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46 Annals of Dentistry, University of Malaya, Vol. 162009Tooth Brushing Practices and Oral HealthImpacts among Bangladeshi UrbanAdolescents.,I Dr. Md. Tafazzul IslamDepartment of Community DentistryThe aim, of this study was to investigate tooth brushingpractices and oral health related quality. of life(OHRQoL) of adolescents aged 14-15 years oldattending schools in Sylhet city.A cross sectionfll study design was used. Aconvenient sample of 751 respondents aged 14-15 yearold from 6 secondary schools in Sylhet city wererecruited for the study.S-OHIP (M) was used to determine Oral HealthRelated Quality of Life of children. Data collection wasconducted by distributing self administeredquestionnaires among the children.Almost all respondents (95%) brushed their teethusing toothbrush and toothpaste and they owned atoothbrush (98%). Majority (7Q%) of the respondentsbrushed their teeth twice d,aily and used fluoridatedtooth paste (53%). However, about half (42%) of therespondents were unaware whether their toothpastecontained fluoride. Most respondents (95%) learnedhow to clean their mouth and teeth from familymembers. Comm(.lilly reported oral impacts were"toothache" (71%), "felt uncomfortable due"to food, getti.ng'stuck in between teeth or dentures" (66%),)'discomfort during eating any f9od'; '(48%), "d.ifficultyin chewing" (42%) and "concentration bee,n disturbed"(38%). The number of respondents who "very" or."quite often" experienced oral impacts was very smallfor all types of impacts. However, about 11%frequently (very or quite often) experienced toothachewhile 18% were sometimes affected. The associationsbetween frequency of tooth brushing and the following5 oral impacts were' found to be statistically significant:halitosis (p=0.005), sleep disturbed due to problems intheirmouth (p=O.O18)Jeel uncomfortable due to foodimpacted in between their teeth (p=0.025); ulc~rs in themouth (p=0.039), and feeCshy due t~ problems in th.eirmouth (p= 0.047).Most adolescents in Sylhet City clean their teethwith tooth brush and toothpaste. However, many donot know about fluoride toothpaste. Fa!llilies play animportant role in the maintenance of oral hygiene.Tooth ache and oral discomfort were more commonimpacts. Those who brushed at least twice daily wereless likely to have oral impacts compared to those whobrush only once daily.Oral Health Status and impacts amongFirst Year Cadets of National DefenceUniversity MalaysiaDr. Mohd. Rosli MajidDepartment of Community Denstistry ~ ..The aim of the study was to-determine the oral healthl ~status and oral health impacts among UPNM first year.cadets. The objectives of this study were; (1) to assess lthe perceived oral health status, satisfaction with oralhealth and perceived need., for treatment among first.year cadets in UPNM, (2) to assess their level of caries'(DMFS), (3) to assess thei~ level of periodontal disease(CPI) and (4) to assess the oral health impact of oraldiseases in the group by using the Oral Health ImpactProfile (OHIP). This is a cross-sectional survey of theUPNM first yea~. cadets where data was obtainedthrough oral examination (DMFS and CPI) and selfadministered questionnair~ survey (about demographic,perceived oral health, satisfaction with oral health,perceived treatment need and Oral Health Impact).Three hundred and thirty UPNM first year cadets inSg Besi campus were involved in this study.The prevalence of caries free ,and periodontallyhealthy subjects were 40.6% and 5.8% respectively. Themean DMFS was 3.07 of which 16.3% is accounted forby decayed surfaces. Females had higher DMFS thanmales. Nine out of ten cadets had calculus present and16.7% required complex periodontal treatment.Overall, 36.7% of the subjects had often or very oftenexperienced at least one oral health impact due to teeth,mouth, and denture problem. The three OHRQoLdomains most commonly affected were functionallimitation, physical pain and psychological di.scomfort.Social disability had the lowest domain impact amongthe cadets. The impacts which were very often or quiteoften experienced by the subjects were discomfort dueto food getting stuck (24.8%), had ulcer (9.7%) andbad breath (5.8%). Cadets who were free from oraldi~eases (caries and periodontal diseases) had lesseroral health impact. 75.5 % of them perceived theyneeded dental treatment and it significantly related withcaries status and OHRQoL.It is concluded that there is low level of caries, highlevel of periodontal diseases and moderate oral healthimpacts among the cadets. It is recommended thathygienist be stationed in UPNM to assist dentist tomanage the high level oi.periodontal problemsencountered...