Page 118 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
rd
14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
th

INTRODUCTION: The aims of orthodontic treatment (with braces) are commonly to align
teeth, reduce overjets, correct crossbites and finally to achieve a good occlusion. The static
occlusion is the usual guide to treatment completion. However, the dynamic/functional
occlusal aspects can often be neglected in pursuit of the aesthetic result. This study evaluated
the static and dynamic occlusion at the end of orthodontic treatment.
METHODS: A cross-sectional clinical study was conducted on 53 subjects. The procedure was
a non-invasive clinical examination. The subject was asked to bite normally on his/her teeth.
The occlusion was assessed with a mouth mirror and by direct observation. The static
occlusion and dynamic occlusion (lateral and anterior excursions) were recorded with the aid
of articulating paper.
RESULTS: The sample had 35 subjects with ‘good’ static occlusion and 18 subjects with ‘not-
good’ static occlusion. The sample had 32 subjects with ‘normal’ dynamic occlusion and 21
subjects with ‘not-normal’ dynamic occlusion. There was a statistically significant association
between static occlusion and dynamic occlusion (p<0.05).
DISCUSSION/CONCLUSION: If there is a better static occlusion, it would be easier to have a
normal dynamic occlusion. This is also confirmed in this study.
Not all patients can have an ideal occlusion due to various factors such as congenitally missing
teeth, or tooth size discrepancies. Nevertheless, the best orthodontic treatment result is both
the best static and dynamic occlusion possible with the hope of better masticatory function.

ID 139 CASE REPORT: ATYPICAL PRESENTATION OF TUBERCULOUS PERICARDITIS

See Chee Keong, Wong Yun Ying, Tey Heng Yap
Internal Medicine Department, Hospital Sultan Haji Ahmad Shah Temerloh, Pahang

CASE DESCRIPTION: A 25-year-old young gentleman came to emergency department with
complaint fever for 3 weeks. He denied any chronic cough, haemoptysis, night sweat, or
constitutional. He denied any tuberculosis contact. Clinical examination is otherwise
unremarkable apart from multiple right supraclavicular lymph nodes. Blood investigation are
notable for twc 5.3 hb 9.9 plt 533 crp 105. Chest x ray showed cardiomegaly with clear lung
field. Sputum samples are negative for AFB and geneXpert. HIV screening negative.
An echocardiography showed massive pericardial effusion with maximum depth 5.2cm with
fibrin band within with no rv collapse. A diagnostic and therapeutic pericardiocentesis was
performed, hemoserous, exudative pattern fluid with afb negative, cytology showed no
malignant cells, smear showed occasional mature lymphocyte. Excision biopsy of right
supraclavicular lymph nodes showed necrotizing granulomatous lymphadenitis with positive
acid fast bacilli found on Ziehl neelson stain. Patient was started with anti-tb and discharged
well with scheduled follow up visit.
CONCLUSION: Incidence of tuberculous pericarditis is varied depending on local endemicity.
The incidence is closely related to local HIV incidence. A study in Malaysia hospital showed
the incidence is approximate 30% among the patient who required urgent pericardiocentesis
for decompression. However, most of the diagnosis of tuberculosis cases are missed
according to autopsy report. Therefore, clinician should be alert for atypical presentation of
tuberculosis pericarditis as initiation of appropriate treatment is life-saving.

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