International Journal of Clinical Pediatric Dentistry最新文献

Objectives: To clinically and radiographically compare the outcomes of pulpotomy with mineral trioxide aggregate (MTA) and human amniotic membrane (HAM) in primary molar teeth at 1, 3, 6, and 12 months.

Materials and methods: The study was a randomized clinical trial with two arms. One arm consisted of participants whose pulpotomy was conducted using MTA, called group I, and the other arm, using HAM, was designated group II.

Results: Both MTA and HAM exhibited 100% clinical success. Also, there were no signs of external resorption, periapical bone destruction, or internal resorption in both the MTA and the HAM groups at all four time intervals in this study. However, periodontal ligament widening was seen in 30% of the participants in the MTA group at 1-month and at the 12-month follow-up, whereas in the HAM group, periodontal ligament widening was found to reduce significantly from 22.2% at 1-month to 11.1% at the 12-month follow-up.

Conclusion: The HAM exhibited favorable clinical and radiographic outcomes in the present study.

Clinical significance: Mineral trioxide aggregate is the most preferred choice as a pulpotomy agent for deciduous teeth. However, various drawbacks associated with MTA have been fueling the need for newer, effective agents. HAM is not only easily available, cost-effective, and easy to handle but also favors tissue regeneration. The positive outcome of the present study strongly advocates the use of HAM as an alternative to MTA for pulpotomy in primary teeth.

How to cite this article: Joseph EJ, Rao A, Mahabala KY, et al. Clinical and Radiographic Evaluation of Mineral Trioxide Aggregate and Human Amniotic Membrane Pulpotomy in Primary Molars: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2024;17(6):641-646.

Background: Genetic predilection toward sweeter cariogenic foods mediated by the TAS2R38 gene, tested by phenylthiourea [phenylthiocarbamide (PTC)] compounds. Some individuals find it extremely bitter whereas some find it completely tasteless, being classified as a taster and a nontaster respectively. A majority of nontasters prefer foods with sweeter and stronger flavors, thus making them more susceptible to dental caries. Genetic taste perception is greatly influenced by prenatal androgen exposure represented by hormonal fingerprint, that is, ratio of second to fourth digit lengths (2D:4D ratio), thus making it a precise biomarker to quantify an individual's genetic taste perception and in turn their caries susceptibility.

Aim: To find a correlation of genetic taste perception with the hormonal fingerprint and dental caries prevalence in children.

Materials and methods: A total of 96 children were selected at random for the study and divided into two groups based on their gender. A genetic taste perception test was carried out using PTC strips, and they were classified as tasters and nontasters. Then, the hormonal fingerprint was recorded by calculating the ratio of the index finger and ring finger. Following this, decayed, missing, and filled teeth index (DMFT) was recorded.

Results: A strong positive correlation was observed among nontasters, with a preference for sweeter foods associated with a high caries index. Conversely, no relationship was found between genetic taste perception and the hormonal fingerprint.

Conclusion: The present study positively demonstrates an association of genetic taste perception and dental caries due to an increased preference for sweeter foods among nontasters. Although no correlation was found between the genetic taste perception, the hormonal fingerprint, and the dental caries status of an individual.

How to cite this article: Kulshrestha A, Shah P, Jagtap C, et al. Assessment of Correlation between Genetic Taste Perception Hormonal Fingerprint and Dental Caries Incidence in Schoolgoing Children: An In Vivo Study. Int J Clin Pediatr Dent 2024;17(6):690-694.

Aim and background: This study aimed to assess the efficacy of root canal debris removal in primary teeth through irrigation using the Endo-Irrigator Plus (CWAIS).

Materials and methods: A total of 25 primary mandibular first molars were divided into five groups, with five teeth in each group. After determining the working length and performing biomechanical preparation, groups I and II were subjected to hand and rotary instrumentation (ProTaper, Dentsply, United States of America) with conventional syringe irrigation with positive pressure, while groups III and IV were instrumented using hand and rotary instrumentation with positive and negative pressure irrigation employing the Endo-Irrigator Plus (CWAIS) system. Sodium hypochlorite (5.25%) and ethylenediaminetetraacetic acid (EDTA) (17%) were used as irrigants. Group V served as the control group, undergoing only root canal access opening. The removal of the smear layer was analyzed at the cervical, middle, and apical thirds of the canal using environmental scanning electron microscopy (SEM). Statistical significance was set at p < 0.05.

Results: Statistically significant differences were observed among all groups at the cervical, middle, and apical levels (p < 0.05). Groups III and IV exhibited significantly lower smear scores at all levels, particularly in the apical third, as observed through SEM examination.

Conclusion: The use of the Endo-Irrigator Plus (CWAIS) system demonstrated superior debridement of intracanal debris in primary teeth compared to the positive pressure irrigation method.

How to cite this article: Badnaware SD, Kakade A, Takate V, et al. In Vitro Efficacy of Apical Negative Pressure Irrigation in Primary Teeth: A Smear Layer Analysis. Int J Clin Pediatr Dent 2024;17(6):653-657.

Beckwith-Wiedemann syndrome (BWS) is a genetic disorder characterized by disrupted genomic imprinting, leading to abnormal regulation of fetal growth. BWS can present at any stage of life; it is most commonly diagnosed during the neonatal period or early childhood. The cardinal features of the syndrome include macrosomia, macroglossia, abdominal wall defects, and hyperinsulinism. We have discussed the case report of a 2-year-old female patient who was diagnosed with BWS at the time of birth, with a chief complaint of a large tongue and difficulty in deglutition. We have also discussed the systemic, orofacial, and dental manifestations along with comprehensive treatment planning to aid in living an overall healthy life. Early diagnosis helps in preventing further complications of the disease and acts as a guide for future treatment planning. Dentists can provide guidance on proper oral hygiene practices, offer interventions to manage macroglossia, and collaborate with other healthcare professionals to address craniofacial abnormalities and associated functional limitations.

How to cite this article: Sharma K, Jamdade A, Yadav SP, et al. Bridging the Gaps: Multidisciplinary and Dental Strategies for Beckwith-Wiedemann Syndrome Management. Int J Clin Pediatr Dent 2024;17(6):702-705.

Three-dimensional (3D) scanning and printing in the field of pediatric dentistry is an augmented reality that has several clinical implications and advantages. The aim of this current short communication and technical note is to discuss the possibility of various shortcomings of the current intraoral scanning and 3D printing and the various limitations a clinician can face.

How to cite this article: Tirupathi S, Rathi N. Factors Influencing the Fit and Retention of Computer-aided Design/Computer-aided Manufacturing-based Three-dimensional Printed Band and Loop Space Maintainers. Int J Clin Pediatr Dent 2024;17(6):734-735.