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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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ORIGINAL ARTICLE
Mineral trioxide aggregate as a pulpotomy agent in primary molars: An in vivo study
S Naik, Amitha M Hegde
January-March 2005, 23(1):13-16
DOI:10.4103/0970-4388.16020  PMID:15858300
The retention of pulpally involved deciduous tooth in a healthy state until the time of normal exfoliation remains to be one of the challenges for Pedodontists. A scientific noise has been generated about several materials some of which have been popular pulpotomy medicaments. Concerns have been raised about the toxicity and potential carcinogenicity of these materials, and alternatives have been proposed to maintain the partial pulp vitality, however to date no material has been accepted as an ideal pulpotomy agent. Mineral trioxide aggregate (MTA) is a biocompatible material which provides a biological seal. MTA has been proposed as a potential medicament for various pulpal procedures like pulp capping with reversible pulpitis, apexification, repair of root perforations, etc. Hence the present study was done to evaluate the efficacy of MTA as a pulpotomy medicament. A clinical and radiographic evaluation was done on children where MTA was used as pulpotomy medicament in primary molars for a period of 6 months and it was found to be a successful material.
  77 34,907 2,979
Effects of periodontal treatment phase I on birth term and birth weight
S Sadatmansouri, N Sedighpoor, M Aghaloo
January-March 2006, 24(1):23-26
DOI:10.4103/0970-4388.22831  PMID:16582527
Considering the high prevalence of preterm birth (PTB) and low birth weight (LBW) and their complications as well as the role played by periodontal disease in their incidence and the lack of any report of periodontal therapy on these problems in Iran, the goal of the present research was to determine the effects of periodontal treatment on PLBW incidence among women with moderate or advanced periodontitis who were referred to Javaheri hospital (2004-2005). This clinical trial research was conducted on 30 pregnant women age ranging from 18-35 years old, with moderate or advanced periodontitis. Fifteen subjects randomly underwent the first phase of periodontal treatment including scaling, root planning and the use of 0.2% chlorhexidine mouth rinse for one week. None of these steps were taken for the controls. After necessary follow ups, the effect of periodontal treatment on birth term and birth weight were analyzed statistically. This research was conducted on 30 subjects, 15 controls and 15 cases in study group. In the control group, the observed rate of PLBW was 26.7% whereas among periodontally treated group, phase I, PLBW infant was not observed ( P <0.05). Infants birth weight were (3059.3-389.7) gms in study group and (3371-394.2) gms in the control group and respectively ( P <0.05). Periodontal therapy, phase I, results in a reduction in PLBW incidence rate. Therefore, the application of such a simple method among periodontally diseased pregnant women is recommended.
  58 12,663 1,136
ORIGINAL ARTICLES
Prevalence of malocclusion and orthodontic treatment needs among middle and high school children of Davangere city, India by using Dental Aesthetic Index
KM Shivakumar, GN Chandu, VV Subba Reddy, MD Shafiulla
October-December 2009, 27(4):211-218
DOI:10.4103/0970-4388.57655  PMID:19915271
Background: Malocclusion has large impact on individual and society in term of discomfort, Quality of Life [QoL] Aims and Objectives: To assess prevalence of malocclusion and orthodontic treatment needs among middle and high school children of Davangere city, India by using Dental Aesthetic Index [DAI]. Materials and Methods: A Descriptive cross sectional study was conducted among 1000, in the age group 12 to 15 year old school children studying in middle and high schools of Davangere city, India. 10 schools were selected by simple random sampling procedure and 100 study subjects were selected proportionately for males and females by using systematic random sampling procedures in each school. Data recorded using proforma consisted DAI components. The collected data was subjected to statistical analysis. Statistical Analysis: The Chi-square test [x 2 ] was used for comparison of severity of malocclusion. Analysis of Variance [ANOVA] test was used for comparison of mean DAI scores between the age groups and in DAI scores. 'Z' test was used for comparing the mean DAI scores between sex group. Results: Of the 1000 children examined, 518[ 51.8%] were males and 482[ 48.2%] were females. 80.1% school children had ≤ 25 DAI scores with no or minor malocclusion requiring no or little treatment, 15.7% had 26-30 DAI scores with definite malocclusion requiring elective treatment, 3.7% had 31-35 DAI scores with severe malocclusion requiring highly desirable treatment and 0.5% had ≥ 36 DAI scores with handicapping malocclusion requiring mandatory treatment. Conclusions: 80.1% school children had no or minor malocclusion which required no or slight treatment, 19.9% had definite/handicapping malocclusion requiring definite/mandatory orthodontic treatment.
  43 17,587 1,293
ORIGINAL ARTICLE
Epidemiological and etiological study of oral submucous fibrosis among gutkha chewers of Patna, Bihar, India
Mohammad Sami Ahmad, SA Ali, AS Ali, KK Chaubey
April-June 2006, 24(2):84-89
DOI:10.4103/0970-4388.26022  PMID:16823233
An etiological and epidemiological study of oral submucous fibrosis (OSMF) has been done in Patna, Bihar. Total 157 cases of OSMF and 135 control subjects were selected for study in the period of 2002-2004. It was observed that Male: Female ratio was 2.7: 1. The youngest case of OSMF was 11 year old and the oldest one was 54 years of age. Maximum number of cases were belonging to 21-40 years of age and they were belonging to low or middle socioeconomic class. Most of the OSMF cases used heavy spices and chillies, where as control mild spices and chillies. Gutkha was the most commonly used by the OSMF cases only 3 per cent did not use any gutkha or other areca nut product where as 80 per cent control did not have any chewing habit. The OSMF cases used gutkha and other products 2-10 pouches per day and kept in the mouth for 2-10 minutes and they were using since 2-4 years. Most of the OSMF cases kept gutkha in the buccal vestibule or they chewed and swallowed it, only a small number of patients chewed and spitted it out. It was also observed that OSMF developed on one side of the buccal vestibule where they kept the chew and other side was normal.
  39 20,902 1,563
ORIGINAL ARTICLES
Inhibitory activity of garlic (Allium sativum) extract on multidrug-resistant Streptococcus mutans
MM Fani, J Kohanteb, M Dayaghi
October-December 2007, 25(4):164-168
DOI:10.4103/0970-4388.37011  PMID:18007101
Garlic ( Allium sativum ) extract has been known to have inhibitory activity on various pathogenic bacteria, viruses and fungi. The objective of present investigation was to study in vitro inhibitory activity of garlic extract on multidrug-resistant (MDR) strains of Streptococcus mutans isolated from human carious teeth. Filter sterilized aqueous extract of garlic was prepared and used in the present study. For isolation of S. mutans , extracted human carious teeth were cultured in Todd-Hewit broth and Mitis-Salivarius-Bacitracin agar. S. mutans was characterized by colony morphology, biochemical tests and other conventional bacteriological procedures. Disk sensitivity tests and broth dilution methods were used to determine antibiotic sensitivity profile and inhibitory activity of garlic extract on S. mutans isolated from carious teeth. Of 105 carious teeth tested, 92 (87.6%) isolates of S. mutans were recovered, among which 28 (30.4%) were MDR since they were resistant to four or more antibiotics. The highest rate of resistance was observed for tetracycline (30.4%) and least resistance (0%) to teichoplanin and vancomycin while 22.8% and 23.9% of the isolates were resistant to penicillin and amoxicillin, respectively. Chlorhexidine minimum inhibitory concentration (MIC) for MDR and non-MDR S. mutans varied from 2 to 16 g ml−1 and from 0.25 to 1 g ml−1 , respectively ( P < 0.05). All isolates, MDR and non-MDR of S. mutans were sensitive to garlic extract with the MIC ranging from 4 to 32 mg ml−1 . Considering in vitro data obtained in the present study, mouthwashes or toothpaste containing optimum concentration of garlic extract could be used for prevention of dental caries.
  36 34,850 2,914
Dental maturity as an indicator of chronological age : radiographic evaluation of dental age in 6 to 13 years children of Belgaum using Demirjian methods.
RJ Hegde, PB Sood
December 2002, 20(4):132-8
PMID:12587748
The study was designed to determine dental age from orthopantomograph using Demirjian method and to investigate applicability of Demirjian method for estimation of chronological age in children of Belgaum. The sample for the study consisted of 197 subjects between 6-13 years of age. When Demirjian method was applied to Belgaum children, mean difference between true and assessed age for males showed overestimation of 0.14 years (51 days) and females showed overestimation of 0.04 years (15 days). Demirjian method showed high accuracy when applied to Belgaum children.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  35 2,678 0
ORIGINAL ARTICLE
Dental caries prevalence among preschool children of Hubli: Dharwad city
R Mahejabeen, P Sudha, SS Kulkarni, R Anegundi
January-March 2006, 24(1):19-22
DOI:10.4103/0970-4388.22829  PMID:16582526
The prevalence of dental caries and treatment needs in the age group of 3-5 years was estimated among 1500 children of Hubli -Dharwad city. The attitude of mothers towards their children's oral health and its relation with caries prevalence was noted among 200 subjects. The prevalence of dental caries was 54.1%. The attitude of mothers towards children's oral health made a statistical difference in the mean dmft levels.
  35 16,130 1,219
Oral health status of 5 years and 12 years school going children in Chennai city - An epidemiological study
P Mahesh Kumar, T Joseph, RB Varma, M Jayanthi
January-March 2005, 23(1):17-22
DOI:10.4103/0970-4388.16021  PMID:15858301
India, a developing country, faces many challenges in rendering oral health needs. The majority of Indian population resides in rural areas of which more than 40% constitute children. The purpose of this study was to assess the oral health status of 5 years and 12 years school going children in Chennai city. The study population consisted of 1200 school children of both the sexes (600 private and 600 corporation school children) in 30 schools, which had been selected randomly. The survey is based on WHO, 1999 Oral Health Assessment, which has been modified by including gingival assessment, enamel opacities/ hypoplasia for 5 years. Evaluation of the oral health status of these children revealed, dental caries is the most prevalent disease affecting permanent teeth, more than primary teeth and more in corporation than in private schools, thereby, correlating with the socioeconomic status. It may be concluded that the greatest need of dental health education is at an early age including proper instruction of oral hygiene practices and school based preventive programs, which would help in improving preventive dental behaviour and attitude which is beneficial for life time.
  30 19,863 1,642
An in vitro comparison of root canal measurement in primary teeth
Priya Subramaniam, S Konde, DK Mandanna
July-September 2005, 23(3):124-125
DOI:10.4103/0970-4388.16883  PMID:16224130
To compare the accuracy of root canal lengths in primary teeth determined by tactile sense, electronic apex locator, conventional radiography, and digital radiography in primary teeth. The study sample consisted of twenty 20 extracted, single-rooted primary teeth. A comparison was made between the working length measurements obtained by tactile sensation, electronic apex locator, conventional film, and digital radiography, using stereomicroscopic measurements to obtain real canal length. The mean readings obtained were 15.91 2.06 by tactile measurement, 15.94 94 1.42 by apex locator, 16.06 1.73 by conventional radiography, and 15.91 1.60 by digital radiography. No statistically significant differences were seen between the techniques.
  30 10,729 1,150
ORIGINAL ARTICLES
A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients
AR Prabhakar, N Marwah, OS Raju
October-December 2007, 25(4):177-182
DOI:10.4103/0970-4388.37014  PMID:18007104
Pain is not the sole reason for fear of dentistry. Anxiety or the fear of unknown during dental treatment is a major factor and it has been the major concern for dentists for a long time. Therefore, the main aim of this study was to evaluate and compare the two distraction techniques, viz, audio distraction and audiovisual distraction, in management of anxious pediatric dental patients. Sixty children aged between 4-8 years were divided into three groups. Each child had four dental visits - screening visit, prophylaxis visit, cavity preparation and restoration visit, and extraction visit. Child's anxiety level in each visit was assessed using a combination of four measures: Venham's picture test, Venham's rating of clinical anxiety, pulse rate, and oxygen saturation. The values obtained were tabulated and subjected to statistical analysis. It was concluded that audiovisual distraction technique was more effective in managing anxious pediatric dental patient as compared to audio distraction technique.
  30 23,160 2,268
ORIGINAL ARTICLE
Early childhood caries and dental plaque among 1-3-year-olds in Tehran,Iran
Simin Z Mohebbi, Jorma I Virtanen, Mojtaba Vahid-Golpayegani, Miira M Vehkalahti
October-December 2006, 24(4):177-181
DOI:10.4103/0970-4388.28073  PMID:17183180
The association between plaque and caries in older children and adults has been poor, however, some studies show that there may be a relationship in younger children. The aim was to study the relationships between dental caries and dental plaque among 12-36-month-olds in Tehran, Iran. A cross-sectional study among a stratified random sample of 504 children aged one to three years from 18 public health centres in Tehran. Mothers were interviewed about their child's date and order of birth, gender, primary caregiver, the mother's age and the educational level of both parents. Dental examination was carried out according to the WHO criteria. Early childhood caries (ECC) was defined as the presence of any dmf teeth. Dental plaque was visually inspected on the labial surfaces of upper central incisors. Data analysis included Chi-square test, t -test, anova and logistic regression modelling. The prevalence of ECC ranged from 3 to 33% depending on age group, with a mean dt of 1.1 for 26- to 36-month-olds. No gender-differences existed in ECC prevalence and mean dt. Dental plaque was visible on at least one index tooth for 65-75% of the children. Presence of ECC was related to the presence of dental plaque (OR=1.5; 95% CI 1.0-2.3) when controlling for background factors by means of logistic regression. The high occurrence of visible plaque and rather high ECC prevalence call for improvement in oral health promotion programs of the children.
  28 14,051 1,220
Prevalence of gingival diseases, malocclusion and fluorosis in school-going children of rural areas in Udaipur district
V Dhar, A Jain, TE Van Dyke, A Kohli
April-June 2007, 25(2):103-105
DOI:10.4103/0970-4388.33458  PMID:17660647
High prevalence of dental diseases has been recorded in Rajasthan, however, not much work has been done to ascertain the prevalence of dental diseases in Udaipur district. This study was conducted among 1,587 government school children of Udaipur district in the age group of 5-14 years for recording the prevalence of gingival diseases, fluorosis and malocclusion. Gingivitis was found in 84.37% of children, malocclusion in 36.42% and fluorosis in 36.36%.
  28 12,895 1,106
Effect of antiasthmatic medication on dental disease: Dental caries and periodontal disease
ND Shashikiran, V.V.S Reddy, P Krishnam Raju
April-June 2007, 25(2):65-68
DOI:10.4103/0970-4388.33450  PMID:17660639
The prevalence of asthma has been increasing since the 1980s. Asthma and tooth decay are the two major causes of school absenteeism. There are few studies present in the literature. The objectives of the present study were to know the severity of dental caries and periodontal problems in children before and after taking antiasthmatic medication. The present study was conducted on 105, six- to fourteen-year-old asthmatic children to determine the condition of their dental caries and their periodontal status before and after taking antiasthmatic medication, for a period of 1 year and these were matched with their controls. The results showed that salbutamol inhaler shows increased caries rate with high significance over other groups, which was followed by salbutamol tablets and beclamethasone inhaler respectively. It has been concluded that antiasthmatic medication has its effects on dental caries and periodontal disease and asthmatic patients are recommended to adopt more precautionary oral hygiene practices and keep their caries activity and periodontal health under constant check.
  28 24,624 1,900
CASE REPORT
Sublingual traumatic ulceration due to neonatal teeth (Riga-Fede disease)
RJ Hegde
January-March 2005, 23(1):51-52
DOI:10.4103/0970-4388.16031  PMID:15858311
The term Riga-Fede disease has been used historically to describe traumatic ulceration that occurs on the ventral surface of tongue in neonates and infants. It is most often associated with natal and neonatal teeth in newborns. A case of Riga-Fede disease is presented.
  27 24,947 979
ORIGINAL ARTICLE
Microleakage of restorative materials: An in vitro study
P Mali, Shobha Deshpande, A Singh
January-March 2006, 24(1):15-18
DOI:10.4103/0970-4388.22828  PMID:16582525
The present study was conducted with the aim of evaluating and comparing the microleakage of glass ionomer, composite resin and compomers. Class V cavities were made in thirty intact caries free premolars and restored with restorative materials to be tested respectively. The teeth were thermocycled and subjected to silver nitrate dye penetration. They were subsequently sectioned buccolingually. Microleakage was evaluated under a stereomicroscope and data subjected to statistical analysis. The study concluded that microleakage was evident in all restorative materials, with glass ionomer showing maximum leakage followed by composite resin. Compomer demonstrated the best results with minimum leakage.
  27 16,356 1,291
Prevalence of dental caries among 5-13-year-old children of Mangalore city
P Sudha, S Bhasin, RT Anegundi
April-June 2005, 23(2):74-79
DOI:10.4103/0970-4388.16446  PMID:16012209
A study of prevalence of dental caries was undertaken in 5-13-year-old children from Mangalore city. A total of 524 children were examined. The sample consisted of 193, 160, and 171 children in the 5-7, 8-10 and 11-13 years of age group, respectively. Dental caries was examined visually and observations were recorded. Silness and L φe plaque index, L φe and Silness gingival index were used to record the periodontal status. The prevalence of dental caries was highest in 5-7-year-age group compared to 8-10 years and 11-13 years age groups. The increasing prevalence of dental caries needs dental health programmes, which target the specific segments of the population.
  26 20,613 1,226
In vitro comparison of NiTi rotary instruments and stainless steel hand instruments in root canal preparations of primary and permanent molar
PJ Nagaratna, ND Shashikiran, VV Subbareddy
October-December 2006, 24(4):186-191
DOI:10.4103/0970-4388.28075  PMID:17183182
This study is an attempt to compare the NiTi rotary and K-files hand instrumentation on root canal preparation of primary and permanent molars for their efficiency in preparation time, instrument failure and shaping the canals. About 20 primary mandibular second molar (I) and 20 permanent mandibular first molar (II) were selected. Each was further divided into 10 for K-files (a) and 10 for NiTi (b) groups, respectively. Results showed that preparation time Ib<Ia and IIab<IIa, which was highly significant. In instrument failure, Ia (40%), IIa (30%) showed more deformation but not fracture and Ib (10%), IIb (20%) showed fracture, but not deformation. Profiles showed good canal taper and smoothness compared to the K-files. To conclude profile 0.04 taper 29 series, prepared canal rapidly than conventional K-file with good taper, smoothness though the flow was not satisfactory. Instrument failure with K-files was less. In primary teeth preparation time, instrument failure with profile was less compared to the permanent. To conclude it's encouraging to use the profiles in primary teeth.
  26 13,015 1,493
Dermatoglyphic peculiarities in children with oral clefts
L Mathew, AM Hegde, K Rai
October-December 2005, 23(4):179-182
DOI:10.4103/0970-4388.19005  PMID:16327138
In humans, the development of the primary palate and the lip is completed by the 7th week of intra uterine life and that of secondary palate by 12th week. The dermal ridges develop in relation to the volar pads, which are formed by the 6th week of gestation and reach maximum size between 12th and 13th weeks. This means that the genetic message contained in the genome - normal or abnormal is deciphered during this period and is also reflected by dermatoglyphics. Hence this study was done in order to observe the differences in dermatoglyphic patterns between the children with oral clefts and normal children and to determine the usefulness of dermatoglyphics in studying the genetic etiology of oral clefts.Dermatoglyphic data from 50 oral cleft children and 50 normal children were collected using the ink method and comparison was done between them. In the present study, we found an increase in the ulnar loop patterns on the distal phalanges of the ten fingers, an increase in the atd angle and an increase in the fluctuating asymmetry of the atd angle in the oral cleft children which indicates the degree of developmental instability of the oral cleft individual.
  25 9,509 624
Do autistic children have higher levels of caries? A cross-sectional study in Turkish children
Necmi Namal, Hayriye Ertem Vehit, Selcuk Koksal
April-June 2007, 25(2):97-102
DOI:10.4103/0970-4388.33457  PMID:17660646
The aim of this study is to assess whether the dental caries experience is higher in children with an autistic disorder (AD) than in normal children. Three schools for autistic children and three standard elementary schools in Istanbul, Turkey, were included in a cross-sectional study. Subjects were orally examined. Socio-demographic information and data about their oral care habits were obtained from their parents from records. Sixty-two children with AD and 301 children without AD were examined. Their ages varied between 6 and 12 years. Children with AD compared to those without AD had lower experience of caries. Logistic regression analysis of DMFT showed that the dental status was positively affected in younger children (OR = 15.57; 95% CI 7.62, 31.80), children from families with high income (OR = 5.42; 95% CI 2.31, 12.75), children brushing teeth regularly (OR = 2.01, 95% CI 1.10, 3.68), children consuming less sugar (OR = 5.01; 95% CI 2.57, 9.76) and in those with AD (OR=3.99; 95% CI 1.56, 10.19). Children with AD had better caries status than children without AD at younger ages.
  25 18,008 1,139
Applicability of Demirjian's method of age assessment in children of Davangere.
AR Prabhakar, AK Panda, OS Raju
June 2002, 20(2):54-62
PMID:12435018
The assessment of age is an important facet in providing information in demographic studies and is of clinical use to diagnose and plan the treatment. The objective of this study was to determine whether the standards of dental maturation given by Demirjian et al are applicable to Davangere children and to assess the relationship between the obtained dental age and skeletal age. The study group comprised of 151 healthy children of 6-15 years age. It was found that Davangere children were dentally more advanced. Demirjians method gave an over estimation of 1.20 +/- 1.02 years and 0.90 +/- 0.87 years in males and females respectively. The obtained dental age was found to be different from the skeletal age. It may be concluded that Demirjians method of dental maturation is not applicable to the children of Davangere.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  24 2,581 0
ORIGINAL ARTICLE
Genetic sensitivity to the bitter taste of 6-n propylthiouracil: A new risk determinant for dental caries in children
S Rupesh, Ullal Anand Nayak
April-June 2006, 24(2):63-68
DOI:10.4103/0970-4388.26018  PMID:16823229
The aims of the present study were to contrast the prevalence of dental caries in children with different genetic sensitivity levels to the bitter taste of 6-n-propylthiouracil (PROP) and to determine the taste quality and taste intensity preferences of food products among the taster and nontaster groups. Overall caries experience (dmfs/DMFS) was significantly higher for nontasters than tasters. Caries experience on the available surfaces (dfs/DFS) was found to be significantly higher in nontasters than in medium tasters and in medium tasters than in supertasters (r=-0.41, P <0.001). Majority of the nontasters were sweet likers and preferred strong tasting food products, while majority of the supertasters were sweet dislikers and preferred weak tastes. There was a significant increase in the overall caries experience in the population, as the genetic ability to detect PROP taste decreased ( P <0.001). After all associated factors (age, gender, race, number of teeth and OHI-S) were controlled; multiple linear regression analyses revealed that taste was the only variable significantly related to overall caries experience.
  24 11,643 714
ORIGINAL ARTICLES
Retention of a resin-based sealant and a glass ionomer used as a fissure sealant: A comparative clinical study
P Subramaniam, S Konde, DK Mandanna
July-September 2008, 26(3):114-120
DOI:10.4103/0970-4388.43192  PMID:18923223
Sealing occlusal pits and fissures with resin-based sealants is a proven method of preventing occlusal caries. Retention of the sealant is very essential for its efficiency. This study evaluated the retention of glass ionomer used as a fissure sealant when compared to a self-cure resin-based sealant. One hundred and seven children between the ages of 6-9 years, with all four newly erupted permanent first molars were selected. Two permanent first molars on one side of the mouth were sealed with Delton, a resin-based sealant, and the contralateral two permanent first molars were sealed with Fuji VII glass ionomer cement. Evaluation of sealant retention was performed at regular intervals over 12 months, using Simonsen's criteria. At the end of the study period, the retention of the resin sealant was seen to be superior to that of the glass ionomer sealant.
  24 16,432 1,759
CASE REPORT
Taurodontism of deciduous and permanent molars: Report of two cases
Ashwin Rao, R Arathi
January-March 2006, 24(1):42-44
DOI:10.4103/0970-4388.22836  PMID:16582531
Taurodontism is an aberration of teeth that lacks the constriction at the level of the CEJ characterized by elongated pulp chambers and apical displacement of bifurcation or trifurcation of the roots, giving it a rectangular shape. Its occurrence in permanent teeth is common and is quite rare in deciduous dentition. Presented in this article are two cases with taurodontism involving deciduous and permanent molars.
  23 13,968 890
ORIGINAL ARTICLES
Knowledge, attitude and practice in emergency management of dental injury among physical education teachers: A survey in Bangalore urban schools
U Mohandas, GD Chandan
October-December 2009, 27(4):242-248
DOI:10.4103/0970-4388.57660  PMID:19915276
The purpose of this study was to assess, by means of a self administered structured questionnaire, the level of Knowledge, Attitude and Practice of physical education teachers in Bangalore city with regards to emergency management of dental injuries. The questionnaire surveyed the physical education teacher's background, knowledge of management of tooth fracture, avulsion, luxation injuries, it also investigated physical education teacher's attitude and the way they handle the injuries. The sample consisted 580 teachers from 700 selected schools in Bangalore city. Chi-square test was applied to test the significance between trained and untrained teachers. Among the population 70% were males physical education teachers 30% were females. 95% of the teachers had physical education training and 5% did not have the training. 95% of the population had first aid component and 5% did not have. Only 25% of trained physical education teachers had correct knowledge about tooth identification and 17% among untrained teachers. 81% of trained teachers answered correctly regarding management of fractured anterior teeth against 27.5% of untrained teachers (P<0.0002). The present report indicates that there is lack of knowledge and practice among physical education teachers in Bangalore city regarding emergency management of dental trauma. Educational programs to improve the knowledge and awareness among the teachers have to be implemented.
  23 11,584 1,173
CASE REPORT
Long term results of mandibular distraction
Puneet Batra, FS Ryan, H Witherow, ML Calvert
January-March 2006, 24(1):30-39
DOI:10.4103/0970-4388.22835  PMID:16582529
Mandibular distraction osteogenesis has become a popular surgical modality due to its many advantages over conventional orthognathic surgical procedures. However, in spite of the technique having been used for over 15 years, no concrete long term results are available regarding the stability of results. We discuss the various studies which have reported either in favour or against the stablility of results after distraction. We report a series of 6 cases (3 unilateral and 3 bilateral distraction) where distraction was carried out before puberty and followed them up to seven years after removal of distractors. This case series shows that results achieved by distraction osteogenesis are unstable or best unpredictable with respect to producing a permanent size increase in the mandible. The role of the distraction osteogenesis in overcoming the pterygomassetric sling is questionable. We suggest a multicenter study with adequate patient numbers treated with a similar protocol and documented after growth cessation to have meaningful conclusions on the debate of distraction osteogenesis versus orthognathic surgery.
  22 10,735 603
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  2005 - Journal of Indian Society of Pedodontics and Preventive Dentistry | Published by Wolters Kluwer - Medknow 
Online since 1st May '05