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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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   2019| April-June  | Volume 37 | Issue 2  
    Online since June 26, 2019

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Maintenance of space by innovative three-dimensional-printed band and loop space maintainer
Bhaggyashri A Pawar
April-June 2019, 37(2):205-208
DOI:10.4103/JISPPD.JISPPD_9_19  PMID:31249187
Preventive orthodontics is an aspect of pediatric dentistry, which requires a unique set of skills and understanding to aid the patient's treatment and properly align teeth. The safest way to prevent future malocclusions from tooth loss is to place a space maintainer (SM), which is advocated to hold the space until the eruption of permanent teeth. SM manufacturing is a laborious process that requires ample communication with the laboratory to properly complete and provide the patient with optimal results. Band and loop SM is mostly indicated for the premature loss of single primary molar, but this appliance has a number of limitations. Digital technology has resulted in decreasing human errors by automating the dental model fabricating process with three-dimensional printing. The current paper provides an insight of the use of this new technology in pediatric dentistry for manufacturing two types of SMs and a case report.
  4,443 553 -
Comparative evaluation of clinical and radiographic success of three different lesion sterilization and tissue repair techniques as treatment options in primary molars requiring pulpectomy: An in vivo study
Amolkumar Lokade, Seema Thakur, Parul Singhal, Deepak Chauhan, Chiranjeevi Jayam
April-June 2019, 37(2):185-191
DOI:10.4103/JISPPD.JISPPD_6_19  PMID:31249184
Introduction: Paediatric endodontics is part of paediatric dental practice. Teeth with infected root canals, particularly those in which the infection has spread around the apical foramen and furcation area, is a common problem in primary dentition for such conditions pulpectomy is the procedure. Pulpectomy procedure proves to be long and complicated and has remained controversial for a number of reasons. Lesion sterilization and tissue repair therapy (LSTR) is a relatively new biologic approach for carious lesions with or without pulpal and periapical involvement using a mixture of antibiotics. Objectives: The aim of this study was to evaluate clinical and radiographic success of three different LSTR techniques as treatment options in primary molars requiring pulpectomy. Methods: Sixty-three primary molars of fifty children aged between 4 and 8 years with primary molars requiring pulpectomy were treated with modified 3Mix-MP antibiotic paste without removal of accessible radicular pulp (Group I), modified 3Mix-MP with removal of accessible radicular pulp (Group II) and Chloramphenicol, tetracycline and zinc oxide eugeno (CTZ) paste (Group III). The subjects were followed up clinically at one, six, and twelve months whereas radiographically at six and twelve months, respectively. Results: The results showed that clinical success rates of Group I, Group II and Group III were 90%, 90.5% and 81.8% respectively and radiographical success rates were 75%, 76.2% and 63.6% respectively after twelve months observation. Conclusion: On the basis of the overall success rates of all the three LSTR techniques, following order of performance can be inferred clinical success and radiographical success: – 3Mix-MP without removal of radicular pulp = 3Mix-MP with removal of radicular pulp >CTZ paste.
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Prevalence of early loss of primary molars among children aged 5–10 years in Chennai: A cross-sectional study
Danalakshmi Jayachandar, Deepa Gurunathan, Ganesh Jeevanandan
April-June 2019, 37(2):115-119
DOI:10.4103/1319-2442.261340  PMID:31249172
Background: The early loss of primary teeth may reduce arch length required for the succeeding permanent tooth and thus result in crowding, rotation, and impaction of permanent teeth. The present study evaluates the prevalence of early loss of molars of primary teeth in children in Chennai, Tamil Nadu, India. Materials and Methods: An experienced examiner performed all clinical examinations under natural light, a total of 1529 children (759 boys and 770 girls) ages between 5 and 10 years were selected for the study. Data including age and missing teeth were collected. The data collected was then subjected to statistical analysis. Statistical Analysis: Microsoft Excel/2000 (Microsoft office XP) data spreadsheet was used and later exported to the Statistical Package for Social Science for Windows (version 10.0, SPSS Inc., Chicago Ill., USA). Results: The results showed that of the sample 34.46% had early loss of primary teeth with boys showing an increased incidence of loss of primary teeth (54.64%) and the greater prevalence was found among the age group of 8–9 years. The most common missing tooth was the first molar (43.8%) followed by second molars (33.2%). Early loss of teeth was common in the mandibular right side (36.81%). It can be concluded that the prevalence of early loss of the lower first primary molar was the most common in the present study. Conclusion: The prevalence of early loss of primary teeth was present in predominantly in male children (54.64%) when compared to female children (43.35%) which was statistically significant (P = 0.03). The most commonly affected were the mandibular teeth (58.63%), the most common tooth being the first molar (44%) followed by second molar (33%).
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Effects of different dentinal drying methods on the adhesion of glass ionomer restorations to primary teeth
Sherin C Jose, Ektah Khosla, K Korath Abraham, Arun Roy James, Elza Thenumkal
April-June 2019, 37(2):127-132
DOI:10.4103/JISPPD.JISPPD_337_18  PMID:31249174
Background: Glass ionomer cements that form an inevitable part of pediatric restorative dentistry are inherently sensitive to moisture. The influence of different drying techniques on the shear bond strength of glass ionomer cements to primary teeth dentin has not been established. Aims: The purpose of the study was to evaluate the effects of different drying methods for different drying time periods on the shear bond strength of GC Fuji IX to primary tooth dentine. Subjects and Methods: A total of 135 caries-free primary teeth were selected and ground to a flat dentinal surface. Specimens were randomly divided into three groups – air dry, blot dry, and suction dry of 45 specimens each. Of these, 15 specimens each were dried for 2 s, 5 s, and 10 s. GC Fuji IX was condensed into Teflon molds, and the specimens were subjected to shear bond strength testing. Results: The mean shear bond strength values for the different time intervals were analyzed with analysis of variance test. In the air-dry group, the maximum shear bond strength values were obtained when the specimens were dried for 5 s and the least when dried for 2 s (P = 0.00). In the blot-dry and suction-dry groups, the highest values were obtained when the specimens were dried for 10 s and least for 2 s (P = 0.039 and 0.000, respectively). Conclusions:Among the three drying methods employed in the study, the maximum shear bond strength of the glass ionomer restoration was observed in the air-dry group.
  1,859 423 -
An In-Vitro evaluation of resin infiltration system and conventional pit and fissure sealant on enamel properties in white spot lesions
Tarang Chadha Arora, Deval Arora, Abhay Mani Tripathi, Gunjan Yadav, Sonali Saha, Kavita Dhinsa
April-June 2019, 37(2):133-139
DOI:10.4103/1319-2442.261345  PMID:31249175
Background: Clinically appearing early caries are referred to as white spot lesions (WSLs). These lesions compromise esthetics and precede cavitation; therefore, they must be halted by effective materials. Aim: To evaluate and compare the depth of penetration and effect of resin infiltration system (Icon) and other conventional pit and fissure sealants (Clinpro and Embrace) on enamel surface properties of WSLs. Methodology: Freshly extracted premolars were obtained. Enamel surfaces were treated with resin infiltrant and fissure sealant. Depth of penetration and surface roughness of specimens were measured with an optical profilometer. Microhardness was determined by a Vickers' hardness tester. Statistical Analysis: Normality of the data was checked by Shapiro–Wilk test. Inferential statistics were performed using one-way analysis of variance. Post hoc pairwise comparison was done using post hoc Tukey's test. Results: Icon resin infiltrant showed the highest depth of penetration and microhardness followed in descending order by Embrace and Clinpro whereas Clinpro was found to cause maximum surface roughness followed in descending order by Embrace and Icon. Conclusion: The resin infiltration technique for treating WSLs seems adjusted to the philosophy of minimally invasive dentistry in a single appointment, making it beneficial for the patients, especially children.
  1,591 307 -
Effect of different pediatric drug formulations on color stability of composite, zirconia-reinforced glass ionomer cement, and glass ionomer cement
Yogesh J Kale, Apeksha Vikram Nalwade, Prasanna Trambakrao Dahake, Mahesh V Dadpe, Shrikant B Kendre
April-June 2019, 37(2):151-156
DOI:10.4103/JISPPD.JISPPD_280_18  PMID:31249178
Introduction: Various liquid drug formulations are prescribed to the children. Frequent use of these drugs can result in staining of dental restorations, affecting their longevity and durability. Aim: This study aims to evaluate the effect of different pediatric drug formulations on color stability of various esthetic restorative materials. Materials and Methods: Three different restorative materials namely composite resin, Zirconomer Improved, and conventional glass ionomer cement (GIC) were used to prepare total 120 (40 from each) disc-shaped specimens having dimensions 12 mm × 1.5 mm. The specimens of each material were divided into five experimental groups (n = 8) through stratified random sampling technique and were immersed in five different liquid medications: Group 1 – amoxicillin + clavulanic acid, Group 2 – metronidazole, Group 3 – cephalexin, Group 4 – ibuprofen, and Group 5 – ibuprofen + paracetamol. All samples were agitated for 2 min and cycle was repeated eight hourly for 1 week with intermittent pH cycling to simulate conditions similar to the oral environment. Color stability of all specimens was evaluated using spectrophotometer. One-way ANOVA and Tukey's post hoc HSD test were used for statistical analysis.Results: Results obtained revealed that Δ E* (color difference) elevation was significantly low with GIC (P < 0.001) and high with composite for all five groups. Amoxicillin + clavulanic acid and metronidazole group showed highest color stainability among all groups. Conclusion: GIC showed better color stability with all drug formulations. The highest color alteration was observed in composite resin, whereas zirconia reinforced GIC showed color stability lesser than GIC but better than composite.
  1,526 293 -
Tongue position assessment during oral phase deglutition in children with anterior open bite and normal vertical overbite
Paula Gonzalez, María Beatriz Martínez, Valentina Sierra, Zulma Vanessa Rueda, Paola Botero-Mariaca
April-June 2019, 37(2):167-171
DOI:10.4103/JISPPD.JISPPD_333_18  PMID:31249181
Introduction: Tongue position during deglutition presents great variability and can be assessed clinically or with different techniques. Aim: This study aims to determine tongue position during deglutition in children aged 8–16 years with anterior open bite (AOB) and normal vertical overbite (NVO) using a fluorescein technique. Settings and Design: A cross-sectional analytical study was conducted to assess tongue contact points during the oral phase of deglutition. Subjects and Methods: A total of 132 children with AOB and 132 children with NVO were included in this study. The difference between tongue contacts in both groups was performed, and the association between tongue position and anterior occlusion was establish. Statistical Analysis Used: Normal distribution analysis, Parson's Chi-square test (P < 0.05). Results: In AOB, about 28.8% showed tongue contact on the palatal surface of the incisors during the oral phase, 25.8% at the gingival margin, and 22% on the palatal rugae. Regarding NVO, 53% showed contact on the palatal rugae, 28.8% at the gingival margin, and 13.6% at the palatal surface. Conclusion: AOB group presented a higher prevalence of impaired tongue positions compared to NVO controls. The palatal surface was the most frequent contact point in the AOB, whereas tongue showed contact points at the palatal rugae in NVO.
  1,570 154 -
Efficacy of the lift-the-lip technique for dental plaque removal in preschool children
Jeniffer Curto-Manrique, Violeta Malpartida-Carrillo, Luis Ernesto Arriola-Guillén
April-June 2019, 37(2):162-166
DOI:10.4103/JISPPD.JISPPD_274_18  PMID:31249180
Objective: The objective of this study was to compare the efficacy of two dental brushing techniques in relation to the lift lip method to control oral hygiene. Methodology: This controlled and randomized field trial included 40 preschool children aged 24–59 months, divided into four groups: Group A (modified bass without lift the lip), Group B (modified bass with lift the lip), Group C (horizontal technique with lift the lip), and Group D (horizontal technique without lift the lip). The dental plaque accumulation was recorded through the O'Leary index. In addition, to perform hygiene control, the plaque index was performed in the initial evaluation at 7 and 14 days. Results: ANOVA and Friedman test were applied to compare oral hygiene in each group. Finally, Kruskal–Wallis test was applied to compare groups at 7 and 14 days. The children with the modified Bass associated to the lift the lip had significantly more plaque removed at 7 (P = 0.041) and 14 days (P = 0.027) than other techniques. Conclusions: The modified Bass related to the lift-the-lip technique was the most effective for plaque removal in preschool children at 7 and 14 days.
  1,468 227 -
Alveolar ridge preservation in a growing patient with decoronation: One-year follow-up
Astha Jaikaria, Seema Thakur
April-June 2019, 37(2):214-217
DOI:10.4103/JISPPD.JISPPD_242_18  PMID:31249189
Dentoalveolar ankylosis in growing patients is associated with continuing replacement root resorption, tooth infrapositioning, and the local arrest of alveolar bone growth. While extraction of ankylosed teeth might be associated with bone loss, decoronation of the offending tooth (removal of crown portion and instrumentation of pulp canal to stimulate bleeding) has been suggested as a more conservative approach of bone preservation until definitive implant placement is planned. This is a case presentation of a 14-year-old patient who presented with root resorption in relation to the left maxillary central incisor such that decoronation with a prosthetic tooth replacement was decided as the treatment option.
  1,349 175 -
Evaluation of the efficacy of neem (Azadirachta indica) and turmeric (Curcuma longa) as storage media in maintaining periodontal ligament cell viability: An in vitro study
Pranjali Dhimole, Deepak P Bhayya, Shilpi Gupta, Prabhat Kumar, Saurabh Tiwari, Swarnam Pandey
April-June 2019, 37(2):140-145
DOI:10.4103/1319-2442.261356  PMID:31249176
Aims: The aim of the study is to evaluate the efficacy of neem and turmeric as storage media in maintaining periodontal ligament (PDL) cell viability. Materials and Methods: Ninety premolar extracted teeth were randomly selected and divided into three groups, namely milk as a control group and neem and turmeric as experimental groups. The teeth were placed in one of the three storage media for 30 min. Scrapped PDL fibers were collected in Falcon tubes, incubated, and centrifuged for 5 min at 800 rpm. Obtained PDL cells were stained with trypan blue, observed, and counted in a hemocytometer under microscope, which was followed by the calculation of percentages of viable cells. One-way ANOVA was applied for comparison between different groups, and Tukey's test was applied for pair-wise comparison. Results: Mean percentage of viable cells in milk was 89.98 ± 4.11%, whereas in neem and turmeric extracts, it was 88.00 ± 5.85% and 81.63 ± 7.12%, respectively. There was a significant difference between all the three storage media for the viable PDL cells (P = 0.001). Intergroup comparison of the different storage media showed that there was a statistically highly significant difference between milk and turmeric (P ≤ 0.001). There was a statistically significant difference in between turmeric and neem (P ≤ 0.531) for the viable cell percentage, with neem being better storage medium than the turmeric. Conclusion: Within the limitations of the current study, it can be concluded that neem is as efficient as milk in maintaining the PDL cell viability. Turmeric, though is an efficient storage medium, was not as efficient as milk and neem.
  1,272 238 -
A histopathological comparison of pulpal response to formocresol and sodium hypochlorite used as pulpotomy medicaments: In primary teeth – A clinical trialA histopathological comparison of pulpal response to formocresol and sodium hypochlorite used as pulpotomy medicaments: In primary teeth – A clinical trial
Srikanth Reddy Kola, N Venugopal Reddy, T Sneha, M Ajay Reddy, P Niharika, P Jayachandra Kumar
April-June 2019, 37(2):198-204
DOI:10.4103/1319-2442.261333  PMID:31249186
Aim: The aim of the study was to evaluate and compare formocresol (FC) and 5% Sodium hypochlorite (NaOCl) as pulpotomy medicaments and to assess the histological features of both pulpotomy medicaments in primary teeth. Materials and Methods: In the present study, pulpotomies were performed on 60 primary molars in 55 children aged 5–8 years. The teeth were divided into two groups NaOCl and FC were placed on the canal orifices, respectively, and crowns were restored with intermediate restorative material and glass ionomer cement. The teeth were underwent a histopathological procedure and extracted after 6 months. The Histological samples were evaluated in relation to odontoblastic integrity, pulp calcification, dentin bridge formation, and presence of pulp stone. Results: No statistically significant difference was found between the two groups with respect to inflammatory response, soft-tissue organization, and dentin bridge formation (P > 0.005). Conclusion: Based on the results of this study Sodium hypochlorite may be a suitable medicament for conducting pulpotomy in primary teeth.
  1,258 207 -
An in vitro study of root canal system of human primary molars by using multidetector computed tomography
Piyali Datta, Shabnam Zahir, Gautam Kumar Kundu, Kaushik Dutta
April-June 2019, 37(2):120-126
DOI:10.4103/1319-2442.261339  PMID:31249173
Context: The primary tooth has numerous functions and is important in a child's development. Pediatric endodontic treatment has a very important role in maintaining oral health of the child. However, the morphology of root canals in deciduous teeth usually leads to complications in root canal therapy. To improve the success in endodontic, a thorough knowledge of the root canal morphology is essential. Aims: The aim of this study is to determine the thorough in vitro, morphological evaluation of root canal system of human primary molars using multidetector computed tomography. Settings and Design: A total of 64 human primary maxillary and mandibular molars without any macroscopic root resorption were selected and divided into four groups. The samples were arranged in wax block, and the scanning was done on the computed tomography scanne (GE light speed 16 slice CT). Subjects and Methods: The images were grabbed by the computer as a raw image and reformatted in a GE Advantage workstation version 4.2 (GE healthcare) with the help of Denta Scan (GE healthcare) software and volume rendering was done. Statistical Analysis Used: Descriptive statistical analysis (Student's t-test) was performed to calculate the means with corresponding standard deviations. A value of P ≤ 0.05 was taken to be statistically significant. Results: It enlightens the clinicians view to access the morphological variations of the root canals for the effective pediatric endodontic treatment. Conclusions: The images showed the complexity of the root canals of the primary mandibular molars and also the several capabilities of the CT scan in advance endodontic research in primary teeth were observed.
  1,206 218 -
Child's first dental visit in India: A reappraisal
M Sudhindra Baliga
April-June 2019, 37(2):113-114
DOI:10.4103/1319-2442.261335  PMID:31249171
  1,096 203 -
Three-dimensional assessment of transverse displacement with Facemask and Maxgym in unilateral cleft lip and palate model
Shahistha Parveen, Akhter Husain, Srinivas Gosla Reddy, Rohan Mascarenhas, Satish Shenoy, Mallikarjuna Reddy
April-June 2019, 37(2):177-184
DOI:10.4103/JISPPD.JISPPD_207_18  PMID:31249183
Background: Growing patients with cleft lip and palate (CLP) exhibit maxillary deficiency due to early surgical intervention. Maxillary protraction with expansion is the recommended treatment modality for deficient maxilla. Facemask is a conventional protraction appliance, and Maxgym is a new protraction appliance. The purpose of this study is to compare the efficacy of Maxgym with Facemask using finite-element analysis. Methods: A three-dimensional finite-element model consisting of 49,807 nodes and 185,620 tetrahedral-shaped elements was created using computed tomography scan of a patient with unilateral CLP. F1, F2, and F3 represent different protraction forces of facemask, and M1, M2, and M3 represent different protraction forces of Maxgym. E1 represents slow maxillary expansion (SME) force, and E2 represents rapid maxillary expansion (RME) force. Facemask and Maxgym forces were applied parallel to the occlusal plane from the middle of the clinical crown on the buccal side of the first premolars. The forces E1 and E2 were also applied on the middle of the crown height on the lingual side of the first premolars and the first molars to simulate expansion. The amount of displacement for Maxgym and Facemask forces in transverse direction was analyzed designating specific nodes to represent dental and skeletal structures. Results: The dental and skeletal structures were displaced in transverse direction under all loading conditions. Only expansion or protraction force resulted in transverse displacement of nodes. RME produces greater transverse displacement as compared to SME. Maxgym forces produce greater transverse displacement as compared to facemask. Maxgym with RME produces greater transverse displacement as compared to Maxgym with SME, whereas facemask with RME produces greater transverse displacement as compared to facemask with SME. Conclusions: Maxgym forces produce greater transverse displacement as compared to facemask with or without expansion.
  1,090 103 -
Comparing the accuracy of cone-beam computed tomography and electronic apex locator for root canal length determination in primary teeth
Kiran Dattatray Ghule, Shilpa Naik
April-June 2019, 37(2):157-161
DOI:10.4103/1319-2442.261334  PMID:31249179
Aims: The aims of this study were to assess the accuracy of electronic apex locator (CanalPro™) and cone-beam computed tomography (CBCT) in determination of working length in primary teeth compared to direct visual length. Subjects and Methods: Ninety-nine primary teeth (207 root canals) were subjected to CBCT scan for assessment of working length. All root canals were then measured using CanalPro™ Apex Locator. Actual length of root canal was measured using direct visual method which was kept as control. Statistical Analysis Used: One-way ANOVA and Tukey's honestly significant difference tests were performed using the Statistical Packages for the Social Sciences (SPSS) version 16. Results: Overall estimated mean values obtained using three methods show that CBCT method was more accurate than the apex locator in determining the working length in primary teeth. However, these values were statistically insignificant. Conclusions: CanalPro™ Apex Locator can be used in primary teeth to accurately determine the working length. Nevertheless, a preexisting CBCT can always be used for determination of the working length in the primary teeth.
  981 179 -
Behavioral changes after motivational interviewing versus traditional dental health education in parents of children with high caries risk: Results of a 1-year study
Vani Kapoor, Anil Gupta, Vishal Arya
April-June 2019, 37(2):192-197
DOI:10.4103/1319-2442.261332  PMID:31249185
Purpose: This study aimed to compare the behavioral change in parents of children at high risk for caries following two dental education interventions – motivational interviewing (MI) and traditional dental health education. Methods: A total of 100 6- to 10-year-old children, along with their parents, were divided into two groups of 50 each, and a single calibrated examiner gave traditional dental health education to the first group and MI session to the second group. Caries assessment was performed using the International Caries Detection and Assessment system (ICDAS), and 5% sodium fluoride varnish was applied. Behavior of parents was assessed using Prochaskas stages of change model. Change in behavior was checked at 3, 6, and 9 months' intervals till 1 year. Results: Overall 60% of the parents of the control group reached the final maintenance stage compared to 96% in the experimental group. The mean values obtained for the two groups were 2.26, 3.08, 3.30, 3.84, and 4.28 and 2.30, 3.14, 3.50, 4.44, and 4.96 at the first and subsequent visits, respectively. The ICDAS scores of the two groups were in accordance with these results. The experimental group showed no new caries and arrested initial caries. Conclusions: This study found that a single MI intervention changed the reported oral health behaviors better than the traditional approach.
  990 130 -
Inhibitory effect of a resin coat-containing prereacted glass fillers on the enamel demineralization of the primary teeth: An in vitro pilot study
R Rabiabasree, R Krishnakumar, Anand S Prabhu, N Sathyajith Naik, KK Shashibhushan, K Janarthanan
April-June 2019, 37(2):146-150
DOI:10.4103/JISPPD.JISPPD_309_18  PMID:31249177
Background: With an increasing interest in preventive strategies, pedodontics research is now more focused on developing newer materials and techniques to coat the primary teeth to prevent onset of new carious lesions. Aim: The aim of this study is to evaluate the inhibitory effect of prereacted glass (PRG) filler-containing resin coat on enamel demineralization of the primary teeth. Subjects and Methods: Eight de-rooted primary caries-free teeth sectioned into 4 mm × 4 mm were divided into either experimental group which received the PRG barrier coat or control group which was left uncoated. These were then immersed in acid buffer at pH 4.5 for 3 days. Mineral content was evaluated by scanning electron microscopy with energy dispersive X-ray analysis. Statistical Analysis: Data were collected and analyzed statistically using paired Student's “t” test, with a P < 0.05 being considered statistically significant. Results: When the calcium/phosphorous (Ca/P) ratio (wt%) which is indicative of the mineral content of enamel was compared, the values were higher for the experimental group than that for the control group and the association was statistically significant (P < 0.01). Conclusion: The higher Ca/P ratio of experimental group was suggestive of the ability of PRG barrier coat to inhibit enamel demineralization in the primary teeth.
  874 124 -
Effectiveness of “Audio-tactile Performance Technique” to improve the oral hygiene status of visually impaired schoolchildren
Shravani Deolia, Jefry Johny, Mayuri Sanjay Patil, Nikita R Lanje, Anuja V Patil
April-June 2019, 37(2):172-176
DOI:10.4103/1319-2442.261344  PMID:31249182
Background: Maintaining oral hygiene is a challenging task for the visually impaired population. Oral health is often overlooked because of lack of knowledge about oral health practices. Therefore, there was a need to train visually impaired individuals with the aid of customized techniques so that the understanding of brushing technique could be perceived at its best. Aims and Objective: Comparative evaluation to check the effectiveness of “Audio-tactile Performance Technique (ATP)” to improve oral hygiene status of visually impaired schoolchildren. Subjects and Methods: The present study was an interventional study of 92 visually impaired children in Wardha district. Their knowledge regarding oral hygiene practices was tested with a verbal questionnaire in a pre- and post-test to check the improvement in their knowledge after imparting health education. Fones method of toothbrushing was taught by “ATP,” and a health talk was delivered. The plaque scores were recorded using the Quigley–Hein Plaque Index (modified by Turesky et al.) at baseline and at the end of 3 months. Periodic reinforcement was provided twice at an interval of 20 days in between the visits. Statistical Analysis Used: The collected data were tabulated and analyzed using Student's paired t-test in Stata version 15.1, and kappa statistics were done to test inter-rater reliability and agreement was found to be 90%. Results: There was a statistically significant decrease in the postinterventional plaque scores from 2.78 to 1.63 (P < 0.05) and an increase in the posthealth education test scores from 1.98 to 8.21 (P < 0.05). A substantial decrease in the percentage of children, who had high plaque scores initially, was seen postintervention. Conclusions: The “ATP” along with oral health education served as a very effective customized method of teaching oral hygiene practices and its maintenance to the visually impaired children.
  748 171 -
The star-crossed curse of childhood: A case of infantile hemangioma
N Geon Pauly, Nidhin Kurian, Roopashri Rajesh Kashyap, Raghavendra Kini, Prasanna Kumar Rao, Ann Thomas
April-June 2019, 37(2):209-213
DOI:10.4103/1319-2442.261341  PMID:31249188
Vascular lesions are indeed very widespread, with vascular tumors numbering the most common tumors in childhood. Researchers and authors frequently use the idiom “hemangioma” to portray or describe vascular malformations and a potpourri of vascular anomalies. Infantile hemangioma, a type of hemangioma, is one of the most common benign vascular tumors in infancy and childhood. As hemangioma could regress spontaneously, it generally does not require treatment unless proliferation interferes with normal function or gives rise to the risk of serious disfigurement and complications unlikely to resolve without treatment. Various methods for treating infant hemangiomas have been documented, including wait-and-see policy, laser therapy, drug therapy, sclerotherapy, radiotherapy, and surgery. However, none of these therapies can be used for all hemangiomas. Hence, to obtain the best treatment outcomes, the treatment protocol should be individualized as per the case.
  788 126 -
ISPPD Head Office Report

April-June 2019, 37(2):218-219
DOI:10.4103/0970-4388.261362  PMID:31249190
  443 28 -
ISPPD Reviewer's Training Workshop 'Effective Peer Review'

April-June 2019, 37(2):220-221
  404 26 -
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