International Journal of Clinical Pediatric Dentistry

Register      Login

Table of Content

2020 | May-June | Volume 13 | Issue 3

Total Views

Original Article

Divya Subramanyam

Knowledge, Attitude, and Practice amongst General Dentists Regarding Dental Pain Perception in Children

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:4] [Pages No:207 - 210]

   DOI: 10.5005/jp-journals-10005-1747  |  Open Access |  How to cite  | 


Aim: The objective of this study was to evaluate the knowledge, attitude, and practice among general dentists regarding perception of dental pain in children. Materials and methods: A cross-sectional study was conducted among 208 general dentists in a dental hospital in Chennai. A self-constructed questionnaire was distributed to the dental practitioners, which comprised 23 closed-ended questions. The data were entered and analyzed for frequency and percentages by using Statistical Package for the Social Sciences (SPSS), version 21. Results: Results showed that most of the dentists (46%) treated less than five children per week and were having less than 2 years of experience (47%). Seventy one percent of the dentists felt that they did not feel prepared to identify a child with dental pain, and 57% of the dentists had less than two years of experience Conclusion: Most of the dentists did not feel prepared to identify the children with dental pain. Measures should be introduced to train the general dental practitioners in identifying pain perception in children so as to achieve effective behavior management of children.


Original Article

Arvind Sridhara, Sunil Raj Noojadi, Narayan Chandra Kumar, Ashwitha C Belludi

Comparative Evaluation of Intraoral and Extraoral Periapical Radiographic Techniques in Determination of Working Length: An In Vivo Study

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:6] [Pages No:211 - 216]

   DOI: 10.5005/jp-journals-10005-1751  |  Open Access |  How to cite  | 


Objectives/aims: This study was designed to determine the endodontic working length (WL) of root canals using digital extraoral periapical radiography (EOPAR) technique and comparing its accuracy with the standard digital intraoral periapical radiography (IOPAR). Materials and methods: Sixty single-rooted mandibular first premolars indicated for orthodontic extraction were radiographed preoperatively to ensure closed apices. After gaining endodontic access, WL was determined by IOPAR using paralleling technique, followed by EOPAR, by placing a cone at +35° from the contralateral side. Accessed tooth was then extracted to obtain the actual root canal length and was compared with the radiographic lengths. Data were subjected to statistical analysis using paired t test. Results: The actual length and the extraoral radiographic length showed no statistical significant difference (p = 0.326). The difference between the mean WL obtained by IOPA and EOPA was also not statistically significant (p = 0.096). The accuracy of IOPA technique was 97.87 ± 0.91% and that of EOPA technique was 94.65 ± 2.57%. Conclusion: The EOPA technique with an angulation of +35° can be used as an alternative to IOPA for mandibular premolars in apprehensive children, dental phobic patients with low pain threshold, neurological difficulties, and exaggerated gag reflex.


Original Article

Emulating Odontolegal Practice: A Paradigm Shift in the Dental Practice Laying More Emphasis on Dental Records—A Perspective and Contemporary Study with a Reality Check

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:4] [Pages No:217 - 220]

   DOI: 10.5005/jp-journals-10005-1755  |  Open Access |  How to cite  | 


Aim: This study was conducted to evaluate the knowledge and the awareness on odontolegal practice with more emphasis on significance of maintaining dental records by the oral health professionals. Materials and methods: A cross-sectional study was carried out among 120 dental practitioners of Jammu and Kashmir, Himachal Pradesh, Delhi, Punjab, Gujarat, and Odisha. A questionnaire was designed to assess their practice and knowledge regarding the importance of maintenance of dental records and the knowledge about dental jurisprudence. Total 120 questionnaire samples were distributed among dental health professionals, and the data obtained were studied and formulated for significance of dental records. Results: Feedback obtained was then analyzed. Seventy percentage of the dentists are not maintaining clinical records of their patients and 20% of the dentists acknowledged that they are not keeping or maintaining dental records like X-rays and cast models of their patients. Eighty percentage of dentists were not known to the ethical importance of dental record, i.e., for how long they have to maintain records of their patients and other details. Conclusion: This study concludes that the oral health professionals lacked the knowledge and awareness about odontolegal aspects and the significance of maintaining dental records. It was observed that there was insufficient knowledge about medicolegal systems and there is a need to bring awareness and knowledge of the same in the dental fraternity. Clinical significance: With the increasing use of medical insurance and subsequently mediclaims, negligence suits, scientific evaluation, and research purposes, and health planning, etc., the “dental records itself have evolved as a separate science and therefore needs to be considered in the curriculum for dental students as this would introduce the concept for application in their future practice, thus avoiding legal complications in the future.”


Original Article

Tenali Sushmitha Singh, Enuganti Sridevi, Pranitha Kakarla, Siva Sai Krishna Vallabaneni, Mukthineni Sridhar

Cephalometric Assessment of Dentoskeletal Characteristics in Children with Digit-sucking Habit

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:4] [Pages No:221 - 224]

   DOI: 10.5005/jp-journals-10005-1761  |  Open Access |  How to cite  | 


Background: Nonnutritive sucking can turn into a continuous behavior practiced unconsciously, leading to a deleterious oral habit. Digit-sucking habits are an important etiological factor for malocclusion. Aim: To investigate the effect of the digit-sucking habit on dentofacial structures by employing a cephalometric analysis. Materials and methods: Selected 120 children were grouped as 60 with the digit-sucking habit and 60 without the digit-sucking habit in the age ranging between 6 and 12 years without gender discrimination. All were subjected to the standardized cephalometric technique, radiographs were traced by a single operator on a standard matte acetate tracing paper in a darkened room, and a total of 8 linear and 11 angular variables were measured for each patient in both the groups. Statistical analysis: The unpaired Student's t-test was used to compare the mean difference between the two groups. Results: The digit-sucking group showed significant difference in linear skeletal measurements such as value from anterior nasal spine (ANS) to posterior nasal spine (PNS), condylon to gnathion, nasion to ANS, sella to basion, and angular measurements such as angle between maxillary incisor to cranial plane, mandibular incisors to mandibular plane, sella nasion to point A, sella nasion to point B, and mandibular plane to cranial plane, when compared to the control group. Conclusion: Within the confined parameters, digit sucking has led to significant variations in certain dental and skeletal cephalometric measurements.


Original Article

Ankur Mishra, Monika Koul, Vinod K Upadhyay, Ahsan Abdullah

A Comparative Evaluation of Shear Bond Strength of Seventh- and Eighth-Generation Self-etch Dentin Bonding Agents in Primary Teeth: An In Vitro Study

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:5] [Pages No:225 - 229]

   DOI: 10.5005/jp-journals-10005-1765  |  Open Access |  How to cite  | 


Aim: To compare the shear bond strength of seventh- and eight-generation self-etch dentin bonding agents in primary teeth using universal testing machine. Materials and methods: Forty extracted sound human primary molars were collected and randomly divided into two groups of 20 sample each. Shear bond strength of seventh-generation bonding agent [ADPER Single Bond Universal, (group II)] and eighth-generation bonding agent [Futurabond DC, VOCO Germany, (group I)] were calculated by using Universal Testing Machine (PTC/O83/ME, INSTRON, USA) and expressed in megapascals (MPa). Recorded data were compiled and subjected to statistical analysis using Student's t test. Results: The mean shear bond strength of group I (eighth-generation dentin bonding agent) and group II (seventh-generation dentin bonding agent) ranged from 22.10 to 37.10 MPa and 19.80 to 30.30 MPa, respectively Student's t test showed significantly different and higher (8.7%) shear bond strength in group I when compared to group II (p value = 0.017). Conclusion: Shear bond strength of eighth-generation dentin bonding agent (Futurabond DC) was better than seventh-generation dentin bonding agent (Adper Single Bond Universal). Clinical significance: An effective bond to tooth would reduce marginal microleakage, bacterial penetration, postoperative sensitivity, possibility of pulpal inflammation, and preserve tooth structure by allowing minimal cavity preparation.


Original Article

Hemlata Thakur, Avninder Kaur, Reetu Singh, Sanchit Kumar

Prevalence and Clinical Characteristics of Molar–Incisor Hypomineralization in 8–16-year-old Children in Industrial Town of Solan District of Himachal Pradesh

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:5] [Pages No:230 - 234]

   DOI: 10.5005/jp-journals-10005-1767  |  Open Access |  How to cite  | 


Aim: The aim of the present study was to investigate the prevalence and etiology of molar–incisor hypomineralization (MIH) in 8- to 16-year-old children from town (Baddi) of Himachal Pradesh. Materials and methods: A cross-sectional study was conducted with 2000 children from various schools of Baddi. Molar–incisor hypomineralization was diagnosed on the basis of EAPD 2003 criteria revised in 2009. Results: Prevalence of MIH found was to be 2.9%. Demarcated opacities were predominant among all the defects. Postnatal illnesses were highly associated with MIH. The prevalence of dental caries reported in MIH patients was 82.7%. Conclusion: Postnatal illnesses are significantly associated with MIH. Molar–incisor hypomineralization predisposes the tooth to dental caries.


Original Article

Khushboo Rathore, Garima Kalia, Tejshree Shekhawat, Yogendra Chundawat

Comparison of Accuracy of Apex Locator with Tactile and Conventional Radiographic Method for Working Length Determination in Primary and Permanent Teeth

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:5] [Pages No:235 - 239]

   DOI: 10.5005/jp-journals-10005-1768  |  Open Access |  How to cite  | 


Background: Correct working length determination is one of the main factors leading to success in root canal treatment. The digital tactile sense technique and conventional radiography (CR) are common techniques for working length determination but both techniques have some limitations. A newer method of working length estimation involves use of the apex locator. The current study was carried out to compare the accuracy of the apex locator with a tactile and conventional radiographic method for working length determination in primary and permanent teeth. Materials and methods: The study was conducted on 60 children selected randomly from the outpatient department of the Department of Pediatric and Preventive Dentistry. The patients were divided into two groups: primary and permanent. An informed consent was obtained. After radiographic confirmation of the presence of more than two-third root length access, opening was done in all the teeth. The pulp was extirpated completely from the chamber and canals. Canals were dried completely using paper points. Working length was determined by all the three methods, i.e., digital tactile method, apex locator, and conventional intraoral periapical radiographic method in both primary and permanent teeth. Results: The data were coded and entered into the Microsoft Excel spreadsheet. The analysis was done using the SPSS version 20 (IBM SPSS Statistics Inc., Chicago, Illinois, USA) Windows software program. The variables were assessed for normality using the one-way ANOVA test. Within the limitations of this study, working lengths obtained by the tactile method, the apex locator, and the radiographic method were comparable. There was no statistically significant difference among the three methods except in mesiolingual and distobuccal canals of permanent teeth. Conclusion: The apex locator can serve as a useful guide to determine the working length in permanent as well as primary teeth.


Original Article

Assessment of Dentist's Perception of the Oral Health Care toward Child with Special Healthcare Needs: A Cross-sectional Study

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:6] [Pages No:240 - 245]

   DOI: 10.5005/jp-journals-10005-1777  |  Open Access |  How to cite  | 


Aim: The study aimed to explore dentist's perception of the oral health care toward child with special healthcare needs (CSHCN). Materials and methods: A total sample size of 250 was calculated. A 13-item validated questionnaire containing four domains were distributed among the participants. Descriptive analysis was used followed by one-way analysis of variance for comparison. Results: The results showed 51.54% confidence, 71.33% knowledge, and 66.90% perception among the participants. A statistically significant results were found between three domains (p value < 0.0001). Conclusion: The study concludes that there is a need to raise the level of knowledge and awareness about the oral health care of CSHCN among the dental students and professionals.


Original Article

Daneswari Vengala, Ghanta Snehika, Ajay Reddy Mareddy

Evaluation of External Surface Structure, Roughness, and Absolute Depth Profile of Fluorotic Enamel Compared to Healthy Enamel Using Atomic Force Microscope: An In Vitro Study

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:5] [Pages No:246 - 250]

   DOI: 10.5005/jp-journals-10005-1778  |  Open Access |  How to cite  | 


Flouride has been previously shown to alter the morphology of hydroxyapatite crystals at various levels leading to altered enamel surface. Aim: To characterize the external surface, roughness, and abs.


Original Article

Eddula R Reddy, Srujana M Palicarp

Postgraduates' Perspective of Pediatric Dental Chair: A Questionnaire Study

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:4] [Pages No:251 - 254]

   DOI: 10.5005/jp-journals-10005-1758  |  Open Access |  How to cite  | 


The posture and positioning of pediatric dentist will greatly depend upon the type of dental chair they chose while treating children. Pediatric dentists working on a traditional adult chair for treating children frequently lean forward for close proximity to oral cavity; as a result of this poor posture, they are more prone to suffer from musculoskeletal disorders. Proper positioning of dentist during treatment will improve not only their comfort but also their career longevity. The aim of the study was to assess the comfort and need of pediatric dental chair compared with traditional adult dental chair for treatment and better management of children. Study design: This is a questionnaire survey for postgraduate students consisting of 14 multiple-choice questions in English format. The questionnaire was structured to know whether the pediatric dental chair is beneficial compared to traditional adult dental chair while treating children. Results and conclusion: Out of 92 responded members, 99% had an opinion that a pediatric dental chair is needed for treating children. They concluded that pediatric dental chair had many advantages over traditional adult dental chair while treating children and acceptance of pediatric dental chair among postgraduates is overwhelming.


Original Article

Mohamad Hossein A Atashi

Soft Tissue Esthetic Changes Following a Modified Twin Block Appliance Therapy: A Prospective Study

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:6] [Pages No:255 - 260]

   DOI: 10.5005/jp-journals-10005-1759  |  Open Access |  How to cite  | 


Aim: Achieving a satisfactory facial esthetics is of utmost importance in the practice of orthodontics. Cl II div 1 patients often suffer from numerous adverse facial characteristics which may impair their social well-being. The objective of the current study was to evaluate the esthetic changes in such patients by using a modified twin block appliance. Materials and methods: Seventy adolescent patients with mandibular deficiency consecutively underwent treatment with a modified twin block appliance for a mean period of 13 months. Soft tissue analyzes of Burstone and Mcnamara were applied to evaluate the changes before and after the treatment. The esthetic changes before and after the therapy were compared using parametric paired t tests analysis. p values less than 0.05 were considered significant. Results: Facial convexity, lip incompetence, upper lip protrusion, and columellar inclination significantly decreased (p < 0.05) while Merrifield's Z-angle nasolabial angle, lower lip length, and mentolabial angle significantly increased (p < 0.05). Vertical facial height ratio, lower lip protrusion, upper lip length as well as nasal projection and inclination, did not change significantly (p > 0.05) Conclusion: Our findings indicated that a modified form of the twin block appliance can be substantially effective in the improvement of several aspects of patients\' facial balance with minimum untoward effects. Clinical significance: Adolescents suffering from mandibular deficiency can gain substantial facial balance with the twin block appliance. The whole face attractiveness, however, is another subject and should not be conflicted with the facial balance.


Original Article

Vijayakumar Anu, Jain R Brindha, Pinky T Carol, Pauline CR Diana, Jackuline D Elsy, Garima Sharma

Does Body Mass Index affect Tooth Eruption Sequence? A Study among 6–7 Years Old Schoolchildren in Chennai, India

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:3] [Pages No:261 - 263]

   DOI: 10.5005/jp-journals-10005-1762  |  Open Access |  How to cite  | 


Background: Changes in eruption pattern cause malocclusion and crowding, which lead to poor oral hygiene as well as periodontal disorders. Hence, it is important for the dentist to know the exact tooth eruption sequence to educate the parents. Tooth eruption sequence we follow is based on the Western population. Aim: As Indian population differs from the Western population in ethnicity, racially, and dietary habits, etc., an attempt was undertaken to compare eruption sequence of Indian children in accordance with the Western population and also to correlate whether body mass index (BMI) affects tooth eruption. Materials and methods: Body mass index and eruption status of permanent mandibular central incisors and first molars were recorded among 529 schoolchildren in Chennai. Eruption status was examined with the help of mouth mirrors and illumination under natural light. The recorded data were entered into Microsoft Excel 2007 and were analyzed using Chi-square test, z test, and Spearman's correlation test. Level of significance was set as 0.05. Results: Eruption values attained from our study were not consistent with the eruption values reported by Logan and Kronfeld. The present study showed that girls have early tooth eruption than boys. Our findings showed negative correlation with respect to BMI and eruption sequence of 31 (r = −0.133), 41 (r = −0.140), 36 (r = −0.08), and 46 (r = −0.076). Conclusion: Eruption values reported by Logan and Kronfeld are inappropriate for Indian population. It is also found that obese children had delayed tooth eruption when compared with underweight children who had early tooth eruption.


Original Article

Nitin K Som, Sharib Hussain

Comparative Evaluation of Microleakage in Various Placement Techniques of Composite Restoration: An In Vitro Study

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:5] [Pages No:264 - 268]

   DOI: 10.5005/jp-journals-10005-1764  |  Open Access |  How to cite  | 


Aim: The study was conducted to evaluate and compare the effect of various placement techniques of composite restoration on microleakage. Materials and methods: Forty extracted premolars were selected and a rectangular-shaped cavity was prepared on the buccal surface of cervical third of each tooth. Thereafter, teeth were randomly divided into four groups equally and were restored with the composite restorative material with different placement techniques, i.e., bulk placement technique, horizontal incremental technique, split incremental technique, and newly introduced Mat incremental technique. Samples were thermocycled and immersed in methylene blue dye for 24 hours. The samples were then sectioned and evaluated under a stereomicroscope for microleakage. Results: Microleakage was present least in the Mat incremental group and maximum in the bulk placement group while intercomparison revealed statistically significant difference between all the groups except for split incremental and Mat incremental groups. Conclusion: The recently introduced Mat incremental placement technique showed least microleakage when compared to conventional techniques.



Sadhna Sharma, Aditi Garg, Ramanand P Vignesh, Vashi Narula, Ravita Bidhan

Dealing with “Coronavirus Pandemic”: A Dental Outlook

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:10] [Pages No:269 - 278]

   DOI: 10.5005/jp-journals-10005-1757  |  Open Access |  How to cite  | 


An emergent pneumonia outbreak, denoted as coronavirus disease-2019 (COVID-19) by the World Health Organization (WHO) originated in Wuhan City, in late December 2019 and spread at an alarming rate to become a pandemic affecting more than 200 countries. The COVID-19 is caused by a novel coronavirus (2019-nCoV), which is highly contagious and is associated with a high mortality rate. The current COVID-19 outbreak has created a major havoc among every strata of the society with a detrimental impact on healthcare professionals, including dentists limiting their capabilities at large. The transmission of virus through aerosols produced by high- and low-speed handpieces, ultrasonic scalers, air/water syringes, or an infected patient coughing, and even when taking intraoral radiographs has made it difficult for dental personnel to provide even the most basic services to the needful. The virus survives on environmental surfaces for extended periods of time, including metal and plastic surfaces commonly found in dental offices making it utmost necessary to follow the precautions and recommendations issued by various organizations in order to contain its spread. This article aims to provide the latest knowledge encompassing the various aspects of COVID-19 to pediatric dentists in India.



Ahmed Basheer Ayyed

Dental Practice Infection Control Measurements: Coronavirus Disease (COVID-19) Outbreaks

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:5] [Pages No:279 - 283]

   DOI: 10.5005/jp-journals-10005-1770  |  Open Access |  How to cite  | 


A new coronavirus disease called COVID-19 has been considered to be a public health emergency of international apprehension by the WHO. This new disease includes multiple symptoms such as fever, cough, sore throat, and rhinorrhea. The disease is mild in most people; however, in some patients, it may develop to pneumonia, acute respiratory distress syndrome (ARDS), and multiple dysfunctions in the organs which may lead to death. There are two routes of transmission for this virus, the first route is the direct transmission, through cough or droplet inhalation, while the second route is through contact, for example, contact with oral and nasal mucous membranes; consequently, extensive and intensive measures should be taken to decrease the transmission of COVID-19 from person to person. Due to the nature of dental work and its procedures, the dental professionals are in a high risk of transmission. Hence, in this article, we wanted to highlight the clinical features, trajectories of spread, and infection control considerations to prevent and control the spread of this fatal disease.



Asma S Almeslet

Pleomorphic Adenoma: A Systematic Review

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:4] [Pages No:284 - 287]

   DOI: 10.5005/jp-journals-10005-1776  |  Open Access |  How to cite  | 


Background: Pleomorphic adenoma (PA) is a commonly occurring benign tumor originating in the salivary glands. Objective: The aim was to carry out a systematic literature of reports on pleomorphic adenoma from 2000 to 2018 to determine patient's age spread, gender, anatomical location, capsular invasion, histopathology, treatment and patient outcome. Materials and methods: A PubMed search was conducted with the following key words: adenoma, pleomorphic adenoma, and mixed salivary tumor. Results: Twenty-two articles in English were read in full after fulfilling the eligibility criteria. The mean age of PA occurrence was 44.14 years with a definite female predilection (M:F ratio = 13:8). It most commonly occurred in the facial region (42.85%), and surgical approach is the preferred intervention. Conclusion: Pleomorphic adenomas are benign salivary gland neoplasms that can grow into extensive sizes if left untreated and hence need to be diagnosed early. Complete excision of the tumor is the definitive treatment, as enucleation can result in recurrence. Facial nerve has to be preserved if PA occurs in the parotid gland.



Ashish Agrawal

Brodie Bite: A Clinical Challenge

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:7] [Pages No:288 - 294]

   DOI: 10.5005/jp-journals-10005-1748  |  Open Access |  How to cite  | 


Treatment of the posterior crossbite (Brodie bite) case is always challenging for orthodontics. The case requires meticulous treatment planning and is often difficult and time-consuming to treat Brodie bite. This kind of malocclusion develops partially because of lingual tipping of the lower segments, and partially because of a lower jaw too small, relative to the maxilla. A young male 12 years of age came to the dental department with chief complaints of unable to chew food and with lower jaw teeth contained within the upper jaw. Clinical examination revealed class II div I malocclusion, increased overjet and lingually locked upper left lateral incisor with just one occlusal contact at the left first molar region (mandibular teeth contained within the maxillary dentition). Though there are various treatment options available such as extractions, expansion, dental arch compensation, or orthognathic surgery for treating Brodie bite, the best treatment option should be chosen, which requires proper diagnosis. This article discusses one such case that was diagnosed and planned as three-phase treatment with two modifications in mechanotherapy.



Florent Fuchs, Manon Chadelle, Guillaume Captier, Olivier Prodhomme, Jean Michel Faure

Solitary Median Maxillary Central Incisor due to Nasal Pyriform Aperture Stenosis in Fetus: The First Prenatal Ultrasound Case Report

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:4] [Pages No:295 - 298]

   DOI: 10.5005/jp-journals-10005-1754  |  Open Access |  How to cite  | 


Background: The single median incisor is a rare dental abnormality that could be isolated or could be part of many different syndromes or syndromic association with poor prognosis. Case description: We report the first prenatal ultrasound description of a 31-year-old patient, gravida 1, para 0, whose male fetus was diagnosed at 25 weeks\' gestation with a single median incisor suggestive of nasal pyriform aperture stenosis in Montpellier University Hospital (France). A fetal magnetic resonance imaging (MRI) performed at 30 weeks\' gestation retrieved no intracranial midline cerebral anomalies and confirm nasal pyriform aperture stenosis suspicion. Amniocentesis, performed at 31 weeks, found a normal fetal karyotype (46XY) and a normal comparative genomic hybridization (CGH) array. After term vaginal delivery, clinical and radiological examination confirmed the diagnosis of an isolated single median maxillary central incisor linked to nasal pyriform aperture stenosis. Conclusion: Prenatal diagnosis of a single median incisor due to nasal pyriform aperture stenosis is feasible and enables close postnatal follow-up.



Pai Nanda, Lopa K Mehta, Ninad M Padhye, Zeba MT Sayed

Dental Management of Factor XIII Deficiency Patients: A Case Series

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:4] [Pages No:299 - 302]

   DOI: 10.5005/jp-journals-10005-1760  |  Open Access |  How to cite  | 


Aim: To create awareness about rare clotting disorders in children and to highlight the different dental treatment approaches that can be used while planning the management in such cases. Background: A prerequisite for successful wound healing is achieving good hemostasis by effective vascular spasm, platelet plug formation, and finally blood coagulation. In the general population, postoperative bleeding after dental treatment is self-limiting. However, a certain segment of the population does suffer from inherited bleeding and clotting disorders, wherein standard invasive dental procedures can trigger bleeding episodes, which could be life-threatening in absence of the requisite precautionary measures being followed. Case description: One such condition is congenital factor XIII deficiency, a rare autosomal recessive disease usually associated with early onset of serious or life-threatening bleeding episodes, such as, intracranial hemorrhage or umbilical cord bleeding. This case series details the complete dental management of three children suffering from factor XIII deficiency. Conclusion: Factor XIII is a rare coagulation cascade, and by this case series, complete dental treatment varying from noninvasive to be kept under observation to invasive dental extraction and fracture reduction was carried out with the hematologists consultations. Clinical significance: This case series creates awareness about this rare condition and the need for a multidisciplinary approach involving dentists and hematologists in the effective management of such patients.



Pallawi , Chitrita G Mukherjee, Rajat K Singh, Bidyut Seal

A Comprehensive Management of Complicated Anterior Maxillary Crown Fracture in a 15-year-old Adolescent

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:3] [Pages No:303 - 305]

   DOI: 10.5005/jp-journals-10005-1763  |  Open Access |  How to cite  | 


Dental trauma to anterior maxillary teeth is a frequent incidence in young patients. Pediatric dentists have to deal with such dental traumatic injuries on a regular basis in their daily routine practice. Several studies have reported reattachment of traumatized fractured tooth segment with or without post placement using dentine bonding agent and adhesive resin cement. This case report presents a comprehensive and multidisciplinary management of maxillary anterior teeth with complicated crown fracture and its reattachment with prefabricated glass-reinforced composite fiber post and dual-cure adhesive resin followed by a permanent restoration.



Anupama Kajal

Recurrent Irritation Fibroma—“What Lies Beneath”: A Multidisciplinary Treatment Approach

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:4] [Pages No:306 - 309]

   DOI: 10.5005/jp-journals-10005-1769  |  Open Access |  How to cite  | 


Irritation fibroma is a benign, exophytic reactive oral lesion that develops secondary to injury. Its recurrence rate is rare but may happen in case of repeated trauma at the same site. This case report describes a recurrent fibroma in the anterior region of the hard palate in a 13-year-old male patient, which recurred in less than 1 year of surgical excision of the previous lesion. Through a detailed case history and clinical examination, the etiological factor of the same was found to be trauma from occlusion by the lower incisors. A multidisciplinary treatment approach was, therefore, undertaken, which included surgical excision of the lesion and correction of the underlying deep bite to prevent recurrence of the lesion. Thus, this article highlights the significance of a multidisciplinary approach for holistic dental treatment.



Keerthana Gowthaman

A Letter Regarding Recently Published Systematic Review Comparing the Effectiveness of Manual and Rotary Root Canal Instrumentation in Primary Teeth

[Year:2020] [Month:May-June] [Volume:13] [Number:3] [Pages:1] [Pages No:310 - 310]

   DOI: 10.5005/jp-journals-10005-1766  |  Open Access |  How to cite  | 


© Jaypee Brothers Medical Publishers (P) LTD.