{"title":"Evaluation of the effectiveness of sucrose versus xylitol application in minimizing pain related to dental injection in 5-7-year-old children - A randomized controlled pilot study.","authors":"J Jasmin Winnier, Ishani Ratnaparkhi, Amil Joshi, Zaineb Haradwala, Reema Manoj, Shilpa S Naik","doi":"10.4103/jisppd.jisppd_250_23","DOIUrl":"10.4103/jisppd.jisppd_250_23","url":null,"abstract":"<p><strong>Background: </strong>Oral application of sweet-tasting solutions has found to be effective in minimizing pain on dental injection in children. Xylitol has never been tested in this regard.</p><p><strong>Aim: </strong>The aim of this study was to compare the effectiveness of prior application of sucrose versus xylitol solution in minimizing pain on dental injection in 5-7-year-old children.</p><p><strong>Settings and design: </strong>This study was a randomized controlled clinical trial.</p><p><strong>Materials and methods: </strong>Informed consent was taken. A total of 30 children who required maxillary buccal infiltration injection were selected. The children were randomly allocated into the sucrose group, xylitol group, or control group by lottery method. In the sucrose and xylitol groups, 30% sucrose or 30% xylitol solution was applied on the lateral surface of the tongue for 2 min. In the control group, distilled water was applied. In all the groups, the topical anesthetic was applied at the site of injection followed by buccal infiltration. A video was taken during injection, and the sound eye-motor (SEM) scale was recorded by a blinded examiner. Patients were asked to self-evaluate using the Wong-Baker Faces Pain Scale (WBFPS).</p><p><strong>Statistical analysis: </strong>Mann-Whitney test was used to analyze the data.</p><p><strong>Results: </strong>There was a statistically significant difference in the WBFPS and the SEM score between the sucrose and the control group (P < 0.05) and the xylitol and control group (P < 0.05). No statistically significant difference was found between the sucrose and xylitol group.</p><p><strong>Conclusion: </strong>The application of xylitol solution before dental injection was as effective as sucrose solution in minimizing pain during the injection.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 3","pages":"216-221"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687301","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":"Barriers in maintaining oral health among the children with cerebral palsy - Parent/caregiver's perspective.","authors":"Diana Constance, Rohini Subbiah, Aparna Sukumaran, Parangimalai Diwakar Madankumar","doi":"10.4103/jisppd.jisppd_360_23","DOIUrl":"10.4103/jisppd.jisppd_360_23","url":null,"abstract":"<p><strong>Background: </strong>Cerebral palsy (CP) is primarily a neuromotor disorder that affects the development of movement, muscle tone, and posture.</p><p><strong>Objective: </strong>This qualitative study explores the underlying barriers in maintaining oral health from the perspective of the caregivers or parents.</p><p><strong>Materials and methods: </strong>Focus group discussion was conducted with the parents or caregivers in the National Institute for Empowerment of Persons with Multiple Disabilities (NIEPMD), Muttukadu, Chennai. Data were collected from seven participants. Thematic analysis identified key themes using NVivo software.</p><p><strong>Results: </strong>The discussion on barriers to maintain oral health faced by parents of children with CP identified a collation of three key themes: behavioral challenges, inhibited social and communication skills, and parental dependence.</p><p><strong>Conclusion: </strong>Oral health professionals should aim to raise awareness among health-care professionals to work toward reducing the barriers to oral health care that these populations currently experience.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 3","pages":"234-238"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687296","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}
Lekshmy S R Nair, Sageena George, S Anandaraj, Joby Peter, R A Soorya, Shiad Salim
{"title":"Knowledge, attitude, and practice regarding different domains of pediatric obstructive sleep apnea among pediatric dentists from Kerala: A cross-sectional study.","authors":"Lekshmy S R Nair, Sageena George, S Anandaraj, Joby Peter, R A Soorya, Shiad Salim","doi":"10.4103/jisppd.jisppd_226_23","DOIUrl":"10.4103/jisppd.jisppd_226_23","url":null,"abstract":"<p><strong>Background: </strong>Pediatric dentists should play an essential role in obstructive sleep apnea (OSA) screening, referral, and management of their child patients. However, few studies have investigated pediatric dentists' knowledge, attitude, and practice aspects regarding different domains of pediatric OSA.</p><p><strong>Aim of the study: </strong>This cross-sectional survey aimed to assess the knowledge, attitude, and practice aspects of different domains of pediatric OSA among pediatric dentists from Kerala.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in Kerala. The sample frame consisted of 163 dentists, and the minimum required was 115. Ethical approval was obtained before starting the study.</p><p><strong>Settings and design: </strong>An invitation E-mail explaining the purpose of the study with a survey link was sent to the pediatric dentists from Kerala (n = 163). Nonrespondents were contacted at timely intervals.</p><p><strong>Statistical analysis: </strong>Categorical and quantitative variables were expressed as frequency (percentage) and mean ± standard deviation, respectively. Chi-square test was used to find an association between categorical variables. Statistical analysis was performed using a statistical software package, SPSS, version 20.0.</p><p><strong>Results and conclusion: </strong>This cross-sectional study showed that pediatric dentists in Kerala have a moderate-to-good level of knowledge, along with a positive attitude toward different domains of pediatric OSA, but lag behind in the practice aspects. Hence, they are required to direct themselves toward continuing dental education programs in order to boost their routine practice. For this, steps must be taken to ensure proper networking of the practitioners and amendments in the dental billing system similar to the medical counterpart.</p>","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 3","pages":"181-189"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687302","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":"Malocclusion in children - The psychological perspective!","authors":"Sharath Asokan, Sivakumar Nuvvula","doi":"10.4103/jisppd.jisppd_472_23","DOIUrl":"10.4103/jisppd.jisppd_472_23","url":null,"abstract":"","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 3","pages":"179-180"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687303","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 Swathi Renuka, Ashwin P Rao, Srikant Natarajan, Y M Karuna, P Anupama Nayak, Shweta Rao
{"title":"Reliability of the electric pulp tester as an indicator of pulpal anesthesia in primary maxillary posterior teeth to assess the need for supplemental injections: An observational clinical study.","authors":"M Swathi Renuka, Ashwin P Rao, Srikant Natarajan, Y M Karuna, P Anupama Nayak, Shweta Rao","doi":"10.4103/jisppd.jisppd_294_23","DOIUrl":"10.4103/jisppd.jisppd_294_23","url":null,"abstract":"Background: The primary maxillary molars occasionally remain sensitive during operative procedures even post the buccal supraperiosteal injection. This could be due to the widely flared palatal roots receiving accessory innervation from the palatal nerves. Identifying inadequate anesthesia upfront using the electric pulp test (EPT) would give vital information to the clinician on the need of a supplemental palatal injection. Aim: The aim of this study was to assess and evaluate the reliability of the EPT as an indicator of pulpal anesthesia in primary maxillary molars. Methodology: Fifty one primary maxillary molars were subjected to the EPT following a buccal supraperiosteal injection. During the operative procedure, the “ Face Legs Activity Cry Consolability” (FLACC) scores were recorded. The outcome of the EPT was correlated with the results of the FLACC score using Pearson's Chi-square test. Results: The EPT results were correlated to the FLACC scores. Five out of the 10 primary maxillary second molars which responded to the EPT scored 0 on the FLACC scale. The remaining 5 teeth scored 1 on the FLACC scale. The P value was 0.056 which was not statistically significant. This infers that the EPT is not a reliable tool to assess the adequacy of pulpal anesthesia in primary maxillary second molars. Conclusion: From the results of the present study, it can be concluded that the EPT is not a reliable tool to be used as an indicator of pulpal anesthesia in primary maxillary molars.","PeriodicalId":101311,"journal":{"name":"Journal of the Indian Society of Pedodontics and Preventive Dentistry","volume":"41 3","pages":"228-233"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687306","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}