Soni Bista | Tribhuwan University,Nepal (original) (raw)

Papers by Soni Bista

Journal of College of Medical Sciences-Nepal

Orientation programs for new students are considered beneficial because they aid them as well as ... more Orientation programs for new students are considered beneficial because they aid them as well as the teachers and acclimate them to the learning environment. Additionally, it aids medical students in overcoming various challenges they encounter when adjusting to a new academic setting. Orientation sessions are held in a variety of medical colleges and are widespread worldwide. This paper discusses the five-day orientation program held at the Gandaki Medical College Teaching Hospital and Research Center, Pokhara, Nepal for the newly admitted first-year undergraduate medical students of the 2022 academic year. The institution, teaching-learning activities, respective curricula, and faculty members were introduced to the new students.

Journal of Gandaki Medical College, Jul 25, 2022

Palatogingival groove is a developmental anomaly, usually found on the palatal surface of maxilla... more Palatogingival groove is a developmental anomaly, usually found on the palatal surface of maxillary incisor teeth. This hidden trap harbors plaque and bacteria around the tooth, ensuing periodontal destruction with or without pulpal pathologic changes. Several treatment modalities have been proposed for its management ranging from endodontic treatment, periodontal therapy or combined. Here, we present a case of a type II palatogingival groove causing endodontic-periodontal lesion successfully managed by endodontic treatment followed by periodontal surgery with an uneventful healing. Thus, this anomaly should be recognized early with timely intervention to avoid widespread involvement.

Journal of Universal College of Medical Sciences, Aug 9, 2022

Periodontal disease is a bacterial infection that affects tissues that support the teeth and bact... more Periodontal disease is a bacterial infection that affects tissues that support the teeth and bacterial plaque is the primary cause of this disease. In the interdental spaces, periodontal disorders are more common as a result, removing plaque from these regions is critical. This can be managed by using various interdental cleaning aids such as dental floss, interdental brushes, and chemical agents such as mouth washes. Thus, the aim of our study is to assess the knowledge of other oral hygiene aids except brushing among medical and dental students in a Teaching hospital. This is a knowledge, attitude, and practices model of analyzing the knowledge of adjunctive oral hygiene aids performance and measures other than tooth brushing among medical and dental students. MATERIAL AND METHODS A Knowledge, Attitude and Practices (KAP) survey was designed for the present cross-sectional study which was conducted for a period of three months from July 2021 to September 2021 among a sample of 275 medical and dental undergraduates in a Teaching hospital. Pre-tested structured 22-item closed-ended questionnaire was given to each on survey tool and the link was passed to the participants. Statistical analysis was done using SPSS (version 21.0) software. RESULTS The response rate for the present survey was 98.9% (272 participants). It was seen that, 29.78% participants reported that poor oral hygiene is the main cause of bleeding and 59.19 % believed that poor oral hygiene is responsible for bad breath. A total of 65.81% reported that most widely recommended interdental aid to be used is dental floss. On gender wise comparison, significant positive response (p< 0.05)was seen among females for items (2,6,11) as compared to males. On stream wise comparison, significant positive response (p< 0.05) was seen among dentists for items (16,17,20) as compared to medical students. CONCLUSION The study concluded that dental and medical students must be encouraged to be good role models in practicing as well as promoting oral health for their patients, families, friends and ultimately the society.

Case reports in dentistry, 2012

Amelogenesis imperfecta (AI) has been defined as a group of hereditary enamel defects. It can be ... more Amelogenesis imperfecta (AI) has been defined as a group of hereditary enamel defects. It can be characterized by enamel hypoplasia, hypomaturation, or hypocalcification of the teeth. AI may be associated with some other dental and skeletal developmental defects. Restoration for patients with this condition should be oriented toward the functional and esthetic rehabilitation. This clinical report describes the oral rehabilitation of a young patient diagnosed with the hypoplastic type of AI in posterior teeth and hypomatured type of AI in anterior teeth.

Journal of College of Medical Sciences-Nepal

IntroductionA high frenal attachment can cause diastema, distend the gingival sulcus, increasing ... more IntroductionA high frenal attachment can cause diastema, distend the gingival sulcus, increasing plaque accumulation, gingival recession, bone loss, poor lip mobility while smiling and speaking, along with speech and esthetic issues. The objective of this study was to assess the prevalence of maxillary labial frenum and its’ variations among patients visiting a tertiary care hospital.MethodsThis analytical cross-sectional study was conducted from July 2022 to March 2023 among 385 patients. The demographic details of the participants were recorded and the types of frenal attachment and its’ morphological variations were assessed using the classification by Mirko et al. and Sewerin. Pearson Chi-square test was used to determine the association between categorical variables where p-value ≤0.05 was considered statistically significant.ResultsThe most prevalent frenum was found to be gingival 237(61.56%) while the least common was papillary penetrating type 29(7.53%). Only 85(22.08%) fre...

PubMed, Nov 3, 2022

Background: The management of furcation involvements by regenerative surgery with bone alloplast ... more Background: The management of furcation involvements by regenerative surgery with bone alloplast have been used with varying degrees of success in periodontal therapy. The aim of the study was to clinically and radiographically compare the effectiveness of Hydroxyapatite bone alloplast with combination bone alloplast (Hydroxyapatite and ?-Tricalcium phosphate) for the treatment of Grade II mandibular furcation involvements. Methods: Thirty patients with bilateral Grade II mandibular furcation involvements were distributed in Group A (Hydroxyapatite) and Group B (Hydroxyapatite and ?-Tricalcium phosphate). Clinical parameters such as Plaque Index, Gingival Index, Probing Pocket Depth, Clinical Attachment Level and Horizontal Probing Depth were recorded at baseline and at one, three and six mths postoperatively. Radiographic bone fill measurements were recorded at baseline and six months post-operatively. Results: Both the groups showed statistically significant (p <0.01) improvement in clinical and radiographic parameters at each recall visits. Inter-group comparison of clinical parameters showed no significant difference in both the groups whereas radiographic measurements following six months post-surgery showed significantly (p <0.05) greater amount of bone fill in Group B compared to Group A. Conclusions: It can be concluded that at six months post-operative, both the alloplastic materials resulted in significant improvement in clinical parameters and no significant difference was found between both groups. There was a statistically significant radiographic bone fill when a combination of Hydroxyapatite and ?-Tricalcium phosphate was used demontrating its effectiveness in the treatment of Grade II Furcation involvement.

Journal of Nepal Health Research Council, Nov 3, 2022

Journal of Nepal Health Research Council, Nov 2, 2022

Journal of Gandaki Medical College-Nepal

Introduction: The mucogingival junction is considered one of the vital anatomic structures that m... more Introduction: The mucogingival junction is considered one of the vital anatomic structures that mark the apical termination of the attached gingiva. However, due to various pathologies and conditions, it can be undetectable. This study aimed to assess the distribution of patients having teeth without clinically detectable mucogingival junction in mandibular anteriors. Various etiologies leading to clinically undetectable mucogingival junction were also identified. Methods: This cross-sectional study involved 312 patients who visited the department of Periodontics of Gandaki Medical College Teaching Hospital and Research Center, Pokhara from July 26 to November 26, 2022. The visual method, rolling probe method, tension test and histochemical staining were used to detect the mucogingival junction. To ascertain the relationship between age and gender with the distribution of data, descriptive analysis and the Pearson Chi-square test was used. A p-value <0.05 was considered statistic...

Journal of Universal College of Medical Sciences

Immediate implant placement is most commonly indicated when tooth extraction is performed owing t... more Immediate implant placement is most commonly indicated when tooth extraction is performed owing to pathologies such as unrestorable caries or fractures. The primary advantage of this treatment modality is the diminution of healing time and reduced alveolar process resorption. Regenerative materials can be used as an adjunct with implants in order to triumph high implant survival rate and enrich good esthetic outcome. This case report illustrates treatment protocol and one-year clinical follow-up of a patient who underwent atraumatic extraction of his fractured mandibular central incisor, followed by immediate implant placement with bone grafts.

Journal of Universal College of Medical Sciences

INTRODUCTIONPeriodontal disease is a bacterial infection that affects tissues that support the te... more INTRODUCTIONPeriodontal disease is a bacterial infection that affects tissues that support the teeth and bacterialplaque is the primary cause of this disease. In the interdental spaces, periodontal disorders are more common as a result, removing plaque from these regions is critical. This can be managed by using various interdental cleaning aids such as dental floss, interdental brushes, and chemical agents such as mouth washes. Thus, the aim of our study is to assess the knowledge of other oral hygiene aids except brushing among medical and dental students in a Teaching hospital. This is a knowledge, attitude, and practices model of analyzing the knowledge of adjunctive oral hygiene aids performance and measures other than tooth brushing among medical and dental students. MATERIAL AND METHODSA Knowledge, Attitude and Practices (KAP) survey was designed for the present cross-sectional study which was conducted for a period of three months from July 2021 to September 2021 among a sam...

Restorative Dentistry & Endodontics, 2017

Palatogingival groove (PGG) is an anomaly in the maxillary anterior teeth, often accompanied by t... more Palatogingival groove (PGG) is an anomaly in the maxillary anterior teeth, often accompanied by the area of bony destruction adjacent to the teeth with no carious or traumatic history. The hidden trap in the tooth can harbor plaque and bacteria, resulting in periodontal destruction with or without pulpal pathologic change. Related diseases can involve periodontal destruction, combined endodontic-periodontal lesions, or separate endodontic and periodontal lesions. Disease severity and prognosis related to PGG 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 from PGG to remove and block the inflammatory source and recover the health of surrounding periodontal tissues. Even in cases of severe periodontal destruction, several studies have reported favorable treatment outcomes with proper management. With new options in diagnosis and treatment, clinicians need a detailed understanding of the characteristics, treatment, and prognosis of PGG to successfully manage the condition.

Journal of Dental Lasers, 2018

Ankyloglossia or tongue tie is characterized by short lingual frenum restricting tongue movement ... more Ankyloglossia or tongue tie is characterized by short lingual frenum restricting tongue movement which causes feeding difficulties and speech problems. Such condition can be treated by frenectomy using scalpel, laser, and electrocautery. The present case reports ankyloglossia in an 11-year-old female patient treated with diode laser and followed up without any complications.

Journal of Gandaki Medical College-Nepal

Stem cells, initially identified in embryonic tissues and later in numerous adult tissues, tend t... more Stem cells, initially identified in embryonic tissues and later in numerous adult tissues, tend to possess the potentiality to differentiate into various cell types. Though most flexible of all stem cell lines, ethical issues restrict the use of embryonic cells. Furthermore, induced pluripotent stem cells (iPS) and adult stem cells (e.g: bone marrow stroma) can also be used. However, procurement of autologous bone marrow has its potential limitations. An alternate source of autologous adult stem cells which can be procured in large quantities, under local anesthesia, with minimal discomfort would be of keen interest. In the present context, human adult adipose tissue may be the best appropriate alternative source of mesenchymal stem cells. Studies have shown that adipose stem cells (ASCs) extracted from subcutaneous human adult adipose tissue tend to contain heterogeneous cell population called stromal vascular fraction (SVF). It may be used directly or cultured in for selection and...

Journal of Gandaki Medical College, Jul 3, 2021

Medical education is considered as a very significant strategy ensuring good quality in academics... more Medical education is considered as a very significant strategy ensuring good quality in academics and health care. Currently, medical education across the world has been experiencing a major obstruction as a consequence of the novel coronavirus disease pandemic. At the same time, the rapid use of emergent technologies to maintain effective teaching and learning has become an essential component for transformative changes and the future of medical education. In this paper, we discuss the role of e-learning in medical education by outlining its components, effectiveness, barriers, all the pros and cons and future of implementation of such technology. The intention of this article is to inform all medical educators and students across the world on how the technological changes even after the pandemic can have a positive impact on medical education.

Journal Of Gandaki Medical College, 2021

Medical education is considered as a very significant strategy ensuring good quality in academics... more Medical education is considered as a very significant strategy ensuring good quality in academics and health care. Currently, medical education across the world has been experiencing a major obstruction as a consequence of the novel coronavirus disease pandemic. At the same time, the rapid use of emergent technologies to maintain effective teaching and learning has become an essential component for transformative changes and the future of medical education. In this paper, we discuss the role of e-learning in medical education by outlining its components, effectiveness, barriers, all the pros and cons and future of implementation of such technology. The intention of this article is to inform all medical educators and students across the world on how the technological changes even after the pandemic can have a positive impact on medical education.

Jornal of Dental Lasers, 2018

Ankyloglossia or tongue tie is characterized by short lingual frenum restricting tongue movement ... more Ankyloglossia or tongue tie is characterized by short lingual frenum restricting tongue movement which causes feeding difficulties and speech problems. Such condition can be treated by frenectomy using scalpel, laser, and electrocautery. The present case reports ankyloglossia in an 11-year-old female patient treated with diode laser and followed up without any complications.

Journal of Gandaki Medical College-Nepal

Stem cells, initially identified in embryonic tissues and later in numerous adult tissues, tend t... more Stem cells, initially identified in embryonic tissues and later in numerous adult tissues, tend to possess the potentiality to differentiate into various cell types. Though most flexible of all stem cell lines, ethical issues restrict the use of embryonic cells. Furthermore, induced pluripotent stem cells (iPS) and adult stem cells (e.g: bone marrow stroma) can also be used. However, procurement of autologous bone marrow has its potential limitations. An alternate source of autologous adult stem cells which can be procured in large quantities, under local anesthesia, with minimal discomfort would be of keen interest. In the present context, human adult adipose tissue may be the best appropriate alternative source of mesenchymal stem cells. Studies have shown that adipose stem cells (ASCs) extracted from subcutaneous human adult adipose tissue tend to contain heterogeneous cell population called stromal vascular fraction (SVF). It may be used directly or cultured in for selection and...

Journal of Nepalese Society of Periodontology and Oral Implantology, 2021

A periodontally compromised tooth with severe furcation involvement may as well be retained of th... more A periodontally compromised tooth with severe furcation involvement may as well be retained of their roots rather than its removal in toto. Bicuspidisation (Premolarisation) is a surgical technique of sectioning mandibular molar roots with their respective crown portions followed by rehabilitation with fixed prosthesis in the individual segments. This not only eliminates furcation involvement but also facilitates effective oral hygiene maintenance. The present case report demonstrates the successful management of grade III furcation involved mandibular molar by bicuspidisation followed by subsequent prosthodontic rehabilitation. It gives a better alternative to salvage a periodontally compromised tooth rather than opting for extraction.

Journal of Nepalese Society of Periodontology and Oral Implantology, 2021

A periodontally compromised tooth with severe furcation involvement may as well be retained of th... more A periodontally compromised tooth with severe furcation involvement may as well be retained of their roots rather than its removal in toto. Bicuspidisation (Premolarisation) is a surgical technique of sectioning mandibular molar roots with their respective crown portions followed by rehabilitation with fixed prosthesis in the individual segments. This not only eliminates furcation involvement but also facilitates effective oral hygiene maintenance. The present case report demonstrates the successful management of grade III furcation involved mandibular molar by bicuspidisation followed by subsequent prosthodontic rehabilitation. It gives a better alternative to salvage a periodontally compromised tooth rather than opting for extraction.

Journal of College of Medical Sciences-Nepal

Orientation programs for new students are considered beneficial because they aid them as well as ... more Orientation programs for new students are considered beneficial because they aid them as well as the teachers and acclimate them to the learning environment. Additionally, it aids medical students in overcoming various challenges they encounter when adjusting to a new academic setting. Orientation sessions are held in a variety of medical colleges and are widespread worldwide. This paper discusses the five-day orientation program held at the Gandaki Medical College Teaching Hospital and Research Center, Pokhara, Nepal for the newly admitted first-year undergraduate medical students of the 2022 academic year. The institution, teaching-learning activities, respective curricula, and faculty members were introduced to the new students.

Journal of Gandaki Medical College, Jul 25, 2022

Palatogingival groove is a developmental anomaly, usually found on the palatal surface of maxilla... more Palatogingival groove is a developmental anomaly, usually found on the palatal surface of maxillary incisor teeth. This hidden trap harbors plaque and bacteria around the tooth, ensuing periodontal destruction with or without pulpal pathologic changes. Several treatment modalities have been proposed for its management ranging from endodontic treatment, periodontal therapy or combined. Here, we present a case of a type II palatogingival groove causing endodontic-periodontal lesion successfully managed by endodontic treatment followed by periodontal surgery with an uneventful healing. Thus, this anomaly should be recognized early with timely intervention to avoid widespread involvement.

Journal of Universal College of Medical Sciences, Aug 9, 2022

Periodontal disease is a bacterial infection that affects tissues that support the teeth and bact... more Periodontal disease is a bacterial infection that affects tissues that support the teeth and bacterial plaque is the primary cause of this disease. In the interdental spaces, periodontal disorders are more common as a result, removing plaque from these regions is critical. This can be managed by using various interdental cleaning aids such as dental floss, interdental brushes, and chemical agents such as mouth washes. Thus, the aim of our study is to assess the knowledge of other oral hygiene aids except brushing among medical and dental students in a Teaching hospital. This is a knowledge, attitude, and practices model of analyzing the knowledge of adjunctive oral hygiene aids performance and measures other than tooth brushing among medical and dental students. MATERIAL AND METHODS A Knowledge, Attitude and Practices (KAP) survey was designed for the present cross-sectional study which was conducted for a period of three months from July 2021 to September 2021 among a sample of 275 medical and dental undergraduates in a Teaching hospital. Pre-tested structured 22-item closed-ended questionnaire was given to each on survey tool and the link was passed to the participants. Statistical analysis was done using SPSS (version 21.0) software. RESULTS The response rate for the present survey was 98.9% (272 participants). It was seen that, 29.78% participants reported that poor oral hygiene is the main cause of bleeding and 59.19 % believed that poor oral hygiene is responsible for bad breath. A total of 65.81% reported that most widely recommended interdental aid to be used is dental floss. On gender wise comparison, significant positive response (p< 0.05)was seen among females for items (2,6,11) as compared to males. On stream wise comparison, significant positive response (p< 0.05) was seen among dentists for items (16,17,20) as compared to medical students. CONCLUSION The study concluded that dental and medical students must be encouraged to be good role models in practicing as well as promoting oral health for their patients, families, friends and ultimately the society.

Case reports in dentistry, 2012

Amelogenesis imperfecta (AI) has been defined as a group of hereditary enamel defects. It can be ... more Amelogenesis imperfecta (AI) has been defined as a group of hereditary enamel defects. It can be characterized by enamel hypoplasia, hypomaturation, or hypocalcification of the teeth. AI may be associated with some other dental and skeletal developmental defects. Restoration for patients with this condition should be oriented toward the functional and esthetic rehabilitation. This clinical report describes the oral rehabilitation of a young patient diagnosed with the hypoplastic type of AI in posterior teeth and hypomatured type of AI in anterior teeth.

Journal of College of Medical Sciences-Nepal

IntroductionA high frenal attachment can cause diastema, distend the gingival sulcus, increasing ... more IntroductionA high frenal attachment can cause diastema, distend the gingival sulcus, increasing plaque accumulation, gingival recession, bone loss, poor lip mobility while smiling and speaking, along with speech and esthetic issues. The objective of this study was to assess the prevalence of maxillary labial frenum and its’ variations among patients visiting a tertiary care hospital.MethodsThis analytical cross-sectional study was conducted from July 2022 to March 2023 among 385 patients. The demographic details of the participants were recorded and the types of frenal attachment and its’ morphological variations were assessed using the classification by Mirko et al. and Sewerin. Pearson Chi-square test was used to determine the association between categorical variables where p-value ≤0.05 was considered statistically significant.ResultsThe most prevalent frenum was found to be gingival 237(61.56%) while the least common was papillary penetrating type 29(7.53%). Only 85(22.08%) fre...

PubMed, Nov 3, 2022

Background: The management of furcation involvements by regenerative surgery with bone alloplast ... more Background: The management of furcation involvements by regenerative surgery with bone alloplast have been used with varying degrees of success in periodontal therapy. The aim of the study was to clinically and radiographically compare the effectiveness of Hydroxyapatite bone alloplast with combination bone alloplast (Hydroxyapatite and ?-Tricalcium phosphate) for the treatment of Grade II mandibular furcation involvements. Methods: Thirty patients with bilateral Grade II mandibular furcation involvements were distributed in Group A (Hydroxyapatite) and Group B (Hydroxyapatite and ?-Tricalcium phosphate). Clinical parameters such as Plaque Index, Gingival Index, Probing Pocket Depth, Clinical Attachment Level and Horizontal Probing Depth were recorded at baseline and at one, three and six mths postoperatively. Radiographic bone fill measurements were recorded at baseline and six months post-operatively. Results: Both the groups showed statistically significant (p <0.01) improvement in clinical and radiographic parameters at each recall visits. Inter-group comparison of clinical parameters showed no significant difference in both the groups whereas radiographic measurements following six months post-surgery showed significantly (p <0.05) greater amount of bone fill in Group B compared to Group A. Conclusions: It can be concluded that at six months post-operative, both the alloplastic materials resulted in significant improvement in clinical parameters and no significant difference was found between both groups. There was a statistically significant radiographic bone fill when a combination of Hydroxyapatite and ?-Tricalcium phosphate was used demontrating its effectiveness in the treatment of Grade II Furcation involvement.

Journal of Nepal Health Research Council, Nov 3, 2022

Journal of Nepal Health Research Council, Nov 2, 2022

Journal of Gandaki Medical College-Nepal

Introduction: The mucogingival junction is considered one of the vital anatomic structures that m... more Introduction: The mucogingival junction is considered one of the vital anatomic structures that mark the apical termination of the attached gingiva. However, due to various pathologies and conditions, it can be undetectable. This study aimed to assess the distribution of patients having teeth without clinically detectable mucogingival junction in mandibular anteriors. Various etiologies leading to clinically undetectable mucogingival junction were also identified. Methods: This cross-sectional study involved 312 patients who visited the department of Periodontics of Gandaki Medical College Teaching Hospital and Research Center, Pokhara from July 26 to November 26, 2022. The visual method, rolling probe method, tension test and histochemical staining were used to detect the mucogingival junction. To ascertain the relationship between age and gender with the distribution of data, descriptive analysis and the Pearson Chi-square test was used. A p-value <0.05 was considered statistic...

Journal of Universal College of Medical Sciences

Immediate implant placement is most commonly indicated when tooth extraction is performed owing t... more Immediate implant placement is most commonly indicated when tooth extraction is performed owing to pathologies such as unrestorable caries or fractures. The primary advantage of this treatment modality is the diminution of healing time and reduced alveolar process resorption. Regenerative materials can be used as an adjunct with implants in order to triumph high implant survival rate and enrich good esthetic outcome. This case report illustrates treatment protocol and one-year clinical follow-up of a patient who underwent atraumatic extraction of his fractured mandibular central incisor, followed by immediate implant placement with bone grafts.

Journal of Universal College of Medical Sciences

INTRODUCTIONPeriodontal disease is a bacterial infection that affects tissues that support the te... more INTRODUCTIONPeriodontal disease is a bacterial infection that affects tissues that support the teeth and bacterialplaque is the primary cause of this disease. In the interdental spaces, periodontal disorders are more common as a result, removing plaque from these regions is critical. This can be managed by using various interdental cleaning aids such as dental floss, interdental brushes, and chemical agents such as mouth washes. Thus, the aim of our study is to assess the knowledge of other oral hygiene aids except brushing among medical and dental students in a Teaching hospital. This is a knowledge, attitude, and practices model of analyzing the knowledge of adjunctive oral hygiene aids performance and measures other than tooth brushing among medical and dental students. MATERIAL AND METHODSA Knowledge, Attitude and Practices (KAP) survey was designed for the present cross-sectional study which was conducted for a period of three months from July 2021 to September 2021 among a sam...

Restorative Dentistry & Endodontics, 2017

Palatogingival groove (PGG) is an anomaly in the maxillary anterior teeth, often accompanied by t... more Palatogingival groove (PGG) is an anomaly in the maxillary anterior teeth, often accompanied by the area of bony destruction adjacent to the teeth with no carious or traumatic history. The hidden trap in the tooth can harbor plaque and bacteria, resulting in periodontal destruction with or without pulpal pathologic change. Related diseases can involve periodontal destruction, combined endodontic-periodontal lesions, or separate endodontic and periodontal lesions. Disease severity and prognosis related to PGG 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 from PGG to remove and block the inflammatory source and recover the health of surrounding periodontal tissues. Even in cases of severe periodontal destruction, several studies have reported favorable treatment outcomes with proper management. With new options in diagnosis and treatment, clinicians need a detailed understanding of the characteristics, treatment, and prognosis of PGG to successfully manage the condition.

Journal of Dental Lasers, 2018

Ankyloglossia or tongue tie is characterized by short lingual frenum restricting tongue movement ... more Ankyloglossia or tongue tie is characterized by short lingual frenum restricting tongue movement which causes feeding difficulties and speech problems. Such condition can be treated by frenectomy using scalpel, laser, and electrocautery. The present case reports ankyloglossia in an 11-year-old female patient treated with diode laser and followed up without any complications.

Journal of Gandaki Medical College-Nepal

Stem cells, initially identified in embryonic tissues and later in numerous adult tissues, tend t... more Stem cells, initially identified in embryonic tissues and later in numerous adult tissues, tend to possess the potentiality to differentiate into various cell types. Though most flexible of all stem cell lines, ethical issues restrict the use of embryonic cells. Furthermore, induced pluripotent stem cells (iPS) and adult stem cells (e.g: bone marrow stroma) can also be used. However, procurement of autologous bone marrow has its potential limitations. An alternate source of autologous adult stem cells which can be procured in large quantities, under local anesthesia, with minimal discomfort would be of keen interest. In the present context, human adult adipose tissue may be the best appropriate alternative source of mesenchymal stem cells. Studies have shown that adipose stem cells (ASCs) extracted from subcutaneous human adult adipose tissue tend to contain heterogeneous cell population called stromal vascular fraction (SVF). It may be used directly or cultured in for selection and...

Journal of Gandaki Medical College, Jul 3, 2021

Medical education is considered as a very significant strategy ensuring good quality in academics... more Medical education is considered as a very significant strategy ensuring good quality in academics and health care. Currently, medical education across the world has been experiencing a major obstruction as a consequence of the novel coronavirus disease pandemic. At the same time, the rapid use of emergent technologies to maintain effective teaching and learning has become an essential component for transformative changes and the future of medical education. In this paper, we discuss the role of e-learning in medical education by outlining its components, effectiveness, barriers, all the pros and cons and future of implementation of such technology. The intention of this article is to inform all medical educators and students across the world on how the technological changes even after the pandemic can have a positive impact on medical education.

Journal Of Gandaki Medical College, 2021

Medical education is considered as a very significant strategy ensuring good quality in academics... more Medical education is considered as a very significant strategy ensuring good quality in academics and health care. Currently, medical education across the world has been experiencing a major obstruction as a consequence of the novel coronavirus disease pandemic. At the same time, the rapid use of emergent technologies to maintain effective teaching and learning has become an essential component for transformative changes and the future of medical education. In this paper, we discuss the role of e-learning in medical education by outlining its components, effectiveness, barriers, all the pros and cons and future of implementation of such technology. The intention of this article is to inform all medical educators and students across the world on how the technological changes even after the pandemic can have a positive impact on medical education.

Jornal of Dental Lasers, 2018

Ankyloglossia or tongue tie is characterized by short lingual frenum restricting tongue movement ... more Ankyloglossia or tongue tie is characterized by short lingual frenum restricting tongue movement which causes feeding difficulties and speech problems. Such condition can be treated by frenectomy using scalpel, laser, and electrocautery. The present case reports ankyloglossia in an 11-year-old female patient treated with diode laser and followed up without any complications.

Journal of Gandaki Medical College-Nepal

Stem cells, initially identified in embryonic tissues and later in numerous adult tissues, tend t... more Stem cells, initially identified in embryonic tissues and later in numerous adult tissues, tend to possess the potentiality to differentiate into various cell types. Though most flexible of all stem cell lines, ethical issues restrict the use of embryonic cells. Furthermore, induced pluripotent stem cells (iPS) and adult stem cells (e.g: bone marrow stroma) can also be used. However, procurement of autologous bone marrow has its potential limitations. An alternate source of autologous adult stem cells which can be procured in large quantities, under local anesthesia, with minimal discomfort would be of keen interest. In the present context, human adult adipose tissue may be the best appropriate alternative source of mesenchymal stem cells. Studies have shown that adipose stem cells (ASCs) extracted from subcutaneous human adult adipose tissue tend to contain heterogeneous cell population called stromal vascular fraction (SVF). It may be used directly or cultured in for selection and...

Journal of Nepalese Society of Periodontology and Oral Implantology, 2021

A periodontally compromised tooth with severe furcation involvement may as well be retained of th... more A periodontally compromised tooth with severe furcation involvement may as well be retained of their roots rather than its removal in toto. Bicuspidisation (Premolarisation) is a surgical technique of sectioning mandibular molar roots with their respective crown portions followed by rehabilitation with fixed prosthesis in the individual segments. This not only eliminates furcation involvement but also facilitates effective oral hygiene maintenance. The present case report demonstrates the successful management of grade III furcation involved mandibular molar by bicuspidisation followed by subsequent prosthodontic rehabilitation. It gives a better alternative to salvage a periodontally compromised tooth rather than opting for extraction.

Journal of Nepalese Society of Periodontology and Oral Implantology, 2021

A periodontally compromised tooth with severe furcation involvement may as well be retained of th... more A periodontally compromised tooth with severe furcation involvement may as well be retained of their roots rather than its removal in toto. Bicuspidisation (Premolarisation) is a surgical technique of sectioning mandibular molar roots with their respective crown portions followed by rehabilitation with fixed prosthesis in the individual segments. This not only eliminates furcation involvement but also facilitates effective oral hygiene maintenance. The present case report demonstrates the successful management of grade III furcation involved mandibular molar by bicuspidisation followed by subsequent prosthodontic rehabilitation. It gives a better alternative to salvage a periodontally compromised tooth rather than opting for extraction.