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Journal of Indian Society of Pedodontics and Preventive Dentistry Official publication of Indian Society of Pedodontics and Preventive Dentistry
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   Table of Contents - Current issue
Coverpage
July-September 2021
Volume 39 | Issue 3
Page Nos. 231-343

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EDITORIAL  

Vaccination for children: A critical measure against the pandemic Highly accessed article p. 231
Sudhindra Baliga
DOI:10.4103/jisppd.jisppd_368_21  PMID:34810336
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SYSTEMATIC REVIEW Top

Comparison of the safety and efficacy of dexmedetomidine with midazolam for the management of paediatric dental patients: A systematic review Highly accessed article p. 233
Mousumi Goswami, Aayushi Sangal, Bushra Rahman, Sakshi Chawla
DOI:10.4103/jisppd.jisppd_517_20  PMID:34810337
Background: Pain, fear, and anxiety have long been associated with pediatric dentistry. A child's cooperation with a dental.procedure.usually requires various behavioral management strategies conveyed by the entire dental team. The use of sedatives in dental clinics for providing analgesia and anxiolysis allows the patient to respond appropriately to verbal commands and light tactile stimulation., thus making dental treatment more patient friendly and effective. Aim: The aim of this study was to compare the safety and efficacy of dexmedetomidine versus midazolam for the management of pediatric patients in the dental clinic. Materials and Methods: This systematic review was prepared according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Six articles were selected for this systematic review. Of them, only in four articles, homogeneous data were available which were subjected to meta-analysis. Results: When compared with midazolam, premedication with dexmedetomidine resulted in much lower incidence of emergence delirium (odds ratio = 0.07, 95% confidence interval: 0.01–0.54, P = 0.01). No significant difference was observed with respect to satisfactory behavior of the child, successful parental separation, and satisfactory mask acceptance following sedation. Conclusion: Both dexmedetomidine and midazolam are equally effective for the management of pediatric patients in the dental clinic. In addition, dexmedetomidine premedication is associated with lower incidence of emergence delirium and has a better margin of safety.
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ORIGINAL ARTICLES - EPIDEMIOLOGY Top

Association of serum Vitamin D and salivary calcium and phosphorus levels in 3-11-year-old schoolchildren with dental caries Highly accessed article p. 240
N Pratyusha, C Vinay, KS Uloopi, Kakarla Sri RojaRamya, P Ahalya, Chigurupati Devi
DOI:10.4103/jisppd.jisppd_457_20  PMID:34810338
Background: Vitamin D plays an essential role in the formation of healthy teeth, protection against dental caries, and the appropriate secretion of salivary calcium. Salivary calcium and phosphate help in maintaining equilibrium between demineralization and remineralization of teeth. If we know the association between serum Vitamin D and salivary calcium and phosphorus, we may get a clue regarding serum Vitamin D levels which in turn is essential for good oral health. Aim: The aim of this study was to assess the association of serum Vitamin D levels and salivary calcium and phosphorus levels in children with dental caries. Settings and Design: This was a comparative cross-sectional study. Materials and Methods: One hundred children of age 6–11 years, 50 with Decayed, Missing, and Filled Teeth (DMFT) ≥5 (test group) and 50 with DMFT = 0 (control group), were included in the study. Oral examination was carried out and DMFT/deft scores were recorded. Serum 25-hydroxy Vitamin D levels and salivary calcium and phosphorous levels were measured. Statistical Analysis: Independent sample t-test, linear regression analysis, and Pearson correlation test were used for statistical analysis. Results: Children with dental caries have shown lesser mean serum Vitamin D levels (15.37 ± 3.53) than caries-free children (17.26 ± 3.16). Children with decayed teeth have exhibited lower salivary calcium levels (3.92 ± 0.99) than those without caries (4.42 ± 1.37). Conversely, children with dental caries have shown higher mean salivary phosphate levels (6.27 ± 1.74) than caries-free children (5.18 ± 1.47). There is a significant decrease in salivary calcium (P = 0.018) and serum Vitamin D (P = 0.004) with a significant increase in number of decayed teeth. The greater the Vitamin D deficiency, the lesser are the salivary calcium levels observed (P = 0.001). Conclusions: Children with Vitamin D deficiency have lower salivary calcium levels. Vitamin D deficiency and lower salivary calcium levels can be the potential risk factors for the occurrence of dental caries.
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Molar incisor hypomineralization: Prevalence and severity in schoolchildren of Puno, Peru p. 246
Denise M Argote Quispe, Guido Perona Miguel de Priego, Roberto A Leon Manco, Camila Palma Portaro
DOI:10.4103/jisppd.jisppd_460_20  PMID:34810339
Context: The prevalence of molar incisor hypomineralization (MIH) varies considerably around the world. South America is one of the regions with the highest prevalence. Aim: The aim of the study was to determine the prevalence and severity of MIH in children residing in urban and rural areas of Puno, Peru. Design: This was an observational cross-sectional study that included 404 children, aged 7–10 years old, from urban and rural public schools in Puno, Peru. Subjects and Methods: A previously calibrated examiner established the MIH diagnosis based on the index that integrates the criteria of the European Academy of Paediatric Dentistry and the modified index of developmental defects of enamel (mDDE index), as well as the caries experience based on the DMFT index. Statistical Analysis Used: The information was analyzed using descriptive statistics and bivariate analysis. Results: Eighty children (19.8%) presented MIH, and the prevalence was higher in the urban area. Demarcated opacities were the most prevalent type of lesion (52.1%), followed by atypical caries lesions (36.7%). The more severe the defects, the greater their extent. Similarly, the greater the extent of tooth defects, the greater the number of teeth affected per child. Children with MIH had slightly higher rates of tooth decay experience (DMFT). However, no significant association was found between caries experience and MIH. Conclusions: The population studied showed a high prevalence of MIH, similar to other studies in South American populations. The prevalence varied among residence areas, being more prevalent in the urban area. Mild lesions were more frequent.
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Prevalence of sleep practices and sleep problems of schoolchildren in South Kanara p. 251
Anusha Yerra, Vabitha Shetty
DOI:10.4103/jisppd.jisppd_433_20  PMID:34810340
Background: Disturbances in sleep could affect normal growth as well as behavior of children. It could also impair their cognitive development. Sleep problems have been increasing over the past few years. However, there is a gap regarding information about sleep practices and sleep problems among Indian children. Aim: A sleep questionnaire was designed and validated to assess the frequency of sleep practices and sleep problems in 500 children. Materials and Methods: The study was conducted in 5 local schools in South Kanara district by administering the questionnaire to the parents/caretakers under the guidance of a trained investigator. We also sought to examine the association of demographics, medical/behavior/academic performance, sleep patterns, and home environment to sleep problems in these children. Statistical Analysis: Descriptive statistics were recorded as mean and standard deviation for quantitative data and in frequency and percentage for qualitative data. Results: We found a high prevalence of bedroom sharing (92.4%) and bed-sharing (91.2%). 46.4% of the children exhibited at least one sleep problem, the most prevalent being bed-wetting (17%). Sleep problems were considerably greater in older children and in children with behavioral problems. Practices such as watching TV and using computer after 8 pm/at bedtime were significantly associated with all sleep problems. Conclusion: Our study revealed definite and significant presence of sleep problems in the children of South Kanara. Strong associations were observed between certain sleep practices and problems.
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Ego defense mechanisms among pediatric dental postgraduate students in India: A descriptive cross-sectional study p. 257
Sharath Asokan, PR Geetha Priya, Sudhandra Viswanath, Thendral Mathiazhagan
DOI:10.4103/jisppd.jisppd_302_21  PMID:34810341
Background: Ego defense mechanisms (EDMs) act as a major factor for overcoming stressful situations in life. Aims: The study aimed to assess the various patterns and factors of EDMs employed by pediatric dental postgraduate students in India. Settings and Design: Cross-sectional design, web-based questionnaire survey. Methods: A cross-sectional questionnaire study on EDM was conducted among 246 pediatric dental postgraduates in India from July to October 2019. The modified form of the Defense Style Questionnaire-20 included 10 EDMs under three major patterns– Mature, Immature, and Neurotic. The questionnaire was sent to all pediatric dental postgraduates enrolled in the Indian Society of Pedodontics and Preventive Dentistry and reminders were sent every week for 6 weeks. Results: Among the 1041 pediatric dental postgraduates who received the E-mail, two hundred and forty-six students responded to the same. The respondents included 89 males and 157 females. The mature pattern was found to be the most commonly employed EDM (males-47.20%; females-51.60%). Sublimation (72.76%), a mature type of defense was found to be the most common EDM factor employed by the majority of the students. The immature pattern was higher among males when compared to females (males-14.60%; females-5.70%). Conclusion: Most pediatric dental postgraduates exhibited a mature pattern, followed by a neurotic and immature pattern of EDM. The mature pattern of EDM was displayed more by the female students than the male students. Sublimation was found to be the maximum expressed factor followed by acting out.
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ORIGINAL ARTICLES - LABORATORY RESEARCH Top

Effect of a wear-resistant resin coat on the color stability of a resin-modified glass ionomer restorative material p. 262
Madhu Mohan, Yazan Aljohani, R Glenn Rosivack
DOI:10.4103/jisppd.jisppd_387_20  PMID:34810342
Aim: The purpose of this in vitro study was to evaluate the effect of the Equia Forte Coat on the color stability of Equia Forte Fil. Materials and Methods: Sixty discs of Equia Forte Fil were randomly divided into two groups. One group of 30 samples was treated with Equia Forte Coat according to the manufacturer's directions. The other 30 discs were not coated. All discs were continuously soaked in cola for 7 consecutive days. The color changes in the Equia Forte Fil samples were determined using a colorimeter. The color difference (△E) was calculated using the Commission Internationale de l'Eclairage L*a*b* coordinates. Results: There was a significant difference in ΔE between the two groups (P < 0.0001). The group with Equia Forte Coat had significantly less color change than the group without the Equia Forte Coat. Conclusion: The application of the Equia Forte Coat significantly improved the color stability of Equia Forte Fil.
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The effect of acid concentration and etch time on morphology and tensile bond strength of primary dentin: An in vitro study p. 267
Kirthana Satish, Rashmi Nayak, Kishore Ginjupalli, Shwetha Balagopal
DOI:10.4103/jisppd.jisppd_141_21  PMID:34810343
Background: There are conflicting results concerning the ideal time for etching primary dentin and its effect on the bond strength of adhesive restorative materials. Aim: To assess in vitro, the effect of varied acid concentration and etch time on the morphological features and tensile bond strength of primary dentin. Materials and Methods: Forty healthy primary molars were prepared by exposing the dentin of the occlusal surface, creating a smear layer. A 3 mm × 3 mm test indow was demarcated, and specimens were randomly allocated to four groups (n = 10): Group 1A 10% phosphoric acid, 7 s; Group 1B 10% phosphoric acid, 15 s; Group 2A 37% phosphoric acid, 7 s and Group 2B 37% phosphoric acid, 15 s. Surface analysis was done using atomic force microscope and scanning electron microscope. For tensile bond strength evaluation, 24 specimens prepared as mentioned were mounted in acrylic blocks and allocated to four groups according to the prescribed etching protocol. Resin rods were bonded and tested in tension after 24 h (n = 6). Data were analyzed statistically using unpaired t-test. Results: Etching of primary dentin using 37% phosphoric acid for 7 s produced the highest tensile bond strength of 9.51 ± 2.19 MPa. Conclusion: Etching time of 7 s may improve the adhesion of resin restorative materials with primary dentin.
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ORIGINAL ARTICLES - CLINICAL RESEARCH Top

Role of probiotics and synbiotics on inhibiting Streptococcus mutans level in saliva of children: A randomized controlled trial p. 275
Vinola Duraisamy, PR Geethapriya, C Bharath, RS Niveditha, J Baby John
DOI:10.4103/jisppd.jisppd_270_21  PMID:34810344
Background: Probiotics and synbiotics through its direct and indirect interactions interferes with biofilm formation, competes with oral microorganisms thereby creating better oral health. Aim: This study aims to assess the effectiveness of Probiotics and Synbiotics on inhibiting Streptococcus mutans level in saliva of children after 15 days of daily intake of probiotic and synbiotic curd. Methodology: A double-blind randomized controlled trial was planned. Salivary samples at baseline were collected from forty children in the age group of 6–12 years who were divided into two groups of 20 each to receive probiotic and synbiotic curd respectively for 15 days. Salivary samples were collected after intervention and S. mutans levels were estimated. Statistical Analysis: The collected data were analyzed using Statistical Package for Social Sciences (SPSS) version 22. Intra- and inter-group comparison of mean S. mutans levels for both the groups were done using the paired and unpaired t-test respectively. The statistical significance was set at P ≤ 0.05. Results: A statistically significant reduction in salivary S. mutans counts was observed in both the groups after 15 days (P < 0.001). A significantly higher inhibition of S. mutans growth was present in the probiotic compared to synbiotic group (P < 0.001). Conclusion: Probiotics and Synbiotics were effective in inhibiting salivary S. mutans level of children. However, inhibition of S. mutans growth was found to be better in children who consumed Probiotic curd than the Synbiotic curd.
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A clinical trial on topical effect of probiotics on oral Streptococcus mutans counts in children p. 279
Raju Umaji Patil, Vedashri Prashant Nachan, Sameer S Patil, Rahul Vasantrao Mhaske
DOI:10.4103/jisppd.jisppd_519_20  PMID:34810345
Background: Probiotics compete with the cariogenic oral bacteria like Streptococcus mutans (S. mutans) for carbohydrates resulting in substrate depletion and reduction in the number of S. mutans. Aim: The evaluation of topical effect of short-term application of Probiotic formulation on S. mutans counts in plaque of 7-12 years old children with decayed, missing, filled teeth (dmft/DMFT) score 2-5. Materials and Methods: A registered randomized clinical trial (Clinical Trials Registry of India/ICMR - CTRI/2019/09/021205) was conducted on 7-12 years medium risk 10 children with dmft/DMFT score 2-5, where an innovative probiotic formulation (prepared from capsule) was applied for 6 consecutive days, on teeth and pre/post plaque samples were evaluated for S. mutans count on mitis salivarius agar. Results: There was statistically significant and drastic reduction from 608,200 to 6600 (>90%) in the S. mutans count in plaque after the application of probiotic solution for a short period of time (6 days). Conclusion: Short-term application of probiotics can be used as an alternate topical preventive therapy to reduce the count of S. mutans effectively in oral cavity/plaque. Hence, probiotic can be used as topical caries preventive agent.
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Comparative evaluation of effect of two relaxation breathing exercises on anxiety during buccal infiltration anesthesia in children aged 6-12 years: A randomized clinical study p. 284
Seema Bargale, Jayesh Rupesh Khandelwal, Bhavna Haresh Dave, Anshula Neeraj Deshpande, Susmita Shrenik Shah, Deepika Narasimha Chari
DOI:10.4103/jisppd.jisppd_501_20  PMID:34810346
Background: Dental procedures, especially local anesthetic administration, are a source of great anxiety to children. Diaphragmatic breathing is defined as an efficient integrative body–mind training for dealing with stress and psychosomatic conditions. Pinwheel exercise is also a highly effective technique of “play therapy.” Aim: This study aimed to compare dental anxiety using pinwheel breathing exercise and diaphragmatic breathing exercise during buccal infiltration anesthesia. Methodology: Sixty children in the age group of 6–12 years with Frankel's behavior rating score of 3 who required buccal infiltration local anesthesia were selected. Subjects were divided randomly into two groups, i.e., Group A: children who performed pinwheel breathing exercise and Group B: children who performed diaphragmatic breathing exercise. The level of anxiety of the patients was recorded using an animated emoji scale. The data were analyzed using IBM SPSS version 20 software with paired t-test and Chi-square test. Results: There was a significant reduction in dental anxiety score from score 1 (before the anesthetic procedure) to score 2 (after the anesthetic procedure) in both the groups. On intergroup analysis, children who performed pinwheel breathing exercise (Group A) showed higher values than children who performed deep breathing exercise without pinwheel (Group B) with a t value of 1.42 but was not statistically significant with a P value of 0.161. Conclusion: Pinwheel breathing exercise as well as diaphragmatic breathing exercise proved to be significantly effective in reducing dental anxiety during local anesthesia.
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Antibacterial efficacy of Carica papaya leaf extract, probiotics, kidodent, and placebo mouthwashes in reduction of salivary Streptococcus mutans: A double-blinded parallel designed randomized controlled trial p. 291
Dhanu G Rao, Raghavendra Havale, Syeda Subia Sara, Neha Bemalgi, Badar Omera Fatima, Anand Y Kumar
DOI:10.4103/jisppd.jisppd_536_20  PMID:34810347
Aim: To compare the antibacterial efficacy of Kidodent, Probiotics, and Carica papaya Leaf extract mouthwashes in reducing Streptococcus mutans count in 8–12 years' old school children. Methodology: Sixty children of age group of 8–12 years were nominated and grouped as Group A (Kidodent mouthwash), Group B (probiotics mouthwash) Group C (C. papaya leaf extract mouthwash), and Group D (distilled water placebo). Probiotics sachets (Prebact) of about 1 g were diluted in 10 ml of water and given as mouthwash. C. papaya leaf extract was obtained by Soxhlet extraction using ethanol as a solvent. Participants were asked to rinse with mouthwashes for 30 s once daily for up to 15 days. Saliva samples were collected and inoculated using Salivarius Mitis and Agar Agar Type I at 38°C for 24 h and incubated, later colony-forming units per milliliter were determined by serial dilution and calculated using colony counter manually. Statistical Analysis: Data were statistically analyzed using the one-way ANOVA and t-test using the SPSS V.20 software. Results: Probiotics and C. papaya leaf extract mouthwashes were equally effective as Kidodent in reducing S. mutans count in saliva. Conclusion: Probiotics and C. papaya leaf extract mouthwashes manifested potential efficacy in reduction of S. mutans.
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Comparison of anaesthetic efficacy of 4% articaine buccal infiltration versus 2% lidocaine inferior alveolar nerve block for pulpotomy in mandibular primary second molars p. 299
Seyedeh Hediyeh Daneshvar, Dariush Dorani, Mir Mahdi Daneshvar
DOI:10.4103/jisppd.jisppd_21_21  PMID:34810348
Background: Pain control and proper anesthesia during pulp therapy is one of the most important aspects of behavior management in pediatric dentistry. Aims: This study compared the success rate of inferior alveolar nerve block (IANB) using 2% lidocaine and infiltration using 4% articaine for pulpotomy of mandibular primary second molars. Settings and Design: The present clinical trial was conducted on 40 children aged 5–8 referred to the Department of Pediatric Dentistry, Guilan University of Medical Sciences, who needed pulpotomy treatment in both mandibular second molars. The patients were randomly divided into two groups (A and B). Subjects and Methods: At the first session, Group A received articaine infiltration and Group B experienced IANB using lidocaine. At the next visit, this trend was reversed. Pain intensity was measured upon the initiation of the pulp exposure using a facial image scale (FIS) and the patients' behavior during pulpotomy was measured using sound eye motor (SEM). Statistical Analysis Used: Wilcoxon signed-rank test was used for the analysis of data. A significant level of differences was taken as P ≤ 0.05. Results: According to FIS, the pain upon the initiation of the pulp exposure was significantly lower in the lidocaine group (P = 0.028). Patients' behavior was also significantly better in the lidocaine group according to SEM (P = 0.028). Conclusions: IANB using lidocaine has higher anesthetic efficacy in the pulp therapy of the mandibular primary second molars compared to articaine infiltration.
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Comparative evaluation of diode laser and simvastatin gel in pulpotomy of primary molars: A randomized clinical trial p. 303
Madhubala Aripirala, Kalpana Bansal, Vijay Prakash Mathur, Nitesh Tewari, Pooja Gupta, Ajay Logani
DOI:10.4103/jisppd.jisppd_60_21  PMID:34810349
Background: Pulpotomy is a vital pulp therapy performed in carious pulp exposures in teeth in which the inflamed coronal pulp is removed and medicament is placed to conserve the vital root pulps. Recently, simvastatin which is a cholesterol-lowering drug has been found to be associated with the pulp regenerative potential. Aim: The aim of this parallel two-arm randomized control trial was to evaluate and compare the clinical and radiographic efficacy of diode laser (DL) and simvastatin gel (SG) in pulpotomy of carious primary molars. Methods: Hundred primary molars (in 98 children, 65 males, 33 females with age 4–8 years) requiring pulpotomy were randomized into the DL or SG group. Pulpotomy was performed as per the standardized protocol; thereafter, all teeth were restored with resin modified glass ionomer cement followed by stainless steel crowns. Follow-up evaluations were done at 3 and 12 months using clinical and radiographic criteria. Statistical analysis was done using Chi-square test at a significance level of 0.05. Results: At 12 months, out of 92 teeth available for clinical and radiographic evaluation by blinded evaluators, DL group showed clinical and radiographic success rates of 76.1% and 52.1%, while SG group showed 80.4% and 65.2% success rates, respectively. There was no statistically significant difference between the efficacy of two techniques clinically (P = 0.49) or radiographically (P = 0.30). Conclusions: Both SG and DL had similar efficacy for primary tooth pulpotomy, clinically and radiographically after 12 months. Considering its ease of application and low-cost, SG can be recommended as a potential pulpotomy medicament in primary molars.
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Comparison of the Streptococcus mutans colony count changes in plaque following chlorhexidine (0.12%) mouth rinse and green tea extract (0.5%) mouth rinse in 8–12-year-old children p. 310
Shamika Kamath, Rahul Hegde, Narayana Kamath
DOI:10.4103/jisppd.jisppd_208_21  PMID:34810350
Background: Mouth rinses are solutions or liquids used to rinse the mouth to have a therapeutic effect by relieving infection or preventing dental caries due to their antimicrobial properties. Aims: This study was carried out to compare the effect of 0.12% chlorhexidine mouth rinse and 0.5% green tea extract mouth rinse on the colony-forming units (CFUs) of Streptococcus mutans in plaque in children. Materials and Methods: The sample for the study consisted of fifty schoolchildren aged 8–12 years with four or more (decay component) of decayed, missing, and filled teeth index. Children were divided randomly into two groups and were asked to rinse with the prescribed mouth rinse twice daily for 2 weeks under supervision. The plaque samples were collected at baseline (prerinsing) and postrinsing and tested for the CFUs of S. mutans. Results: The results of the study indicate that there was a statistically significant reduction (pre- and postrinsing) in S. mutans colony count in both the study groups. There was no statistically significant difference in the reduction of S. mutans colony count between 0.12% chlorhexidine mouth rinse group and 0.5% green tea mouth rinse group. Conclusion: Green tea mouth rinse is effective against S. mutans – one of the major dental plaque microorganisms.
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Can silver diamine fluoride be an alternative to aerosol-based dentistry during the COVID scenario? A retrospective analysis p. 316
Ruchi Singhal, Parul Singhal, Ritu Namdev, Shefali Negi
DOI:10.4103/jisppd.jisppd_127_21  PMID:34810351
Background: Restrictions on routine dental procedures involving aerosols during COVID-19 have resulted in a significant increase in the suffering of pediatric patients. Aim: The study reported the alternative measures followed in our department using SDF during the COVID era when routine elective dental procedures were prohibited. Materials and Methods: The retrospective data of patients aged 2–13 years with carious molar teeth who were treated with silver diamine fluoride without (Group 1) or with (Group 2) caries excavation were collected. Results: One thousand and seventy-two patients (646 males and 426 females) with 2459 carious molar were treated. On follow-up assessment at 3 months, 28 teeth in Group 1 and 21 teeth in Group 2 showed progression of carious lesion using International Caries Detection and Assessment System (ICDAS II criteria). Out of these failure cases, 32 (1.8%) teeth were primary and 17 (2.5%) were permanent. Complete relief in sensitivity/pain on stimulation was reported in 2381 teeth (96.83%), whereas in 78 (3.17%) teeth, mild sensitivity/pain on stimulation was reported. The average time consumed during treatment per tooth in Group 1 was 5.04 min and in Group 2 was 5.78 min. Conclusion: SDF application can be carried out as a nonaerosol-generating procedure and is a simple technique for children and clinicians.
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CASE REPORTS Top

A novel report of dental development pattern in a 3-year-old girl with three congenitally missing primary canines: A review of the literature and a case study p. 321
Sreekanth Kumar Mallineni, Jayakumar Jayaraman
DOI:10.4103/jisppd.jisppd_56_21  PMID:34810352
Dentists may encounter patients with numerical dental anomalies in clinical practice and understanding of these conditions would allow early detection as well as intervention. The absence of one or more teeth congenitally is referred as hypodontia. This dental anomaly is rarely reported in primary dentition and the most commonly affected teeth in the primary dentition are mandibular lateral incisors and primary canines are remarkably very rare and this entity has not been often reported. This case study was aimed to report a 3-year-old Indian girl with the absence of three canines primary dentition and also evaluate the overall dental development pattern of developing permanent teeth. Furthermore, a new finding for pediatric dentists that the development of permanent canines in case of missing primary canines.
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Total crown replacement technique: A biological treatment option for grossly destructed primary molars p. 325
Nikhil Srivastava, Vivek Rana, Pratik Pande, Preeti Singh
DOI:10.4103/jisppd.jisppd_419_20  PMID:34810353
Background: Restoration of severely damaged primary molars with very short clinical crowns is a big challenge and often extracted due to the lack of restorative options. Total crown replacement (TCR) is a novel treatment alternative for the restoration of such teeth through bonding of the biological restorations which are the sterile decoronated crowns of the extracted human teeth, obtained from a tooth bank. Case Report: Presented here is a report of two cases restored with the TCR technique. A 9-month follow-up showed satisfactory results in terms of function, esthetics, gingival health, and morphology including occlusal wear. TCR can be a viable and economical alternative for restoration of severely decayed/damaged primary teeth, otherwise indicated for extraction.
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Use of Foley's catheter as a tourniquet for the management of vascular lesion of lip in Mowat-Wilson syndrome p. 329
Rajeev Pandey, Sanjeev Kumar, Jitender Kumar, Varun Arya, Rishabh Thakker, Minerva Singh
DOI:10.4103/jisppd.jisppd_414_20  PMID:34810354
Background: Vascular malformation of lower lip is a very rare anomaly. The lesion leads to facial asymmetry, difficulty in speech and eating and drooling of saliva. Treatment goals include symmetrical reconstruction of the lip with minimal scarring, provide adequate bulk for the reconstruction of vermillion, in toto removal of the lesion and prevent recurrence. The most common complication during surgical removal of these lesions includes blood loss and profuse bleeding which leads to poor visibility, increased operation time and postoperative requirement of blood transfusion. Therefore, the use of sclerosing agent is recommended before surgical removal. This may help in decreasing bleeding during surgery but not in all cases. Case Report: Here, we report the use of Foley's catheter for the management of a high flow lesion of lower lip in a 12-year-old patient diagnosed with Mowat-Wilson syndrome. This technique helped in providing bloodless field which lead to minimal blood loss and good visibility intraoperatively.
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ORIGINAL ARTICLE Top

Corrected and Republished: Applicability of Boston University approach for prediction of mesiodistal width of canines and premolars in the primary schoolchildren of rural Bengaluru: An in vivo study p. 336
Richardson V Thomas, Neeti Bajaj
DOI:10.4103/0970-4388.330783  PMID:34810355
Introduction: Boston University (BU) approach is a method for early prediction of unerupted permanent mandibular teeth widths based on the mesiodistal widths (MDWs) of primary mandibular canines and first molars. The present study was conducted to test the validity of BU approach by comparing it with Tanaka–Johnston (T/J) approach in the contemporary population. Aims and Objective: The aim of the study was to determine the applicability of BU approach for prediction of the MDWs of canines and premolars in the primary schoolchildren of rural Bengaluru. Materials and Methods: The study was conducted in 100 healthy schoolchildren of rural Bengaluru aged between 7 and 11 years. The MDWs of canines and premolars were predicted using both T/J and the considered BU approaches for all the children and were compared. Results: The correlation coefficient showed a statistically significant correlation between the predicted tooth size from the two predicted methods in the upper and lower arches (P < 0.001), with Pearson's correlation coefficient showing the very strong positive relationship (r = 0.7). Significant differences were seen between the mean predicted width of canines and premolars by both the approaches (P < 0.001). Conclusion: In spite of the limitations, we recommend the use of BU approach to predict arch length-tooth material discrepancy at an early age and to get at least an approximate estimation of the required space. We also advocate the necessity of further research on this approach prospectively.
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ERRATUM Top

Erratum: Applicability of Boston University approach for prediction of mesiodistal width of canines and premolars in the primary schoolchildren of rural Bengaluru: An in vivo study p. 342

DOI:10.4103/0970-4388.330701  PMID:34810356
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Erratum: The association between the salivary cortisol level of mothers, children's temperament, and early childhood caries p. 343

DOI:10.4103/0970-4388.330721  PMID:34810357
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  2005 - Journal of Indian Society of Pedodontics and Preventive Dentistry | Published by Wolters Kluwer - Medknow 
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