related information in dental curricula in Nepal.</p> 2023-12-31T00:00:00+00:00 Copyright (c) 2023 Nepalese Society of Periodontology and Oral implantology (NSPOI) The Crucial Role of Research in Postgraduate Periodontics: A Vital Component of Clinical Excellence 2023-12-20T11:06:41+00:00 Arjun Hari Rijal <p>Not available.</p> 2023-12-31T00:00:00+00:00 Copyright (c) 2023 Nepalese Society of Periodontology and Oral implantology (NSPOI) Interdisciplinary Management of Palatogingival Groove in Maxillary Lateral Incisor 2023-12-20T13:12:41+00:00 Anjali Bhattarai Regan Pokharel Ameena Pradhan Neera Joshi <p>Palatogingival groove is a developmental anomaly usually affecting maxillary anterior teeth. This is often accompanied by bone destruction adjacent to the teeth with no carious or traumatic history. This groove can harbor plaque and bacteria, resulting in periodontal destruction, endodontic lesions, or combined endodontic-periodontal lesions. Disease severity and prognosis depend on several factors, including location, range, depth, and type of the groove. Several materials have been used and recommended for cases of extensive periodontal destruction to remove and block the inflammatory source and recover the health of surrounding periodontal tissues, hence successfully managing the condition.</p> 2023-12-31T00:00:00+00:00 Copyright (c) 2023 Nepalese Society of Periodontology and Oral implantology (NSPOI) Odontogenic Keratocyst Imitating Lateral Periodontal Cyst: A Case Report 2023-12-20T13:20:50+00:00 Nabin Thapa Pujan Acharya Ashish Shrestha <p>Collateral Odontogenic Keratocyst (OKC), a rare variant of OKC, is usually present in the mandibular premolar area and is often confused with lateral periodontal cysts due to common features. A 58-year-old male patient presented with a painless swelling in the mandibular left premolar area. The clinical and radiographical features were suggestive of a lateral periodontal cyst. Surgical enucleation followed by peripheral ostectomy was performed and the sample was sent for histopathological examination. The histopathological study demonstrated typical features of OKC. Owing to the high recurrence rate, the patient is kept on regular follow-up. During follow-ups, there were no clinical and radiographical signs of recurrences.</p> 2023-12-31T00:00:00+00:00 Copyright (c) 2023 Nepalese Society of Periodontology and Oral implantology (NSPOI) Hypersensitivity due to Chlorhexidine Digluconate Mouthwash: A Report of an Uncommon Case 2023-12-20T13:30:38+00:00 Suresh Bhandari Sajeev Shrestha Khushbu Adhikari Pujan Acharya Victory Thapa <p>Chlorhexidine is a commonly used mouthwash in dentistry with proven benefits for various periodontal conditions. Various minor side effects may occur after its use in the oral cavity. However, in some uncommon cases, more severe signs and symptoms may develop, which require prompt attention. The present case report describes the clinical findings and management in one such instance where a patient developed a delayed hypersensitivity reaction a few days after the use of Chlorhexidine digluonate mouthwash. The signs and symptoms of the patient gradually subsided after the discontinuation of the mouthwash and the use of an oral antihistaminic medication.</p> 2023-12-31T00:00:00+00:00 Copyright (c) 2023 Nepalese Society of Periodontology and Oral implantology (NSPOI) Establishing the Essential Zone: Free Gingival Graft for Gingival Augmentation and Root Coverage 2023-12-20T13:39:30+00:00 Pratik Sapkota Sajeev Shrestha Khushbu Adhikari Pujan Acharya Victory Thapa <p>Gingival recession is a frequently encountered clinical finding which causes compromised aesthetics and dentinal hypersensitivity leading to an inadequate zone of keratinized gingiva and might facilitate subgingival plaque formation resulting in further attachment loss. Epithelized soft tissue graft harvested from the hard palate, commonly known as free gingival graft is simple and highly predictable when used to increase the amount of keratinized tissue. This case report highlights the use of free gingival graft as a gingival augmentation and root coverage procedure for 26-year-old patients with Cairo RT2 mucogingival defects with optimum aesthetic outcome. ­­</p> 2023-12-31T00:00:00+00:00 Copyright (c) 2023 Nepalese Society of Periodontology and Oral implantology (NSPOI)