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Journal of Indian Society of Pedodontics and Preventive Dentistry Official publication of Indian Society of Pedodontics and Preventive Dentistry
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   2012| October-December  | Volume 30 | Issue 4  
    Online since March 19, 2013

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Surgical management of impacted incisors in associate with supernumerary teeth: A combine case report of spontaneous eruption and orthodontic extrusion
D Das, J Misra
October-December 2012, 30(4):329-332
DOI:10.4103/0970-4388.108932  PMID:23514686
Maxillary permanent incisors impaction is not a frequent case in dental practice, but its treatment is challenging because of its importance to facial esthetics. Supernumerary teeth are the main cause of impaction of upper incisors. Supernumerary teeth when present can cause both esthetic and pathologic problems. Early detection of such teeth is most important if complications are to be avoided. In this reported case, the orthopantamogram of a 9-year-old boy revealed two impacted supernumerary teeth in the maxillary anterior region, which was interfering with the eruption of the permanent central incisors. The impacted supernumerary teeth were surgically removed, 11 was repositioned in the arch as it was situated very high in the arch, close to the nasal floor. Twenty-one erupted spontaneously but orthodontic force was applied over 11 to bring it into the occlusion and alignment was achieved with 0.014 mm NiTi wire.
  10,629 526 -
Exploring the relation between body mass index, diet, and dental caries among 6-12-year-old children
A Elangovan, J Mungara, E Joseph
October-December 2012, 30(4):293-300
DOI:10.4103/0970-4388.108924  PMID:23514680
Background and Aim: Childhood overweight and obesity are becoming a major public health concern all over the world. Change in lifestyles and economic growth have led to sedentary lifestyle and altered dietary patterns. There are conflicting reports in the literature regarding the association between body mass index (BMI) and dental caries from various parts of the world. The aim of the present study was to determine if there is an association between BMI-for-age and dental caries in children and to find out the role of diet with respect to BMI-for-age and dental caries. Materials and Methods: Demographics and anthropometric measurements were obtained for 600 children and BMI-for-age was calculated. Clinical examination for dental caries was carried out following WHO criteria. A diet recording sheet was prepared and children/parents were asked to record the dietary intake for 3 days. Data obtained were statistically analyzed using Chi-square, analysis of variance (ANOVA), and multiple linear regression. Results: After excluding improperly filled diet recording sheets, 510 children were included in the study. Caries prevalence was more in obese children than in other BMI groups. Caries scores increased as BMI-for-age increased, though this was not statistically significant. Consumption of fatty foods and snacks was more with obese children compared to other groups. A correlation was found between caries and snacks. Conclusion: Dental caries scores showed no relationship between BMI-for-age in children. Both snacks and fatty food items were consumed more by obese children, which seeks attention.
  9,311 873 1
Management of early loss of first permanent molar: A new technique
BS Rajashekhara, JM Keyur, D Bhavna, KS Poonacha
October-December 2012, 30(4):349-351
DOI:10.4103/0970-4388.108942  PMID:23514691
The loss of a permanent first molar in adolescent patient creates a need for early space maintenance and restoration of function. To ascertain function and esthetics, immediate treatments include interim restorative approaches. This paper describes a conservative, functional and cost-effective bridge as an interim restoration after the loss of permanent first molar in an early adolescent dentition.
  8,567 902 -
Paradental cyst of the first molar: Report of a rare case with bilateral presentation and review of the literature
AE Borgonovo, P Reo, GB Grossi, C Maiorana
October-December 2012, 30(4):343-348
DOI:10.4103/0970-4388.108940  PMID:23514690
The paradental cyst is a lesion classified and recognized by World Health Organization quite recently, which is related to an inflammatory process, especially pericoronitis, involving a tooth in eruption. The aim of this article is to report a rare bilateral case of paradental cyst. An 8-year-old boy presented to the Oral Surgery Department, Dental Clinic, Istituto di Ricerca e Cura a Carattere Scientifico (IRCCS) Fondazione Ospedale Maggiore Policlinico, University of Milan, with the complaint of swelling over the buccal gingiva of his unerupted lower left first molar. Radiographs revealed a radiolucency involving the bifurcation and root area of teeth 36 and 46. The cysts were enucleated, maintaining the affected teeth in site; microscopic evaluation revealed a chronically inflamed cyst lined by a non-keratinized stratified squamous epithelium; the histopathology associated with macroscopic and radiographic examinations permitted the definitive diagnosis of a paradental cyst on the mandibular left and right first molars. The most recent literature shows the rarity of the paradental cyst occurring with bilateral localization. Because the paradental cyst can present variable clinical and radiographic signs, it is mandatory to correlate all clinical, radiographic, and histological data to obtain a definitive diagnosis.
  8,476 407 1
Comparison of the pain perception in children using comfort control syringe and a conventional injection technique during pediatric dental procedures
M Langthasa, R Yeluri, AA Jain, AK Munshi
October-December 2012, 30(4):323-328
DOI:10.4103/0970-4388.108931  PMID:23514685
Objective: To evaluate and compare the pain perception by the pediatric patients, while experiencing computerized injection device comfort control syringe (CCS) and the conventional injection technique during dental clinical procedures. Materials and Methods: Fifty children (31 boys and 19 girls) aged 6-14 years requiring local anaesthesia on both sides of the dental arch for various treatment procedures were selected for this study. The patients served as their own control, and on the appointed day CCS was used on one side of the dental arch and on the subsequent appointment, i.e., the very next day conventional injection technique was used. Visual analogue scale (VAS) and faces pain rating scale (FRS) were used to assess the child's pain perception to each of the techniques immediately after the injection. Various physiological parameters were measured before, during and after the two injection procedures and compared for statistical variation. Results : Paired t-test revealed a statistically significant difference in the pain perception by children using VAS and FRS between computerized and conventional technique. No statistically significant difference was observed when physiological parameters (heart rate, blood pressure and temperature) were compared at various intervals between the computerized and the conventional technique. Conclusion: Computerized injection device (CCS) provides less painful injections when compared to the conventional injection technique.
  6,514 774 1
Prevalence of dental fluorosis in relation with different fluoride levels in drinking water among school going children in Sarada tehsil of Udaipur district, Rajasthan
BU Sarvaiya, D Bhayya, R Arora, DN Mehta
October-December 2012, 30(4):317-322
DOI:10.4103/0970-4388.108929  PMID:23514684
Aim: To estimate the prevalence of dental fluorosis in relation with different fluoride levels in drinking water among school going children of 6-12 years age group. Materials and Methods: Dental fluorosis was recorded using Dean's index in school children of selected villages. The drinking water samples of all the selected villages were collected in polyethylene bottles and the fluoride content of these samples was determined by fluoride ion selective method using Orion microprocessor analyser. Results: The overall prevalence of dental fluorosis was found to be 69.84%. An increase in the community fluorosis index (CFI) with corresponding increase in water fluoride content was found. Conclusion: There was an increase in prevalence of dental fluorosis with a corresponding increase in water fluoride content from 0.8 ppm to 4.1 ppm. A significantly strong positive correlation was found between CFI and fluoride concentration in drinking water.
  5,857 451 1
Comparative evaluation of shear bond strength of three pit and fissure sealants using conventional etch or self-etching primer
JK Dhillon, A Pathak
October-December 2012, 30(4):288-292
DOI:10.4103/0970-4388.108922  PMID:23514679
Aims: To compare the shear bond strength of three different pit and fissure sealants and evaluate the effect of a self-etching primer on shear bond strength of these three pit and fissure sealants as compared to conventional etch. Materials and Methods: One hundred and eighty newly extracted non carious permanent molars were selected. The mesial or distal surface was cleaned and polished to obtain a flat enamel surface. The specimens were randomly divided into three groups of sixty teeth each and each group further divided into two subgroups of thirty each. The teeth in one subgroup were treated with 37% phosphoric acid etchant and the other subgroup with self-etching primer before formation of a sealant button using a Teflon mold. Then specimens were tested in a shear mode at a crosshead speed of 1 mm/minute. Results: The average bond strengths using conventional etch were: (1) Eco-S = 13.0986 MPa; (2) ClinPro = 13.4317 MPa; and (3) Dyract Flow = 13.0292 MPa and with self - etching primer were: (1) Eco-S = 19.7011MPa; (2) ClinPro = 20.8069 MPa; and (3) Dyract Flow = 19.5207 MPa. The values with self-etching primer were higher than and statistically different from those with the conventional etch system (student t test, P < 0.005). Conclusion: It was concluded that the bond strengths of self - etching primer in conjunction with pit and fissure sealant, exceeded those of conventional etch.
  4,539 610 -
Comparison of the fracture resistance of reattached incisor tooth fragments using 4 different materials
R Singhal, A Pathak
October-December 2012, 30(4):310-316
DOI:10.4103/0970-4388.108927  PMID:23514683
Aim: To evaluate and compare the fracture resistance of reattached teeth using four different materials. Materials and Methods: 150 extracted human permanent maxillary incisors were randomly divided into five groups of 30 teeth each of one control and four experimental groups. Teeth in experimental groups were sectioned 2.5 mm from incisal edge and reattached using four different materials. The reattached teeth were subjected to evaluate fracture resistance. Results: The mean fracture resistance of reattached teeth using resin modified glass ionomer cement, compomer, composite resin and dual curing resin cement was 8.10 ± 2.34, 11.15 ± 3.36, 17.11 ± 3.99 and 14.13 ± 3.71 kg respectively. Results showed highly significant difference between the groups ( P < 0.001). Conclusion: Fracture resistance of reattached teeth in the different groups varied from 24-51% of that for an intact tooth. Reattachment with composite resin provides highest fracture resistance ( P < 0.05). Reattachment with resin-modified glass ionomer cement was the weakest ( P < 0.05).
  4,469 536 1
Evaluation of resistance of teeth subjected to fracture after endodontic treatment using different root canal sealers: An in vitro study
SS Bhat, SK Hegde, A Rao, AK Shaji Mohammed
October-December 2012, 30(4):305-309
DOI:10.4103/0970-4388.108926  PMID:23514682
Aims: The aim of this study was to compare the ex-vivo effects of different root canal sealers on the fracture resistance of endodontically treated teeth. Materials and Methods: Seventy-five freshly extracted human mandibular premolars were used for the study. The length was standardized to 14 mm and all the teeth were biomechanically prepared and divided into five different groups based on the type of root canal sealers used. Group I:- Roeko seal + gutta percha, Group II: AH plus ® root canal sealer + gutta percha, Group III: PULPDENT root canal sealer + gutta percha, Group IV: Zinc oxide-eugenol sealer + gutta percha, Group V: Control (unobturated teeth). The teeth were embedded in acrylic resin blocks and compressive strengths were measured using universal testing machine (Instron). Statistical Analysis Used: One-way ANOVA, unpaired t- test Results: Data obtained were statistically evaluated using one-way ANOVA and unpaired t-test. All groups showed a statistically significant result (P < 0.05). Teeth obturated with Group I and Group II showed higher resistance to fracture than teeth obturated with other three Groups. It was seen that the teeth obturated with group III showed a better fracture resistance than Group IV and there was no statistical significance found between Group and Group V. Conclusions: From this study, it has been concluded that both the resin based sealers that were used in this study were equally effective compared to that of the zinc oxide-based sealers and the control group. However, no significant results were obtained when the comparison was made between zinc oxide-eugenol and gutta-percha and the control group.
  4,577 424 -
Firecracker explosion in the mouth of a 3-year-old child
D Sardana, A Goyal, K Gauba
October-December 2012, 30(4):337-339
DOI:10.4103/0970-4388.108935  PMID:23514688
Facial soft tissue injuries are commonly associated with majority of pediatric trauma cases. A rare case of soft tissue trauma caused due to explosion of a firecracker intraorally in a 3-year-old child is being presented.
  4,051 247 -
Fabricating feeding plate in CLP infants with two different material: A series of case report
R Gupta, P Singhal, K Mahajan, A Singhal
October-December 2012, 30(4):352-355
DOI:10.4103/0970-4388.108943  PMID:23514692
Feeding is a family's biggest concerns when a child is born with cleft lip and/or palate. The goal for that child is to have as near normal feeding as possible. This report presents fabrication of feeding plates in two infants born with cleft lip and palate using two different materials.
  3,905 381 -
Comparative evaluation of fluoride release from hydroxyapatite incorporated and conventional glass ionomer cement: An in vitro study
S Tiwari, B Nandlal
October-December 2012, 30(4):284-287
DOI:10.4103/0970-4388.108921  PMID:23514678
Background: Glass ionomers are most commonly used esthetic restorative material, but has inferior mechanical properties. The search to improve its mechanical properties led to the use of hydroxyapatite (HA) whiskers as strengthening material for glass ionomer cement but its effect on fluoride release is still not clear. Aims: To evaluate and compare the fluoride release from HA incorporated glass ionomer and conventional glass ionomer cement (CGIC). Settings and Design: This in vitro study comprised of total forty sample. Twenty Specimens of each HA incorporated glass ionomer and conventional glass ionomer were fabricated. Materials and Methods: Specimens were suspended individually in 25 mL of distilled water in a 50 mL plastic container and stored at 37°C. Distilled water was renewed every 24 h for 21 days. Fluoride release of sample was measured every 24 h for 7 days and weekly from 7 th day to 21 st day using Sension4 pH/ion selective electrode/mV meter. Statistical Analysis Used: Descriptive statistics, Repeated Measure analysis of variance, Paired Sample t-test, Independent Sample t-test, scheffe post hoc test. Results and Conclusion: There was a significant decrease in the mean fluoride release from day 1 to day 21 for both the groups hydroxyapatite glass ionomer cement and conventional glass ionomer cement ([HA-GIC] and CGIC). Though, the mean values of HA-GIC were slightly lower than C GIC, there was no statistically significant difference in the mean fluoride release between HA-GIC and CGIC throughout the experimental period. Within the limitations of this experimental design, definitive conclusions cannot be drawn and further investigations at a molecular level are needed to evaluate the trend of fluoride release from this material.
  3,494 498 -
Esthetic-functional recovery of permanent posterior tooth using autogenous biological restoration
AM Botelho, KTA Tavano, P Correa-Faria, LNS Morato, MR Viana
October-December 2012, 30(4):333-336
DOI:10.4103/0970-4388.108934  PMID:23514687
Occlusal morphology and difficult access for cleaning permanent molars result in the buildup of bacterial plaque and the development of caries. One method known as biological restoration was carried out. This technique known as biological restoration, has as main restorative material a fragment obtained from a duly donated extracted human tooth. This case report describes the restoration of an extensively decayed molar through the bonding of a fragment obtained from a third molar extracted from the patient himself. Biological restoration is a low-cost option that offers satisfactory aesthetic, morphological and functional results.The morphological/functional reestablishment of posterior teeth can be obtained through biological restoration, which allows the recovery of properties inherent to the dental structure, offers satisfactory aesthetic results and low cost.
  3,413 345 1
An assessment of the relationship between cervical vertebrae maturation index and eruption of permanent maxillary canines
DS Kothavade, RK Pandey, A Nagar
October-December 2012, 30(4):301-304
DOI:10.4103/0970-4388.108925  PMID:23514681
Aim : The purpose of the present study was to establish the relationship between the eruption of permanent maxillary canines and cervical vertebral maturation stages (CVMs) to assess an alternative method for determining time of canine eruption in the late mixed dentition. Materials and Methods : One hundred and twenty subjects with erupting permanent maxillary canines were observed both intraorally and radiographically with orthopantamograms. Lateral cephalograms were recorded to divide subjects according to CVM stage into prepeak (CS1 and CS2), peak (CS3 and CS4) and postpeak (CS5 and CS6) groups of puberty. Statistical Analysis : The differences between the prevalence rates of canine eruption in different groups of puberty were estimated using 'z test'. Results : Prepeak group comprised of forty six subjects, peak group sixty eight subjects and postpeak group six subjects. The differences in prevalence rates between peak and prepeak and between peak and postpeak groups were noticed highly significant (p<0.001), while prevalence rates between peak and postpeak was found less significant ( p0 <0.01). Conclusion : Eruption of the permanent maxillary canine can occur at any CVM stage till end of the puberty or after puberty (CS1-CS6). Thus, an absence of maxillary canine during or after postpeak stage of puberty (CS5 or CS6) suggests delayed eruption and canine impaction.
  3,388 330 -
Aneurysmal bone cyst of maxilla existing concurrently with a giant cell granuloma of mandible: A case report of an unusual presentation
SS Arora, A Grover, VV Kumar, S Arora
October-December 2012, 30(4):340-342
DOI:10.4103/0970-4388.108938  PMID:23514689
Aneurysmal bone cysts (ABCs) are relatively rare but well-described expansile, osteolytic psuedocysts are most commonly seen in the long bones, pelvis, and vertebra. Although a well-described lesion, much confusion exists in its pathogenesis especially of the associations of this lesion with other lesions. Approximately, one-third of patients with ABC present simultaneously with another bone pathology. The aim of this paper is to describe a rare case of simultaneously occurring ABC of the maxilla and mandible with the mandibular lesion occurring predominantly as a giant cell granuloma. The paper discusses the various histopathological variations of ABC as well as different lesions associated with ABC and tries to provide a review of different pathogenesis theories of this interesting lesion.
  3,245 293 1
Peripheral osteoma as a marker of Gardner's syndrome, and what then must we do?
P Pitak-Arnnop, K Dhanuthai, A Hemprich, NC Pausch
October-December 2012, 30(4):356-357
DOI:10.4103/0970-4388.108946  PMID:23514693
  2,152 141 -
Greetings from Davangere
VV Subba Reddy
October-December 2012, 30(4):283-283
DOI:10.4103/0970-4388.108920  PMID:23514677
  2,048 155 -
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  2005 - Journal of Indian Society of Pedodontics and Preventive Dentistry | Published by Wolters Kluwer - Medknow 
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