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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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1.  ORIGINAL ARTICLE
Antimicrobial Activity of Endodontic Medicaments and Vehicles using Agar Well Diffusion Method on Facultative and Obligate Anaerobes
Triveni M Nalawade, Kishore G Bhat, Suma Sogi
[Year:2016] [Month:October-December] [Volume:9 ] [Number:4] [Pages:102] [Pages No:335-341] [No of Hits : 2951]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10005-1388 | FREE

ABSTRACT

Aims: The aim of this study was to determine the relative antimicrobial effectiveness of these endodontic medicaments and various vehicles using an agar well diffusion assay.

Materials and methods: Double Antibiotic Paste(DAP), modified DAP, 2% Chlorhexidine gluconate and their combination with four vehicles namely Polyethylene glycol 400 (PEG), Propylene glycol (PG), combinations of PG with PEG and lastly Glycerine were tested using agar well diffusion assay. The minimum bactericidal concentration was noted against four standard strains of organisms ie Streptococcus mutans ATCC( American Type Culture Collection) 25175, Staphylococcus aureus ATCC 12598, Enterococcus faecalis ATCC 35550 and Eschericia coli ATCC 25922. Successful endodontic therapy depends upon thorough disinfection of root canals. In some refractory cases, routine endodontic therapy is not sufficient, so intracanal medicaments are used for proper disinfection of canals. Issues of resistance, limited spectrum of activity and lack of antifungal properties, the hunt for the ideal intracanal medicament continues. In this regard, the vehicles used to form the pastes play a supportive role by forming the appropriate consistency for placement and may dramatically influence their chemical characteristics like their solubility and diffusion. Thus, inorder to use safer and equally effective intracanal medicaments, Chlorhexidine gluconate is being unveiled in this study.

Results : The difference between the four vehicles when combined with the same endodontic medicament studied above is nonsignificant (NS) except against Porphyromonas gingivalis. Propylene glycol is significantly effective than Glycerine when used with DAP ie C+M medicament combination. (p = 0.029)

Conclusion: 2% chlorhexidine gluconate and modified DAP can definitely replace DAP and triple antibiotic paste as endodontic medicaments with chlorhexidine having an added advantage of bactericidal action, substantivity, biocompatibility, low toxicity, and lesser chances of developing resistance.

Keywords: Agar well diffusion, Medicaments, Minimum inhibitory concentration, Vehicles.

How to cite this article: Nalawade TM, Bhat KG, Sogi S. Antimicrobial Activity of Endodontic Medicaments and Vehicles using Agar Well Diffusion Method on Facultative and Obligate Anaerobes. Int J Clin Pediatr Dent 2016;9(4):335-341.

Source of support: Nil

Conflict of interest: None

 
2.  CASE REPORT
Space Maintenance with an Innovative “Tube and Loop” Space Maintainer (Nikhil Appliance)
Nikhil Srivastava, Jyotika Grover, Prerna Panthri
[Year:2016] [Month:January-March] [Volume:9 ] [Number:1] [Pages:98] [Pages No:86-89] [No of Hits : 1084]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10005-1340 | FREE

ABSTRACT

Despite the best efforts in prevention, premature loss of primary teeth continues to be a common problem in pediatric dentistry, resulting in disruption of arch integrity and adversely affecting the proper alignment of permanent successors. Space maintainers (SMs) are special appliances used for maintaining space created due to premature loss of primary teeth. Band and loop SM is mostly indicated for the premature loss of single primary molar, but this appliance has a number of limitations both for operators and for patients. Presented in this article is an innovative “Tube and Loop” SM (Nikhil appliance) which offers several advantages over the conventional band and loop SM. It is not only easy and quick to fabricate but can also be completed in a single sitting and cumbersome steps like impression making and laboratory procedures namely soldering are eliminated.

Keywords: Band and loop, Premature loss, Tube and loop.

How to cite this article: Srivastava N, Grover J, Panthri P. Space Maintenance with an Innovative “Tube and Loop” Space Maintainer (Nikhil Appliance). Int J Clin Pediatr Dent 2016;9(1):86-89.

Source of support: Nil

Conflict of interest: None

 
3.  CASE REPORT
Pendulum Therapy of Molar Distalization in Mixed Dentition
Raju Umaji Patil, Amit Prakash, Anshu Agarwal
[Year:2016] [Month:January-March] [Volume:9 ] [Number:1] [Pages:98] [Pages No:67-73] [No of Hits : 867]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10005-1336 | FREE

ABSTRACT

Early and timely pedo-orthodontic treatment is aimed at eliminating the disturbances of skeletal or dentoalveolar development, to harmonize the stomatognathic system before the full eruption of all permanent teeth. The advantages of pendulum appliance are its minimal dependence on patient’s compliance (child cooperation), ease of fabrication, onetime activation and adjustment of the springs if necessary to correct minor transverse and vertical molar positions. This article reports a successful treatment method of class II malocclusion with pendulum appliance in mixed dentition phase. Distalization of maxillary molar was done, followed by guidance of canine impaction orthodontically and other dental correction using 0.022 MBT appliances. Posttreatment results were stable and remarkable.

Keywords: Class II malocclusion, Distalization, Mixed dentition, Pendulum, Space regainer.

How to cite this article: Patil RU, Prakash A, Agarwal A. Pendulum Therapy of Molar Distalization in Mixed Dentition. Int J Clin Pediatr Dent 2016;9(1):67-73.

Source of support: Nil

Conflict of interest: None

 
4.  ORIGINAL ARTICLE
Primary Dentition Analysis: Exploring a Hidden Approach
Sivakumar Nuvvula, Kalasandhya Vanjari, Rekhalakshmi Kamatham, Kumar Raja Gaddam
[Year:2016] [Month:January-March] [Volume:9 ] [Number:1] [Pages:98] [Pages No:1-4] [No of Hits : 677]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10005-1323 | FREE

ABSTRACT

Background: Accurate prediction of the mesiodistal widths (MDWs) of canines and premolars in children with primary dentition facilitates interception of malocclusion at an early age. Boston University (BU) approach is one, i.e., based on primary teeth for predicting canine and premolar dimensions.

Aim: To predict the canine and premolar dimensions, in the contemporary population, using BU approach and compare with the values obtained using Tanaka-Johnston (T/J) approach.

Design: Children in the age range of 7-11 years with presence of all permanent mandibular incisors and primary maxillary and mandibular canines and first molars were included in the study. Those with interproximal caries or restorations, abnormalities in shape or size and history of orthodontic treatment were excluded. Impressions of both arches were made using irreversible hydrocolloid and poured with dental stone. The MDWs of the required teeth were measured on the models using electronic digital vernier caliper from which widths of permanent canines and premolars were predicted using both T/J and BU approaches.

Results: Statistically significant (p = 0.00) positive correlation (r = 0.52-0.55) was observed between T/J and BU approaches. A statistically significant (p = 0.00) strong positive correlation (r = 0.72-0.77) was observed among girls, whereas boys showed a statistically nonsignificant weak positive correlation (r = 0.17-0.42) based on gender.

Conclusion: Boston University approach can be further studied prospectively to make it possible as a prediction method of permanent tooth dimensions for children in primary dentition stage.

Keywords: Analysis, BU approach, Primary dentition, Tanaka- Johnston.

How to cite this article: Nuvvula S, Vanjari K, Kamatham R, Gaddam KR. Primary Dentition Analysis: Exploring a Hidden Approach. Int J Clin Pediatr Dent 2016;9(1):1-4.

Source of support: Nil

Conflict of interest: None

 
5.  ORIGINAL ARTICLE
Reciprocating vs Rotary Instrumentation in Pediatric Endodontics: Cone Beam Computed Tomographic Analysis of Deciduous Root Canals using Two Single-file Systems
Attiguppe R Prabhakar, Chandrashekar Yavagal, Kratika Dixit, Saraswathi V Naik
[Year:2016] [Month:January-March] [Volume:9 ] [Number:1] [Pages:98] [Pages No:45-49] [No of Hits : 651]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10005-1332 | FREE

ABSTRACT

Background: Primary root canals are considered to be most challenging due to their complex anatomy. “Wave one” and “one shape” are single-file systems with reciprocating and rotary motion respectively. The aim of this study was to evaluate and compare dentin thickness, centering ability, canal transportation, and instrumentation time of wave one and one shape files in primary root canals using a cone beam computed tomographic (CBCT) analysis.

Study design: This is an experimental, in vitro study comparing the two groups.

Materials and methods: A total of 24 extracted human primary teeth with minimum 7 mm root length were included in the study. Cone beam computed tomographic images were taken before and after the instrumentation for each group. Dentin thickness, centering ability, canal transportation, and instrumentation times were evaluated for each group.

Results: A significant difference was found in instrumentation time and canal transportation measures between the two groups. Wave one showed less canal transportation as compared with one shape, and the mean instrumentation time of wave one was significantly less than one shape.

Conclusion: Reciprocating single-file systems was found to be faster with much less procedural errors and can hence be recommended for shaping the root canals of primary teeth.

Keywords: Cone beam computed tomography, One shape, Pulpectomy, Reciprocating motion, Wave one.

How to cite this article: Prabhakar AR, Yavagal C, Dixit K, Naik SV. Reciprocating vs Rotary Instrumentation in Pediatric Endodontics: Cone Beam Computed Tomographic Analysis of Deciduous Root Canals using Two Single-File Systems. Int J Clin Pediatr Dent 2016;9(1):45-49.

Source of support: Nil

Conflict of interest: None

 
6.  CASE REPORT
Cheek Plumper: An Innovative Anti-cheek Biting Appliance
Vivek Rana, Nikhil Srivastava, Noopur Kaushik, Prerna Panthri
[Year:2016] [Month:April-June] [Volume:9 ] [Number:2] [Pages:81] [Pages No:146-148] [No of Hits : 569]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10005-1352 | FREE

ABSTRACT

One of the most challenging tasks for a pediatric dentist is the management of deleterious oral habits which adversely affect the dentofacial complex. However, if these habits can be intercepted and diagnosed well in time, they can save the patient from the psychological impact of undergoing long treatment therapies. One such rare deleterious oral habit is cheek biting that affects the buccal mucosa. Presented here is a case report which describes the interception of this deleterious habit in a 15-year-old female child who was a bilateral cheek biter with the help of an innovative intraoral appliance: The cheek plumper.

Keywords: Cheek biting, Intraoral cheek biting appliance, Plumper, White flaky keratinization.

How to cite this article: Rana V, Srivastava N, Kaushik N, Panthri P. Cheek Plumper: An Innovative Anti-cheek Biting Appliance. Int J Clin Pediatr Dent 2016;9(2):146-148.

Source of support: Nil

Conflict of interest: None

 
7.  REVIEW ARTICLE
Oral Lesions in Neonates
Shankargouda Patil, Roopa S Rao, Barnali Majumdar, Mohammed Jafer, Mahesh Maralingannavar, Anil Sukumaran
[Year:2016] [Month:April-June] [Volume:9 ] [Number:2] [Pages:81] [Pages No:131-138] [No of Hits : 564]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10005-1349 | FREE

ABSTRACT

Oral lesions in neonates represent a wide range of diseases often creating apprehension and anxiety among parents. Early examination and prompt diagnosis can aid in prudent management and serve as baseline against the future course of the disease. The present review aims to enlist and describe the diagnostic features of commonly encountered oral lesions in neonates.

Keywords: Congenital, Dental, Neonates, Neoplasms, Newborns, Oral lesions.

How to cite this article: Patil S, Rao RS, Majumdar B, Jafer M, Maralingannavar M, Sukumaran A. Oral Lesions in Neonates. Int J Clin Pediatr Dent 2016;9(2):131-138.

Source of support: Nil

Conflict of interest: None

 
8.  SURVEY
Knowledge and Awareness of Primary Teeth and Their Importance among Parents in Bengaluru City, India
Jyothsna Vittoba Setty, Ila Srinivasan
[Year:2016] [Month:January-March] [Volume:9 ] [Number:1] [Pages:98] [Pages No:56-61] [No of Hits : 532]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10005-1334 | FREE

ABSTRACT

Introduction: Often people responsible for the oral care of children feel or believe that since primary teeth will eventually shed, it is not worthwhile to spend time/money on providing good oral health to children. Parents are the ones who take care of their children and make decisions for them. Hence, they should have knowledge about primary teeth, their health and caring in order to build confidence in their children through tiny teeth.

Aim: To assess the knowledge of primary teeth and their importance among parents with children below 12 years.

Materials and methods: A total of 1,000 questionnaires containing questions written both in English and in the local language (Kannada) were prepared for data collection and were personally distributed to parents visiting dental clinics for their children’s dental treatment.

Statistical analysis: Both descriptive statistics and Chi-square test were used.

Results: Complaints related to dental caries constituted 82% of children visiting dental clinics among children in Bengaluru city. Only 39% of respondents were aware of all functions of primary teeth.

Conclusion: The present study revealed that the parents of Bengaluru city had superficial or partial knowledge of primary teeth and that there is a need to improve this awareness.

Keywords: Awareness, Knowledge, Parents, Primary teeth.

How to cite this article: Setty JV, Srinivasan I. Knowledge and Awareness of Primary Teeth and Their Importance among Parents in Bengaluru City, India. Int J Clin Pediatr Dent 2016;9(1):56-61.

Source of support: Nil

Conflict of interest: None

 
9.  RESEARCH ARTICLE
A Polarized Light Microscopic Study to Comparatively evaluate Four Remineralizing Agents on Enamel viz CPP-ACPF, ReminPro, SHY-NM and Colgate Strong Teeth
Reshma Rajan, Ramesh Krishnan, Bibin Bhaskaran, Suresh V Kumar
[Year:2015] [Month:January-April] [Volume:8 ] [Number:1] [Pages:86] [Pages No:42-47] [No of Hits : 1433]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10005-1281 | FREE

ABSTRACT

Aim: To compare and evaluate the remineralizing potential of four commercially available products namely SHY-NM, GC Tooth Mousse Plus, ReminPro and Colgate strong teeth on demineralized human teeth.

Materials and methods: The study included 50 extracted premolars having 3 × 3 mm window prepared on the middle third of the tooth, which was then subjected to demineralization for 48 hours at 37°C. Teeth were randomly selected and grouped into five study groups of 10 teeth in each. Each group was treated with respective remineralizing agent and sectioned using hard-tissue microtome. Each section obtained was visualized under polarized light microscope and analyzed using Image J software.

Results: The statistically evaluated results revealed that SHYNM has the most remineralizing potential followed by ReminPro, GC Tooth Mousse Plus and fluoridated toothpaste.

Conclusion: Based on the study, the SHY-NM was superior to the GC Tooth Mousse Plus, ReminPro and Colgate strong teeth on demineralized human teeth.

Keywords: Demineralization, Bioactive glass, Hydroxyapatite, CPP-ACPF, Polarized light microscope.

How to cite this article: Rajan R, Krishnan R, Bhaskaran B, Kumar SV. A Polarized Light Microscopic Study to Comparatively evaluate Four Remineralizing Agents on Enamel viz CPP-ACPF, ReminPro, SHY-NM and Colgate Strong Teeth. Int J Clin Pediatr Dent 2015;8(1):42-47.

Source of support: Nil

Conflict of interest: None

 
10.  ORIGINAL ARTICLE
Evaluation of Microleakage and Marginal Ridge Fracture Resistance of Primary Molars Restored with Three Restorative Materials: A Comparative in vitro Study
Tapan Satish Yeolekar, Nagalakshmi Ramesh Chowdhary, KS Mukunda, NK Kiran
[Year:2015] [Month:May-August] [Volume:8 ] [Number:2] [Pages:78] [Pages No:108-113] [No of Hits : 1376]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10005-1294 | FREE

ABSTRACT

Composite restorations are popular because of their superior esthetics and acceptable clinical performance. But shrinkage is still a drawback. Polymerization shrinkage results in volumetric contraction, leading to deformation of the cusps, microleakage, decrease of marginal adaptation, enamel micro-cracks and postoperative sensitivity.
A new class of ring opening resin composite based on silorane chemistry has been introduced with claims of less than 1% shrinkage during polymerization. The present study was conducted to evaluate and compare the ability of low shrink silorane based material, a packable composite and a compomer to resist microleakage in class II restorations on primary molars and evaluate marginal ridge fracture resistance of these materials.
Sixty human primary molars were selected. Class II cavities were prepared and the teeth were divided into three groups of twenty each. Groups were as follows group I: low shrink composite resin (Filtek P90). Group II: packable composite (Filtek P60) and Group III: compomer (Compoglass F). Half of the teeth were used for microleakage and the rest for marginal ridge fracture resistance. For microleakage testing, dye penetration method was used with 1% methylene blue dye. Followed by evaluation and grading under stereomicroscope at 10× magnification. Fracture resistance was tested with universal testing machine.
It was concluded that low shrink silorane based composite resin showed the least amount of microleakage, whereas compomer showed the highest microleakage. Packable composite resisted fracture of marginal ridge better than other composite resins. Marginal ridge fracture resistance of packable composite was comparable to the intact side.

Keywords: Compomer, Dye penetration, Fracture resistance, Microleakage, Packable composite resin, Silorane composite resin.

How to cite this article: Yeolekar TS, Chowdhary NR, Mukunda KS, Kiran NK. Evaluation of Microleakage and Marginal Ridge Fracture Resistance of Primary Molars Restored with Three Restorative Materials: A Comparative in vitro Study. Int J Clin Pediatr Dent 2015;8(2):108-113.

Source of support: Nil

Conflict of interest: None

 
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