Journal of Nepalese Prosthodontic Society 2022-01-14T18:27:46+00:00 Prof.Dr. Suraj R B Mathema Open Journal Systems <p>The Journal of Nepalese Prosthodontic Society (JNPS) is the biannual official publication of Nepalese Prosthodontic Society and is devoted to the field of prosthetic dentistry.</p> Computer printed denture labeling: A simplified technique 2022-01-13T15:49:20+00:00 A Adhikari SRB Mathema B Maksey SK Maharjan N Dhyako A Gurung B Pandey S Subedi <p>Importance and benefits of denture labeling have been widely described in forensic and dental community. It helps in identification and prevents the probability of losing dentures in geriatric edentulous patient. Several methods have been described in literature for the purpose of labeling denture. The article fully describes an inclusive method which is simple, economical, permanent and is done with equipment readily available in a laboratory.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 A Adhikari, SRB Mathema, B Maksey, SK Maharjan, N Dhyako, A Gurung, B Pandey, S Subedi Pandemic and Prosthodontics 2022-01-13T11:24:07+00:00 Siddharth Dixit <p>No abstract available.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 Siddharth Dixit Position of parotid papilla and commissure of lip in relation to maxillary occlusal plane among patients visiting a tertiary care centre of Nepal 2022-01-13T11:45:46+00:00 P Mehta S Chhetri <p><strong>Introduction: </strong>The exact position of the Parotid papilla and commissure of the lip plays a crucial role in determining the maxillary occlusal plane which directly facilitates rehabilitating edentulous patients with a removable complete denture. Since the beginning, many authors have conducted different studies regarding its position but multiple variations in its location have been noted. Also, this type of study has not been conducted in the Nepalese population which drags the urge to determine the position of these soft-tissue landmarks in context to the Nepalese population.</p> <p><strong>Objective: </strong>To determine the position of parotid papilla and commissure of lip in relation to the maxillary occlusal plane.</p> <p><strong>Materials and Methods: </strong>A descriptive cross-sectional study was conducted in the 45 dentate subjects visiting Nobel medical college from November 2019 to April 2020. A vestibular impression was made, stone index fabricated and vernier caliper was used to locate position of parotid papilla &amp; commissure of lip. All the data were collected and statistically analyzed.</p> <p><strong>Results: </strong>The mean measurement of distances between maxillary occlusal plane and parotid papilla was 3.69 ± 1.19 mm and between maxillary occlusal plane and commissure of lip was 0.41 ± 0.83 mm respectively.</p> <p><strong>Conclusion: </strong>This study showed that the position of the parotid papilla was superior to the position of the maxillary occlusal plane with a mean distance of 3.69mm. The commissure of lip was found to be at the level of maxillary occlusion plane in highest number of cases followed by a superior position with least at the inferior position with respect to the maxillary occlusal plane.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 P Mehta, S Chhetri A survey assessing methods of maintaining denture hygiene among denture wearers 2022-01-13T13:05:41+00:00 B Ghimire S Dhital <p><strong>Introduction: </strong>This study aimed to investigate the denture hygiene habits among old age denture wearers. The purpose of the study was to explain about the methods of maintaining denture hygiene among denture wearers.</p> <p><strong>Methods: </strong>The present cross-sectional survey was conducted among denture wearer patients during follow-up appointment, using a self-administered structured questionnaire.</p> <p><strong>Results: </strong>The study sample consisted of a total of 324 participants; out of them, 211 (65.1%) were males and 113 (34.9%) were females. Regarding the method of maintaining denture cleanliness, most of the patients cleaned it with water only (57.1%), whereas patients who cleaned with brush and paste were less (35.8%) and very few cleaned it with a combination of water, brush and toothpaste (7.1%).</p> <p><strong>Conclusion: </strong>Majority of the patients cleaned their denture at least once daily and were provided with proper instructions from their dentist to maintain denture hygiene.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 B Ghimire, S Dhital Current trends in dental implant practice among dentists in Nepal 2022-01-13T13:14:24+00:00 S Vaidya J Rajkarnikar SB Rana A Bhochhibhoya A Khapung <p><strong>Introduction: </strong>Implant dentistry is one of the fastest growing specialty in the field in dentistry. Yet there is a paucity of literature regarding the prevalence and the current trends of implant dentistry practice among dentists working in Nepal. Thus, the objective of this study was to assess the prevalence and current trends of dental implants practice among the dentists working in Nepal.</p> <p><strong>Method: </strong>A cross sectional, online study was done among 267 Nepalese dentists from October, 2020 to December, 2020 by convenience sampling method. Data collection was done with the help of a proforma that included socio-demographic details and predesigned questionnaire adopted from a study done in Mumbai, India.13 The questions were developed in google form and shared to the study participants through various social media for the study duration of 3 months.</p> <p><strong>Results: </strong>Out of 267 participants, 142 (53.2%) were BDS, 107 (40.1%) were MDS and remaining had other degrees. Of the total participants, only 83 (31.1%) placed dental implants in their practice. Those who did not place dental implants referred the case mostly to periodontist (51.1%), followed by prosthodontist (34.8%). Only 72 (26.9%) had undergone formal implant training program. All the study participants prescribed radiograph as CBCT alone or in combination with the other radiographs. Most of the participants, who placed dental implant, did both the surgical and the prosthodontic phases. Bone level implants (74.7%), Screw retained (50.6%) and extra oral fixation (50.6%) type prosthetics were used by most of the participants. Most frequently used implant systems were Bredent (46.9%), Nobel Biocare (46.9%) and Straumann (46.9%) followed by Adin (44.5%).</p> <p><strong>Conclusion: </strong>The current study showed that dental implants practice is adopted by less than one third of the dentists in Nepal, that suggests the need for implementation of Continuing Professional Development in dental implants in Nepal to increase the knowledge and skills among dental professionals.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 S Vaidya, J Rajkarnikar, SB Rana, A Bhochhibhoya, A Khapung Knowledge and practice of feeding plate obturators among medical doctors in Kanti children’s hospital 2022-01-13T13:30:52+00:00 B Pathak KR Joshi S Bhattarai H Joshi <p><strong>Introduction: </strong>Cleft lip and cleft palate (CLCP) affects several systems and functions of the child and result in social and psychological problems.Therefore early repair of CLCP is imperative. Every cleft center follows its own surgical treatment protocol. Before closure of palatal defects, babies with cleft palate have great difficulty in feeding. To overcome this feeding difficulties, use of special bottles, nipples, initial palatal obturator therapy are used. The first exposure of those children are primarily the medical doctors including pediatricians from where they are generally referred to the concerned speciality for repair of CLCP. The aim of this study was to assess the knowledge and practice of orofacial clefts and feeding plate obturator among medical doctors working in Kanti Children’s Hospital (KCH).</p> <p><strong>Method: </strong>This was a questionnaire based survey among medical doctors working in KCH. The pretested questionnaire with 7 questions each on the knowledge and practice of feeding plate obturator was distributed among the medical doctors and data was collected. The data collected were subjected to statistical analysis using frequency of responses and percentages.</p> <p><strong>Results: </strong>Of the total 57 study participants, 32 (56.1%) were males and 25 (43.9%) were females. Majority i.e. 61.4% belonged to 31-40 years age group. 91.2% study participants faced the cleft lip/ palate related feeding difficulties 0-5 times/month while 5 (8.8%) faced this condition 6-10 times/ month. Majority of the infants who were less than 28 days (43.9%) attended the OPD due to difficulty<br />in feeding/ swallowing (57.9%) followed by regurgitation/ aspiration (22.8%). 49.1% of the participants thought feeding plate oburator as the best way to feed a cleft patient on discharge from hospital. In their clinical practice, three fourth of paticipants (70.2%) had never seen a patient with feeding plate obturator, half of the participants (50.9%) didn’t advise for feeding plate obturator for patients with<br />cleft palate and 89.5% were not aware of the replacement of feeding plate obturator.</p> <p><strong>Conclusion: </strong>There is low exposure regarding the feeding plate obturator among medical doctors in KCH which needs to be reinforced through meaningful continuing education and training programs.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 B Pathak, KR Joshi, S Bhattarai, H Joshi Strength and status of dental specialty societies in Nepal 2022-01-13T13:42:51+00:00 PK Koirala S Pradhan R Shrestha A Bhochhibhoya A Thapa G Karn B Sigdel <p><strong>Introduction: </strong>It’s been over a decade since different dental speciality societies have been established in Nepal. These specialities have generated important human resource, which have contributed to uplift dental care syatem in Nepal. The study was designed with the objective of assessing strength and status of dental specialities in Nepal.</p> <p><strong>Materials and Methods: </strong>The cross-sectional observational study was conducted from October 2020 to December 2020. Nepal Medical Council (NMC) websites, dental specialities websites as well as personal communication with responsible persons of the dental societies were assessed to collect data. Demographic and professional details, specialist number, age, gender, work place, place of graduation and graduation year were entered into Microsoft Excel Sheet. Data was analyzed based upon frequency distribution and percentage.</p> <p><strong>Result: </strong>According to NMC record, total number of dental specialists in dentistry is 616, till December 2020. Out of them, 451 specialists were registered with the dental societies, who were included in this study. There were 6 speciality dental societies in Nepal and most of the societies were a decade old and had more than 50 members. Orthodontics association was the oldest with 164 members. The highest number of specialists were in the age group 30-40 year in all the dental specialties and they were mostly working in Kathmandu valley.</p> <p><strong>Conclusion: </strong>Different dental speciality societies have been growing throughout the country which have produced qualified manpower for providing specialized dental services. These societies are contributing towards achieving goals of better oral health care delivery in the nation.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 PK Koirala, S Pradhan, R Shrestha, A Bhochhibhoya, A Thapa, G Karn, B Sigdel Sometimes conventional removable partial denture is the only remedy! 2022-01-13T13:58:31+00:00 Charfi Nihel Ouni Imed Mansour Lamia Trabelsi Mounir <p>Management of partially edentulous patients can still be a prosthodontic challenge especially for extensive maxillary Kennedy Class I. Replacing the missing teeth using conventional fixed and removable partial dentures (FPD/RPDs) associated with extracoronal attachments remains sometimes the only remedy for partial edentulism. The use of osseointegrated dental implants turn the possibilities of prosthetic reconstruction endless, but what about patients with absolute contraindication of surgery. It is therefore the objective of this article to describe the treatment sequence and technique for the use of attachments in therapy combining FPD/RPD.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 Charfi Nihel, Ouni Imed, Mansour Lamia, Trabelsi Mounir Rehabilitation of mutilated dentition associated with amelogenesis imperfecta 2022-01-13T14:22:36+00:00 A Bajracharya SL Karn A Shrestha <p>This clinical case report describes the oral rehabilitation of a young male with hypoplastic Amelogenesis Imperfecta with generalized hypoplastic and pitted teeth. All the teeth showed yellowish brown discoloration with rough irregular crowns. Patient was a young male who dissatisfied with his appearance and his condition degraded his confidence and psychology. Numerous treatment modalities<br>have been described for rehabilitation of AI patient but the limitations in the treatment exists and the application of techniques are not universal The main objective of this selected treatment was to enhance the esthetics, restore masticatory function and eliminate the teeth sensitivity. These treatment objectives were successfully met by sequential approach. Treatment not only restored function and<br>esthetic, but also showed a positive psychological impact and thereby improved perceived quality of life.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 A Bajracharya, SL Karn, A Shrestha Custom made ocular prosthesis: A case report 2022-01-13T14:39:56+00:00 D Devkota SRB Mathema <p>Physical defects that compromise appearance or function, which prevent an individual from leading a normal life, usually prompt the individual to seek treatment that will reinstate acceptable normalcy. The loss of an eye impairs the patient’s visual function, yet also results in a noticeable deformity. Prosthesis should be provided as soon as possible to raise the spirits and ease the mind of the afflicted. An ocular prosthesis is a maxillofacial prosthesis that artificially replaces an eye missing as a result of trauma, surgery, or congenital absence. A custom ocular prosthesis has advantage of close adaptation to the tissue bed, provides maximum comfort and restores full physiological function to the accessory organs of the eye.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 D Devkota, SRB Mathema Conventional tooth supported overdenture: A case report 2022-01-13T15:03:33+00:00 B Kharel A Rai P Suwal PK Parajuli I Limbu BB Basnet <p>The present prime concern in dentistry is on preservation of remaining natural teeth. Presence of few teeth in oral cavity help in preserving alveolar ridge integrity, maintain the proprioception, and gives psychological benefit to the patient. Overdenture has proven to be the mainstay of conservative prosthodontic treatment when proper diagnosis, treatment planning, and most importantly, patient compliance are achieved. This paper presents a case report of rehabilitation of a 65 year old patient with multiple missing teeth with tooth supported overdenture in both maxilla and mandible.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2022 B Kharel, A Rai, P Suwal, PK Parajuli, I Limbu, BB Basnet Gingival mask for conservative management of gingival recession: A case report 2022-01-13T15:18:54+00:00 SK Chaudhary H Agrawal R Dhakal A Yadav <p>Smile is the jewel of the face, which not only enhances the beauty of the person but also influences self-confidence. Dental esthetic is composed of white and pink component. The long-term periodontal disease results in the destruction of the pink component leading to gingival recession in some cases, which results in elongated tooth with black triangle and unesthetic smile. When severe destruction is present in the maxillary anterior region surgical reconstruction is unpredictable. This destruction can be masked with a prosthesis like gingival mask after the control of periodontal disease. This case report describes the use of the gingival mask as a conservative treatment modality for recession, achieving optimum esthetics and patient satisfaction.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 SK Chaudhary, H Agrawal, R Dhakal, A Yadav Implant placement with guided bone regeneration in esthetic zone- A case report 2022-01-13T15:32:27+00:00 A Maharjan S Joshi A Verma RS Gorkhali <p>Alveolar ridge deficiency is considered a major limitation for successful implant placement, as well as for the long-term success rate, especially in the anterior maxillary region. Implants placed without regard for prosthetic position often results in dental restorations that are functionally and esthetically compromised. Adequate peri-implant bone support is essential for immediate and long-term implant stability, as well as for future esthetic outcome. To achieve this goal, augmentation of lost bone is often necessary.</p> <p>A variety of surgical approaches have been proposed to enhance the alveolar bone volume. Guided bone regeneration (GBR) is the most common technique for localized bone augmentation. GBR, by application of cell occlusive membranes that mechanically exclude non-osteogenic cell populations from the surrounding soft tissues, has become a well-documented and highly successful procedure for localized augmentation of the atrophic jaw before or simultaneously with implant placement. This case report presents simultaneous approach of guided bone regeneration and implant placement in the maxillary anterior region with narrow ridge defect.</p> 2021-06-30T00:00:00+00:00 Copyright (c) 2021 A Maharjan, S Joshi, A Verma, RS Gorkhali