International Journal of Clinical Pediatric Dentistry最新文献

{"title":"Effect of Occlusal Reduction on Pain in Posterior Teeth with Necrosis and Apical Periodontitis: A Randomized Controlled Trial.","authors":"Pankaj Sangwan, Hans Raj Saini, Aditi Sangwan","doi":"10.5005/jp-journals-10005-3595","DOIUrl":"10.5005/jp-journals-10005-3595","url":null,"abstract":"<p><strong>Introduction: </strong>This randomized controlled trial evaluated the impact of occlusal reduction on postoperative pain after chemomechanical preparation.</p><p><strong>Materials and methods: </strong>102 asymptomatic teeth with pulp necrosis and apical periodontitis were randomly allocated to two equal groups: the control group (NOR) and the occlusal reduction (OR) group. The root canal treatment was performed according to a predefined standardized protocol. Patients were prescribed Ibuprofen 400 mg to be consumed 8 hourly, if required. Postoperative pain and analgesic consumption were documented for 7 days following chemomechanical preparation. The data analysis was performed using Mann-Whitney U and Chi-square tests.</p><p><strong>Results: </strong>A significant postoperative pain difference was found between the two groups on the first 3 days, with higher pain observed in NOR as compared to OR (<i>p</i> < 0.05). The prevalence of pain was higher in NOR (47.06%) as compared to OR group (29.41%), but the difference was not significant (<i>p</i> > 0.05). No significant differences were observed in the mean number of analgesic doses consumed and the prevalence of analgesic intake between the two groups (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>Postoperative pain incidence was comparable in the two groups. The difference in postoperative pain intensity was statistically significant on the first 3 days. The reduction observed, however, lacked clinical relevance.</p><p><strong>How to cite this article: </strong>Sangwan P, Saini HR, Sangwan A. Effect of Occlusal Reduction on Pain in Posterior Teeth with Necrosis and Apical Periodontitis: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2026;19(8):957-962.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"957-962"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991301","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":"Salivary Lactate Dehydrogenase and Matrix Metalloproteinase-8 as Predictive Biomarkers in Early Childhood Caries: A Cross-sectional Study.","authors":"Vatsalya Kommalapati, Neeharika Soorneedi, Atluri N Supraja, Nikitha R Ravula, Rapala Harika, Nachu L Manojna","doi":"10.5005/jp-journals-10005-3599","DOIUrl":"10.5005/jp-journals-10005-3599","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries (ECC) remains a prevalent and aggressive dental disease in preschool children, often progressing rapidly if not detected early. Traditional diagnostic methods are limited to visual and radiographic findings, which may identify lesions only after substantial demineralization. Salivary biomarkers such as lactate dehydrogenase (LDH) and matrix metalloproteinase-8 (MMP-8) have emerged as promising noninvasive indicators of early pathological changes in the oral environment.</p><p><strong>Aim: </strong>To evaluate salivary LDH and MMP-8 levels in preschool children with and without ECC and to assess their potential as predictive biomarkers.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted on 80 children aged 3-6 years. Participants were divided into two groups: group I (caries-free, <i>n</i> = 40) and group II (with ECC, <i>n</i> = 40). Unstimulated saliva samples were collected and analyzed for LDH activity (spectrophotometric assay) and MMP-8 concentration [enzyme-linked immunosorbent assay (ELISA)]. Data were statistically analyzed using Student's <i>t</i>-test and Pearson's correlation.</p><p><strong>Results: </strong>Mean salivary LDH levels were significantly higher in the ECC group (365.2 ± 42.8 U/L) compared to the caries-free group (228.5 ± 38.6 U/L, <i>p</i> < 0.001). Similarly, salivary MMP-8 levels were elevated in children with ECC (42.6 ± 5.4 ng/mL) vs controls (25.3 ± 4.7 ng/mL, <i>p</i> < 0.001). A positive correlation (<i>r</i> = 0.62, <i>p</i> < 0.001) was observed between LDH and MMP-8 levels in ECC cases.</p><p><strong>Conclusion: </strong>Elevated salivary LDH and MMP-8 levels are associated with ECC, suggesting their potential role as predictive biomarkers for early diagnosis and preventive interventions.</p><p><strong>How to cite this article: </strong>Kommalapati V, Soorneedi N, Supraja AN, <i>et al.</i> Salivary Lactate Dehydrogenase and Matrix Metalloproteinase-8 as Predictive Biomarkers in Early Childhood Caries: A Cross-sectional Study. Int J Clin Pediatr Dent 2026;19(8):1030-1033.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1030-1033"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991387","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":"Impact of Bird-assisted Therapy in Anxious Pediatric Patients during Their First Dental Visit: A Randomized Controlled Trial.","authors":"Bhavana Tanya Dandekar, Adnan Ahmed, Aradhana Agrawal, Kanika Singh Dhull, Ankita Ukey, Pratik Surana","doi":"10.5005/jp-journals-10005-3620","DOIUrl":"10.5005/jp-journals-10005-3620","url":null,"abstract":"<p><strong>Aim and background: </strong>Managing a child's behavior is often a major challenge for dentists. In the past, various behavior-modification techniques, such as modeling, tell-show-do, voice control, and desensitization, have shown limited results. Recently, bird-assisted therapy (B-AT) has gained importance in relieving patients' anxiety. This study aimed to examine the effect of the presence of birds on reducing patients' anxiety.</p><p><strong>Materials and methods: </strong>In this randomized clinical trial, 40 healthy children aged 4-8 years who were attending their first dental visit were selected. Eligible participants had Frankl Behavior Rating Scale scores of 2 or 3 and were randomly assigned to group I, the control group without birds, or group II, the experimental group with birds. The children's anxiety before and after oral screening was recorded using three parameters: the Jeet Wheel Scale, pulse rate measured using a pulse oximeter, and the Modified Venham Anxiety Rating Scale.</p><p><strong>Results: </strong>Significant differences were observed between groups I and II. The results demonstrated a significant reduction in children's anxiety levels following the implementation of B-AT.</p><p><strong>Conclusion: </strong>Bird-assisted therapy was found to be an effective method for reducing anxiety in pediatric dental patients.</p><p><strong>Clinical significance: </strong>Bird-assisted therapy is an effective and reliable method for reducing anxiety levels in children. Bird chirping has a profound effect on the human brain and provides more than an auditory experience. It also improves the visual appeal of the dental office and is interesting, affordable, and relatively easy to implement.</p><p><strong>How to cite this article: </strong>Dandekar BT, Ahmed A, Agrawal A, <i>et al.</i> Impact of Bird-assisted Therapy in Anxious Pediatric Patients during Their First Dental Visit: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2026;19(8):1060-1066.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1060-1066"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991460","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 Efficiency of the Carie-Care and Bromelain Gel, as Chemomechanical Caries Removal Techniques in Primary Teeth: Randomized Controlled Clinical Trial.","authors":"Nilisha Aggarwal, Ambika S Rathore, Rinku Mathur, Anil K Goyal, Sneha Tiwari, Apurva V Deshmukh","doi":"10.5005/jp-journals-10005-3605","DOIUrl":"10.5005/jp-journals-10005-3605","url":null,"abstract":"<p><strong>Background: </strong>Chemomechanical caries removal (CMCR) using agents like Carie-Care and bromelain gel offers a minimally invasive alternative to rotary instruments. These natural enzyme-based formulations selectively soften carious dentin, preserving healthy tooth structure and promoting a comfortable treatment experience.</p><p><strong>Aim: </strong>To compare the efficiency of Carie-Care gel and bromelain gel based on the time required and effectiveness in caries removal, as well as their impact on children's pain perception and behavior.</p><p><strong>Materials and methods: </strong>A randomized controlled clinical trial was carried out. Thirty children in the age-group of 5-8 years, with open carious lesions in primary mandibular molar teeth, were recruited for the study and randomly allocated to the two groups of caries removal (group I: Carie-Care gel and group II: bromelain gel). Glass ionomer cement was used for restoration of the teeth, and the two materials were compared based on the time required and effectiveness in caries removal, as well as their impact on children's pain perception and behavior. Version 23.0 of Statistical Package for the Social Sciences (SPSS) software was used to conduct the statistical analysis after the data were entered into a spreadsheet.</p><p><strong>Results: </strong>Using the Chi-squared test, the intergroup comparison of the time taken for caries removal in the two groups was statistically significant, while there were no statistically significant differences for the other comparison groups.</p><p><strong>Conclusion: </strong>Carie-Care and bromelain gel offer a safe, effective, and minimally invasive method for caries removal, preserving healthy dentin and improving patient comfort.</p><p><strong>Clinical significance: </strong>Bromelain and Carie-Care gels offer safe, minimally invasive, and behaviorally acceptable alternatives to conventional caries removal in children, with bromelain demonstrating superior time efficiency.</p><p><strong>Registration: </strong>The ethical approval reference number is RUHS-CDS/ECI2025/PG-SS/03.</p><p><strong>How to cite this article: </strong>Aggarwal N, Rathore AS, Mathur R, <i>et al.</i> Comparison of the Efficiency of the Carie-Care and Bromelain Gel, as Chemomechanical Caries Removal Techniques in Primary Teeth: Randomized Controlled Clinical Trial. Int J Clin Pediatr Dent 2026;19(8):999-1005.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"999-1005"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991687","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":"A Randomized Controlled Trial to Evaluate and Compare the Effectiveness of Two Fluoride Varnishes Containing Casein Phosphopeptide-Amorphous Calcium Phosphate and Xylitol with Brushing Twice Daily Regimen in Preventing Dental Caries among 3-6-year-old Preschool Children.","authors":"Jessica Salam, Inder Kumar Pandit, Neeraj Gugnani, Monika Gupta","doi":"10.5005/jp-journals-10005-3610","DOIUrl":"10.5005/jp-journals-10005-3610","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries (ECC) is a rapidly progressing condition in preschool children. While fluoride is the gold standard for caries prevention, adjuncts like casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and xylitol may enhance its effectiveness in preventing dental caries.</p><p><strong>Aim: </strong>To compare the effectiveness of fluoride varnishes containing CPP-ACP and another xylitol vs brushing with fluoridated toothpaste in preventing caries among preschool children.</p><p><strong>Materials and methods: </strong>A three-arm randomized controlled trial was conducted among 60 children aged 3-6 years. Group I received Enamelast™ (fluoride + xylitol) varnish with brushing, group II received MI Varnish™ (fluoride + CPP-ACP) with brushing, and group III followed brushing with fluoridated toothpaste only. Varnishes were applied at baseline and 6 months. The caries increment [decayed, missing, and filled surfaces in primary teeth/permanent teeth (dmfs/DMFS)] was evaluated at baseline, 6 months, and 12 months.</p><p><strong>Results: </strong>At 12 months, both varnish groups showed significantly lower caries increments than brushing alone (<i>p</i> < 0.001). Group II (MI Varnish™) showed the slowest progression (slope <i>β</i> = 0.025), followed by group I (<i>β</i> = 0.08), while group III (brushing only) had the fastest progression (<i>β</i> = 0.12). No significant difference was found between varnish groups (<i>p</i> = 0.882).</p><p><strong>Conclusion: </strong>Both varnishes were superior to brushing alone in preventing ECC, with MI Varnish™ demonstrating the slowest progression. Fluoride varnishes, particularly when combined with remineralizing agents, provide effective adjunctive strategies for caries prevention in preschool children.</p><p><strong>Clinical significance: </strong>Fluoride varnishes with CPP-ACP or xylitol were more effective than brushing alone in reducing ECC. Though MI Varnish™ (CPP-ACP) showed the slowest progression, the difference between varnishes was not significant.</p><p><strong>How to cite this article: </strong>Salam J, Pandit IK, Gugnani N, <i>et al.</i> A Randomized Controlled Trial to Evaluate and Compare the Effectiveness of Two Fluoride Varnishes Containing Casein Phosphopeptide-Amorphous Calcium Phosphate and Xylitol with Brushing Twice Daily Regimen in Preventing Dental Caries among 3-6-year-old Preschool Children. Int J Clin Pediatr Dent 2026;19(8):1041-1046.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1041-1046"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991695","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":"Transforming Trauma into Triumph: Advancing the Future of Collaboration For Periodontology and Pediatric Dental.","authors":"Fatin Nk Latifi, Rohaida A Halim, Erni Noor","doi":"10.5005/jp-journals-10005-3611","DOIUrl":"10.5005/jp-journals-10005-3611","url":null,"abstract":"<p><strong>Introduction: </strong>Dental trauma in pediatric patients often results in complex clinical and psychological challenges. Root fractures in children necessitate innovative approaches for immediate treatment and long-term rehabilitation.</p><p><strong>Case description: </strong>This case series presents two pediatric patients, aged 9 and 12, who sustained root fractures in their upper left central incisors (tooth 21) following accidents. Both cases involved tooth extraction, alveolar ridge preservation (ARP) with autologous dentin graft (ADG), and clinical hypnosis to manage anxiety during surgery. ADG was prepared using crushed and sterilized autologous dentin, leveraging its osteoinductive properties. Clinical hypnosis, customized to each child's preferences, provided a nonpharmacological method to alleviate procedural anxiety. Postoperative follow-ups were conducted at intervals of 1 week, 3 months, 1 year, and 2 years.</p><p><strong>Discussion: </strong>The ADG technique successfully maintained alveolar ridge dimensions, minimizing the need for future augmentation. Clinical and radiographic evaluations showed stable bone height and ridge preservation. The integration of clinical hypnosis significantly improved patient cooperation and comfort, supporting its use as a valuable tool in managing pediatric dental anxiety. These cases emphasize the importance of multidisciplinary collaboration between periodontics and pediatric dentistry for effective trauma management.</p><p><strong>Conclusion: </strong>The combination of ARP with ADG and clinical hypnosis demonstrates a patient-centered, innovative approach to pediatric dental trauma management. ADG provides a viable alternative to traditional grafting materials, while hypnosis enhances the overall treatment experience. This approach highlights the importance of addressing both clinical and psychological needs to optimize long-term outcomes.</p><p><strong>How to cite this article: </strong>Latifi FN, Halim RA, Noor E. Transforming Trauma into Triumph: Advancing the Future of Collaboration For Periodontology and Pediatric Dental. Int J Clin Pediatr Dent 2026;19(8):1078-1086.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1078-1086"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991410","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 Obturation Quality of Pediatric Single Rotary File Systems for Pulpectomy in Primary Molars through KEDOO Classification: An <i>In Vivo</i> Study.","authors":"Lakshmi Prasadh N, Tanu Nangia, Ganesh Jeevanandan, Carrolene Langpoklakpam, Rashika Singhania, Sakshi Shah","doi":"10.5005/jp-journals-10005-3597","DOIUrl":"10.5005/jp-journals-10005-3597","url":null,"abstract":"<p><strong>Introduction: </strong>For the morphologically challenging primary root canals, the quality of obturation through pulpectomy was assessed only through the Coll and Sadrian Criteria. KEDOO Classification was introduced as the latest, which assesses the quality of obturation by being canal, segment and arch-specific, improving the assessment quality of obturation during pulpectomy done by pediatric single rotary files.</p><p><strong>Objectives: </strong>To evaluate the obturation quality of pediatric single rotary file systems through KEDOO classification.</p><p><strong>Materials and methods: </strong>The study population (<i>n</i> = 90) will be equally divided through a randomized block design into two groups, and the pulpectomy procedure will be carried out through pediatric single rotary files of Kedo S square being group I and Kedo S plus being group II. Once obturation is done, an intraoral periapical radiograph is subjected to KEDOO classification, and obturation quality is evaluated.</p><p><strong>Results: </strong>Kedo S Plus files produced better obturation quality when compared to Kedo S square files.</p><p><strong>Conclusion: </strong>KEDOO classification eliminated the limitations of existing Coll and Sadrian criteria of obturation quality assessment.</p><p><strong>How to cite this article: </strong>Lakshmi PN, Nangia T, Jeevanandan G, <i>et al.</i> Comparative Evaluation of Obturation Quality of Pediatric Single Rotary File Systems for Pulpectomy in Primary Molars through KEDOO Classification: An <i>In Vivo</i> Study. Int J Clin Pediatr Dent 2026;19(8):963-967.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"963-967"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991712","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":"General and Pediatric Dentists' Knowledge and Clinical Management of Molar-incisor Hypomineralization in Dubai: A Cross-sectional Study.","authors":"AlAnood AlAnezi, Manal Al Halabi, Iyad Hussein, Anas Salami, Eman Alnuaimi, Mawlood Kowash","doi":"10.5005/jp-journals-10005-3609","DOIUrl":"10.5005/jp-journals-10005-3609","url":null,"abstract":"<p><strong>Background: </strong>Molar-incisor hypomineralization (MIH) poses notable diagnostic and therapeutic challenges for dental professionals. A comprehensive understanding of MIH among general dental practitioners (GDPs) and pediatric dentists (PDs) is critical to enhancing clinical outcomes in affected children.</p><p><strong>Aim: </strong>This study aimed to evaluate and compare the knowledge, clinical management approaches, and self-reported confidence in treating MIH among GDPs and PDs practicing in Dubai.</p><p><strong>Materials and methods: </strong>A cross-sectional, questionnaire-based survey was conducted among licensed GDPs and PDs in Dubai. The study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines for observational research. A total of 126 participants completed a validated questionnaire, yielding a response rate of 84%. The questionnaire assessed participants' demographics, knowledge of MIH epidemiology, etiology, diagnosis, and clinical management.</p><p><strong>Results: </strong>Of the respondents, 74.5% (<i>n</i> = 76) were female, with the majority aged 25-34 years (44.4%, <i>n</i> = 56). Approximately 31% (<i>n</i> = 42) had less than 5 years of clinical experience. PDs demonstrated significantly higher mean scores than GDPs across all domains: theoretical knowledge (86.46 vs 67.34), clinical management (70.63 vs 55.16), and overall MIH knowledge (77.66 vs 60.57), indicating greater competence and confidence in managing MIH cases.</p><p><strong>Conclusion: </strong>While theoretical awareness of MIH was generally adequate among dental practitioners in Dubai, clinical confidence and management skills were notably stronger among PDs. These findings underscore the need for targeted MIH education and training, particularly within undergraduate programs and continuing professional development initiatives, to bridge the gap between knowledge and practice.</p><p><strong>How to cite this article: </strong>AlAnezi A, Al-Halabi M, Hussein I, <i>et al.</i> General and Pediatric Dentists' Knowledge and Clinical Management of Molar-incisor Hypomineralization in Dubai: A Cross-sectional Study. Int J Clin Pediatr Dent 2026;19(8):1023-1029.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1023-1029"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991312","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 the Effect of Different Storage Media on the Hardness and Fracture Resistance of Reattached Tooth Fragments: An <i>In Vitro</i> Study.","authors":"Mahesh V Dadpe, Nikita A Chordiya, Yogesh J Kale, Prasanna T Dahake, Shrikant B Kendre","doi":"10.5005/jp-journals-10005-3602","DOIUrl":"10.5005/jp-journals-10005-3602","url":null,"abstract":"<p><strong>Aim: </strong>To assess hardness as well as resistance to fracture in the case of a reattached tooth fragment when different storage media are used.</p><p><strong>Materials and methods: </strong>In this study, 60 permanent incisor teeth that were extracted for therapeutic reasons were enrolled and divided into four groups. Each group had 15 specimens (<i>n</i> = 15). The teeth of all the groups were sectioned, and the incisal third of the fragments were stored in respective storage media: group I (dry), group II [Hanks' balanced salt solution (HBSS)], group III (coconut water), and group IV (contact lens solution) for 24 hours. The fragments were reattached with a simple reattachment technique using a flowable composite. These teeth were then subjected to a universal testing machine for measuring the fracture resistance of the specimen. Then the obtained pieces were used to measure the hardness of the reattached fragment using a Vickers hardness tester. A one-way analysis of variance (ANOVA) and an unpaired <i>t</i>-test were used to check statistical significance.</p><p><strong>Results: </strong>In group II (HBSS), the mean value of resistance to fracture was maximum, that is, 16.3787 N, which was followed by the coconut water group, that is, group III, with a value of 15.9467 N. Group IV (contact lens solution) had a mean value of 13.1267 N. Resistance to the occurrence of fracture was seen to be very less in the dry environment group, that is, group I, with a mean of 11.7067 N. The maximum hardness was seen with group II (HBSS) at 350.2000 Vickers hardness (HV), followed by group IV (contact lens solution) at 342.5333 HV, and group III (coconut water) with a mean of 342.3333 HV. The least hardness was seen with group I (dry environment) at 295.4667 HV. There was a significant difference in fracture resistance and hardness between these groups.</p><p><strong>How to cite this article: </strong>Dadpe MV, Chordiya NA, Kale YJ, <i>et al.</i> Comparative Evaluation of the Effect of Different Storage Media on the Hardness and Fracture Resistance of Reattached Tooth Fragments: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2026;19(8):994-998.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"994-998"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991709","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 Clinical Efficiency of Two Single-file Ni-Ti Rotary Systems in Performing Root Canal Treatment in Primary Teeth: A Randomized Clinical Trial.","authors":"Lomada Lakshmidevi, Penmetsa Ahalya, Peddi Ravigna, Manumanthu V Ramesh, Mannam Himavarsha, Sangadala Sivaram","doi":"10.5005/jp-journals-10005-3604","DOIUrl":"10.5005/jp-journals-10005-3604","url":null,"abstract":"<p><strong>Background: </strong>The conventional procedure using stainless steel hand files is very time-consuming and has associated disadvantages. A literature review demonstrates the effectiveness of nickel-titanium (Ni-Ti) rotary files in this regard. Technological advancements have led to the development of various single-file Ni-Ti rotary systems, such as Kedo-S and XP-Endo Shaper.</p><p><strong>Aim: </strong>To compare the instrumentation time and quality of obturation in primary molars, assessed by the Coll and Sadrian criteria, using two single-file Ni-Ti rotary systems, Kedo-S and XP-Endo Shaper.</p><p><strong>Materials and methods: </strong>A randomized clinical trial was conducted in children aged 4-9 years requiring single- or two-visit pulpectomy. A total of 50 primary molars were allocated into two groups of 25 each, that is, group I (Kedo-S) and group II (XP-Endo Shaper). Instrumentation time was recorded using a digital stopwatch, while the quality of obturation was assessed radiographically using the Coll and Sadrian criteria. The obtained data were subjected to statistical analysis using the Mann-Whitney <i>U</i> test for instrumentation time and Pearson's Chi-squared test for quality of obturation.</p><p><strong>Results: </strong>XP-Endo Shaper demonstrated a statistically significant difference in instrumentation time (<i>p</i> = 0.001) and a nonsignificant difference in the quality of obturation (<i>p</i> = 0.350). A greater percentage of optimal fills (84%) and a fewer number of voids were evident with XP-Endo Shaper.</p><p><strong>Conclusion: </strong>The use of the adaptive XP-Endo Shaper resulted in reduced instrumentation time and better quality of obturation.</p><p><strong>Clinical significance: </strong>Pulpectomies performed under general anesthesia, where time is a constraint, can benefit from the use of single-file rotary systems. Considering the quality of obturation, XP-Endo Shaper performed better, with fewer voids and a greater number of optimal fills due to its adaptive technology.</p><p><strong>Ctri reg no: </strong>CTRI/2025/04/084040.</p><p><strong>How to cite this article: </strong>Lakshmidevi L, Ahalya P, Ravigna P, <i>et al.</i> Evaluation of Clinical Efficiency of Two Single-file Ni-Ti Rotary Systems in Performing Root Canal Treatment in Primary Teeth: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2026;19(8):987-993.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"987-993"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991275","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}