Sonia B Bhardwaj, Urvashi Sharma, Manjula Mehta, Jyoti Sharma
{"title":"Streptococci Biotypes in Primary and Permanent Caries: A Case-Control Study.","authors":"Sonia B Bhardwaj, Urvashi Sharma, Manjula Mehta, Jyoti Sharma","doi":"10.5005/jp-journals-10005-2925","DOIUrl":"10.5005/jp-journals-10005-2925","url":null,"abstract":"<p><strong>Background and aim: </strong>Streptococci, mainly mutans streptococci, are known as the causative microbes of dental caries, but there is limited clarity about their impact on the tooth level and the distribution of streptococci species in different dentition stages. This study evaluates the distribution of streptococci species in primary and permanent teeth in children and adolescents with caries.</p><p><strong>Materials and methods: </strong>The study population consisted of two groups: subjects with caries in primary teeth aged 2-5 years and adolescents with caries in permanent teeth aged 12-15 years. Age-matched controls were included in both groups. The decayed, missing, and filled teeth for primary teeth/decayed, missing, and filled teeth for permanent teeth (dmft/DMFT) index score was recorded according to World Health Organization (WHO) protocol. Dental biofilm samples were obtained from tooth sites under sterile conditions and placed in sterile transport media. Inoculation was performed on specific media, colonies were counted, and streptococci species were identified.</p><p><strong>Results: </strong>In subjects with primary dentition caries, the streptococci species identified were <i>Streptococcus mutans</i> (<i>S. mutans</i>), <i>S. sobrinus,</i> <i>S. mitis,</i> <i>S. rattus,</i> and <i>S. sanguis.</i> In subjects with caries in permanent teeth, <i>S. salivarius,</i> <i>Enterococcus</i> <i>faecalis</i> (<i>E. faecalis</i>), <i>S. mitis,</i> and <i>S. agnosus</i> were seen in addition to <i>S. mutans</i> and <i>S. sobrinus.</i> The levels of mutans streptococci colony-forming units (CFU) were significantly higher in the primary caries group in children (<i>p</i> < 0.01). However, the CFU of streptococci in the healthy control group in children was not statistically different from the CFU/mL of streptococci in the healthy control group in adolescents.</p><p><strong>Conclusion: </strong>A significant difference (<i>p</i> < 0.01) in the streptococci species profile was observed between primary and permanent teeth with caries.</p><p><strong>How to cite this article: </strong>Bhardwaj SB, Sharma U, Mehta M, <i>et al.</i> Streptococci Biotypes in Primary and Permanent Caries: A Case-Control Study. Int J Clin Pediatr Dent 2024;17(9):1014-1017.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"17 9","pages":"1014-1017"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813756","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}
Avani R Doiphode, Ritesh Kalaskar, Ashita Kalaskar, Nilam V Honaje, Urvi P Gala
{"title":"Clinical and Radiographic Efficacy of Low-level Laser Therapy and Formocresol as Pulpotomy Agents in Primary Molars: A Systematic Review and Meta-analysis.","authors":"Avani R Doiphode, Ritesh Kalaskar, Ashita Kalaskar, Nilam V Honaje, Urvi P Gala","doi":"10.5005/jp-journals-10005-2947","DOIUrl":"10.5005/jp-journals-10005-2947","url":null,"abstract":"<p><strong>Research question: </strong>To evaluate the effectiveness of low-level laser therapy (LLLT) as a pulpotomy agent in primary molars.</p><p><strong>Research protocol: </strong>This systematic review followed the recommendation of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline 2020.</p><p><strong>Literature search: </strong>An electronic search of the databases was performed to find the effectiveness of LLLT over formocresol as a pulpotomy agent in primary molars in children aged between 3 and 10 years.</p><p><strong>Data extraction: </strong>Authors independently extracted the data from the 14 included studies based on the inclusion criteria. The inclusion criteria comprised studies that compared the clinical and radiographical effectiveness of LLLT pulpotomy with formocresol pulpotomy in primary molars using randomized clinical trials (RCTs).</p><p><strong>Quality appraisal: </strong>The risk of bias was assessed using a tool developed by the Cochrane Collaboration for RCT studies.</p><p><strong>Data analysis: </strong>The meta-analyses were performed using the fixed-effects model. Heterogeneity was assessed by a Q test and quantified with I<sup>2</sup> statistics. Radiological and clinical success among the teeth treated with either formocresol or LLLT was considered the main outcome.</p><p><strong>Results and interpretation of results: </strong>The search resulted in 390 published studies. After the removal of duplicate studies and analysis of full-text articles, 14 studies were selected for systematic review. Overall, the results demonstrated a high risk of selection and performance bias. No statistically significant difference was found between LLLT and formocresol as pulpotomy agents when compared clinically and radiographically at 6-9 and 12-month follow-up periods. LLLT is a good alternative method to be used as a pulpotomy agent in cases of reversible pulpitis.</p><p><strong>Key message: </strong>Low-level laser therapy is an emerging and trending branch in dentistry because of its beneficial effects in various treatment approaches. It can be effectively used in the pulpotomy procedure due to its properties to reduce pulp inflammation, improve healing, and preserve dental pulp vitality.</p><p><strong>How to cite this article: </strong>Doiphode AR, Kalaskar R, Kalaskar A, <i>et al.</i> Clinical and Radiographic Efficacy of Low-level Laser Therapy and Formocresol as Pulpotomy Agents in Primary Molars: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2024;17(9):1075-1085.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"17 9","pages":"1075-1085"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814415","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":"Beyond Decay: Exploring the Age-associated Variations in <i>Streptococcus mutans</i> and <i>Lactobacillus</i> in Dental Caries.","authors":"Aanchal Tandon, Abhinav Srivastava, Priyanka Singh, Rohit Jaiswal, Sonali Saha, Bharadwaj Bordoloi","doi":"10.5005/jp-journals-10005-2917","DOIUrl":"10.5005/jp-journals-10005-2917","url":null,"abstract":"<p><strong>Background: </strong><i>Streptococcus mutans</i> and <i>Lactobacilli</i> play an important role in the etiopathogenesis and progression of dental caries (DC). Their quantification and identification may be helpful for epidemiological and early intervention measures.</p><p><strong>Objectives: </strong>We conducted the study to evaluate the colony counts of <i>S. mutans</i> and <i>Lactobacillus</i> with the location of DC and correlate their prevalence with the age of the patient.</p><p><strong>Materials and methods: </strong>The study population comprised 60 patients with DC. They were divided into two groups according to age, and each group was further divided into three subgroups based on involvement of enamel, dentin, and pulp by DC. The swab samples were collected, and organisms were isolated using Mitis Salivarius Bacitracin (MSB) Agar and <i>Lactobacillus</i> MRS Agar. Manual counting of colonies on plates illuminated by transmitted light was done. Results were summarized and analyzed statistically.</p><p><strong>Results: </strong>The caries prevalence was found to be higher in children, with females being more affected. In both groups, posterior teeth were more affected, and occlusal/incisal surface caries were more common. The mean colony count of <i>S. mutans</i> (61.3%) and <i>Lactobacillus</i> (63.4%) was significantly higher in group I compared to group II. In both groups, the mean colony counts of <i>S. mutans</i> were higher in enamel, followed by dentin and pulp. In contrast, in both groups, the mean colony counts of <i>Lactobacillus</i> were higher in pulp, followed by dentin and enamel.</p><p><strong>Conclusion: </strong>Bacterial colony counts may help in taking specific measures against specific organisms and thereby prevent the development of new carious lesions.</p><p><strong>How to cite this article: </strong>Tandon A, Srivastava A, Singh P, <i>et al.</i> Beyond Decay: Exploring the Age-associated Variations in <i>Streptococcus mutans</i> and <i>Lactobacillus</i> in Dental Caries. Int J Clin Pediatr Dent 2024;17(9):993-998.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"17 9","pages":"993-998"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814411","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}
Nilesh Rathi, Rashi Srivastava, Nilima Thosar, A K Anjali, Francesca Gorassini, Vini Mehta, Luca Fiorillo
{"title":"Comparative Evaluation of Videos with and without Binaural Beat Audio on Anxiety in Pediatric Patients during Dental Procedures: A Preliminary Study.","authors":"Nilesh Rathi, Rashi Srivastava, Nilima Thosar, A K Anjali, Francesca Gorassini, Vini Mehta, Luca Fiorillo","doi":"10.5005/jp-journals-10005-2898","DOIUrl":"10.5005/jp-journals-10005-2898","url":null,"abstract":"<p><strong>Background: </strong>Various behavioral and emotional reactions to dental care are seen in pediatric patients. As a result, pediatric dentists are deeply concerned with effective behavior coaching. The use of audiovisual stimuli at a certain frequency, which causes the brain impulses to adjust to the new frequency, is one such technique. For relaxation, verbal and working memory, multiple cognitive activities, and pain relief, audio beats have proven to be successful. The goal of this pilot study is to compare the impact of auditory beats on children who are worried during dental operations in terms of anxiety reduction.</p><p><strong>Materials and methods: </strong>A total of 10 children aged between 6 and 9 years were shown cartoon videos with and without binaural beat audio of α wavelength alternately at two consecutive visits. The patients were preconditioned for 30 minutes before the treatment procedures using noise-cancellation headphones with an iPad as the audiovisual aid. The use of the audiovisual aid was then continued throughout the procedure. The pulse rate (PR) and oxygen saturation (SpO<sub>2</sub>) were noted preoperatively and after the procedure was completed.</p><p><strong>Results: </strong>Using paired and unpaired <i>t</i>-tests, the resulting mean values before and after the procedure were compared. Compared to the control group's mean PR reduction of 3.6, the binaural beat audiovisual group saw a substantial PR reduction of 8.5 (mean). As for the SpO<sub>2</sub> level, the experimental group's mean value increased significantly (6.8) compared to the control group's value (2.9).</p><p><strong>Conclusion: </strong>Audiovisual aids with binaural beat audio are a noninvasive therapeutic method that targets the brain centers to influence the psychological and physiological processes of the body. It is an effective anxiolytic modality that should be considered in pediatric dentistry.</p><p><strong>Clinical significance: </strong>The present article centers on the assessment of anxiety levels among pediatric patients. The study aims to provide insights into the mechanisms of anxiety in this specific population, with the ultimate goal of improving the quality of care and treatment options available.</p><p><strong>How to cite this article: </strong>Rathi N, Srivastava R, Thosar N, <i>et al.</i> Comparative Evaluation of Videos with and without Binaural Beat Audio on Anxiety in Pediatric Patients during Dental Procedures: A Preliminary Study. Int J Clin Pediatr Dent 2024;17(9):971-975.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"17 9","pages":"971-975"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814481","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}
Priyanka Balakrishnan, Daya Srinivasan, Ar Senthil Eagappan, Pragadesh Ganesan, Priyadharshini Suresh Babu, Nandini Sundar
{"title":"Comparison between Tanaka-Johnston and Boston University Approach for Prediction of Mesiodistal Width of Canines and Premolars in Mixed Dentition Children: A Cross-sectional Study.","authors":"Priyanka Balakrishnan, Daya Srinivasan, Ar Senthil Eagappan, Pragadesh Ganesan, Priyadharshini Suresh Babu, Nandini Sundar","doi":"10.5005/jp-journals-10005-2926","DOIUrl":"10.5005/jp-journals-10005-2926","url":null,"abstract":"<p><strong>Introduction: </strong>Malocclusion, a common dental issue in children, necessitates early intervention to mitigate future orthodontic challenges. Predictive methodologies like Tanaka and Johnston analysis (TJA) and Boston University approach (BUA) aid in mixed and primary dentition analysis for optimal treatment planning. This study aimed to compare TJA and BUA in predicting the mesiodistal width of unerupted permanent canines and premolars and assess gender-based variations.</p><p><strong>Materials and methods: </strong>A cross-sectional study involving 120 children (7-11 years) was conducted at Chettinad Dental College and Research Institute, Chennai, Tamil Nadu, India. Dental models were analyzed using TJA and BUA methods. The mean predicted values of permanent canines and premolars were calculated for both approaches in the upper and lower dental arches. Pearson correlation coefficients were calculated to assess the relationship between TJA and BUA predictions, and statistical significance was determined.</p><p><strong>Results: </strong>Both TJA and BUA exhibited strong positive correlations in predicting dimensions, with slight gender-based variations. TJA predicted values for permanent canines and premolars in the upper arch were 21.13 ± 0.50 and 21.32 ± 0.39, respectively, whereas for BUA, they were 21.45 ± 0.42 and 21.67 ± 0.38, respectively. In the lower arch, TJA predicted values were 20.88 ± 0.63 for canines and premolars combined, while BUA predicted 21.02 ± 0.58. Significant differences were observed only in the upper arch predictions (<i>p</i> = 0.001).</p><p><strong>Conclusion: </strong>Tanaka and Johnston analysis and BUA are valuable in mixed dentition analysis, offering insights into space availability for orthodontic treatment planning. BUA serves as a reliable substitute for TJA when fully erupted permanent incisors are absent, emphasizing the importance of tailored predictive methods in interceptive orthodontics. Model analysis remains pivotal for informed treatment decisions, ensuring optimal dental health outcomes.</p><p><strong>How to cite this article: </strong>Balakrishnan P, Srinivasan D, Senthil Eagappan AR, <i>et al.</i> Comparison between Tanaka-Johnston and Boston University Approach for Prediction of Mesiodistal Width of Canines and Premolars in Mixed Dentition Children: A Cross-sectional Study. Int J Clin Pediatr Dent 2024;17(9):976-980.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"17 9","pages":"976-980"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814482","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}
Joel Mathew, Sherin C Jose, K Korath Abraham, Ektah Khosla
{"title":"Giant Cell Fibroma of the Anterior Palate in a Pediatric Patient.","authors":"Joel Mathew, Sherin C Jose, K Korath Abraham, Ektah Khosla","doi":"10.5005/jp-journals-10005-2938","DOIUrl":"10.5005/jp-journals-10005-2938","url":null,"abstract":"<p><strong>Aim and background: </strong>This report aims to present a case of giant cell fibroma (GCF) of the anterior palate in a pediatric patient.</p><p><strong>Case description: </strong>A 5-year-old patient reported to the department with a chief complaint of swelling in relation to the palatal region for 6 months. An excisional biopsy was done, and after microscopic analysis, the swelling was diagnosed as GCF. The patient was recalled for routine follow-up after 5 months, and there was no evidence of recurrence.</p><p><strong>Conclusion: </strong>Giant cell fibroma is a localized, benign mucosal growth that resembles other fibroepithelial growths, and its difference from other lesions is based on its histopathological features.<b>Clinical</b> <b>significance:</b> Giant cell fibroma is a rare fibroepithelial lesion that represents approximately 2-5% of specimens submitted for biopsy and 0.4-1% of total biopsies.</p><p><strong>How to cite this article: </strong>Mathew J, Jose SC, Abraham KK, <i>et al.</i> Giant Cell Fibroma of the Anterior Palate in a Pediatric Patient. Int J Clin Pediatr Dent 2024;17(9):1068-1070.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"17 9","pages":"1068-1070"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814514","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}
Amal Rana, Mugilan Ravi, Kanaga Durga, Virat Galhotra, Nissi Evelyn, Parth Rathod
{"title":"Smile Reestablished-Predictable Management of Complicated Crown-root Fracture through Surgical Extrusion with and without 180° Rotation: A Case Report.","authors":"Amal Rana, Mugilan Ravi, Kanaga Durga, Virat Galhotra, Nissi Evelyn, Parth Rathod","doi":"10.5005/jp-journals-10005-2924","DOIUrl":"10.5005/jp-journals-10005-2924","url":null,"abstract":"<p><strong>Aim and background: </strong>The management of crown-root fractures poses significant uncertainty and involves meticulous evaluation of the tooth and supporting structures. The uncertain prognosis associated with crown-root fractures necessitates periodic evaluation.</p><p><strong>Case description: </strong>A 15-year-old female presenting with crown-root fracture of the permanent left maxillary incisors was treated by surgical extrusion with rotation for the central incisor, while the lateral incisor was coronally extruded by 2 mm. Root canal treatment was performed after the extrusion procedure, which was followed by full coverage restoration. At the 12-month recall, the teeth showed satisfactory gingival and periodontal health, with well-maintained esthetics.</p><p><strong>Conclusion: </strong>Although relatively invasive, surgical extrusion can be a more conservative treatment option for the management of permanent teeth with crown-root fractures.</p><p><strong>Clinical significance: </strong>Marginal bone loss and gingival recession, which are usual complications of intentional replantation, were not significant findings at the 12-month follow-up.</p><p><strong>How to cite this article: </strong>Rana A, Ravi M, Durga K, <i>et al.</i> Smile Reestablished-Predictable Management of Complicated Crown-root Fracture through Surgical Extrusion with and without 180° Rotation: A Case Report. Int J Clin Pediatr Dent 2024;17(9):1063-1067.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"17 9","pages":"1063-1067"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813451","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":"EvoraPlus Oral Probiotic Tablet: New paradigm for Caries Prevention in Children.","authors":"Akanksha Mishra, Siddharth Saurabh","doi":"10.5005/jp-journals-10005-2937","DOIUrl":"10.5005/jp-journals-10005-2937","url":null,"abstract":"<p><strong>Background: </strong>According to the World Health Organization, probiotics are live microorganisms that, when administered in adequate amounts, confer a health benefit to the host. The use of oral probiotics in children to improve oral health may lead to nonpathogenic bacteria replacing cariogenic bacteria. The Evora Plus oral probiotics tablet is the first such oral probiotics tablet containing a proprietary blend of three select species of naturally occurring oral bacteria, each with a specific function for maintaining a healthy oral environment. These strains include <i>Streptococcus oralis</i> KJ3sm, <i>Streptococcus uberis</i> KJ2sm, and <i>Streptococcus rattus</i> JH145.</p><p><strong>Aim: </strong>To compare the levels of salivary total bacterial count, salivary pH levels, and salivary <i>S. mutans</i> count before and after consumption of the Evora Plus oral probiotic tablet.</p><p><strong>Materials and methods: </strong>Around 40 caries-free schoolchildren from Daksh International School, Gadarwara, Madhya Pradesh, India, aged 12-14 years, were selected and divided equally into two groups-group A, in which total salivary bacterial count and pH were evaluated, and group B, in which salivary <i>S. mutans</i> count and pH were evaluated. These groups were further subdivided into group A1 and group B1, which served as the control groups not receiving the Evora Plus oral probiotic tablet, and group A2 and group B2, which were the test groups consuming the Evora Plus oral probiotic tablet for 30 days. Assessment of salivary samples for total bacterial count was done at baseline and after 30 days for groups A1 and B1. Salivary pH estimation was done at baseline and after 30 days for the entire group, and salivary <i>S. mutans</i> count was done at baseline and after 30 days for groups A2 and B2. Salivary pH level was checked using a digital pH meter; nutrient agar was used for salivary total bacterial count, while Mitis salivarius bacitracin agar was used for salivary <i>S. mutans</i> count. The number of colonies was counted and subjected to statistical analysis using unpaired and paired Student's <i>t</i>-test.</p><p><strong>Results: </strong>The study showed a significant reduction in salivary total bacterial count and salivary <i>S. mutans</i> counts, as well as a significant increase in salivary pH after 30 days in the Evora Plus oral probiotic group compared with the group not receiving the Evora Plus oral probiotic tablet.</p><p><strong>Conclusion: </strong>Cariogenic microorganisms could be reduced by an oral probiotic formulation. Thus, the use of the Evora Plus oral probiotic tablet could be recommended for the prevention of enamel demineralization.</p><p><strong>How to cite this article: </strong>Mishra A, Saurabh S. EvoraPlus Oral Probiotic Tablet: New paradigm for Caries Prevention in Children. Int J Clin Pediatr Dent 2024;17(9):1044-1048.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"17 9","pages":"1044-1048"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814493","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":"Microbial Evaluation of Plaque on Conventional Stainless Steel Crown and Titanium-coated Stainless Steel Crown on Primary Molars.","authors":"Rishika Biradar, Prasanna Kumar Bhat, Aishwarya Nanjappa","doi":"10.5005/jp-journals-10005-2731","DOIUrl":"10.5005/jp-journals-10005-2731","url":null,"abstract":"<p><strong>Introduction: </strong>The extensive plaque formation on dental restoratives may contribute to secondary caries or periodontal inflammation. Therefore, it is important to know how different types of dental restoratives may prevent or promote the accumulation of microorganisms. Hence, this study aims to evaluate the oral hygiene and microbial adhesion on the titanium (Ti)-coated stainless steel crown (Ti-coated SSC) and conventional SSC on a primary molar.</p><p><strong>Materials and methods: </strong>A total of 15 children aged 4-10 years who visited the Department of Pediatric and Preventive Dentistry and required performed crowns were selected for the study. The tooth was randomly restored with Ti-coated on one side SSC and conventional SSC on the other side. The subgingival plaque samples were taken from the lingual and buccal surfaces using Gracey Curette before and immediately after the cementation of crowns and after 1 week. The plaque index (PI) (PI, modified Silness, and Loe) was also recoded. The plaque samples were incubated in mitis salivarius bacitracin agar, and the total number of <i>Streptococcus mutans</i> (<i>S. mutans</i>) was counted and expressed in colony-forming units (CFU).</p><p><strong>Results: </strong>The test results showed a statistically significant difference in the microbial count expressed in CFU and PI (PI, modified Silness, and Loe PI) between Ti-coated SSC and conventional SSC after 1 week of crown placement.</p><p><strong>Conclusion: </strong>The microbial adhesion of <i>S. mutans</i> and plaque accumulation was seen less on the Ti-coated SSC when compared with conventional SSC, which was statistically significant.</p><p><strong>How to cite this article: </strong>Biradar R, Bhat PK, Nanjappa A. Microbial Evaluation of Plaque on Conventional Stainless Steel Crown and Titanium-coated Stainless Steel Crown on Primary Molars. Int J Clin Pediatr Dent 2024;17(9):1041-1043.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"17 9","pages":"1041-1043"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814524","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":"To Compare and Evaluate Rotary and Manual Techniques in Biomechanical Preparation of Primary Molars to Know Their Effects in Terms of Cleaning and Shaping Efficacy.","authors":"M Srinivas Moudgalya, Parimala Tyagi, Shilpi Tiwari, Tanu Tiwari, Poorva Umarekar, Shubhrata Shrivastava","doi":"10.5005/jp-journals-10005-2949","DOIUrl":"10.5005/jp-journals-10005-2949","url":null,"abstract":"<p><strong>Background: </strong>The introduction of the rotary file system for children was a revolution in the field of pediatric endodontics. These files are cost-effective and help in consistent obturations with shorter instrumentation time.</p><p><strong>Aim: </strong>The present randomized controlled trial (RCT) was planned for a comparative evaluation of rotary and manual techniques in biomechanical preparation of primary molars to determine their effect in terms of cleaning and shaping efficacy, working time, quality of obturation, and postoperative pain.</p><p><strong>Materials and methods: </strong>A randomized clinical trial study was conducted in 75 children aged 5-9 years requiring pulpectomy. Each tooth was randomly assigned to one of the three treatment groups: Kedo-S files, rotary K-Flex files, and hand instruments group.</p><p><strong>Results: </strong>It was observed that Kedo-S files and rotary K-Flex files were more effective in cleaning and shaping of root canals compared to hand H/K files. The postbacterial count for hand files was higher compared to rotary files. Shorter working time was seen with rotary files (3.88-5.04 minutes) compared to hand files (15.68 minutes). Rotary files showed a reduced number of voids, with Kedo-S files in 92% of cases and rotary K-Flex files in 80% of cases. Apical seal and extent of fill were maximum with rotary files, having a grade C rating in 92% of cases. Kedo-S files and rotary K-Flex files showed a significant reduction in postoperative pain compared to hand files.</p><p><strong>Conclusion: </strong>The present study showed a significant reduction in bacterial count, working time, quality of obturation, and postoperative pain with rotary files.</p><p><strong>How to cite this article: </strong>Moudgalya MS, Tyagi P, Tiwari S, <i>et al.</i> To Compare and Evaluate Rotary and Manual Techniques in Biomechanical Preparation of Primary Molars to Know Their Effects in Terms of Cleaning and Shaping Efficacy. Int J Clin Pediatr Dent 2024;17(8):864-870.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"17 8","pages":"864-870"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11451875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381839","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}