Background: In pediatric dentistry, fear and anxiety are common among children. Local anesthetics (LA) are widely used to control pain and reduce discomfort in children during dental treatment. Topical anesthetics play a vital role in reducing pain and the unpleasant sensation of a needle puncture in children.
View Article and Find Full Text PDFBackground: Intraoral local anesthesia is essential for delivering dental care; however, injection of this local anesthetic is perceived as the most painful and distressing agent for children, parents, and healthcare providers. Reducing pain as much as possible is essential to ensure smooth subsequent treatment procedures, especially in pediatric dentistry. In clinical practice, oral sucrose administration has been reported to decrease the pain during heel lance and cold pressor tests in neonates and children.
View Article and Find Full Text PDFIntroduction: Dental treatment for children requires the use of behaviour guidance techniques (BGTs), which are used in the dental office to make children cope with dental treatment.
Aim: Evaluate how children and parents felt towards BGTs used in a dental office, by attitude meter and to correlate them.
Materials And Method: Children (200) from 7-17 years and their parents were selected randomly to participate in the study.
Background: To compare pain perception during palatal injection administration in children aged 7-9 years while using pre-cooling of the injection site versus application of topical anesthesia as a pre-injection anesthetic during the six months.
Methods: A prospective randomized split-mouth crossover trial was conducted among 30 children aged 7-9 years, who received topical application of either a pencil of ice (test group) or 5% lignocaine gel (control group) for 2 min before injection. The primary and secondary outcome measures were pain perception and child satisfaction, measured by the composite pain score and the faces rating scale, respectively.
Aim: To measure the IQ and record dermatoglyphic patterns of children including intellectually disabled aged between 5 years and 11 years and to correlate them.
Materials And Methods: The present study was a cross-sectional study conducted in two private schools in the city corporation limits. A total of 300 children aged between 5 years and 11 years were equally allocated into three groups based on IQ using covariate adaptive randomization.
J Dent Anesth Pain Med
February 2020
Background: This study evaluated the efficacy of three intraoral topical anesthetics in reducing the injection needle prick pain from local anesthetic among children aged 7-11 years old.
Methods: It is a prospective, Interventional, parallel design, single-blind, randomized clinical trial in which subjects (n=90) aged 7-11 years were included in the study based on an inclusion criteria. Subjects were divided into three groups based on computer-generated randomization with an allocation ratio of 1:1:1.
Aim: To assess the performance of CarieScanPRO™ with radiovisiography (RVG) and international caries detection and assessment system II (ICDAS-II) to detect the occlusal carious lesions in the mandibular primary molars.
Methods: Fifty healthy children of age 5-7 years were involved and evaluated for caries using visual ICDAS-II, RVG, and CarieScanPRO™. Operative intervention pit and fissure opening served as a gold standard for comparison of the three methods of examination.
Background: To evaluate the clinical cariostatic efficacy of a concocted 5% Nano-silver incorporated Sodium fluoride (NSSF) dental varnish with 38% Silver diamine fluoride (SDF) in preventing the progression of dentinal caries of primary molars.
Material And Methods: A total of 159 active dentinal carious lesions in primary molars (from 50 children) were selected and randomly divided into two groups; NSSF and SDF. Varnish application was performed at the baseline visit and follow-up is carried out at 1, 3, 6 and 12 months.
Background: Despite the advent of modern injection techniques, palatal injection continues to be a painful experience for children.
Aims: To compare the pain experienced during extraction of maxillary primary molars with conventional lignocaine anesthesia versus lignocaine and articaine buccal infiltration in children aged 6-14 years.
Materials And Methods: A prospective randomized triple blinded study was conducted with ninety children ( = 90), randomly allocated to receive lignocaine conventional anesthesia (Group I [control group]), and buccal infiltration using articaine (Group II [articaine group]) or lignocaine (Group III [lignocaine group]).
J Indian Soc Pedod Prev Dent
July 2017
Background: Sugars that occur naturally in foods and those added in processed foods may act as the source for fermentable carbohydrates and may initiate caries process. Among all the foods consumed by children, chocolates form an important constituent. A wide variety of chocolates are available in the Indian market and very few studies have compared their acidogenicity and salivary sugar clearance.
View Article and Find Full Text PDFJ Dent Child (Chic)
September 2016
Purpose: The purpose of this study was to evaluate preferences of dentist's attire and gender by anxious and nonanxious children in India.
Methods: This cross-sectional study included 1,008 nine- to 14-year-old children. Anxiety levels were measured using the Children's Fear Survey Schedule-Dental Subscale.
Aim: The aim of the present study was to investigate the association of Apgar index with that of enamel defects and to explore gender predilection as a co-variable in the formation of enamel defects.
Materials And Methods: A random sample of 108 individuals (46 boys and 62 girls) aged 4-5 years (mean - 4.4 years) were included in the study.
A 12-year-old girl reported for a routine dental checkup. Radiographic survey disclosed the presence of two developing structures resembling premolars one on either side of the mandible in premolar region, which were of supplemental type and surgical removal of supernumerary premolars facilitated eruption of the left second premolar. On six months follow-up, there was radiographic evidence of another supernumerary premolar in the left side of mandible that is left in situ, patient is on regular follow-up.
View Article and Find Full Text PDFAim: To evaluate the remineralizing potential of child formula dentifrices on primary teeth using an in vitro 7 days pH cycling model.
Materials And Methods: Twenty-one primary teeth were placed in demineralizing solution for 96 h to produce artificial carious lesions; then cut longitudinally into 100-150 μm thick sections and randomly assigned to three groups. Sections in Group A were treated with dentifrice containing 458 ppm monofluorophosphate (MFP) and sections in Group B with 500 ppm sodium fluoride (NaF).
J Int Soc Prev Community Dent
March 2015
Background: Administration of sweetened medicaments poses many oral health related problems in children due to the lack of awareness among the pediatricians regarding their ill effects.
Purpose: To assess pediatricians' awareness and attitudes toward the use of liquid pediatric medicines and their relationship with dental caries and erosion.
Materials And Methods: A cross-sectional descriptive study was conducted among the pediatricians residing in Nellore city.
Background: Conventional caries removal involves use of high-speed handpiece. Current concepts of caries excavation in cavitated lesions consist of manual excavators. Principles of minimal invasive approach indicate the need to excavate only carious tissue.
View Article and Find Full Text PDFDental anomalies of tooth number in development of the permanent dentition are quite common than the primary dentition, however, the combined occurrence of hypodontia and hyperdontia is a rare phenomenon, especially in the same dental arch. The purpose of this report is to describe a case of concomitant hypo-hyperdontia (CHH) in three patients (one girl and two boys) with missing mandibular central incisor and an erupted mandibular mesiodens. Three rare cases of mandibular CHH were observed during routine examination, where the two anomalies manifested in the anterior region of the mandible.
View Article and Find Full Text PDFOsteosarcoma (OS) of the jaws is a relatively rare malignant bone tumor. Like, its counterpart in the long bones, OS affecting the head and neck region shows distinct yet diverse clinical, histologic and prognostic characteristics. Here, we report a rare case of OS of fibroblastic variant in a 10-year-old girl, who came with a bony swelling in the left mandibular posterior region, with a radiographic presentation of sunburst appearance, the histopathological examination confirmed the diagnosis.
View Article and Find Full Text PDFHuman jaws and teeth display a high degree of morphological individuality as they represent personal, family and population characteristics. A protostylid is a supernumerary or accessory cusp located on the mesial half of the buccal surface on the molars that may seldom pose problems while its presence may not be a cause for alarm in most instances. This case report presents a rare finding of protostylid on the buccal surface of the primary molars in 4 children.
View Article and Find Full Text PDFAim: To explore the efficacy of biofeedback as possible alternative means of psychological behaviour guidance in children receiving dental restorations.
Study Design: Randomised clinical trial with a cross over design carried out on 40 children (19 boys and 21 girls) to determine the efficacy of biofeedback in reducing the dental anxiety through subjective and objective measures during restorative treatments under cotton roll isolation without administration of local analgesia.
Method: Highly anxious children with a minimum of five carious lesions were trained to lower their anxiety using biofeedback in five sessions within a 4-week interval, each session lasting for 45 min.
Agenesis of bilateral maxillary canines is very rare and mesiodens is a commonly occurring supernumerary tooth type. Concomitant occurrence of both hypodontia and hyperdontia is extremely rare and it is a condition of mixed numeric variation in the same individual. The reported prevalence of this condition ranges between 0.
View Article and Find Full Text PDFAim: To assess awareness of school teachers concerning the emergency management of traumatized teeth.
Materials And Methods: This is a prospective intervention study conducted with 1000 teachers (500 urban, 500 rural) randomly selected from the entire government and private, primary (elementary) as well as secondary (high) schools of Nellore district of Andhra Pradesh, India. Study was carried out in three phases; the first phase being an initial survey conducted to assess the existing knowledge of teachers on management of traumatic injuries by using self-administered questionnaire.
Agenesis of multiple primary teeth is rare. A 6-year-old girl visited our department, in the absence of any other systemic abnormalities, on clinical and radiographic evaluation, it was revealed that she had only 6 primary teeth in her mouth. Maxillary and mandibular removable partial dentures were fabricated for prosthodontic rehabilitation.
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