Journal of the Indian Society of Pedodontics and Preventive Dentistry最新文献

{"title":"Association between salivary human leukocyte antigen-DR concentration and early childhood caries.","authors":"Saravanan Gokul, Maria Rajendran Joy Daphny, Anantha Krishnan Chakravarthy Aravintha Sittharthan, J Baby John, Venkataraman Subhalakshmi, G S Prathima","doi":"10.4103/jisppd.jisppd_557_25","DOIUrl":"https://doi.org/10.4103/jisppd.jisppd_557_25","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries (ECC) is a prevalent, multifactorial disease influenced by microbial factors and host immune factors. Saliva serves as a noninvasive diagnostic medium with the potential to detect immune biomarkers such as human leukocyte antigen-DR (HLA-DR), a key class II molecule of the major histocompatibility complex involved in antigen presentation and the activation of adaptive immune responses.</p><p><strong>Aim: </strong>To evaluate and compare salivary HLA-DR levels in preschool children with and without ECC and assess the relationship between HLA-DR levels and deft scores.</p><p><strong>Settings and design: </strong>This cross-sectional study was conducted among preschool children aged 3-6 years attending school dental screening camps.</p><p><strong>Methodology: </strong>Forty children aged 3-6 years were included and divided into ECC ( n = 20) and caries-free ( n = 20) groups. Caries status was assessed using World Health Organization criteria and the Deft Index. Unstimulated saliva samples were collected and analyzed for HLA-DR concentrations using a commercially available sandwich enzyme-linked immunosorbent assay. Intergroup comparisons were performed using the Mann-Whitney U -test, and associations were evaluated using Spearman's correlation.</p><p><strong>Results: </strong>Children with ECC showed significantly higher salivary HLA-DR levels (median 10.31 pg/mL, interquartile range [IQR]: 7.65-17.98) than caries-free controls (median 6.28 pg/mL, IQR: 3.14-9.32) ( P = 0.023). A weak positive but nonsignificant correlation was found between HLA-DR levels and deft scores (ρ =0.236, P = 0.317).</p><p><strong>Conclusion: </strong>Elevated salivary HLA-DR levels in ECC suggest enhanced local immune activation and may serve as a noninvasive biomarker for ECC presence, although not a direct indicator of lesion severity.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"44 2","pages":"142-146"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825646","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}

{"title":"Comparative evaluation of antagonistic enamel wear against Zirconia and Bioflx in primary teeth: An in vitro study.","authors":"Gattu Kavya Sri, Kundeti Siva Sankar, A J Sai Sankar, E Sridevi, K Pranitha, B Nalini","doi":"10.4103/jisppd.jisppd_44_26","DOIUrl":"https://doi.org/10.4103/jisppd.jisppd_44_26","url":null,"abstract":"<p><strong>Context: </strong>Dental caries remains a leading cause of early tooth loss in children, often necessitating full coronal restorations. With the rising demand for esthetic restorations, preformed zirconia and the newly introduced Bioflx crowns have emerged as alternatives to stainless steel crowns. However, their effect on the antagonistic wear of primary teeth remains underexplored.</p><p><strong>Aims: </strong>To evaluate and compare the wear of primary natural teeth when opposed by two preformed aesthetic crowns, Zirconia and Bioflex, against natural primary teeth.</p><p><strong>Materials and methods: </strong>Eighty primary teeth and 40 crown discs (20 zirconia, 20 Bioflx) were divided into three groups ( n = 20 each): Group A (primary canines vs. zirconia discs), Group B (primary canines vs. Bioflx discs), and Group C (primary canines vs. primary molars). Wear testing was performed using a CS-4 masticatory simulator. Enamel wear was quantified via three-dimensional scanning and Boolean operations, while material wear was assessed through pre- and posttest weight measurements.</p><p><strong>Statistical analysis used: </strong>Paired t -tests, one-way ANOVA ( P < 0.05), Tukey's post hoc analysis.</p><p><strong>Results: </strong>Group A exhibited the highest enamel wear (7.69 mm 3 ), followed by Group C (6.59 mm 3 ) and Group B (4.28 mm 3 ). A statistically significant difference was observed between Groups A and B ( P = 0.019).</p><p><strong>Conclusions: </strong>Bioflx crowns caused significantly less antagonistic enamel wear than zirconia crowns, suggesting superior wear compatibility.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"44 2","pages":"236-241"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825238","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}

{"title":"Comparative evaluation of conventional, preformed, and three-dimensional printed band and loop space maintainers: A randomized clinical trial.","authors":"Shaikh Misbah, Amit Khatri, Rishi Tyagi, Deepak Khandelwal","doi":"10.4103/jisppd.jisppd_119_26","DOIUrl":"https://doi.org/10.4103/jisppd.jisppd_119_26","url":null,"abstract":"<p><strong>Aim: </strong>To compare and evaluate the clinical success of conventional, preformed, and three-dimensional (3D) printed band and loop (B and L) space maintainers.</p><p><strong>Materials and methods: </strong>Forty-five participants in the age group of 5-7 years visiting the pediatric and preventive dentistry department, with grossly carious primary mandibular first molar of either side requiring extraction, were randomly divided into three groups: conventional, preformed, and 3D printed B and L space maintainer groups. Following extraction, the assigned space maintainer was fabricated and delivered. Clinical evaluation for survival and failure rates and gingival health was done at Baseline, 1, 3, 6, 9, and 12 months.</p><p><strong>Statistical analysis: </strong>Statistical analysis was performed using Chi-square or Fisher's exact tests, survival using Kaplan-Meier analysis, and ordinal data using Kruskal-Wallis and Mann-Whitney U tests.</p><p><strong>Results: </strong>All space maintainers showed 100% survival at 1 and 3 months. At 12-months, conventional and preformed appliances demonstrated similar survival (86.7%), while the 3D printed group showed a lower rate (73.3%); however, differences were not statistically significant ( P > 0.05). Decementation was the primary cause of failure among all groups. Gingival and plaque scores increased over time in all groups. A significant difference in the gingival index was observed at 12 months ( P = 0.045), favoring the Preformed group. Plaque scores differed significantly at 9 and 12 months ( P < 0.05), with higher accumulation in the Conventional group.</p><p><strong>Conclusions: </strong>All three space maintainers demonstrated comparable 12-month survival; however, Preformed appliances showed relatively better gingival and plaque outcomes, with decementation identified as the predominant cause of failure across all groups.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"44 2","pages":"195-202"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825299","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}

{"title":"Evaluation of pediatric rotary files' shaping ability in primary molars through cone-beam computed tomography: An in vitro analysis.","authors":"Sudipta Adhya, Sarbojit Chakraborty, Bibhas Dey, Ananya Pal, Krishnendu Bhowmik, Pritha Pramanick","doi":"10.4103/jisppd.jisppd_27_26","DOIUrl":"https://doi.org/10.4103/jisppd.jisppd_27_26","url":null,"abstract":"<p><strong>Context: </strong>Pulpectomy preserves primary teeth for function, esthetics, and permanent dentition space maintenance. Root canal preparation risks errors like canal transportation (CT); cone-beam computed tomography (CBCT) offers precise shaping assessment to optimize pediatric endodontic outcomes.</p><p><strong>Aims: </strong>The aim of this study was to compare CT and centering ability of five pediatric rotary file systems in primary molars using CBCT.</p><p><strong>Settings and design: </strong>In vitro study of 90 primary molar root canals, randomized into five groups.</p><p><strong>Subjects and methods: </strong>Systems evaluated Kedo SG Blue, Kedo S Plus, Pro AF Baby Gold, Kedo Nano, and Pedo Flex. Pre- and postinstrumentation CBCT measured canal dimensions at coronal, middle, and apical levels.</p><p><strong>Statistical analysis: </strong>One-way analysis of variance with Tukey's honestly significant difference post hoc test ( P ≤ 0.05).</p><p><strong>Results: </strong>Kedo Nano exhibited minimal transportation and superior centering ability across all levels.</p><p><strong>Conclusions: </strong>Kedo Nano provides optimal shaping in primary molars, ideal for precise pulpectomy.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"44 2","pages":"230-235"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825434","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}

{"title":"Feeding at sleep time and early childhood caries: Validation of the feeding at sleep time (FeAST) scale in 12-36-month-old children in Bhubaneswar, Odisha.","authors":"Rupsa Taraphder, Brahmananda Dutta, Kanika Singh Dhull, Aiman Itrat Abbasi, Bhaswati Roy","doi":"10.4103/jisppd.jisppd_1_26","DOIUrl":"https://doi.org/10.4103/jisppd.jisppd_1_26","url":null,"abstract":"<p><strong>Context: </strong>Early childhood caries (ECC) remains a major public health concern in India, with feeding-at-sleep behaviors recognized as important behavioral risk factors. The feeding at sleep time (FeAST) scale was developed to quantify such behaviors, but its applicability across diverse Indian sociocultural settings remains uncertain.</p><p><strong>Aims: </strong>To evaluate the external validity of the FeAST scale in identifying ECC risk among 12-36-month-old toddlers in Bhubaneswar, Odisha, and to examine the association between socioeconomic status and ECC.</p><p><strong>Settings and design: </strong>A hospital-based cross-sectional study conducted in a tertiary care teaching hospital in Bhubaneswar, Eastern India.</p><p><strong>Materials and methods: </strong>A total of 387 toddlers aged 12-36 months and their caregivers were recruited. Feeding behaviors were assessed using the original FeAST questionnaire, generating scores for combined breastfeeding (CBR), combined bottle-feeding (CBO), and other feeding constructs (OFC). ECC status was determined through oral examination. SES was classified using the updated B. G. Prasad Scale (2025).</p><p><strong>Statistical analysis: </strong>Receiver operating characteristic analysis with a minimal cutoff score was used to determine diagnostic accuracy. Chi-square test assessed associations between ECC and SES. Statistical significance was set at P < 0.05.</p><p><strong>Results: </strong>ECC prevalence was 32.9%. CBR (AUC = 0.446) and CBO (AUC = 0.481) demonstrated poor discriminatory ability, while OFC showed modest performance (AUC = 0.577). No significant association was found between ECC and SES ( P = 0.511).</p><p><strong>Conclusions: </strong>The FeAST scale demonstrated limited diagnostic validity in this Eastern Indian cohort, indicating the need for regional recalibration incorporating contextual feeding and oral hygiene behaviors.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"44 2","pages":"157-163"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825492","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}

{"title":"Humor in pediatric dentistry!","authors":"Sharath Asokan","doi":"10.4103/jisppd.jisppd_175_26","DOIUrl":"https://doi.org/10.4103/jisppd.jisppd_175_26","url":null,"abstract":"","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"44 2","pages":"139-140"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825501","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}

{"title":"Parental socioeconomic status, education, and oral health knowledge as determinants of early childhood caries in 36-72-month-old children in Lucknow City.","authors":"Mitusmita Kalita, Kavita Dhinsa, Sonali Saha, Saumya Navit, Karishma Jaiswal, Arunima Sarkar","doi":"10.4103/jisppd.jisppd_41_26","DOIUrl":"https://doi.org/10.4103/jisppd.jisppd_41_26","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries (ECC) is a multifactorial disease, in which socioeconomic factors, parental knowledge, and oral health-related behaviors play critical roles in determining disease severity.</p><p><strong>Aim: </strong>The aim of the study was to evaluate the determinants of severity of ECC among preschool children diagnosed with ECC and to explore the direct and indirect pathways influencing caries severity.</p><p><strong>Materials and methods: </strong>This descriptive cross-sectional analytical study included 770 preschool children with ECC aged 36-72 months. Sociodemographic details, parental oral health knowledge, and oral health behaviors were assessed using a structured questionnaire. The severity of caries was recorded using the decayed, missing, and filled teeth (dmft) index according to the World Health Organization criteria. Descriptive statistics, Chi-squared tests, Pearson's correlation, multiple linear regression, and multiple logistic regression were used. Structural equation modeling was employed to assess the mediation pathways. Statistical significance was set at P < 0.05.</p><p><strong>Results: </strong>Higher dmft scores were significantly associated with increasing age, lower socioeconomic status (SES), lower maternal education, poor parental knowledge, infrequent tooth brushing, absence of dental visits, and higher sugar exposure ( P < 0.001). Multiple linear regression analysis showed that maternal education and SES were the strongest predictors of dmft scores. Logistic regression revealed that children from lower socioeconomic strata had more than threefold higher odds of severe ECC. Mediation analysis demonstrated that approximately 30% of the socioeconomic effect on caries severity was indirectly mediated by parental knowledge and oral health behaviors.</p><p><strong>Conclusion: </strong>ECC severity is strongly influenced by socioeconomic disadvantages, with parental knowledge and behaviors acting as important modifiable mediators.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"44 2","pages":"164-171"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825426","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}

{"title":"Why does India need more research-driven teaching - learning?","authors":"Nikhil Srivastava","doi":"10.4103/jisppd.jisppd_54_26","DOIUrl":"https://doi.org/10.4103/jisppd.jisppd_54_26","url":null,"abstract":"","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"44 2","pages":"141"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825470","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}

{"title":"Effectiveness of tailored oral health education mode based on the learning styles in children aged 10-12 years: An interventional study.","authors":"Sakthi Chandrakumar, Sharath Asokan, Geetha Priya Pollachi-Ramakrishnan, Sudhandra Viswanath, Vishnu Radje","doi":"10.4103/jisppd.jisppd_74_26","DOIUrl":"https://doi.org/10.4103/jisppd.jisppd_74_26","url":null,"abstract":"<p><strong>Background: </strong>Tailored oral-health education programs based on an individual's learning style can improve knowledge and oral health outcomes.</p><p><strong>Aim: </strong>This study aims to assess the effectiveness of tailored oral-health education modes on oral health-related knowledge in children aged 10-12 years.</p><p><strong>Methods: </strong>One hundred and fifty-two children were categorized into visual, auditory, and tactile learners based on the University of California Learning Style Questionnaire (2006). Twenty children were randomly selected from each group. Tailored oral health education was delivered using: visual mode for dental trauma, auditory mode for dental caries, and tactile mode for tooth brushing. Oral health-related knowledge scores were assessed at baseline, immediately after intervention, and 1-week after intervention. The Kruskal-Wallis test was used for comparison of knowledge scores, followed by post hoc analysis using the Wilcoxon signed-rank test with significance at P ≤ 0.05.</p><p><strong>Results: </strong>Out of 152 children, 61 (40.1%) were identified as visual learners, 37 (24.3%) as auditory learners, and 28 (18.4%) as tactile learners. Visual learners exhibited a significant increase in knowledge scores in visual mode ( P < 0.001) and auditory mode ( P = 0.050). Auditory learners showed a statistically significant increase in scores in all three modes (auditory P < 0.001; visual P = 0.009; tactile P = 0.015). Tactile learners demonstrated a significant increase in scores in visual mode ( P = 0.029) and auditory mode ( P = 0.042).</p><p><strong>Conclusion: </strong>Visual was the most common learning style, followed by auditory and tactile. Visual learners performed best in visual methods, while auditory learners showed significant improvement in all modes. Understanding an individual's learning style helps in delivering tailor-made education strategies, making learning more engaging and effective.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"44 2","pages":"203-210"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825423","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}

{"title":"Effect of ozonated olive oil on postoperative pain, hemostasis, healing following extraction of primary molar: An in vivo study.","authors":"Namrata Jain, Debapriya Pradhan, Saurabh Tiwari, Shubhangi Edla, Shubhi Lal, Nikita Saini","doi":"10.4103/jisppd.jisppd_22_26","DOIUrl":"https://doi.org/10.4103/jisppd.jisppd_22_26","url":null,"abstract":"<p><strong>Background: </strong>Ozonated olive oil, a potent antimicrobial and healing agent, has gained attention in pediatric dentistry for its role in enhancing postextraction socket healing. Both combining the therapeutic effects of ozone and olive oil, it promotes tissue regeneration, reduces inflammation, and minimizes the need for systemic antibiotics and analgesics. Its noninvasive, biocompatible nature makes it particularly suitable for children, ensuring faster recovery with fewer complications, representing a promising advancement in pediatric postoperative care.</p><p><strong>Aim: </strong>To assess the efficacy of ozonated olive oil on postextraction healing.</p><p><strong>Subjects and methods: </strong>A prospective study was conducted on 100 patients who required dual extractions. Primary molars were selected, and extraction sites were chosen randomly first for the ozone therapy group and then for the control group. Patients were followed up on the 3 rd and 7 th day postoperative for evaluation of wound healing using the Healing index of Landry, Turnbull, and Howley, pain using the Visual Analog Scale (VAS) after 6 h and 24 h, and hemostasis using a stopwatch.</p><p><strong>Statistical analysis used: </strong>Postoperative wound healing scores were recorded on an ordinal scale.</p><p><strong>Results: </strong>Postoperatively, VAS scores for pain in Group A were significantly lower than those in Group B after 6 h and 24 h. According to the Landry, Turnbull, and Howley Index, at 3rd and 7th day, post-operative wound healing score in group A was significantly higher than those in Group B. Haemostasis time in group A was significantly shorter than Group B.</p><p><strong>Conclusions: </strong>Ozonated olive oil may be used as a safe and effective alternative to conventional painkillers and antibiotics. Antibiotics in pediatric dentistry should be used judiciously to prevent resistance and unnecessary side effects.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"44 2","pages":"188-194"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825415","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}