Mostary Zannath is the visiting Faculty of Community Dentistry, Public Health, Bangladesh University of Health Sciences (BUHS)
Introduction: Gingivitis is one of the wide spread disease in oral cavity and may lead to many complications. In Bangladesh gingivitis is a neglected disease and their lack of information regarding the extent of this disease. Objective: The aim of this study was to determine the prominent Tobacco use and dietary pattern influencing gingivitis among patients 15 to 45 years. Method: This was a cross sectional study and purposive sampling method was used. Total 200 samples were taken from 1st March to 31st July 2006, who fulfills inclusion criteria by pretested structured questionnaire in Oral and Maxillofacial Surgery (OMFS) department of Bangabandhu Sheikh Mujib Medical University (BSMMU). Data were collected using pre tested semi structured questionnaire by face to face interview. Information about duration of disease, information of gum diameter and supragingival calculous or plaque, depth of periodontal pocket was also gathered. Then data were sent to the researcher, which was sorted, scrutinized by the researcher herself by the selection criteria and then data were analyzed by calculator and personal computer by SPSS version 12.0 program. Data were analyzed by descriptive and inferential statistics. Prior to the commencement of this study, the research protocol was approved by the research committee (Local Ethical committee). Results: The mean age of respondents was 27±5 years. Dietary factors responsible for gingivitis were sweets (68%), chocolate (0.5%) and fast food (25%). Regarding behavioral factors smoking (78%), smoking & tobacco with beetle nuts (35%) and beetle nuts (19%) influenced gingivitis. In case of suffering of gingivitis most of the respondents (89%) were suffering from gingivitis from last one year and gum bleeding was seen among 98% of respondents. Conclusion: The status of tobacco use (smoking and smokeless) and dietary habits in the occurrence of the gingivitis. On the basis of finding an intervention program (particularly educational interventional program) targeted to the tobacco use and dietary habits.
Muhammad Hasan has completed his residency in restorative dentistry in 2013 from the reputed Aga Khan University Hospital, Karachi, Pakistan. He is now a certified consultant and serving as a full-time instructor at the same hospital. He has 9 publications to his credit.
Recently, there has been an ongoing trend of case reports that highlight the presence of more than four root canals in mandibular first molars. This tendency warns clinicians to be more prudent when dealing with mandibular first molars requiring endodontic treatment. Moreover, radiographic examination should be taken as a clue providing tool rather than as an absolute guide to anatomy and its associated aberrances. This case reports the successful non-surgical endodontic management of a mandibular first molar with six root canal systems with three canals in the mesial root and three in the distal root. The classification of root canal systems found in this case was Sert and Bayirli type XV in both the roots. After non-surgical endodontic treatment, the tooth was restored definitively with a resin composite core followed by porcelain fused to the metal crown. This case adds to the library of previously reported cases of mandibular first molars with six root canals and further emphasizes on the importance of rare morphological deviations that may occur in the mandibular first molars.