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Child Oral Health Impact Profile Questionnaire: A Reliability Generalization Meta-analysis of Cronbach's Alpha. 儿童口腔健康影响问卷:Cronbach's Alpha信度概化元分析。
Q3 Dentistry Pub Date : 2024-10-01 DOI: 10.5005/jp-journals-10005-2973
Kalyana C Pentapati, Deepika Chenna, Vijay S Kumar, Nanditha Kumar, Saurabh Kumar

Background and aim: To evaluate the pooled estimates of Cronbach's alpha for the Child Oral Health Impact Profile (COHIP) questionnaire using reliability generalization meta-analysis.

Methods: We have conducted a systematic search of literature from PubMed, Scopus, Excerpta Medica Database (EMBASE), and Cumulative Index to Nursing and Allied Health Literature (CINAHL) from inception till 31st May 2023. Studies in English and those that have reported Cronbach's alpha for the COHIP questionnaire were included. Screening was performed by two review authors independently. Information on authors, year, country, sample size, age, sex, target population, language and mode of administration, conditions studied for, study setting, and study design were recorded. The risk of bias was assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist for internal consistency. Meta-analysis was performed using the random effects model to derive a pooled estimate of Cronbach's alpha.

Results: A total of 626 studies were available for title and abstract screening after the removal of duplicates, and 106 studies were included for full text screening. A total of 25 estimates were obtained from 22 studies which yielded a total sample size of 10,639. The overall pooled Cronbach's alpha was 0.87 (95% CI = 0.85-8.88) with a high heterogeneity among the included publications (I 2 = 95.74%). Similarly, the parent or the caregiver reported COHIP also showed pooled Cronbach's alpha of 0.9 (95% CI: 0.87-0.93). Meta-regression showed no significant effect of sex (coefficient: -0.12), age (coefficient: -0.007), language (coefficient: 0.003), study setting (coefficient: -0.001), risk of bias (coefficient: -0.01), and continent (coefficient: -0.04) on the overall estimate.

Conclusion: The COHIP questionnaire showed good internal consistency and can be used in research and practice among children.

How to cite this article: Pentapati KC, Chenna D, Kumar VS, et al. Child Oral Health Impact Profile Questionnaire: A Reliability Generalization Meta-analysis of Cronbach's Alpha. Int J Clin Pediatr Dent 2024;17(10):1193-1198.

背景与目的:采用信度概化荟萃分析评估儿童口腔健康影响概况(COHIP)问卷的Cronbach’s alpha综合估计。方法:系统检索PubMed、Scopus、Medica摘录数据库(EMBASE)和CINAHL自成立至2023年5月31日的文献。包括英语研究和那些在COHIP问卷中报告了Cronbach's alpha的研究。筛选由两位综述作者独立完成。记录作者、年份、国家、样本量、年龄、性别、目标人群、语言和管理方式、研究条件、研究环境和研究设计等信息。使用基于共识的健康测量仪器选择标准(COSMIN)检查表评估偏倚风险,以实现内部一致性。采用随机效应模型进行meta分析,得出Cronbach’s alpha的汇总估计。结果:去除重复项后,共有626项研究可用于标题和摘要筛选,106项研究可用于全文筛选。总共从22项研究中得出25项估计,总样本量为10 639。总体合并的Cronbach's alpha为0.87 (95% CI = 0.85-8.88),纳入的出版物存在高度异质性(i2 = 95.74%)。同样,父母或照顾者报告的COHIP也显示合并Cronbach's alpha为0.9 (95% CI: 0.87-0.93)。meta回归显示,性别(系数:-0.12)、年龄(系数:-0.007)、语言(系数:0.003)、研究环境(系数:-0.001)、偏倚风险(系数:-0.01)和大洲(系数:-0.04)对总体估计没有显著影响。结论:COHIP问卷具有良好的内部一致性,可用于儿童的研究和实践。如何引用本文:Pentapati KC, Chenna D, Kumar VS,等。儿童口腔健康影响问卷:Cronbach's Alpha信度概化元分析。中华临床儿科杂志;2017;17(10):1193-1198。
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引用次数: 0
Evaluation of Oral Health Status among Children of Halba Tribe in Bastar Division of Chhattisgarh, India. 印度恰蒂斯加尔邦巴斯塔尔地区哈尔巴部落儿童口腔健康状况评价
Q3 Dentistry Pub Date : 2024-10-01 DOI: 10.5005/jp-journals-10005-2982
Lumbini Pathivada, Saurav K Prabhat, Nishita Garg, Krishna M Karthik, Premkishore Kajapuram, Brij Kumar

Background: The Halba tribe owes its nomenclature term "Hal" which locally means plowing or farming. Bastariya Halba is Dravidian tribe from Warangal. They speak Indo-European language Halbi. There are no population-based studies till date evaluating the oral health status among Halba children in Chhattisgarh.

Aim: To evaluate the oral health status of Halba tribe children in the Bastar division of Chhattisgarh by assessing the prevalence of dental caries and periodontal conditions.

Materials and methods: A cross-sectional study was conducted to determine the dental caries and periodontal status in Halba tribe children. Children aged between 6 and 12 years (N = 1,050) were randomly selected from Halba community of Chhattisgarh. Dental caries status was recorded by using the decayed missing filled teeth (DMFT/dmft) index and papillary marginal attached (PMA) index for periodontal status.

Statistical analysis: The statistical software namely Statistical Package for the Social Sciences (SPSS) version 17.0 was used for the analysis of the data.

Results: The study population was 1,050 children from the Halba tribal community. Among the subjects, 545 (51.9%) were boys and 505 (48.1%) were girls. The overall mean dmft/DMFT was found to be 2.25 ± 2.71. In this study, boys had significantly higher values for overall dmft/DMFT (2.55 ± 2.74) than girls. It was observed that mild, moderate, and severe gingivitis significantly increased with increasing age.

Conclusion: The population examined was characterized by high prevalence of dental caries as well as unmet treatment needs. Factors like poverty, illiteracy, poor awareness, and lack of oral health services may be a reason for poor oral health in these children.

How to cite this article: Pathivada L, Prabhat SK, Garg N, et al. Evaluation of Oral Health Status among Children of Halba Tribe in Bastar Division of Chhattisgarh, India. Int J Clin Pediatr Dent 2024;17(10):1121-1123.

背景:哈尔巴部落的命名术语“哈尔”在当地的意思是耕种或耕作。Bastariya Halba是来自瓦朗加尔的德拉威部落。他们说印欧语哈尔比语。迄今为止,还没有以人口为基础的研究评估恰蒂斯加尔邦哈尔巴族儿童的口腔健康状况。目的:通过对恰蒂斯加尔邦巴斯塔尔地区哈尔巴族儿童龋齿和牙周病患病率的评估,了解哈尔巴族儿童的口腔健康状况。材料与方法:采用横断面研究方法对哈尔巴族儿童龋病及牙周状况进行调查。从恰蒂斯加尔邦Halba社区随机抽取年龄在6 - 12岁的儿童1050名。采用龋缺补牙指数(DMFT/ DMFT)和乳突边缘附着指数(PMA)记录牙周状况。统计分析:采用SPSS 17.0版统计软件对数据进行分析。结果:研究人群为来自Halba部落社区的1,050名儿童。其中男生545人(51.9%),女生505人(48.1%)。总体平均dmft/ dmft为2.25±2.71。在本研究中,男孩的总体dmft/ dmft值(2.55±2.74)明显高于女孩。轻、中、重度牙龈炎随着年龄的增长明显增加。结论:调查人群龋齿发生率高,治疗需求未得到满足。贫穷、文盲、缺乏意识和缺乏口腔卫生服务等因素可能是这些儿童口腔健康状况不佳的原因。本文引用方式:Pathivada L, Prabhat SK, Garg N等。印度恰蒂斯加尔邦巴斯塔尔地区哈尔巴部落儿童口腔健康状况评价中华儿科杂志;2009;17(10):1121-1123。
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引用次数: 0
Early Orthodontic Treatment Needs of Children in High Caries Population Using Index for Preventive and Interceptive Orthodontic Treatment Needs. 高龋人群儿童早期正畸治疗需求分析及预防与拦截性正畸治疗需求指数分析。
Q3 Dentistry Pub Date : 2024-10-01 DOI: 10.5005/jp-journals-10005-2961
Hania A Khan, Aditi Mathur, Samiksha S Shetty, Sneha Nair

Aim: Early identification and management of developing malocclusion can reduce or eliminate the need for future complicated treatment procedures. The present study was undertaken to assess early orthodontic treatment needs in 6- and 9-year-old children using the index for preventive and interceptive orthodontic treatment need (IPION) in Pune, India.

Materials and methods: A total of 360 children reporting to the Department of Pediatric and Preventive Dentistry were evaluated clinically and on their respective dental casts according to the IPION requirement. The overall scores were then categorized into "no treatment need," "moderate treatment need," and "definitive treatment need."

Results: The final data obtained that around 6.1% of the children had no treatment need, 25% of the children had moderate treatment need, and 68.8% of the children had definitive treatment need.

Conclusion: Within the limitations of the study, we conclude that the studied population had a high early orthodontic treatment needs which can be attributed to the high caries in the study population.

Clinical significance: This study provides a better alternative to determine early orthodontic treatment needs using IPION, as it includes more relevant orthodontic parameters in high caries population compared to conventional orthodontic treatment need indices.

How to cite this article: Khan HA, Mathur A, Shetty SS, et al. Early Orthodontic Treatment Needs of Children in High Caries Population Using Index for Preventive and Interceptive Orthodontic Treatment Needs. Int J Clin Pediatr Dent 2024;17(10):1099-1103.

目的:早期识别和处理发展中的错牙合可以减少或消除未来复杂的治疗程序的需要。本研究是在印度浦那使用预防性和拦截性正畸治疗需求指数(IPION)评估6岁和9岁儿童的早期正畸治疗需求。材料和方法:根据IPION要求,对报到儿科和预防牙科科的360名儿童进行临床及各自牙模的评估。然后将总分分为“无治疗需要”、“中度治疗需要”和“明确治疗需要”。结果:最终数据显示,约6.1%的患儿无治疗需要,25%的患儿有中度治疗需要,68.8%的患儿有明确的治疗需要。结论:在研究的限制范围内,我们得出结论,研究人群有很高的早期正畸治疗需求,这可能归因于研究人群中的高龋率。临床意义:与传统的正畸治疗需求指标相比,IPION包含了更多与高龋人群相关的正畸参数,为使用IPION确定早期正畸治疗需求提供了更好的选择。如何引用本文:Khan HA, Mathur A, Shetty SS等。高龋人群儿童早期正畸治疗需求分析及预防与拦截性正畸治疗需求指数分析。中华临床儿科杂志;2017;17(10):1099-1103。
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引用次数: 0
Retreatment of a Failed Regenerative Endodontic Treatment in an Immature Tooth with a Horizontal Root Fracture: A Case Report. 再生牙髓治疗失败的未成熟牙伴水平牙根骨折的再治疗一例报告。
Q3 Dentistry Pub Date : 2024-10-01 DOI: 10.5005/jp-journals-10005-2962
Zaher Marjy, Iris Slutzky-Goldberg

Regenerative endodontic treatment (RET) has been suggested for the treatment of traumatized necrotic immature teeth. There are only a few reports of using RET to treat a horizontal root fracture. The aim of this paper is to describe successful regenerative retreatment in a tooth with a horizontal root fracture and dens invaginatus. A 9-year-old boy presented with a horizontal root fracture in a central incisor. Pulp necrosis and inflammatory root resorption were observed. The tooth was treated by RET, including calcium hydroxide dressing between visits. After bleeding was allowed into the canal space, a collagen plug was placed as a barrier, and covered by a bioceramic material. At the completion of treatment, the resolution of the radiolucent lesion was evident. During follow-up, the tooth exhibited recurrent pathology at the fracture line. The patient was scheduled for retreatment of the tooth. Repeated RET included additional ultrasonic irrigation and calcium hydroxide dressing. One year after the completion of retreatment, the periradicular lesion resolved with continued maturogenesis of the apical fragment and approximation of the coronal and apical fragments that were attached by a calcified tissue and surrounded by the continuous periodontal ligament.

Conclusion: This rare case report of retreatment after failed RET is notable for the repeated use of a regenerative procedure subsequent to a recurrent traumatic injury to the tooth. The repeated regenerative endodontic procedure (REP) resulted in the resolution of the periapical lesion and the reunion of the apical and coronal fragments.

Clinical significance: Failure of an already successful RET due to a recurrent traumatic injury may be successfully treated by repeating the RET, particularly when the alternative treatment option is extraction.

How to cite this article: Marjy Z, Slutzky-Goldberg I. Retreatment of a Failed Regenerative Endodontic Treatment in an Immature Tooth with a Horizontal Root Fracture: A Case Report. Int J Clin Pediatr Dent 2024;17(10):1168-1171.

再生牙髓治疗(RET)已被建议用于治疗创伤性坏死的未成熟牙齿。只有少数报道使用RET治疗水平根骨折。本文的目的是描述一个成功的再生再治疗与水平牙根骨折和牙槽凹。一名九岁男孩在中门牙出现水平牙根骨折。观察到牙髓坏死和炎症性牙根吸收。用RET治疗,包括两次就诊之间的氢氧化钙敷料。在允许出血进入管腔后,放置胶原蛋白塞作为屏障,并用生物陶瓷材料覆盖。治疗结束后,放射性病变明显消退。在随访中,牙齿在骨折线处出现复发性病理。病人被安排重新治疗牙齿。重复RET包括附加超声冲洗和氢氧化钙敷料。再治疗完成一年后,根周病变随着根尖碎片的持续成熟和冠状和根尖碎片的逼近而消失,冠状和根尖碎片被钙化组织附着并被连续的牙周韧带包围。结论:这个罕见的病例报告失败后的再治疗是值得注意的再生手术后反复使用的创伤性损伤的牙齿。反复的再生根管治疗(REP)导致根尖周围病变的消退和根尖和冠状碎片的团聚。临床意义:由于反复的创伤性损伤,已经成功的RET失败可以通过重复RET成功治疗,特别是当替代治疗选择是拔牙时。引用本文:Marjy Z, Slutzky-Goldberg I.再生根管治疗不成熟牙齿水平根骨折失败的再治疗一例报告。中华临床儿科杂志;2017;17(10):1168-1171。
{"title":"Retreatment of a Failed Regenerative Endodontic Treatment in an Immature Tooth with a Horizontal Root Fracture: A Case Report.","authors":"Zaher Marjy, Iris Slutzky-Goldberg","doi":"10.5005/jp-journals-10005-2962","DOIUrl":"10.5005/jp-journals-10005-2962","url":null,"abstract":"<p><p>Regenerative endodontic treatment (RET) has been suggested for the treatment of traumatized necrotic immature teeth. There are only a few reports of using RET to treat a horizontal root fracture. The aim of this paper is to describe successful regenerative retreatment in a tooth with a horizontal root fracture and dens invaginatus. A 9-year-old boy presented with a horizontal root fracture in a central incisor. Pulp necrosis and inflammatory root resorption were observed. The tooth was treated by RET, including calcium hydroxide dressing between visits. After bleeding was allowed into the canal space, a collagen plug was placed as a barrier, and covered by a bioceramic material. At the completion of treatment, the resolution of the radiolucent lesion was evident. During follow-up, the tooth exhibited recurrent pathology at the fracture line. The patient was scheduled for retreatment of the tooth. Repeated RET included additional ultrasonic irrigation and calcium hydroxide dressing. One year after the completion of retreatment, the periradicular lesion resolved with continued maturogenesis of the apical fragment and approximation of the coronal and apical fragments that were attached by a calcified tissue and surrounded by the continuous periodontal ligament.</p><p><strong>Conclusion: </strong>This rare case report of retreatment after failed RET is notable for the repeated use of a regenerative procedure subsequent to a recurrent traumatic injury to the tooth. The repeated regenerative endodontic procedure (REP) resulted in the resolution of the periapical lesion and the reunion of the apical and coronal fragments.</p><p><strong>Clinical significance: </strong>Failure of an already successful RET due to a recurrent traumatic injury may be successfully treated by repeating the RET, particularly when the alternative treatment option is extraction.</p><p><strong>How to cite this article: </strong>Marjy Z, Slutzky-Goldberg I. Retreatment of a Failed Regenerative Endodontic Treatment in an Immature Tooth with a Horizontal Root Fracture: A Case Report. Int J Clin Pediatr Dent 2024;17(10):1168-1171.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"17 10","pages":"1168-1171"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stereomicroscopic Evaluation of the Apical Sealing Ability of Different Root Canal Sealers (Endoseal, Apexit, MTA Fillapex, Ceraseal) Using Diaphanization Technique. 应用透化技术评价不同根管封闭剂(内封闭剂、根管出口封闭剂、MTA填充封闭剂、根管密封剂)根尖封闭能力的立体显微镜观察。
Q3 Dentistry Pub Date : 2024-10-01 DOI: 10.5005/jp-journals-10005-2976
Mayurika Patel, Anshul Gangwar, Shivangi Sharma, Sathyajith Naik

Introduction: Obturation of the root canal is the most critical step in endodontic treatment, which aims to provide a hermetic seal and prevent regrowth and entry of bacteria into the canal. To achieve this, many sealers are used in endodontics.

Aim: To evaluate the effectiveness of the apical seal obtained by different sealers used in conjunction with the single cone obturation technique using gutta-percha under the stereomicroscope.

Materials and methods: Extracted human single-rooted teeth were taken and decoronated at the cementoenamel junction. The access cavity was prepared, and biomechanical preparation was completed. The samples were randomly assigned to four groups consisting of 20 teeth each according to the root canal sealer used and categorized as group I, group II, group III, and group IV. Group I (n = 20)-Endoseal (Prevest DenPro), group II (n = 20)-Apexit Plus (Ivoclar Vivadent), group III (n = 20)-MTA-FillApex (Angelus), and group IV (n = 20)-Ceraseal (Meta Biomed). The teeth were immersed in Indian ink for 7 days and finally transferred to methyl salicylate for diaphanization. The extent of dye penetration was measured using the stereomicroscope. Statistical data analysis was performed using analysis of variance (ANOVA) and the Tukey test.

Results: Microleakage was seen in all the groups. Apical leakage was maximum for the Endoseal group, followed by MTA Fillapex, Apexit, and Ceraseal. Groups were compared by one-factor ANOVA, and the significance of the mean difference was measured using Tukey's honestly significant difference (HSD) and post hoc test. A statistically significant difference in the depth of dye penetration was observed among the groups (F = 28.66, p < 0.001).

Conclusion: It was concluded that there were statistically significant differences among the experimental groups. Ceraseal endodontic root canal sealer provided a significantly better apical seal, followed by Apexit and MTA Fillapex, whereas Endoseal showed the least sealing ability.

How to cite this article: Patel M, Gangwar A, Sharma S, et al. Stereomicroscopic Evaluation of the Apical Sealing Ability of Different Root Canal Sealers (Endoseal, Apexit, MTA Fillapex, Ceraseal) Using Diaphanization Technique. Int J Clin Pediatr Dent 2024;17(10):1135-1140.

根管封闭是根管治疗中最关键的一步,其目的是提供一个密封,防止细菌的再生和进入根管。为了达到这个目的,在牙髓学中使用了许多密封剂。目的:在体视显微镜下评价不同封口剂与杜仲胶单锥封口术联合使用的根尖封口术的效果。材料与方法:取拔除的人单根牙,在牙髓-牙釉质交界处进行装饰。制备通道腔,完成生物力学准备。根据根管密封器的使用情况,随机分为4组,每组20颗牙,分为I组、II组、III组和IV组。I组(n = 20)-Endoseal (Prevest DenPro), II组(n = 20)-Apexit Plus (Ivoclar Vivadent), III组(n = 20)-MTA-FillApex (Angelus), IV组(n = 20)-Ceraseal (Meta Biomed)。牙齿浸泡在印度墨水中7天,最后转移到水杨酸甲酯上透明化。用体视显微镜测量染料的渗透程度。统计资料采用方差分析(ANOVA)和Tukey检验进行分析。结果:各组均有微渗漏。Endoseal组的根尖渗漏最多,其次是MTA Fillapex、apexexit和Ceraseal组。各组间比较采用单因素方差分析,均数差异的显著性采用Tukey’s honest significant difference (HSD)和事后检验。两组间染料穿透深度差异有统计学意义(F = 28.66, p < 0.001)。结论:实验组间差异有统计学意义。Ceraseal根管密封器的根管密封效果较好,其次是apexexit和MTA Fillapex, Endoseal的根管密封效果最差。如何引用本文:Patel M, Gangwar A, Sharma S,等。应用透化技术评价不同根管封闭剂(内封闭剂、根管出口封闭剂、MTA填充封闭剂、根管密封剂)根尖封闭能力的立体显微镜观察。中华临床儿科杂志;2017;17(10):1135-1140。
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引用次数: 0
Esthetic Twin Block Approach for Correction of Developing Class II Division 1 Malocclusion of an 11-year-old Female Patient: A Case Report. 美学双块入路矫正发展中的11岁女性II类1分错1例报告。
Q3 Dentistry Pub Date : 2024-10-01 DOI: 10.5005/jp-journals-10005-2970
Hitesh R Sawant, Ashwin M Jawdekar, Parag V Gangurde, Swati A Dhone

An 11-year-old female patient with developing class II division 1 malocclusion having retrognathic mandible and crowding in the lower arch, horizontal growth pattern, with convex profile, hyperactive mentalis muscle, positive visual treatment objective (VTO) in cervical vertebral maturation indicator (CVMI) stage 4 was planned to be treated using modification of conventional twin block appliance. Though a wide variety of myofunctional appliances like activator, Bionator, and Frankel appliances can be delivered to the patient, twin block appliance being a mechanofunctional appliance is routinely preferred by operators due to simplicity of its design and construction in comparison to other appliances. One of the biggest challenges in management of growing patients with skeletal class II malocclusion is the compliance of patients in wearing the myofunctional appliances. Also, the wire framework of most of these functional appliances evokes stigma in young children due to peer pressure. An appliance that eliminates this wire framework can help to increase the duration of wear. Since twin block appliance is the most preferred myofunctional appliance by most of the operators, an attempt was made to make it more convenient to the patient by simplifying its design, especially in regards to the elimination of delta clasps and labial bow framework. Delta clasps were replaced by composite buttons bonded to buccal surface of mandibular first premolar and maxillary first molar. Labial bow framework was eliminated by inducing full coverage of teeth using Essix thermoformed sheets. It was observed that the elimination of the wire framework indeed helped increase the compliance of the patient. Thus, exercises combined with myofunctional appliance therapy helped correct the developing class II division 1 malocclusion prior to fixed mechanotherapy. In conclusion, thorough planning and meticulous execution of E-twin block therapy can achieve correction of developing class II division 1 malocclusion.

How to cite this article: Sawant HR, Jawdekar AM, Gangurde PV, et al. Esthetic Twin Block Approach for Correction of Developing Class II Division 1 Malocclusion of an 11-year-old Female Patient: A Case Report. Int J Clin Pediatr Dent 2024;17(10):1181-1188.

1例11岁女性,下颌突后,下弓拥挤,水平生长,凸型,颏肌过度活跃,颈椎成熟指标(CVMI) 4期目视治疗目标(VTO)阳性,发展为II类1分错,拟采用常规双块矫治器改良治疗。虽然各种各样的肌肉功能器具,如activator, Bionator和Frankel器具可以提供给患者,但双块器具作为一种机械功能器具,与其他器具相比,它的设计和结构简单,因此通常是操作员的首选。在骨骼II类错颌患者的管理中,最大的挑战之一是患者佩戴肌功能矫治器的依从性。此外,由于同龄人的压力,大多数这些功能性器具的金属丝框架会引起幼儿的耻辱感。消除这种金属丝框架的设备可以帮助增加磨损的持续时间。由于双块矫治器是大多数手术者最喜欢的肌功能矫治器,我们尝试通过简化其设计使其更方便患者,特别是在消除三角卡环和唇弓框架方面。将三角卡箍替换为复合扣扣,结合于下颌第一前磨牙和上颌第一磨牙颊面。通过使用Essix热成型薄片诱导牙齿的完全覆盖,消除了唇弓框架。据观察,取消金属丝框架确实有助于提高患者的依从性。因此,运动结合肌功能矫治器治疗有助于在固定机械治疗之前纠正发展中的II类1分错。综上所述,E-twin block治疗的周密计划和细致执行可以实现发展中的II类1分错的矫正。如何引用本文:Sawant HR, Jawdekar AM, Gangurde PV,等。美学双块入路矫正发展中的11岁女性II类1分错1例报告。中华临床儿科杂志;2017;17(10):1181-1188。
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引用次数: 0
Evaluation of Fluoride and Silver Ion Concentrations in e-Silver Diamine Fluoride and Advantage Arrest: An Ion Chromatography and Atomic Absorption Spectrometer Study. e-银二胺氟化剂中氟离子和银离子浓度的评价及优势捕获:离子色谱和原子吸收光谱仪的研究。
Q3 Dentistry Pub Date : 2024-10-01 DOI: 10.5005/jp-journals-10005-2969
Prakrati Kamath, Prathvi Kamath, P Anupama Nayak, Srikant Natarajan, Mukul Shantilal Jain, Ashwin Rao, Karuna Y Mahabala, Charisma Thimmaiah, Kiran N Baliga

Aims and background: Dentin hypersensitivity (DH) is characterized by sharp shooting pain due to exposed dentin, and the most common method for treating this pain is the occlusion of the dentinal tubules with the help of desensitizing agents. E-silver diamine fluoride (e-SDF) (Kids-e-Dental, Mumbai, India) is a commercially available 38% SDF solution in the Indian market. Despite the fact that its application for caries prevention has been proven, the fluoride (Fl) and silver (Ag) ion concentrations of e-SDF for use in treating DH have yet to be standardized. The aim of this study is to determine and compare the Fl and Ag ion concentrations released from two commercially available 38% silver diamine fluoride (SDF) solutions.

Materials and methods: The two most common commercially available 38% SDF solution brands, namely Advantage Arrest and e-SDF were used. Two drops of each of these solutions were taken in three beakers and diluted with distilled water. The Fl ion concentration was evaluated using a calibrated ion-specific electrode. The free Ag ion concentration was assessed using an atomic absorption spectrometry (AAS).

Results: Release of Ag ions shows that on days 1, 2, 5, 6, and 7, concentration (mg/L) was higher in the Advantage Arrest group but is statistically nonsignificant. On days 3 and 4, it is higher in an e-SDF group with a t-value of 1.085 and 0.243 and is statistically nonsignificant. Release of Fl ion showed that in comparison to the baseline, it was more with Advantage Arrest on days 2, 4, and 7 with a t-value of -3.766, -0.999, and 0.347 and on day 2 was statistically significant. On days 3, 5, and 6 Fl ion release from baseline was more with e-SDF in comparison with Advantage Arrest but statistically insignificant.

Conclusion: The AAS analysis as well as the ion chromatography showed that the Ag and Fl ion release respectively on days 1-7 from e-SDF was similar to the one seen in the case of Advantage Arrest.

Clinical significance: This helps dentists choose among different brands of the same commercially available 38% SDF solutions depending on the cost and availability of the product.

How to cite this article: Kamath P, Kamath P, P AN, et al. Evaluation of Fluoride and Silver Ion Concentrations in e-Silver Diamine Fluoride and Advantage Arrest: An Ion Chromatography and Atomic Absorption Spectrometer Study. Int J Clin Pediatr Dent 2024;17(10):1141-1145.

目的与背景:牙本质过敏(DH)的特点是牙本质暴露引起尖锐的射孔疼痛,治疗这种疼痛最常用的方法是在脱敏剂的帮助下闭塞牙本质小管。e-银二胺氟(e-SDF) (Kids-e-Dental,孟买,印度)是印度市场上可售的38%的SDF解决方案。尽管其在预防龋齿方面的应用已得到证实,但用于治疗DH的e-SDF的氟(Fl)和银(Ag)离子浓度尚未标准化。本研究的目的是确定和比较两种市售的38%氟化银二胺(SDF)溶液中释放的Fl和Ag离子浓度。材料和方法:使用两种最常见的市售38%的SDF溶液品牌,即Advantage Arrest和e-SDF。在三个烧杯中各取两滴溶液,用蒸馏水稀释。使用校准的离子特异性电极评估离子浓度。采用原子吸收光谱法(AAS)测定游离银离子浓度。结果:银离子释放显示,在第1、2、5、6、7天,优势阻滞组的银离子浓度(mg/L)较高,但无统计学意义。在第3天和第4天,e-SDF组的t值分别为1.085和0.243,差异无统计学意义。释放Fl显示,与基线相比,优势阻滞在第2、4、7天更多,t值分别为-3.766、-0.999、0.347,第2天有统计学意义。在第3、5、6天,与Advantage Arrest相比,e-SDF从基线释放的氟离子更多,但统计学上不显著。结论:原子吸收光谱分析和离子色谱分析表明,e-SDF在第1-7天的Ag和Fl释放量与Advantage Arrest相似。临床意义:这有助于牙医根据产品的成本和可用性,在相同的38% SDF市售解决方案的不同品牌中进行选择。如何引用本文:Kamath P, Kamath P, P AN等。e-银二胺氟化剂中氟离子和银离子浓度的评价及优势捕获:离子色谱和原子吸收光谱仪的研究。中华儿科杂志;2009;17(10):1141-1145。
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引用次数: 0
Sugar-coated Sleep: Raising Dental Red Flags in Smith-Magenis Syndrome. 糖衣睡眠:史密斯-马格尼斯综合征中牙齿的危险信号。
Q3 Dentistry Pub Date : 2024-10-01 DOI: 10.5005/jp-journals-10005-2968
Swagata Saha, Kripa Dutta, Prajna Prabhakar Nayak, Manju Raman Nair, Viraj Jayant Naik, K Ananya Rao

Aim and background: Smith-Magenis syndrome (SMS) is a rare condition characterized by abnormalities affecting chromosome 17 or RAI1, leading to physical, developmental, and behavioral challenges. SMS occurs in approximately 1 in 25,000 individuals, presenting complex clinical and dental issues.

Case description: This case report focuses on the dental care of a 3-year-old child diagnosed with SMS, emphasizing a comprehensive treatment plan. The child exhibited typical SMS traits, including sleep disturbances, developmental delays, and behavioral problems. The multidisciplinary team integrated dental interventions with strategies to manage these challenges effectively.

Conclusion: This report contributes to the limited knowledge on managing SMS, highlighting the effectiveness of a multidisciplinary approach in meeting the diverse needs of affected individuals.

Clinical significance: The scarcity of literature on SMS underscores the importance of documenting such rare cases to enhance understanding and tailor interventions. By documenting successful management strategies, clinicians can better support patients with this rare disorder.

How to cite this article: Saha S, Dutta K, Nayak PP, et al. Sugar-coated Sleep: Raising Dental Red Flags in Smith-Magenis Syndrome. Int J Clin Pediatr Dent 2024;17(10):1189-1192.

目的和背景:Smith-Magenis综合征(SMS)是一种罕见的疾病,其特征是17号染色体或RAI1异常,导致身体、发育和行为方面的挑战。SMS的发生率约为1 / 25,000,呈现出复杂的临床和牙科问题。病例描述:本病例报告着重于一名3岁儿童的牙齿护理,诊断为SMS,强调综合治疗计划。该儿童表现出典型的SMS特征,包括睡眠障碍、发育迟缓和行为问题。多学科团队将牙科干预措施与有效管理这些挑战的策略相结合。结论:本报告对管理SMS的有限知识有所贡献,强调了多学科方法在满足受影响个体不同需求方面的有效性。临床意义:文献的缺乏强调了记录这些罕见病例的重要性,以加强理解和量身定制的干预措施。通过记录成功的管理策略,临床医生可以更好地支持患有这种罕见疾病的患者。如何引用本文:Saha S, Dutta K, Nayak PP等。糖衣睡眠:史密斯-马格尼斯综合征中牙齿的危险信号。中华临床儿科杂志;2017;17(10):1189-1192。
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引用次数: 0
Evaluation of Effect of Distraction Techniques Using Virtual Reality and Eight-dimension Audio Analgesia Methods on Pain Perception and Anxiety Levels in Children During Restorative Procedures: A Comparative In Vivo Study. 评估使用虚拟现实和八维音频镇痛方法的分散技术对恢复性手术中儿童疼痛感知和焦虑水平的影响:一项比较体内研究。
Q3 Dentistry Pub Date : 2024-10-01 DOI: 10.5005/jp-journals-10005-2960
Maheshkumar Karuppiah, Suba Ranjana Balamurugan, Subhathira Rajashekaran, Nagalakshmi Chowdhary, Rajashekar Reddy Vundala, Nikhitha Elsa Shaji

Introduction: Dental pain and dental anxiety are the most common determinants of negative dental experience, the reason for broken appointments and ignored oral health care affecting the quality of life.

Aim: To evaluate the effects of distraction techniques using virtual reality and eight-dimension (8D) audio analgesia method on pain perception and anxiety levels in children during restorative procedures.

Materials and methods: A total of 120 children between the ages of 4 and 10 years old who visited for the first time to a pediatric dental department were grouped equally between three interventional groups. Group I was treated with conventional tell-show-do (TSD) method; patients selected for group II (8D audio analgesia) and group III (virtual reality method) underwent two-step procedure that initially involved the TSD technique, by explaining the distraction techniques method conditioned for restoration treatment. Clinical evaluation of anxiety levels was measured by using the Chotta Bheem-Chutki (CBC), face, legs, activity, cry, consolability (FLACC) scale, and recording pulse and oxygen saturation rate. One-way analysis of variance (ANOVA) followed by post hoc Tukey's test was done to compare all the parameters between the three groups.

Results: In comparison to the conventional TSD method, both 8D audio analgesia and virtual reality method showed statistically better results. One-way ANOVA followed by post hoc Tukey's test showed no significant difference between the virtual reality group and 8D audio analgesic group.

Conclusion: Both 8D audio analgesia and virtual reality box distraction techniques can be used as an efficient distraction technique for TSD during dental procedures in children.

How to cite this article: Karuppiah M, Balamurugan SR, Rajashekaran S, et al. Evaluation of Effect of Distraction Techniques Using Virtual Reality and Eight-dimension Audio Analgesia Methods on Pain Perception and Anxiety Levels in Children During Restorative Procedures: A Comparative In Vivo Study. Int J Clin Pediatr Dent 2024;17(10):1087-1092.

导读:牙痛和牙焦虑是负面看牙体验最常见的决定因素,是不按时就诊和忽视口腔保健影响生活质量的原因。目的:探讨虚拟现实和八维音频镇痛技术对儿童修复过程中疼痛感知和焦虑水平的影响。材料与方法:将120例4 ~ 10岁首次就诊的儿童平均分为3个干预组。第一组采用常规的“告诉-展示-做”(tell-show-do, TSD)方法;选择II组(8D音频镇痛)和III组(虚拟现实方法)的患者通过解释恢复治疗条件下的分散技术方法,进行了最初涉及TSD技术的两步程序。临床评估焦虑水平采用Chotta bheim - chutki (CBC)、面部、腿部、活动、哭泣、安慰(FLACC)量表,并记录脉搏和血氧饱和度。采用单因素方差分析(ANOVA)和事后Tukey检验比较三组间的所有参数。结果:与传统的TSD方法相比,8D音频镇痛和虚拟现实方法均有统计学上更好的效果。单因素方差分析后的事后Tukey检验显示,虚拟现实组与8D音频镇痛组之间无显著差异。结论:8D音频镇痛和虚拟现实盒子牵引技术均可作为儿童牙科手术中创伤后应激障碍的有效牵引技术。本文引用方式:Karuppiah M, Balamurugan SR, Rajashekaran S,等。评估使用虚拟现实和八维音频镇痛方法的分散技术对恢复性手术中儿童疼痛感知和焦虑水平的影响:一项比较体内研究。中华临床儿科杂志;2017;17(10):1087-1092。
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引用次数: 0
Color Stability of Different Restorative Approaches for the Masking of Silver Diamine Fluoride after Thermal Aging. 热老化后不同修复方法对氟化二胺银遮盖的颜色稳定性。
Q3 Dentistry Pub Date : 2024-09-01 DOI: 10.5005/jp-journals-10005-2920
Jacob Ozuna, Christine Nguyen, Neamat Hassan Abubakr

Aim: The present study aims to evaluate the color stability of different masking modalities of silver diamine fluoride (SDF) on extracted carious teeth after thermal aging.

Methods and results: One hundred and eight recently extracted carious permanent teeth were used. All sample teeth had SDF applied over the carious lesion. The teeth were then divided into six groups: group A (SDF, potassium iodide (KI), and packable composite resin), group B (SDF, flowable, and packable composite resin), group C (SDF, KI, resin-modified glass ionomer (RMGI), and packable composite resin), group D (SDF, KI, and RMGI), group E (SDF, hybrid glass ionomer (HGI), packable composite resin), and group F (SDF and RMGI). VITA Easyshade was used to evaluate color stability. Initial masking of the dark staining was improved in groups in curing light groups (groups D and F). Groups restored with RMGI demonstrated the greatest color changes after aging. The groups that showed the greatest color stability of the materials after 5 years of aging were groups A, B, and E. Highest color change was observed during the first clinical year for all groups.

Conclusion: KI is effective at reducing SDF staining. Composite (CMP) provides a long-term color-stable restoration. Thermocycling had the greatest effect on HGI restorations.

Clinical relevance: One of restorative dentistry's most important clinical parameters is the color stability of tooth-colored dental restorations. Choosing a suitable restorative material is essential to overcome SDF's staining effects. Applying KI and composite resin restoration was the most effective, long-term color-stable restorative material for masking the SDF staining.

How to cite this article: Ozuna J, Nguyen C, Abubakr NH. Color Stability of Different Restorative Approaches for the Masking of Silver Diamine Fluoride after Thermal Aging. Int J Clin Pediatr Dent 2024;17(9):987-992.

目的:评价不同方式的氟化二胺银(SDF)对热老化后拔牙的颜色稳定性。方法与结果:采用近期拔龋的恒牙108颗。所有牙齿样本均在龋损处涂上SDF。将牙齿分为6组:A组(SDF、碘化钾(KI)、可包装复合树脂)、B组(SDF、可流动、可包装复合树脂)、C组(SDF、KI、树脂改性玻璃离子聚体(RMGI)、可包装复合树脂)、D组(SDF、KI、RMGI)、E组(SDF、杂化玻璃离子聚体(HGI)、可包装复合树脂)、F组(SDF、可包装复合树脂)。用VITA Easyshade评价颜色稳定性。在光固化组(D组和F组)中,深色染色的初始掩蔽得到改善。RMGI修复组老化后颜色变化最大。老化5年后材料颜色稳定性最好的组为A、B和e组。所有组在临床第一年的颜色变化最大。结论:KI可有效降低SDF染色。复合材料(CMP)提供长期的颜色稳定恢复。热循环对HGI修复的影响最大。临床相关性:牙釉色修复体的颜色稳定性是牙釉色修复体最重要的临床参数之一。选择合适的修复材料是克服SDF染色作用的关键。应用KI和复合树脂修复是掩盖SDF染色最有效的、长期颜色稳定的修复材料。本文引用方式:Ozuna J, Nguyen C, Abubakr NH。热老化后不同修复方法对氟化二胺银遮盖的颜色稳定性。中华临床儿科杂志,2014;17(9):987-992。
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引用次数: 0
期刊
International Journal of Clinical Pediatric Dentistry
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