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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| July-September  | Volume 36 | Issue 3  
    Online since September 24, 2018

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Comparison of effectiveness of quad helix appliance with other slow maxillary expanders in children with posterior crossbite: A systematic review
Khyaati Vinod Gidwani, Vikas D Bendgude, Vivian V Kokkali, Vini Mehta
July-September 2018, 36(3):225-233
DOI:10.4103/JISPPD.JISPPD_85_17  PMID:30246741
Objective: The present review was conducted to compare the effectiveness of Quad Helix (QH) appliance with other slow maxillary expanders in children with posterior crossbite. Materials and Methods: Randomized controlled clinical trials and retrospective studies published between January 1, 1995, and December 31, 2016, were identified from MEDLINE, the Cochrane Central Register of Controlled Trials, the National Institutes of Health Trials, Clinical Trials Registry India, Google Scholar and major journals. After a comprehensive search, the articles were independently screened for eligibility by two reviewers. All cross-reference lists of the selected studies were screened for any additional papers. Results: The preliminary screening consisted of 608 articles, of which 33 articles were selected. A final total of only 9 articles were included as they met the inclusion and exclusion criteria. Of the nine papers, four articles clearly state that QH appliance was a more effective appliance, while the remaining five studies suggest that the maxillary expansion caused by QH is comparable to other slow maxillary expansion appliances. Of the nine included articles, four articles also describe the complications of QH in comparison to other slow maxillary expansion devices. Conclusion: The QH appliance is a viable alternative for the correction of posterior crossbite. The QH appliance is comparable to or even better than other slow maxillary expanders in terms of maxillary expansion while being cost-effective with very few complications.
  9,971 436 -
Comparison of resorption rate of primary teeth treated with alternative lesion sterilization and tissue repair and conventional endodontic treatment: An in vivo randomized clinical trial
Navneet Grewal, Neha Sharma, Sarika Chawla
July-September 2018, 36(3):262-267
DOI:10.4103/JISPPD.JISPPD_140_17  PMID:30246747
Background: Complete pulpectomy and elimination of wide range of microorganisms from infected primary root canals is not possible through conventional endodontic procedures. Thus, lesion sterilization and tissue repair (LSTR) therapy employing 3Mix tri-antibiotic paste have been used as an alternative endodontic modality for infected primary teeth. Aim: This study aims to evaluate the root resorption rate of endodontically treated mandibular primary molars with conventional endodontic treatment or LSTR therapy and to compare it with their healthy contralateral teeth. Materials and Methods: Fifty carious first and second primary mandibular molars from 25 healthy children aged 7–10 years were treated with two different endodontic procedures using LSTR Therapy and conventional endodontic treatment. The resorption rate of these teeth with healthy contralateral teeth was compared clinically and radiographically at 3, 6, 12 and 36 months using Chi-square test. Results: At 12 months, clinically, there was no difference in the outcomes of both groups but radiographically, statistically significant difference (P < 0.001) in root resorption between treated teeth and their controls in both the groups was observed. At 36 months, interradicular bone resorption around the crown of succedaneous teeth and their delayed eruption was noted in LSTR group. Conclusions: LSTR therapy could be a viable treatment modality for infected/nonvital primary molars with poor prognosis and intended to be maintained for shorter duration in the oral cavity as natural space maintainers.
  8,834 581 -
Effect of fluoridated varnish and silver diamine fluoride on enamel demineralization resistance in primary dentition
Najmeh Mohammadi, Mohammad Hossein Farahmand Far
July-September 2018, 36(3):257-261
DOI:10.4103/JISPPD.JISPPD_4_18  PMID:30246746
Background: International data on caries epidemiology confirm that dental caries remains a significant disease of childhood in both developing and developed countries. Based on preventive dentistry, topical fluoride may be a useful measure to arrest caries lesions. Fluoride used in various forms have been proven to be effective in dental caries prevention. Aim: This study aims to compare the effect of fluoridated varnish and silver diamine fluoride (SDF) solution on primary teeth enamel resistance to demineralization. Methods: Forty-five caries-free deciduous canine teeth extracted due to orthodontic reasons, devoid of any defects were selected. Teeth were mounted on acrylic blocks as their buccal surface was exposed and baseline surface microhardness (SMH) determination was accomplished. Enamel samples were randomly distributed into three groups with 15 specimens each. One group was used as control (distilled and deionized water) (C); in the other groups, either a fluoridated varnish (V) or an SDF solution was applied to the enamel blocks. The blocks of each group were submitted to pH-cycling solutions and treatment regimen. After pH-cycling process, SMH determination was done again for all samples. Results: According to the present findings, the percentage of decrease in SMH of control group is numerically greater than other groups and also SDF group shows the most resistance against mineral loss. However, based on one-way ANOVA test, this difference is not statistically significant (P = 0.217). Conclusion: SDF solution and fluoride varnish display similar effectiveness in preventing the demineralization of deciduous anterior teeth, and no significant difference was observed.
  6,731 764 -
Maxillary labial frenum morphology and midline diastema among 3 to 12-year-old schoolgoing children in Sri Ganganagar city: A cross-sectional study
PT Jonathan, Himani Thakur, Abhiruchi Galhotra, Virat Galhotra, Neha Gupta
July-September 2018, 36(3):234-239
DOI:10.4103/JISPPD.JISPPD_51_18  PMID:30246742
Introduction: Dentofacial aesthetics plays an important role in social interaction and psychological well-being because it affects how people perceive themselves and how they are perceived by society. The maxillary labial frenum is a fold of tissue, usually triangular in shape, extending from the maxillary midline area of the gingiva into the vestibule and mid portion of the upper lip. Maxillary anterior spacing or diastema is a common aesthetic complaint of patients and is frequently seen in children especially in the mixed dentition stage. Aims and Objectives: 1. To estimate the prevalence of different morphologic types of maxillary labial frenum among children of age 3 – 12 years. 2. To find out the relationship between the level of insertion of the frenum and age of the child.3. To evaluate the correlation between frenum morphology, insertion and midline diastema in children. Materials and Methodology: The direct visual method under natural light was used and the upper lip was lifted with the index finger and thumb of both hands which allowed for the observation and classification of the labial frenum morphology according to Sewerin's typology and its attachment according to Placek et al. The midline diastema was determined by measuring the distance between the midpoints of the mesial surfaces of both central incisors with the help of divider and ruler. The values were recorded in the prepared schedule. Summary and Conclusions: The presence of an abnormal frenum can be a cause in persistent midline diastemas. Tooth movement usually is deferred until eruption of the permanent canines but can begin early in certain cases with very large diastemas.
  5,186 277 -
Gingival, oral hygiene and periodontal status of the teeth restored with stainless steel crown: A prospective study
Shashikala Prabhu, SH Krishnamoorthy, Savitha Sathyaprasad, H Sharath Chandra, J Divyia, Aiswarya Mohan
July-September 2018, 36(3):273-278
DOI:10.4103/JISPPD.JISPPD_227_17  PMID:30246749
Aim: To compare the gingival health and periodontal status in primary molars restored with stainless steel crowns with unrestored contralateral teeth. Materials and Methods: A split mouth design study was conducted on 60 children aged 5- 10 years who required stainless steel crown restoration on deciduous molars. The molar teeth restored with stainless steel crown were selected for study and healthy unrestored contralateral teeth were selected as controls. Bitewing radiograph of study and control tooth was taken at initial, three months and at six months. The gingival status, oral hygiene status was evaluated at three months and six month intervals using gingival index and oral hygiene index respectively. Result: On evaluating the oral hygiene status at three months study group showed the mean value of 0.7±0.700 whereas in control group it was 1±0.368. At six months it was 1.183±0.390 in study group and 1.5±0.504 in control group. Chi square test shows that the crown marginal adaptation produced statistically significant difference at six months. Crown marginal extension did not produce any difference on gingival index and oral hygiene index. Conclusion: When compared to control teeth, the teeth restored with stainless steel crown showed lesser plaque and debris accumulation at three months and six months. Radiographic bone level the control teeth showed higher level of bone resorption compared to the teeth restored with stainless steel crown.
  4,231 403 -
Efficacy of various intracanal medicaments against aerobic and facultative anaerobic microorganism found in human primary teeth with necrotic pulp: A randomized clinical trial
Jophie Varghese Paikkatt, Sachin Aslam, Sheela Sreedharan, Beena Philomina, VP Kannan, S Madhu
July-September 2018, 36(3):268-272
DOI:10.4103/JISPPD.JISPPD_152_17  PMID:30246748
Aim: The aim of this in vivo study is to evaluate the antimicrobial efficacy of calcium hydroxide (Ca(OH)2), chlorhexidine (CHX), and metronidazole gel as intracanal medicaments against aerobic and facultative anaerobic microorganisms found in root canals of human primary teeth with necrotic pulp. Setting and Design: It is a double-blinded randomized clinical trial. Materials and Methods: Pulp canals of 45 single-rooted primary maxillary anterior teeth with pulp necrosis in 34 children were included in the study. They were divided into three groups of 15 samples each: Group I: Ca(OH)2; Group II: 1% CHX gel; and Group III: 1% metronidazole gel. Microbial count was obtained from each tooth at two different stages – (1) after instrumentation and (2) after placement of the medication. Statistical analysis using the SPSS 10.0 software program (SPSS Inc., Chicago, IL, USA) with Wilcoxon signed-rank test after grouping the samples was performed. Results: Ca(OH)2, 1% CHX gel, and 1% metronidazole gel were ineffective in completely eliminating aerobic and facultative anaerobic microorganism from root canal of human primary teeth with necrotic pulp. Conclusion: None of the commonly used intracanal medicaments, that is Ca(OH)2, 1% CHX gel, and 1% metronidazole gel, was effective in completely eliminating aerobic and facultative anaerobic microorganism from root canal of human primary teeth with necrotic pulp. Ineffectiveness of these medicaments against aerobic and facultative anaerobic microorganism has opened new door of research regarding the manner of bacterial growth in unfavorable environmental and nutritional conditions, the way root canal environment favors biofilm formation and the use of suitable intracanal medicaments against single and multispecies biofilms.
  3,770 361 -
A comparative evaluation of dental caries status and salivary properties of children aged 5–14 years undergoing treatment for acute lymphoblastic leukemia, type I diabetes mellitus, and asthma – In vivo
Shreya Dubey, Sonali Saha, Abhay Mani Tripathi, Piyali Bhattacharya, Kavita Dhinsa, Deval Arora
July-September 2018, 36(3):283-289
DOI:10.4103/JISPPD.JISPPD_46_18  PMID:30246751
Background: The subjective sensation of dry mouth, xerostomia, is a well-recognized problem in adults, however, relatively little attention has been paid to this issue in children. Xerostomia commonly occurs as an adverse effect of drugs in asthma and leukemia, which alter the composition and flow of saliva and systemic diseases, including diabetes. It decreases the oral pH and significantly increases the development of plaque and dental caries. Aim: This study aims to evaluate and compare the dental caries status and salivary properties of children aged 5–14 years undergoing treatment for acute lymphoblastic leukemia, type 1 diabetes mellitus, and asthma – in vivo. Materials and Methods: The study was divided into two parts: Part I: Oral examination was performed and dental caries status Decayed, Missing, Filled Teeth/ decayed, extraction, filled teeth (DMFT/deft) was noted and Part II: Salivary analysis was performed by GC Saliva-Check BUFFER kit to check for hydration, viscosity, pH of saliva, salivary flow, and buffering capacity. Statistical Analysis: All statistical analysis was performed using the SPSS 21 statistical software version. Inferential statistics were performed using Chi-square test and ANOVA. Post hoc pairwise comparison was done using Post hoc Tukey's test. Results: The prevalence of mean DMFT/deft with regard to salivary properties was highest in leukemic patients followed in descending order by diabetic and asthmatic patients. Conclusions: Leukemic patients had significantly higher caries and decreased salivary properties while asthmatic patients showed the least caries prevalence and best salivary properties.
  3,830 209 -
Blandin and Nuhn mucocele in a pediatric patient
Sherin C Jose, K Korath Abraham, Ektah Khosla
July-September 2018, 36(3):315-318
DOI:10.4103/JISPPD.JISPPD_10_18  PMID:30246756
Oral mucoceles are benign lesions that may appear in any location on the mucosal surfaces of the oral cavity where underlying minor salivary glands are found. The lower lip is the most frequently affected and the most widely reported location. Mucoceles involving the glands of Blandin and Nuhn are infrequent and constitute only about 1.9%–10.3% of the reported cases. Superficial mucoceles are a rare subtype of the Blandin and Nuhn mucoceles and are found only in 4.3%–10% of the mucocele excisions. The purpose of this report is to present a case of a superficial mucocele in the ventral surface of the tongue in a 7-year-old child. The lesion was treated with excisional biopsy.
  3,774 234 -
The effect of fiber-reinforced composite versus band and loop space maintainers on oral Lactobacillus acidophilus and Streptococcus mutans levels in saliva
Mohamed Abd-Ellatif El-Patal, Moshabab A Asiry, Ibrahim AlShahrani, Samy Youssef El Bayoumy, Mohammed Abo-Elkasem Ahmed Wakwak, Mona Abdelghafar Mohamed Khalil
July-September 2018, 36(3):301-307
DOI:10.4103/JISPPD.JISPPD_155_18  PMID:30246754
Background: Orthodontic bands have been shown to alter oral microbial flora that lead to convert caries-free patients to moderate or high caries risk individuals. Aim: This study aimed to evaluate the effect of conventional band and loop space maintainers versus fiber-reinforced composite (FRC) resin space maintainer on the salivary cariogenic microflora (Lactobacillus and Streptococcus mutans) in children over a period of 6 months. Materials and Methods: The study sample was divided equally into two groups: Group A: 25 patients received FRC (INFIBRA®: Reinforcing ribbon, Bioloren, Italy) space maintainer and Group B: 25 patients received band and loop space maintainers. The saliva samples were collected from the patients before the insertion of the space maintainer and at 2 weeks, 3 months, and 6 months postinsertion. Results and Conclusion: The Lactobacillus acidophilus isolated was 1.7 colony-forming unit (CFU) (×106) and 1.8 CFU (×106) in Group A and Group B, respectively, prior to the insertion of space maintainers. There was no significant increase in L. acidophilus over the follow-up of 6 months in both the groups (P > 0.05). However, the Streptococcus mutans isolated before insertion in both Group A and Group B was 2.6 CFU (×106), which over a period of 6 months showed significant increase to 3.13 CFU (×106) in Group B (P < 0.05) and no increase was seen in Group A. S. mutans level increased considerably in patients with band and loop space maintainer over the follow-up of 6 months. No significant increase in the L. acidophilus count was observed over the same period in both the groups.
  3,693 277 -
Effectiveness of precooling the injection site using tetrafluorethane on pain perception in children
Nithasha N Hameed, Sharan S Sargod, Sham S Bhat, Sundeep K Hegde, Muhsin Mohammed Bava
July-September 2018, 36(3):296-300
DOI:10.4103/JISPPD.JISPPD_222_17  PMID:30246753
Background: Injection of local anesthesia is one of the most important reasons for avoidance behavior in children. Applying a topical anesthetic before injection is the most popular way to control pain; however, topical anesthetics have some shortcomings such as longer duration of action, displeasing taste, and spread of the anesthetic agent to noninjection site areas. Cryoanesthesia using refrigerant as a topical anesthesia is being studied as an alternative to overcome the shortcomings of topical anesthetics and has shown promising results. Materials and Methods: In this split-mouth design study, 50 children of aged 8–10 years who required bilateral mandibular local anesthesia administration were selected. In the first visit, application of topical anesthetic spray (lidocaine) on one side and during the second appointment cryoanesthetic tetrafluorethane on the other side was used before local anesthetic administration. Patients were asked to report their discomfort and pain using visual analog scale (VAS) (subjective method). Patients' pain perception during injection is assessed by sound, eye, and motor (SEM) scale by the dentist (objective method). Results: The results were statistically analyzed using paired Wilcoxon signed-rank test and Mann–Whitney tests. In VAS scale (subjective method), pain scores were significantly lower in tetrafluorethane group when compared with lidocaine group. In SEM scale (objective method), pain scores were lower in tetrafluorethane group when compared with lidocaine group, but it was statistically insignificant. Conclusion: Precooling the injection site using refrigerant tetrafluorethane spray has shown to be effective in eliminating pain before local anesthesia administration in children when compared with topical anesthetic lidocaine spray.
  3,198 328 -
Efficacy of probiotic and green tea mouthrinse on salivary pH
Shashibhushan Kukkalli Kamalaksharappa, Ramya Rai, Prashant Babaji, MC Pradeep
July-September 2018, 36(3):279-282
DOI:10.4103/JISPPD.JISPPD_49_18  PMID:30246750
Objectives: The aim of the study was to assess the efficacy of probiotic and green tea mouthrinse on salivary pH. Method: Study was conducted over a period of one month among 40 healthy school children aged between 6-8 years. The subjects who fulfilled inclusion criteria were selected and randomly divided into 2 groups namely probiotic and green tea groups. Salivary pH was recorded at baseline (0 day) and at the end of the specified time period using GC pH strips. Statistical analysis was done using paired ‘t’ test P < 0.05 was considered statistically significant. Result: The comparison of mean pH scores for green tea showed that the pH of saliva was increased in the children after rinsing with green tea (6.15 to 7.65) and was statistically significant (p<0.001). Similarly when pre and post mean pH was compared in the probiotic group pH increased from (6.45 to 6.65) however, the results were not statistically significant. Conclusion: The study conducted shows the beneficial effects of green tea in providing a alkaline environment which is conducive to the oral health of children.
  3,065 286 -
Postoperative assessment of diode laser zinc oxide eugenol and mineral trioxide aggregate pulpotomy procedures in children: A comparative clinical study
Bang Pratima, GD Chandan, Talreja Nidhi, Ingale Nitish, Murthy Sankriti, Sangavi Nagaveni, Saraf Shweta
July-September 2018, 36(3):308-314
DOI:10.4103/JISPPD.JISPPD_1132_17  PMID:30246755
Aim: The present study is an attempt to compare and evaluate postoperative assessment of diode laser zinc oxide eugenol (ZOE) pulpotomy and diode laser mineral trioxide aggregate (MTA) pulpotomy procedures in children. Materials and Methods: Forty carious primary molars indicated for pulpotomy within the age group of 4–9 years were selected and divided into two groups of 20 each using simple randomization, Group 1: Diode laser MTA and Group 2: Diode laser ZOE pulpotomy. The teeth were evaluated clinically for 1 year at 3, 6, and 12 months interval and radiologically for 6 and 12 months. Results: Clinically and radiographically, 100% teeth treated with diode laser MTA and 94% treated with diode laser ZOE were considered successful after 12-month follow-up interval. No significant difference was seen between two groups. Conclusion: Despite the success rate, the cost factor of diode laser and MTA could be the limiting factor in its judicious use in pulpotomy procedure.
  3,021 245 -
Sociodemographic and behavioral factors associated with dental caries in preschool children: Analysis using a decision tree
Ágata Sabine Brito, Marayza Alves Clementino, Monalisa Cesarino Gomes, Érick Tássio Barbosa Neves, Aline de Sousa Barbosa, Camila Andurandy de Medeiros, Mayra Macedo de Aquino, Ana Flávia Granville-Garcia, Valdenice Aparecida de Menezes
July-September 2018, 36(3):244-249
DOI:10.4103/JISPPD.JISPPD_210_17  PMID:30246744
Background: Untreated dental caries can result a negative impact on oral health-related quality of life. Aims: The aim of the present study was to determine the prevalence of dental caries and associated factors in children enrolled in public preschools in the city of Recife, Brazil. Settings and Design: A descriptive, analytical, cross-sectional study was conducted with a representative random sample of 556 children aged 3–5 years. Materials and Methods: Data were collected through clinical examinations using the International Caries Detection and Assessment System. The parents answered a questionnaire addressing sociodemographic and behavioral characteristics. Two examiners underwent training and calibration exercise for the calculation of interexaminer agreement (Kappa index of 0.83). Statistical Analysis Used: In addition to descriptive data, an inductive decision tree was constructed to analyze the results (Algorithm J48; α = 5%). Results: The prevalence of dental caries was 92.1%. The following factors were associated with dental caries: brushing performed by the child (prevalence ratio [PR] = 4.39, 95% confidence interval [CI]: 2.57–7.51 P < 0.001), household income less than the minimum wage (PR = 1.79; 95% CI: 1.18–2.72, P = 0.005), brushing frequency (PR = 1.50; CI 95%: 0.50–4.49; P = 0.001), and parent's/caregiver's school equal to an incomplete elementary school education (PR = 1.65, 95% CI: 1.56–1.74, P < 0.001). Conclusions: The occurrence of dental caries in children was high and was associated with brushing performed by the child, household income less than the monthly minimum wage, low brushing frequency, and low parent's/caregiver's schooling.
  3,096 153 -
Isolation of Scardovia wiggsiae using real-time polymerase chain reaction from the saliva of children with early childhood caries
Preetika Chandna, Nikhil Srivastava, Alpana Sharma, Vrinda Sharma, Nidhi Gupta, Vivek Kumar Adlakha
July-September 2018, 36(3):290-295
DOI:10.4103/JISPPD.JISPPD_225_17  PMID:30246752
Aim: This study aimed to quantitatively assess the levels of Scardovia wiggsiae in caries-free and early childhood caries (ECC)- and severe ECC (SECC)-affected children using real-time polymerase chain reaction (RT-PCR). Methods: Forty-five children aged <71 months were randomly recruited from the Outpatient Clinic at the Department of Pedodontics and Preventive Dentistry at Subharti Dental College and Hospital, Meerut, India. Fifteen children suffering from ECC, 15 with SECC, and 15 children without ECC were enrolled in the study. About 1–2 mL of unstimulated saliva was collected and subjected to microbial analysis using RT-PCR. Results: The SECC group (n = 15) was found to have significantly higher mean relative 16s rRNA expression of S. wiggsiae (3.67) than both ECC (n = 15) and controls (n = 15) (1.69 and 0.85, respectively). S. wiggsiae was detected in 86.7% of the SECC and 60% ECC group and was detected negligibly in the control (caries free) group. The correlation of decayed, missing, or filled surface levels with 16s rRNA levels showed significant positive correlation with 16S rRNA in both ECC and SECC patients. Conclusion: Salivary levels of S. wiggsiae were significantly associated with ECC in children. S. wiggsiae represents a new frontier in the microbial etiology of ECC. This may lead to the development of new antimicrobial agents targeted to this organism and improve the treatment of ECC.
  2,641 181 -
Factors associated with dental pain in toddlers detected using the dental discomfort questionnaire
Izabella Barbosa Fernandes, Patrícia Reis-Sá, Rafaela Lopes Gomes, Luciane Rezende Costa, Joana Ramos-Jorge, Maria Letícia Ramos-Jorge
July-September 2018, 36(3):250-256
DOI:10.4103/JISPPD.JISPPD_167_17  PMID:30246745
Background: Dental pain is one of the most common symptoms of untreated oral problems and exerts a strong impact on the well-being of children. Aims: The aim of this study was to evaluate the associated factors with dental pain in children aged 1–3 years using the Brazilian version of the Dental Discomfort Questionnaire (DDQ-B). Methods: A cross-sectional study was conducted in the city of Diamantina, Brazil. A total of 318 randomly selected children were submitted to an oral clinical examination for the evaluation of tooth injuries and dental caries (International Caries Detection and Assessment System, [ICDAS]). The caregivers of the children were asked to answer the DDQ-B as well as a questionnaire addressing demographic and socioeconomic aspects of the family. Statistical analysis was performed and involved the description of frequencies as well as Poisson hierarchical regression analysis. Results: Dental pain was associated with a household income less than the Brazilian minimum monthly wage (Prevalence ratios [PRs] = 1.33, 95% confidence interval [CI]: 1.07–1.66, P = 0.011) and dental caries in dentin – ICDAS codes 5 and 6 (PR = 1.48, 95% CI: 1.13–1.94, P = 0.004). Conclusions: Greater frequencies of dental pain were found in 1–3-year-old children from families with a low monthly income and dental caries with visible dentin with or without pulp involvement.
  2,566 197 -
Knowledge, attitudes, and practices among gynecologists regarding oral health of expectant mothers and infants in Bhubaneswar City, Odisha
Sonu Acharya, Sheetal Acharya, Upasana Mahapatra
July-September 2018, 36(3):240-243
DOI:10.4103/JISPPD.JISPPD_27_18  PMID:30246743
Objective: Early intervention is aimed at preventing or mitigating common pediatric oral diseases and conditions while initiating a relationship between the mother, the child, and the dental caregiver. Every expectant mother should receive oral health education and risk assessment. There are a number of reports that showed the association between oral diseases and preterm, low birth weight, and gestational diabetes. The purpose of this study is to understand the attitude and knowledge regarding prenatal as well as infant oral health care among gynecologists in the medical colleges in Bhubaneswar, Odisha, India. Materials and Methods: The study involved a survey involving gynecologists in medical colleges in Bhubaneswar, Odisha. A pretested questionnaire was provided to all the gynecologists (21) working in the medical colleges in Bhubaneswar regarding prenatal and perinatal oral health care. Results: The study gave an idea that most gynecologists working in a medical college in Bhubaneswar, Odisha, India, had adequate knowledge regarding oral health of expectant mothers, but lack in knowledge when it comes to imparting knowledge on infants' health care. Conclusion: There is an adequate knowledge among the gynecologists about oral health of expectant mothers and infants, but still, there is a need of a multidisciplinary collaboration among gynecologists, pediatricians, and pediatric dentists to prevent the dental diseases rather than treating them.
  2,456 148 -
Congenital granular cell tumor of the newborn – Spontaneous regression or early surgical intervention
Ankita Dhareula, Manojkumar Jaiswal, Ashima Goyal, Krishan Gauba
July-September 2018, 36(3):319-323
DOI:10.4103/JISPPD.JISPPD_1187_17  PMID:30246757
Congenital granular cell tumor of the newborn is a benign, relatively innocuous hamartomatous lesion arising from the alveolar ridge. Large lesions often warrant prompt surgical removal owing to the associated difficulty in breastfeeding and respiration of the infant. However, for medium-sized lesions, another approach could be observed for spontaneous regression. The present case report highlights the use of a combination approach for management of tumor in a 2-day-old female child presenting with a large protruding mass from the mouth associated with difficulty in breastfeeding. A combination of observation for regression in size followed by electrosurgical removal of the tumor was done. The infant was followed up regularly over a long period of 3 years to assess any adverse effects of surgical intervention on the maxillary primary anterior dentition of which none were recorded.
  2,024 127 -
A rare presentation of lobular panniculitis in the oral cavity of a 2-year-old patient
Sowmya B Shetty, Ann Thomas, Swathi Shetty, Pooja Nair
July-September 2018, 36(3):324-326
DOI:10.4103/JISPPD.JISPPD_16_18  PMID:30246758
Pannicultis is a rare disorder which usually affects the organ and tissue which are abundant in fat cells. It causes fatty degeneration of the fat cells and the diagnosis is usually made histologically. Here we present you a rare case of lobular pannicultis which occurred in a 2 year old patient in its oral cavity.
  1,829 109 -
A vision for pediatric and preventive dentistry oral health policy in India
Sudhindra Baliga
July-September 2018, 36(3):223-224
DOI:10.4103/JISPPD.JISPPD_250_18  PMID:30246740
  1,724 154 -
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