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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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   2014| July-September  | Volume 32 | Issue 3  
    Online since July 2, 2014

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Pulpectomy in hyperemic pulp and accelerated root resorption in primary teeth: A review with associated case report
Tarun Walia
July-September 2014, 32(3):255-261
DOI:10.4103/0970-4388.135844  PMID:25001448
Persistent hemorrhage after complete amputation of coronal pulp is a common clinical finding during pulpotomy procedure in primary teeth. These teeth are best managed with pulpectomy, but they have hyperemic pulp with some remaining vital tissue. Good chemico-biomechanical preparation of primary canals cannot guarantee complete removal of this vital tissue from inaccessible areas. Use of Ca(OH) 2 containing root filling pastes in vital pulp tissue can cause accelerated resorption of primary roots. The possible mechanism behind such extensive root resorption is discussed with review of literature. A case report of a child with 30 months follow-up is presented and discussed.
  24,491 1,684 2
Juvenile recurrent parotitis in children: Diagnosis and treatment using sialography
Vanga V Narsimha Rao, Jai Shankar Homberhali Putta Buddi, Ameet J Kurthukoti
July-September 2014, 32(3):262-265
DOI:10.4103/0970-4388.135846  PMID:25001449
Juvenile recurrent parotitis (JRP) is a nonobstructive, nonsuppurative parotid inflammation in young children. Causative factors are many such as allergy, infection, local autoimmune manifestations, and genetic inheritance have been suggested, but none have been proved. Parotid sialography is a hallmark in the diagnosis of JRP but newer modalities such as ultrasonography, computed tomography and magnetic resonance imaging-sialography are noninvasive investigative techniques. Recurrent attacks are often managed conservatively. Here we report a case of a 5-year-old child with JRP. Sailography can be used as both diagnostic and therapeutic modality.
  24,676 491 1
Diagnosis of temporomandibular joint (TMJ) ankylosis in children
Priya Shetty, Ann Thomas, B Sowmya
July-September 2014, 32(3):266-270
DOI:10.4103/0970-4388.135848  PMID:25001450
Temporomandibular joint (TMJ) ankylosis involves fusion of the mandibular condyle with the base of the skull. It results in functional, esthetic, and psychosocial limitations, if it affects children at an early age. Hence, it is important to recognize and diagnose the pathology and provide immediate treatment alternatives to improve the patient condition. In this case report, we highlight the diagnostic perspective of TMJ ankylosis in children, and the use of 3D computed tomography as an effective diagnostic aid.
  12,345 541 3
Evaluation of the effects of manuka honey on salivary levels of mutans streptococci in children: A pilot study
S Rupesh, JJ Winnier, UA Nayak, AP Rao, NV Reddy, J Peter
July-September 2014, 32(3):212-219
DOI:10.4103/0970-4388.135827  PMID:25001440
Background: There has been much debate in the past about whether honey is harmful to the teeth, mostly as part of the debate about raw sugar versus refined sugar and the results have been equivocal. However, what has not been taken into account is that honey varies markedly in the potency of its antibacterial activity. Manuka (Leptospermum scoparium) honey from New Zealand has been found to have substantial levels of non-peroxide antibacterial activity associated with an unidentified phytochemical component, denoted as Unique Manuka Factor (UMF). Aims: Considering the potential antimicrobial effects of manuka honey, the present study attempted to investigate effects of twice daily use of manuka honey with UMF 19.5 on salivary levels of Mutans streptococci in children. Study Design: The investigation was a stratified comparison of two parallel groups of children who either used manuka honey with regular tooth brushing regimen or continued only with regular tooth brushing regimen twice daily under professional supervision for a 21-day period. A total of three salivary samples were taken from each individual at baseline, day 10, and day 21; colony counts of Streptococcus mutans (S. mutans) were determined. All data was subjected to paired T-test and Wilcoxon's signed ranks sum for intra- and intergroup comparisons respectively. Results: Children using manuka honey showed statistically significant reductions in salivary S. mutans after 10 and 21 days. Conclusion: Manuka honey with UMF 19.5 may be considered as an effective adjunctive oral hygiene measure for reducing colony counts in children.
  9,285 518 5
Dermatoglyphics: A genetic marker of early childhood caries
C Anitha, Sapna Konde, N Sunil Raj, NC Kumar, Preetha Peethamber
July-September 2014, 32(3):220-224
DOI:10.4103/0970-4388.135828  PMID:25001441
Background: It is an accepted fact that genetics plays an important role in determination of palmar dermatoglyphic patterns. Since caries is a multifactorial disease with the influence of genetic pattern, this study was undertaken to explore the possibility of dermatoglyphics as a noninvasive and early predictor of dental caries in children, so as to initiate preventive oral health measures at an early age. Materials and Methods: The study group comprised of 200 children aged between 4 and 5 years. The dmfs score was evaluated. The experimental group (Group 1), comprised of 100 children with early childhood caries (ECC) with dmfs >5. The control group (Group 2) comprised of 100 children with dmfs score of 0. Results: An increased frequency of ulnar loops in caries-free children and whorls in children with ECC was observed. Low mean atd angle and low mean. Total ridge count was observed in the ECC group. Conclusion: There is definite variation in dermatoglyphics between the ECC and caries-free group, indicating that dermatoglyphic patterns can be used as a predictive tool for children with ECC.
  8,567 821 6
The oral health status of institutionalized children that is, Juvenile home and orphanage home run by Gujarat state Government, in Vadodara city with that of normal school children
Ankita Gaur, Sunanda Gul Sujan, Vishal Katna
July-September 2014, 32(3):231-237
DOI:10.4103/0970-4388.135833  PMID:25001443
Background: Dental Caries and Periodontal Diseases are widespread and virtually everybody suffers from them, and in global scenario dental caries are the most prevalent oral diseases among children. Observation home serve as temporary holding facilities of juvenile and orphans who are arrested by police or found to be living in neglected. Aim: The aim of the study was to evaluate oral health status (caries prevalence, dmft, DMF, OHI index) of the institutionalized children that is, juvenile home, orphanage home run by Gujarat Government in Vadodara city with that of normal school children. Design: Cross-sectional study was conducted among the 166 children residing in juvenile and orphanage home with 384 school children. Results: The prevalence of dental caries was higher among the school going children (62.12%) with juvenile group having (52.4%) but the oral hygiene was poor among the juvenile group children with respect to those of school going group. Conclusion: It is concluded from the present study that juvenile group children had lower caries prevalence but poor oral hygiene status in contrast to school going children.
  6,638 510 7
Knowledge, attitude, and perception of mothers towards emergency management of dental trauma in Salem district, Tamil Nadu: A questionnaire study
Kruthika Murali, Ramesh Krishnan, V Suresh Kumar, Shankar Shanmugam, Prakash Rajasundharam
July-September 2014, 32(3):202-206
DOI:10.4103/0970-4388.135825  PMID:25001438
Background: Dental trauma is one of the main oral health problems in childhood, and can cause pain and distress. It is important to provide emergency care to combat the aftermaths of trauma. Aim: The aim of the study is to assess the knowledge and attitude of mothers regarding dental trauma and its management. Materials and Methods: A questionnaire consisting of 33 closed-ended questions were used to interview 150 mothers who participated in the study. The questions assessed the knowledge and attitude of mothers towards their child's dental visit, dental trauma, and its management. Statistical analysis was performed using Statistical Package for Social Sciences (SPSS) version 17.0. Results: Mother's previous experience of dental trauma when associated with the preservation of avulsed tooth of the child, those mothers who had the experience of dental trauma reported that they would discard the tooth which was found to be statistically significant (P < 0.05) when compared to the mothers with no experience of trauma. The education status of the study population when associated with the knowledge variables of avulsion, it was found that most of the variables had statistically significant association with P < 0.05. Conclusion: This study reveals that there is a lack of awareness among the mothers regarding the emergency management of dental trauma. This warrants the need of an effective communication between dental professionals and mothers for better handling of dental emergencies.
  6,040 645 4
Conservative management of unicystic ameloblastoma in a young child: A case report
Sonal R Naidu, Rahul J Hegde, Vishakha N Devrukhkar, Amit R Patel
July-September 2014, 32(3):251-254
DOI:10.4103/0970-4388.135842  PMID:25001447
Unicystic ameloblastoma is a rare, benign, locally invasive odontogenic neoplasm of young age that shows clinical, radiographical or gross features of an odontogenic cyst, but it histologically shows typical ameloblastomatous epithelium lining part of the cyst cavity, with or without luminal and/or mural tumor growth. A case of asymptomatic unicystic ameloblastoma in an 11- year-old-female, who was treated by surgical enucleation followed by Carnoy's solution application for 5 minutes, is presented. The present case report describes the clinical and radiological behaviors, its importance and complexity of a differential diagnosis and treatment protocol of lesions in the mandibular molar-ramus area considering the special problems in children.
  6,044 434 2
Reconnoitring the association of nutritional status with oral health in elementary school-going children of Ghaziabad City, North India
Shveta Sood, Vipin Ahuja, Swati Chowdhry
July-September 2014, 32(3):197-201
DOI:10.4103/0970-4388.135824  PMID:25001437
Purpose: The purpose of this study was to evaluate the association between anthropometric measurements and oral health status in the primary dentition of school-going children. Materials and Methods: In this study, 280 elementary school children (116 girls and 164 boys, age: 3-6 years) were examined. Body mass index (BMI) of each subject was calculated and compared with age and gender using Centers for Disease Control and Prevention (CDC) pediatric growth charts. Based on these growth charts, the sample population was distributed into three groups: Group I: Normal weight (5 th -85 th percentiles), Group II: Risk of overweight/obese (>85 th percentile), and Group III: Underweight (<5 th percentile). Each subject was examined for caries frequency (decayed and filled primary teeth (dft) values) and plaque status (plaque index (PI)) and these values were compared with their BMI figures. Results: Among the study group, 58.3% of children were suffering from malnutrition. Out of the total population, 33.9% had caries affecting their primary dentition. The largest section (39.5%) of caries affected children was underweight. The mean number of dft in Group II was highest at 1.47 ± 2.77 followed by Groups I and III, respectively. The mean value of PI in Group III was highest at 0.33 ± 0.53 followed by Groups II and I. Conclusions: A definite correlation was observed between the oral health status and BMI of elementary school-going children.
  5,917 542 2
Desmoplastic fibroblastoma (collagenous fibroma) in the oral cavity
Thomas Varghese, Karthigakannan Subramanian Pillai, Sreenivasan Bhargavan Sarojini, Ektah Khosla
July-September 2014, 32(3):238-241
DOI:10.4103/0970-4388.135834  PMID:25001444
Desmoplastic fibroblastoma (DF) also known as collagenous fibroma (CF) is a rare benign soft tissue tumor that occurs in varied locations in the body. Very few cases of DF have been reported in the oral cavity. We report a case of DF in an 8-year-old boy presented as a slow-growing mass in the buccal mucosa since 6 months. Histopathology, special staining and immunohistochemistry studies suggested a diagnosis of CF. As per our knowledge of the current literature this is the seventh case reported in the oral cavity and the first report in a child.
  5,251 348 3
A rare case of maxillary first molar with single root and single canal diagnosed using spiral computed tomographic scan
Ajay Saxena, Avantika Singh, Anuja Ikhar, Manoj Chandak
July-September 2014, 32(3):242-245
DOI:10.4103/0970-4388.135836  PMID:25001445
Variations in dental anatomy and canal morphology are found in all teeth. Knowledge of these variations, particularly the location and treatment of all canals, plays a key role in the success of endodontic therapy. The presence of extra canals, apical ramification, or lateral canals is commonly encountered, and their incidence and significance have been well-documented. However, the clinician should also be aware of the possibility of the existence of fewer root and/or canal numbers. Here is a case report of left maxillary first permanent molar with a single root and single canal. The goal of this clinical article is to report a maxillary molar with single root and single canal and to highlight the role of spiral computed tomography (SCT) as a method to confirm the three-dimensional (3D) anatomy of teeth.
  5,053 281 -
Infant motivation in dental health: Attitude without constant reinforcement
Fabiana Bucholdz Teixeira Alves, Eunice Kuhn, Danielle Bordin, Vitoldo Antonio Kozlowski, Daniela Procida Raggio, Cristina Berger Fadel
July-September 2014, 32(3):225-230
DOI:10.4103/0970-4388.135829  PMID:25001442
Introduction: Social factors determine the child's behavior and motivation is an important task in the teaching-learning process. This longitudinal and cross-sectional study aimed to analyze the effectiveness of a motivational activity program for oral hygiene habits formation after motivation and without constant reinforcement. Materials and Methods: The sample was constituted of 26 children (mean 6 years old) from a Public Kindergarten School in Ponta Grossa, PR, Brazil. Data were collected applying a test-chart, with figures reporting the process of dental health/illness. Some figures were considered positive to dental health (dentist/Cod 1, toothbrush/Cod 3, dentifrice/dental floss/Cod 6, fruits/vegetables/Cod 7 and tooth without caries lesion/Cod 8) and negative on dental health (sweets/Cod 2, bacteria/Cod 4, tooth with caries lesion/Cod 5). The figures presentation occurred in three different stages: First stage - figures were presented to children without previous knowledge; second stage - following the motivational presentation, and third stage - 30 days after the first contact. Results: On the first stage, most children select good for the figures considered harmful to their teeth (Cod 2-88%; Cod 4-77% and Cod 5-65%). On the second stage, there was a lower percentage: 23% (P < 0.0001), 8% (P < 0.0001), and 23% (P = 0.0068) related to the Cod 2, 4, and 5. On the third stage, the results showed again an association with the good choice to these figures considered harmful (Cod 2-85%, Cod 4-65% and Cod 5-54%) similar the results obtained on the first stage. Conclusion: The motivational programs performed without constant reinforcement does not have a positive influence in changing the child's behavior related to a better dental care.
  4,812 393 -
An in vitro study to evaluate the effect of two ethanol-based and two acetone-based dental bonding agents on the bond strength of composite to enamel treated with 10% carbamide peroxide
Deepa Basavaraj Benni, Satyajith N Naik, VV Subbareddy
July-September 2014, 32(3):207-211
DOI:10.4103/0970-4388.135826  PMID:25001439
Background and Objective: Carbamide peroxide bleaching has been implicated in adversely affecting the bond strength of composite to enamel. The objective of this in vitro study was to evaluate the effect of ethanol-based (Clearfil S 3 bond, Kuraray, Adper Single bond 2, 3M ESPE dental products) and acetone-based (Prime and Bond NT, Dentsply, One Step, Bisco) bonding agents on the shear bond strength of composite to enamel treated with 10% carbamide peroxide bleaching agent. Materials and Methods: A total of 120 extracted human noncarious permanent incisors were randomly divided into two groups (control and experimental). Experimental group specimens were subjected to a bleaching regimen with a 10% carbamide peroxide bleaching system (Opalescence; Ultradent Products Inc, South Jordan, USA). Composite resin cylinders were bonded to the specimens using four bonding agents and shear bond strength was determined with universal testing machine. Results: There was no statistically significant difference in the shear bond strength between control and experimental groups with both ethanol-based (Clearfil S 3 Bond and Adper Single Bond 2) and acetone-based bonding agent (Prime and Bond NT and One Step). Interpretation and Conclusion: The adverse effect of bleaching on bonding composite to enamel can be reduced or eliminated by using either ethanol- or acetone-based bonding agent. Clinical Significances: Immediate bonding following bleaching procedure can be done using ethanol- or acetone-based bonding agent without compromising bond strength.
  4,672 396 1
Telltale teeth: Idiopathic Hypergonadotropic Hypogonadism
GS Lele, LS Lakade
July-September 2014, 32(3):246-250
DOI:10.4103/0970-4388.135839  PMID:25001446
The detection of any atypical extraoral or intraoral features warrants a thorough investigation, even if the patient is asymptomatic or unaware of these. At times, dental findings help in the diagnosis of an underlying systemic problem. These findings may or may not be associated with any syndrome. Thus, thorough examination and exhaustive investigations should be carried out for every atypical finding to ensure optimal oral and general health for the patient. Case Description: This is a case report of seventeen year old male who presented with peculiar/atypical dentition which 'told the tale' and led to the diagnosis of underlying endocrinological problem about which the parents were totally unaware. The patient was short with central obesity and microcephaly. Intraorally, there was presence of thirty six microdonts. Consultation with pediatrician and endocrinologist, and thorough investigations confirmed the condition to be of 'Idiopathic Hypergonadotropic Hypogonadism'. The patient underwent not only oral rehabilitation, but also timely consultation and treatment from a pediatrician and an endocrinologist.
  4,816 240 -
A step toward cavity-free future
ND Shashikiran
July-September 2014, 32(3):195-196
DOI:10.4103/0970-4388.135823  PMID:25001436
  2,839 302 -
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