International Journal of Clinical Pediatric Dentistry最新文献

Aim: The aim of this research is to assess the accuracy and educational content concerning silver diamine fluoride (SDF) videos available on YouTube.

Materials and methods: Videos were sought on YouTube using relevant keywords related to SDF in pediatric dentistry via the Google Trends application. There were a total of 70 videos accessible. Following the application of exclusion criteria, 54 videos were chosen for analysis in this study. Video data were reviewed, including the video type, quantity of likes and dislikes, view count, upload duration, and the efficacy of the videos was evaluated.

Results: The majority of the assessed videos were classified as educational (81.4%), uploaded by healthcare professionals, and were moderately useful. A significant difference was observed in the duration (p = 0.02) between the educational videos (4.15 ± 2.17) and testimonial videos (2.12 ± 1.8). The association between viewing rate and usefulness score was found to be statistically significant, with videos categorized as moderately useful having the highest viewing rate (p = 0.04). Correlation analysis revealed that the usefulness score had a statistically significant negative correlation with the number of likes (r = -0.22) and a positive correlation with the number of views (r = 0.67) and view rate (r = 0.514).

Conclusion: The information available on YouTube regarding SDF was found to be satisfactory to some extent, and healthcare professionals should be encouraged to upload quality educational and testimonial videos on the uses and applications of SDF.

How to cite this article: Vishwanathaiah S, Maganur PC, Al-Shomrani YK, et al. Evaluation of the Quality of Educational Content of YouTube Videos on Silver Diamine Fluoride. Int J Clin Pediatr Dent 2024;17(12):1399-1403.

Introduction: This study describes a novel device known as "SAVE" to effectively protract the deficient maxilla in class III malocclusion by quantifying and evaluating the changes in the maxilla through a finite element analysis (FEA).

Materials and methods: The patented novel SAVE device was three-dimensionally modeled using Autodesk Fusion 360. An existing computed tomography (CT) scan of a patient exhibiting class III malocclusion was used to generate a finite element (FE) model. The total number of nodes was 8,49,682 and 5,30,716 elements. The material of choice for the appliance was medical-grade polyetheretherketone (PEEK) polymer. The loading was performed to simulate maxillary protraction (after assigning material properties). The loading forces of 3.5, 5.5, and 9 N were simulated on each side with 30° angulations to the occlusal plane. The color changes in terms of areas of maximum (red) and minimum (blue) deformation.

Results: The FEA results with protraction forces of 3.5, 5.5, and 9 N showed deformation of the maxilla in the forward and downward directions. Equivalent von Mises stress on the SAVE appliance showed stress on the superior surface of the main frame and on the area below the struts where the force module was attached. In relation to the implant, the stress concentration was on the posterior and superior area around the implant.

Conclusion: The FEM analysis force vectors showed a forward and downward deformation of the maxilla with counterclockwise rotation, supporting the fact that the novel appliance could bring about effective maxillary protraction in a shorter duration.

How to cite this article: Shetty S, T NB, Amin V, et al. Efficacy of SAVE: A Novel Maxillary Protraction Device-A Finite Element Analysis. Int J Clin Pediatr Dent 2024;17(12):1377-1382.

Background: Pedodontists have a vital role in maintaining the overall health of children with special health care needs (CSHCN) by providing basic, preventive, comprehensive, and restorative dental care to such children. In doing so, Pedodontists face many challenges due to several environmental and nonenvironmental barriers.

Aim: The aim is to gain insight into the perceptions of Pedodontists in India on providing oral health care to CSHCN and the challenges they encounter in doing so.

Materials and methods: The self-administered questionnaire, with 20 questions, was made available through online resources to 250 randomly selected Pedodontists from all over India. The questionnaire evaluated the Pedodontists' practices, attitudes, level of knowledge/awareness, and the barriers they encounter during the management of CSHCN.

Results: Regarding attitude, even though 81.7% of Pedodontists were confident in managing CSHCN, 88.7% were in favor of developing super specialization in special care dentistry and skill upgradation at the postgraduation level. With regard to knowledge/awareness, about 98.6% of Pedodontists were aware of the dental home, and 45.1% were aware of Indian laws for disabled people. Even though inadequately motivated parents (39.4%) and lack of access to dentists providing care (22.5%) were stated as the greatest barriers to receiving dental treatment by CSHCN, lack of training was the major problem perceived by the Pedodontists in treating CSHCN.

Conclusion: The dental curriculum model, both at the undergraduate and postgraduate levels, needs to be revived to equip future dentists to deal with CSHCN. Special care dentistry should be adopted as a super-specialty in pediatric dentistry for treating CSHCN.

Clinical significance: This study enlightened us about the difficulties faced by pediatric dentists in providing dental health care to CSHCN and explored customized strategies to address these challenges, thereby improving the quality of dental treatment for such children.

How to cite this article: Kaul S, Kumar A, Mahajan P, et al. Perception of Pedodontists Regarding Dental Care in Children with Special Needs in India: A Cross-sectional Study. Int J Clin Pediatr Dent 2024;17(12):1340-1345.

Background: Dental anxiety about injections are common challenge in pediatric dentistry, often leading to delayed dental treatment.

Aim: The aim of the study was to evaluate the anesthetic effectiveness of three different topical agents in pediatric dental procedures.

Settings and design: The study was a cross-sectional in vivo study carried out in the department of pediatric and preventive dentistry. Ninety children were chosen using convenience sampling and divided into three groups based on the topical anesthetic agent administered.

Materials and methods: The procedure included anxiety assessment using the Modified Venham Picture Scale (MVPS) before and after the procedure, and pain perception was measured with the visual analog scale (VAS) and sound, eye, and motor scale (SEMS). Group A received 2% lidocaine gel, group B experienced precooling of the injection site with an ice cone, and group C was treated with clove oil, followed by a 0.9 mL infiltration injection of 2% lidocaine with 1:1,00,000 epinephrine using a 30-gauge needle for all groups.

Statistical analysis: Variations in scores of the MVPS, VAS, and SEMS within and between the three groups were examined with the Kruskal-Wallis test. Spearman's correlation was employed to assess the relationships between the three scales with statistical significance set at p < 0.05.

Results: Clove oil demonstrated the best anesthetic properties and exhibited the least pain perception among all groups.

Conclusions: Natural options like clove oil and precooling with ice cones may serve as cost-effective alternatives to lidocaine gel in reducing pain and anxiety during pediatric dental procedures.

How to cite this article: Sudha PM, Mathew BM, Rajasudhakar H, et al. An In Vivo Comparative Analysis of Pain Perception in Children Following Lidocaine Gel, Clove Oil, and Precooling for Intraoral Injections: A Pilot Study. Int J Clin Pediatr Dent 2024;17(12):1394-1398.

Background: Indirect pulp treatment (IPT) is often employed in dentistry as a valuable technique for preserving dental vitality. While mineral trioxide aggregate (MTA) remains a popular choice, the need for materials with shorter setting times, lower costs, and minimized discoloration concerns has led to the exploration of alternative options.

Aim: To evaluate and compare the radiographic and clinical outcomes of gel-based MTA Kids e-MTA (Kids-e-Dental, Mumbai, India) with MTA (ProRoot MTA, Dentsply Tulsa, Johnson City, TN, USA).

Materials and methods: A randomized clinical trial was conducted in which participants aged 6-12 years were selected according to inclusion criteria. A sample size of 32 primary molars and young permanent molars with deep caries were treated by IPT with 2 mm ProRoot MTA and e-MTA. The groups were divided into two: group I (ProRoot MTA) and group II (e-MTA), with 16 samples in each group. Clinical and radiographic success, in addition to newly formed dentin thickness, were evaluated regularly at 3, 6, 9, and 12 months.

Results: Both groups showed a clinical and radiographic success rate of 100% throughout all follow-up intervals. Analysis of the mean thickness of newly formed dentin at various follow-up intervals revealed no statistically significant difference between the two groups at 3, 6, 9, and 12 months, with p-values of 0.32, 0.33, 0.33, 0.33, and 0.33, respectively.

How to cite this article: K VB, Dighe SS, Saha R, et al. Clinical and Radiographic Evaluation between Conventional Mineral Trioxide Aggregate and Gel-based Mineral Trioxide Aggregate in Indirect Pulp Therapy: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2024;17(12):1383-1387.

Background: Early childhood caries (ECC) is a multifactorial disease with known etiologic factors and can be very devastating to the oral and general well-being of a child, including psychological impacts on a growing child. Young children constitute a vulnerable population because of their dependence and inability to communicate their needs. Oral health disparities continue to pose critical challenges, as ECC is the most common chronic disease of childhood. Irony lies in the fact that milk, which is a wholesome nutrition, if fed in the wrong pattern, can be the main factor that helps this type of rampant caries spread rapidly, leading to pulp exposures and complicating proceedings. Awareness is the mainstay in prevention, and creating it becomes our sole responsibility as pediatric dentists. A multidisciplinary approach, with the involvement of mothers as the main stakeholders in this effort, becomes a very promising move. Thus, this project is phase two of an interprofessional collaboration involving mothers in prevention.

Aim: The aim of the study is to create awareness among mothers and prevent ECC during the coronavirus disease (COVID-19) pandemic.

Materials and methods: A total of 200 mothers with children aged 9-24 months were selected and added to the e-groups. The allocated mothers were given a pretest questionnaire, which was collected along with a photo of their child's oral health. Anticipatory guidance was provided to them. Follow-up was done at 2, 4, and 6 months. Awareness was evaluated by pre- and posttest questionnaires. Reversal of white spots was evaluated through indices, and progression was noted.

Statistical analysis: The data was analyzed using Statistical Package for the Social Sciences (SPSS) 13.

Results: Pretest and posttest questionnaire analysis was done using the Chi-squared test. The test showed a marked increase in the knowledge, attitude, and practice of mothers regarding their children after the postintervention, which was given through traditional anticipatory guidance.

Conclusion: In summary, the traditional anticipatory guidance intervention appeared to improve maternal knowledge but had no effect on oral health behaviors or the progression of ECC.

How to cite this article: Sathyaprasad S, Ilyas I, A A. The Effectiveness of E-Learning Anticipatory Guidance on Early Childhood Caries among the Mothers of Children Aged 9-24 Months during the Pandemic: A Nonrandomized Controlled Trial. Int J Clin Pediatr Dent 2024;17(12):1409-1417.

Objectives: To evaluate the change in salivary pH using xylitol- and erythritol-containing lollipops and chewing gums, and assess the correlation between sugar substitutes and change in pH levels of saliva.

Materials and methods: The present crossover study was conducted in 60 children between 3 and 9 years of age from a private school who had not received any meal for 2 hours prior to examination. There were three groups in this study: group I, control group (rinsing with tap water); group II, experimental group (with sugar substitute lollipops); and group III, experimental group (with sugar substitute chewing gums). The saliva sample was collected at three different time intervals, and the pH of saliva was determined using a universal pH indicator.

Results: There was a highly significant difference observed in the pre- and postsalivary pH in all three groups, with the maximum increase seen in the lollipop group and the least increase seen in the control group.

Conclusion: Lollipops can be used as a preventive measure in decreasing dental caries by preventing the salivary pH from falling below the critical level.

Clinical significance: The use of sugar-substituted lollipops and chewing gums in raising pH levels was evaluated. This finding could be significant in supporting a shift from sucrose-based chocolates to sugar-substituted ones.

How to cite this article: Latkar YS, Gunasekaran S, Arali V, et al. An In Vivo Evaluation of Changes in Salivary pH in 3-9-year-old Children Using Chewing Gums (Xylitol) and Lollipops (Xylitol + Erythritol). Int J Clin Pediatr Dent 2024;17(12):1352-1356.

Aim and background: To evaluate and compare the efficiency of a manual, electrical, and chewable toothbrush for plaque removal in children.

Materials and methods: A total of 58 children aged 8-14 years who reported to the Department of Pedodontics. The children and guardians were familiarized with the disclosing agent, manual toothbrush, electrical toothbrush, and chewable toothbrush before the commencement of the study with the help of video and verbal demonstrations. Thirty children who were interested in participating in the study were included.

Results: The study consisted of 30 participants who were divided into three groups of 10 each-group A: manual toothbrush, group B: electrical toothbrush, and group C: chewable toothbrush. A disclosing agent was applied, and Oral Hygiene Index-Simplified (OHI-S) and Toothbrush Quality and Hygiene Index (TQHI) scores were recorded at baseline and after 1 week. The data was tabulated and subjected to statistical analysis. The data was analyzed using Statistical Package for the Social Sciences (SPSS) version 23.0. Intragroup comparisons, that is, between baseline and 1 week, were performed using the paired samples t-test. Intergroup comparisons between the three groups were performed using one-way analysis of variance (ANOVA), followed by post hoc Tukey test (pairwise comparisons). A p < 0.05 was considered statistically significant.

Conclusion: The plaque removal efficiency of electric toothbrushes is the highest, followed by the chewable toothbrush group, while the manual toothbrush group is the least. The chewable toothbrush highly surpasses the manual toothbrush group as it contains xylitol substances, which reduce Mutans Streptococcus in the plaque.

How to cite this article: Mareddy AR, Reddy VN, Done V, et al. Comparative Evaluation of Plaque Removal Potential of Manual Electrical and Chewable Toothbrushes in Children: A Clinical Trial. Int J Clin Pediatr Dent 2024;17(12):1388-1393.

Aim and background: The lingual arch has been widely used as a space maintainer in the lower arch during the mixed dentition phase, and the open-coil space regainer (OCSR) has been used for localized space regaining. However, an appliance consisting of both has not been previously documented. This case report highlights the advantages of using a lingual-arch-supported OCSR for regaining lost space.

Case description: A 10-year-old patient presented with deficient space available for the eruption of 45. Space analysis revealed a space loss of 3.8 mm. A lingual-arch-supported OCSR was placed to regain the lost space. After 8 weeks, the required amount of space was regained. Further activation was terminated by placing self-cure acrylic onto the springs.

Conclusion: The lingual-arch-supported OCSR was successful in regaining the lost space.

Clinical significance: The advantage of this appliance is that the reciprocal forces from the open-coil springs result only in mesial movement of the tooth anterior to the space, as the lingual arch prevents distal movement of the molar.

How to cite this article: Chalakkal P, D'souza OK, de Ataide IDN, et al. Lingual Arch-supported Open Coil Space Regainer. Int J Clin Pediatr Dent 2024;17(12):1439-1441.