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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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   2008| January-March  | Volume 26 | Issue 1  
    Online since April 9, 2008

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Effect of oil pulling on Streptococcus mutans count in plaque and saliva using Dentocult SM Strip mutans test: A randomized, controlled, triple-blind study
S Asokan, J Rathan, MS Muthu, Prabhu V Rathna, P Emmadi, Raghuraman , Chamundeswari
January-March 2008, 26(1):12-17
DOI:10.4103/0970-4388.40315  PMID:18408265
Background: Oil pulling has been used extensively for many years, without scientific evidence or proof, as a traditional Indian folk remedy to prevent teeth decay, oral malodor, bleeding gums, dryness of throat and cracked lips, and for strengthening the teeth, gums, and jaws. Aims: The aim of this study was to evaluate the effect of oil pulling with sesame oil on the count of Streptococcus mutans in plaque and saliva of children, using the Dentocult SM Strip mutans test, and to compare its efficacy with that of chlorhexidine mouthwash. Materials and Methods: Twenty age-matched adolescent boys were selected based on information obtained through a questionnaire. They were divided randomly into two groups: the control or chlorhexidine group (group I) and the study or oil pulling group (group II); there were ten subjects in each group. Plaque and saliva samples were collected from all the 20 subjects on the strips from the Dentocult SM kit and, after incubation, the presence of S. mutans was evaluated using the manufacturers' chart. The study group practiced oil pulling with sesame oil and the control group used chlorhexidine mouthwash for 10 min every day in the morning before brushing. Samples were collected from both groups after 24 h, 48 h, 1 week, and 2 weeks and the efficacy of oil pulling was compared with that of chlorhexidine mouthwash. Results: There was a reduction in the S. mutans count in the plaque and saliva samples of both the study and the control groups. The reduction in the S. mutans count in the plaque of the study group was statistically significant after 1 and 2 weeks (P = 0.01 and P = 0.008, respectively); the control group showed significant reduction at all the four time points (P = 0.01, P = 0.04, P = 0.005, and P = 0.005, respectively, at 24 h, 48 h, 1 week, and 2 weeks). In the saliva samples, significant reduction in S. mutans count was seen in the control group at 48 h, 1 week, and 2 weeks (P = 0.02, P = 0.02, P = 0.008, respectively). Conclusion: Oil pulling can be used as an effective preventive adjunct in maintaining and improving oral health.
  27 160,339 2,245
Comparison of allele frequency for HLA-DR and HLA-DQ between patients with ECC and caries-free children
A Bagherian, H Nematollahi, JT Afshari, N Moheghi
January-March 2008, 26(1):18-21
DOI:10.4103/0970-4388.40316  PMID:18408266
Background: Early childhood caries (ECC) is one of the most common diseases of childhood. The etiology of ECC is multifactorial and both genetic and environmental factors play important roles in the pathogenesis of the disease. Genetic variations in the hosts may contribute to changes in the risk for dental caries. Genetic factors such as human leukocyte antigen (HLA) have recently been suggested as a predisposing factor. Aim: The aim of this study was to look for an association between HLA-DRB1 and HLA-DQB1 with ECC for developing new strategies for the diagnosis as well as the prevention of the disease. Design: In this study, we extracted the genomic DNAs from whole blood samples of 44 patients with ECC and 35 caries-free children by the salting-out method. We amplified the genomic DNA by PCR-SSP and then HLA-typing was performed for all alleles. Results: The results revealed a significant increase in the frequency of HLA-DRB1*04 in the patient group (P = 0.019). The odds ratio for this allele was detected to be 10. The frequency of HLA-DQB1 alleles was not significantly different between the two groups. Conclusion: The above results suggest that HLA-DRB1*04 is associated with the susceptibility to ECC. Thus HLA-DRB1*04 detection as a molecular marker for early diagnosis of ECC may be recommended.
  18 11,230 837
Greenstick fracture of the mandible: A case report
V Kalia, AP Singh
January-March 2008, 26(1):32-35
DOI:10.4103/0970-4388.40320  PMID:18408270
This case report is an insight in to pediatric traumatology whereby bilateral greenstick fracture of condyle is used as a means to discuss the incidence and anatomic considerations for the management of the same, highlighting the fact that dental surgeons require a unique understanding of the anatomy, growth considerations, healing pattern and operative management involving minimal manipulation while managing pediatric facial fractures.
  11 19,987 1,007
Cleidocranial dysplasia: A case report
R Hemalatha, MR Balasubramaniam
January-March 2008, 26(1):40-43
DOI:10.4103/0970-4388.40322  PMID:18408272
Cleidocranial dysplasias is an autosomal dominant disorder that presents with skeletal dysplasia. The dental manifestations are mainly delayed exfoliation of primary teeth and delayed eruption of permanent teeth, with multiple impacted supernumeraries. This report addresses the complex nature of the treatment modalities. In our patient, surgical exposure of unerupted teeth was done with orthodontic traction. Post-surgical follow-up was uneventful.
  9 11,137 983
Management of inverted impacted primary incisors: An unusual case
A Kapur, A Goyal, S Jaffri
January-March 2008, 26(1):26-28
DOI:10.4103/0970-4388.40318  PMID:18408268
The prevalence of impacted primary teeth has been reported to be very rare and it has been reported to occur in 1:10,000 times, most commonly involving the primary second molars. This report discusses the presence of an impacted inverted maxillary primary incisors and their management by surgical intervention in a 5 year old boy. The inverted primary maxillary central incisors were extracted and prosthetic rehabilitation was done to improve the esthetics, speech and psychosocial behavaviour of the child. Co-incidentally the permanent maxillary incisors were also found to be hypoplastic although the parents did not give any history of trauma to the maxillofacial complex. It is important for pediatric dental surgeons to carefully monitor the eruption of primary and permanent teeth for early identification and management of developmental anomalies.
  6 10,390 869
Orthodontic uprighting of impacted mandibular permanent second molar: A case report
SK Reddy, KS Uloopi, C Vinay, VV Subba Reddy
January-March 2008, 26(1):29-31
DOI:10.4103/0970-4388.40319  PMID:18408269
The mandibular second molars can become impacted beneath the crown of the first molars due to various causes and fail to erupt normally. Presented herewith is a case report of orthodontic uprighting of a mesioangular impacted mandibular right permanent second molar. Though various treatment options were available, an uprighting push spring appliance was used as it is easy to fabricate and produces distal tipping and uprighting of the impacted tooth without the necessity of surgical assistance, bone removal, or splinting. The uprighting of the mandibular second molar was achieved within two months.
  5 18,988 1,333
The effect of water purification systems on fluoride content of drinking water
AR Prabhakar, OS Raju, AJ Kurthukoti, TD Vishwas
January-March 2008, 26(1):6-11
DOI:10.4103/0970-4388.40314  PMID:18408264
Objective: The purpose of the present study was to determine the effect of different water purification systems on the fluoride content of drinking water and to compare the efficacy of these water purification systems in reducing the fluoride content. Materials and Methods: Five different water purification systems were tested in this study. They were reverse osmosis, distillation, activated carbon, Reviva® , and candle filter. The water samples in the study were of two types, viz, borewell water and tap water, these being commonly used by the people of Davangere City, Karnataka. The samples were collected before and after purification, and fluoride analysis was done using fluoride ion-specific electrode. Results: The results showed that the systems based on reverse osmosis, viz, reverse osmosis system and Reviva® showed maximum reduction in fluoride levels, the former proving to be more effective than the latter; followed by distillation and the activated carbon system, with the least reduction being brought about by candle filter. The amount of fluoride removed by the purification system varied between the system and from one source of water to the other. Interpretation and Conclusion: Considering the beneficial effects of fluoride on caries prevention; when drinking water is subjected to water purification systems that reduce fluoride significantly below the optimal level, fluoride supplementation may be necessary. The efficacy of systems based on reverse osmosis in reducing the fluoride content of water indicates their potential for use as defluoridation devices.
  4 22,779 1,020
Witkop's tooth and nail syndrome: A multifaceted approach to dental management
P Subramaniam, R Neeraja
January-March 2008, 26(1):22-25
DOI:10.4103/0970-4388.40317  PMID:18408267
Witkop's tooth and nail syndrome is a rare autosomal dominant disorder of ectodermal dysplasia characterized by hypodontia and nail dysplasia. Mutations in MSX-1 have been shown to be associated with this syndrome. There is failure of development and eruption of the dentition. Tooth shape may vary; the most common forms are conical and narrow crowns. The nails may be spoon shaped and slow growing and affect both finger and toe nails. The nail involvement is more severe in childhood. The present case describes a 14-year-old boy who showed the characteristic features of Witkop's syndrome. A multifaceted approach to the dental management of the patient is discussed.
  2 11,044 732
Fill it, shut it, and forget it…!!!
SG Damle
January-March 2008, 26(1):4-4
DOI:10.4103/0970-4388.40312  PMID:18408262
  2 5,123 413
Changing attitudes: From isolation to interaction
Ashok Utreja
January-March 2008, 26(1):5-5
DOI:10.4103/0970-4388.40313  PMID:18408263
  2 4,826 398
Disappeared roots: A case report
R Arathi, M Kundabala, B Karen
January-March 2008, 26(1):36-39
DOI:10.4103/0970-4388.40321  PMID:18408271
Tooth resorption is a perplexing problem for all dental practitioners. The etiologic factors are vague, the diagnoses are educated guesses and, often, the chosen treatment does not prevent the rapid disappearance of the calcified dental tissues. This becomes all the more confusing if the tooth in question is a pulpally involved young permanent tooth. Presented in this report is the case of an upper first young permanent molar that underwent complete root resorption following root canal therapy and obturation.
  1 8,206 543
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