International Journal of Clinical Pediatric Dentistry最新文献

The aims of dental professional courses are to prepare dental healthcare providers to manage common dental diseases, perform surgeries, and offer prevention. They should also be equipped to understand the needs of the society they are serving and willing to amend their skills. As they are expected to be a part of a team providing health care, they should have the requisite leadership and managerial skills for leading the team to serve its objectives in the best possible way. Thus, with changing times, there is a need to bring reforms in dental curricula. Traditional classroom teaching is now shifting to a competency-based education system across the globe. The Dental Council of India (DCI), as a dental health regulator in the country, implements reforms periodically in an attempt to further strengthen the training process and bring quality improvement in dental education. A process of redesigning the curriculum started a couple of years ago. The technical team supporting this work brainstormed the need for such reforms and studied the existing pattern of undergraduate curricula in other developed countries. It was found that many countries are following outcome-based teaching-learning methods. There are several institutions and professional associations proposing recommendations on curricular reforms, and India also suggests following the same. The new education policy (NEP) of the Government of India (GoI) is also in sync with the changes proposed to the DCI. Though such changes are challenging and require time to strategize and implement, it is essential to have reforms in curriculum, especially related to methods of teaching-learning and assessment, and for this, the dental faculty needs to be trained.

How to cite this article: Deshpande AN, Mathur VP, Lele GS, et al. Identifying Needs and Preparing for Curriculum Changes in Indian Dental Education. Int J Clin Pediatr Dent 2024;17(7):842-850.

Among the vast categorization of gingival lesions and overgrowths, the term "reactive hyperplastic lesions" is used to describe certain pathologies reactionary to underlying systemic conditions, local irritants, or trauma. It is emphasized in the literature that treatment planning for all such pathologies includes surgical excision by one means or another. However, an exception is to be made in cases where adhering to the conventional method can be very difficult but at the same time prove favorable for the patient. The present case report aims to showcase an unusual case of localized inflammatory gingival hyperplasia mimicking a reactive pyogenic granuloma in an 11-year-old boy with cerebral palsy. The management and the outcome miraculously favored the nonsurgical approach in dealing with such a gingival lesion.

How to cite this article: Negi S, Singhal R, Kant K, et al. Reactive Gingival Hyperplasia Mimicking Pyogenic Granuloma: A Nonsurgical Management in Cerebral Palsy Patient. Int J Clin Pediatr Dent 2024;17(7):812-814.

Background: A paradigm shift from surgical to medical approach for caries management has popularized silver diamine fluoride (SDF) as a preventive and interim caries arrest medicament. Few studies conducted have explored the effect of curing light on SDF's microbial property, its penetration, and effect on dentin. However, there is a research gap regarding the effect of different intensities of curing light on SDF performance.

Aim: To determine the effect of different curing light intensities on SDF penetration depth and dentin hardness in carious lesions of primary molars.

Materials and methods: Silver diamine fluoride was applied on 30 extracted carious primary molars. Teeth were randomly allocated into three groups-(1) control group, no light curing after application of SDF; (2) light curing of SDF with low intensity (1000 mW/cm²); and (3) light curing of SDF with high intensity (2500 mW/cm²). A scanning electron microscopy (SEM) with energy dispersive X-ray (EDX) analysis was performed to check ion penetration after 1 week, and a Vickers hardness test was used to assess dentin hardness of both infected and affected dentin layers at 1-week and 1-month intervals. Based on the distribution of data, parametric and nonparametric tests were applied. Statistical Package for the Social Sciences (SPSS) version 26 was used for statistical analysis. The level of significance was set at 5%.

Results: Silver diamine fluoride penetrated beyond the carious lesion in all three groups. The mean silver ion precipitation in infected dentin in group III (16.90 ± 0.68) was maximum, whereas it was found to be minimum in group II (7.31 ± 0.63). The mean fluoride ion precipitation in affected dentin in group III (4.06 ± 0.41) was highest and least in group II (3.09 ± 0.58). A considerable increase in mean dentin hardness of infected dentin was observed in all three groups (214.00 ± 89.06, 218.00 ± 75.17, 231.00 ± 98.86, respectively; p < 0.001) after 1 month.

Conclusion: Applying SDF to carious lesions using a high-intensity dental curing light induced more silver ion precipitation in infected dentin and increased its hardness.

How to cite this article: Bhatt R, Patel M, Thakkar A, et al. Effect of Curing Light with Different Intensities on the Penetration of Silver and Fluoride Ions and Dentin Hardness in Primary Carious Molars Following Silver Diamine Fluoride Application: A Comparative Microscopic Ex Vivo Study. Int J Clin Pediatr Dent 2024;17(7):766-772.

Class II malocclusion is the most common issue encountered in orthodontic practice. Myofunctional appliances are the most effective treatment option for skeletal class II malocclusion in growing age. Twin block is the most commonly used removable functional appliance, although its success is dependent upon patient compliance. The aim of this article is to present an effective modification of the conventional twin block appliance that can be used as an alternative to the fixed functional appliance in noncompliant skeletal class II patients with mandibular retrusion.

How to cite this article: Khera AK, Raghav P, Wadhwa P. Mini-fixed Twin Block Appliance: An Alternative to Fixed Functional Appliance in Noncompliant Class II Patients. Int J Clin Pediatr Dent 2024;17(7):815-821.

Background: Molar incisor hypomineralization (MIH) is one of the most common developmental disturbances that dental practitioners encounter, which may influence the child's quality of life and can impact their future dental health.

Aim: To determine prevalence and treatment needs of MIH in children of Lucknow.

Materials and methods: A total of 800 children aged 7 to 9 years were clinically screened for the presence of MIH. All demographic details were filled in by the examiner in communication with the parents, and examination was performed using the Würzburg MIH concept.

Results: The overall prevalence of MIH in the children examined was 5.12%. A higher prevalence was found in males (7%) than in females (3.25%). The distribution of MIH was higher in the mandibular arch than in the maxillary arch. Mandibular molars were the most affected teeth, followed by maxillary incisors, and the least affected teeth were maxillary molars. On the basis of severity, 55.14% of teeth with MIH had no breakdown or hypersensitivity followed by 30.14% of teeth with hypersensitivity but no breakdown, and 7.35% of teeth had both hypersensitivity and breakdown. Based on severity, in 39.70% of teeth, the intervention suggested was fluoridated toothpaste, casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) remineralizing agent, and varnish application. This was followed by the application of sealants and low-viscosity glass ionomer cement (GIC) in 38.97% of teeth, and in 7.35% of teeth, short- and long-term restorations, including stainless steel crown (SSC), were recommended.

Conclusion: Prevalence of 5.12% was observed in children of Lucknow city. The characteristics of MIH defects were predictive of the treatment of the affected first permanent molars and incisors and can guide their management.

How to cite this article: Chowdhury AR, Singh N, Rathore M. Molar Incisor Hypomineralization: Prevalence and Treatment Needs in 7- to 9-year-old Children of Lucknow City. Int J Clin Pediatr Dent 2024;17(7):790-795.

Aims and background: To evaluate and compare pain perception with Septoject XL and conventional needles in 6-8 years old children.

Materials and methods: In this split-mouth randomized controlled trial, a single-blinded study, 24 children (6-8 years) were assigned at random to receive the local anesthetic (LA) injection for treatment needs either with Septoject XL or conventional needle for the first visit in one of the quadrants, while during the second visit in a different quadrant with the other one. Children's pain levels were assessed during each visit using an objective sound eye motor (SEM) scale and subjective Wong-Baker faces rating scale (FRS).

Results: The mean objective score rating using SEM for the conventional needle (3.8 ± 2.35) and Septoject XL needle (3.3 ± 2.01) was not found to be statistically significant among the two study groups Septoject XL or conventional needle (Z score-0.996, p = 0.3). Using the Wilcoxon test, the mean subjective rating score was not found to be statistically significant among the two study groups [Z score = 0.636 and p-value = 0.524, nonsignificant (NS)]. In the gender-wise comparison of male (n =15), (6.8667 ± 91548) and female (n = 9), (6.8889 ± 1.05409), NS mean ages of male and female study participants was observed (p = 0.873).

Conclusion: Statistically, NS difference was observed in the pain perception while administration of LA using Septoject XL or conventional needle in 6-8-year-old children.

Clinical significance: This research can be useful in the selection of the gauge of the needle to be used while planning the treatment for different behavior groups.

Background: Multisystemic inflammatory syndrome (MIS) in the post-coronavirus disease (COVID) scenario is recognized in the pediatric population worldwide. However, no case report features jaw bone necrosis caused by self-mutilating injury noted during COVID treatment.

Case description: This report is of a 5-year-old child affected by COVID. During the course of treatment, she presented with MIS and was treated with steroids and oxygen therapy. She was observed to have cardiac and gastrointestinal disorders. However, some psychiatric impairment caused her to pull out her lower anterior teeth, thus acting as an injury to the tissue and causing osteomyelitis. This necrotic bone tissue was excised surgically, and due to the loss of teeth, prosthetic rehabilitation was performed for the patient.

Conclusion: This unique presentation of post-COVID manifestations of self-mutilating injury is alarming for the pediatric population.

How to cite this article: Gala UP, Kalaskar RR. Unique Oral and Behavioral Manifestations of Post-COVID Multisystem Inflammatory Syndrome in a 5-year-old Child: A Rare Case Report. Int J Clin Pediatr Dent 2024;17(7):829-832.

Background: Graduates of the Bachelor of Dental Surgery program meet the qualifications set by Saudi universities and pass the Saudi Commission for Health Specialties License Examination to practice dentistry. However, ambiguity persists concerning their preparedness for private dentistry. This study explored how dental graduates perceive their readiness to operate in the private sector.

Materials and methods: A qualitative study was conducted by interviewing dental graduates from different dental schools across Saudi Arabia using a semistructured interview guide with convenience sampling until thematic saturation was achieved. All interviews were verbatim transcribed and analyzed manually by two researchers working independently using Braun and Clarke's thematic analysis approach.

Results: A total of 35 participants from Saudi dental schools across five distinct regions (North, South, East, West, and Central) were included in the study. Data analysis revealed four prominent themes believed to influence participants' readiness for private practice: (1) communication skills-concerns regarding proficiency in areas crucial for ensuring patient satisfaction, (2) technical management skills-uncertainty in aspects such as practice setup and dental insurance, (3) pedagogical curriculum design-primarily tailored to public sector roles, and (4) legal and ethical issues-concerns about legal and ethical issues intrinsic to dental practice.

Conclusion: The transition of Saudi dental graduates into private practice is influenced by multiple obstacles, encompassing factors related to their knowledge and skills in patient communication, technical management, education curriculum design, and familiarity with legal intricacies.

Clinical significance: Exploring dental graduates' perceptions in relation to private practice is clinically significant as it highlights specific areas, including communication skills, where effective communication with both children and parents is paramount in private dentistry; technical management; curriculum adaptation; and legal/ethical awareness, where targeted interventions can enhance the quality and safety of dental care provided in private practice. These insights can lead to improvements in dental education and practice management, ultimately benefiting both dentists and patients in the private dental sector.

How to cite this article: Moafa I, Jafer A, Almashnawi M, et al. Transitioning to Private Dental Practice: An In-depth Exploration of Dental Graduates' Perspectives in Saudi Arabia. Int J Clin Pediatr Dent 2024;17(7):777-782.

Aim: To evaluate and compare the effect of fruit juice (orange) and cola drink (noncarbonated) on the surface texture of composite (3M ESPE Filtek Bulk Fill) and glass ionomer cement (GIC) (ChemFil Superior).

Materials and methods: A total of eighty pellets each were prepared with composite (3M ESPE Filtek Bulk Fill) and GIC (ChemFil Superior) material using a brass mold with an inner diameter of 3 mm and a thickness of 3 mm according to the manufacturer's instructions. Around 10 pellets of each material were placed in airtight plastic containers. The baseline surface texture value was obtained by profilometer. An 8-day immersion regime was carried out according to Maupome et al. After the 8-day test period, pellets were reevaluated for surface texture final value. The values were statistically analyzed.

Results: A statistically significant lower surface roughness of composite restorative material was observed when treated with high-concentration orange juice and medium-concentration. Conversely, a statistically significant lower surface roughness of GIC restorative material was observed when it was treated with the low-concentration group, high-concentration orange juice, and medium-concentration orange juice.

Conclusion: The surface roughness patterns of restorative materials increased as the number of immersion regimes increased.

How to cite this article: Vishwanathaiah S, Maganur PC, Khabrany HM, et al. Erosive Effect of Canned Juices and Soft Drinks on Surface Roughness of Restorative Materials Used in Pediatric Dentistry: An Ex Vivo Study. Int J Clin Pediatr Dent 2024;17(7):807-811.