Aim and objective: To assess the knowledge, attitude, and practices regarding eating disorders among children and adolescents, engaged in sports. Materials and methods: A total sample of 650 children was recruited and further divided into two groups on the basis of age. Group, I comprised of children and adolescents between 10–14 years of age and Group II between 15–18 years of age. A self-instructed open ended questionnaire was used in English and Hindi. The sports included were Basketball, Yoga, Wrestling, Judo, Cricket, Gymnastics, Boxing, Badminton, Table Tennis and others based on the availability of children in each sport. Result: The mean knowledge, attitude, and practice of Bulimia nervosa in Group I was 0.228 ± 0.41, 2.69 ± 0.586, and 0.000, respectively. The mean knowledge, attitude, and practice of Anorexia nervosa in Group I was 4.76 ± 1.2, 0.22 ± 0.41, and 1.17 ± 0.908. The mean knowledge, attitude, and practice of Binge eating disorders in Group I was 0.22 ± 0.41, 1.65 ± 0.50, and 0.18 ± 0.39, respectively. The mean knowledge, attitude, and practice of Bulimia nervosa in Group II were 3.717 ± 1.21, 0.34 ± 0.56, and 0.145 ± 0.35. The mean knowledge, attitude, and practice of Anorexia nervosa in Group II were 5.26 ± 1.17, 0.34 ± 0.56, and 1.12 ± 0.85. The mean knowledge, attitude, and practice of Binge eating disorders in Group II were 0.34 ± 0.56, 1.76 ± 0.42, and 0.28 ± 0.60. Conclusion: The likely chance of developing an eating disorder and habits practiced related to Bulimia nervosa and Anorexia nervosa was found higher among adolescents between 15–18 years of age. However, these findings were found similar for Binge eating disorders among both age groups.

Aims and objectives: The aims and objectives of this study were to evaluate the oral health status in a group of mentally disabled children, to identify the oral health knowledge of parents and to assess the impact of audiovisual oral health education program. Materials and methods: The study sample comprised of 120 mentally disabled subjects aged 5–16 years and 40 parents attending a vocational institute in Jaipur, India. Caries status and oral hygiene status were assessed by DMFT Index and Simplified Oral Hygiene Index (OHI-S) of Greene and Vermillion, respectively. Twenty pre- and post-structured close-ended questions were designed and a 5-minute video on oral health education was prepared. Data was analyzed by using one way ANOVA test followed by Post hoc Tukeys HSD Test, Wilcoxon Signed Rank Test, and Chi-square test. Effectiveness index was calculated to find the impact of AV Teaching Program. Results: Oral hygiene status deteriorates as the severity of mental retardation increases but it was not found significantly associated with oral hygiene status. An effectiveness index of at least 0.5 indicates that the instructional media was satisfactorily effective. Conclusion: Maximum children with poor oral hygiene were in the category of severe mental retardation and mean OHI-S score decreases from severe-to-mild mental retardation. The newly designed audiovisual aid on complete oral health care was effective at some levels in improving the oral health knowledge of the parents/caregivers of mentally retarded children.

Aim and objective: The aim and objective of this study is to compare the efficacy of four various approaches of sterilizing endodontic hand files via Autoclave, Glass-bead sterilizer, Glutaraldehyde solution, and Diode laser. Materials and methods: Fifty-two k-files of size #25 and length 21 mm were taken for the study. All the 52 files were presterilized in an endodontic instrument box via autoclave. Bacillus stearothermophilus spore suspension was prepared and all the presterilized files were contaminated with stearothermophilus spore suspension in a sterile Petri dish under vacuum hood safety. Later, the test files were randomly divided into four groups of 13 each and subjected to four different methods of sterilization- Autoclave, Glass-bead sterilizer, Glutaraldehyde solution, and Diode laser. Files were then be placed in thioglycollate media containing test tubes and incubated in an incubator at 55°C and checked for turbidity at 3 days and 21 days. Result: The result revealed that there was no Turbidity present in test tubes on both the 3rd and 21st day for autoclave. In all the remaining sterilization procedures there was some amount of turbidity present. In terms of sterilization provided autoclave provides complete sterilization and glutaraldehyde solution is the least effective. The specificity of Bacillus stearothermophilus was then confirmed with a sugar test viz., starch hydrolysis test which gave a positive result confirming the presence of Bacillus stearothermophilus. Conclusion: We can conclude that autoclave is the perfect process of sterilization providing 100% sterility and although Glass-bead didn't provide 100% sterility, it can be used as an alternative if autoclave is not available.

Background and aim: Access to health care is supposed to be a basic human right but the present scenario of the healthcare sector in India displays a large disparity in the healthcare services provided by the public and private sectors with wide variations in the infrastructure and services delivered by both sectors. Hence, public-private partnership (PPP) in healthcare delivery is an urgent and essential component that needs attention to ameliorate this gap. The aim of this study was to assess the current practices in healthcare services provided through PPPs in Bengaluru city. Materials and methods: A cross-sectional questionnaire survey was conducted among primary healthcare centers (PHC) run under PPP in Bengaluru city, Karnataka, India. The pretested self-designed structured questionnaire consisted of 18 items regarding the current practices of PPP at the primary healthcare level. Descriptive statistics were used to describe the data. Results: A total of 15 PPPs at the primary healthcare level were identified and included in the study. All of the participants provided basic healthcare services, some participants (33%) provided specialized services, and some (27%) mobile healthcare services. The overall impression of the medical officers in charge interviewed was that PPPs are better than individual endeavors by both public and private sectors. They also believed that it was important to have policies and guidelines in place to monitors aspects like the functioning of the setup, risk sharing, etc. Conclusion: The results indicated that all the participants were at the primary healthcare level and mostly involved in preventive practices. It is also important to look at venturing into services that provide curative services as well. Oral health, however, did not prominently feature at any point and is another area that requires attention.

Introduction: The longevity of stainless steel crowns is related to perfect adaptation and long-term union between restoration and teeth. In this respect, evaluation of marginal leakage of luting cement is essential. Aim and objective: To compare and evaluate the ability of new adhesive cement to prevent microleakage under stainless steel crowns on primary teeth. Materials and methods: Forty-five specimens were embedded, standardized preparations were made onto selected extracted primary molars, and stainless steel crowns were adapted. Samples were assigned randomly to cement groups: Glass ionomer (GI), resin-modified glass-ionomer (RMGI), and Adhesive resin (AR) cement, followed by storage in water, artificially aging, staining, sectioning, and the linear dye penetration and proportion of microleakage evaluation. Results: AR showed the lowest microleakage, followed in increasing order by RMGIC and GIC showed the greatest microleakage (p-value < 0.0001). Clinical significance: There are many kinds of luting agents that vary considerably from the viewpoint of solubility, strength, and ability to adhere to the tooth structure. Lack of adhesion of the luting cement to the tooth structure is one of the reasons for microleakage related to different types of crowns. Cement breakdown may result in the entrance of fluids and microorganisms along with the tooth restoration interface. In this study, attempts were made to simulate standard clinical procedures, although this is not a substitute for the complex oral environment, the results provide useful information to choosing the best cement materials. Conclusion: Adhesive resin cement can be recommended for cementation of Stainless Steel Crowns because of added advantages over others.

Aim and objective: The aim and objective of the study was to assess the knowledge, attitude, and practices about dental home among healthcare professionals of Belagavi city. Materials and methods: A sample of 400 participants was divided into four groups (Ayurveda, Homeopathy, Nursing, and Medical) based on their healthcare specialty. A 20 item validated questionnaire containing four domains was distributed among the participants. The data was statistically analyzed. Results: Descriptive analysis was used followed by Chi-square for association and one-way ANOVA for comparison followed by Karl Pearson correlation coefficient for determining the correlation between knowledge, attitude, and practices of healthcare professionals. The results of the study showed that the knowledge and practices were statistically not significant among all healthcare professionals (p > 0.05). However, the results were found to be statistically highly significant when correlation was done between knowledge, attitude, and practices (p < 0.0001). Conclusion: The study concludes that there is a need to increase the level of knowledge, attitude, and practices among healthcare professionals about the concept of dental home. Clinical significance: The clinical significance of our study is the implementation of the dental home concept in India, which can prove to be a source of coordinated care that emphasizes overall patient health and aids in rendering quality treatment. Through this initiative oral health can be incorporated as a primary healthcare entity. This can also provide an opportunity for dental professionals to take the lead in applying successful strategies to improve the provision of dental care. Moreover, treatment needs if taken care at the preliminary stages itself, can reduce a major oral healthcare burden from extensive debilitating oral pathologies in the pediatric population.

Aim and objective: Recently, molar incisor hypomineralization (MIH) has become more evident and one of the most common reasons for loss of teeth in children after dental caries. Being a country with a diverse ethnic population, the prevalence of MIH in different regions of India may differ. Hence, the present study was undertaken to determine the prevalence, pattern, and severity of MIH in 8–12-year-old Schoolchildren in Moradabad city. Materials and methods: This study was conducted in various schools of Moradabad city to target a sample of 2,300 children aged between 8 and 12 years. The examination was done in their respective schools by a calibrated examiner in natural daylight using European Academy of Pediatric Dentistry diagnostic criteria for MIH 2015. The results, thus obtained, were statistically analyzed using Pearson's Chi-square test. Results: A prevalence of 3.96% (91/2300) for MIH was reported without any gender predilection. Molar hypomineralization showed a prevalence of 1.3% (29/2300) whereas the prevalence for hypomineralization of second primary molars was 1.4% (22/1620). The most common type of defect was type 2 and most of the affected teeth were of grade I. Mandibular molars were more commonly affected compared to the maxillary molars. Conclusions: A prevalence of 3.96% (91/2300) was observed for MIH. Frequent dental screening camps should be organized in schools at the community level for the enhancement of early diagnosis of MIH and designing appropriate management strategies.

The challenge that practicing dentists face every day is to decide which dental material is best suited for each dental treatment. New glass-ionomer cement (GIC) formulations have been introduced in order to overcome the drawbacks of conventional ones thereby catering to the needs of the pediatric population. Aim and objective: The study aimed to evaluate and compare water sorption, solubility, and microhardness of zirconia-reinforced glass ionomer, resin-modified glass ionomer, type IX glass ionomer cements. Materials and methods: 90 specimens were prepared in total of which 45 cylindrical specimens with dimensions of (6 × 4) mm and 45 disks with (10 × 2) mm were prepared from Zirconomer, RMGIC, and Type IX GIC restorative materials, each material having 30 specimens (15 disks, 15 cylinders). After taking the initial weight (W1), the 45 cylinders (15 of each material) were immersed in artificial saliva at 37°C for 28 days after which the weights W2 and W3 were weighed. The other 45 disks (15 of each material) were subjected to microhardness test under microhardness tester. Results were subjected to ANOVA and Tuckey's post hoc test. Results: Zirconomer showed the maximum resistance to water sorption and solubility followed by RMGIC and type IX GIC with a significant p value of < 0.001 difference. For microhardness, Zirconomer showed the highest value with a significant p value of < 0.001 difference. But, there was no significant difference between RMGIC and Type IX GIC depicting almost equal strength. Conclusion: Water sorption, solubility, and microhardness of Zirconomer were significantly high in comparison to the other groups and it can be used as a posterior restorative material for stress-bearing areas. Clinical significance: As pediatric dentistry demands restorations to be completed frequently in less than ideal conditions, Zirconomer has shown to be better than RMGIC and conventional GIC probably because of the improvisation in the GIC properties.

Aim and objective: The study aimed to assess and compare the prevalence of dental caries with its association with oral hygiene practices among 13–14 years old schoolchildren in urban and rural areas in Kamrup Metropolitan (M) District, Assam. Materials and methods: A total of 1,501 schoolchildren in the age group of 13–14 years were included in the study and dental caries was recorded from decayed missing filled teeth (DMFT)/deft index as described by World Health Organization (WHO) (1997). The children were asked to fill in the basic information in the proforma by themselves. The statistical tests used in this study were unpaired t-test, Chi-square test, and one-way ANOVA test to compare the DMFT among the different age groups, gender, and location. Results: A statistically significant difference was found in the prevalence of the decayed (D) component between the 14 years old (33.9%) and the 13 years old (28.5%) age groups and a highly statistical difference was found between the male (27.9%) and the female (35.7%) population. However, the prevalence of decayed components for the rural (30.1%) and the urban (33.1%) population was not statistically significant. Conclusion: The overall prevalence of dental caries among schoolchildren of Kamrup (Metropolitan) District was 33.6%. Clinical significance: Dental caries is a major public dental health problem; hence, an active and effective preventive program for dental care is needed for the child population in the area.

Background and objectives: Fluoride varnishes are being used to prevent caries in children. The high concentration of fluoride in varnishes apart from caries prevention may cause changes in surface properties of esthetic restorations. The study aims to evaluate and compare the effect of four commercially available fluoride varnishes with added calcium and phosphate on microhardness of three esthetic materials namely conventional GIC (Fuji II), high viscosity GIC (Fuji IX), and nanocomposite (Filtek Z350). Materials and methods: A total of 28 pellets were made of each material and stored in distilled water at 37 °C for 48 hours. The microhardness of the pellets was tested which served as a baseline. These were then randomly divided into four subgroups. In one subgroup Profluorid varnish was applied, second subgroup MI varnish was applied, third subgroup Embrace varnish was applied, and in the fourth subgroup Enamel Pro varnish was applied as per protocol. Thereafter, all the pellets were subjected to microhardness testing (load = 100 g for 15 seconds). Results: The fluoride varnishes increased the microhardness of conventional GIC (Fuji II) whereas in case of high viscosity GIC (Fuji IX) the application of varnishes reduced the microhardness. In case of nanocomposite restorative material (Filtek Z350) only Profluorid varnish increased its microhardness. Conclusion: Fluoride varnish and calcium-phosphate containing fluoride varnish effect on the microhardness of restorative material is material dependent. So, the choice of fluoride varnish with or without proprietary additives depends on the nature and composition of the restorative material.

Introduction: Dental caries is a preventable disease that can be prevented by suppressing any one of the factors of the Keyes triad. Aim and objective: To investigate the effect of probiotic yogurt on salivary pH, calcium level, and buffering capacity. Materials and methods: A total of 60 children were randomly selected and were divided into 2 groups. The test group consumed 200 mL of probiotic yogurt and the control group consumed 200 mL of regular curd everyday for 30 days. A base-line nonstimulated salivary sample (2 mL) was collected. The salivary pH, buffering capacity, and calcium level was assessed at baseline, after 15 and 30 days. The data were statistically analyzed. Result: The mean pH levels of the probiotic group were 7.03 and salivary buffering capacity was found to be 2.000. Salivary calcium levels increased with the use of probiotic yogurt at the end of 30 days (mean of 4.79) compared to the control group. Conclusion: Consumption of probiotic yogurt for a short period of time can prevent dental caries by increasing salivary calcium level.

Background: The clinical success of restorative materials depends upon a good adhesion with the dentinal surface to resist various dislodging forces acting within the oral cavity. Shear bond strength is the resistance to forces that slides restorative material past tooth structure. The Er, Cr:YSGG pulsed laser irradiation may be used to prepare enamel, dentin, cementum, and bone effectively and cleanly without leaving a smear layer. Aim: To compare the shear bond strength of GIC to dentin treated with conventional cavity conditioning and laser irradiation methods. Methodology: Thirty samples of noncarious human primary molars which get exfoliated either due to physiologic reasons or extracted due to any therapeutic reasons were collected for the study. Occlusal enamel was removed and teeth were then embedded in self-cured acrylic mold. All the prepared specimens were disinfected with Chloramine T solution and stored in distilled water for 24 hours at room temperature and teeth were randomly divided into the following groups; group 1: conventional cavity conditioning and type IX GIC restoration, group 2: Er, Cr:YSGG conditioning and type IX GIC restoration. Specimens were then subjected to thermocycling and shear bond strength was evaluated using the Lloyd testing machine. Statistical analysis: One-way ANOVA test followed by Tukey's HSD post hoc analysis was used to compare mean shear bond strength between two study groups. The level of significance [p-value] were set at p < 0.05. Result: Conditioning the dentin surface with Er, Cr:YSGG laser can increase the shear bond strength of glass ionomer restoration than conventional cavity conditioning.

Aim: This study aims to compare the self-etch adhesive (SEA) and self-adhesive flowable composite (SAF) concerning tensile bond strength (TBS) and marginal integrity by microleakage (µLK) test in deciduous molars after artificial thermomechanical aging. Materials and methods: 120 extracted primary molars were collected. Sixty teeth were mounted for testing TBS. Teeth were restored using SAF (n = 30) and SEA-conventional flowable (CF) composite (n = 30) and subjected to artificial thermal aging. Half the teeth (n = 15) from each material were subjected to mechanical loading (SEA-TBS-L and SAF-TBS-L). The specimens with no-load (NL) served as control (SEA-TBS-NL and SAF-TBS-NL). Class V cavity prepared and restored with SAF (n = 30) and SEA-CF (n = 30) to test µLK after thermal aging. The subgroups were as same as the TBS based on with or without mechanical loading (SEA-µLK-L, SEA-µLK-NL, SAF-µLK-L, SAF-µLK-L; n = 15 each). µLK was determined by employing the dye immersion technique. Results: Concerning TBS, there is a significant difference between SEA and SAF with load or no load. Concerning µLK, there is a significant difference between the materials under loading and no difference was found when not mechanically loaded. Also, concerning both TBS and µLK, a significant difference was observed between the load and no-load subgroups within each material. Conclusion: SAF exhibited higher TBS than the SEA. Mechanical loading not only adversely affected the TBS but also increased the µLK of the compared materials. Clinical significance: Restoring the primary teeth with SAF not only shortens the laborious operatory time but also yields good clinical serviceability with the good bond strength and minimal µLK, thus preventing premature loss of teeth and consequential malocclusion.

Aim and objective: This study aimed to investigate and compare compressive strength and flexural strength of self-cured Cention N with dual-cured Cention N. Materials and methods: Cention N is mixed according to the proportions, as mentioned by the manufacturer. Dual cured samples are cured using a diode that emits blue light. Cylindrical plexiglass split mold of dimension 6 mm height, and 4 mm diameter used to fabricate samples for compressive strength. Compressive strength tested using Instron universal testing machine. Rectangular plexiglass split mold of dimension 25 mm length, 2 mm height, and 2 mm width were used to fabricate samples for flexural strength. Flexural strength tested using Instron universal testing machine. To compare the mean values independent t-test was used and the significance of the study was measured by calculating a p-value. Result: There is no statistically significant difference between compressive strength and flexural strength of self-cured Cention N with dual-cured Cention N. Conclusion: The type of polymerization does not affect flexural strength and compressive strength of Cention N. Clinical significance: Self-curing polymerization alone is sufficient for Cention N to achieve adequate compressive strength and flexural strength. So it can be inserted as a single layer on a prepared cavity and to fasten curing additional light curing can be used.

Eruption cyst or eruption hematoma is a soft tissue cyst of odontogenic origin that occurs in mucosa, which forms shortly before the eruption of the primary or permanent tooth. It is usually found in children. In some cases, it has been seen that it disappears on its own. If there are complications like pain, bleeding or infection, surgical exposure and drainage are necessary. This case is associated with erupting permanent tooth, and its surgical crown exposure has been done by using a diode laser.

Radicular cyst involving the deciduous dentition is rare. Most of the cases reported it with primary molar teeth with apical infection. But very rare literature is available regarding radicular cysts associated with primary incisors. Case report: A case of 9-year-old boy, who had bilaterally impacted supernumerary teeth, had developed a radicular cyst associated with a previously traumatized and intruded right upper primary lateral incisor is reported. Supernumerary teeth and intruded primary lateral incisor were removed along with enucleation of a radicular cyst. Conclusion: The importance of correct diagnosis and management of radicular cyst in pediatric patients is important as most of the radicular cysts of primary teeth go undiagnosed, which can affect the developing succedaneous tooth bud.

Aim and objective: This case report aims to describe the management of mandibular anterior teeth subjected to occlusal trauma. Background: Occlusal trauma occurs as a result of reduced ability of the tissues to resist the occlusal forces most likely as a result of masticatory system dysfunction abnormal contact of the teeth, and prosthetic or orthodontic treatments that create occlusal interferences. Case description: This paper describes a case of traumatogenic occlusion seen in the dentition of a 13-year-old female patient and its management by stabilization, endodontic, and orthodontic therapy. Conclusion: The removal of the anomalous occlusal forces and stabilization of the affected teeth is the most relevant therapy for teeth affected by trauma from occlusion (TFO). Clinical significance: Periodic monitoring of developing occlusion contributes to preventive care and encourages the maintenance of a healthy periodontium.

Background: Nursing caries (NC) is a specific type of dental rampant caries with an infectious and transmissible potential that usually affect preschool children or infants that are still in the nursing phase. Prolonged exposure to milk or sugary liquids or other cariogenic substance during bedtime has shown to be the most common cause of rampant caries in preschoolchildren and infants which contributes to lowering of both functional and cosmetic appearance. Aim and objective: This study aims to evaluate parents’ awareness about the effect of prolonged exposure to milk or sugary liquids during bedtime in the development of rampant caries (NC) in preschool children and infants in Riyadh, Saudi Arabia. Materials and methods: The research design is an observational quantitative cross-sectional with a sample size of 303 participants. The targeted subjects were Saudi parents’ males and females, older than 20 and living in Riyadh, Saudi Arabia, and those under 20 years old, non-Saudi without children, and not living in Riyadh were excluded. Results: A sample of 303 parents was analyzed. Comparison between NC knowledge and gender showed that a higher percentage of mothers (71.0%) knew that bottle-feeding during bedtime can increase the incidence of caries compared to the fathers (51.9%), p value 0.003. The relation between NC awareness and previously heard about NC showed that those who heard about NC before knew more about bottle feeding during bedtime can cause NC, p value < 0.001. Most of the parents (88.7%) who previously heard about NC also knew that oral hygiene follow-up is important in preschool children, p value < 0.001. A significant difference in knowledge existed between those who heard about NC and those who are not in terms of the proper time to follow-up with a child's oral hygiene (p value < 0.001), and the proper time to visit a dentist (p value 0.012). Conclusion: Our study showed that the parents are significantly aware of the incidence of NC during childhood (90.4%). In addition to the significant awareness among the parents who have previously heard about NC. However, (61.7%) of the parents acknowledged the most common leading cause of early childhood caries.

Even in the 21st century, dental caries are considered a global burden, severely upsetting the health and quality of life of those affected. Apart from the fluoride use and regular oral hygiene, one of the most important prophylactic approaches against caries occurrence is the sealing of pits and fissures. Pit and fissure sealants are a core part of the preventive program in pediatric dentistry and should be considered as a key component of minimally invasive dentistry due to their broad patient benefit. The primary sealant efficacy measure is retention. If the sealant remains bonded to the tooth and offers a good seal, then it is right to expect the occurrence of caries to be diminished. Traditional pit and fissure sealants are hydrophobic. These materials are based on bisphenol A-glycidyl methacrylate (bis-GMA) and other monomers requiring a dry field which is hard to achieve in an oral environment, especially for children. This review highlights the literature on the effectiveness of moisture tolerant pit and fissure sealant, which are the hydrophilic pit and fissure sealant, and a general overview of the pit and fissure sealant materials used for sealing occlusal surfaces, its classification as well as indications and possible side effects.

Topical anesthetics are very important tools for improving comfort in any dental procedure in children. different methods, techniques of achieving topical anesthesia are reported in the literature. The present narrative review focuses on explaining different types of topical anesthesia with a special focus on pediatric dentistry.