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Study Design: Epidemiological retrospective study. Objective: To describe the demographics, timing to surgery, delay, short-term neurological recovery, and complications in surgically treated subaxial cervical trauma in a resource-constrained country. Methods: Thirty consecutive subaxial cervical trauma patients presenting to a trauma hospital in Nepal between December 2015 and August 2017 were analyzed as a retrospective cohort. Patients were segregated into 4 groups based on the timing to surgery: within 2 days, 3 to 7 days, 8 to 30 days, and >31 days. Results: There were 27 male and 3 female patients with mean age 40 years. Twenty-four sustained fall injury, and 27 patients were from outside Kathmandu. No patients were treated within the first 48 hours; only 9 were treated between 3 and 7 days, 16 between 8 and 30 days, and 5 a month later. Major delay was finance and operating room availability. Thirteen patients had a C6C7 involvement followed by C5C6 in 6 patients. Seven patients had complete neurological deficit while 18 patients had incomplete deficit. A total of 46.7% improved their neurology in 6 months. No neurological recovery was observed in complete deficit patients. Conclusion: Seventy percent of our patients were treated longer than 1 week after injury, which would likely be considered unacceptable in most first world countries. As expected, the outcomes for many of these patients were far worse than reported in North American centers with early access to medical care and insurance. Despite this, nearly half of our patients improved neurologically following treatment; hence, surgery holds hope of some restoration of neurologic deficits.

A bstract Introduction Dental caries is the most widespread disease affecting children worldwide. The reason for this increased prevalence is the use of more processed foods and beverages with the addition of refined sugars. General health affects oral health and its maintenance is of great importance. Lifestyle modifications and habits are formed at an early age therefore health education plays an important role in educating them about the prevention of problems related to oral health. Hence, the aim of this study was to assess and compare the effectiveness of conventional method, game-based and storybook-based oral health education on the oral hygiene status among 7–12-year-old schoolchildren. Purpose To assess and compare the effectiveness of conventional method, game-based and storybook-based oral health education on the oral hygiene status among 7–12-year-old schoolchildren. Materials and methods A total of 300 children aged 7–12 years were divided into 3 groups. Each group had 100 children which were randomly assigned to each of the three groups. In group I, oral health education with the help of conventional method using educative posters was given to children once daily for a week. In group II, oral health education was imparted to children through play method (i.e., snakes and ladders game combined with flash cards) followed by group III, in which children were given education through self-made storybooks. The oral hygiene of all the children was estimated through Oral Hygiene Index-Simplified Debris (DI-S) score at day 1 and after 3 months after intervention. Results In group III, storybooks showed maximum reduction in debris score which was found to be highly statistically significant followed by game based (group II) and conventional method (group I) of oral health education. Conclusion The reduction in debris score was seen maximum in group III (storybooks). Hence, the use of storybooks should be encouraged for educating children regarding basic oral health concepts. Clinical significance There is important need to understand differences in the mental cognitive ability of the children at different ages and the need to develop different intervention programs for different age-groups. Rationalizing reading can be an intelligent initiative toward the development of good oral habits and transforming the outlook of oral healthcare system in years to come. How to cite this article Sharma S, Saxena S, Naik SN, et al. Comparison between Conventional, Game-based, and Self-made Storybook-based Oral Health Education on Children's Oral Hygiene Status: A Prospective Cohort Study. Int J Clin Pediatr Dent 2021;14(2):273–277.

The aim of this study is to evaluate the change in the position of hyoid bone, pharyngeal airway, and tongue position in subjects with skeletal Class II malocclusion treated with Twin block therapy. Materials and Methods: This study was performed on pre and post treatment lateral cephalograms of 21 patients with class II malocclusion treated with Twin block appliance, (mean age of (12.24± 1.22). Paired-t test was used to compare the amount of differences of mean value before and after treatment. A value of P<0.05 was considered as significant. Result: Hard tissue result showed significant difference between pre-and post-treatment values of ANB, Hy-B, Hy-Me & Hy-CL. But no significant difference was seen between the pre-and post-treatment values of Hy-SN' & Hy-FHP. Soft tissue examination also found significant difference between pre-and post-treatment values of SPAS, but no significant difference was observed between the pre-and post-treatment values of MAS, IAS, PT-CL & PT-SNˈ. Conclusion: ANB angle was found to be significantly improved after functional treatment in skeletal class II group. The mandible has showed forward movement with respect to hyoid bone and the hyoid bone has been found to be shifted anteriorly and downward. Superior pharyngeal space was found to be significantly improved after functional therapy whereas there was no significant change with respect to tongue.