International Journal of Clinical Pediatric Dentistry最新文献

{"title":"Effectiveness of Low-level Laser Therapy on Reversing Soft-tissue Local Anesthesia among 5- to 8-year-old Children: A Randomized Split-mouth Clinical Trial.","authors":"D Kiruthika, R Hemalatha, P Shankar, Trophimus Gnanabagyan, Kalpana HariKrishnan, Nikitha A Zacharia","doi":"10.5005/jp-journals-10005-3496","DOIUrl":"10.5005/jp-journals-10005-3496","url":null,"abstract":"<p><strong>Background: </strong>Local anesthesia provides prolonged soft tissue numbness, which can interfere with the ability to perform functional activities such as mastication and speech.</p><p><strong>Aim: </strong>To assess the role of low-level laser therapy as a local anesthesia reversal agent in 5- to 8-year-old children.</p><p><strong>Materials and methods: </strong>Twenty-four children within the age-group of 5-8 years, requiring restorations, extractions, or crowns on both sides of the mandibular arch, were recruited in the trial. They were assigned randomly into group A and group B. Children in group A received sham laser treatment, and children in group B received low-level laser therapy. Preoperative and postoperative assessments were performed using the periodic functional assessment battery (pFAB) test by a single-blinded assessor. The incidence of soft tissue injuries was recorded before the patient's disposal from the dental office. All the data were collected, tabulated and subjected to statistical analysis. The data showed a normal distribution; therefore, the Chi-square test was used.</p><p><strong>Results: </strong>Periodic functional assessment battery test revealed a mean difference in reversal time of 31 minutes between the sham laser group and the low-level laser group, which was found to be statistically significant.</p><p><strong>Conclusion: </strong>Low-level laser therapy with 810 nm proved to be an effective tool in reversal of soft tissue local anesthesia among 5-8-year-old children.</p><p><strong>Clinical significance: </strong>Low-level laser therapy can be employed as a noninvasive soft tissue local anesthesia reversal agent. Reversal of prolonged soft tissue numbness helps to reduce discomfort to the children postoperatively and can decrease the incidence of self-inflicted soft tissue injuries.</p><p><strong>How to cite this article: </strong>Kiruthika D, Hemalatha R, Shankar P, <i>et al.</i> Effectiveness of Low-level Laser Therapy on Reversing Soft-tissue Local Anesthesia among 5- to 8-year-old Children: A Randomized Split-mouth Clinical Trial. Int J Clin Pediatr Dent 2026;19(4):480-485.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 4","pages":"480-485"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253719","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":"Intentional Reimplantation for a Large Periapical Cyst Using Dual Forms of Platelet-rich Fibrin, Chitosan, and Biodentine™: A Case Report.","authors":"Naina Kumar, Y Rajmohan Shetty, R Manju","doi":"10.5005/jp-journals-10005-3500","DOIUrl":"10.5005/jp-journals-10005-3500","url":null,"abstract":"<p><strong>Aim and background: </strong>This case report evaluates the effectiveness of intentional reimplantation (IR) in managing large periapical cysts, highlighting the role of regenerative biomaterials, such as leukocyte- and platelet-rich fibrin (L-PRF), injectable platelet-rich fibrin (i-PRF), chitosan, and Biodentine™.</p><p><strong>Case description: </strong>A 14-year-old female presented with swelling in the right mandibular first molar (tooth #46) that had been previously endodontically treated. Radiographic evaluation revealed a large periapical cystic lesion measuring 3 × 2 mm. Triple antibiotic paste was administered during multiple treatment visits; however, no improvement was observed. Intentional reimplantation was selected as an alternative to conventional surgical approaches. Treatment included repeat root canal therapy, atraumatic extraction, thorough enucleation of the cyst, and immediate reimplantation. Regenerative biomaterials, including L-PRF and i-PRF, were utilized to promote healing, whereas chitosan and Biodentine™ enhanced sealing and regeneration. The 12-month follow-up radiographic and clinical assessments confirmed complete cyst resolution, with no symptom recurrence and full restoration of tooth functionality.</p><p><strong>Conclusion: </strong>Intentional reimplantation combined with advanced regenerative biomaterials successfully treated a large periapical cyst in an endodontically treated tooth. This minimally invasive approach offers a promising alternative for cases that are unresponsive to conventional endodontic or surgical treatments.</p><p><strong>Clinical significance: </strong>This report underscores the clinical relevance of combining regenerative techniques with intentional reimplantation to provide effective management for persistent periapical pathology.</p><p><strong>How to cite this article: </strong>Kumar N, Shetty YR, Manju R. Intentional Reimplantation for a Large Periapical Cyst Using Dual Forms of Platelet-rich Fibrin, Chitosan, and Biodentine™: A Case Report. Int J Clin Pediatr Dent 2026;19(4):537-541.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 4","pages":"537-541"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253677","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":"The Digital Occlusion and Electromyographic Analysis of a Child with Spinal Muscular Atrophy II and Cutis Marmorata Telangiectatica Congenita: A Report of Rare Case.","authors":"Umapathy Thimmegowda, Prafulla Thumati, Chinmaya Gowdru Jayadevappa, Praveen Malavalli Nagarajshetty","doi":"10.5005/jp-journals-10005-3497","DOIUrl":"10.5005/jp-journals-10005-3497","url":null,"abstract":"<p><p>Spinal muscular atrophy (SMA) is an uncommon crippling hereditary condition that primarily affects the motor neurons in the spinal cord, resulting in skeletal muscle weakness and atrophy. Skeletal muscle is an important regulator of glucose, amino acid, and lipid homeostasis and is a protein reservoir of the body. Atrophy of the skeletal muscle can affect locomotion, general metabolism, eating, and respiration. Maintaining skeletal muscle mass and strength throughout life is essential for longevity and good health. Currently, orofacial muscle electromyographic evaluation and digital occlusion analysis serve as a functional assessment tool and source of crucial information for diagnostic clarification in neuromuscular disorders related to the stomatognathic system. The article presented here highlights the electromyographic and digital occlusion analysis of a rare case of SMA type II with cutis marmorata telangiectatica congenita (CMTC) in an 11-year-old male patient.</p><p><strong>How to cite this article: </strong>Thimmegowda U, Thumati P, Jayadevappa CG, <i>et al.</i> The Digital Occlusion and Electromyographic Analysis of a Child with Spinal Muscular Atrophy II and Cutis Marmorata Telangiectatica Congenita: A Report of Rare Case. Int J Clin Pediatr Dent 2026;19(4):532-536.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 4","pages":"532-536"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253660","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 Comparative Evaluation of Plaque Removal Efficacy of a Chewable Toothpaste Tablet with Conventional Toothpaste Using Conventional Toothbrush and Powered Toothbrush in Children of Age-group 8-12 Years.","authors":"Sanjyot S Desai, Gouri R Reddy, Siddhartha A Varma, Shashikiran N Devendrappa","doi":"10.5005/jp-journals-10005-3492","DOIUrl":"10.5005/jp-journals-10005-3492","url":null,"abstract":"<p><strong>Background: </strong>Oral hygiene is a crucial aspect of children's healthcare, and the effectiveness of plaque removal is one of the key indicators of good oral health. Traditional toothpaste and toothbrushes have been the cornerstone of oral hygiene practices; however, recent innovations like chewable toothpaste tablets offer a promising alternative. This study aims to compare the plaque removal efficacy and acceptance of a chewable toothpaste tablet with conventional toothpaste using both conventional and powered toothbrushes in children aged 8-12 years. By investigating the effectiveness, acceptability, and user experience of these different oral hygiene methods, the current research seeks to provide valuable insights for parents, caregivers, and healthcare professionals looking to promote optimal oral health in children.</p><p><strong>Materials and methods: </strong>The study included 100 participants divided into four groups as follows-group A: conventional toothpaste (Dentoshine) and conventional toothbrush (Oral-B Kids Soft Manual Toothbrush), group B: conventional toothpaste (Dentoshine) and powered toothbrush (Oral-B Pro-Health Jr Battery Powered Kids Automatic Toothbrush), group C: chewable toothpaste tablet (Teeth-a-bit) and conventional toothbrush (Oral-B Kids Soft Manual Toothbrush), and group D: chewable toothpaste tablet (Teeth-a-bit) and powered toothbrush (Oral-B Pro-Health Jr Battery Powered Kids Automatic Toothbrush).The participants of these four groups were advised to use the respective oral hygiene aids for 4 weeks. The oral hygiene index-simplified (OHI-S) and gingival index (GI) scores were recorded before and after 4 weeks, and the results were evaluated and analyzed using SPSS software 22.0.</p><p><strong>Results: </strong>Within the limitation of the study, it was seen that the chewable toothpaste tablet and conventional toothpaste using conventional toothbrush and powered toothbrush were equally effective in plaque removal.</p><p><strong>Conclusion: </strong>The findings suggest that the conventional and electric toothbrush with conventional toothpaste and chewable toothpaste tablet both have similar plaque removal efficiency. However, further comprehensive research is warranted to validate these results, as this study was conducted with a limited sample size. Introducing innovative oral care methods at a young age can foster a lifelong commitment to excellent oral hygiene, leading to improved overall health and well-being.</p><p><strong>How to cite this article: </strong>Desai SS, Reddy GR, Varma SA, <i>et al.</i> A Comparative Evaluation of Plaque Removal Efficacy of a Chewable Toothpaste Tablet with Conventional Toothpaste Using Conventional Toothbrush and Powered Toothbrush in Children of Age-group 8-12 Years. Int J Clin Pediatr Dent 2026;19(4):464-469.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 4","pages":"464-469"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253537","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":"Three-dimensional Evaluation of Wear of Primary Teeth Opposing Various Posterior Pediatric Crowns after Aging Procedures: An <i>In Vitro</i> Study.","authors":"M Manoharan, M Deepika Barathi, S Vinodh, Mohanraj Kamatchi, Rajakumar Madhuvathani, Kruthika Murali","doi":"10.5005/jp-journals-10005-3495","DOIUrl":"10.5005/jp-journals-10005-3495","url":null,"abstract":"<p><strong>Aims and background: </strong>Neglecting to replace diseased or decayed teeth results in different dental illnesses, some of which may require extensive and expensive treatment. Stainless steel crowns (SSCs) still remain optimal for primary molar rehabilitation, yet some disadvantages prompted the introduction of esthetic alternatives: zirconia (ZC) and Bioflx (BF) crowns. Comparing their wear effects on opposing natural teeth is crucial for clinical decision-making. Hence, the aim of this study is to evaluate and compare the wear of primary teeth opposing various pediatric crowns after aging procedures, using a three-dimensional surface scanner.</p><p><strong>Materials and methods: </strong>Ten natural primary maxillary second molars (control group A) and ten primary molar crowns in each group-SSCs (group B), ZC (group C), and BF (group D)-were antagonized against primary second mandibular molars. Aging procedures included artificial saliva immersion, thermocycling, and two-body wear testing. Prescan and postscan images were obtained and superimposed using a 3D scanner. Statistical analysis was done using one-way ANOVA and <i>post hoc</i> tests with a statistically significant level of <i>p</i> < 0.05.</p><p><strong>Results: </strong>Mean volumetric loss of antagonist teeth in group C (ZC) was 3.37 ± 0.198, followed by similar results in group D (BF), which was 2.21 ± 0.33; group B (SSC) was 2.03 ± 0.36, where all values were statistically significant with the <i>p</i>-value of < 0.05.</p><p><strong>Conclusion: </strong>Bioflx crowns express similar antagonistic tooth wear compared to SSCs, while ZC were distinguished with higher values.</p><p><strong>Clinical significance: </strong>These insights help clinicians choose materials that effectively restore both function and esthetics while considering differences in tooth structure and occlusion, which are termed to be essential aspects of pediatric dentistry.</p><p><strong>How to cite this article: </strong>Manoharan M, Deepika BM, Vinodh S, <i>et al.</i> Three-dimensional Evaluation of Wear of Primary Teeth Opposing Various Posterior Pediatric Crowns after Aging Procedures: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2026;19(4):475-479.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 4","pages":"475-479"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253723","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 Bond Strength of Bioflx Crowns with Resinous and Nonresinous Luting Agents on Primary Teeth: An <i>In Vitro</i> Study.","authors":"Aditi Tasgaonkar, Nilesh Rathi, Priyanka V Agrawal, Ankita Marathe, Ritu Kotnis","doi":"10.5005/jp-journals-10005-3480","DOIUrl":"10.5005/jp-journals-10005-3480","url":null,"abstract":"<p><strong>Aims and background: </strong>Preserving primary teeth with crowns is vital in pediatric dentistry, especially for those compromised by dental caries, previous treatments, or malformations. To address the limitations of traditional esthetic crowns, Bioflx crowns have been available as a new, durable, esthetic, and self-adaptable preformed option for usage in pediatric dentistry. This <i>in vitro</i> study aimed to evaluate and compare the shear bond strengths of Bioflx crowns luted on primary teeth using different luting agents.</p><p><strong>Materials and methods: </strong>Bioflx blocks measuring 4 × 4 mm were luted on 45 extracted primary teeth using three different luting agents, based on which the 45 samples were divided into three groups: group I, glass ionomer cement (GIC) (GC Corp., Japan); group II, RelyX U200 (3M ESPE, Germany); and group III, ACTIVA™ (PulpDent, USA). A universal testing machine was used to measure the shear bond strength following the specimen thermocycling.</p><p><strong>Results: </strong>We found notable differences in the groups' shear bond strengths, with RelyX U200 and ACTIVA™ exhibiting much higher mean values (1.41 and 1.31 MPa, respectively) compared with GIC (0.32 MPa). <i>Post hoc</i> analysis revealed that group I (GIC) was significantly different from both groups II (RelyX U200) and III (ACTIVA™), whereas no significant difference was observed between resinous luting agent groups.</p><p><strong>Conclusion: </strong>Resin-based luting agents were found to be superior to non-resinous agents in the luting of Bioflx polymer to primary teeth.</p><p><strong>Clinical significance: </strong>This study highlights the significance of bond strength when using various resin-based and non-resin-based luting agents on an advanced polymer crown designed specifically for pediatric dentistry. The bonding of Bioflx crowns with primary dentition remains a largely unexplored area, and this study offers valuable insights that pediatric dentists can effectively apply in clinical practice.</p><p><strong>How to cite this article: </strong>Tasgaonkar A, Rathi N, Agrawal PV, <i>et al.</i> Comparative Evaluation of Bond Strength of Bioflx Crowns with Resinous and Nonresinous Luting Agents on Primary Teeth: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2026;19(4):419-424.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 4","pages":"419-424"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253674","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 Eggshell-derived Calcium Hydroxyapatite and Biodentine as Indirect Pulp-capping Agents in Primary Molars: <i>In Vivo</i> Study.","authors":"Riddhi M Patel, Bhat Manohar, Abhishek Khairwa, Sunita Ranwa, Diksha Shekhawat","doi":"10.5005/jp-journals-10005-3481","DOIUrl":"10.5005/jp-journals-10005-3481","url":null,"abstract":"<p><strong>Aim and background: </strong>This randomized clinical trial aims to evaluate and compare the efficacy of eggshell-derived calcium hydroxyapatite (EHA) and Biodentine as indirect pulp-capping materials in primary molars.</p><p><strong>Trial design: </strong>This randomized controlled study aimed to evaluate and compare the effectiveness of calcium hydroxyapatite (HA) derived from eggshells (ESs) and Biodentine as indirect pulp-capping materials in primary molars of school-aged children. Among the 50 primary molars screened in cooperative children (4-8 years), selected from the Department of Pedodontics, Jaipur Dental College, 40 deep carious primary molars with a history of dull, reversible pain, or mild discomfort on chewing were included in the study.</p><p><strong>Materials and methods: </strong>A total of 40 carious primary molars were selected and randomly allocated into two equal groups. Group I received EHA, while group II was treated with Biodentine, both used as indirect pulp-capping materials. The cavities were then restored using Type IX glass ionomer cement. Radiographic evaluations were performed to measure the thickness of reparative dentine at baseline, and at 3, 6, 9, and 12 months. The collected data were analyzed statistically using paired t-tests.</p><p><strong>Results: </strong>At the end of 3, 6, 9, and 12 months, a statistically significant increase in dentin thickness with both ES and Biodentine (<i>p</i>-value ≤ 0.001) was found. Within the ES group, the thickness of dentin formed was 2.20 ± 0.50 at first 3 months, 2.24 ± 0.50 mm at 6 months, 2.26 ± 0.50 at 9 months, and 2.28 ± 0.50 at 12 months. In the Biodentine group, increment in dentin deposition was 2.18 ± 0.34 mm at the first 3 months, 2.24 ± 0.34 mm at 6 months, 2.24 ± 0.33 mm at 9 months, and 2.25 ± 0.33 mm at 12 months.</p><p><strong>Conclusion: </strong>EHA yielded better results compared to Biodentine in the as-reparative dentin thickness formation. So, EHA can be suggested as a very cost-effective, efficient substitute to Biodentine as indirect pulp-capping agent in primary molars. However, additional studies are needed to confirm these findings and support their implementation in clinical practice.</p><p><strong>How to cite this article: </strong>Patel RM, Manohar B, Khairwa A, <i>et al.</i> Comparison of Eggshell-derived Calcium Hydroxyapatite and Biodentine as Indirect Pulp-capping Agents in Primary Molars: <i>In Vivo</i> Study. Int J Clin Pediatr Dent 2026;19(4):444-450.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 4","pages":"444-450"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253649","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 Clinical Performance of Two-step and One-step Self-etching Adhesive Systems and Self-etching Self-adhesive Composite in Permanent Molars in Pediatric Patients: A Three-arm Parallel Randomized Clinical Study.","authors":"Tushar Pruthi, Inder K Pandit, Neeraj Gugnani, Monika Gupta, Sakshi Gaind","doi":"10.5005/jp-journals-10005-3489","DOIUrl":"10.5005/jp-journals-10005-3489","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The most prevalent disease that affects people is dental caries. The illness needs to be restored after it has been cavitated. Over the past few decades, dental adhesives that are used to adhere composite resins to tooth structure have changed. Composites were created to satisfy the needs of long-lasting, esthetically pleasing restorative materials. The micromechanical interlocking between the resin and enamel's hydroxyapatite caused the bonding process. Bonding to enamel has developed into a dependable process throughout time. Bonding to dentin, on the other hand, has shown less consistency. Dental adhesive systems have changed throughout the course of multiple generations to address these issues, with modifications to their chemistry, mechanism, bottle count, application methods, and clinical efficacy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;The present study aimed to evaluate and compare the clinical performance of three different adhesive strategies-two-step self-etching adhesive system (group I: Clearfil SE Bond), one-step self-etching adhesive system (group II: Xeno V), and self-etching self-adhesive composite (group III: Constic)-in the restoration of class I cavitated lesions [International Caries Detection and Assessment System (ICDAS) score 5] in permanent molars of pediatric patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;A total of 45 permanent molars with ICDAS score 5 lesions were randomly selected in children aged 9-16 years. The teeth were randomly assigned to three groups (&lt;i&gt;n&lt;/i&gt; = 15 per group) and restored using the respective adhesive strategies. All restorations were clinically evaluated at 1 week, 1 month, and 6 months using modified US Public Health Service (USPHS) criteria. Parameters assessed included retention, color match, marginal discoloration, secondary caries, anatomic form, marginal adaptation, surface texture, and postoperative sensitivity. The data obtained were statistically analyzed using Chi-squared test, and level of significance, that is, &lt;i&gt;p&lt;/i&gt;-value was determined.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;All three adhesive strategies demonstrated good clinical performance after 6 months. Group III (Constic) exhibited comparable outcomes to group I (Clearfil SE Bond) and group II (Xeno V) in terms of anatomic form, retention, absence of secondary caries, marginal discoloration, and postoperative sensitivity. Group II and group III showed similar results for marginal adaptation, while group I exhibited significantly poorer marginal adaptation at the 6-month recall. Overall, group III provided effective clinical results with the added benefits of reduced chair time and improved patient comfort.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Self-etching self-adhesive composite (Constic) showed promising clinical performance comparable to traditional adhesive systems, with the added advantages of simplified application and patient-friendly handling. These results support its use in pediatric restor","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 4","pages":"425-432"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253689","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":"Prevalence of Tongue Thrusting in Indian Children: A Systematic Review and Meta-analysis of Observational Studies.","authors":"Somya Goel, Laresh Mistry, Ashwin Jawdekar","doi":"10.5005/jp-journals-10005-3494","DOIUrl":"10.5005/jp-journals-10005-3494","url":null,"abstract":"<p><strong>Introduction: </strong>Oral habits such as tongue thrusting can cause deleterious effects on jaw growth and lead to malocclusion. Various studies have been done among various age-groups to check the prevalence of various oral habits. The aim of this systematic review and meta-analysis (SRMA) is to assess the prevalence of tongue-thrusting habit in Indian children below 18 years of age.</p><p><strong>Materials and methods: </strong>Two researchers searched literature using appropriate keyword combinations in PubMed, Cochrane Library, and Google Scholar. Observational studies on prevalence of tongue-thrusting habit in Indian population below 18 years of age with full texts in English were included. Subgroup analysis was done based on region (Rajasthan, Maharashtra, Chennai, and Karnataka).</p><p><strong>Result: </strong>In the meta-analysis based on 20 studies (<i>N</i> = 53,245), the percentage pooled prevalence was found to be 16.12 (CI: 9.12-24.64). All the results were statistically significant. Random effects model (REM) was used, as the heterogeneity (<i>I</i> ²: 99.82) was high. Publication bias, assessed using tool by Hoy et al., was low.</p><p><strong>Conclusion: </strong>The prevalence of tongue thrusting in Indian children is 16.12%. The highest prevalence is seen in the state of Rajasthan, and the lowest is seen in Maharashtra state.</p><p><strong>How to cite this article: </strong>Goel S, Mistry L, Jawdekar A. Prevalence of Tongue Thrusting in Indian Children: A Systematic Review and Meta-analysis of Observational Studies. Int J Clin Pediatr Dent 2026;19(4):499-506.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 4","pages":"499-506"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253714","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":"Assessing the Effectiveness of Herbal Intracanal Irrigants in Deciduous Molars: A Systematic Review.","authors":"Mithula Raj, Deepa Gurunathan, Mahesh Ramakrishnan, Ganesh Jeevanandan, Vignesh Ravindran, Lavanya Govindaraju, Sunny Priyatham Tirupathi","doi":"10.5005/jp-journals-10005-3491","DOIUrl":"10.5005/jp-journals-10005-3491","url":null,"abstract":"<p><strong>Aims and background: </strong>Pulpectomy, a crucial procedure in pediatric endodontics, involves the complete removal of infected pulp tissue and serves as a standard intervention for addressing pulp pathologies. The success of pulpectomy hinges not only on the meticulous debridement and disinfection of the root canal system but also on the judicious selection of intracanal irrigants employed during the procedure. Traditional endodontic irrigants have predominantly featured synthetic chemicals. This departure from synthetic agents to herbal irrigants is motivated by apprehensions regarding potential side effects and the environmental impact associated with conventional chemical agents. The aim of this systematic review was to assess the effectiveness of herbal intracanal irrigants compared to sodium hypochlorite (NaOCl) when used in pulpectomy of primary molars.</p><p><strong>Methods: </strong>The review's procedure was prepared in accordance with the Cochrane Handbook and the Preferred Reporting Items for Systematic Reviews and Meta-analysis 2020 Statement. A thorough search of PubMed, Google Scholar, Cochrane CENTRAL, Scopus, Web of Science, and LILACS was done for articles published between January, 2011 and June, 2024 (14 years) in order to identify all peer-reviewed research pertinent to the review's question. Only those articles that met the inclusion criteria were selected. Literature abstracts and full-text articles were analyzed in this review. A total of three articles that adhered to the eligibility requirements were ultimately chosen for inclusion. All were randomized clinical trials that evaluated the clinical and radiographic success or outcomes of herbal medicine.</p><p><strong>Results: </strong>The overall clinical and radiographic outcomes were not significantly different in all the studies. All the included studies recorded high risk of bias.</p><p><strong>Conclusion: </strong>The review concluded that herbal extracts can be considered as effective as their chemical counterparts, with the added advantage of potentially fewer side effects.</p><p><strong>Clinical significance: </strong>The efficacy of herbal irrigants in pediatric pulpectomy is comparable to that of NaOCl, with the potential advantages of increased patient acceptance, safety, and biocompatibility.</p><p><strong>How to cite this article: </strong>Raj M, Gurunathan D, Ramakrishnan M, et al. Assessing the Effectiveness of Herbal Intracanal Irrigants in Deciduous Molars: A Systematic Review. Int J Clin Pediatr Dent 2026;19(4):507-515.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 4","pages":"507-515"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253574","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}