SHARBARI DUTTA | International Institute of Health Management Research (original) (raw)

Papers by SHARBARI DUTTA

Archives of dental research, Dec 14, 2023

Background: Child's evolution and growth right from conception up to the first couple of ... more Background: Child's evolution and growth right from conception up to the first couple of years of life is dotted with several transitions. Tooth eruption is one such phenomena which follows a chronology corresponding to the age of the child at which the tooth appears in the mouth. The exfoliation timeline has been documented in the literature but may vary based on several factors including hormonal, hereditary, and environmental. However, sometimes the eruption sequence undergoes a more drastic alteration where the first teeth may be present in the mouth at the time of birth or erupt within the first thirty days after birth. This paper was written with the aim to discuss the etiologic factors, clinical features, complications, and management of such natal or neonatal teeth, as well as their role in sublingual ulcer formation and discomfort during breastfeeding. Case Presentations: Two cases are discussed where newborns, a 10-day old male, and a 7-day old female with a mandibular incisor natal tooth had reported to the Department of Pedodontics and Preventive Dentistry at Kalinga Institute of Dental Sciences. The teeth were extracted as they were mobile and there was fear of aspiration and refusal to feed. Conclusion: Extraction of the natal tooth accelerated healing of ulcers and relief from discomfort during breastfeeding. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

A fissured palate is a genetic condition where there is a gap or opening in the roof of the mouth... more A fissured palate is a genetic condition where there is a gap or opening in the roof of the mouth (palate). This opening occurs due to the inability of the palatal shelves, which are responsible for forming the palate, to properly fuse during fetal development. This results in oronasal communication, or an opening between the palate and the base of the nose. Cleft palates can result from a combination of genetic factors, chromosomal disorders, heredity, and environmental factors. Possible environmental causes include nutritional deficiencies, maternal alcohol or cigarette consumption, exposure to radiation during pregnancy, hormonal imbalances, the ingestion of teratogenic substances by the mother, and infections. Newborns with cleft palates face difficulties in feeding and swallowing due to the gap in the palate. This can lead to problems such as stunted growth and being underweight. As these children grow, they can experience additional challenges including difficulties in speech, dental problems, altered facial appearance, and psychological issues. One immediate solution for infants with cleft palate is the fabrication of a feeding plate, often called an obturator. This device helps close the oronasal opening, enabling improved feeding, and reducing the risk of infections and regurgitation. This intervention can also aid in achieving proper weight gain, which is essential for future reconstructive surgery to repair the cleft palate. This paper presents a case series of infants with cleft palate who received feeding plates. The feeding plates were created using putty impressions to customize them for each patient's needs. This approach aimed to help the infants feed effectively, maintain their weight, and prepare for future reconstructive surgery to address the cleft palate. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Innovative Publications , 2024

Pediatric dentistry involves not only a high level of technical expertise, but also a positive ps... more Pediatric dentistry involves not only a high level of technical expertise, but also a positive psychological environment for every child to improve the overall dental experience for the young ones. Aim & Objective: The aim of this study was to compare the effectiveness of two psychological behaviour modification techniques (BMT) in managing the behaviour and dental anxiety levels in a child. Materials and Methods: A total of 200 children of 4-7 years of age who were to undergo pulpectomy was randomly divided into 2 groups to be managed by two BMTs selected by a poll among Pedodontists which was Parental presence and through a survey done among parents of the children included in the study which was Positive Reinforcement. Frankl's Behaviour rating and child anxiety levels were evaluated. Results: Both the techniques were found to be similar in effectiveness in handling anxious children though Parental presence lowered anxiety among children much more than Positive Reinforcement especially on first visits. Conclusion: Both the modification techniques if used together, can increase the effectiveness in handling pediatric patients in a dental operatory. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International, which allows others to remix, and build upon the work noncommercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Innovative Publication, 2023

Background: Child's evolution and growth right from conception up to the first couple of years of... more Background: Child's evolution and growth right from conception up to the first couple of years of life is dotted with several transitions. Tooth eruption is one such phenomena which follows a chronology corresponding to the age of the child at which the tooth appears in the mouth. The exfoliation timeline has been documented in the literature but may vary based on several factors including hormonal, hereditary, and environmental. However, sometimes the eruption sequence undergoes a more drastic alteration where the first teeth may be present in the mouth at the time of birth or erupt within the first thirty days after birth. This paper was written with the aim to discuss the etiologic factors, clinical features, complications, and management of such natal or neonatal teeth, as well as their role in sublingual ulcer formation and discomfort during breastfeeding. Case Presentations: Two cases are discussed where newborns, a 10-day old male, and a 7-day old female with a mandibular incisor natal tooth had reported to the Department of Pedodontics and Preventive Dentistry at Kalinga Institute of Dental Sciences. The teeth were extracted as they were mobile and there was fear of aspiration and refusal to feed. Conclusion: Extraction of the natal tooth accelerated healing of ulcers and relief from discomfort during breastfeeding. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Innovative publications, 2023

This study was performed to evaluate the different non-pharmacological behaviour modification tec... more This study was performed to evaluate the different non-pharmacological behaviour modification techniques preferred by the parents, to know whether single or multiple behaviour modification techniques are required to regulate the behaviour of the child and to assess the effectiveness of non-pharmacological behaviour modification techniques in the operating procedure. Procedure: 30 children aged between 4-7 years who required pulp therapy treatment to be done under local anaesthesia were enrolled for the study with parental consent. A video containing different behaviour management techniques was shown to the parents who had accompanied the child to the operatory. A questionnaire was given to the parents for their feedback, the response to each question was coded and the values of each code were analyzed statistically. The parents' preferred technique was applied to their children before the planned treatment. Results: Nonpharmacological behaviour modification techniques were effective in 90% of the children and it was found to be highly significant (p ≤ 0.05). It was seen that 66.67% of the children required more than one nonpharmacological behaviour modification technique to make them behave positively. The most preferred technique by the parents in this study was Positive Reinforcement (30%). Conclusion: This study brings forth that nonpharmacological behaviour management techniques can be successfully used to regulate most of the children in a paediatric clinic setup. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

PARIPEX - INDIAN JOURNAL F RESEARCH, 2023

Hospitals around the world are facing the challenge of reducing the waiting time of patients duri... more Hospitals around the world are facing the challenge of reducing the waiting time of patients during admissions and the turnaround time is adversely affected lowering patient satisfaction especially when compounded with the patient volume. The aim of the study was to estimate the turnaround time of admission of new patients and understand the gaps in the admission process and improve the process flow. The lean methodology was used as it maximizes customer value, builds quality, creates knowledge, delivers fast, respects people, and optimizes the whole process by minimizing waste and waits. It was found that 77% of the admissions were planned yet required more than 45 minutes which was the benchmark according to the policy of the hospital. A cause-and-effect diagram, often called a "fishbone" or Ishikawa diagram, was used to find out the possible causes for the delay while solutions were pointed out for improvement and suggestions were made for future improvements.

JOURNAL OF CRITICAL REVIEWS, 2020

A paediatric dental patient is especially vulnerable to handle during childhood and adolescence, ... more A paediatric dental patient is especially vulnerable to handle during childhood and adolescence, by physically and mentally, as compared to adults. this study was conducted to analyse children's and adolescents' behaviour towards dental treatment and adventures of general, articulate and dental analysis affliction and to accretion acumen into the ability and attitudes of dentists appear affliction management. The Present study recorded 40 items CPI response of 8-19 years old 390 subjects. Most frequently accomplished CPI affliction situations were analysed by Exploratory Agency Analysis to abate the breadth of the questionnaire. 190 paediatric and adolescent dental patients (12-18-year-olds) and their parents were advised for DDQ. 390 dentists were evaluated for their ability of affliction administration and attitude. Procedures such as dental injection, tooth drilling and tooth extraction found to be painful by 50% of the subjects. The affliction acuteness acquaintance was assorted by accepting college dental anxiety, a disability, age beneath <14 years of age, or female gender. Subjects had decidedly college DDQ array than controls, admitting agnate dental bloom in all subjects. Dentists with added able acquaintance and/or changeable dentists activated bigger affliction administration approach. Children with or after an affliction and the one with college dental all-overs charge be acknowledged as added accessible to pain. Such patients must be given added affliction and additionally affliction abatement during invasive dental treatments. All children must be provided best pain free dental management.

Journal of Advanced Medical and Dental Sciences Research @Society of Scientific Research and Studies, 2020

Aim of the study: The purpose of the study was to assess the knowledge of dental students in mana... more Aim of the study: The purpose of the study was to assess the knowledge of dental students in managing fear and anxiety pediatric patients towards various dental situations. Methodology: A questionnaire survey was conducted amongst 120 dental students which comprised of 45 post graduate students especially from pedodontics branch and rest were undergraduate students over a period of 3 months. The questions were based on the strategies followed by dental graduate as well as postgraduate students to calm and handle anxious as well as phobic children and the difficulties they faced in doing so. Results: It was observed that most of the undergraduate students (76.5%) were less than capable to handle anxious and phobic pediatric patients. In case of post graduate students, most of them (67.8%) were more empathetic towards the pediatric patients. Densitization techniques as well as CBT was also applied (42.7%%) but many dental students had little experience or knowledge of the procedures used. Most of them (89.5%) were not aware of conscious sedation as well. Conclusion: Dental anxiety and phobia can have adverse impacts on a person's quality of life, and hence it is imperative to identify and alleviate these significant obstacles to pave the way for better oral health and overall well-being of the individual. More knowledge as well as experience is required to handle such patients which was evident in post graduate students who had more clinical experience in tackling such cases, however there was scope for further improvement.

IP International Journal of Medical Paediatrics and Oncology, 2023

Archives of Dental Research

Early Childhood Caries (ECC) is a severe debilitating disease affecting the primary dentition of ... more Early Childhood Caries (ECC) is a severe debilitating disease affecting the primary dentition of young children in both developing and industrialized countries. Historically, the management of ECC has a global scenario showing operative management of the disease. The contemporary method of preventing the carious process mainly focuses on dietary factors, host factors and removal of plaque biofilm. Enamel demineralization is caused by acidogenic and aciduric bacteria. Colonization of microorganisms in the mouth of children can occur via horizontal or vertical transmission or both. The bacteria present in dental plaque metabolize sugars and starches to produce acids, which lowers the pH in the mouth and promotes loss of minerals from the tooth surface. Sucrose is the most common sugar and when metabolized, produces dextrans which promote superior bacterial adhesion to teeth. Visible plaque on the labial surfaces of the maxillary incisors were strongly associated with the caries develo...