Introduction: Intra-oral and extra-oral tissues are at risk of damage during orthodontic treatment, most commonly oral ulcerations. Clinicians should assess and monitor every aspect of patient’s treatment procedure to achieve an uneventful and successful final result. Objective: To evaluate occurrence of oral ulcerations in patients undergoing orthodontic treatment. To evaluate the most common type of ulceration and to assess the management of such ulcerations by the orthodontists. Materials & Method: A questionnaire-based study was used among Nepalese and international orthodontists. Data were analyzed statistically using descriptive analysis and Chi-square test, p<0.05 was considered to be significant with a confidence interval of 95%. Result: Most common oral ulceration encountered during orthodontic treatment was traumatic ulceration which was managed by symptomatic measures. There was a statistically significant difference in the method of education to the patients among national and international orthodontists. Conclusion: Careful use of instruments, careful fitting and adjustment of the appliances should be done to avoid oral ulcerations during orthodontic treatment. Topical medicines can be used for management of such ulcers. Nepalese orthodontists should focus on using audio-visual aids for patient education as it has great promise in enhancing patient understanding and in prompting behavioral change.

The study indicated a need for awareness and education among radiation oncologists regarding dental consultation in patients planned/undergoing /post radiation therapy for head and neck cancer.

Introduction: Third molars are common teeth to be impacted. The position of mandibular third molar is such that it is in close contact with inferior alveolar canal which may lead to nerve damage during its removal. So, this study was conducted to find out the prevalence of compression of inferior alveolar canal by mandibular third molars. Methods: This descriptive cross-sectional study was conducted on images collected from Dental Imaging Centers of Nepal from 25th June 2020 to 15th February 2021 after obtaining ethical clearance from Nepal Health Research Council (Reference number: 2100). A convenience sampling method was used to collect 433 cone-beam computed tomography images showing the relation between the third molars and inferior alveolar canal. Data were analyzed using the Statistical Package for the Social Sciences version 16. Point estimate at 95% confidence interval was calculated along with frequency and proportion for the binary data. Results: Out of 433 images, 135 (31.17%) (26.80-35.53 at 95% Confidence Interval) images showed compression of inferior alveolar nerve by mandibular third molar. The study result indicated that 16 (11.85%) buccally placed, 50 (37.03%) lingually placed and 69 (51.11%) inferiorly placed inferior alveolar canal were compressed by apices of mandibular third molars. Conclusions: The prevalence of compression of inferior alveolar canal by mandibular third molar was found to be similar to other studies done in similar settings. Compression of the canal was more evident when inferior alveolar canal is situated lingually.

Oral cavity is the mirror of systemic health. Amongst various systemic diseases, Chronic Kidney Disease (CKD) is one such disease that presents with a spectrum of oral manifestations. The oral health care professionals need to attain a holistic approach to the management of patients with complex medical problems and should be in par with the changing technology and medical advances. Amongst all the systemic disorders, diseases of the renal system pose a major cause of morbidity and mortality worldwide, as the kidneys are vital organs for maintaining a stable internal environment. The plethora of oral manifestations observed in chronic renal failure and associated therapies are altered taste, gingival enlargement, xerostomia, various mucosal lesions like hairy leukoplakia, lichenoid reactions, ulcerations, angular chelitis, candidiasis etc. With growing awareness about the inter-relationship between dental and medical problems, the role of dentist has become pivotal in overall health care of patients with CKD and also to render services for the oral findings of such diseases. This information can be used for designing effective intervention strategies to prevent and manage oral manifestations in adult hemodialysis patients of Nepal. The objective of this cross sectional study was to see the oral manifestations in hemodialysis patients and their Knowledge and attitude towards Oral Health. Face to face interviews was done with the patients to gather knowledge regarding socio-demographic variables and tobacco history. Following statistical analysis, it was seen that multiple oral manifestations were seen in patients undergoing hemodialysis.

Background: Clinicians should assess and monitor mandibular canal (MC) to achieve an uneventful and successful final result. Two dimensional techniques like panoramic radiography, intra oral periapical radiographs are commonly used for assessment of MC, along with three dimensional techniques like cone beam computed tomography (CBCT).Objectives: To assess the radiologic modalities and assessment criteria used by clinically practicing dental surgeons when determining the proximity of MC to third molars.Method: A questionnaire based study was carried out among national and international oral maxillofacial surgeons and general dental practitioners. Data were fed to SPSS software version 21 for descriptive statistics.Result: Most of the participants (54.7%) in the study preferred combination of panoramic radiograph and CBCT for determining the relationship of mandibular canal and third molars measures.Conclusion: Initial screening can be carried out using panoramic radiograph which is a popular method in determining the relation between the third molar and mandibular canal in spite of some limitations. Cone Beam Computed Tomography is an important three-dimensional imaging technique which is a preferred method amongst most dental surgeons.Journal of BP Koirala Institute of Health Sciences, Vol. 1, No. 1, 2018, page: 44-50