International Journal of Clinical Pediatric Dentistry

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2023 | November | Volume 16 | Issue S3

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ORIGINAL RESEARCH

Nishi Grover, Danish Uz Zama Khan, Jitendra Bhagchandani

A Cephalometric Study of Sella Turcica: Correlation of Its Size with Different Skeletal Malocclusions

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:4] [Pages No:S229 - S232]

Keywords: Cephalometrics, Orthopantomogram, Pediatric dentistry, Sella turcica, skeletal malocclusion

   DOI: 10.5005/jp-journals-10005-2696  |  Open Access | 

Abstract

Introduction: The present study was done to determine the size of the sella turcica in different skeletal type subjects and to evaluate if any significant difference exists between them, which could be the basis for early diagnosis. Materials and methods: A total of 60 lateral cephalograms of patients above 15 years of age were selected and distributed according to skeletal malocclusion into class I (n = 20), class II (n = 20), and 20 class III (n = 20). Syndromic patients (physically/mentally/both) or patients with major illnesses were not included. Two linear measurements of the sella turcica, that is, length and depth in mid-sagittal plane, were obtained in accordance with Silverman and Kisling method. Unpaired t-test and one-way analysis of variance (ANOVA) were performed. Results: The mean length of sella turcica in class I, class II, and class III subjects was 3.81, 3.37, and 3.9, respectively. Similarly, the mean depth of sella turcica in class I, class II, and class III subjects was 7.6, 6.83, and 9.075, respectively. Conclusion: No significant difference in length of the sella turcica could be found between different skeletal types. Maximum depth of sella turcica was found to be in subjects with class III and minimum with class II skeletal types. Clinical significance: The linear dimensions of sella turcica can be used to approximate the pituitary gland size. The pedodontist should be familiar with different morphologies of the sella turcica to differentiate normal from abnormal appearance so that treatment can be diagnosed and treated early.

255

ORIGINAL RESEARCH

Anupama G Gaur, Meenakshi Sharma, Rajesh Sharma, Nitin Gautam

Evaluation and Comparison of Nutritional Status According to Area of Residence and Type of Institute, its Effect on Plaque and Gingival Status: A Comparative Longitudinal Study

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:7] [Pages No:S233 - S239]

Keywords: Nutritional counseling, Nutritional status, Schoolchildren, Seasonal variation

   DOI: 10.5005/jp-journals-10005-2691  |  Open Access | 

Abstract

Need of the study: Schoolchildren constitute about 113.8 million (2000–2001 census) population of India and around 11,413,000 comprises schoolchildren in Rajasthan (2000–2001 census), with overall 2.4% children suffering from dietary inadequacies. In the causation of nutritional deficiency diseases, dietary inadequacies have been considered a predominant etiological factor. To overcome such dietary problems and initiate any programs for improvement in general and oral health status, the present study was undertaken in the form of a dietary record of five consecutive days among schoolchildren belonging to different geographical areas. Aim: To evaluate and compare nutritional status according to area of residence and type of institution and its possible effect on plaque and gingival status among 12–15-year-old schoolchildren of Jaipur. Materials and methods: The list of schools was collected using simple random technique in both rural and urban areas of Jaipur city. Overall, four schools were drawn randomly from the selected area (two from government and two from private). Results: In the urban area, nutrient scores (NS) were higher compared to rural areas, irrespective of the season. In contrast to this, plaque and gingival scores were higher in private schools of rural areas. Conclusion: There is a need for awareness regarding applied nutrition among schoolchildren, irrespective of the area.

299

ORIGINAL RESEARCH

Akanksha Tyagi, Jayaprakasha Shetty, Shriya Shetty, Basavarajappa Mohana Kumar, Alandur Veena Shetty, Manju Raman Nair

Antibacterial and Immunomodulatory Properties of Stem Cells from Human Exfoliated Deciduous Teeth: An In Vitro Study

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:7] [Pages No:S240 - S246]

Keywords: Antibacterial activity, Immunoregulation, In vitro, Stem cells of human exfoliated deciduous teeth

   DOI: 10.5005/jp-journals-10005-2683  |  Open Access | 

Abstract

Stem cells from human exfoliated deciduous teeth (SHED) provide an important autologous source for stem cell-based regenerative therapies with their easy acquisition and multipotency. However, the understanding of their antibacterial and immunomodulatory properties is limited. This in vitro research aims to determine whether SHED inhibits the growth of Streptococcus mutans (S. mutans) and Enterococcus faecalis (E. faecalis), as well as whether or not it has immunomodulatory effects by measuring interleukins (ILs)-2 and -6 levels. SHEDs were derived from the pulp of deciduous teeth that had undergone up to two-thirds of their roots’ resorption. Isolated SHEDs were characterized on their morphological features, viability, assessment of surface markers, and in vitro induction into osteocytes and adipocytes. SHED was tested for its antibacterial efficacy against S. mutans and E. faecalis using a colony-forming units (CFU) assay. Lastly, we checked the cytokine levels by enzyme-linked immune sorbent assay (ELISA) for assessing the immunomodulatory properties of SHED. The results showed that the established SHED had fibroblastic morphology with higher viability. The ability to differentiate into osteocytes and adipocytes, as well as the expression of stem cell-specific markers, demonstrated their potential and flexibility under in vitro settings. SHED demonstrated antibacterial characteristics by significantly (p < 0.05) lowering S. mutans CFU, whereas E. faecalis CFU was either unaffected by or just slightly affected by the cells. SHED also helped keep inflammatory indicators, including IL-2 and IL-6, at stable levels when compared to the control. The results indicate that SHED may aid in preventing or reducing an infection due to its antibacterial activity and may provide immunomodulatory activities by controlling the production of cytokines.

479

ORIGINAL RESEARCH

Bhagyashree Shetty, Rashmi Singh, Vishwas Patil, Krishnapriya Nene

Comparative Evaluation of Single Rotary File System and Sequential Multi-file Rotary Systems on Time for Biomechanical Preparation and Obturation Quality in Single-visit Pulpectomy Protocol: A Double-blind Randomized Clinical Trial

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:6] [Pages No:S247 - S252]

Keywords: Multi-file system, Pediatric rotary files, Primary tooth, Pulpectomy, Root canal obturation, Single file system

   DOI: 10.5005/jp-journals-10005-2685  |  Open Access | 

Abstract

Background: Single-visit pulpectomy (SVP) protocol with rotary files is highly recommended for the treatment of teeth with irreversible pulpitis. Various rotary endodontic files specially designed for use in the pediatric population are available. The aim is to clinically assess the parameters related to the time required for biomechanical preparation (TBMP) and quality of filling using a single file system vs a sequential multi-file system in infected primary mandibular molars. Materials and methods: A total of 45 infected primary molars were allocated to three groups (two experimental groups (n = 15) and a control group. The first experimental group was instrumented using NiTi K-Flex files, the second group with a single file rotary system with variably variable (VV) taper, and the third with a sequential multi-file system with constant taper. Biomechanical preparation time was recorded and standardized digital radiograph (RVG) were taken pre- and postinstrumentation. The data recorded was sent for statistical analysis. Conclusion: There is a substantial reduction of TBMP in primary molars using single file VV taper and multi-sequential file constant taper. Obturation time for all three file systems was comparable and there were no differences between the three file systems used (p > 0.05). Multi-sequential file constant taper files showed a higher probability of optimal obturations and minimal voids followed by NiTi “K-Flex” files and single file system but the difference was nonsignificant (p > 0.05). However, using a rotary in primary teeth results in better canal shape, and less TBMP leading to a better quality of treatment in less time.

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ORIGINAL RESEARCH

Shreya Dadhich, Saloni Vijaywargiya, Vaishali Moryani

Comparative Evaluation of Penetration Depth of Irrigants into Root Dentin after Manual Sonic and Ultrasonic Activation using Dye Penetration Method under Light Microscope: An In Vitro Study

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:5] [Pages No:S253 - S257]

Keywords: 1% methylene blue, Manual dynamic irrigation, Passive ultrasonic irrigation, Sonic activation

   DOI: 10.5005/jp-journals-10005-2688  |  Open Access | 

Abstract

Aim: To evaluate the penetration depth of irrigants into root dentin after manual, ultrasonic, and sonic activation using the dye penetration method under light microscope. Materials and methods: Ninety-two extracted single-rooted human teeth were used in the age range of 14–18 years. After access opening, root canals were instrumented. Canals were irrigated with preheated 5% sodium hypochlorite (NaOCl). Teeth were divided into four groups—group I, control group without activation; group II, manual dynamic activation; group III, ultrasonic activation; and group IV, sonic activation. About 1% methylene blue dye was used, which was activated for 30 seconds using the respective activation method. Cross sections of apical 1 mm were prepared from the apical third. Each section was examined under a light microscope to check the penetration depth of dye in a micrometer at the apical third level. Results: There was a statistically highly significant difference seen for the values between the groups (p < 0.01) with higher values in group IV and least in group I, revealing that group IV had higher penetration depth compared to other groups. Conclusion: The use of needle irrigation with the use of EndoActivator (sonic agitation method) has enhanced irrigation in the apical third. Clinical significance: As during biomechanical preparation and irrigation with the traditional method of needle and syringe, canals remain inadequately disinfected at the apical third level. So, this study was done to assess whether the advanced methods of activation are more effective than commonly used techniques in their ability to penetrate dentinal tubules.

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ORIGINAL RESEARCH

Kavita Bekal Kripalani, Nithya Annie Thomas, Kiran Raj, Lida Mary N Philip, Shweta Kajjari, Vinni Mary Oommen

Comparative Evaluation of the Phytochemical Analysis and Efficacy of Four Plant-derived Extracts against Streptococcus mutans: An In Vitro Study

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:5] [Pages No:S258 - S262]

Keywords: Acacia nilotica, Dental caries, Dental plaque, Emblica officinalis, Phytomedicine, Psidium guajava Linn, Streptococcus mutans, Vitis vinifera

   DOI: 10.5005/jp-journals-10005-2649  |  Open Access | 

Abstract

Introduction: Oral health is a loyal part of general health. As per the World Health Organization (WHO), dental caries is the most widespread noncommunicable disease and is a significant universal public health concern. The main causative organism associated with this disease is Streptococcus mutans (S. mutans). Various synthetic agents like chlorhexidine and fluorides are commercially available to prevent dental caries. However, these have side effects. Presently, research is engaged in the use of plant extracts to develop an effective and biocompatible material that may be used safely in the oral cavity. Methodology: Four plants were collected—Emblica officinalis, Vitis vinifera seeds, Psidium guajava (P. guajava) Linn leaves, and Acacia nilotica (A. nilotica), and extracts were prepared individually. These extracts were subjected to phytochemical analysis, and bacterial growth and fermentation were assessed. Result: The level of significance was set at p < 0.05. All the plant extracts inhibited S. mutans growth at all serial dilutions except P. guajava Linn and A. nilotica showing 55 CFU/mL and 5 CFU/mL, respectively in 1/1000 dilution only. The phytochemical analysis confirmed that all four plant extracts had alkaloids, carbohydrates, tannins, and flavonoids. Steroids and proteins are present in P. guajava Linn. Proanthocyanidins were present in Vitis vinifera. Saponins and Anthraquinones were present in A. nilotica exclusively. Conclusion: All the extracts were effective against S. mutans. These could be tried as herbal alternatives to conventional adjuncts. However, these results must be additionally evaluated for toxicity in animal models, and effectiveness must be assessed using in vivo studies on human subjects.

512

ORIGINAL RESEARCH

Vundela Rajashekar Reddy, Balamurugan Suba Ranjana, Mahesh K Karuppaiah, Thirumagalanuraaga Annadurai

Clinical Evaluation of Maneuverability and Durability of Titanium Nitride-coated Preformed Crown on Primary Molar Teeth: A Randomized Controlled Trial

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:5] [Pages No:S263 - S267]

Keywords: Child–patient satisfaction, Durability, Maneuverability, Stainlesssteel crowns, Titanium nitride crowns

   DOI: 10.5005/jp-journals-10005-2676  |  Open Access | 

Abstract

Background: The management of multisurface carious primary molar is challenging. Currently, the ideal choice for the management of extensive multi-surface carious primary molar is the placement of a preformed stainlesssteel crown (SSC)/preformed zirconia crown. Unfortunately, conventional preformed SSCs are frequently refused by parents for esthetic reasons, while the preformed zirconia crown has its own disadvantages like high cost and excessive tooth preparation. Aim: To evaluate the maneuverability and durability of titanium nitride-coated crowns on primary molar teeth and to assess the child–parent satisfaction of titanium nitride-coated gold-colored preformed crowns over metal-colored preformed SSC on primary molar teeth. Materials and methods: Randomized controlled trial conducted on children between the age-groups of 6- and 9-year-old children. Group I for titanium nitride-coated preformed crown and group II for preformed SSC (control group) were allotted with a simple random technique. The maneuverability of the titanium nitride-coated crowns was evaluated in comparison with preformed SSC in terms of the level of difficulty while trimming, contouring, crimping, and wearing out of titanium nitride coating while manipulating. Participants of group I were recalled for follow-up in the 1st, 6th, and 12th months to evaluate the durability of the titanium nitride coating on the preformed crowns. Results: There were no failures at the 12-month follow-up in terms of the durability of the titanium nitride coating, and there was no significant difference seen in terms of the maneuverability of both crowns. Overall, child–parent satisfaction was good with gold-colored titanium nitride-coated crowns. Conclusion: The study concluded that titanium nitride-coated gold crowns could be a boon to pediatric dentistry and serve as an alternative to metal-colored SSCs.

487

ORIGINAL RESEARCH

Madhura N Paranjape, Rohan Shah, Laxmi Lakade

Assessment of the Changes in the Salivary Profile and Its Clinical Correlation in Children with Acute Lymphoblastic Leukemia Undergoing Chemotherapy: A Follow-up Study

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:4] [Pages No:S268 - S271]

Keywords: Acute lymphocytic leukemia, Chemotherapy, Oral Manifestations, Saliva

   DOI: 10.5005/jp-journals-10005-2692  |  Open Access | 

Abstract

Aim: To assess the changes in salivary profile and its clinical correlation in patients with acute lymphoblastic leukemia (ALL) undergoing chemotherapy. Materials and methods: Children who have been diagnosed with ALL undergoing chemotherapy at Bharati Hospital, Pune, were included in the study. Those children were included who fulfilled the following inclusion and exclusion criteria. Stimulated salivary samples were collected in sterile vials at 1-, 3-, and 6-month intervals and ware assessed for salivary pH and buffering capacity. Caries and oral manifestations were also checked at each interval. Results: A total of 25 children with ALL undergoing chemotherapy were included to participate in the study. The results were analyzed using Statistical Package for the Social Sciences software. There was a statistically significant difference in the change in salivary pH during the 1st and 6th months of chemotherapy (p-value of 0.001). Salivary buffering capacity was also found to be low in these patients during the 1st month of chemotherapy, which gradually increased during the entire course of chemotherapy (p-value of 0.011). Progression of dental caries was seen during the entire course of treatment. Conclusion: All the major changes were seen in the 1st month, that is, the induction phase of chemotherapy. Hence, we can say this is the most affected phase of chemotherapy. Clinical significance: The parents and children should be educated and motivated to maintain proper oral hygiene. Whenever possible, all preventive dental procedures should be undertaken before the start of chemotherapy to avoid future complications.

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ORIGINAL RESEARCH

Vikrant Kumar, Insha Showkat, Naveen Manuja, Seema Chaudhary, Ashish A Sinha, Chaitra R Telgi

Comparative Evaluation of Shear Bond Strength of Tricalcium Silicate-based Materials to Composite Resin with Two Different Adhesive Systems: An In Vitro Study

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:6] [Pages No:S272 - S277]

Keywords: Biodentine, Mineral trioxide aggregate, Mineral trioxide aggregate Plus, Self-etch adhesive, Shear bond strength, Total-etch adhesive

   DOI: 10.5005/jp-journals-10005-2687  |  Open Access | 

Abstract

Background: Establishing a strong bond between the pulp capping agent and the restorative material is crucial to the success of the procedure. Without this bond, there is a risk of bacterial infiltration into the pulp, leading to treatment failure. In the past, calcium hydroxide was commonly used for such treatments, but it faced challenges, including poor adhesion to dentin, dissolution over time, and the development of multiple tunnel defects. Mineral trioxide aggregate (MTA), introduced to dentistry in 1993, offered an alternative but came with drawbacks like challenging handling and extended setting times. However, in recent times, several new calcium silicate-based materials have emerged to address MTA's limitations. Two notable examples are Biodentine and MTA Plus. Biodentine, for instance, exhibits excellent sealing ability, while MTA Plus distinguishes itself with a finer particle size compared to traditional MTA. These innovative materials offer promising solutions to enhance the efficacy of pulp capping procedures. Aim: Therefore, in this research, we conducted a comparative analysis of the shear bond strength (SBS) between composite resin and three materials—MTA, MTA Plus, and Biodentine. We examined the effects of applying two distinct adhesive systems in order to evaluate their influence on the bond strength. Materials and methods: A total of 60 acrylic blocks were evenly distributed into three groups, each containing 20 blocks—group I received Biodentine, group II was assigned MTA, and group III received MTA Plus. The respective test materials were compacted into the holes within the blocks. Following this, the samples were incubated for a period of 72 hours. Subsequently, the samples were divided into two subgroups, each consisting of 10 blocks—the self-etch and the total-etch subgroup. The SBS values were then carefully measured for analysis. Result: The SBS of the Biodentine group demonstrated a significantly higher value when compared to the other groups. It's worth noting that when the self-etch adhesive system was employed, the SBS of all the groups experienced a significant reduction. Conclusion: Biodentine cement proves to be an effective choice for pulp capping procedures, regardless of the specific adhesive system employed. Notably, the total-etch adhesive system consistently yields higher bond strength when compared to the self-etch adhesive system.

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ORIGINAL RESEARCH

Vinus I Shivlani, Priyanka P Niranjane, Pallavi S Diagavane, Priyanka P Madhu

Demographic Profile of Patients with Cleft Lip and Palate Anomaly: 15-year Experience from a Tertiary Care Hospital and Teaching Institute in Wardha District of Maharashtra, India

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:5] [Pages No:S278 - S282]

Keywords: Cleft lip and palate, Congenital defect, Demographic profile, Esthetic, Prevalence

   DOI: 10.5005/jp-journals-10005-2675  |  Open Access | 

Abstract

Background: Cleft lip and palate (CLP) is considered to be a congenital defect involving the orofacial region. This defect affects the esthetics, speech as well and psychological well-being of a person. The study was performed to analyze the prevalence of different types of cleft deformity reported in a tertiary care hospital which would aid in spreading awareness and thereby reducing the prevalence of this congenital defect. Aim: To study the demographic profile of patients with CLP in the Wardha region. Materials and methods: A single-center retrospective cross-sectional study was performed. The patients with cleft deformity report under the “Smile Train Project” under the Department of Orthodontics and Dentofacial Orthopedics along with the Department of Oral and Maxillofacial Surgery. The data retrieved included the name of the patient, age, gender, residential address, contact details, and type of cleft. This data was segregated focusing on the gender and type of cleft as per the concern of this study. The datasets were then entered in the Microsoft Excel sheet and the statistical graphical representation was done using Microsoft PowerPoint. Results: In the present study we tried to find out the profile of CLP in the local population. We reported the high prevalence of this orofacial deformity among the population of this area. Conclusion: The data from the present study will help to provide a deeper insight into the burden of CLP anomaly. Based on the data obtained from the present study, future research can be conducted, and cleft-care improvement outcomes can be measured. Clinical significance: There are several etiological factors that are responsible for the development of CLP. Also, due to a lack of awareness regarding this, there is an increased prevalence of this defect. In India, due to a lack of knowledge regarding cleft anomaly, poverty, and social stigma, many patients do not report to the hospitals, and hence, there is a need to spread awareness which would encourage people to access the healthcare facilities at an early age and would reduce the complications in later stages.

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ORIGINAL RESEARCH

Bisma Saher Khan, Jyothsna V Setty, Ila Srinivasan, Sabahath Kibriya, S Anu, Sreeraksha Radhakrishna, Yuthi Milit

Low-level Laser Therapy to Alleviate Pain of Local Anesthesia Injection in Children: A Randomized Control Trial

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:5] [Pages No:S283 - S287]

Keywords: Injection, Local anesthesia, Low-level laser therapy, Pain, Photobiomodulation

   DOI: 10.5005/jp-journals-10005-2699  |  Open Access | 

Abstract

Aim: The aim of our study was to evaluate and compare pain perception following photobiomodulation (PBM), topical anesthesia, precooling of the injection site, and vibration during administration of local anesthesia injection in pediatric patients aged 6–13 years. Materials and methods: In this split-mouth study, a total of 120 patients between the age group of 6 and 13 years were selected and randomly divided into three equal groups with 40 subjects in each. Pain was assessed using visual analog scale (VAS) and the Wong–Baker Faces Pain Rating Scale after the administration of local anesthesia. Behavior during the procedure was assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) scale filled by the operator. Pulse rate was recorded before and during the administration of local anesthesia using pulse oximeter. After the procedure, patient compliance was also recorded using validated questionnaire. The level of significance was set at p < 0.05. Results: The study showed PBM exhibited the lowest mean scores of anxiety/pain using VAS, Wong–Baker Faces Pain Rating Scale, FLACC scale and pulse rate as compared to precooling, vibration, and topical anesthesia. The differences in pain scores recorded were found to be statistically significant. Children were not anxious about the PBM method and exhibited good compliance (p < 0.001). Conclusion: Photobiomodulation (PBM) was found to be effective means of reducing injection pain, demonstrating much better efficacy than other tested methods. Clinical significance: Photobiomodulation (PBM) can be used effectively to better manage procedures that patients frequently find painful without the need for prescription drugs, which frequently have several side effects.

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ORIGINAL RESEARCH

Yoshita Atri

Association between Serum Iron, Serum Ferritin Levels, and Severe Early Childhood Caries: A Case–Control Study

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:5] [Pages No:S288 - S292]

Keywords: Serum ferritin, Serum iron, Severe early childhood caries

   DOI: 10.5005/jp-journals-10005-2704  |  Open Access | 

Abstract

Aim: The presence of extensive dental caries leads to pain, inflammation, and discomfort and hence interferes with their nutritional intake, which includes iron deficiency anemia. This study was undertaken to determine whether any correlation exists between severe early childhood caries (S-ECC), serum iron, and serum ferritin levels in children. Materials and methods: A total of 688 children were examined in the age-group of 2–6 years, and 82 children who fulfilled the selection criteria were equally divided into group I, that is, case group (carious group n = 41) and group II, that is, control group (caries-free group n = 41), on the basis of decayed, missing, and filled primary teeth (dmft) scores. All the selected children in both groups underwent blood investigations through phlebotomy for assessment of serum iron and serum ferritin levels. Results: The mean values of variables, that is, hemoglobin (Hb), serum iron, serum ferritin, total iron-binding capacity (TIBC), and unsaturated iron-binding capacity (UIBC), are lower in the case group when compared to control group. The differences observed were statistically significant in case of dmft and UIBC values at p < 0.05 but not significant in cases of other variables like Hb, serum iron, serum ferritin, and TIBC values. Conclusion: An inverse relationship was found between S-ECC, serum iron, and serum ferritin levels, but the evidence is still inconclusive.

503

REVIEW ARTICLE

Yamuna Shanmugam, Aksshaya Raghu, Krishnapillai Chandrababu Vignesh, Sunil Babu Kotha

Mechanical Properties and Clinical Success of Intracanal Posts in Primary Maxillary Anterior Teeth: A Systematic Review and Meta-analysis

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:13] [Pages No:S293 - S305]

Keywords: Post and core technique, Primary teeth, Survival rate

   DOI: 10.5005/jp-journals-10005-2697  |  Open Access | 

Abstract

Background: Intracanal posts are commonly used to restore lost permanent/primary tooth structure and the smile of the patient. Aim: This systematic review aims to evaluate the clinical success of intracanal posts used in primary maxillary anterior teeth and compare their mechanical properties. Methods: An extensive literature search was performed using Medline via PubMed, Embase via embase.com, LILACS, CINAHL via EBSCO, Cochrane Oral Health Group Specialized Register, Scopus, and Web of Science until December 2021 and was updated till December 2022. In vivo and in vitro studies in the English language that assessed clinical success and mechanical properties were included. Distiller SR software was used for everything from title screening to data extraction. Results: A total of 30 studies were analyzed, including 11 in vivo and 19 in vitro studies. Four studies were included in a meta-analysis, and all 30 studies qualified for qualitative analysis. The meta-analysis showed that fiber posts are clinically superior to composite resin posts (CRPs) (p = 0.02). No significant difference was observed between the fracture resistance of CRPs and no posts (p = 0.73). Most of the included studies showed a high risk of bias. Conclusion: Conclusive evidence about the effectiveness of various intracanal posts cannot be established. This is due to the limited number of clinical trials and included studies of low to moderate quality with a high risk of bias. To validate the use of posts in primary maxillary anterior teeth, further research, including randomized controlled trials (RCTs) of higher quality, is required. Clinical significance: The use of intracanal posts in primary teeth is a commonly used treatment modality among pediatric dentists. However, the quality of the evidence to support its use is low. This systematic review provides a comprehensive summary of the current literature and highlights the need for further research. Results were interpreted with caution, as the evidence supporting the use of intracanal posts in primary teeth is limited.

762

REVIEW ARTICLE

Pinelopi Papadopoulou, Vasiliki Boka, Konstantinos Arapostathis

Integration of Breastfeeding Consultation and Practices in the Scope of Pediatric Dentistry: Collaboration with Lactation Specialists

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:5] [Pages No:S306 - S310]

Keywords: Breastfeeding, Early childhood caries, Lactation, Oral health, Pediatric dentist

   DOI: 10.5005/jp-journals-10005-2698  |  Open Access | 

Abstract

Background: In recent years, breastfeeding has been largely promoted due to health benefits for the children and the mothers and social, economic, and environmental advantages. World Health Organization (WHO) recommends breastfeeding for at least 2 years and to be continued for as long as this is desired by the mother–child dyad. Despite its advantages, including protection against caries in the 1st year of life, prevention of malocclusions, and development of more normal breathing patterns, there is a great controversy in the literature regarding breastfeeding involvement in elevated risk for early childhood caries (ECC). Breastfeeding and oral health are strongly related. Breastfeeding can influence oral health and development, but oral findings, such as tethered tissues and natal/neonatal teeth, may negatively affect lactation. Conclusion: A healthy collaboration between the oral health care provider and the lactation specialist is important in order to identify those oral findings and prevent breastfeeding implications, but also in order to facilitate uneventful breastfeeding by emphasizing oral health care prevention strategies. Clinical significance: Information on the advantages of certain lactation aspects and the potential risks for ECC is important for the pediatric dentist to be able to form an individualized treatment/prevention plan that will benefit and promote the oral and general health of young patients.

447

REVIEW ARTICLE

Sharon Chinchay-Ruesta, Mariano Ortiz-Pizarro, David R Rodríguez-Díaz, Yovani Moreno-Herrera, Alexander Bustamante-Cabrejo, Victor Serna-Alarcón

Effect of Over-the-counter Whitening Toothpaste and Mouthwash in Orthodontics: A Literature Review

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:6] [Pages No:S311 - S316]

Keywords: Mouthwashes, Orthodontics, Review, Toothpaste

   DOI: 10.5005/jp-journals-10005-2703  |  Open Access | 

Abstract

Aim: To summarize and analyze all the available literature on the use of over-the-counter toothpaste and mouthwashes with whitening agents and their possible effects on orthodontic treatment. Background: Tooth color change frequently occurs during orthodontic treatment and represents a self-perceived need. According to the patient's perspective, there is a preference for the use of toothpaste and mouthwashes with some whitening effect. Materials and methods: An electronic bibliographic search in English was carried out until June 2022, in PubMed, Scopus, and Web of Science databases. Randomized or nonrandomized clinical trials and experimental laboratory studies were included. Review results: A total of 57 papers were obtained from an electronic search and 11 studies were included in the review. Outcomes such as strength force elastomeric, color stability, frictional resistance, ion release, shear bond strength (SBS), and adhesive remnant index (ARI) were evaluated. Conclusion: Toothpaste and mouthwashes with whitening action did not have a favorable effect on most of the outcomes evaluated. In some cases regular toothpaste showed a better effect and in other cases, there were no differences with the control group. Only in the outcome release of ions from wires to whitening effect in teeth with or without attached brackets, they have a better performance. Clinical significance: Due to the unfavorable effects of over-the-counter whitening toothpaste and mouthwashes on orthodontic materials and appliances, their use should be justified during treatment.

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CASE REPORT

Atul Sharma, Anurag Chhabra, Isha Sharma, Pooja Sehrawat

Multiple Radicular Cysts in an 8-year-old: A Case Report

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:4] [Pages No:S317 - S320]

Keywords: Case report, Enucleation, Mixed dentition, Radicular Cysts

   DOI: 10.5005/jp-journals-10005-2700  |  Open Access | 

Abstract

Aim: The aim of this article is to report a case of multiple radicular cysts in an 8-year-old. Background: Multiple radicular cysts are an uncommon and rare entity in mixed dentition. Management of these cysts needs careful examination of the present deciduous and erupting permanent dentition. Here, we present a case of multiple radicular cysts in an 8-year-old with no other significant medical history. The treatment approach included removal of the involved deciduous teeth and enucleation of cysts, followed by curettage and the use of Whitehead's varnish. Case description: The patient reported to the department with a chief complaint of pain in the right lower front tooth region and upper left back tooth region for 2 months. There was no relevant medical or dental history. A routine panoramic radiograph was done, which revealed multiple radiolucency. Clinical presentation, radiograph, and aspiration cytology concluded the diagnosis as multiple radicular cysts. The treatment plan for management was the extraction of the teeth involved, followed by enucleation. Whitehead's varnish dressing was placed in the extraction socket. A regular follow-up was done, showing the absence of radiolucency and eruption of permanent teeth. Conclusion: Management of radicular cysts in mixed dentition is challenging. Preserving the vitality of erupting permanent teeth is of utmost importance. Significance: Multiple radicular cysts are an uncommon finding in young children. Proper medical history is important to rule out any syndrome. Correct diagnosis and early management are prognostic factors.

356

CASE REPORT

Padma Yangdol, Namita Kalra, Rishi Tyagi, Amit Khatri, Puja Sabherwal, Tavisha Goyal

Three-dimensional Printing Technology: Patient-friendly and Time-saving Approach for Space Management in an Autistic Child in COVID-19 Times

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:6] [Pages No:S321 - S326]

Keywords: Case report, Computer-aided design and computer-aided manufacturing, Digital dentistry, Three-dimensional printing, Space maintainer, Pediatric dentistry

   DOI: 10.5005/jp-journals-10005-2702  |  Open Access | 

Abstract

Aim and objective: The present case report comprehensively illustrates the use of a novel digital three-dimensional (3D) printed band and loop space maintainer [computer-aided design and computer-aided manufacturing (CAD/CAM)] for the guidance of eruption with their distinctive attribute of reduced chairside time in a home-schooled autistic child. Background: Three-dimensional (3D) printing is a promising and emerging technology in the arena of dentistry based on CAD/CAM. It has led to the production of customized 3D objects or patient-specific prostheses with accurate results achieved in a time-saving manner. 3D printing has been employed in several latitudes of dentistry; however, the applications are few in the field of pediatric dentistry. Case description: The paper describes the space management of an autistic child for the missing mandibular left primary second molar through the novel technique of 3D printed band and loop space maintainer. Clinical significance: The novel technique has definite advantages, including high precision, accuracy, fast production, and reduced patient exposure to dentists and vice versa, which has been the need of the hour since the advent of the coronavirus disease of 2019 (COVID-19) pandemic. Conclusion: Three-dimensional (3D) printing minimizes dental aerosol-generated exposure by decreasing chairside procedural time and minimizing procedural sitting. The cost-benefit analysis, as applied to the Indian scenario, has also been computed, which makes it equally acceptable. Moreover, 3D printing reduces material waste production, offering a greener and environmentally friendly option in the coming years. The future of pediatric dentistry will evolve with signs of progress in the latest materials and technologies.

709

CASE REPORT

Vipin R Ahuja, Arunima Pathak

Fluke of Fusion and Concrescence in Maxillary Deciduous Incisors: A Case Report

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:4] [Pages No:S327 - S330]

Keywords: Case report, Concrescence, Deciduous, Dental anomaly, Fusion, Primary incisors

   DOI: 10.5005/jp-journals-10005-2694  |  Open Access | 

Abstract

Aim: The aim of this paper is to report a rare case in a 6-year-old girl where two dental anomalies, fusion and concrescence, coexisted in primary dentition. This highlights the significance of the accurate early diagnosis of these dental anomalies. Background: Odontogenic anomalies are frequently encountered in dental practice. These anomalies can occur due to abnormalities during the differentiation stage and may lead to aberrations in hard tissue formation. Some of the uncommon and unusual dental anomalies of number and form include fusion, gemination, and concrescence. Case description: This elusive case represents the fusion and concrescence together between the left central and a supernumerary tooth. The left primary central incisor presens as a large tooth with a groove through the incisal edge. Clinical observation along with radiographic evaluation using RVG radiographs and orthopantomogram (OPG) were used to arrive at a diagnosis. Conclusion: Early diagnosis of concrescence will reduce the risk of possible complications associated with any need for extraction later on. Monitoring the patient and long-term follow-up are required to manage the case with coexisting anomalies of true fusion and acquired concrescence. Clinical significance: A thorough history-taking and clinical and radiographic evaluation of fusion and concrescence at an early stage results in an accurate diagnosis. A careful monitoring plan is a key to reduce the risk of possible complications later on.

404

CASE REPORT

Nonsurgical Management of Drug-induced Gingival Overgrowth in a Young Patient

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:4] [Pages No:S331 - S334]

Keywords: Antiepileptic drug, Gingival overgrowth, Phenytoin

   DOI: 10.5005/jp-journals-10005-2482  |  Open Access | 

Abstract

Background: Gingival enlargement or gingival overgrowth (GO) is a very common complication of the various classes of drugs and the most common being, the anticonvulsant drug phenytoin (PHT). PHT and its metabolites have a direct effect on the periodontal tissues; with poor oral hygiene also contributing to the severity of inflammation in patients with drug-induced gingival overgrowth (DIGO). Case description: Here we present a case of PHT-induced gingival overgrowth (PGO) in a 12-year-old male patient and discuss the management of the condition. Conclusion: Management of drug-induced overgrowth of gingiva includes strict oral hygiene maintenance practice, meticulous professional care with several adjunctive periodontal therapies like photodynamic therapy and Local drug delivery. Surgical treatment is indicated if the overgrown tissue has become fibrotic. Clinical significance: The pediatric dentist plays an important role in early identification and proper management of the condition by timely intervention and collaboration with other specialists.

440

CASE REPORT

Joby Peter, Tharian B Emmatty, Bijimole Jose, John J Methippara, Ronin Sebastian, Sreelakshmi Vasu

Unicystic Ameloblastoma Associated with Primary Mandibular Second Molar: A Case Report

[Year:2023] [Month:November] [Volume:16] [Number:S3] [Pages:4] [Pages No:S335 - S338]

Keywords: Carnoy's solution, Case report, Surgical enucleation, Unicystic ameloblastoma

   DOI: 10.5005/jp-journals-10005-2701  |  Open Access | 

Abstract

Background: Unicystic ameloblastoma is a rare, benign, locally invasive odontogenic neoplasm of young age that shows clinical, radiographic, or gross features of an odontogenic cyst but histologically shows typical ameloblastomatous epithelium lining part of the cyst cavity, with or without luminal and/or mural tumor growth. Aim: To report a case of an asymptomatic unicystic ameloblastoma in a 12-year-old child, along with its management and follow-up. Case description: A 12-year-old boy presented with swelling with respect to the left body of the mandible. The orthopantomogram (OPG) and computed tomography scan revealed a large unilocular radiolucency in the left mandible associated with the primary second mandibular molar. Complete enucleation of the cyst and extraction of the associated primary teeth and underlying permanent teeth were done under general anesthesia. Carnoy's solution was applied in the bone cavity for 3 minutes with cotton applicators. Postoperative healing was uneventful. Prosthetic rehabilitation was done during the follow-up period. Conclusion: Unicystic ameloblastoma is rarely seen in younger children, so a pediatric dentist must be cautious while diagnosing an intraoral swelling. Timely intervention and conservative surgical treatment, along with a proper follow-up, improved the treatment outcome and prevented potential complications in the future. Clinical significance: This report highlights the salient features of unicystic ameloblastoma to be able to accurately diagnose and manage the lesion.

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