International Journal of Clinical Pediatric Dentistry

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2021 | November-December | Volume 14 | Issue 6

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Tarannum Rehaman, KS Ravichandra, Koya Srikanth, Mrudhula JN Kantipudi, K Chaitanya Ram

Molar Incisor Hypomineralization Prevalence in the Schoolchildren of Gannavaram Mandal, Krishna District, Andhra Pradesh, India: A Cross-sectional Study

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:4] [Pages No:737 - 740]

Keywords: Cross-sectional study, Dental caries, Developmental defects, Molar incisor hypomineralization, Prevalence, Severity

   DOI: 10.5005/jp-journals-10005-2097  |  Open Access |  How to cite  | 


Aim and objectives: To evaluate the prevalence of molar incisor hypomineralization (MIH) in schoolchildren of the ages between 8 and 14 years of Gannavaram Mandal, Krishna district, Andhra Pradesh, India. Materials and methods: A total of 2,250 children of ages between 8 and 14 years were selected randomly from different schools. After obtaining requisite permissions from Mandal Educational Officer (MEO), children was screened for the prevalence of MIH according to European Academy of Paediatric Dentistry (EAPD) 2003 diagnostic criteria and severity for MIH was examined using Wetzel and Reckel scale. Results: Prevalence of MIH was observed to be 2.1% with higher cases of mild severity and with no sex predilection (p > 0.05). Conclusion: Early diagnosis and treatment can significantly reduce complications associated with MIH. Very few studies have been conducted in India and studies encompassing extensive population are warranted to better understand its etiology. Clinical significance: MIH lesions lead to carious development. Hence there is need to identify MIH in children as early as possible to reduce the clinical complications.



Karishma Pathak, Ashish Choudhary, Tariq M Shekh, Pratikgiri Gosai, Arun K Patnana

Comparative Analysis of Shear Bond Strength of Composites to the Sodium Ascorbate Hydrogel-treated Bleached Enamel Surfaces: An In Vitro Analysis

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:7] [Pages No:741 - 747]

Keywords: Bleaching agents, Bonding agents, Composite restorations, Sodium ascorbate hydrogel

   DOI: 10.5005/jp-journals-10005-2068  |  Open Access |  How to cite  | 


Aim: To compare the shear bond strength of composites to the sodium ascorbate hydrogel-treated bleached enamel surfaces. Materials and methods: Sixty-six extracted human maxillary first premolars were sectioned mesiodistally to obtain two nonocclusal surfaces (n = 132). The specimen in the experimental group (n = 80) were divided into four treatment groups depending upon bleaching protocols used: group I (10% FGM home bleach), group II (22% Pola Night home bleach), group III (37% light-activated in-office bleach Pola Office+), and group IV (35% Pola office in-office bleach without light activation). Specimens were subjected to the 1-minute application twice with sodium ascorbate hydrogel and were further divided into two subgroups “a” (acetone-based) and “b”(ethanol-based) depending upon the bonding agents used. The specimens of the control group (n = 52) were further divided into two treatment groups, that is, positive control and negative control. The specimens were tested using universal testing machine. Results: The result of the present study revealed that the specimens bleached with 10% FGM home bleach showed the greatest shear bond strength and specimens bleached with 35% in-office bleach Pola Office showed the lowest shear bond strength. Conclusion: A twice 1-minute application of sodium ascorbate hydrogel was effective to reverse the deleterious results of bleaching on enamel shear bond strength. Bonding agent containing acetone as a solvent (Prime and Bond NT) in this present study showed greater shear bond strength values than the bonding agent containing ethanol as a solvent (Adper Single Bond). Statement of clinical relevance: The shear bond strength of composite restorative materials could be improved by applying sodium ascorbate gel to the bleached enamel surfaces.



Varshini Rajagopal

Comparative Evaluation of Clinical Efficiency and Patient Acceptability toward the Use of Circumferential Matrix and Sectional Matrix for Restoration of Class II Cavities in Primary Molars: An In Vivo Study

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:4] [Pages No:748 - 751]

Keywords: Class II restoration, Contact point, Matrix system

   DOI: 10.5005/jp-journals-10005-2060  |  Open Access |  How to cite  | 


Aim: To compare two matrix systems (circumferential and sectional) based on clinical efficiency and patient acceptability for placement of visible light cure composite resin restorative material in a Class II cavity in primary molars. Materials and methods: Thirty children with bilateral Class II cavities of age-group 5–9 years were selected. A split-mouth comparative experimental study was conducted at Manav Rachna Dental College, India. Cavities were restored using either circumferential or sectional matrix band system. The child upon completion of the treatment filled the subject preference questionnaire. Time assessment was done for matrix system placement. Contact points were evaluated using dental floss as open or closed. Results: Time required to place sectional matrices was more (125.30 ± 29.40) than required for circumferential matrices (117.20 ± 38.94). The sectional matrices group has more ideal contacts (23) (76.7%) than the circumferential matrices group (16) (53.3%). About 70% of the children pointed discomfort toward the sectional matrices. Children in this study accepted circumferential matrices to be more comfortable than the sectional matrices group. Conclusion: The circumferential matrices group was more time efficient compared to the sectional matrices group. However, sectional matrices resulted in a greater number of restorations with ideal contacts. Based on the preference circumferential matrix band system has been found superior to sectional matrix band system. Clinical significance:This study was conducted to find a better matrix system in case of pediatric patients. Circumferential matrices were found to be more superior with respect to preference and time efficiency and sectional matrices were preferred for ideal contacts.



Aishwarya N Kamble, Vamsi K Chimata, Farhin A Katge, Komal K Nanavati

Comparative Evaluation of Effect of Potassium Iodide and Glutathione on Tooth Discoloration after Application of 38% Silver Diamine Fluoride in Primary Molars: An In Vitro Study

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:5] [Pages No:752 - 756]

Keywords: Glutathione, Potassium iodide, Silver diamine fluoride, Spectrophotometer, Tooth discoloration

   DOI: 10.5005/jp-journals-10005-2076  |  Open Access |  How to cite  | 


Aim: To evaluate and compare the effect of potassium iodide (KI) and glutathione (GSH) on tooth discoloration after application of 38% silver diamine fluoride (SDF) in primary molars. Method: Total of 30 primary molars were randomly divided into three groups of 10 each. Teeth were prepared and divided into: Group A—SDF only, Group B—SDF followed immediately by application of KI, and Group C—SDF was mixed with 25 mg of GSH. Final restoration was done using glass ionomer cement. Visual examination and color assessments using spectrophotometer were recorded at three time interval points, that is, day 1, 1 week, and 4 weeks. Results: Statistical analysis was done using a repeated measures analysis of variances (ANOVA) test. The spectrophotometer results showed that Group A (SDF) exhibited the greatest amount of discoloration at all time intervals, while Group C (SDF + GSH) group was effective in decreasing the discoloration. Whereas, Group B (SDF + KI) significantly reduced the discoloration over the period of time. (p = 0.008). Conclusion: KI can effectively reduce discoloration after application of 38% SDF. GSH can also be used as an alternative. Clinical Significance: This two-step treatment for arresting caries can be a practical and low-cost option in areas with limited access to comprehensive dental care.



Kapil Sharma, Vineet Kumar

Prevalence of Malocclusion in Primary Dentition in Southeast Part of Haryana, India: A Cross-sectional Study

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:5] [Pages No:757 - 761]

Keywords: Flush terminal plane, Occlusal characteristics, Primary dentition

   DOI: 10.5005/jp-journals-10005-2158  |  Open Access |  How to cite  | 


Objective: The purpose of this study was to assess the prevalence of malocclusion in primary dentition of children in southeast part of Haryana state in India. Materials and methods: About 1,540 children of age 3–5 years from 10 nursery and 10 primary schools were selected across Rohtak city. The children were selected by stratified random technique and examined at their respective schools. Oral examination was done to record the parameters such as molar relation, canine relation, crowding, spacing, midline shift, overjet, overbite, rotations, supernumerary teeth, tooth wear, anterior crossbite, and open bite. Chi-square test was used for calculating p-value. Results: Class I canine relations was seen in 66.2%, flush terminal plane, mesial step, and distal step were observed in 60%, 30.8%, 9.2%, respectively. Midline shift was observed in 1.8% in maxilla and 4% cases in mandible. Rotations were more prevalent in mandibular dentition (26%). Supernumerary teeth were found to be 0.4% in maxillary arch. Spacing was reported in 81.9% in maxillary dentition and 69% in mandibular dentition. Increased overjet and overbite was present in 10.3% and 30.9%, respectively. Anterior crossbite and anterior open bite were seen in only 1% and 1.9% children, respectively with statistically significant higher prevalence in males. Prevalence of attritional facets were reported 13% in enamel and 8% in dentin. Conclusion: There is a high prevalence of class I canine relation, flush terminal plane molar, and spaced dentitions, suggestive of low prevalence of malocclusion in primary dentition in Rohtak district of Haryana state. The results may provide a baseline data for further research on a larger scale.



Ritesh Kalaskar, Rajesh Ijalkar, Shruti Balasubramanian

Comparative Evaluation of Bond Strength of Different Luting Cements for Cementation of Stainless Steel Bands on Primary Molar Crowns (Stainless Steel and Zirconia Crowns): An In Vitro Study

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:6] [Pages No:762 - 767]

Keywords: Bond strength, Glass ionomer cements, Self-adhesive resin cement, Stainless steel crown, Zirconia crown

   DOI: 10.5005/jp-journals-10005-2003  |  Open Access |  How to cite  | 


Aim and background: Primary teeth are the valuable assets of a child. Apart from the obvious function of delivering esthetics, their most important function is space maintenance for the succeeding permanent teeth. At times, due to unavoidable pathological conditions, there is premature loss of primary teeth. Space maintainers can either be banded to the enamel surfaces of healthy adjacent teeth or to the surfaces of full coronal restorations, the most common ones being stainless steel crowns (SSCs) and zirconia crowns (ZCs). Due to esthetic demands, ZCs have started replacing SSCs and therefore, there needs to be data on the banding of space maintainers on ZCs and the bond strengths obtained on cementations. Thus, the present study planned to evaluate and compare the bond strengths obtained by the banding of stainless steel bands (SSBs) over SSCs and ZCs using type I glass ionomer cement (GIC) and self-adhesive resins. Materials and methods: Sixty primary right mandibular molars were divided into four groups, group I, with cementation of SSB on SSC with type I GIC; group II, with cementation of SSB on SSC with self-adhesive resin cement; group III, with cementation of SSB on ZC with type I GIC; and group IV, with cementation of SSB on ZC with self-adhesive resin cement. Results: The mean bond strength value of GIC as luting cements in group I is 1.13 ± 0.075 MPa. The mean bond strength value of self-adhesive resin as luting cements in group II is 1.70 ± 0.104 MPa. The mean bond strength value of GIC as luting cements in group III is 1.38 ± 0.100 MPa. The mean bond strength value of self-adhesive resin as luting cements in group IV is 2.06 ± 0.119 MPa. Conclusion: The bond strength of self-adhesive resin was higher when SSB was cemented over SSC when compared with the bond strength of GIC when SSB was cemented over ZC.



Sugandha Tiwari, Rajnish K Verma, G Suma

Assessment of Oral Health Status in Epileptic Children and Healthy Children in Bengaluru City: A Comparative Study

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:6] [Pages No:768 - 773]

Keywords: DMFT, dmft, Epilepsy, Gingival hyperplasia, Gingival health, Plaque Index, Seizures

   DOI: 10.5005/jp-journals-10005-2081  |  Open Access |  How to cite  | 


Introduction: Epilepsy is a neurological disorder, which is identified by repeated episodes of abnormal synchronous discharge of brain, resulting in several types of deficits. A percentage of them also have mental and motor deficits. Both the epileptic conditions and their medical management can influence oral health. Objective: To assess and to compare the oral health status of epileptic children and the healthy children in Bengaluru city. Material and methodology: Data was collected from the study group, which included 100 children between age-group 5 and 16 years registered under the Department of Neurology, Indira Gandhi Institute of Child Health (IGICH). Data collected from healthy children as control group and they visited Department of Pedodontics and Preventive Dentistry, VS Dental College & Hospital (VSDCH) for routine dental check-up. All subjects were examined by single qualified examiner. Gingival Index, plaque index, decayed missing filled teeth for primary teeth (dmft) and for permanent teeth (DMFT) were recorded for both study and control group. Other findings were also recorded such as injury to dentition or oral soft tissues and gingival hyperplasia as side effect of antiepileptic drug therapy. Results: There was no statistically significant difference found in dmft and DMFT between control group and study group. But, there was significant difference present in dmft and DMFT on gender basis between control and study group. Conclusion: The group of children with epilepsy suffer from several oral health problems such as dental caries, gingival enlargement, periodontal disease, and injuries of the oral cavity, which are associated with seizure-related trauma.



Pratibha Kukreja, Chandrashekhar Badakar, Prachi Thakkar

Evaluation of the Effect of Fixed and Removable Appliances on Salivary Parameters (Salivary Flow Rate pH and Buffering Capacity) in Children Aged 5–12 Years: An In Vivo Study

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:5] [Pages No:774 - 778]

Keywords: Decalcification, Fixed appliances, Oral hygiene appraisal, Removable appliances

   DOI: 10.5005/jp-journals-10005-2066  |  Open Access |  How to cite  | 


Aim: To evaluate and compare the effect of fixed and removable space maintainers or appliances on salivary factors (“salivary flow rate,” pH, and buffering capacity of saliva) in children aged 5–12 years over a period of 3 months. Materials and methods: Sixty children were selected for the study and equally alienated into two groups as group I for fixed appliances and group II for removable appliances). Unstimulated saliva was collected from children wearing fixed and removable space maintainers or appliances at baseline, 1, 2, and 3 months. Results: At the end of 3 months, there was a slight decrease in the buffering capacity and pH of saliva, which was not statistically significant in both the groups. An increase in unstimulated salivary flow rate was also seen in both the groups at the end of 3 months. Conclusion: Fixed and removable space maintainers or appliances act as opportunistic plaque retentive sites in children, necessitating appropriate oral hygiene maintenance and its reinforcement. Failure to adhere to a strict oral hygiene regimen can cause considerable enamel decalcification and plaque retention leading to alteration in oral microflora which has detrimental effects. Clinical significance: This study paves way for provision of incorporating practice guideline information for both dentists and children undergoing long-term space maintainer or appliance therapy in children.



Abhay M Tripathi, Gurpreet Dhinsa, Vivek Rai, Jitendra Bhagchandani

Assessment of Oral Health-related Quality of Life in Patients Suffering from Systemic Diseases

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:5] [Pages No:779 - 783]

Keywords: Bronchial asthma, Cardiac patients, DMFT, Oral health, Quality of life

   DOI: 10.5005/jp-journals-10005-2079  |  Open Access |  How to cite  | 


Aim: To assess the oral health-related quality of life (OHRQoL) among children suffering from congestive heart failure and bronchial asthma in Lucknow city. Materials and method: Methodology: Patients aged 6–12 years were assessed using Child Perception Questionnaire (CPQ). DMFT was assessed in same patients to measure their caries experience. Results: Dental caries were observed in 62.6% of cardiac patients followed by 55.8% in bronchial asthma patients. Conclusion: Children with CHF had high dental caries experience as compared to asthmatic patients. Due to high caries exposure, they had a negative impact on OHRQoL as compared to others. Clinical significance: The relationship between oral and systemic health must be consistently reinforced to a patient and guardians of children with systemic disease that can enable to improve the quality of life of these compromised populations.



Kalpana Bansal, Seba Saji

A Survey of Self-perceived Physical Discomforts and Health Behaviors Related to Personal Protective Equipment of Indian Dental Professionals during COVID-19 Pandemic

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:6] [Pages No:784 - 789]

Keywords: Breathing difficulties, Dental professionals, Headache, Personal protective equipment, Physical discomforts, Vision difficulties

   DOI: 10.5005/jp-journals-10005-2061  |  Open Access |  How to cite  | 


Aim: In the current situation of COVID-19 pandemic, personal protective equipment has to be mandatorily worn by dental professionals all times in the dental clinical settings. The aim of this study was to assess the physical discomforts and related health issues faced by dental professionals while wearing personal protective equipment in dental clinical settings during the pandemic. Methods: This was an online cross-sectional survey conducted in November to December 2020 among dental professionals of various regions of country. A prevalidated questionnaire was sent through email/WhatsApp groups to 650 dental professionals. Informed consent was taken from all the participants. Information was collected about the demographics, type of dental set-up, average daily working hours, types of PPE worn, physical discomforts related to the various procedures in dentistry. Association was analyzed between demographics and the discomforts using Chi-square test. Results: A total of 309 dental professionals (163 females, 146 males) from all parts of the country responded to the online questionnaire. Maximum respondents were postgraduates or pursuing MDS (79%), majority (42.1%) were pediatric dentists followed by general dentists. Sweating, difficulty in vision, difficulty in breathing, and headache were the common discomforts reported by majority of the respondents. Headache and difficult breathing were more significantly associated with female dental professionals (p < 0.05). N95 wear was associated with breathing difficulty (56%) while use of faceshield led to the discomforts in visual acuity in 46% respondents. Conclusion: The survey has depicted several challenges and various physical discomforts being experienced by the dental professionals during this pandemic. Although wearing PPE is associated with difficulties to dentists but it is extremely essential to wear PPEs for self-protection during the ongoing pandemic.



Upasana Shrivastava, Khushboo Barjatya, Bharath B AK, Ankur Vatsal, Rahul Shrivastava, Abhilasha Manker, Binti R Chand, Preene Juneja

Effectiveness and Parental Perception of Silver Diamine Fluoride toward Treatment of Dental Caries in Primary Teeth

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:5] [Pages No:790 - 794]

Keywords: Dental caries, Esthetics, Parental perception, Primary teeth, Silver diamine fluoride

   DOI: 10.5005/jp-journals-10005-1810  |  Open Access |  How to cite  | 


Aim: Silver diamine fluoride (SDF) is taken into account as one among the effective measures for caries arrest and prevention in youngsters, due to the fact it proffers marginally invasive but cost-effective alternative to time-commemorated restorative caries control. The study was carried out to appraise the effectiveness of SDF (38%) in arresting active carious lesions and to gauge parental perception toward the treatment of cavities with SDF in the primary teeth. Materials and methods: A total of 36 children in the age range 2–10 years, having active caries lésions, based on ICDAS criteria, in primary teeth were selected following the baseline examination. After four dropouts and refusal by two patients, 30 patients were treated with 1–2 topical applications of SDF (38%). Lesions were reassessed at 1 week and 3 months taking into account to assess the color and amend inconsistency (soft/hard). Parents have been mentioned regarding features of pain or infection and have been surveyed with regard to subjective feelings regarding SDF. Results: Quantitative variables have been subjected to the Chi-square test. All the 30 participants within the present study at baseline were reported to possess active caries lesion. About 80% of carious lesions were found to be arrested at first recall and 93.3% after 3 months. No occurrence of pain or infection was documented. Parental perception for simple application, taste, and esthetics became statistically significant. Conclusion: Study outcomes endorse SDF to be effective in preventing active carious lesions in deciduous dentition in youngsters, and treatment outcomes were affirmative by the parents. Clinical significance: SDF has been a possible management option for a noninvasive remedy to inhibit active carious lesions in deciduous dentition without causing any psychological trauma to children.



Afnan M Saber, Sumer M Alaki

Recent Advances in Indirect Pulp Treatment Materials for Primary Teeth: A Literature Review

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:7] [Pages No:795 - 801]

Keywords: Biodentine, Chlorhexidine gluconate, MTA, Resin-modified glass ionomer, Review

   DOI: 10.5005/jp-journals-10005-2073  |  Open Access |  How to cite  | 


Aim: To provide an overview of the techniques of indirect pulp treatment (IPT) and the new materials used. Background: Indirect Pulp Treatment (IPT) is a conservative treatment approach that can be used in primary molars. Pulpotomy has been adopted as the treatment of choice for deep caries in primary molars. IPT showed higher success rates in recent researches. Materials and methods: Electronic search of English scientific papers was accomplished using PubMed, ScienceDirect, and Scopus. Papers published from 1995 to 2019 were included. Search terms used were recent advances, indirect pulp treatment, mineral trioxide aggregate (MTA), biodentine, TheraCal–LC, chlorhexidine gluconate (CHX), resin-modified glass ionomer (RMGI), and calcium hydroxide. Review results: Seventy two papers were obtained from the electronic search and references of selected studies. Thirty five papers explained recent advances in IPT materials for primary molars. MTA produces more dentinal bridging with superior quality than calcium hydroxide. Similarly, Biodentine can form reparative dentin in a very short period. TheraCal–LC has increased stability and durability with strong physical properties and low solubility. Furthermore, CHX is a chemical disinfectant which can aid in increasing the success rate of IPT when conjugated with other materials. It produced highly successful IPT when combined with RMGI or calcium hydroxide. Conclusion: IPT is the preferred treatment approach for preservation of primary dentition. CHX is an emerging material that can provide promising results in IPT when combined with other materials. Clinical significance: Up to date, no material had replaced the popular use of calcium hydroxide in IPT. The use of CHX with RMGI can increase the success rate while preserving the advantages of the latter as it is considered the liner of choice for primary teeth, making IPT a suitable substitute for pulpotomy in primary molars.



Syed G Shah, Bhavna Kaul

The Epiphany of Post-COVID: A Watershed for Pediatric Dentistry

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:10] [Pages No:802 - 811]

Keywords: Aerosol-free dentistry, Atraumatic restorative technique, Coronavirus, COVID-19, Hall technique, Infection control, Minimal invasive dentistry, Pediatric dentistry, Silver diamine fluoride

   DOI: 10.5005/jp-journals-10005-2080  |  Open Access |  How to cite  | 


Coronavirus disease-2019 (COVID-19) has spread as a pandemic throughout the world, posing a serious public health threat. Dentists appear to have a higher risk of COVID-19 exposure amongst Healthcare workers. This danger is even more magnified in pediatric dentistry since infected children typically have an asymptomatic, mild, or severe clinical viral infection and so can considerably contribute to community-based COVID-19 transmission. These are unprecedented times that require unprecedented efforts with dynamic protocols to be adopted. It is very challenging, but also an amazing opportunity to UNLEARN, RELEARN, AND REORGANIZE our approach of dental practice, so as to adapt and come at par to the emerging “NEW NORMAL”. Coronavirus–” THE ENFORCER has enforced upon us, screening of patients for COVID-19, utilization of stringent disinfection & sterilization protocols, be attired with personal protection such as PPE, N95 Mask, face shield, etc., to minimize chances of contraction or cross-contamination with social distancing and appropriate hygiene practices as a new norm. It has further enlightened the concept of “Non-aerosol” or “Minimally invasive techniques” that will possibly guide our therapeutic choices not only in the immediate future but also in the long term. The purpose of this review is to offer a compendious abridgment of literature available on COVID-19 to give an insight on recommendations that have been published about pediatric dental practice during COVID-19 and lays a concrete emphasis on the paradigm shift in the actual in-practice treatment options, to adapt to the changing circumstances during the pandemic and the times to follow, opening scenarios of prevention and cure that are more sustainable, safe, and efficient.



Tulsi G Lodhi, Surendrakumar B Patil, Surendrakumar K Bahetwar, Pranali V Nimonkar, Bhumika K Peter, Aparna B Sharma

Management of Fracture Mandible by Open Occlusal Acrylic Splint in Pediatric Patients: A Case Series

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:4] [Pages No:812 - 815]

Keywords: Occlusal splint, Pediatric mandibular fracture, Trauma

   DOI: 10.5005/jp-journals-10005-2099  |  Open Access |  How to cite  | 


Aim and objective: The aim of this article is to report the treatment management of fracture mandible in pediatric patients by a simple, noninvasive, and conservative method. Treatment of a pediatric patient with a mandibular fracture is one of the most challenging jobs. In adults, the treatment of the mandibular fracture is a surgical intervention by open reduction and fixation but it is not usual in the case of children due to the anatomy of growing mandible and deciduous teeth, presence of underlying erupting permanent teeth, and incomplete ossification of jawbones. In pediatric patients, the main concern in the treatment of the mandibular fracture is the normal growth and development of mandibular bone. So, in this case series, the treatment of the children who got mandibular fracture were done by a simple, time saving and noninvasive procedure by the fabrication of open occlusal splint retained by circummandibular wiring which did not interfere with the growth and development of mandible.



Neeta S Padmawar, Shivkanya Bhadange, Rachita G Mustilwar, Viddyasagar P Mopagar, Vinay H Vadvadgi, Sourabh R Joshi

Aberrant Location of Low-grade Myofibroblastic Sarcoma of the Gingiva in Posterior Maxilla

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:4] [Pages No:816 - 819]

Keywords: Fibroma, Gingiva, Immunohistochemistry, Maxilla, Myofibroblastic sarcoma, Posterior

   DOI: 10.5005/jp-journals-10005-2077  |  Open Access |  How to cite  | 


Low-grade myofibroblastic sarcoma is a malignant tumor arising from myofibroblasts, which has only recently become clearly defined. It represents a rare entity developing in the soft tissues of the head and neck. About 20 cases have been reported in the oral cavity, especially in the tongue and bone, while gingiva as the primary site has been described only twice to date. Diagnostic methods include histology and immunohistochemistry. The present report concerns a case of a 13-year-old female child who presented with gingival nonulcerated swelling that was interpreted for a long time as a gingival fibroma. A low-grade myofibroblastic sarcoma was diagnosed and the patient underwent a segmental osteotomy of the right posterior region of the maxilla. There was no sign of recurrence or metastatic disease during the 12-month postoperative period.



Gururam T Kukkunuru, Gonuguntla Sudhir, Vamsikrishna Reddy

Role of Plasma-rich Fibrin in the Management of Intrusion Injuries of Teeth

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:5] [Pages No:820 - 824]

Keywords: Complication, Intrusion, Prevention, PRF, Trauma

   DOI: 10.5005/jp-journals-10005-2084  |  Open Access |  How to cite  | 


Aim and objective: To establish a new method of treating severe type of intrusion type of injuries to teeth. The prognosis of these injuries is poor. Poor prognosis is attributed to the development of multiple complications from various components of teeth. We described the various phases to prevent and treat various complications. Background: Most common sequelae to intrusion injuries are alveolar bone loss, resorption of teeth, and gingival recession. Plasma-rich fibrin (PRF) possesses various biological elements for optimal healing and prevention of the above. Case description: A 9-year-old female patient suffered intrusion injury to 21 with no root fractures. Since intrusion was severe type, surgical repositioning with flexible splinting is done. Complications such as alveolar bone loss and gingival recession have occurred, which were successfully treated with PRF. To prevent development of resorption, calcium hydroxide was used as intracanal medicament and doxycycline was used to prevent surface resorption. Conclusion: PRF is effective not only in promoting healing, bone deposition but also prevents secondary infection of the wound. Hence, it is simple, easy, and inexpensive biomaterial for treating intrusion injuries of teeth. Clinical significance: Considering the various properties associated with PRF, it could be a key for treating other type traumatic injuries to teeth.



Haneen Alshukairi

Combination of Multiple Dental Anomalies in Healthy Patient: A Case Report

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:3] [Pages No:825 - 827]

Keywords: Congenitally missing, Multiple anomalies, Peg lateral

   DOI: 10.5005/jp-journals-10005-2093  |  Open Access |  How to cite  | 


Aim and objective: The aim and objective of this paper is to report a combination of various dental anomalies in a healthy pediatric patient. Background: A combination of dental anomalies was reported, particularly in patients with syndromes or chromosomal abnormality. Very few cases of multiple defects have been described in patients with no generalized abnormality. Case description: This article reports the case of a 10-year-old female healthy patient who was found to have multiple dental anomalies which include: (1) bilateral congenitally missing 2nd premolar, (2) bilateral peg laterals, (3) an abnormal sequence of eruption in the lower right side, and (4) delayed eruption of lower left canine. Conclusion: Dental anomalies have multiple effect on the occlusion as well as on the esthetic. Early diagnosis and intervention and collaboration between the different subspecialty are needed. Clinical significance: Pedodontics, orthodontic, restorative, and prosthodontic consultation was taken for the best future proposed treatment that ranges between orthodontics space closure, implants, and esthetic treatment for the peg laterals.



Thâmara MM Bezerra, Filipe N Chaves, Francisco SR Carvalho, Fábio WG Costa, Ana PNN Alves, Mário RL Mota, Karuza MA Pereira

Oral Angioleiomyoma in Early Childhood Patient: A Case Report of an Uncommon Lesion and Literature Review

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:5] [Pages No:828 - 832]

Keywords: Angioleiomyoma, Early childhood, Palate, Pediatric patient, Smooth muscle tumor

   DOI: 10.5005/jp-journals-10005-2082  |  Open Access |  How to cite  | 


Leiomyoma is a benign soft tissue tumor originating from smooth muscle, rarely seen in the oral cavity, due to the scarcity of this tissue in the mouth. The tumor may occur at any age, without sex predilection. Rare reports of this lesion have been in pediatric patients. The lesion is typically asymptomatic and has slow growth, the final diagnosis is defined by histopathological and immunohistochemical examination. Treatment involves resection of the lesion. The lesion is classified histologically as solid leiomyomas, angioleiomyomas (AL), or epithelioid leiomyomas. We report the case of a 1-year-old female child with a painless papule on the hard palate. Histopathological examination revealed biphasic LA showing proliferation of spindle-shaped nuclear cells in straw-shaped bundles or a concentric design. This is the fourth documented case of AL in early childhood.



Eldho Babu, Gayathri Kamalasanan, GS Prathima, Muthukrishnan Kavitha

Congenital Epulis of the Newborn: A Case Report and Literature Review

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:5] [Pages No:833 - 837]

Keywords: Congenital epulis, Neonatal epulis, Surgical excision

   DOI: 10.5005/jp-journals-10005-2078  |  Open Access |  How to cite  | 


Congenital epulis is a rare benign lesion of new-born and occurs mostly as a single tumor. A new-born infant with congenital epulis is a striking sight for both parents and health care professionals involved in neonatal care. The tumor has a female predilection with the female to male ratio being 10:1. These tumors in the infant's mouth are remarkably large, occupying much of the oral cavity and posing a risk of airway obstruction and it can interfere with the feeding. Although the clinical presentation of the congenital tumor is rather distressing, owing to its size and aggressive appearance, it is very much necessary that the attending pediatricians, pediatric surgeon be cognizant of the nature of this rare yet benign congenital tumor. The purpose of this article is to present a case report documenting the clinical presentation and management of Congenital Epulis on the anterior maxillary alveolus in a three-day old female patient.


Retraction Notice

A Randomized Split Mouth Clinical Trial Comparing Mineral Trioxide Aggregate with a New Fast-setting Calcium Silicate Cement in Direct Pulp Capping of Primary Molars: A Preliminary Report from a Long-term Follow-up

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:1] [Pages No:838 - 838]

   DOI: 10.5005/jp-journals-10005-2177  |  Open Access |  How to cite  | 



Comparative Evaluation of Quality of Obturation and its Effect on Postoperative Pain between Pediatric Hand and Rotary Files: A Double-blinded Randomized Controlled Trial

[Year:2021] [Month:November-December] [Volume:14] [Number:6] [Pages:1] [Pages No:839 - 839]

   DOI: 10.5005/jp-journals-10005-2178  |  Open Access |  How to cite  | 


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