Ectodermal dysplasia (ED) is a large, heterogeneous group of inherited disorders that are defined by primary defects in the development of two or more tissues derived from embryonic ectoderm. The intimate origin of the diverse ectodermal structures account for the wide spectrum of dysplasia. Clinically, the hair (hypotrichosis, partial, or total alopecia), nails (dystrophic, hypertrophic, or abnormally keratinized), teeth (enamel defects or absence), and sweat glands (hypoplastic or aplastic) are most commonly affected in this group of disorders. Dental treatment is often necessary in patients with some forms of ED and some children may need dentures as early as 3 years of age. It is important to seek dental advice early, as maintenance of the alveolar ridge is important for a more comprehensive treatment in adulthood. The peculiar clinical features and oral rehabilitation of an 8-year-old patient with ED have been described in detail in the following sections.
{"title":"Complete denture prostheses in an 8-year-old child with hypohidrotic ectodermal dysplasia","authors":"Viddyasagar Mopagar, Shradha Naik, Rutuj Jadhav, Ashish Raurale","doi":"10.4103/2321-6646.137697","DOIUrl":"https://doi.org/10.4103/2321-6646.137697","url":null,"abstract":"Ectodermal dysplasia (ED) is a large, heterogeneous group of inherited disorders that are defined by primary defects in the development of two or more tissues derived from embryonic ectoderm. The intimate origin of the diverse ectodermal structures account for the wide spectrum of dysplasia. Clinically, the hair (hypotrichosis, partial, or total alopecia), nails (dystrophic, hypertrophic, or abnormally keratinized), teeth (enamel defects or absence), and sweat glands (hypoplastic or aplastic) are most commonly affected in this group of disorders. Dental treatment is often necessary in patients with some forms of ED and some children may need dentures as early as 3 years of age. It is important to seek dental advice early, as maintenance of the alveolar ridge is important for a more comprehensive treatment in adulthood. The peculiar clinical features and oral rehabilitation of an 8-year-old patient with ED have been described in detail in the following sections.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"5 1","pages":"74 - 77"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87829993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-05-01DOI: 10.4103/2321-6646.137694
N. Sharma, S. Passi, A. Mehta
Sturge-Weber syndrome also called as encephalotrigeminal angiomatosis is a rare congenital neurological and skin disorder caused by persistence of transitory primordial arteriovenous connection of the fetal intracranial vasculature. It is characterized by vascular malformation with capillary venous angiomas that involve face, choroid of eye and leptomeninges with resulting neurological and orbital manifestations. The diagnosis is usually considered in a child presenting with seizures and facial capillary malformation along the trigeminal nerve distribution. The characteristic imaging features on computed tomography and magnetic resonance imaging lead to the diagnosis. We report a case presenting the atypical and radiographic features of this syndrome.
{"title":"Sturge-Weber syndrome: Report of a case and literature review","authors":"N. Sharma, S. Passi, A. Mehta","doi":"10.4103/2321-6646.137694","DOIUrl":"https://doi.org/10.4103/2321-6646.137694","url":null,"abstract":"Sturge-Weber syndrome also called as encephalotrigeminal angiomatosis is a rare congenital neurological and skin disorder caused by persistence of transitory primordial arteriovenous connection of the fetal intracranial vasculature. It is characterized by vascular malformation with capillary venous angiomas that involve face, choroid of eye and leptomeninges with resulting neurological and orbital manifestations. The diagnosis is usually considered in a child presenting with seizures and facial capillary malformation along the trigeminal nerve distribution. The characteristic imaging features on computed tomography and magnetic resonance imaging lead to the diagnosis. We report a case presenting the atypical and radiographic features of this syndrome.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"10 1","pages":"65 - 69"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91059876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-05-01DOI: 10.4103/2321-6646.137690
A. Asokan, A. Rao, G. Mohan, N. V. Reddy, K. Kumar
The aim was to compare, in vivo the pain perception of children to local anesthesia (LA) using 26 gauge and 30 gauge needles with different age, sex, and visits. A total sample of 30 children (16 boys and 14 girls) who were undergoing routine dental procedures was selected for the study. Children were assigned into two groups: Group A: 12 children aged 6-8 years Group B: 18 children aged 9-12 years. Informed consents were obtained from parents. The objective and subjective behavioral parameters were evaluated by student t-test and Chi-squared analyses, and significance was idealized at P < 0.05. The mean pain scores for 26 gauge needles was found to be 2.80 whereas for pain scores for 30 gauge needles were found to be 2.37. The mean difference was found to be statistically significant (P = 0.001). The mean pain score in first visit for patients who received LA with 30 gauge needles was found to be 2.00, whereas for second visit was found to be 2.61. The mean pain difference was found to be statistically significant (P = 0.01). No significance was seen in relation to age and gender. The pain due to injection penetration might be controlled by using thinner gauge needles in spite of difference in pain perceptions. During a child′s first dental visit, use of less pain provoking armamentarium would aid in relieving anxiety and desensitize the patient slowly.
{"title":"A pain perception comparison of intraoral dental anesthesia with 26 and 30 gauge needles in 6-12-year-old children","authors":"A. Asokan, A. Rao, G. Mohan, N. V. Reddy, K. Kumar","doi":"10.4103/2321-6646.137690","DOIUrl":"https://doi.org/10.4103/2321-6646.137690","url":null,"abstract":"The aim was to compare, in vivo the pain perception of children to local anesthesia (LA) using 26 gauge and 30 gauge needles with different age, sex, and visits. A total sample of 30 children (16 boys and 14 girls) who were undergoing routine dental procedures was selected for the study. Children were assigned into two groups: Group A: 12 children aged 6-8 years Group B: 18 children aged 9-12 years. Informed consents were obtained from parents. The objective and subjective behavioral parameters were evaluated by student t-test and Chi-squared analyses, and significance was idealized at P < 0.05. The mean pain scores for 26 gauge needles was found to be 2.80 whereas for pain scores for 30 gauge needles were found to be 2.37. The mean difference was found to be statistically significant (P = 0.001). The mean pain score in first visit for patients who received LA with 30 gauge needles was found to be 2.00, whereas for second visit was found to be 2.61. The mean pain difference was found to be statistically significant (P = 0.01). No significance was seen in relation to age and gender. The pain due to injection penetration might be controlled by using thinner gauge needles in spite of difference in pain perceptions. During a child′s first dental visit, use of less pain provoking armamentarium would aid in relieving anxiety and desensitize the patient slowly.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"36 1","pages":"56 - 60"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78706813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-05-01DOI: 10.4103/2321-6646.137698
K. Cantekin, G. Herdem, E. Delikan
Regenerative endodontic treatment may encourage continued root development and thus, is a suggested alternative technique for management of traumatized immature permanent teeth with pulp necrosis. On the other hand, ideal treatment method for necrotic immature premolar teeth has not yet been determined. Therefore, present article describes cases of successful revascularization in necrotic immature premolar, which had a lateral luxation injury from attempted extraction of wrong tooth by undergraduate dental student. The displaced tooth was manually repositioned and splinted to the neighboring teeth for 4 weeks using a semi-rigid splint. Two month after the traumatic injury, the next control was made, and the premolar was defined as necrotic and discoloration in the tooth was identified. The patient reported sensitivity to palpation and discomfort upon percussion. Revascularization therapy was performed over multiple appointments. Coverage over the access was intact and radiographic examination revealed the apexes appeared to be closing during subsequent visits over 24-month. The tooth had no mobility, no pain on percussion or palpation, and positive reaction to the cold test, during the recall period. In addition, the lamina dura and periodontal ligament were within normal limits at 24-month after the first intervention for revascularization treatment. The favorable results in this case of necrotic immature tooth show that regenerative endodontic treatment is a viable alternative to apexification or artificial apical barrier techniques for traumatized premolar teeth.
{"title":"Regenerative endodontic treatment (revascularization) for necrotic immature premolar","authors":"K. Cantekin, G. Herdem, E. Delikan","doi":"10.4103/2321-6646.137698","DOIUrl":"https://doi.org/10.4103/2321-6646.137698","url":null,"abstract":"Regenerative endodontic treatment may encourage continued root development and thus, is a suggested alternative technique for management of traumatized immature permanent teeth with pulp necrosis. On the other hand, ideal treatment method for necrotic immature premolar teeth has not yet been determined. Therefore, present article describes cases of successful revascularization in necrotic immature premolar, which had a lateral luxation injury from attempted extraction of wrong tooth by undergraduate dental student. The displaced tooth was manually repositioned and splinted to the neighboring teeth for 4 weeks using a semi-rigid splint. Two month after the traumatic injury, the next control was made, and the premolar was defined as necrotic and discoloration in the tooth was identified. The patient reported sensitivity to palpation and discomfort upon percussion. Revascularization therapy was performed over multiple appointments. Coverage over the access was intact and radiographic examination revealed the apexes appeared to be closing during subsequent visits over 24-month. The tooth had no mobility, no pain on percussion or palpation, and positive reaction to the cold test, during the recall period. In addition, the lamina dura and periodontal ligament were within normal limits at 24-month after the first intervention for revascularization treatment. The favorable results in this case of necrotic immature tooth show that regenerative endodontic treatment is a viable alternative to apexification or artificial apical barrier techniques for traumatized premolar teeth.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"30 1","pages":"78 - 81"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79327718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-05-01DOI: 10.4103/2321-6646.137678
K. Cantekin, S. Doğan, M. Aydınbelge, D. Canpolat, M. Yıldırım, Serap Avci
The aims of the present study were to describe the characteristics of children receiving comprehensive dental rehabilitation under general anesthesia (DRGA) at a dental hospital in Turkey, and to evaluate dental treatment patterns and waiting times between examination and receiving GA for these children. The authors described the characteristics of children receiving comprehensive DRGA at a dental hospital in Turkey. A total of 441 patients′ records were included and were composed of 272 (61.7%) boys and 169 (38.3%) girls. Although most of the children (159, 54.1%) were aged between 3 and 5 (mean: 5.40 ± 2.00) years in the healthy children group (Group I), most of the special needs children (Group II) (85, 55.5 %) were aged between 6 and 11 years old (mean: 6.93 ± 3.13). Extreme non-cooperation, dental fear, and an excessive need for treatment were the major reasons for the use of comprehensive dental treatment under GA. The mean waiting times for treatment under GA were significantly shorter in ASA III, ASA IV and disabled children in ASA I and ASA II, compared to physically and mentally fit ASA I and ASA II children.
{"title":"Analysis of comprehensive dental rehabilitation under general anesthesia at a dental hospital in turkey","authors":"K. Cantekin, S. Doğan, M. Aydınbelge, D. Canpolat, M. Yıldırım, Serap Avci","doi":"10.4103/2321-6646.137678","DOIUrl":"https://doi.org/10.4103/2321-6646.137678","url":null,"abstract":"The aims of the present study were to describe the characteristics of children receiving comprehensive dental rehabilitation under general anesthesia (DRGA) at a dental hospital in Turkey, and to evaluate dental treatment patterns and waiting times between examination and receiving GA for these children. The authors described the characteristics of children receiving comprehensive DRGA at a dental hospital in Turkey. A total of 441 patients′ records were included and were composed of 272 (61.7%) boys and 169 (38.3%) girls. Although most of the children (159, 54.1%) were aged between 3 and 5 (mean: 5.40 ± 2.00) years in the healthy children group (Group I), most of the special needs children (Group II) (85, 55.5 %) were aged between 6 and 11 years old (mean: 6.93 ± 3.13). Extreme non-cooperation, dental fear, and an excessive need for treatment were the major reasons for the use of comprehensive dental treatment under GA. The mean waiting times for treatment under GA were significantly shorter in ASA III, ASA IV and disabled children in ASA I and ASA II, compared to physically and mentally fit ASA I and ASA II children.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"44 1","pages":"49 - 55"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72851710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-05-01DOI: 10.4103/2321-6646.137676
Rashmi G. Chour, S. Pai, Girish V. Chour, Sangeetha M Kenchappannavar, Poornima Parameshwarappa
Childhood is the mirror which reflects the propensities of adulthood. The objective of this cross-sectional study was to determine the prevalence of malocclusion, deleterious oral habits and relationship of deleterious oral habits and malocclusions in 3-5 years old children. A cross-sectional study was conducted among 800 school children aged ranges between 3 and 5 years who were randomly selected from 10 different public schools in Davangere city, India. Occlusal assessments and clinical examination for assessing the oral habits was carried out. After obtaining the data, Chi-square test and Z-test were used to analyze the data. The results showed the prevalence of malocclusion was 8.9% and of various deleterious oral habits was 47.2%. Tongue thrusting (29.5%) was most commonly observed habit followed by mouth-breathing (26.5%). In the presence of deleterious, oral habits 13% of children were observed with the malocclusions. The prevalence of normal deciduous dentition was observed in 87% of children even in the presence of habits. Prevalence of oral habits observed was highly significant constituting 47.2% and the correlation between prevalence of oral habits and malocclusions in deciduous dentition does not seem to be strong, but we found tongue thrusting and mouth-breathing habit more in this age group constituting 29.5% and 26.2%, respectively, contributing to the malocclusion.
{"title":"Assessment of various deleterious oral habits and its effects on primary dentition among 3-5 years old children in Davangere city","authors":"Rashmi G. Chour, S. Pai, Girish V. Chour, Sangeetha M Kenchappannavar, Poornima Parameshwarappa","doi":"10.4103/2321-6646.137676","DOIUrl":"https://doi.org/10.4103/2321-6646.137676","url":null,"abstract":"Childhood is the mirror which reflects the propensities of adulthood. The objective of this cross-sectional study was to determine the prevalence of malocclusion, deleterious oral habits and relationship of deleterious oral habits and malocclusions in 3-5 years old children. A cross-sectional study was conducted among 800 school children aged ranges between 3 and 5 years who were randomly selected from 10 different public schools in Davangere city, India. Occlusal assessments and clinical examination for assessing the oral habits was carried out. After obtaining the data, Chi-square test and Z-test were used to analyze the data. The results showed the prevalence of malocclusion was 8.9% and of various deleterious oral habits was 47.2%. Tongue thrusting (29.5%) was most commonly observed habit followed by mouth-breathing (26.5%). In the presence of deleterious, oral habits 13% of children were observed with the malocclusions. The prevalence of normal deciduous dentition was observed in 87% of children even in the presence of habits. Prevalence of oral habits observed was highly significant constituting 47.2% and the correlation between prevalence of oral habits and malocclusions in deciduous dentition does not seem to be strong, but we found tongue thrusting and mouth-breathing habit more in this age group constituting 29.5% and 26.2%, respectively, contributing to the malocclusion.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"13 4 1","pages":"37 - 43"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78635495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-05-01DOI: 10.4103/2321-6646.137692
Sudhir Kumar, A. Khatri, N. Kalra, R. Tyagi, N. Wadhwa, Amresh Banga
Adenomatoid odontogenic tumor (AOT) is an uncommon tumor of odontogenic origin, constituting only 0.1% of tumors and cysts of the jaw and 3% of all odontogenic tumors. A 14-year-old girl presented with right maxillary anterior swelling, facial asymmetry, continuously increase in size of swelling without any symptoms, and delayed eruption of permanent teeth. Orthopantomogram and computed tomography scan revealed a large unilocular radiolucency in right maxilla with permanent lateral incisor embedded within the lesion and permanent canine pushed away from its normal position. Cyst was enucleated completely under general anesthesia along impacted permanent teeth and retained deciduous teeth. Postoperative period was uneventful.
{"title":"Adenomatoid odontogenic tumor of maxilla in a 14-year-old child","authors":"Sudhir Kumar, A. Khatri, N. Kalra, R. Tyagi, N. Wadhwa, Amresh Banga","doi":"10.4103/2321-6646.137692","DOIUrl":"https://doi.org/10.4103/2321-6646.137692","url":null,"abstract":"Adenomatoid odontogenic tumor (AOT) is an uncommon tumor of odontogenic origin, constituting only 0.1% of tumors and cysts of the jaw and 3% of all odontogenic tumors. A 14-year-old girl presented with right maxillary anterior swelling, facial asymmetry, continuously increase in size of swelling without any symptoms, and delayed eruption of permanent teeth. Orthopantomogram and computed tomography scan revealed a large unilocular radiolucency in right maxilla with permanent lateral incisor embedded within the lesion and permanent canine pushed away from its normal position. Cyst was enucleated completely under general anesthesia along impacted permanent teeth and retained deciduous teeth. Postoperative period was uneventful.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"172 1","pages":"61 - 64"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89975921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-05-01DOI: 10.4103/2321-6646.137696
A. Kapdan, F. Oznurhan, M. Unal, Tuğba Arı
Many types of localized reactive lesions may occur on the gingiva, including focal fibrous hyperplasia, pyogenic granuloma, peripheral giant cell granuloma and peripheral ossifying fibroma (POF). Clinically differentiating one from the other as a specific entity is often not possible. Histopathological examination is needed in order to positively identify the lesion. The POF is one such lesion, which is a reactive gingival overgrowth occurring frequently in the maxillary anterior region in teenagers and young adults. They are pink to red in color, and commonly associated with poor oral hygiene and early periodontal disease. We report in this study, the clinical report of a 12-year-old male patient with a POF in the maxilla associated with actinomycosis infection. Based on the clinical and histopathological evaluations, the diagnosis was concluded as POF. Clinical, radiographical and histological characteristics are discussed and recommendations regarding treatment and follow-up are provided.
{"title":"Peripheral ossifying fibroma associated with actinomycosis","authors":"A. Kapdan, F. Oznurhan, M. Unal, Tuğba Arı","doi":"10.4103/2321-6646.137696","DOIUrl":"https://doi.org/10.4103/2321-6646.137696","url":null,"abstract":"Many types of localized reactive lesions may occur on the gingiva, including focal fibrous hyperplasia, pyogenic granuloma, peripheral giant cell granuloma and peripheral ossifying fibroma (POF). Clinically differentiating one from the other as a specific entity is often not possible. Histopathological examination is needed in order to positively identify the lesion. The POF is one such lesion, which is a reactive gingival overgrowth occurring frequently in the maxillary anterior region in teenagers and young adults. They are pink to red in color, and commonly associated with poor oral hygiene and early periodontal disease. We report in this study, the clinical report of a 12-year-old male patient with a POF in the maxilla associated with actinomycosis infection. Based on the clinical and histopathological evaluations, the diagnosis was concluded as POF. Clinical, radiographical and histological characteristics are discussed and recommendations regarding treatment and follow-up are provided.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"202 1","pages":"70 - 73"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82838346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-01-01DOI: 10.4103/2321-6646.130376
Shalin Shah, V. Bhaskar, Sunita L. Chawla, Karthik Venkataraghavan, P. Choudhary, M. Ganesh, Krishna Trivedi
Silver diamine fluoride (SDF) is already proven as an antibacterial agent in vitro. The present study was formulated to compare the efficacy of SDF as a topical fluoride agent in vivo with Fluoride Varnish and Acidulated phosphate fluoride (APF) Gel. A total of 123 children comprised of 82 boys and 41 girls were included in the study for a period of 18 months. Children were divided into three different groups - Group 1: SDF; Group 2: Fluoride Varnish; Group 3: APF Gel. All Subjects were evaluated through decayed, missing, and filled surface (dmfs) + DMFS index at 6 th , 12 th and 18 th months as well as fluoride content in enamel at 6 th month of follow-up. Significant increase in fluoride content of enamel was found in Group 1 when compared with Group 2 and 3, whereas no significant difference was found between Group 2 and 3. Reduction in dental caries found in all groups but inter group comparison shows no significant difference. In vivo application of SDF on enamel significantly increases fluoride content in enamel as compared to Fluoride Varnish and APF Gel and can be used effectively as topical fluoride agent.
{"title":"Efficacy of silver diamine fluoride as a topical fluoride agent compared to fluoride varnish and acidulated phosphate fluoride gel: An in vivo study","authors":"Shalin Shah, V. Bhaskar, Sunita L. Chawla, Karthik Venkataraghavan, P. Choudhary, M. Ganesh, Krishna Trivedi","doi":"10.4103/2321-6646.130376","DOIUrl":"https://doi.org/10.4103/2321-6646.130376","url":null,"abstract":"Silver diamine fluoride (SDF) is already proven as an antibacterial agent in vitro. The present study was formulated to compare the efficacy of SDF as a topical fluoride agent in vivo with Fluoride Varnish and Acidulated phosphate fluoride (APF) Gel. A total of 123 children comprised of 82 boys and 41 girls were included in the study for a period of 18 months. Children were divided into three different groups - Group 1: SDF; Group 2: Fluoride Varnish; Group 3: APF Gel. All Subjects were evaluated through decayed, missing, and filled surface (dmfs) + DMFS index at 6 th , 12 th and 18 th months as well as fluoride content in enamel at 6 th month of follow-up. Significant increase in fluoride content of enamel was found in Group 1 when compared with Group 2 and 3, whereas no significant difference was found between Group 2 and 3. Reduction in dental caries found in all groups but inter group comparison shows no significant difference. In vivo application of SDF on enamel significantly increases fluoride content in enamel as compared to Fluoride Varnish and APF Gel and can be used effectively as topical fluoride agent.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"46 1","pages":"5 - 12"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82154183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-01-01DOI: 10.4103/2321-6646.130375
M. Shanthi, E. Soma Sekhar, Swetha Ankireddy
There is no single material in dentistry that is ideal in nature and fulfills all the requirements of an ideal material. As the quest for an "ideal restorative material" continues, a newer generation of materials was introduced. These are termed as "smart′′ as these materials support the remaining tooth structure to the extent that more conservative cavity preparation can be carried out. These materials may be altered in a controlled fashion by stimulus such as stress, temperature, moisture, pH, electric or magnetic field. Some of these are "biomimetic" in nature as their properties mimic natural tooth substance such as enamel or dentin. The current dental materials were improvised in order to make them smarter. The use of smart materials has revolutionized dentistry which includes the use of restorative materials such as smart composites, smart ceramics, compomers, resin modified glass ionomer, amorphous calcium phosphate releasing pit and fissure sealants, etc. and other materials such as orthodontic shape memory alloys, smart impression material, smart suture, smart burs, etc., This paper attempts to highlights the use of "smart materials" to achieve maximum advantage by conventional restorative techniques in dentistry.
{"title":"Smart materials in dentistry: Think smart!","authors":"M. Shanthi, E. Soma Sekhar, Swetha Ankireddy","doi":"10.4103/2321-6646.130375","DOIUrl":"https://doi.org/10.4103/2321-6646.130375","url":null,"abstract":"There is no single material in dentistry that is ideal in nature and fulfills all the requirements of an ideal material. As the quest for an \"ideal restorative material\" continues, a newer generation of materials was introduced. These are termed as \"smart′′ as these materials support the remaining tooth structure to the extent that more conservative cavity preparation can be carried out. These materials may be altered in a controlled fashion by stimulus such as stress, temperature, moisture, pH, electric or magnetic field. Some of these are \"biomimetic\" in nature as their properties mimic natural tooth substance such as enamel or dentin. The current dental materials were improvised in order to make them smarter. The use of smart materials has revolutionized dentistry which includes the use of restorative materials such as smart composites, smart ceramics, compomers, resin modified glass ionomer, amorphous calcium phosphate releasing pit and fissure sealants, etc. and other materials such as orthodontic shape memory alloys, smart impression material, smart suture, smart burs, etc., This paper attempts to highlights the use of \"smart materials\" to achieve maximum advantage by conventional restorative techniques in dentistry.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"276 1","pages":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77551539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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