Objective: To evaluate the reduction of microbial loading using Morinda citrifolia (M. citrifolia), Triphala, and Camellia sinensis (C. sinensis) as irrigating agents in deciduous molars after pulpectomy. Materials and methods: A controlled, randomized clinical trial involving 150 multirooted deciduous molars from both genders between 6 and 9 years old children were included, 30 molars irrigated with M. citrifolia (group I), Triphala (group II), C. sinensis (group III), chlorhexidine (CHX) (group IV), and saline (group V) each. In all cases, two microbiological samples from within the canal were taken with sterile paper points, one before the first irrigation and the other immediately after pulp extirpation. Cleaning and shaping were completed with intermittent irrigation with 10 mL of experimental irrigants in the initial visit. After 3 days, reentry to the root canal was obtained, rinsed with 5 mL of the test irrigants, and the second microbial sample was collected. All the microbial samples obtained were cultured under anaerobic conditions on blood agar. The colony-forming units (CFUs) were counted using a colony counter. Data was analyzed using paired student t-test and Tukey's post hoc test. Results: After analysis of the pre- and postsamples in all groups, a strong significant decrease in bacterial load (p ≤ 0.001) was found with CHX, M. citrifolia, and Triphala. Conclusion: Morinda citrifolia (M. citrifolia) and Triphala, with effective antimicrobial efficacy, can be suggested as an alternative root canal irrigant as CHX, while C. sinensis was found ineffective in reducing microbial count as normal saline.

Background: Children's age is a significant predictor factor for their panic and conduct intraoperatively. A child's developmental stage influences their ability to handle stress in dental operations, and it seems that younger children are more anxious and have a better capacity to cope with dental procedures. Age and gender are said to have a significant influence on emotional quotient (EQ) and intelligence quotient (IQ), but the data regarding this is extremely sparse in the dental literature. Aim: To find the impact of age and gender on EQ, IQ, panic, and conduct of children in an oral care setup. Materials and methods: A total of 57 female and 50 male (total 107) children were considered participants aged 7–12 years. The study was executed in two sessions in the pediatric dentistry department. In the first session, “Bar-On emotional quotient inventory: youth version (Bar-On EQ-i: YV)” and the “Raven's colored progressive matrices (RCPM)” tests were administered to evaluate the EQ and IQ of the children, and a clinical psychologist supervised and guided the whole procedure. In the second appointment, anxiety was recorded using the “faces version of the modified child's dental anxiety scale (MCDAS_(f)),” whereas behavior was recorded with the “sound, eye, and motor (SEM) scale.” Interpretation of data was done by statistical methods. Results: The difference in IQ scores between the groups aged 7–9 and 10–12 years was not statistically significant. There was a statistically notable difference (p-value of 0.006) in the RCPM IQ scores among male and female participants, where female participants scored better. There was a statistically insignificant variation in total EQ scores between male and female participants. Based on age and gender, a statistically insignificant variation was noted in the anxiety scores (MCDAS_(f)) among participants. A statistically notable difference (p-value of 0.018) was seen between the SEM scores of the 7–9 and 10–12 years age-groups. SEM scores of male and female participants showed no significant difference. Conclusion: There was no influence of age on the IQ and EQ scores of the participants. A gender difference was found in relation to the IQ scores and the intrapersonal and stress management subscales of EQ. Based on age and gender, there was a statistically nonsignificant difference between the anxiety scores (MCDAS_(f)) of the participants. A statistically notable variation was seen between the SEM scores for behavior of the 7–9 and 10–12 years age-groups. Statistically insignificant variation was noted between the SEM scores of both genders.

Introduction: Stainless steel crowns (SSCs) are the most durable and effective restorations for primary teeth. Titanium-coated SSCs are newer on the market, and this study was conducted to assess the amount of nickel (Ni) and titanium ions released from titanium-coated SSCs, with and without trim, in artificial saliva. Materials and methods: A total of 60 titanium-coated SSCs were divided into two groups—group I (n = 30, without trim) and group II (n = 30, with trim) and were immersed in 5 mL artificial saliva. The amount of Ni and titanium released in each group was measured by inductively coupled plasma-mass spectrometry on days 1, 7, and 21. Results: The amount of Ni ion released in group I on day 1 was 0.0096 ppm and reduced on day 7 (0.0091 ppm) and day 21 (0.0088 ppm). Whereas the amount of Ni ion released in group II was the same for all 3 days (0.0096 ppm). The amount of titanium ion released in both groups was the same on all 3 days (0.00108 ppm). Conclusion: There was no significant difference seen in the mean Ni and titanium ion release between the two groups on all 3 days. The cumulative release of metals from titanium-coated SSCs in each of the groups was significantly lower than the level required to produce any harmful effects. Any of the groups of commercially available SSCs can be used in pediatric dentistry.

Introduction: Early childhood caries (ECC) is a major common problem seen in children and is the most prevalent chronic disease that leads to discomfort, pain, and poor quality of life, affecting the health of children. Alkaline phosphatase (ALP) is a nonspecific phosphomonoesterase that functions through a phosphoery 1 intermediate to produce free inorganic phosphate. It has different isoenzymes produced by different cell types such as polymorphonuclear leukocytes, osteoblasts, macrophages, and fibroblasts within alveolar bone and/or salivary glands. Various studies show that higher ALP activity is related to periodontal disease and dental caries. Aim: This study aims to estimate and correlate salivary Alkaline Phosphatase enzyme activity in the saliva of children with and without ECC. Materials and methods: A total of 50 children were included in the study, divided into two groups—caries-active and caries-free, each consisting of 25 participants. Unstimulated saliva samples were collected and subjected to a spectrophotometer for analysis. ALP enzyme activity levels were estimated and correlated between caries-active and caries-free children. Results: The correlation between caries score and ALP activity was statistically significant, with a moderate correlation. The comparison of mean ALP activity between caries-active and caries-free groups was statistically significant. However, the comparison of ALP based on different age-groups and gender was not statistically significant. There was a statistically significant correlation between caries scores and the caries-active group. Conclusion: In conclusion, there is a substantial correlation between ALP enzyme levels and the severity of dental caries. An increase in ALP enzyme level is linked to a considerable rise in caries severity. Therefore, prevention may be possible with early detection.

Objective: This qualitative study was conducted to explore the perceptions of dental teachers about utilizing blended learning (BL) in undergraduate teaching following the COVID-19 pandemic. The objectives were to study their willingness to move to BL and to identify the reasons for their willingness or lack thereof for this transition. Materials and methods: This descriptive qualitative study is part of doctoral research that was conducted among health sciences teachers from the state of Maharashtra, India. The population for this study included all dental teachers from the 38 dental colleges in the state. To ensure proper representation of teachers, a proportionate stratified sampling method was used. The research tool used in this study was developed and validated, and data collection was conducted online using SurveyMonkey. Results: The results showed that 137 (97.16%) teachers were inclined toward utilizing BL. Thematic analysis of the responses received was carried out using NVivo software. Around 10 main emergent themes were identified, which were grouped under four key areas. The majority of the dental teachers were appreciative of the benefits of BL in terms of accessibility, flexibility, and learner engagement, but some preferred traditional teaching methods. Conclusion: For the dental teachers to continue with BL in instruction, there is a need to empower them via faculty development programs for successful adaptation to technology-enhanced instruction and to overcome the limitations and challenges associated with technology integration in education. The transformation from traditional face-to-face to technology-enhanced BL seems to be a worthwhile opportunity for future dental education.

Background: Dental caries is the most common disease in childhood and has an impact on general health status. The topical application of fluoride varnishes has been used for the prevention and control of dental caries due to their high fluoride content, adhesion capacity, and safety. Silver has a varied application in medicine as well as in dentistry due to its anticaries, antimicrobial, and antirheumatic potentials. The introduction of nanosilver fluoride (NSF) was made with advancements in technology to overcome the drawbacks of silver diamine fluoride (SDF). Aim: To compare and evaluate the microhardness and microleakage of NSF varnish and sodium fluoride (NaF) varnish. Materials and methods: An in vitro comparative experimental study was carried out between synthesized NSF and commercially available NaF, with 20 samples in each group. The specimens were sectioned and subjected to microhardness evaluation using Vickers microhardness testing and the dye penetration method to evaluate the microleakage. Results: The average microhardness was found to be 230.7218 VMH for NSF (group I), 198.9841 VMH for NaF (group II), and 91.6120 VMH for group III. These differences were statistically significant when compared with each other (p = 0.002). In 50% of the samples, no dye penetration was seen in the NSF group, compared to the NaF varnish group, where 75% of the samples exhibited penetration onto the varnish interface or the varnish and tooth interface. Conclusion: Nanosilver fluoride proves to be an effective alternative to commercially available topical fluoride agents such as NaF. It has greater microhardness and lower microleakage than NaF and the control teeth. Clinical significance: Nanosilver fluoride varnish can be used as a cost-effective alternative to NaF varnish and SDF. It can be applied with minimal training by healthcare workers or general practitioners.

Nasal breathing protects the upper airway and is responsible for adequate craniofacial development. It is believed that long-standing obstruction causes mouth breathing, which has a negative impact on the craniofacial complex. Aim: The study aimed to verify the effects of mouth breathing on the dentofacial structure by employing cephalometric analysis. Materials and methods: The present study was conducted on 68 patients (34 mouth-breathing group or study group and 34 nasal-breathing group or control group) aged 6–14 years. Study subjects were screened based on the inclusion and exclusion criteria. Clinical assessment of nasal function was done to select the mouth breathing patients and referred for ear, nose, and throat (ENT) clearance. Lateral cephalograms were taken for the study subjects, including both nasal and mouth breathers, over which selected landmarks were marked to evaluate linear, skeletal, and dental angular variables for comparison with cephalometric variables of a normal child. Results: The mean values of facial height (N-Me, ANS-Me) and mandibular plane angle (SN-GoGn) were significantly higher for mouth breathers. The gonial angle (Ar-GoMe) for ages 6–14 years was significantly lower in the nasal breathing group. Conclusion: The study led to the conclusion that all subjects with a history of mouth breathing showed an increase in facial height, gonial angle, and mandibular plane angle. Clinical significance: Evaluating dentoskeletal changes in a patient with a mouth-breathing habit helps discern the importance of early identification and interception at an early age, thereby ensuring a functional environment adequate for physiological growth and dentofacial esthetics.

Aims and background: The efficacy of self-assembling peptide P11-4 in combination with calcium-phosphate-based remineralization agents in remineralizing caries-like lesions in primary enamel was evaluated using a 21-day pH cycling experiment by Vickers microhardness [Vickers hardness number (VHN)] and scanning electron microscopy (SEM). Materials and methods: A total of 120 primary enamel samples were made to undergo a demineralization cycle to produce caries-like lesions. They were divided into six groups, namely negative control (NC), positive control (P11-4), and four interventional groups in which each of the following calcium-phosphate-based agents were used in combination with P11-4—calcium sucrose phosphate (CSP), bioactive glass (BG), casein phosphopeptides, and casein phosphopeptides with fluoride. A 21-day pH cycling experiment was carried out with alternating demineralization and remineralization phases. The enamel samples were analyzed at baseline, post production of caries-like lesions, and post 21-day pH cycling using Vickers microhardness and SEM. Results were statistically analyzed using repeated measures of analysis of variance (ANOVA), keeping the level of significance at 0.05. Results: Supplementing P11-4 with calcium-phosphate-based agents improved the surface hardness of the demineralized primary enamel samples, among which the fluoridated milk protein-based remineralization agent yielded a statistically significant improvement. Conclusion: P11-4 promoted the regeneration of incipient caries-like lesions. However, there is added benefit when this peptide is used in combination with a fluoridated calcium-phosphate-based agent. Clinical significance: This study would help the clinician compose an effective regimen for the patient to follow at home posttreatment with P11-4, in-office treatment.

Background: Age assessment is useful in various fields of dentistry due to its ability to influence the planning of dental treatments. Dental age estimation methods are specifically based on age-related variables observed in two-dimensional (2D) radiographs in the dentition in terms of the time of emergence and are considered reliable in determining the chronological age; however, the inevitable problems of orientation errors found in 2D can be eliminated using cone beam computed tomography (CBCT). Objective: This study aimed to compare the accuracy of different radiological dental age estimation methods using CBCT in relation to the chronological age of children. Materials and methods: A total of 100 CBCT images of patients in the age-group of 8–15 years requiring orthodontic treatment were obtained from December 2019 to August 2022. The exact chronological age was determined through valid proof, that is, aadhar card or birth certificate. The dental age of the children was assessed using all four methods—Nolla's method (NM), Demirjian method (DM), Schour and Massler (S&M), and Cameriere method (CM). Results: The results found that NM underestimated the mean age by 0.24 years, while DM overestimated the mean age by 0.82 years. Both showed statistically significant differences based on the standard deviation (SD) (p < 0.05). S&M and CM also overestimated the mean age by 1.16 years and 2.75 years respectively, but with statistically nonsignificant differences (p > 0.05). Conclusion: Among the four tested radiographic methods, the best accuracy was found with NM, which tended to underestimate but was closest to the chronological age. CBCT provided better age estimation values without image distortion.

Background and objectives: Nanosilver sodium fluoride (NSF) has recently gained popularity in dentistry as an alternative to silver diamine fluoride (SDF) due to its drawbacks of staining the tooth black and possibly causing soft tissue injury, which has been eliminated in NSF due to the nanoparticle size of silver. This study aims to assess the microtensile bond strength of glass ionomer cement (GIC) and resin-modified glass ionomer cement (RMGIC) with pretreatment of NSF on extracted primary carious teeth. Materials and methods: Teeth were stored in 10% formalin. The roots were severed, and the pulp chambers were cleaned. The occlusal enamel was ground, reducing the dentin thickness by 1 mm. The specimens were covered with nail varnish, leaving only the area of flat dentin exposed. Caries were induced microbiologically by inoculating Streptococcus mutans. Group I—NSF with GIC restoration, group II—NSF with RMGIC restoration, group III—restoration with GIC, and group IV—restoration with RMGIC. After different surface treatments of the carious dentin were performed, each specimen was placed in the testing jig of a universal testing machine and stressed in tension at a crosshead speed of 1 mm/minute until bond failure was observed. They were air-dried and placed under a scanning electron microscope. The failure modes—adhesive, cohesive, and mixed failure were recorded for statistical evaluation. Results: Maximum results of microtensile bond strength were seen in the pretreatment group with NSF sealant, followed by RMGIC restoration, and the least results were observed in the conventional GIC restoration group. Of all the types of failures in our study, adhesive was the maximum type. Interpretation and conclusion: The microtensile bond strength of pretreatment with NSF showed higher values when compared to conventional restorations of GIC and RMGIC. The failure modes in each group were not significantly varied. Pretreatment with NSF will prevent secondary caries formation, and the restorations will also be stronger.

Aim: The purpose of the present study was to compare the clinical efficacy of GC Gold Label IX, GC Gold Label IX Extra, and GC Gold Label Hybrid in occlusal surface cavities in primary molars prepared by hand instrumentation technique. Materials and methods: Ninety primary molars were selected from the children according to the inclusion and exclusion criteria. The selected teeth were randomly allocated into the following three groups, with 30 teeth in each group, according to the restorative material used: group I: GC Gold Label IX, group II: GC Gold Label IX Extra, and group III: GC Gold Label Hybrid. Occlusal cavities were prepared using hand instruments. Caries removal efficacy was verified using caries detector dye. The restorative materials were mixed and condensed into the prepared cavities. The restorations were assessed using modified United States Public Health Service (USPHS) evaluation criteria at 1, 3, and 6 months. Results: The results were tabulated and statistically analyzed using the Chi-squared test. No significant difference was found in terms of color match, marginal discoloration, marginal integrity, surface roughness, and secondary caries, but a significant difference was observed in terms of retention and anatomic form between group I and group III. Conclusion: GC Gold Label Hybrid exhibited better clinical performance with respect to GC Gold Label IX and comparable clinical performance with respect to GC Gold Label IX Extra. Clinical significance: GC Gold Label Hybrid is a newly developed glass ionomer cement (GIC), and its clinical performance needs to be studied.

Background and objective: Deciduous teeth portray less pain sensitivity in comparison to permanent teeth. Conventional vitality tests depend on the stimulation of nerve fibers. Loss of sensory function due to trauma can result in negative responses. Unpleasant painful stimuli may lead to apprehensiveness and require behavior management in children. This study is a genuine attempt to compare pulp oxygen saturation levels of deciduous posterior teeth clinically or radiographically diagnosed as reversible pulpitis (RP), irreversible pulpitis (IRP), and pulpal necrosis (PN) with healthy teeth using a pulse oximeter with probes in preoperative and postoperative conditions. Methods: A total of 120 deciduous posterior teeth from participants aged 4–9 years were evaluated using random stratified sampling, divided into four groups with 30 teeth each based on clinical and radiological interpretation—group I: noncarious (NC) (control group); group II: RP; group III: IRP; group IV: PN. Teeth from children meeting the inclusion criteria were recorded and examined. The data obtained were sent for statistical analysis. Results: A significant difference in pulp oxygenation rates was observed between teeth with pulpal pathologies and healthy teeth in both preoperative and postoperative conditions. Interpretation and conclusion: Pulpal diseases cause a reduction in oxygen saturation of the pulp vasculature, thereby affecting the vitality of the tooth. The pulse oximeter used in the neonatal intensive care unit (ICU) was suitable for determining SpO₂% in children. Clinical significance: Pedodontists face challenges in making diagnoses because children may provide false-positive or false-negative responses to stimuli or questions. Pulse oximetry is a boon as it is highly efficient, can be used chairside, is completely atraumatic, and eco-friendly.

Aim: To evaluate efficacy of oil pulling on caries activity of Streptococcus mutans. Materials and methods: A randomized controlled experiment was designed, with 60 children chosen at random. Following that, the participants were divided into three groups—group A: oil pulling using cold pressed coconut oil (Perfora*); group B: commercially available fluoridated mouthwash (Kidodent*); group C: distilled water as control. Saliva samples were collected at baseline, immediately, and 2 weeks postoperatively. To assess the effectiveness of coconut oil, fluoride mouthwash, and distilled water, microbiological examination was carried out and colonies were counted. Results: Both group A (oil pulling with coconut oil) and group B (commercially available Kidodent mouthwash) experienced a statistically significant decrease in colony count. Conclusion: Oil pulling is found to be as effective as commercially available fluoride mouthwash and can be used in conjunction with other aids for maintaining oral hygiene in children. Clinical significance: Oil pulling is a natural, economical, and organic alternative to medicated mouthwashes; hence, it can be used as an aid for maintaining oral hygiene.

Background: Routine dental procedures frequently involve invasive treatment, multiple injections, and the use of sharp, high-speed cutting instruments, and treatment is often extended over several visits, which are said to be stress-provoking events. Salivary chromogranin A (CgA) is a biomarker that can help clinicians evaluate and quantify the stress experienced by a child during these procedures. Aim: To quantify the changes in salivary CgA levels in children before, during, and after routine dental procedures for multiple appointments. Materials and methods: Eight children, aged 6–8 years, visiting a clinic for the first time and requiring one class I restorative treatment and another treatment involving the use of local anesthesia were included in the study. Unstimulated salivary samples were collected from them during three visits—outpatient department (OPD), before, during, and after restorative treatment at the second visit, and before, during, and after treatment using local anesthesia in the third visit. The salivary samples were centrifuged, stored, and analyzed for CgA. Results: Salivary CgA levels showed a nonsignificant increase from 2.56 to 3.21 pmol/mg protein during the restorative treatment, followed by a nonsignificant reduction after cessation of the treatment. Whereas, salivary CgA levels before the use of local anesthesia were 1.88 pmol/mg protein, which showed a nonsignificant increase to 2.24 pmol/mg protein after its administration and progressed further to 3.27 pmol/mg protein even after the cessation of the treatment. Conclusion: The use of an airotor can cause an increase in stress levels in children, and local anesthesia administration is a more stress-provoking stimulus than an airotor. Multiple visits allow desensitization, which reduces stress and anxiety. Also, salivary CgA can be used as a reliable stress indicator in children.

Background: Streptococcus mutans and Candida albicans are the chief microbes associated with severe early childhood caries (S-ECC). Diverse antimicrobial agents are widely used to prevent ECC, and a quest for newer natural products has been on the rise in the recent past. Aim: To estimate the antimicrobial activity of propolis with chlorhexidine on salivary specimens from children with S-ECC in vitro. Materials and methods: A total of 60 children with S-ECC were designated. Salivary samples of 30 children (group I) were inoculated onto mitis salivarius agar (MSA) to isolate S. mutans. Another 30 samples (group II) were inoculated on sabouraud's dextrose agar and subcultured on HiCrome Candida differential agar to isolate C. albicans. Sensitivity testing for 0.2% chlorhexidine and 10% propolis extract was done using the agar well diffusion technique using Mueller–Hinton agar medium. The antimicrobial effect was evaluated by calculating the diameter of the zone of inhibition surrounding the well. Results: All saliva samples collected from groups I and II showed growth of S. mutans and C. albicans, respectively. All cultured microbes were sensitive to 0.2% chlorhexidine and 10% propolis extract. The mean inhibition zone for S. mutans with chlorhexidine was 14.57 ± 0.63 mm, and with propolis, 11.93 ± 0.52 mm. The mean zone of inhibition for C. albicans with chlorhexidine was 12.83 ± 0.59 mm, and with propolis, 9.50 ± 0.73 mm. Chlorhexidine consistently showed statistically significantly larger zones of inhibition and hence appeared to be a more potent antimicrobial agent than propolis extract for both S. mutans and C. albicans. However, propolis has irrefutable action against both S. mutans and C. albicans. Conclusion: Propolis may be an acceptable substitute for chlorhexidine for long-term use as it has demonstrated antimicrobial activity and fewer side effects. Hence, this Association of Physicians of India herbal drug can be incorporated into mouthwashes and toothpaste to reduce microbial counts.

Aim and background: The management of avulsed immature teeth poses a significant challenge to clinicians, as prolonged dry time before reimplantation may lead to replacement resorption or ankylosis. Case description: Recent studies have shown promising results with the use of an intracanal proprietary pharmaceutical preparation, followed by sealing of the orifice with mineral trioxide aggregate (MTA). Angiography suggested the presence of vascularized tissue after 1 year, indicating successful regeneration of pulpal tissue in the radicular area. Conclusion: Despite an unfavorable crown-root fracture leading to tooth extraction after 9 months, histological examination revealed regular root dentin formation, indicating a favorable outcome. Clinical significance: These findings offer hope for the management of avulsed immature teeth and underscore the importance of early intervention and appropriate treatment selection.

Defects such as cleft palate often co-occur with velopharyngeal (VP) incompetence, leading to dysfunction and a characteristic nasal snort in patients. With the evolution of treatment concepts, treatment of cleft palate patients has been introduced where obturators have helped improve the speech of individuals with partial or total velar defects, that is, cleft of the soft palate. The soft palate separates the oral and nasal cavities. Treatment of VP function, especially VP incompetence, by palatal lift appliances, has become a part of the current trend for the rehabilitation of VP dysfunction. This case report describes the rehabilitation of a dentulous patient with a congenital soft palate defect using a functional impression technique in which a palatal plate with a solid one-piece pharyngeal obturator prosthesis has been used.

Direct pulp capping (DPC) includes covering the exposed pulp with a medication, dressing, or dental material to preserve its vitality. The idea behind this method of therapy is to induce the pulp to start a dentin bridge, “walling” the exposed site in the process. The most effective dental material to heal exposed pulp is calcium hydroxide. Mineral trioxide aggregate (MTA) causes the formation by causing cytologic and functional alterations in pulpal cells. Rosuvastatin shows pleiotropic effects like increased odontoblastic differentiation, increased mineralization, proliferation of odontoblasts, and induction of angiogenesis. Thus, the aim of the present study is to investigate pulp-dentin complex reactions following DPC with rosuvastatin vs MTA as pulp-capping materials in permanent human molars.

The primary dentition plays a very important role not only in the child's growth and development but also in the guidance and eruption of permanent teeth. Premature loss of a deciduous tooth or a group of teeth will lead to a wide range of implications in the permanent dentition. The best way to avoid these problems is to preserve the primary teeth in the arch until their normal time of exfoliation. However, in cases where extraction of teeth is unavoidable due to extensive caries, the safest option to maintain arch space is by placing a space maintainer. The present case report is about a 4-year-old male patient with bilaterally decayed, nonrestorable primary maxillary first molars. After examination and radiographic investigations, it was decided to extract teeth 54 and 64. Since the permanent successors were still in Nolla's stage 4, a space maintainer was planned to prevent any migration and space loss. To encourage a positive outcome, it was decided to carry out prosthetic intervention using a Nance appliance with functional components. After the replacement of the missing teeth, a marked improvement in function, along with space maintenance, was seen.

Aim and background: Direct restorations require skill and time to be performed properly; thus, it is a daily challenge for the pediatric dentist. Adapting techniques proven in adults can provide quick and easy solutions for children. In this case report, we describe the use of the occlusal stamp technique. Case description: An 8-year-old girl was diagnosed with dental caries in our dental practice. The treatment of her class I cavity was performed using a resin-modified glass ionomer (RMGI) and an occlusal stamp. The high viscosity of the RMGI and the ingenuity of the occlusal stamp allow for a lifelike occlusal anatomy. Conclusion: By copying the preoperative shape onto the restorative material, we performed a restorative treatment quickly and effectively. Pediatric dentists can perform biomimetic restorations with natural occlusal morphology using the occlusal stamp technique in a short time. Clinical significance: The occlusal stamp is a simple procedure to restore the occlusal anatomy. This technique reduces the working time. The qualitative and quantitative objectives are easily achieved, thanks to this tool.