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Papers by Kushal Sahu
Indian Journal of Dental Research, 2020
Background: Long term effectiveness of surgical management of chronically restricted mouth openin... more Background: Long term effectiveness of surgical management of chronically restricted mouth opening in OSMF or TMJ ankylosis depends largely on postoperative physiotherapy. This in turn is dependent on patient's compliance. Use of adjunctive aids besides pharmacotherapy that reduces patients pain and improves compliance with exercise is warranted. Aims: To evaluate the role of TENS and structured rehabilitation programme in postoperative physiotherapy in OSMF and TMJ ankylosis patients. Methods and Materials: A pilot study was conducted in which 6 patients of restricted mouth opening were put on a structured rehabilitation protocol in which TENS, heat and cold therapy with structured mouth opening exercise regimes. Interincisal opening, VAS score and a subjective assessment of post surgical discomfort was evaluated. Results and Conclusions: Results revealed an improved compliance and cooperation by patients. Pain on VAS scale also reduced from mean of 7.8 on day 1 to 3.6 on day 5 in this group. The mean discomfort on day 3 was reported as mild to moderate. An early attainment of passive mouth opening closest to intraoperative mouth opening was also reported on day 5 which is usually not achievable without any physiotherapy intervention.
International Journal Of Community Medicine And Public Health
Background: Maternal health constitutes the health of women during pregnancy, childbirth, and the... more Background: Maternal health constitutes the health of women during pregnancy, childbirth, and the post-partum period. India is one the biggest contributor to maternal mortality, among all the states of India, the Empowered Action Group (EAG) states contributes 61.5% of total mortality, keeping in this view the study compared the NFHS-3 and NFHS-4 survey of the maternal health condition of EAG states of India and evaluated the relationship between maternal health status and predictors of EAG states of India in NFHS-3 and NFHS-4.Methods: This cross-sectional study adopted descriptive secondary data analyses of two rounds of nationally representative sample surveys NFHS-3 and NFHS-4. The data were obtained by the demographic and health survey website after proper procedures and compared for various maternal health indicators of EAG states.Results: In this investigation, progress has been observed from NFHS-3 to NFHS-4 however, the progress is very positive promising to growth. Where th...
International Journal of Clinical Pediatric Dentistry
Introduction: Dental caries is one of the major widespread health issues that continue to negativ... more Introduction: Dental caries is one of the major widespread health issues that continue to negatively affect the oral health of children globally. Aim: To estimate the prevalence of dental caries and its risk factors among preschool children of Bhubaneswar, Odisha, India. Materials and methods: The study was a community-based cross-sectional one among preschool children with (N = 425) participants recruited from the Anganwadi centers (AWCs) of Bhubaneswar, Odisha, India. By using a cross-sectional study design, dental caries was assessed using the World Health Organization (WHO) guidelines, and other socioeconomic and risk factors data were collected through parental interview using questionnaires. Caries was identified at both tooth and surface levels through visual dental examinations by trained and calibrated dentists. Logistic regression analyses were used to identify associations among variables and caries. Results: The proportion of preschool children suffering from dental caries was found to be 47.29%. The multivariableadjusted model depicted that longer duration of breastfeeding was a significant predictor as follows: Those who had breastfed for more than 36 months [adjusted odds ratio (AOR): 5.41; 95% confidence interval (CI): 2.97-9.85; p = 0.001], 12 to 24 months (AOR: 2.1; 95% CI: 1.04-4.36; p = 0.037), followed by increase in age 61 to 72 months (AOR: 5.39; 95% CI: 2.72-10.67; p = 0.001), 49 to 60 months (AOR: 2.53; 95% CI: 1.41-4.52; p = 0.002), more than two children in the family (AOR: 2.70; 95% CI: 1.55-4.69; p = 0.001), and children who did not brush the teeth under the parent's supervision (AOR: 2.70; 95% CI: 1.55-4.69; p = 0.001). Conclusion: The study highlights the need to increase awareness about the oral health and hygiene among parents of preschool children in India.
Indian Journal of Dental Research, 2020
Background: Long term effectiveness of surgical management of chronically restricted mouth openin... more Background: Long term effectiveness of surgical management of chronically restricted mouth opening in OSMF or TMJ ankylosis depends largely on postoperative physiotherapy. This in turn is dependent on patient's compliance. Use of adjunctive aids besides pharmacotherapy that reduces patients pain and improves compliance with exercise is warranted. Aims: To evaluate the role of TENS and structured rehabilitation programme in postoperative physiotherapy in OSMF and TMJ ankylosis patients. Methods and Materials: A pilot study was conducted in which 6 patients of restricted mouth opening were put on a structured rehabilitation protocol in which TENS, heat and cold therapy with structured mouth opening exercise regimes. Interincisal opening, VAS score and a subjective assessment of post surgical discomfort was evaluated. Results and Conclusions: Results revealed an improved compliance and cooperation by patients. Pain on VAS scale also reduced from mean of 7.8 on day 1 to 3.6 on day 5 in this group. The mean discomfort on day 3 was reported as mild to moderate. An early attainment of passive mouth opening closest to intraoperative mouth opening was also reported on day 5 which is usually not achievable without any physiotherapy intervention.
International Journal Of Community Medicine And Public Health
Background: Maternal health constitutes the health of women during pregnancy, childbirth, and the... more Background: Maternal health constitutes the health of women during pregnancy, childbirth, and the post-partum period. India is one the biggest contributor to maternal mortality, among all the states of India, the Empowered Action Group (EAG) states contributes 61.5% of total mortality, keeping in this view the study compared the NFHS-3 and NFHS-4 survey of the maternal health condition of EAG states of India and evaluated the relationship between maternal health status and predictors of EAG states of India in NFHS-3 and NFHS-4.Methods: This cross-sectional study adopted descriptive secondary data analyses of two rounds of nationally representative sample surveys NFHS-3 and NFHS-4. The data were obtained by the demographic and health survey website after proper procedures and compared for various maternal health indicators of EAG states.Results: In this investigation, progress has been observed from NFHS-3 to NFHS-4 however, the progress is very positive promising to growth. Where th...
International Journal of Clinical Pediatric Dentistry
Introduction: Dental caries is one of the major widespread health issues that continue to negativ... more Introduction: Dental caries is one of the major widespread health issues that continue to negatively affect the oral health of children globally. Aim: To estimate the prevalence of dental caries and its risk factors among preschool children of Bhubaneswar, Odisha, India. Materials and methods: The study was a community-based cross-sectional one among preschool children with (N = 425) participants recruited from the Anganwadi centers (AWCs) of Bhubaneswar, Odisha, India. By using a cross-sectional study design, dental caries was assessed using the World Health Organization (WHO) guidelines, and other socioeconomic and risk factors data were collected through parental interview using questionnaires. Caries was identified at both tooth and surface levels through visual dental examinations by trained and calibrated dentists. Logistic regression analyses were used to identify associations among variables and caries. Results: The proportion of preschool children suffering from dental caries was found to be 47.29%. The multivariableadjusted model depicted that longer duration of breastfeeding was a significant predictor as follows: Those who had breastfed for more than 36 months [adjusted odds ratio (AOR): 5.41; 95% confidence interval (CI): 2.97-9.85; p = 0.001], 12 to 24 months (AOR: 2.1; 95% CI: 1.04-4.36; p = 0.037), followed by increase in age 61 to 72 months (AOR: 5.39; 95% CI: 2.72-10.67; p = 0.001), 49 to 60 months (AOR: 2.53; 95% CI: 1.41-4.52; p = 0.002), more than two children in the family (AOR: 2.70; 95% CI: 1.55-4.69; p = 0.001), and children who did not brush the teeth under the parent's supervision (AOR: 2.70; 95% CI: 1.55-4.69; p = 0.001). Conclusion: The study highlights the need to increase awareness about the oral health and hygiene among parents of preschool children in India.