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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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   2018| January-March  | Volume 36 | Issue 1  
    Online since March 28, 2018

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Audiovisual distraction methods for anxiety in children during dental treatment: A systematic review and meta-analysis
Driely Barreiros, Daniela Silva Barroso de Oliveira, Alexandra Mussolino de Queiroz, Raquel Assed Bezerra da Silva, Francisco Wanderley Garcia de Paula-Silva, Erika Calvano Küchler
January-March 2018, 36(1):2-8
DOI:10.4103/JISPPD.JISPPD_188_16  PMID:29607831
Background: Dental treatment can cause symptoms such as fear and anxiety. Audiovisual distraction (AD) is a simple and low-cost technique that does not interfere with the dental treatment. Aim: The aim of this study was to perform a systematic review and meta-analysis to evaluate the effectiveness of AD methods for children who experience anxiety during dental treatment. Materials and Methods: Two reviewers performed a database search of the studies published between January 1950 and November 2015. The inclusion criteria were papers published in the English language, child samples aged 4–10 years, and use of AD. All potentially relevant studies were identified by the title and the abstract. After the full-text analysis of the potentially relevant studies, the selected studies were included in the systematic review. A meta-analysis calculation was performed for the overall data and the subgroup data. Results: Thirty-seven nonduplicated studies were found. However, after reviewing the articles, only five were included. A high variability was observed among the papers. Tools and questionnaires used to measure the anxiety during dental treatment presented the most common variability. Meta-analysis demonstrated a lower anxiety level in AD method groups when Modified Child Dental Anxiety Scale was used (P = 0.02) with a mean difference (confidence interval) of −8.72 (−16.7, −1.38). Conclusion: The AD method is effective for controlling dental anxiety in children.
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Evaluation of nickel releasing from stainless steel crowns regarding to “trimming”: An in vitro study
Leila Basir, Maryam Shamsaei, Sayed Ali Ziaei
January-March 2018, 36(1):58-64
DOI:10.4103/JISPPD.JISPPD_33_17  PMID:29607841
Context: Stainless steel crowns (SSCs) are the most durable and effective restorations for the primary teeth. Allergy to nickel as major components is common. Aims: The purpose of this study is to evaluate the effect of pH, time, oral temperature, and SSCs trimming on the nickel releasing. Settings and Design: This in vitro study was done on 18 same size crowns. Subjects and Methods: Group A (without trim 0 and Group B (with trim) were immersed in 5 ml artificial saliva. The amount of nickel releasing in each 18 subgroup composed from 3 pH (3.5, 5, and 6.75) and 3 temperatures (27°C, 37°C, and 47°C) in 3 times (1, 7, and 21 days), was measured by Atomic Absorption Spectrophotometer. Statistical Analysis: Data were analyzed by SPSS software (SPSS 20, IBM, Armonk, NY, USA) and use of t-test, Duncan, and Tukey's test for analysis of variances. Results were reported with 95% confidence. Results: The amount of nickel releasing reduced with crown trimming, significantly (P = 0.0001). A significant difference was observed in the amount of released nickel in temperature 47°C in comparison with 37°C (P = 0.0001); this measurement was not significant between 47°C and 27°C (P = 0.442). There was no significant difference between concentration of released nickel in 3 pH conditions and also in 3-time situations. The concentration of nickel was lower in trimmed group in comparison to intact group (P = 0.0001). Conclusions: The concentration of released nickel decreased with trimming of margins and increased when temperature increased. Time and pH had no significant effect on released nickel.
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A comparative In vivo efficacy of three spiral techniques versus incremental technique in obturating primary teeth
Shalini Chandrasekhar, Madu Ghanashyam Prasad, Ambati Naga Radhakrishna, Kaniti Saujanya, N V K Raviteja, B Deepthi, J Ramakrishna
January-March 2018, 36(1):71-75
DOI:10.4103/JISPPD.JISPPD_365_16  PMID:29607843
Background: The aim of this study was to evaluate the efficiency of four different obturating techniques in filling the radicular space in primary teeth. Materials and Methods: This clinical trial was carried out on 34 healthy, cooperative children (5–9 years) who had 63 carious primary teeth indicated for pulpectomy. They were divided into four groups, such that in each group, a total of 40 canals were allotted for obturation with respective technique. The root canals of selected primary teeth were filled with Endoflas obturating material using either bi-directional spiral (Group 1); incremental technique (Group 2), past inject (Group 3) or lentulo spiral (Group 4) according to the groups assigned. The effectiveness of the obturation techniques was assessed using postoperative radiographs. The assessment was made for a depth of fill in the canal, the presence of any voids using Modified Coll and Sadrian criteria. The obtained data were analyzed by using ANOVA test and unpaired t-test. Results: Bi-directional spiral and lentulo spiral were superior to other techniques in providing optimally filled canals (P< 0.05). The bi-directional spiral was superior to lentulo spiral in preventing overfill (P< 0.05). Conclusion: Based on the present study results, bi-directional spiral can be recommended as an alternate obturating technique in primary teeth.
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Estimation of malondialdehyde levels in serum and saliva of children affected with sickle cell anemia
Sudhindra Baliga, Minal Chaudhary, Sham Bhat, Pooja Bhansali, Akshat Agrawal, Satwik Gundawar
January-March 2018, 36(1):43-47
DOI:10.4103/JISPPD.JISPPD_87_17  PMID:29607838
Background: Sickle cell anemia (SCA) is an inherited disorder of hemoglobin synthesis characterized by deformed erythrocytes. Hemoglobin S present in sickle-shaped erythrocytes exhibits an enhanced rate of auto-oxidation compared with normal hemoglobin A. It produces more of reactive oxygen species (ROS) which promotes oxidatively stressed environment. ROS degrade the membranes of sickle cell erythrocytes composed of polyunsaturated lipids and form malondialdehyde (MDA) as a by-product. Aim: The aim of the study is to evaluate and compare the MDA levels of serum and saliva in SCA patients. Design: A total of 150 children aged 4–12 years were divided into two groups: Group A (n = 75) consisting of children suffering from SCA and Group B (n = 75) consisting of healthy children. Blood and saliva samples were collected aseptically from both the groups, and they were subjected to thiobarbituric acid assay. Absorbance was evaluated spectrophotometrically at 531 nm, and the values of concentration of MDA were derived. Results: The mean MDA levels in serum and saliva were 8.9825 ± 1.04 and 0.5152 ± 0.28, respectively, in Group A and they were found to be higher than mean MDA levels of serum (5.87 ± 0.92) and saliva (0.2929 ± 0.06) of Group B and the difference of their mean was found to be statistically significant. Conclusion: A significant correlation of the MDA was found in saliva and serum of the patients with SCA. This finding suggests that saliva can be effectively used as a noninvasive alternative for assessing the oxidative stress in patients with SCA.
  3,491 177 -
Morphological and dimensional characteristics of dental arch in children with beta thalassemia major
Disha Kumar, Anant Gopal Nigam, Nikhil Marwah, Puneet Goenka, Asmita Sharma
January-March 2018, 36(1):9-14
DOI:10.4103/JISPPD.JISPPD_283_16  PMID:29607832
Background and Objectives: The aim of this study was to examine the arch dimensions of beta thalassemia major patients in comparison with normal individuals. Materials and Methods: Dental arch dimensions were compared between thalassemic patients and normal individuals in the age group of 12–16 years in the maxillary and mandibular arch corresponding to each other regarding age, sex and Angle's molar relationship. A total number of sixty cases in each group were taken. Maxillary and mandibular impressions were made with alginate for all the sixty participants in each group and poured with die stone. Measurement of inter incisor, inter canine, inter premolar and intermolar arch width, arch depth, right anterior, right posterior, left anterior, and left posterior arch length was carried out from each cast using digital Vernier caliper.Results: Unpaired t-test was used for comparison between the two groups. Statistically, a significant difference was found between the case and control groups in the maxillary arch in intercanine width, inter premolar width, intermolar width, right anterior arch length, right posterior arch length, and left anterior arch length. However, no statistically significant difference was found between the groups in inter incisor width, left posterior arch length, and arch depth in the maxillary arch. In the mandibular arch, statistically significant difference was found between the case and control groups in inter canine width, inter premolar width, inter molar width, and left anterior arch length. However, no statistically significant difference was found between the case and control groups in the mandibular arch in interincisor width, right anterior arch length, right posterior arch length, and left posterior arch length. Conclusion: Dental arch widths and arch lengths were significantly reduced in thalassemic patients as compared to normal individuals for the maxillary and mandibular arches.
  3,212 264 -
A clinicoradiographic comparison of the effects of platelet-rich fibrin gel and platelet-rich fibrin membrane as scaffolds in the apexification treatment of young permanent teeth
Madhu Santhakumar, Shivsankar Yayathi, N Retnakumari
January-March 2018, 36(1):65-70
DOI:10.4103/JISPPD.JISPPD_180_17  PMID:29607842
Aims: This triple blinded clinical trial was undertaken to check whether Platelet rich firin in its membrane form is as reliable as when it is in the gel form. Settings and Design: Triple blinded randomized clinical trial. Methods and Material: 20 patients in PRF gel group and 20 patients in PRF membrane group selected after randomization and considering inclusion and exclusion criteria were taken up for this study. The samples were clinically and radiographically evaluated for success. Results and Conclusions: Regenerative endodontics with PRF membrane is easier and less time consuming. They have similar clinical success.PRF gel gave a better radiographic success in 12 months period.
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Neonatal osteomyelitis: An unusual complication of natal tooth extraction
Esha Chandresh Vora, Jasmin Winnier, Rupinder Bhatia
January-March 2018, 36(1):97-100
DOI:10.4103/JISPPD.JISPPD_363_16  PMID:29607848
Osteomyelitis of mandible, if it affects the neonate presents as a diagnostic and therapeutic challenge to the clinician. Symptoms and signs are often non-specific, and the consequences of a missed diagnosis could lead to long-lasting functional limitations. A rare case of a 52 days old infant with osteomyelitis of the mandible following natal tooth extraction is presented in this report. The diagnosis, pathogenesis and management have been explained. The accompanying review briefly summarizes the main clinical, pathophysiological and radiological aspects of the condition and gives an update on the treatment.
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Bilateral congenital mucous extravasation phenomenon: A rare case with literature review
Hitesh Chander Mittal, Sunil Yadav, Sunita Malik, Monika Breta
January-March 2018, 36(1):93-96
DOI:10.4103/JISPPD.JISPPD_291_16  PMID:29607847
The purpose of this paper is to discuss a rare case of bilateral congenital mucous extravasation phenomenon on buccal mucosa near commissure of mouth. The lesions were noted at birth, subsequently enlarged to interfere with feeding. The lesion frequently ruptured, regressed, and again enlarged to interfere with normal function. The lesions were surgically removed under general anesthesia at 11 months of age and the diagnosis was confirmed by histopathological examination. Postoperative follow-up after 14 months showed no recurrence.
  3,001 226 -
Integration of oral health in primary health care through motivational interviewing for mothers of young children: A pilot study
Manu Batra, Aasim Farooq Shah, Jorma I Virtanen
January-March 2018, 36(1):86-92
DOI:10.4103/JISPPD.JISPPD_19_17  PMID:29607846
Introduction: Early childhood caries (ECC) continues to affect children worldwide. In India, primary health centers (PHCs) comprises the primary tier where Accredited Social Health Activist (ASHA) provide integrated curative and preventive health care. The aim of the study was to pilot test the integration of oral health in primary health care through motivational interviewing (MI) for mothers of young children provided by ASHAs. Subjects and Methods: The pilot study was conducted in Kashipur, Uttarakhand. From the six PHCs in Kashipur, three were randomly selected, one each was assigned to MI group, traditional health education group, and control group. From 60 mothers with 8–12 months child, ASHAs of all three groups gathered mother's knowledge regarding child's oral health using close-ended questionnaire and diagnosed clinical risk markers of ECC in children and ASHAs of Group A and B imparted the oral health education as per their training. Results: The comparison of ASHA's performances on the MI training competency pre- and post-test showed an overall average of 74% improvement in post–test scores. Interexaminer reliability of the parallel clinical measurements by 6 ASHAs and the investigator for the maxillary central incisors showed 93% of agreement for both dental plaque and dental caries assessment with 0.86 and 0.89 kappa values, respectively. Conclusion: The health education through MI is feasible and can be cost-effective by utilization of ASHAs at PHCs to provide the oral health education to mothers which will in turn improve the oral health status of children.
  2,922 272 -
Knowledge, attitude, and behavior of nurses toward delivery of Primary Oral Health Care in Dakshina Kannada, India
Faraz Ahmed, Arathi Rao, Ramya Shenoy, BS Suprabha
January-March 2018, 36(1):21-25
DOI:10.4103/JISPPD.JISPPD_80_17  PMID:29607834
Majority of young children in many countries do not visit dental clinics for examinations before the age of three though they frequently visit primary health care providers for routine medical check-ups. Nurses are easily accessible and are in frequent contact with waiting mothers and children for routine check-ups and this provides an opportunity to integrate oral health promotion and care into health care. The purpose of this study was thus to study the knowledge, attitude and behaviour towards oral health care among nurses. Methods: The study was a cross-sectional questionnaire survey. Total of 170 medical nurses working in the Institutional Hospital and who provided care for paediatric patients and pregnant mothers participated in the study. Statistical Analysis: Chi-Square test was used to analyse the data using SPSS version 17.0 with a significance value of P < 0.05. Results: All the nurses were aware that good oral health is important for overall health of the child. About 70% of the respondents had poor knowledge regarding dental caries. Good response was obtained regarding importance of oral hygiene maintenance for both the child and mother for prevention of caries. Majority of the nurses showed positive attitudes toward preventive OHC and the role of medical nurses. Routinely the nurses do not refer pregnant mothers and children for dental check up nor do they counsel them regarding oral hygiene and its importance. Conclusion: Appropriate training and encouragement for promotion of oral health and to provide suitable care for the prevention of dental diseases should be included in the curriculum of nurses training.
  2,776 231 -
Antibacterial effect of propolis derived from tribal region on Streptococcus mutans and Lactobacillus acidophilus: An in vitro study
Bhuvnesh Airen, Priyanka Airen Sarkar, Urvashi Tomar, Kundendu Arya Bishen
January-March 2018, 36(1):48-52
DOI:10.4103/JISPPD.JISPPD_1128_17  PMID:29607839
Aim: The study aimed at investigating in vitro antimicrobial activity of ethanolic extract of propolis (EEP) and water extract of propolis against two main cariogenic oral pathogens: Streptococcus mutans and Lactobacillus acidophilus. Material and Methodology: Propolis was obtained from beehives in the Jhabua region of India. Ethanolic and water extracts were prepared at concentrations of 5% and 20% weight/volume (w/v). To support the results, a positive control (chlorhexidine 0.2%) and a negative control (distilled water) were used. S. mutans was cultured on brain–heart infusion agar and L. acidophilus was cultured on De Man, Rogosa, and Sharpe agar. Results: The results showed that at concentrations of 5% and 20%, EEP was effective against S. mutans and L. acidophilus. However, at similar concentrations, water extract was effective only against L. acidophilus. The highest activity was shown by chlorhexidine (0.2%) with mean zones of inhibition of 13.9 mm and 15.1 mm against S. mutans and L. acidophilus, respectively. Conclusion: It can be concluded that the propolis extracted from tribal regions of Jhabua possesses antibacterial efficacy against S. mutans and L. acidophilus.
  2,745 239 -
Assessing clinical sequelae of untreated caries among 5-, 12-, and 15-year-old school children in ambala district: A cross-sectional study
Jasneet Sudan, Girish Malleshappa Sogi, L Koretigire Veeresha
January-March 2018, 36(1):15-20
DOI:10.4103/JISPPD.JISPPD_97_17  PMID:29607833
Background: Dental caries is a public health problem globally, especially in children. Thus, it is important to quantify its clinical consequences in terms of its prevalence and severity. Aim: This study aims to assess the prevalence and severity of oral conditions linked with untreated dental caries using pulp involvement, ulceration, fistula, abscess (pufa/PUFA) index in 5-, 12-, and 15-year-old school children in Ambala district. Settings and Design: This cross-sectional study was conducted among 433 school children of 5-, 12-, and 15-year-old age group in Ambala district. Materials and Methods: In the present study, participants were recruited from randomly selected schools and were examined according to pufa/PUFA index and Oral Health Surveys Dentition Status. Statistical Analysis Used: Data were analyzed using SPSS Software Version 20.0 (Chicago, USA). The statistical significance was determined by Chi-square test, and level of significance was set at P < 0.05. Correlation analysis was expressed in terms of Pearson's correlation coefficient (r). Results: Caries prevalence was reported to be 58.4% while the prevalence of odontogenic infections was 45.3%. Untreated caries pufa/PUFA ratio among 5, 12, and 15 years old was 44.58%, 38.33%, and 36.18%, respectively. The care index among 5, 12, and 15 years old was 0, 3.31%, and 36.18% emphasizing the lack of utilization of dental services by school children. Conclusions: The use of PUFA/pufa index as an adjunct to the classical caries indices can address the neglected problem of untreated caries and its consequences.
  2,605 274 -
Impact of oral health education by audio aids, braille and tactile models on the oral health status of visually impaired children of Bhopal City
Anjali Gautam, Ajay Bhambal, Swapnil Moghe
January-March 2018, 36(1):82-85
DOI:10.4103/JISPPD.JISPPD_307_16  PMID:29607845
Context: Children with special needs face unique challenges in day-to-day practice. They are dependent on their close ones for everything. To improve oral hygiene in such visually impaired children, undue training and education are required. Braille is an important language for reading and writing for the visually impaired. It helps them understand and visualize the world via touch. Audio aids are being used to impart health education to the visually impaired. Tactile models help them perceive things which they cannot visualize and hence are an important learning tool. Aim: This study aimed to assess the improvement in oral hygiene by audio aids and Braille and tactile models in visually impaired children aged 6–16 years of Bhopal city. Settings and Design: This was a prospective study. Materials and Methods: Sixty visually impaired children aged 6–16 years were selected and randomly divided into three groups (20 children each). Group A: audio aids + Braille, Group B: audio aids + tactile models, and Group C: audio aids + Braille + tactile models. Instructions were given for maintaining good oral hygiene and brushing techniques were explained to all children. After 3 months' time, the oral hygiene status was recorded and compared using plaque and gingival index. Statistical Analysis Used: ANNOVA test was used. Results: The present study showed a decrease in the mean plaque and gingival scores at all time intervals in individual group as compared to that of the baseline that was statistically significant. Conclusions: The study depicts that the combination of audio aids, Braille and tactile models is an effective way to provide oral health education and improve oral health status of visually impaired children.
  2,586 251 -
Oral health and glycosylated hemoglobin among type 1 diabetes children in South India
K Vidya, Prakashchandra Shetty, Latha Anandakrishna
January-March 2018, 36(1):38-42
DOI:10.4103/JISPPD.JISPPD_330_16  PMID:29607837
Background: The study was an attempt to evaluate the relationship between oral health status and the level of glycemic control in type 1 diabetes patients. Methods: The study was carried out in 87 children with type 1 diabetes, aged 8–16 years, attending a diabetes specialty hospital. The oral health of these patients was measured using the WHO 1997 Oral Health Survey criteria for diagnosis of dental caries, gingival index, and plaque index. Samples were then divided into two groups as controlled (≤6.99% glycosylated hemoglobin [HbA1c]) and uncontrolled (≥7% HbA1c) diabetes as per the guidelines for glycemic control in diabetics given by the American Diabetes Association. The oral health between the groups was compared. Results: Data were statistically analyzed using student t-test. Results showed a significant difference in decayed, missing, and filled surface component (P = 0.043) and gingival index scores (P< 0.001) in the permanent dentition between controlled and uncontrolled groups but not in case of the primary dentition. Conclusions: The data findings suggest that metabolic control had an impact on caries prevalence and gingival health of these patients, in case of permanent dentition. As the glycemic control became poorer, the caries prevalence and gingival inflammation increased. When primary dentition was taken into consideration, the correlation was not significant.
  2,537 213 -
A quantitative analysis of total carbohydrate content from the salivary expectorants in young children
Snehalika Ashok More, Sandya S Patil, Madhu Kakanur, Rachna Thakur, Mihir N Nayak, S Ravi Kumar
January-March 2018, 36(1):53-57
DOI:10.4103/JISPPD.JISPPD_153_17  PMID:29607840
Background: In this postfluoride era, the concentration of fermentable carbohydrate in saliva after food intake is important to determine the risk of developing dental caries. Aim: The aim of this study is to estimate the total carbohydrate content of salivary expectorants following consumption of commercially processed snacks. Design: Thirty children aged 6–8 years were selected for estimation of total carbohydrate content of salivary expectorants using modified calorimetric anthrone-sulfuric acid-glucose reaction. The test foods analyzed were as follows: Test food A – potato chips, Test food B – glucose biscuits, Test food C – Oreo biscuits, Test food D – cake, and Test food E – cornflakes. The data obtained were analyzed using student's t-test and ANOVA. Results: The difference between the mean carbohydrate values of salivary expectorants of various processed test food groups at 0 and 10 min was statistically significant (P ≤ 0.001). After 10 min interval, cornflakes were found to have highest total carbohydrate content in salivary expectorant (5.186 mg/ml). Conclusion: The foods with high starch content such as cornflakes and potato chips exhibited higher total carbohydrate content, thus depicting lower salivary clearance rate.
  2,596 147 -
RMS tactile scale: An innovative tactile anxiety scale for visually impaired children
Raghavendra M Shetty, Trisha R Gadekar
January-March 2018, 36(1):76-81
DOI:10.4103/JISPPD.JISPPD_351_16  PMID:29607844
Introduction: Behavior guidance is considered to be the backbone of pediatric dentistry which differentiates us from the other fields in dental sciences. Anxiety and fear being the primary concern in pediatric patients, has to be taken into consideration for the visually impaired children too. In the present study, an innovative anxiety scale RMS tactile scale (RMS-TS) was designed for the visually impaired children. Introducing newer concept other than Braille in the dental clinic for such patients can help in coping up and bringing out positive behavior in the special children. Aims and Objective: The study aimed to validate and assess the efficacy of RMS-TS for visually impaired child and compare it with modified dental anxiety scale (MDAS) and Braille scale. Materials and Methods: A total of hundred children of age 12–15 years from the special school were selected for the study. MDAS, RMS-TS, and Braille scale were used to determine the pretreatment anxiety scores in the visually impaired children. Results: The validity of the RMS-TS in the pretreatment anxiety in the assessment of child's dental anxiety is supported by its strong correlation with both the scales. Conclusions: The RMS-TS can be reliable anxiety assessment scale for measuring child's dental anxiety in visually impaired children. It can be used alone or in combination with other methods to improve assessment of dental anxiety.
  2,478 251 -
Impact of oral health-related behaviors on dental caries among children with special health-care needs in Goa: A cross-sectional study
Akshatha Gadiyar, Ridhima Gaunkar, Amita Kenkre Kamat, Akanksha Tiwari, Amit Kumar
January-March 2018, 36(1):33-37
DOI:10.4103/JISPPD.JISPPD_214_17  PMID:29607836
Background: Children with special health-care needs (CSHCNs) have high unmet dental needs and are at increased risk of poor oral health. The aim of the present study was to evaluate the relationship between oral health behavior and dental caries experience among CSHCN. Materials and Methods: The cross-sectional study sample comprised of 223 CSHCNs from special educational schools in Goa. A self-administered parental questionnaire was used to collect data on sociodemographic characteristics and oral health behavior variables. Type III clinical examination for dental caries was done using the World Health Organization criteria. Statistical analysis was done using SPSS version 19.0. Results: The mean age of the study sample was 13.85 ± 7.2 years. Seventy-two percent of the study sample had never visited a dentist. Majority of the study participants (57.4%) brushed their teeth once daily. The caries prevalence was 68.6%. The mean decayed, missing, and filled teeth index for permanent dentition and primary dentition of the study participants was 2.83 ± 3.23 and 0.35 ± 1.00, respectively. Dental caries was significantly associated with frequency of brushing and dental visits. Conclusion: The caries experience was high among children with special needs in Goa. There is a significant association between oral health behavior and dental caries experience. Oral health promotion may lead to reduction in dental caries level, thus reducing the emotional, physical, and financial drain on their caregivers.
  2,418 205 -
From birth till palatoplasty: Prosthetic procedural limitations and safeguarding infants with palatal cleft
Sudhir Bhandari, Bhavita Wadhwa Soni, Shiv Sajan Saini
January-March 2018, 36(1):101-105
DOI:10.4103/JISPPD.JISPPD_208_17  PMID:29607849
The most imminent issue to be addressed in a child born with cleft lip and/or palate is restoration of normal feeding. Early surgical treatment for cleft repair is crucial but may need to be postponed until certain age and weight gain is attained in an infant. When other feeding interventions fail in these children, prosthetic obturation of the defect with feeding instructions in the interim period is indicated to ward off the prevailing concerns. However, the entire prosthetic management presents a significant challenge with respect to the child's age, scope of iatrogenic injury to the delicate oral tissues, and potential for life-threatening situation during the procedures. This article draws attention toward preemptive measures which should be undertaken in the clinical setting during the fabrication of obturator to ascertain a desirable outcome without experiencing a grave complication that may arise due to ignorance and/or lack of facilities.
  2,376 210 -
Comparative evaluation and applicability of three different regression equation-based mixed dentition analysis in Northern Uttar Pradesh population
Akash Bhatnagar, Seema Chaudhary, Ashish Amit Sinha, Naveen Manuja, Harsimran Kaur, TR Chaitra
January-March 2018, 36(1):26-32
DOI:10.4103/JISPPD.JISPPD_104_17  PMID:29607835
Aims: This study aims to examine the accuracy and comparative correlation of three regression equation-based mixed dentition analysis in children of Moradabad city, North Uttar Pradesh. Settings and Design: Tanaka–Johnston, Bernabe–Flores-Mir, and Ling–Wong regression equations were developed from a sample of North European, Peru, and Southern Chinese children population, respectively. Hence, it becomes questionable when applied to children of Moradabad city situated in North Uttar Pradesh, India. Subjects and Methods: The study was conducted on a sample of 100 school going children, age range is 11–14 years with complete permanent teeth except third molars. The mesiodistal crown dimensions of all erupted incisors, canines, premolars, and molars were measured with digital calipers with a calibration accuracy of 0.01 mm. The actual tooth measurements were then compared with predicted values using Tanaka–Johnston, Bernabe–Flores-Mir, and Ling–Wong regression equations, respectively using paired t-test. Results: The mean difference between the actual and estimated values of canines and premolars using Tanaka–Johnston, Bernabe–Flores-Mir, and Ling–Wong were clinically and statistically significant (P< 0.001). Conclusions: Mesiodistal dimensions of male samples are larger than female samples. All the three regression equations are not accurately applicable to this population.
  2,304 223 -
Pedodontist at play-“Say Ahh” WHO campaign
Sudhindra Baliga
January-March 2018, 36(1):1-1
DOI:10.4103/JISPPD.JISPPD_38_18  PMID:29607830
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