K Fasna, Saima Yunus Khan, Ayesha Ahmad, Manoj Kumar Sharma
{"title":"Exploring the association between early childhood caries, malnutrition, and anemia by machine learning algorithm.","authors":"K Fasna, Saima Yunus Khan, Ayesha Ahmad, Manoj Kumar Sharma","doi":"10.4103/jisppd.jisppd_50_24","DOIUrl":"10.4103/jisppd.jisppd_50_24","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to determine the prevalence of early childhood caries in children with severe acute malnutrition (SAM) and also the hierarchy of association if any with malnutrition, anemia, and other risk factors with ECC using machine learning algorithms.</p><p><strong>Methods: </strong>A hospital-based preventive and interventional study was conducted on SAM children (age = 2 to <6 years) who were admitted to the malnutrition treatment unit (MTU). An oral examination for early childhood caries status was done using the deft index. The anthropometric measurements and blood examination reports were recorded. Oral health education and preventive dental treatments were given to the admitted children. Three machine learning algorithms (Random Tree, CART, and Neural Network) were applied to assess the relationship between early childhood caries, malnutrition, anemia, and the risk factors.</p><p><strong>Results: </strong>The Random Tree model showed that age was the most significant factor in predicting ECC with predictor importance of 98.75%, followed by maternal education (29.20%), hemoglobin level (16.67%), frequency of snack intake (9.17%), deft score (8.75%), consumption of snacks (7.1%), breastfeeding (6.25%), severe acute malnutrition (5.42%), frequency of sugar intake (3.75%), and religion at the minimum predictor importance of 2.08%.</p><p><strong>Conclusion: </strong>Anemia and malnutrition play a significant role in the prediction, hence in the causation of ECC. Pediatricians should also keep in mind that anemia and malnutrition have a negative impact on children's dental health. Hence, Pediatricians and Pediatric dentist should work together in treating this health problem.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"42 1","pages":"22-27"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874354","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":"A comparative evaluation of the learning outcome of toothbrushing in preschoolers by a novel cartoon-based education aid with conventional toothbrushing model education technique: A randomized controlled trial.","authors":"Tanvi Saraf, Rahul Hegde, Preetam Shah","doi":"10.4103/jisppd.jisppd_496_23","DOIUrl":"10.4103/jisppd.jisppd_496_23","url":null,"abstract":"<p><strong>Background: </strong>The recommendation of toothbrushing which is twice daily for 2 min is well known, but for most parents, getting their children to brush is a stressful task. The barriers are numerous. In this study, we focused on imparting knowledge and motivation to toothbrushing while making it into a playful activity for the child as well as their parents.</p><p><strong>Aim: </strong>The aim of this study was to comparatively evaluate the learning outcome of toothbrushing by a novel cartoon-based education aid with conventional toothbrushing model education technique in preschoolers.</p><p><strong>Materials and methods: </strong>The study included 43 children aged between 3 and 5 years randomly allocated into two groups: Group A received toothbrushing instruction through play with a novel cartoon-based education aid and Group B received instructions through an acrylic brushing model. Both the groups were recalled on the 8th day, and the glass index was used to assess for plaque estimation. The intergroup comparison was done by unpaired t-test and the intragroup analysis by paired t-test.</p><p><strong>Results: </strong>The comparison of the mean plaque scores in both the groups at the 8th day was not significant statistically (P = 0.965). The intragroup analysis, from baseline to the 8th day, in Group A, with mean difference (0.277 ± 0.751), was not statistically significant (P = 0.135), whereas in Group B, the mean difference (0.400 ± 0.598) was statistically significant (P = 0.008).</p><p><strong>Conclusions: </strong>The reduced mean of plaque scores proves that both the techniques had a positive impact on reducing the plaque scores; however, the comparison between the two groups was not statistically significant.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 4","pages":"302-308"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486487","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":"The prevalence of early childhood caries and treatment needs among children attending Anganwadi centers in Goa state: A cross-sectional survey.","authors":"Nidhi Rangnekar, Paul Chalakkal","doi":"10.4103/jisppd.jisppd_501_23","DOIUrl":"10.4103/jisppd.jisppd_501_23","url":null,"abstract":"<p><strong>Context: </strong>The prevalence of early childhood caries (ECC) is widespread, as reported in studies conducted in various states across India. Many children residing in the rural areas attend Anganwadi centers for preprimary education, nourishment, and health care.</p><p><strong>Aim: </strong>The aim of the study was to determine the prevalence of ECC among children attending Anganwadi centers in the state of Goa and their treatment needs.</p><p><strong>Settings and design: </strong>The study was approved by the Institutional Ethical Committee of Goa Dental College and Hospital. The study was carried out in Anganwadi centers spanning the various districts and talukas of Goa state.</p><p><strong>Materials and methods: </strong>The decayed, missing, and filled teeth (dmft) index was recorded in 3-5-year-old children along with treatment needs as per the modified WHO pro forma.</p><p><strong>Statistical analysis: </strong>Statistical software (STATA) for data science by StataCorp LLC (version 17), descriptive statistics, and Chi-square test.</p><p><strong>Results: </strong>A total of 386 children were examined, out of which 47% had ECC. The prevalence of ECC was highest in Canacona and the least in Tiswadi talukas. The severity and occurrence of ECC were found to the proportional to age. With regard to treatment needs, 8.55% needed restoration of at least one surface, 10.88% needed restoration of 2 or more surfaces, 5.44% required a crown, 11.4% needed pulpal treatment, and 6.74% needed extractions. Within the dmft component, the percentage of decayed teeth was 46.89%, followed by filled (0.52%) and missing (0.52%) teeth.</p><p><strong>Conclusion: </strong>The prevalence and severity of ECC in children attending Anganwadi centers in Goa were found to be large and proportional with increasing age.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 4","pages":"288-296"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486683","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}
M Pushpasanthy, Rena Ephraim, Ambili Ayilliath, K B Dhanya
{"title":"Effectiveness of Aculief acupressure device on pain perception during local anesthesia in children: A double-blinded study.","authors":"M Pushpasanthy, Rena Ephraim, Ambili Ayilliath, K B Dhanya","doi":"10.4103/jisppd.jisppd_370_23","DOIUrl":"10.4103/jisppd.jisppd_370_23","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate the effect of the Aculief acupressure device on the reduction of pain during local anesthesia (LA) in children and to compare it with the cryotherapy technique.</p><p><strong>Methodology: </strong>20 children of age group between 6 and 9 years, requiring pulpectomy or extraction bilaterally were chosen for the study. After ethical clearance and parental consent, children who were not experienced to prior local anesthesia were chosen for the study. A split-mouth study design was done to avoid bias, and children were divided into two groups. During the first visit cryotherapy application was done on any one side followed by the LA, and during the second visit Aculief acupressure application was done, which was followed by the LA. The objective and subjective evaluation of pain during the LA was carried out and analyzed.</p><p><strong>Results: </strong>The objective perception of pain was evaluated using the Sound-Eye-Motor Scale by an observer who was blinded, and the subjective perception of pain by the Wong-Baker Faces Pain Rating Scale was evaluated by the child patient. The statistical analysis and comparison of values were done using the Wilcoxon signed-rank test. The pain during administration of LA was eliminated after the application of the Aculief acupressure device, and the results were superior to the cryotherapy technique.</p><p><strong>Conclusion: </strong>The Aculief acupressure device can be effectively used to eliminate pain perception while administering LA in children. It is a simple, safe, noninvasive, and effective device and is easy to perform.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 4","pages":"309-315"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486622","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":"A comparative evaluation of the fluoride content in commercially available infant formulae in India: An in vitro study.","authors":"Asha Supriya Satti, Radhika Muppa, Ravichandra Sekhar Kotha, Srikanth Koya, Mrudhula J N Kantipudi, Ch Deepthi Siva Harika","doi":"10.4103/jisppd.jisppd_462_23","DOIUrl":"10.4103/jisppd.jisppd_462_23","url":null,"abstract":"<p><strong>Context: </strong>The most critical period for enamel fluorosis to develop is during the early years of life when enamel formation occurs. To minimize the risk of dental fluorosis development, monitoring fluoride intake during teeth development has been suggested. As infant formulae are major source of nutrition in infants, it is important to determine the fluoride content in them in order to monitor the fluoride intake in infants.</p><p><strong>Aims: </strong>To estimate and comparatively evaluate the fluoride content in different commercially available infant formulae in India.</p><p><strong>Methodology: </strong>A total of 16 commercially available infant formulae were collected from local pharma/grocery stores, in which 14 were milk based (Group M) and 2 were soy based (Group S). Fluoride content of the formulae was evaluated using ORION F selective electrode.</p><p><strong>Statistical analysis used: </strong>ANOVA test, t-test.</p><p><strong>Results: </strong>The mean F values for groups M and S were found to be 0.031 and 0.07 ppm, respectively. Fluoride content of milk-based formulae was significantly lesser (P < 0.001) than soy-based formulae. Daily fluoride intake through the tested formulae was in the range of 0.013 mg and 0.105 mg when calculated following the manufacturer's preparation guidelines.</p><p><strong>Conclusions: </strong>Infant formulae alone were unlikely to be a risk factor for dental fluorosis, but when reconstituted with optimally fluoridated water, they can be a risk factor for the development of dental fluorosis.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 4","pages":"328-334"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486413","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}
Shilpa S Naik, Amil Joshi, J Jasmin Winnier, Diksha D Patil, Priya Jayant Gore, Sonal Sanjay Mali
{"title":"Evaluation of dental anxiety in children with Down's syndrome using dog-assisted therapy: A pilot study.","authors":"Shilpa S Naik, Amil Joshi, J Jasmin Winnier, Diksha D Patil, Priya Jayant Gore, Sonal Sanjay Mali","doi":"10.4103/jisppd.jisppd_493_23","DOIUrl":"10.4103/jisppd.jisppd_493_23","url":null,"abstract":"<p><strong>Background: </strong>Dental anxiety and fear are the major treatment challenges faced by pediatric dentists. Oral hygiene in children with Down's syndrome is highly compromised in comparison to their healthy counterparts. Animal-assisted therapy, through dogs, has been beneficial in alleviating dental fear and anxiety in healthy pediatric population.</p><p><strong>Aim: </strong>The aim of the study was to assess the impact of dog-assisted therapy (DAT) on children with Down's syndrome undergoing dental examination and fluoride varnish application in dental operatory.</p><p><strong>Materials and methods: </strong>Twenty children with Down's syndrome between 5 and 12 years of age were selected. Group A (intervention group): DAT was carried out in the dental operatory. Group B (control group): Dental treatment was performed in the absence of a therapy dog in the dental operatory. Anxiety levels were evaluated by recording the pulse rate and revised modified faces version of the Modified Child Dental Anxiety Scale (MCDAS[f]).</p><p><strong>Statistical analysis: </strong>The intergroup comparison of pulse rate was done using an unpaired t-test, whereas the variation in intragroup pulse rate was analyzed using the Analysis of Variance test. The anxiety scores were subjected to a paired t-test for intragroup comparison with P < 0.05 considered to be statistically significant.</p><p><strong>Results: </strong>Reduction in dental anxiety was observed in the intervention group (P < 0.001).</p><p><strong>Conclusion: </strong>DAT can be used as an effective behavior management technique for children with Down's syndrome undergoing dental examination and simple dental procedures in the dental operatory.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 4","pages":"322-327"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486625","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":"Children with special health-care needs - The psychological perspective!","authors":"Sharath Asokan, Sivakumar Nuvvula","doi":"10.4103/jisppd.jisppd_531_23","DOIUrl":"10.4103/jisppd.jisppd_531_23","url":null,"abstract":"","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 4","pages":"265-266"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486489","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}
B V Thimma Reddy, B Uday Kumar Chowdary, J Raghavendra Kumar, R Hemanth Kumar, Veronica Gunde, Spandana Reddy Nagilla
{"title":"Comparative evaluation of human breast milk, bovine milk, and infant milk formula on cariogenicity in children: An in vivo study.","authors":"B V Thimma Reddy, B Uday Kumar Chowdary, J Raghavendra Kumar, R Hemanth Kumar, Veronica Gunde, Spandana Reddy Nagilla","doi":"10.4103/jisppd.jisppd_450_23","DOIUrl":"10.4103/jisppd.jisppd_450_23","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the study was to compare the cariogenicity of human breast milk (HBM), bovine milk, and infant milk formulas.</p><p><strong>Patients and methods: </strong>Ninety children of 1-4 years were randomly selected according to the type of milk they consume and were divided into five groups: Group I - HBM, Group II - cow milk, Group III - buffalo milk, Group IV - Lactogen 2, and Group V - Dexolac 4. Three parameters were assessed (salivary pH, plaque pH, and Streptococcus mutans count). Baseline salivary pH was measured, plaque sample was collected from children before feeding, and then, children were fed with milk. The second sample was collected after 45 min of feeding and the third sample after 3 h of second sample collection. Collected plaque samples were assessed for plaque pH and were sent to microbiological laboratory and cultured on blood agar. The intergroup comparison was done by one-way analysis of variance (ANOVA) and Tukey test. Intragroup comparison was done by one-way anova and Bonferroni test. P < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>No statistically significant difference in intra- and intergroup comparisons of salivary pH was noted. However, with regard to plaque pH, there is a statistically significant difference in the second sample in Groups III, IV, and V. There was an increase in colony-forming units of S. mutans in plaque samples from baseline to the third sample in Groups IV and V.</p><p><strong>Conclusion: </strong>Lactogen 2 and Dexolac 4 showed greater cariogenic activity, buffalo milk is mildly cariogenic, whereas HBM and cow milk showed least cariogenicity.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 4","pages":"274-281"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486553","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":"Quantification of tongue coating using quantitative light-induced fluorescence-digital image analysis and its correlation with visual evaluation.","authors":"Raghavendra Shanbhog, Gunica Harjai, Saisaumya Tiwari, Nandlal Bhojraj","doi":"10.4103/jisppd.jisppd_446_23","DOIUrl":"10.4103/jisppd.jisppd_446_23","url":null,"abstract":"<p><strong>Background: </strong>The tongue coating is a grayish-white deposit that quickly reflects the state of health or disease of the human body. Quantitative light-induced fluorescence (QLF) is a novel digital imaging system that objectively quantifies tongue coating.</p><p><strong>Aims: </strong>The present study aims to evaluate the correlation between the visual assessment of tongue coating and tongue coating by analysis of QLF-digital (QLF-D) images.</p><p><strong>Settings and design: </strong>This was an in vivo explorative study.</p><p><strong>Materials and methods: </strong>Fifty children aged 11-13 years with clinically visible tongue coating were selected for the study. Tongue coating was assessed clinically by the Tongue Coating Index (Shimizu et al., 2007) and digitally by QLF-D Biluminator™ 2, C3 software.</p><p><strong>Statistical analysis: </strong>Data obtained were subjected to statistical analysis using SPSS 23.0 software. Spearman's rho correlation test was done, and P < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>A statistically significant correlation was found between the visual assessment scoring and the QLF image analysis for the evaluation of tongue coating.</p><p><strong>Conclusion: </strong>The Digital QLF tongue imaging system was found to be reliable due to its correlation with the clinical score and objective nature.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 4","pages":"297-301"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486682","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":"Anesthetic efficacy of 4% articaine versus 2% lignocaine in root canal treatment of teeth with molar incisor hypomineralization.","authors":"Ann Mary Thomas, Sajeena George, S Anandaraj","doi":"10.4103/jisppd.jisppd_375_23","DOIUrl":"10.4103/jisppd.jisppd_375_23","url":null,"abstract":"<p><strong>Context: </strong>Inferior alveolar nerve block (IANB) is considered the cornerstone in achieving anesthesia for mandibular molars. However, failure of routine lignocaine IANB to achieve profound anesthesia of the pulp has been reported in patients with molar incisor hypomineralization (MIH). Articaine 4% with epinephrine 1:100,000 has proven to provide total pain relief during most dental procedures.</p><p><strong>Aims: </strong>This study aimed to assess and compare the pain perception level in children using Visual Analog Scale (VAS) during root canal treatment after administering 4% articaine buccal infiltration (BI), 4% articaine IANB, and 2% lignocaine IANB.</p><p><strong>Subjects and methods: </strong>Twenty-seven children aged 8-12 years, requiring root canal treatment of mandibular first permanent molars with MIH were randomly allocated into three groups - 4% articaine (1:100,000 epinephrine) BI, 4% articaine (1:100,000 epinephrine) IANB, and 2% lignocaine IANB. The efficacy of the anesthetic was determined by rating the pain perception of the child using a VAS.</p><p><strong>Statistical analysis used: </strong>The scores marked by the children on the VAS were recorded and were statistically analyzed. Data were entered into Microsoft excel data sheet and were analyzed using SPSS for Windows version 17.0.</p><p><strong>Results: </strong>Patients anesthetized with 4% articaine IANB presented lesser pain scores compared to IANB with 2% lidocaine and 4% articaine BI on access opening and instrumentation of the root canals.</p><p><strong>Conclusion: </strong>4% articaine IANB has better anesthetic efficacy than 4% articaine BI and 2% lignocaine IANB in anesthetising mandibular first permanent molars with MIH.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 4","pages":"316-321"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486423","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}