Journal of Nepalese Prosthodontic Society <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> Nepalese Prosthodontic Society en-US Journal of Nepalese Prosthodontic Society 2616-0013 <p class="Default">© The authors</p> Editorial Vol.2(1) <p>Not available.</p> Suraj R. B. Mathema ##submission.copyrightStatement## 2019-12-23 2019-12-23 2 1 10.3126/jnprossoc.v2i1.26804 The Perception of Stress among the Final Year Students in Prosthodontics <p><strong>Introduction: </strong>Prosthodontics is a challenging discipline for dental students. This study aims to identify the sources of stress amongst final year undergraduate dental students in prosthodontics at People’s Dental College and Hospital, Nepal. Identifying these potential sources of stress may provide faculties and administrators an opportunity to delineate areas of concern and approach student effectively.</p> <p><strong>Materials and methods: </strong>A modified version of the Dental Environment Stress (DES) questionnaire with 22 items was used to assess levels of stress.</p> <p><strong>Results: </strong>The major stressors included worry of not completing quotas with a mean score of 3.63 followed by examinations, shortage of allocated clinical and laboratory time, fear of failing a courser the year, overloaded feeling due to huge syllabus, late ending day, responsibility of getting suitable patients, fear of being unable to catch up if behind and patients being late or not showing for their appointments. Amongst these major stressors, the top two stressors were performance pressure related.</p> <p><strong>Conclusions: </strong>Although perceived stress in prosthodontics was relatively less than expected, certain areas were highly stressful for majority of the students. There is a need for adopting new strategies by the university, institute, faculties and students themselves for stress management.</p> Brijesh Maskey K. Shrestha S RB Mathema ##submission.copyrightStatement## 2019-12-23 2019-12-23 2 1 1 5 10.3126/jnprossoc.v2i1.26805 Attitude Towards Replacement of Missing Teeth Among the Patients Visiting Nobel Medical College and Teaching Hospital <p><strong>Introduction: </strong>Teeth play a significant part in the maintenance of a healthy personality and an affirmative self-image. Tooth loss is psychologically a very traumatizing and upsetting experience, and is considered to be a serious event in the life of a person, requiring significant psychological readjustment.</p> <p><strong>Objective: </strong>Evaluate the prosthetic status and attitude of the patients towards replacement of the teeth among the patients visiting dental department, Noble Medical College and Teaching Hospital (NMCTH)</p> <p><strong>Materials and Methods: </strong>A cross sectional study was conducted over a duration of 6 months to determine prosthetic status and attitude of the patients towards replacement of the teeth among all patients visiting Department of prosthodontics, NMCTH. The inclusion criteria was all patients with at least one missing tooth (excluding third molars) and subjects who gave consent for the study. All the Patients were provided with six close ended questionnaire followed by clinical examination by a well trained investigator.</p> <p><strong>Result: </strong>The total number of participants was 297. Of them 157 were male and 140 were female. Most frequently encountered age group was 21-30 years Of these, 80.8% of individual were provided with proper information about replacement of teeth whereas 19.2 % were not. 70.7% individual said they will replace only when they find difficulty in their daily activities. 64.6 % of individual wanted to replace teeth for appearance, 20.5% for function and 14.8% for both appearance and function. 79.5 %stated financial problem and 18.2% stated lack of awareness regarding not replacement of teeth.</p> <p>C<strong>onclusion: </strong>The patients’ attitudes and demand towards the replacement of missing teeth might be different from the clinicians’ assessment. We consider factors such as the preservation of natural teeth and the maintenance of periodontal health as priority but patients tends to prioritize comfort in mastication and improvement of esthetics. Therefore, it is vital to investigate patients’ awareness, need and demand on prosthodontic treatment options.</p> Ankita Rathi S Chhetri ##submission.copyrightStatement## 2019-12-23 2019-12-23 2 1 6 10 10.3126/jnprossoc.v2i1.26806 Determining the Position of Tip of Maxillary Canines in Relation to Commissure of Mouth and Midpupillary Line and its Correlation with Square, Ovoid and Tapering Arch Form <p><strong>Introduction</strong>: Selection of appropriately sized maxillary denture teeth in various types of arch form is often a challenging aspect during complete denture rehabilitation. The correlation of facial anatomical landmarks may serve as a reliable predictor for the selection of teeth.</p> <p><strong>Materials and methods</strong>: The maxillary arch impression of 113 dentate subjects were made, casts poured and divided into square, ovoid and tapering arch form. The position of tip of maxillary canines in relation to commissure of mouth and midpupillary line were determined by using vacuum formed template and pupillometer respectively.</p> <p><strong>Results</strong>: The result showed the significant difference in mean distance from commissural to canine tip (p&lt;0.001) and IPD (p&lt;0.017) among square, ovoid and tapering arch form.</p> <p><strong>Conclusion</strong>: The commissure of lip may serve as a reliable guideline for selection of anterior teeth according to arch form and IPD/ICW can similarly be used to determine anterior teeth width.</p> Srijana Mishra S RB Mathema ##submission.copyrightStatement## 2019-12-23 2019-12-23 2 1 11 16 10.3126/jnprossoc.v2i1.26807 Knowledge, Attitude and Practice of Tooth Morphology among the Dentists of Kathmandu <p><strong>Background: </strong>Dental anatomy is taught as a basic dental subject in dental schools of Nepal. The knowledge has immense use in clinical practice in dentistry. However, few people feel that it has no use and should be removed from the dental curriculum. The objective of the study was to analyze the knowledge, attitude and practice of tooth morphology among dental practitioners in Kathmandu.</p> <p><strong>Materials and Methods: </strong>A cross-sectional study was undertaken among the dental practitioners in Kathmandu using a self-administered questionnaire to collect the data. In total 300 questionnaires were distributed. The results were analysed for descriptive statistics using the Statistical Package for the Social Sciences (SPSS) 16 software.</p> <p><strong>Results: </strong>A total of 249 responses from the dental practitioners were received. In total 77.9 % of participants strongly agreed that understanding tooth morphology helped in identification of primary and permanent teeth. More than 90% had positive response regarding its use in day to day clinical practice.</p> <p><strong>Conclusion: </strong>The present study revealed that the dental practitioners have adequate knowledge of tooth morphology and agree on its importance in professional dental practice.</p> Rajib Chaulagain ##submission.copyrightStatement## 2019-12-23 2019-12-23 2 1 17 21 10.3126/jnprossoc.v2i1.26809 Clinical Evaluation of Maxillary Arch Complete Denture Impressions Made by Undergraduate Students in a Dental College <p><strong>Introduction: </strong>An accurate impression is the foundation of denture fabrication process thus a practitioner should be aware of the possibility of including errors during this procedure. Time spent in making a good impression will reduce the time required in adjusting the final prosthesis as well as make it more comfortable for the patient in accepting the prosthesis.</p> <p><strong>Materials and Methods: </strong>Maxillary arch final impressions made by undergraduate dental students on 106 edentulous patients were evaluated. The impressions were assessed on the basis of criteria’s like errors on mixing, flow, tray positioning, presence of voids, creases/irregularities, exposure of tissue stops and extension at posterior border. The data’s collected were analyzed for the frequency of occurrence and distribution of each type of errors.</p> <p><strong>Results: </strong>It was found that 97.2% of students performed at least one detectable error during making of maxillary arch final impression. The number of errors made by students ranged from single to as much as seven errors in one impression. The most common error was lack of exposure of all tissue stops followed by presence of voids and creases/irregularities on impression surface.</p> <p><strong>Conclusion: </strong>There is high possibility of including errors while making maxillary arch final impression by undergraduate dental students. The study highlights the need to explore novel techniques of clinical demonstrations and teaching important concepts to learning students. The inclusion of more pre-clinical exercises in undergraduate curriculum relating to manipulation of dental materials may improve skills of students in making accurate edentulous impressions.</p> Rinu Sharma A. Bhochhibhoya B Acharya SB Rana RA Sagtani ##submission.copyrightStatement## 2019-12-23 2019-12-23 2 1 22 27 10.3126/jnprossoc.v2i1.26810 A Comparison of Facial Proportions in Pleasing and Unpleasing Smile Photographs from Nepalese Population <p><strong>Introduction: </strong>Facial proportion and dental proportions are matters of interest for dental professionals to craft a beautiful smile. In facial analyses, the role of different proportions cannot be overlooked when planning dento facial treatment. This study aims to determine the different facial proportions; smile index, lower smile index, nose width to outer inter commissural width, intercanine width to outerinter commissural width, nose width to intercanine width and outer intercommissural width to lower facial height in esthetically pleasing smile (ES) and esthetically unpleasing smile (US) groups.</p> <p><strong>Materials and methods: </strong>The frontal smiling photographs (N=152, 74 pleasing and 78 unpleasing smile) were gathered and different linear measurements were carried out using digital ruler. The facial proportions were derived and comparisons were made amongst groups and differences were examined in comparison to standard accepted proportion (such as Golden proportion).</p> <p><strong>Results: </strong>Average smile index of ES (5.899±1.201) was lower than that of US group (6.421±1.675).The golden proportion was not valid for smile indices in each group. Mean nose width to intercanine width ratio significantly differed in ES and US. The outer inter commissural width to lower facial height was not statistically significantly different from 1:1 ratio.</p> <p><strong>Conclusion: </strong>Most facial proportions in pleasing and unpleasing smiles showed no difference. The outer intercommissural width to lower facial height was found in 1:1 proportion current study with possible utilization in determining vertical dimension of occlusion.</p> Bishal Babu Basnet ##submission.copyrightStatement## 2019-12-24 2019-12-24 2 1 28 34 10.3126/jnprossoc.v2i1.26829 Precision Planning in Autotransplantation of Teeth by Using CBCT – An Effective Prosthetic Approach <p>Auto transplantation can be considered a valid and predictable treatment option for rehabilitating patients with permanent teeth loss when a suitable donor tooth is present. Once thought to have unfavorable prognosis, auto transplantation has achieved high success rates and is an outstanding option for tooth replacement. This case report illustrates auto transplantation of a fully developed third molar in the place of a first molar with the guidance of CBCT (Cone Beam Computed Tomography).The added advantages of CBCT helps to make the process of auto transplantation more predictable, easier and less time consuming which will encourage many dental surgeons to add this treatment to their armamentarium.</p> Prabhat Shrestha P Shrestha ##submission.copyrightStatement## 2019-12-24 2019-12-24 2 1 35 41 10.3126/jnprossoc.v2i1.26831 Prosthetic Rehabilitation of Patient with Anterior Segmental Mandibulectomy Using Cast Partial Removable Denture: A Clinical Report <p>Marginal mandibulectomy involves resection of mandibular body with overlying soft tissues while maintaining inferior cortex of mandible and its continuity. It may lead to numerous problems associated with mastication, speech and deglutition and esthetics. Problems associated with such defect depend upon location and extent of surgical resection. Prosthodontic rehabilitation of such patient poses challenges because of obliterated vestibular depth, inadequate denture bearing areas for support, lesser number of remaining teeth. This article describes rehabilitation of patient who underwent anterior segmental mandibulectomy with cast partial removable denture to replace the missing teeth and maintain esthetics.</p> Anil Maharjan SP Joshi P. Shrestha ##submission.copyrightStatement## 2019-12-24 2019-12-24 2 1 42 46 10.3126/jnprossoc.v2i1.26833 Localized Bone Augmentation and Implant Site Development-Review with a case <p>Guided bone regeneration (GBR) has been used for the regeneration of bone in conjunction with the placement of dental implants, for augmentation of resorbed alveolar crests, and to treat localized ridge deformities. It is based on the principle of protecting bone regeneration against overgrowth of tissues formed by rapidly proliferating non-osteogenic cells. In this case, the space created by the Titanium mesh supported platelet rich fibrin membrane was filled by tissues with features of newly formed bone. No residual bone defects were observed and an increase of the alveolar width and height was observed. No untoward effects on bone regeneration were observed except membrane exposure after 4 and 1/2months. This case shows a satisfactory result concerning GBR technique or implant site development.</p> <p>&nbsp;</p> Pramod Kumar Koirala S Pradhan RS Gorkhali ##submission.copyrightStatement## 2019-12-24 2019-12-24 2 1 47 52 10.3126/jnprossoc.v2i1.26834 A Viable Rehabilitation Approach with Maxillary Cast Partial Denture and Mandibular Over Denture - A Case Report <p>Prosthodontic rehabilitation is indicated to restore function, esthetics and phonetics. The prosthetic options for rehabilitation of partial edentulism include removable partial dentures (RPD), over dentures, and implant supported prosthesis. Any tooth replacement should be performed by a detailed evaluation of the existing dental situation and functional condition of the patient. Besides, the risks, benefits and costs of the selected treatment modality should be discussed with the patient. Choice of prosthetic treatment modality is mainly determined by the patient’s needs and expectations, social and economic aspects, educational level, as well as the general health status, oral functional benefits, esthetics, prognosis of the remaining teeth and patient motivation to maintain oral hygiene. This clinical report describes rehabilitation of a partially edentulous patient with maxillary cast partial denture (CPD) and mandibular tooth supported over denture.</p> Bismita Pradhan S P Joshi A Verma ##submission.copyrightStatement## 2019-12-24 2019-12-24 2 1 53 57 10.3126/jnprossoc.v2i1.26836