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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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   Table of Contents - Current issue
January-March 2021
Volume 39 | Issue 1
Page Nos. 1-109

Online since Thursday, April 22, 2021

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A new dawn…Be proud of your mouth #WOHD21 Highly accessed article p. 1
Sudhindra Baliga
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The effect of multisensory-adapted dental environment on children's behavior toward dental treatment: A systematic review p. 2
Ahmad Faisal Ismail, Tengku Muhammad Asyraf Tengku Azmi, Wan Muizuddin Syahmi Wan Abdul Malek, Sreekanth Kumar Mallineni
Objective: The objective was to assess the effectiveness of multisensory-adapted environment on children's behavior toward dental treatment, specifically in special need children. Materials and Methods: The main health databases were selected such as SCOPUS, Medline, CINAHL, and Dentistry and Oral Sciences. A set of keywords was defined to identify the relevant article were (i.e., Snoezelen OR Multisensory OR sensory-adapted and Dentistry OR Oral). The articles were selected and extracted by two reviewers based on the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines and some predetermined exclusion criteria. Furthermore, the risk of bias assessment was done. Results: A total of 317 papers were selected at the first phase from SCOPUS (97 papers), Medline (108 papers), CINAHL (110 papers), and Dentistry and Oral Sciences (2 papers). After applying the inclusion and exclusion criteria and duplicated papers were removed, only four eligible papers were selected for final synthesis. Conclusions: Multisensory-adapted dental environment effectively improves oral health behavior among special needs children in terms of physiological changes, behaviors, pain, and sensory discomfort. Thus, the clinician may introduce this approach in their clinical settings.
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Association between ABO, Rh blood groups, lip and dermatoglyphic patterns, and nonsyndromic oral clefts: A case–control study Highly accessed article p. 9
Nimisha Sivanand, Mohammed Junaid, B Sivapathasundaram, Manikandhan Ramanathan, Hermann F Sailer, JE Nijesh, Shyam Sivasamy, Preetha Elizabeth Chaly
Objective: The objective of the study is to determine the association between nonsyndromic oral clefts (OC) in children and ABO, Rh blood groups, lip, and dermatoglyphic patterns of their unaffected parents. Methods: This case–control study was conducted at a tertiary cleft center in Chennai, India, among 240 individuals comprising 80 units (40 cases and controls, respectively). Each unit (triad) was constituted by a child (0–12 years of age) either born with nonsyndromic OC (cases) or with no diagnosed congenital anomaly (control) and their unaffected parents (mother and father). ABO and Rh blood groups, specific lip print, fingerprint pattern, and palmar asymmetry were recorded for each individual. Strength of association of related factors was assessed by multivariable logistic regression reported as adjusted odds ratios and 95% confidence interval. Results: A1-positive blood group was found to be considerably higher among case mothers (14.39 [1.57–32.27]). A higher odds of OCs were observed among case mothers with whorl lip pattern (1.51 [1.16–3.17]) and radial loop pattern in fingers (1.44 [1.09–2.31]) relative to controls. In addition, palmar asymmetry was distinctively higher among case parents compared to controls (P < 0.01). Conclusion: Findings indicate that A1-positive blood group, higher frequency of whorl lip, and radial loop finger patterns in mothers and higher ulnar loop pattern in fathers and palmar asymmetry in both parents increases odds of occurrence of OC among their offspring. These identifiable traits offer potential scope for better service planning among resource-constrained disadvantaged communities in India.
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Assessment of knowledge and attitude toward informed consent and assent for biomedical research involving children among health-care professionals in Belagavi city: A questionnaire study p. 16
Vidyavathi H Patil, Shivayogi M Hugar, Niraj S Gokhale, Shweta Kajjari, Nivedita Saxena, Pooja K Dialani
Background: Most of the nations have proposed research regulations to protect the rights and welfare of the research participants. Among such regulations are the informed consent and assent. In the present world, informed consent and assent is the cornerstone in health practice. Aims and Objectives: To compare and evaluate the knowledge and attitude toward informed consent and assent for biomedical research involving children among health-care professionals in Belagavi city. Materials and Methods: A cross-sectional questionnaire study was conducted among 300 house surgeons divided into four groups of Medical, Dental, Nursing, and Ayurveda faculty of Belagavi city. A self-administered multiple choice questions were used to evaluate the knowledge and a five-point Likert scale was used to asses attitude regarding informed consent and assent for research involving children. Statistical analysis was done using SPSS version 20. Results: There was statistically significant difference in mean knowledge and attitude among all four groups (P < 0.05), and there was no significant correlation between knowledge and attitude as a whole in each group of professionals (P > 0.05). Conclusion: Emphasis on additional training is the need of the hour for all the faculty participants and also incorporation of study material regarding informed consent and assent for research involving children by the policy makers.
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Attitude and practices of parents toward their children's oral health care during COVID-19 pandemic p. 22
Mridula Goswami, Monika Grewal, Aditi Garg
Rationale: The impact of COVID-19 has affected billions of people affecting nearly all domains of life, including patient's healthcare needs. Due to constrained dental services during lockdown, pediatric dental needs were severely compromised therefore, parental attitude and practices of maintaining child's oral hygiene impose significant impact on child's oral hygiene. Aim: This study aims to assess the attitude and practices of parents toward their children's oral health care during COVID-19 pandemic. Methodology: The present cross-sectional study was conducted with a sample of 120 parents selected randomly from the outpatient department after obtaining informed consent. A structured questionnaire was used to assess attitude and practice of parents toward their child's oral hygiene during lockdown in COVID-19 pandemic. Results: The overall attitude and practice score of parents in maintaining their child's oral hygiene was low, with mean value of 2.36 ± 1.36 and 2.51 ± 1.50, respectively. 60.8% of parents reported the need of dental treatment for their child during the lockdown period whereas 50.8% parents contacted the dentist during this period; majority (37.5%) of which reported due to toothache. 68.3% of parents would like to visit nearby dental hospital for emergencies during lockdown period. Only 33.3% of parents took extra efforts to maintain their child's oral hygiene while 45% made dietary changes in their child's diet to prevent tooth decay. Conclusion: The overall attitude and practices of the parents were poor toward the oral health of their children during the lockdown period in COVID-19 pandemic. There is urgent need of increasing awareness among parents regarding the importance of maintaining their child's oral health. The inability to see the doctor should at least encourage better home practice measures for future. The concept of tele-dentistry is very new and will be the need of the coming modern times.
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Baby-Risk of malocclusion assessment index: An assessment tool for preventive orthodontic treatment needs in a selected population of children in southeast of Iran p. 29
Fatemeh Jahanimoghadam, Sajad Nikzad, Habibeh Ahmadipour, Samaneh Sadeghi, Reyhaneh Aftabi
Context: Preventive orthodontic treatments are performed in the primary or mixed dentition period and provide a proper development of occlusion to avoid dentofacial anomalies. Aims: This study aims to evaluate the Baby-Risk of Malocclusion Assessment Index (ROMA) index regarding ease of use, reproducibility, and the epidemiological assessment of major orthodontic problems in children aged 4–6-year-old in Kerman (Iran) kindergartens. Setting and Design: This cross-sectional study was conducted on 1000 children aged 4–6 in Kerman (Iran) kindergartens, selected by cluster sampling, and data were collected using the Baby-ROMA index. Methods: After recording a demographic data collection form, the clinical examination of the teeth was carried out by a dental student. The data were analyzed with SPSS 18 using t-test, analysis of variance, Chi-squared test, and Mann–Whitney test at a significance level of P < 0.05. Results: In this study, the most common cause of malocclusion was dental caries (7.5%), followed by crossbite (6.1%). Furthermore, 31.6% of the subjects had one type of malocclusion, and 20.5% needed monitoring the occlusion before the growth spurt, while 11.1% needed immediate orthodontic treatment (mostly 6-year-old children). Moreover, 15.3% of the subjects had systemic problems; 3.4% had craniofacial, 22% had dental, and 2% had functional problems. The prevalence of class I canine relationship in the right canines was 82.32%, with 82.5% on the left side. The prevalence of open bite was higher in females with thumb-sucking habit. Conclusion: The Baby-ROMA index presented good reliability and ease of use for evaluating early orthodontic treatment needs in primary and mixed dentition periods.
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Determining caries risk susceptibility in children of Udaipur city with genetic taste sensitivity and hormonal fingerprint p. 36
Simran Hareshkumar Dusseja, Dinesh Rao, Sunil Panwar, Safna Ameen
Background: Propylthiouracil (PROP) (a medicated tool) and hormonal fingerprint (second to fourth digits [2D:4D]) ratio can be used for detection of caries which is most prevalent oral health disease. Aim: This study aims to determine the role of genetic taste sensitivity and hormonal fingerprint (2D:4D ratio) on caries risk susceptibility. Materials and Methods: The present study was an observational and cross-sectional study. It was conducted on 570 children aged 6–12 years. PROP sensitivity test was done by PROP impregnated filter paper strips and subjects were divided accordingly into supertasters, medium-tasters, and nontasters. 2D:4D ratio was obtained by measuring length ratio of index to ring finger using Vernier caliper. Dietary preferences of the subjects were recorded. The evaluation of decayed, missing, and filled teeth/deft indices was done. Statistical Analysis: Intergroup comparisons were performed using One-way ANOVA test, independent t-test and Chi-square test at 5% significance level. Results: Positive correlation between nontasters, low digit ratio, sweet likers, and high caries index was found with a high significant difference. Conclusion: Genetic taste sensitivity and hormonal fingerprint (biological marker) can be used for detection of caries as the present research confirmed impact of hormones on taste perception.
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Comparative evaluation of body mass index among school children with and without Bruxism of age group of 6–12 years in Kanchipuram district: A cross-sectional study p. 42
Lokesh Siva, Vivek Krishnamoorthy, K Sugumaran Durai, S Syed Shaheed Ahamed, S Rajakumari, NC Catherine
Aim: To evaluate and compare the body mass index (BMI) of school-going children with bruxism and without bruxism of age between 6 and 12 years. Settings and Design: To find the correlation between BMI and oral habit bruxism among school children and compare with those children without bruxism. Materials and Methods: A total of 6122 children were screened from 28 government and 12 private schools, in which 1854 (30.28%) had various types of oral habits. Among this 280 children had the stressful habit bruxism. The BMI of those children was calculated by measuring the height and weight. The values were compared with the BMI of same number of students of same age group, who does not have any oral habits, with the WHO standard. The values were calculated and tabulated for the statistical analysis, using the SPSS software version 19 (IBM company) with the P < 0.05 as statistically significant. Results: Its shows that children with bruxism has high BMI range, was in the order of overweight > Normal > Underweight, but the BMI of children without any habit was in the order of normal > Underweight > Overweight. On comparison, it was statistically significant. Conclusion: The habit bruxism had a positive correlation with the BMI of children. The children are more stressed from both indoor and outdoor. Hence, kindly educate all the parents, teachers, and public to identify the cause for the habit, because each oral habit is strongly deep rooted with some emotional and/or psychological problem and to make the children stress free in future.
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Comparison of staining potential of silver diamine fluoride versus silver diamine fluoride and potassium iodide under tooth-colored restorations: An in vitro study p. 47
Ealy Vennela, J Sharada, Shaik Hasanuddin, K Suhasini, I Hemachandrika, P Tara Singh
Background: Silver diamine fluoride (SDF) is one of the effectual cariostatic agents widely used in minimal intervention dentistry. However, the major drawback of SDF is dark staining after its application. Aim: In the present study, the staining of 38% SDF alone and 38% SDF and potassium iodide (KI) was compared after restoration with glass-ionomer cement (GIC) and resin composite using ImageJ software. Methods and Material: Forty extracted carious primary teeth were sorted into four groups. In Group I and II, SDF was applied and restored with GIC and composite restorations, respectively. In Group III and IV, SDF application was followed by KI and restored with GIC and composite restorations, respectively. Images were captured after initial applications on day 1 and day 14 after restoration. The captured images were imported to ImageJ software and mean gray values were calculated. Statistical Analysis: The mean gray values obtained were subjected to statistical analysis using paired t-test and independent sample t-test. There was statistically significant if P < 0.05. Results: Following the application of SDF and RIVA STAR, the baseline mean gray values showed no statistical significance. On day 1, the mean gray values were highest in Group IV (208.30) and lowest in Group I (178.51). Similarly, on day 14, the highest mean gray values were observed in Group IV (208.45) and lowest in Group I (147.6) which were statistically significant. Conclusions: The restorations after SDF application attained dark stain eventually, whereas with the application of SDF followed by KI (RIVA STAR), the restorations showed the least staining.
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The effect of sterilization and disinfection on the physical-mechanical properties of preformed crowns p. 53
Shital Kiran Davangere Padmanabh, Vaidehi Patel
Introduction: Different sizes of crowns may be tried on children since there is no universal crown size because of distinctions in tooth morphology from one child to other. During the process of trial and error, the crown gets contaminated which needs to be sterilized for reuse of crown. This study was carried out to evaluate the physical–mechanical outcome after the sterilization and disinfection of pediatric preformed crowns. Materials and Methods: In total, sixty crowns consisted of 20 each, stainless steel crowns (SSCs) (3M ESPE), preveneered stainless steel (Kinder Krowns), and Zirconia crowns (Kinder Krowns) which were divided into four groups. G1 in which crowns did not undergo any sterilization, G2 consisted of fast sterilization, similarly G3 was slow sterilization, and G4 underwent chemical disinfection using Korsolex Plus for 15 min. Following sterilization, all the crown samples were observed under a stereomicroscope at ×200 magnification and assessed for color change, crazing, dimensional stability, and fracturing. Post hoc Tukey test and two-way ANOVA were performed for comparison between types of crowns and sterilization methods, with a significance level was set at P < 0.05. Results: There was no color change or fracturing following sterilization among crowns in any of the groups. Highest crazing was noted in stainless steel and the least in Zirconia crowns. Preveneered stainless steel was the most dimensionally stable and SSCs was the least. Conclusion: No color changes and fracture were noted in any type of crowns. Preveneered stainless steel was most dimensionally stable followed by Zirconia and SSCs. Maximum crazing was seen in SSCs and nil in Zirconia.
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Metallic insignia in primary teeth: A biomarker for Autism Spectrum Disorders p. 61
Kanwalpreet Kaur, Bharat Suneja, Sunaina Jodhka, Jasvir Kaur, Amanpreet Singh, Saini Ravinder Singh
Background: Lead accumulations have been found in teeth and related to behavior deficits in children, but there is a dearth of studies in exploring the role of zinc and manganese dysregulations in autism spectrum disorders (ASD) using the primary tooth as biomarker. Aims: The objectives of the study were to evaluate and compare the concentrations of zinc and manganese in the primary teeth serving as biomarker, in typically developing children and children with ASD. Settings and Design: Twelve primary incisors indicated for extraction were collected from children between the age group 6 and 9 years, for the study. Six primary incisors were obtained from children who had been diagnosed with ASD (study group). The other six teeth were obtained from typically developing children, in the similar age group. Methods: The primary incisors obtained were analyzed for metal concentrations using the technique Inductively Coupled Plasma Optical Emission Spectrometry. Statistical Analysis: This study was statistically analyzed by student's t-test. Results: It was observed that there are significant differences in metal concentrations found between tooth samples of ASD children and typically developing children. Zinc concentrations were double and manganese concentrations were three times, in teeth of ASD children group as compared to the children in the control group. Conclusions: Results of the current study indicate that there are considerable differences in concentrations of zinc and manganese between the two groups and support the contention that there might be an association between metal exposures of a pregnant mother and child during early years of childhood and incidence of ASD.
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Remineralization efficacy of nonfluoride versus herbal-based pediatric dentifrice in demineralized primary teeth p. 67
Balamurugan Suba Ranjana, Nagalakshmi Chowdhary, NK Kiran, SM Chaitan, Vundela Rajashekar Reddy, Tanuja Prabahar
Background: Dental caries is one of the most prevalent posteruptive bacterial infections worldwide, characterized by a progressive demineralization process that affects the mineralized dental tissues. Although the decline of dental caries prevalence can be attributed to the widespread use of dentifrices that contain fluoride, yet there is a need for an advanced alternative nonfluoride remineralizing dentifrice. Yet, there is a need for an advanced alternative nonfluoride remineralizing dentifrice. Aim: The aim of this study was to evaluate and compare the remineralizing effect of nonfluoride-based and herbal-based pediatric dentifrice in demineralized primary teeth with an ideal in vitro method of pH cycling and evaluating the values under Polarized Light Microscope (Olympus BX43) using image analysis software (ProgRes, Speed XT core3). Materials and Methods: A total of 30 tooth samples were collected and placed in the demineralizing solution for 96 h to produce a demineralized lesion of approximately 100 μm, and then cut longitudinally into 60 sections that were randomly assigned to two groups with 27 samples each, Group A – nonfluoride-based dentifrice (Mee Mee®), Group B – herbal-based dentifrice (Mamaearth), after which they were subjected to pH cycling for 7 days along with dentifrice slurry preparation. The sections were evaluated under the polarizing light microscopy for remineralizing efficacy. The lesion depth was measured and tabulated to be sent for statistical analysis. Results: The mean demineralization value for nonfluoride and herbal-based dentifrice groups were 7.8730 μm and 28.3174 μm, respectively. Hence, it can be inferred that since lesion depth measured was lesser in nonfluoride than herbal-based dentifrice, remineralization has occurred in the nonfluoride-based dentifrice group. Conclusion: Nonfluoride-based dentifrice showed significant results in remineralizing the demineralized lesion, while herbal-based dentifrice showed poor efficiency in remineralizing the demineralized lesion.
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Synchrotron radiation-based micro-computed tomographic analysis of apical transportation of different Nickel–Titanium rotary systems in curved root canals: An in vitro study p. 74
Pooja Yenubary, CK Anil, Balwant Singh
Background: In the last few decades, the availability of synchrotron sources has initiated revolutionary advances in X-ray imaging. Aims: The study aimed to evaluate the incidence of apical transportation after root canal preparation with ProTaper Gold (PTG), Hyflex electro discharge machining (HEDM), Reciproc (RPC), and WaveOne Gold (WOG) using synchrotron radiation-based micro-computed tomographic (SR–μCT) analysis. Materials and Methods: Forty mandibular molars were assigned to four experimental groups (n = 10) according to the file system used for the root canal preparation: Group 1: PTG (25/0.08), Group 2: HEDM (25/0.08), Group 3: RPC (25/0.08), and Group 4: WOG (25/0.07). The specimens were scanned on SR–μCT system before and after the root canal preparation. Apical transportation was assessed at 1, 2, 3, 4, and 5 mm section. Statistical Analysis: Two-way analysis of variance and Wilcoxon Mann–Whitney test was used. Results: No significant difference was found between the groups. Transportation in the mesial direction was of greater magnitude than distal transportation for all the files systems. Conclusion: SR–μCT can be used as a reliable diagnostic tool for further implications.
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Evaluation of the average pulp cavity volume of primary second molar and canine for obturation of a single primary tooth: A preliminary cone-beam computed tomographic study p. 79
Ritesh Kalaskar, Sudhindra Baliga, Shruti Balasubramanian
Objective: Metapex/Vitapex is one of the most commonly used obturating materials in pediatric dental practice in recent times. It is available in a premixed syringe which poses numerous practical difficulties. This study aimed to calculate the root canal volume of maxillary and mandibular canine and second molar using cone-beam computed tomography (CBCT) to determine the quantity/grams of obturation material to obturate a single tooth (mass = density × volume). Materials and Method: This nonrandomized clinical trial is comprised of two parts. The first part involved calculation of average root canal volume using CBCT which was used to calculate the quantity/grams of obturating material. This predetermined quantity was used to obturate primary mandibular second molars and canines, and the quality of obturation was assessed. Results: Assessment of quality of obturation showed optimum length obturation in 53.33% primary second molars and 66.66% primary canines. Conclusion: It can be inferred that even with the use of exact predetermined quantity/grams of obturating material, optimum quality obturation could be achieved, thus avoiding wastage, preventing cross contamination, and simultaneously offering good clinical results. Hence, this study opens further gateways to device ampules containing predetermined mass of obturating material for a single use for obturation of a single primary tooth.
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Evaluation of the clinical efficacy of 38% silver diamine fluoride in arresting dental caries in primary teeth and its parental acceptance p. 85
Aparna Chaurasiya, Sushma Gojanur
Background: Early childhood caries (ECC) has been regarded as one of the most prevalent chronic diseases in children. Conventional restorative management of ECC is difficult to perform in very young and apprehensive children. Silver diamine fluoride (SDF) can be a useful tool in the management of dental caries by arresting the carious lesion in primary teeth. After SDF treatment, the dentinal staining that is associated with SDF influences the acceptance of this treatment among parents of young children. Aim: This study aimed to evaluate the clinical effectiveness of biannual application of 38% SDF followed by 5% sodium fluoride (NaF) varnish for arresting dental caries in children and its parental acceptance. Methods: Twenty-six children aged 2–5 years with 107 active caries lesions in primary teeth were enrolled. At the baseline examination, status of carious lesions was recorded and scored according to the International Caries Detection and Assessment System II. Lesion activity was assessed by visual inspection and tactile detection. Carious lesions with score 3, 4, 5, and 6 were treated with 38%SDF application, followed by 5% NaF varnish. Children were re-evaluated at 3 weeks, 3 months, 6 months, and 12 months. Parental acceptance of SDF treatment was evaluated. Results: This study demonstrated that 38% SDF was 92.31% effective in arresting dental caries in primary teeth and was well accepted by parents. Chi-square test was used to assess the significant difference among the arrested lesions which was statistically significant (P < 0.05). Conclusion: Thirty-eight percent SDF can be effectively used in arresting caries in primary teeth in young and uncooperative children.
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An assessment of the efficacy of clinical skills simulation using standardized patient in teaching behavior management and modification skills in Pediatric Dentistry to dental undergraduate students: A double-blinded, randomized, controlled trial p. 90
Madhu Santhakumar, R Vidhya
Background: Clinical skills simulation (CSS) is an important tool in teaching and learning. The literature review showed a scarcity of research data regarding the use of CSS,in teaching, especially in dentistry. The use of CSS in dental teaching was found restricted to the use of low fidelity typhodonts fitted to phantom heads used in teaching cavity preparation and crown cutting. Aim: The aim of the study was to determine the efficacy of CSS using standardized patient in teaching behavior management and modification skills to dental undergraduate students. Settings and Design: This double-blinded, randomized controlled trial was undertaken among 3rd year dental undergraduate students, and the study was undertaken at the Department of Pediatric and Preventive Dentistry. Materials and Methods: Fifty, 3rd year BDS students were randomly allotted to simulation and nonsimulation groups. Baseline data regarding their knowledge in the behavior management of child patients were assessed. Simulation group was further divided into group of six students and underwent CSS with standardized patient. Pretest and posttest knowledge regarding behavior management was assessed in the simulation group using questionnaires approved by an expert committee. The results were analyzed to see if there is any improvement in their knowledge after CSS. Students in simulation and nonsimulation groups were assessed for their behavior management skills during patient management, by an independent observer, using a checklist. Statistical Analysis: Mean, standard deviation (SD), and unpaired student t-test were done to assess the baseline knowledge of students who participated in the study. Mean, SD, and paired t-test were used to compare the pretest and posttest score of students who underwent simulation. Mean, SD, and unpaired t-test were used to compare the behavior management skills of both groups of students. Results and Conclusions: The knowledge of students in both groups before the study was comparable with no statistically significant differences. There was a statistically significant improvement in the knowledge of students who underwent CSS regarding behavior management of child patients. The unpaired Student's t-test showed a significant difference in the behavior management skill of dental undergraduate students when treating a child patient. The students who underwent CSS fared better compared to students who were taught behavior management methods by traditional methods only. Clinical skill simulation using standardized patient is an effective adjunct to be used along with traditional method of teaching while teaching behavior management and modification skills to dental undergraduate students.
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Comparison of the efficacy of parental brushing using powered versus manual tooth brush: A randomized, four-period, two-treatment, single-blinded crossover study p. 95
Pooja Mysore Purushotham, Arathi Rao, Srikant Natarajan, Suprabha Baranya Shrikrishna
Background: Children <5 years of age need parental assistance with tooth brushing. Purpose: The aim is to compare the efficacy of manual and powered toothbrushes for plaque removal when used by parents to brush their children's teeth. Methods: This randomized, four-period, two-treatment, examiner-blinded, crossover clinical trial comprised children aged 3–5 years. Tooth brushing was performed by the parent using a manual or powered toothbrush. Pre- and post-brushing plaque assessments were performed using the Turesky Modified Quigley-Hein Plaque Index. Differences in plaque scores were calculated using the paired t-test. Results: A significant difference (P < 0.001) in the reduction of the plaque score was observed between the manual and powered tooth brushing groups. Conclusion: Powered toothbrushes performed significantly better than manual toothbrushes in terms of plaque removal when used by parents to brush their child's teeth.
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Ultrasonography as a diagnostic aid for a neonate with gingival swelling in a COVID-19 neonatal intensive care unit p. 101
Adesh Kakade, Bhagyashree Deshmukh, Agrima Agarwal, Sushma Malik, Devdas S Shetty, Poonam A Wade, Aaishwarya Shetty
COVID-19 pandemic has impacted all the aspects of life and has emerged as the biggest challenge to the health-care sector. Dental fraternity has also taken its significant impact since the transmission of disease is primarily through aerosol droplets. Management of infants with orofacial anomalies such as natal and neonatal teeth born to COVID-19-positive mothers is another challenge due to unavailability of dental facilities in the isolation wards. In such unforeseen circumstances, out-of-routine approaches such as extraoral mandibular ultrasonography were performed for the management of a congenital intraoral swelling in an infant and are being described in this case report.
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Winged nance palatal arch: An adjunct to tooth movement p. 104
Rajkumar Maurya, Harpreet Singh, Pranav Kapoor, Poonam Sharma, Babita Niranjan, Ashutosh Dubey
Anchorage control during the correction of severely crowded dentitions has always been a source of concern during orthodontic therapy. The Nance palatal arch (NPA) has, in the past, been widely used for reinforcing anchorage in such cases. Modifications of the NPA have been reported for use as a fixed functional appliance or for molar distalization. Herein, a simple, effective modification of the conventional NPA is introduced incorporating two power arms, which can be used for unravelling of anterior crowding at the same time effectively augmenting molar anchorage.
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Regenerative endodontic treatment of an immature permanent canine – A case report of a 13-year follow-up p. 106
Roy Petel, Avia Fux Noy
Data on long term survival and tooth stability after regenerative endodontic treatment are missing. The purpose of the present report is to describe regenerative endodontic treatment of a permanent mandibular canine with extensive coronal hypoplasia, immature root, and a periapical radiolucency. The regenerative endodontic treatment was initiated by irrigation of the root canal, followed by three weeks of triple antibiotic paste dressing and the creation of a blood clot scaffold covered with mineral trioxide aggregate. A one year clinical and radiographic follow-up demonstrated healing of the periapical radiolucency and the tooth remained stable and sound for almost thirteen years post treatment.
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