International Journal of Clinical Pediatric Dentistry最新文献

{"title":"A Comparative Study of the CARD™ System and Tell-show-do Technique in the Behavior Management of 6-10-year-old Children.","authors":"Asvitha Babu, Ar Senthil Eagappan, Daya Srinivasan, Lavanya Mangala Valli","doi":"10.5005/jp-journals-10005-3023","DOIUrl":"10.5005/jp-journals-10005-3023","url":null,"abstract":"<p><strong>Background: </strong>Dental fear and anxiety are common issues affecting pediatric dental care, leading to challenges in treatment delivery and patient compliance. Nonpharmacological techniques such as the tell-show-do (TSD) method and CARD™ system have emerged as effective strategies for managing child dental anxiety.</p><p><strong>Aim: </strong>This study aims to compare the effectiveness of the CARD™ system and TSD technique in managing the behavior of 6-10-year-old children during dental procedures.</p><p><strong>Methods: </strong>Forty children requiring invasive dental treatments were randomly assigned to either the TSD technique (group 1, <i>n</i> = 20) or CARD™ system (group 2, <i>n</i> = 20) groups. Physiological parameters (oxygen saturation and pulse rate) and behavioral responses (evaluated using the Facial Image Scale) were assessed before and after procedures. Data were analyzed using <i>t</i>-tests and Mann-Whitney <i>U</i> tests as appropriate.</p><p><strong>Results: </strong>No statistically significant differences were found between the techniques regarding physiological parameters or behavioral responses. Both groups exhibited comparable oxygen saturation levels (CARD™: 98.00 ± 1.02; TSD: 98.00 ± 1.12) and pulse rates (CARD™: 87.45 ± 7.28 bpm; TSD: 90.30 ± 10.26 bpm) before procedures, with minimal changes observed postprocedure. Similarly, there were no significant differences in emotional responses assessed by the Facial Image Scale before (CARD™: 1.90 ± 0.85; TSD: 1.80 ± 0.76) or after procedures (CARD™: 2.80 ± 1.60; TSD: 2.95 ± 1.50).</p><p><strong>Conclusion: </strong>This study suggests that the CARD™ system and TSD technique are equally effective in managing child dental anxiety. Both methods offer viable options for reducing anxiety and enhancing cooperation during dental procedures.</p><p><strong>How to cite this article: </strong>Babu A, Eagappan SAR, Srinivasan D, <i>et al</i>. A Comparative Study of the CARD™ System and Tell-show-do Technique in the Behavior Management of 6-10-year-old Children. Int J Clin Pediatr Dent 2025;18(1):53-57.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 1","pages":"53-57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664880","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}

{"title":"Development and Refinement of the Indian Caries Risk Assessment Tool for Children <6 Years of Age.","authors":"Saima Y Khan, Robert J Schroth, Faraha Javed","doi":"10.5005/jp-journals-10005-3025","DOIUrl":"10.5005/jp-journals-10005-3025","url":null,"abstract":"<p><strong>Aim and background: </strong>Early childhood caries (ECC) is a significant oral health problem in India. Personalized care based on individual or group risk has become a key aspect of dental caries prevention and management. However, an appropriate tool for caries risk assessment (CRA), taking into consideration the protective and risk factors for ECC specific to the Indian population, does not exist. This study aimed to report on the development and refinement of an evidence-based CRA tool for Indian children <6 years of age through consultation and feedback by dental professionals.</p><p><strong>Materials and methods: </strong>Stakeholder consultation sessions were conducted with 65 participants, which included dental professionals and postgraduate residents. A survey questionnaire was also used to collect feedback on the initial draft of the newly developed Indian CRA tool. Predominant preferences and recommendations for improvement were taken into consideration, and the data were descriptively analyzed.</p><p><strong>Results: </strong>The consultation sessions were conducted separately with three groups. A total of 80% of participants also completed the survey questionnaire. Survey questionnaire results reveal that 82.7% considered the current proposed questions in the Indian CRA tool to be sufficient, while 86.5% indicated that the tool would be understandable by parents. Overall, the majority of respondents (96.2%) agreed on the importance of the drafted Indian CRA tool for tailoring anticipatory guidance and treatment for individual children.</p><p><strong>Conclusion: </strong>The newly developed CRA tool for Indian preschool children will be a useful resource for dental practitioners to assess young children's individual caries risk levels and assist with providing a personalized preventive service to children. The developed tool was refined based on dental professional feedback and was found to be a user-friendly, simple, practical, and evidence-based approach.</p><p><strong>Clinical significance: </strong>This study developed the first evidence-based CRA tool for preschoolers in India. Researchers drafted and then refined the tool through consultation with stakeholders. The final CRA tool is evidence- and algorithm-based, easy to use, and considers the risk factors specific to ECC of the Indian preschool population.</p><p><strong>How to cite this article: </strong>Khan SY, Schroth RJ, Javed F. Development and Refinement of the Indian Caries Risk Assessment Tool for Children <6 Years of Age. Int J Clin Pediatr Dent 2025;18(1):58-63.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 1","pages":"58-63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664923","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}

{"title":"Acceptance of Staff and Students of a Private Dental College for a Novel Diagnostic Tool to Replace the Dental Probe: A Cross-sectional Study.","authors":"Ashwin M Jawdekar, Abhishek D Walhekar, Laresh Mistry, Amar N Katre","doi":"10.5005/jp-journals-10005-3038","DOIUrl":"10.5005/jp-journals-10005-3038","url":null,"abstract":"<p><strong>Aim and background: </strong>The dental probe is a commonly used instrument for the visuotactile examination of teeth in the diagnosis of caries, periodontal conditions, etc., and also for the removal of debris. Due to its sharp end and invasive nature, its use is controversial in children. A study was conducted to assess the acceptance of dental college staff and students for a novel diagnostic tool to replace the dental probe.</p><p><strong>Materials and methods: </strong>A questionnaire was developed and validated to record the responses pertaining to several considerations for the replacement of the dental probe and acceptance of the novel tool from the staff and clinical students of two departments (Oral Medicine and Pediatric Dentistry) of a private dental college and hospital.</p><p><strong>Results: </strong>Both staff and clinical students of two departments indicated acceptance for the use of the novel diagnostic tool to replace the dental probe with reference to several parameters. In the interdepartmental comparison, the staff and students of pediatric dentistry preferred the novel tool compared to those of Oral Medicine, and in the interdesignational comparison, students preferred the novel tool to replace the dental probe more than the staff [assessed using the mean and standard deviation (SD) acceptance using <i>t</i>-test with significance <0.05].</p><p><strong>Conclusion: </strong>In conclusion, the novel diagnostic tool to replace the dental probe has potential for acceptance and can be recommended for further use and more research.</p><p><strong>Clinical significance: </strong>The novel diagnostic tool to replace the dental probe can help dentistry present in a less invasive and more attractive manner.</p><p><strong>How to cite this article: </strong>Jawdekar AM, Walhekar AD, Mistry LN, <i>et al</i>. Acceptance of Staff and Students of a Private Dental College for a Novel Diagnostic Tool to Replace the Dental Probe: A Cross-sectional Study. Int J Clin Pediatr Dent 2025;18(1):86-90.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 1","pages":"86-90"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664898","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}

{"title":"Comparative Evaluation of Effectiveness of Benzocaine Gel and Ice for Pain Management in Children during Local Anesthetic Administration by CCLAD: A Randomized Controlled Trial.","authors":"Nupur Ninawe, C K Anija","doi":"10.5005/jp-journals-10005-3045","DOIUrl":"10.5005/jp-journals-10005-3045","url":null,"abstract":"<p><strong>Aims and background: </strong>Managing dental pain in pediatric patients is crucial for successful treatment and reducing anxiety. Methods such as topical anesthetics, distraction techniques, and computerized systems such as the \"WAND\" help reduce discomfort during local anesthetic administration. However, cryotherapy for precooling injection sites is cost-effective and potentially more effective alternative to traditional topical medications. The aim of this study was to evaluate and compare the effectiveness of ice and benzocaine gel as topical agents for pain management during local anesthetic administration via a computer-controlled local anesthetic delivery (CCLAD) system.</p><p><strong>Materials and methods: </strong>A split-mouth, single-blinded, randomized controlled clinical trial was conducted involving healthy children aged between 5 and 10 years who required maxillary bilateral local anesthesia for dental procedures. The objective pain was measured using the Modified Behavioral Pain Scale during the administration of local anesthetic via CCLAD, with the application of topical agent, ice, and benzocaine gel. Moreover, subjective pain was evaluated using the Wong-Baker Faces Pain Rating Scale.</p><p><strong>Results: </strong>The topical ice group showed a lower Wong-Baker Facial Pain Scale score compared to the group using benzocaine gel; however, the observed difference was not statistically significant. Topical ice application showed a lower modified pain scale score compared to the benzocaine gel group; however, the observed difference was not statistically significant.</p><p><strong>Conclusion: </strong>Topical ice shows better results when compared to benzocaine topical anesthetic gel. Topical ice application along with CCLAD is an almost zero-pain injection technique in pediatric dentistry.</p><p><strong>Clinical significance: </strong>Pain management during local anesthesia injection is a critical step in gaining initial trust during dental treatment. Precooling the injection site with cryotherapy is beneficial in reducing pain before local anesthesia injection in pediatric patients.</p><p><strong>How to cite this article: </strong>Ninawe N, Anija CK. Comparative Evaluation of Effectiveness of Benzocaine Gel and Ice for Pain Management in Children during Local Anesthetic Administration by CCLAD: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2025;18(1):19-23.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 1","pages":"19-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664906","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}

{"title":"Comparison of the Efficacy of Aromatherapy and Bubble Breath Play Therapy in Reducing Dental Anxiety in Children: A Randomized Clinical Trial.","authors":"Rohini R Bartakke, Mayur S Bhattad, Pritee Bargaje, Komal Chaudhari, Apurva Rane, Sanpreet S Sachdev","doi":"10.5005/jp-journals-10005-3020","DOIUrl":"10.5005/jp-journals-10005-3020","url":null,"abstract":"<p><strong>Aim and background: </strong>Managing dental anxiety in children is a challenging aspect of pediatric dentistry, often addressed using various pharmacologic and nonpharmacologic methods. Nonpharmacologic methods are preferred due to their noninvasiveness and minimal adverse effects. This study compares the efficacy of aromatherapy and bubble breath play therapy (BBPT) in reducing dental anxiety in pediatric patients.</p><p><strong>Materials and methods: </strong>In this randomized clinical trial, 64 healthy children aged 6-10 years with moderate-to-severe dental anxiety and attending their first dental visit were included. Participants were randomly assigned to either the aromatherapy group, where lavender essential oil was diffused, or the BBPT group, where children engaged in bubble blowing for 5 minutes. Anxiety levels were assessed using the Chhota Bheem-Chutki Scale (CBCS), pulse rate (PR), and oxygen saturation (SpO₂) levels at baseline, postintervention, and posttreatment.</p><p><strong>Results: </strong>Both interventions significantly reduced anxiety levels; BBPT showed a greater reduction (<i>p</i> < 0.001) than aromatherapy. PR significantly decreased post-BBPT (<i>p</i> < 0.05) but not with aromatherapy. SpO₂ levels improved significantly in the BBPT group (<i>p</i> < 0.05). Intergroup comparisons indicated BBPT had superior outcomes in reducing anxiety and PR and improving SpO₂ levels compared to aromatherapy.</p><p><strong>Conclusion: </strong>Both aromatherapy and BBPT effectively reduce dental anxiety in children, with BBPT offering additional benefits due to its interactive nature. Future research should explore long-term effectiveness and personalized approaches to optimize anxiety management strategies in pediatric dental settings.</p><p><strong>Clinical significance: </strong>The relatively novel nonpharmacological behavior management techniques of aromatherapy and BBPT can be incorporated into the routine clinical practice of pediatric dentists to effectively reduce the anxiety of the patients. This would improve their cooperation during the treatment procedures, reduce the chairside time, and also improve the treatment outcome and subsequently, the overall quality of health care.</p><p><strong>How to cite this article: </strong>Bartakke RR, Bhattad MS, Bargaje P, <i>et al</i>. Comparison of the Efficacy of Aromatherapy and Bubble Breath Play Therapy in Reducing Dental Anxiety in Children: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2025;18(1):29-33.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 1","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664916","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}

{"title":"Cariogram-based Comparison of Caries Risk Profile in Preschoolers Before and After Giving Parent-oriented Educational Mobile Messages: A Randomized Controlled Trial.","authors":"Anu Sara Varghese, Roopali M Sankeshwari, Mahantesh B Nagamoti, Anil V Ankola, Shushant Iragonda Jigan, Prajakta J Chavan, Varkey Nadakkavukaran Santhosh, Atrey J Pai Khot","doi":"10.5005/jp-journals-10005-3022","DOIUrl":"10.5005/jp-journals-10005-3022","url":null,"abstract":"<p><strong>Background: </strong>Mobile health (mHealth) holds immense promise in revolutionizing personalized approaches to disease prevention. Parental involvement plays an important role in shaping children's oral health behaviors.</p><p><strong>Aim: </strong>To assess and compare the effectiveness of parent-oriented educational mobile messages and conventional oral health education (OHE) in the caries risk profile among preschoolers using Cariogram.</p><p><strong>Materials and methods: </strong>A double-arm, parallel-group randomized controlled trial was conducted with 100 mother-child pairs from four preschools. The study recruited mothers with smartphones, while children who were ill and without dental caries were excluded. A computer-generated table of random numbers was employed to randomize participants to the mHealth group (<i>n</i> = 50) and conventional OHE group (<i>n</i> = 50). The intervention group received educational messages <i>via</i> WhatsApp every 2 weeks for 4 months, alongside conventional OHE, and the control group (<i>n</i> = 50) received only OHE. The outcome assessor remained blinded throughout the study period. Cariogram was assessed at baseline and after 4 months.</p><p><strong>Results: </strong>Among the 100 mother-child pairs who enrolled in the study, 84 completed it. The mHealth group showed a significant increase in the chance to avoid new cavities and a decrease in high-risk participants (<i>p</i> < 0.001). Additionally, the intervention group exhibited reduced <i>Lactobacillus</i> count, snack frequency, plaque amount, and increased fluoride exposure compared to baseline (<i>p</i> < 0.001). Intergroup comparisons revealed significant differences in most caries risk factors, except salivary flow rate, <i>Streptococcus mutans</i> count, decayed, missing and filled teeth (DMFT) scores, and buffering capacity.</p><p><strong>Conclusion: </strong>This study demonstrated the effectiveness of parent-oriented mHealth education in reducing caries risk among preschoolers when compared to conventional OHE.</p><p><strong>Clinical significance: </strong>This study provides evidence that supports the creation of digital strategies for early childhood caries prevention programs. These strategies empower individuals to take charge of their dental care, particularly laypersons, enhancing self-management.</p><p><strong>Ctri number: </strong>CTRI/2023/03/050519.</p><p><strong>How to cite this article: </strong>Varghese AS, Sankeshwari RM, Nagamoti MB, <i>et al</i>. Cariogram-based Comparison of Caries Risk Profile in Preschoolers Before and After Giving Parent-oriented Educational Mobile Messages: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2025;18(1):45-52.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 1","pages":"45-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664900","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}

{"title":"Comparative Evaluation of Surface Microhardness of Zirconia-reinforced Glass Ionomer Cement and Conventional Glass Ionomer Cement after Immersion in an Acidic Drink: An <i>In Vitro</i> Study.","authors":"Tarandeep Kour, Prinka Shahi, Suma Sogi, Roopam Kapoor, Neetu Jain, Apurva Gambhir","doi":"10.5005/jp-journals-10005-3019","DOIUrl":"10.5005/jp-journals-10005-3019","url":null,"abstract":"<p><strong>Background: </strong>Microhardness is one of the most imperative physical characteristics for comparative study of dental material. Under acidic conditions, restorative materials experience degradation over time, which can be envisaged by changes in the surface characteristics such as downturn in hardness. Thus, we aim to assess the effect of acidic drink on microhardness of zirconia-reinforced glass ionomer cement (GIC) and conventional GIC.</p><p><strong>Materials and methods: </strong>Zirconia-reinforced GIC and conventional GIC were chosen for this present study. A total of 60 study pellets were prepared and divided into two groups. Group A consisted of 30 pellets of zirconia-reinforced GIC and group B consisted of 30 pellets of conventional GIC. Baseline readings of microhardness were taken by Vickers hardness testing machine. The samples of groups A and B were further divided into three subgroups. Subgroup 1: immersed in distilled water for 1 day (control). Subgroup 2: immersed in Coca-Cola for 1 day. Subgroup 3: immersed in Coca-Cola for 7 days. Surface hardness values were recorded after 1 day for subgroups 1 and 2 and after 7 days for subgroup 3.</p><p><strong>Results: </strong>The surface microhardness of zirconia-reinforced GIC was significantly higher than conventional GIC when intergroup comparison was made. There was no statistically significant difference in microhardness of both conventional GIC and zirconia-reinforced GIC from baseline values after 1 day of immersion either in distilled water or Coca-Cola. Microhardness of both conventional GIC and zirconia-reinforced GIC showed a significant rise from baseline after immersion in Coca-Cola after 7 days.</p><p><strong>Conclusion: </strong>Both the materials tested resisted acidic challenge; however, zirconia-reinforced GIC showed greater microhardness and can be considered as an alternative material of choice for conventional GIC.</p><p><strong>How to cite this article: </strong>Kour T, Shahi P, Sogi S, <i>et al</i>. Comparative Evaluation of Surface Microhardness of Zirconia-reinforced Glass Ionomer Cement and Conventional Glass Ionomer Cement after Immersion in an Acidic Drink: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2025;18(1):6-12.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 1","pages":"6-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664913","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}

{"title":"Comparison of Effectiveness of Virtual Reality and Clown Dentists as Anxiety Management Tools among 3-13-year-old Children for Dental Procedures: A Randomized Controlled Trial.","authors":"Sfurty Prakash, Neha Sheoran, Bhavna G Saraf, Vrinda Sharma, Wajiha Khan, Manish Shaw","doi":"10.5005/jp-journals-10005-2972","DOIUrl":"10.5005/jp-journals-10005-2972","url":null,"abstract":"<p><strong>Background: </strong>The procedural pain in dentistry has undesirable effect on child's psychology and future dental visits; therefore, means to decrease these is absolutely essential.</p><p><strong>Aim: </strong>To assess the effectiveness and comparison of virtual reality (VR) and clown dentists as anxiety management tools.</p><p><strong>Design: </strong>This prospective three-arm randomized controlled trial included children aged 3-13 years. They were divided randomly into three groups, a control group (group I) in whom no anxiety management was given and two test groups in whom intervention by VR (group II) or clown dentists/hospital clown (group III) was imparted. Heart rate and anxiety scores were measured by Chota Bheem-Chutki (CBC) pain scale before and after procedure.</p><p><strong>Results: </strong>Data was analyzed for 159 children. The mean anxiety pretreatment in group I was 2.09, in group II it was 3.03, and in group III it was 3.15. Posttreatment, the anxiety level spiked in group I to 3.20, whereas it dipped in group II and III, the mean level being 1.81 and 1.84, respectively, the difference being statistically significant.</p><p><strong>Conclusion: </strong>The anxiety and hemodynamic parameter were lower in both intervention groups (VR and dental clown) than those of the control group.</p><p><strong>How to cite this article: </strong>Prakash S, Sheoran N, Saraf BG, <i>et al</i>. Comparison of Effectiveness of Virtual Reality and Clown Dentists as Anxiety Management Tools among 3-13-year-old Children for Dental Procedures: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2025;18(1):105-113.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 1","pages":"105-113"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664859","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}

{"title":"Evaluation of the Shear Peel Bond Strength of the Computer-aided Design/Computer-aided Manufacturing Polyetheretherketone Band for Space Maintainer: An <i>In Vitro</i> Study.","authors":"Osama S Mohamed, Inas Karawia, Alaa Hosny Gaber, Mohamed Ashraf Hall","doi":"10.5005/jp-journals-10005-3028","DOIUrl":"10.5005/jp-journals-10005-3028","url":null,"abstract":"<p><strong>Background and aim: </strong>Computer-aided design/computer-aided manufacturing (CAD/CAM)-fabricated space maintainers offer a reliable alternative to traditionally fabricated stainless steel (SST) appliances, avoiding their commonly encountered drawbacks. The aim of this study is to evaluate the shear peel bond strength of the CAD/CAM polyetheretherketone (PEEK) space maintainer in comparison with an SST one.</p><p><strong>Materials and methods: </strong>The study was conducted on 50 molars, divided into two groups: a customized PEEK band (study group) and a prefabricated SST orthodontic molar band (control group). The crowns of the study group were scanned using a lab scanner, the bands were designed using ExoCAD software, and the PEEK disks were milled. The inner surfaces of the PEEK bands were sandblasted, etched, rinsed, and dried. Both bands were cemented to the teeth using self-etch dual-cure resin cement. The sheer peel bond of the bands was tested twice, both before and after cementation, using an electromechanical tensile universal testing machine. The data were analyzed using Statistical Package for the Social Sciences (SPSS) software.</p><p><strong>Results: </strong>Prior to cementation, the peel bond strength of the PEEK band (0.02 ± 0.01) was significantly higher than the SST band (0.01 ± 0.00) (<i>p</i> = 0.000). Additionally, the PEEK band's shear peel bond strength (0.58 ± 0.18) following cementation with self-etch dual-cure dental resin cement was considerably higher than the SST band's shear peel bond strength (0.49 ± 0.24) (<i>p</i> = 0.04).</p><p><strong>Conclusion: </strong>PEEK bands designed with CAD/CAM technology showed a better shear peel bond than SST bands, both before and following cementation, which imply that PEEK might provide a dependable alternative for traditional SST bands used in pediatric dentistry.</p><p><strong>How to cite this article: </strong>Mohamed OS, Karawia I, Gaber AH, <i>et al</i>. Evaluation of the Shear Peel Bond Strength of the Computer-aided Design/Computer-aided Manufacturing Polyetheretherketone Band for Space Maintainer: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2025;18(1):75-79.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 1","pages":"75-79"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664886","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}

{"title":"Effect of Bubble Breath Play Therapy in Anxiety Levels and Pain Perception in Children Receiving Local Anesthesia: A Randomized Clinical Trial.","authors":"Shrimahalakshmi, Preethi B Shivanand, M Nisha, Preethi Archana","doi":"10.5005/jp-journals-10005-3021","DOIUrl":"10.5005/jp-journals-10005-3021","url":null,"abstract":"<p><strong>Aim and objectives: </strong>The objective of the study was to evaluate the effect of breathing exercise with and without bubble breath play therapy (BBPT) on pain perception and anxiety levels during local anesthesia administration in children aged between 6 and 11 years.</p><p><strong>Materials and methods: </strong>Total 36 children were selected and randomly allocated between two experimental groups and a control group. Group A: BBPT, group B: diaphragmatic breathing exercises (DBE), and group C: conventional techniques. The effectiveness of breathing exercise, BBPT, and behavior management technique in reducing anxiety levels and pain perception was assessed before intervention, after intervention, during local anesthetic (LA) administration, and after treatment using the animated visual pain rating scale (VPRS), pulse rate, oxygen saturation, Frankl's scale, FLACC (face, legs, activity, cry, consolability) scale, and relaxation measurement scale (RMS).</p><p><strong>Results: </strong>There were no significant differences found between the two intervention groups (group A and group B). Both intervention groups significantly reduced dental pain and anxiety in children.</p><p><strong>Conclusion: </strong>BBPT is found to be a simple relaxation and distraction method, which can be considered fun and enhances rapport between doctor and children during treatment. The use of such a technique to relieve the pain and anxiety associated with even a brief painful procedure should be encouraged.</p><p><strong>How to cite this article: </strong>Shrimahalakshmi, Shivanand PB, Nisha M, <i>et al</i>. Effect of Bubble Breath Play Therapy in Anxiety Levels and Pain Perception in Children Receiving Local Anesthesia: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2025;18(1):24-28.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 1","pages":"24-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664927","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}