1.Oral Hygiene Practices and Bottle Feeding Pattern Among Children with Early Childhood Caries: A Preliminary Study
Buhari N ; Zainal Abidin FN ; Mani SA ; Khan IM
Annals of Dentistry 2016;23(2):1-9
The purpose of this study was to assess the association of bottle feeding and oral hygiene practices with the severity of caries among 3 to 5-year-old children with Early Childhood Caries (ECC). This cross-sectional study was carried out on pediatric dental patients with ECC attending a public university hospital. The parents or guardians were interviewed for the bottle-feeding pattern and oral hygiene practices followed by a clinical dental examination of their children with ECC. Data analysis was done using Chi squared test. Out of 32 children, 69% had severe early childhood caries with mean dft of 8.88. In this study, 87.5% of the subjects had a history of bottle feeding, with 53.1% still being bottle fed at the time of study. Current bottle-feeding habit was found to be statistically significant with the severity of caries (p=0.021). Majority (69 %) of the children were introduced to tooth brushing only after 1 year of age. About 40% of the children consumed either pre-chewed rice and/or shared spoons or feeding utensils with their parents or siblings but there was no significant association with the severity of caries (p=1.00). Because of its association with ECC, prolonged bottle feeding is significantly associated with the severity of caries in our study population. Besides, vertical and horizontal transmission of bacteria was also a risk factor for ECC, but it did not show any significant association with severity of ECC.
2.Simultaneous Correction of a Tibia Deformity and Non-union in Achondroplasia: A Case Report
Achudan S ; Premchand AXR ; Low JS ; Decruz J ; Khan SA
Malaysian Orthopaedic Journal 2022;16(No.2):131-135
Tibial non-union with deformity in abnormal bone is rarely
reported in literature. We report a case of a 65 years old male
with a history of achondroplasia. The patient presented after
a mechanical fall with an undisplaced right midshaft tibia
fracture associated with pre-existing varus and procurvatum
tibial deformities, which was initially managed nonoperatively. However, after nine months he developed a
painful non-union. Because of the symptomatic non-union as
well as the pre-existing deformities, osteotomy of the tibia
and fibula was performed with the application of a TruelokHexapod (TL-Hex, Orthofix) frame. We were able to achieve
compression at the fracture site, and the software guided TLHex frame enabled gradual three-dimensional correction of
the deformity. At six months, bony union and simultaneous
correction of the tibia deformity were achieved. At two
years, the patient was able to ambulate well without pain and
perform his activities of daily living. We present a case of
tibial non-union with pre-existing deformity in an
achondroplasia patient successfully treated with a circular
frame application.