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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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   2015| January-March  | Volume 33 | Issue 1  
    Online since January 9, 2015

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Early orthopedic correction of skeletal Class III malocclusion using combined reverse twin block and face mask therapy
Vinay Kumar Chugh, Pradeep Tandon, Veerendra Prasad, Ankita Chugh
January-March 2015, 33(1):3-9
DOI:10.4103/0970-4388.148960  PMID:25572365
A 6-year 8-month-old girl presented with a moderate Class III malocclusion characterized by mid-face deficiency and an anterior cross bite. In the first phase, the patient was treated with combination of reverse twin block and facemask therapy. In phase two, fixed appliances were placed in the permanent dentition. The post treatment results were good and a favorable growth tendency could be observed. The correction of the Class III malocclusion occurred by a combination of skeletal and dental improvements. This report shows successful correction of skeletal Class III malocclusion in the early transitional dentition using combination therapy.
  7,805 710 -
Conservative management of large radicular cysts associated with non-vital primary teeth: A case series and literature review
KS Uloopi, Raju U Shivaji, C Vinay, Pavitra , SP Shrutha, R Chandrasekhar
January-March 2015, 33(1):53-56
DOI:10.4103/0970-4388.149007  PMID:25572375
Radicular cysts are the most common odontogenic cystic lesions of inflammatory origin. Large radicular cyst is comparatively less frequently associated with primary teeth. They represent only 0.5-3.3% of the total number of cysts in primary dentition. Radicular cysts arising from deciduous teeth are reported to occur in age range of 3-19 years with a male predominance. Although large radicular cysts are treated by enucleation with extensive removal of bone and vital teeth, marsupialization can be preferred as a conservative approach to reduce the morbidity. The purpose of this article is to report a case series of large radicular cysts associated with badly mutilated and traumatized primary teeth and to demonstrate how best they can be conservatively treated during mixed dentition period.
  7,038 526 -
Evaluation of cavitated and non-cavitated carious lesions using the WHO basic methods, ICDAS-II and laser fluorescence measurements
Mridula Goswami, Anju Singh Rajwar
January-March 2015, 33(1):10-14
DOI:10.4103/0970-4388.148961  PMID:25572366
Aim: This study was aimed to compare the diagnostic outcome of the WHO criteria, ICDAS-II criteria and laser fluorescence measurements in measuring the caries ratings of children. Settings and Design: Cross-sectional study. Materials and Methods: The study involved 31 children between 3 and 14 years of age, attending the Department of Pedodontics at Maulana Azad College of Dental Sciences, New Delhi. The surface-related caries status was registered according to the WHO basic method criteria (1997). Additionally, the ICDAS-II visual criteria and the DIAGNOdent readings were documented. Statistical analysis used: The data were analysed with ezANOVA and Excel 2000 (Microsoft Corporation, Redmond, WA, USA). Results: The mean ICDAS-II values amounted to 8.76 ± 0.72. The mean values for DMFS/def were 7.67 ± 0.91, whereas for DIAGNOdent it amounted to 4.00 ± 0.62. Conclusions: In conclusion, this study showed the diagnostic potential of the ICDAS-II criteria in comparison to the traditional WHO criteria by means of the non-cavitated caries lesions additionally detected. The DIAGNOdent use in field studies that already apply detailed visual criteria seems to bring limited additional information.
  6,561 644 -
RMS Pictorial Scale (RMS-PS): An innovative scale for the assessment of child's dental anxiety
RM Shetty, M Khandelwal, S Rath
January-March 2015, 33(1):48-52
DOI:10.4103/0970-4388.149006  PMID:25572374
Background: Dental anxiety assessment for young children is as important as performing their treatment. Appropriate knowledge of patient's anxiety boosts confidence and will help us to review potential management options specific to every child. Aim: This study aimed to validate (RMS) Pictorial Scale (RMS-PS) and to compare it with Venham Picture Test (VPT) and Facial image scale (FIS) in measuring dental anxiety for young children during their first dental visit. Materials and Methods: A total of 102 healthy children aged between 4 and 14 years during their first dental visit were randomly selected for the study. Childs anxiety level was measured using three different scales namely (i) RMS-PS (ii) VPT, and (iii) FIS. Statistical Analysis: Student t test was used to compare the scores obtained from all the three scales. Pearson correlation test was used to obtain correlation among the scales used in the study. Results: A strong correlation (0·76) was found between the VPT and RMS-PS, and a moderate correlation (0.5) was found between RMS-PS and FIS, indicating good validity for the RMS-PS. Conclusions: The findings of this study suggest that the RMS-PS can be a newer and easiest means for the assessment of dental anxiety for young children in a clinical context.
  6,249 646 -
Pediatric dental chair vs. traditional dental chair: A pediatric dentist's poll
Khushboo Barjatya, Ankur Vatsal, Halaswamy V Kambalimath, Vinay Kumar Kulkarni, Naveen Banda Reddy
January-March 2015, 33(1):35-39
DOI:10.4103/0970-4388.148973  PMID:25572371
Objective: Proper positioning of the child patient, can not only have positive ramifications for the operator's posture, comfort, and career longevity - it can also lead to better treatment and increased productivity. The aim of the survey questionnaire was to assess the utilization, need, and attitude concerning dental chairs among pediatric dentist while working on and managing the child patient. Study Design: The questions were structured using adobe forms central online software, regarding the user-friendliness of pediatric dental chair vs. traditional adult dental chair available in the market. Results: Our result shows that out of 337 respondents, 79% worked on pediatric dental chair, whereas 21% had no experience of it. Of these 79% pediatric dentist, 48% preferred pediatric dental chair. But pediatric dental problem still has certain disadvantages like higher cost, leg space problem, lower availability, etc. Conclusion: During the research it was found that ergonomics and usability issues were the main problems. Thus, pediatric dental chair is not so popular in the current scenario. This study allowed for general ideas for the improvement of dental chairs and thus improved dental chair would fill the gap in the current scenario.
  6,463 386 -
Management of an endo-perio lesion in an immature tooth using autologous platelet-rich fibrin: A case report
NB Nagaveni, K Nandini Kumari, P Poornima, VV Subba Reddy
January-March 2015, 33(1):69-73
DOI:10.4103/0970-4388.149013  PMID:25572379
Treatment of an endo-perio lesion involving a non-vital young permanent tooth is a highly challenging task to Pediatric Dentists. There is a quest for the newer biological approach to management of these lesions as traditional methods have various disadvantages. Recently, platelet-rich fibrin (PRF), a second-generation platelet concentrate, is rich in growth factors have been used in the periodontal regeneration procedure. The purpose of this paper is to describe the efficacy of PRF in the treatment of a deep intra bony defect associated with an endo-perio lesion in an immature right mandibular first premolar of 12-year-old female patient. A freshly prepared autologous PRF membrane was placed in the bony defect following debridement. Clinical and radiographic follow-up were performed at regular intervals that revealed absence of pain, gain in clinical attachment level, reduction in probing depth, and excellent bone regeneration indicating successful outcome.
  5,973 651 -
Bilateral deep neck space infection in pediatric patients: Review of literature and report of a case
Manish J Raghani, Nisha Raghani
January-March 2015, 33(1):61-65
DOI:10.4103/0970-4388.149009  PMID:25572377
The diagnosis and treatment of deep neck infections is still an enigma for surgeons and physicians. Because of the complexity and the deep location of this region, the diagnosis and treatment in this area is difficult. The anatomy of deep neck spaces is highly complex and therefore precise localization of infections in this region is very difficult. The diagnoses of deep neck space infection (DNSI) are difficult because of the deep location of these spaces and are usually covered by substantial amount of normal superficial soft tissue. Access: To gain surgical access to the deep neck spaces, the superficial tissues must be crossed with the risk of injury to the neurovascular structures in the neck. Neural dysfunction, vascular erosion or thrombosis, and osteomyelitis are some of the complications of DNSI because of the proximity of nerves, vessels, bones, and other soft tissues. Deep neck spaces are communicated with each other and infections from one space can spread to adjacent space. DNSI, if not diagnosed early and promptly, may result in serious consequences even mortality. The treatment of DNSI with antibiotic therapy and drainage is most often definitive and recurrence of these cases is rare.
  4,969 354 -
Hunter's syndrome: A case report
NS Savitha, G Saurabh, SH Krishnamoorthy, S Nandan, A Ambili
January-March 2015, 33(1):66-68
DOI:10.4103/0970-4388.149011  PMID:25572378
Hunter's syndrome or mucopolysaccharidosis (MPS) type II is an X-linked recessive mucopolysaccharide disorder caused by a defect in the metabolism of glycosaminoglycans (GAGs) characterized by involvement of nervous, cardiovascular, respiratory, and mucoskeletal systems along with numerous oral manifestations. This is a case report of a 13-year-old boy referred to the Department of Pediatric Dentistry with a chief complaint of irregularly placed teeth from a general physician. Here we highlight the pivotal role of pediatric dentists in diagnosis and treatment planning for patients diagnosed with such systemic conditions and the provision of advanced dental care in the management of the same.
  4,647 287 -
Evaluation of remineralizing potential of commercially available child formula dentifrices: An in vitro study
Apurva Jagdish Gujarathi, Santosh M Sholapurmath, Praveenkumar S Mandroli, Deepa B Benni
January-March 2015, 33(1):28-34
DOI:10.4103/0970-4388.148971  PMID:25572370
Aim: The aim of this in vitro study is to evaluate the remineralizing potential of commercially available low fluoride child formula dentifrice on primary teeth. Materials and Methods: Total 30 primary teeth were placed in demineralizing solution for 96 hours to produce artificial carious lesions of approximately 100 μm depth, and then cut longitudinally into 30 sections of 100-150 μm thickness and randomly assigned to three groups. Sections were treated with dentifrices containing Colgate ® (anti tooth decay) 500 ppm NaF, Cheerio gel ® 458 ppm MFP and Vicco ® non-fluoridated dentifrice. Lesions were evaluated using polarized light microscopy. Results: Colgate ® (anti tooth decay) 500 ppm NaF sections exhibited a statistically significant decrease in lesion depth (P < 0.05, paired t-test), whereas those in Cheerio gel ® 458 ppm MFP showed a decrease in lesion depth but was not statistically significant. Vicco ® non-fluoridated dentifrice showed increase in lesion depth. Statistics: A paired t-test is used to evaluate pre- and post-treatment lesion depth measurements, and Newman-Keuls multiple post hoc procedures was carried out to compare pair-wise difference of pre- and post-treatment lesion depth. Conclusion: The Colgate ® (anti tooth decay) 500 ppm NaF dentifrice and Cheerio gel ® 458 ppm MFP demonstrated remineralization of carious lesions by virtue of decrease in lesion depth, whereas Vicco ® non-fluoridated dentifrice showed increase in lesion depth.
  4,367 520 -
Assessment of oral health status of Santal (Tribal) children of West Bengal
Shyamapada Mandal, Chiranjit Ghosh, Subrata Sarkar, Jayita Pal, Sudipta Kar, Badruddin Ahmed Bazmi
January-March 2015, 33(1):44-47
DOI:10.4103/0970-4388.148976  PMID:25572373
Context: Santal is the third largest tribal community of India leading a very poor standard of education and life style. There are, however, few population-based studies evaluating the oral health status among Santal children in West Bengal. Aims: The aim of the study was to evaluate the oral health status of Santal children of West Bengal by assessing prevalence of dental caries and inflammatory condition of gingival. Settings and Design: Santal children aged between 2-14 years (N = 1205) were randomly selected from different Santal communities of West Bengal for this study. The children were divided into three different groups according to dentition. Materials and Methods: Caries for permanent dentition Decayed Missing Filled Tooth (DMFT), for deciduous dentition decayed extracted filled (def index was used. For mixed dentition DMF and def was measured respectively and then added together. Inflammatory condition of gingival was assessed by papillary marginal attachment (PMA) index. Statistical Analysis Used: the data was analyzed statistically by SPSS software version 11. Results: The study showed there was no significant difference (P > 0.05) between the average decayed extracted filled teeth (deft)/DMFT for boys and girls in deciduous and permanent dentition. But in mixed dentition this value for the boys was significantly higher (P < 0.001) than girls. 'Z' values were found to be non significant when compared mild, moderate and severe gingivitis between boys and girls in each dentition group, but mild gingivitis significantly increases from deciduous dentition to mixed to permanent dentition (P <0.001).
  4,156 292 -
Bloch Sulzberger syndrome (Incontinentia pigmenti): A rare case report with dental defects
Yaga Uday Shankar, Nikhat Fatima, Menji Ashwini Kumar, Kesary Sathya Prakash
January-March 2015, 33(1):74-77
DOI:10.4103/0970-4388.149014  PMID:25572380
Incontinentia Pigmenti (IP) is a multisystem genodermatosis characterized by cutaneous, neurologic, ophthalmologic, and dental abnormalities. This article reports the clinical features and management of a 4-year-old girl diagnosed with IP.
  4,118 247 -
Non-nutritive sucking habits after three years of age: A case-control study
Izabella Barbosa Fernandes, Túlio Silva Pereira, Monize Ferreira Figueiredo de Carvalho, Joana Ramos-Jorge, Leandro Silva Marques, Maria Letícia Ramos-Jorge
January-March 2015, 33(1):19-24
DOI:10.4103/0970-4388.148965  PMID:25572368
Background: Non-nutritive sucking habits can result in negative consequences on the development of orofacial structures and occlusion. Aim: Assess factors associated with non-nutritive sucking habits in children after 3 years old. Materials and Methods: A case-control study was carried out in two stages. In the first stage, a cross-sectional study was conducted with 638 children aged 3-6 years. In the second stage, a case-control study (1:2) was conducted. The case group included all children who presented some non-nutritive sucking habits in the first stage of the study (n = 110). The control group (n = 220) was made up of children who had never presented non-nutritive sucking habits, matched to the case group for gender and age. The data were collected during the national poliomyelitis vaccination campaign, through a questionnaire applied to parents/guardians with questions related to the presence of sucking habits, sociodemographic aspects, birth aspects, and early life of the child. Statistical analysis involved descriptive analysis, chi-square test, Mann-Whitney test, and conditional logistic regression. Results: Reduction in maternal education was a protective factor for the development of non-nutritive sucking habits (education ≤8 years OR = 0.38, CI 95%: 0.16, 0.89, P = 0.025). Prematurity (OR = 3.30, CI 95%: 1.13, 9.69, P = 0.030) and a longer period using a baby bottle (OR = 1.03, CI 95%: 1.01, 1.05, P = 0.006) remained associated with a greater possibility of the occurrence of sucking habits, regardless of monthly family income. Conclusion: Non-nutritive sucking habits were associated with maternal education, premature birth, and greater time of bottle feeding in children after 3 years old.
  3,928 363 -
Correlation between dental anxiety, sense of coherence (SOC) and dental caries in school children from Bangalore North: A cross-sectional study
Deepak Viswanath, Anumula Vamsi Krishna
January-March 2015, 33(1):15-18
DOI:10.4103/0970-4388.148962  PMID:25572367
Background: Very few publications report on the relationship between 'salutogenesis', as measured by the concept of Sense of Coherence (SOC), and generally speaking an individual's overall oral health- related quality of life (OHRQL). To add to this, there is even lesser information regarding the behavioral aspect of dental anxiety. Aim: The aim of the present study was to evaluate the relationship between dental anxiety, SOC and dental caries in school children from Bangalore North. Materials and Methods: The study had a sample of 529 children from various schools, age between 12-16 in Bangalore north. The study comprised of 17 questions which were handed over to them; and upon receival of the questionnaire the respective decayed, missing, filled tooth surfaces index (DMFS) score was checked which was then compared with dental anxiety and SOC. Statistical Analysis Used: One way analysis of variance (ANOVA) F-test and multiple comparison procedures (MCPs). Result: High dental anxiety predicted high dental caries index and low SOC predicted high dental caries index in association with advancing children's age from 12-16 years. Conclusion: Dental anxiety had a direct relationship with dental caries and SOC had an inverse relationship with dental caries.
  3,728 399 -
Assessment of traumatic dental injuries in patients with cerebral palsy
A Dubey, PA Ghafoor, M Rafeeq
January-March 2015, 33(1):25-27
DOI:10.4103/0970-4388.148969  PMID:25572369
Background: Cerebral palsy is an umbrella term for a group of conditions characterized essentially by motor dysfunctions that may be associated with sensory or cognitive impairment. Such children tend to have a higher incidence of traumatic dental injuries than the general population. This increased incidence is often attributed to poor muscular co-ordination that predisposes individuals with Cerebral palsy to trauma Aim: The study was conducted to assess different dental injuries and the risk factors for dental trauma to occur in patients with cerebral palsy. Materials and Methods: The study comprised 70 children and adolescents with cerebral palsy attending special school in Durg and Bhilai city between 7 and 18 years of age. Results: Dentinal fracture was seen in 40% of cases. Few cases had tooth displacement, discoloration, and pulpal involvement. Conclusion: Dentists should be well aware of the possible dental injuries in such patients. Preventive measure measures should be taken by health care provider to reduce traumatic exposure.
  3,539 313 -
LEOPARD syndrome: You could be the first one to diagnose!
Pallavi Urs, Sapna Konde, Nidhi Chouta, Sunil Raj
January-March 2015, 33(1):57-60
DOI:10.4103/0970-4388.149008  PMID:25572376
Leopard syndrome is a rare genetic disease complex associated with multiple anomalies. The main anomalies are summarized in the acronym LEOPARD in which each letter corresponds to mnemonic for the major features of this disorder:multiple Lentigines, ECG conduction abnormalities, Ocular hypertelorism, Pulmonic stenosis, Abnormal genitalia, Retardation of growth, and sensory neural Deafness. A Four year old male patient reported with the chief complaint of decayed anterior tooth without any relevant past medical history. Based on the clinical features; the child was subjected to genetic and general physical appraisal which helped in identifying Leopard syndrome. A multidisciplinary approach by the pedodontist and medical consultants aided in the identification and management of this rare syndrome. LEOPARD syndrome has been rarely reported in the diseases associated with oro-dental or craniofacial anomalies. In this case report we describe these anomalies and discuss the relationship between them and the proposed etiology of the disease.
  3,528 301 -
Shear bond strength evaluation of adhesive and tooth preparation combinations used in reattachment of fractured teeth: An ex-vivo study
Ramachandruni VamsiKrishna, Koppolu Madhusudhana, Aluru Swaroopkumarreddy, Anumula Lavanya, Chinni Suneelkumar, Govula Kiranmayi
January-March 2015, 33(1):40-43
DOI:10.4103/0970-4388.148975  PMID:25572372
Objectives: The objectives of this study were to evaluate the bond strengths of different adhesive materials, different tooth preparation designs and adhesive tooth preparation combinations to reattach fractured incisor fragments. Materials and Methods: The study sample comprised 48 intact human maxillary central incisors divided into two groups A and B. The incisal third was sectioned with a diamond disc. The teeth in Group A were reattached with bonding agent and in Group B with resin luting cement. The teeth in each Group were further divided into three sub-groups based on the preparation designs viz., simple attachment, chamfer on labial surface, groove with shoulder on labial surface and restored with nano-composite. Shear Bond Strength was calculated by applying load incisal to the fracture line. T-test and one-way ANOVA were used to evaluate the bond strength between the groups and within the group respectively. Results: Reattachment with resin luting cement showed high bond strength compared to bonding agent (P < 0.05). Within the subgroups 'groove with shoulder' showed better bond strength compared to simple attachment and chamfer and the result was statistically significant (P < 0.05).Conclusion: Reattachment of fractured fragments can be considered as a good alternative treatment option when the fragment is available.Reattachment with resin luting cement and the preparation design of "groove with shoulder" showed better results.
  3,099 246 -
Dental conferences: An enigma
ND Shashikiran
January-March 2015, 33(1):1-2
DOI:10.4103/0970-4388.148959  PMID:25572364
  2,484 203 -
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