International Journal of Clinical Pediatric Dentistry最新文献

{"title":"A Comparative Evaluation of Chronological Age with Dental Age Based on Volumetric Analysis of Pulp-Tooth Ratio of Maxillary Anterior Teeth: A Cone-beam Computed Tomography Study.","authors":"Sofia Mukhtar, Ahsan Abdullah, Swati Dwivedi, Vinod K Upadhyay, Vasu S Saxena, Takhellambam A Singh","doi":"10.5005/jp-journals-10005-3586","DOIUrl":"10.5005/jp-journals-10005-3586","url":null,"abstract":"<p><strong>Aims and background: </strong>Forensic odontology constitutes a critical discipline in legal investigations, facilitating human identification and age estimation through the analysis of dental records and advanced imaging modalities. Age estimation is essential in forensic and clinical applications, with dental development being a reliable indicator due to its resistance to environmental factors. Hence, the aim of this study was to evaluate the chronological age based on volumetric analysis of pulp-tooth ratio (PTR) of maxillary anterior teeth by using cone-beam computed tomography (CBCT) in children and adolescents.</p><p><strong>Materials and methods: </strong>The present study was conducted on CBCT scans of 50 patients, comprising 25 boys and 25 girls, within the age range of 8-18 years. Volumetric assessment of the pulp and calcified tissues was carried out for the maxillary central incisors and canines. The obtained data were subsequently subjected to correlation and regression analyses to evaluate the relationship between dental tissue volumes and chronological age.</p><p><strong>Results: </strong>The correlation and regression analyses showed high correlation and high estimation of dental age based on volumetric analysis of PTR of maxillary anterior teeth (central incisor and canine). However, estimation of dental age was found to be higher in central incisor than canine.</p><p><strong>Conclusion: </strong>The study confirms that the PTR is a reliable indicator for age estimation, with maxillary central incisors showing the strongest correlation with chronological age. The results underscore the applicability of PTR in forensic and clinical settings, where its integration can significantly enhance the precision and reliability of dental age estimation methodologies.</p><p><strong>Clinical significance: </strong>Volumetric analysis of the PTR using CBCT serves as a dependable and noninvasive technique for estimating age in pediatric and adolescent populations. Maxillary central incisors demonstrated the strongest correlation with chronological age, making them valuable markers in both forensic identification and clinical applications.</p><p><strong>How to cite this article: </strong>Mukhtar S, Abdullah A, Dwivedi S, <i>et al.</i> A Comparative Evaluation of Chronological Age with Dental Age Based on Volumetric Analysis of Pulp-Tooth Ratio of Maxillary Anterior Teeth: A Cone-beam Computed Tomography Study. Int J Clin Pediatr Dent 2026;19(8):951-956.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"951-956"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991669","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 Pain Assessment Using Star Pen and Conventional Injection Technique during Inferior Alveolar Nerve Block Injection in Children Aged between 6 and 10 Years: A Randomized Controlled Trial.","authors":"Swanandi Kelkar, Preetam Prakash Shah, Shweta Chaudhary, Laxmi Lakade, Shweta Siddhant Jajoo, Gandhali Joshi","doi":"10.5005/jp-journals-10005-3601","DOIUrl":"10.5005/jp-journals-10005-3601","url":null,"abstract":"<p><strong>Background: </strong>Managing pain and anxiety during dental procedures is a major concern in pediatric dentistry. The method of local anesthetic delivery significantly influences a child's dental experience. Inferior alveolar nerve block (IANB) is commonly associated with discomfort and anxiety in pediatric patients.</p><p><strong>Aim: </strong>To compare the efficacy, patient perception, and physiological response of a computer-controlled local anesthetic delivery (CCLAD) system (Woodpecker Star Pen) with a conventional syringe during IANB administration in children aged 6-10 years.</p><p><strong>Materials and methods: </strong>A randomized, split-mouth crossover trial was conducted on 50 cooperative children requiring bilateral IANB. Each participant received both injection techniques (Star Pen and conventional syringe) in two separate appointments. Pain perception, behavior [sound-eye-motor (SEM) scale], heart rate changes, and injection duration were recorded and analyzed.</p><p><strong>Results: </strong>The Star Pen significantly reduced pain scores (1.44 ± 1.82) compared to the conventional syringe (3.24 ± 1.94) (<i>p</i> < 0.001). SEM scores were lower for the Star Pen (4.02 ± 1.23) than the conventional syringe (5.59 ± 2.18) (<i>p</i> < 0.001). A significant increase in heart rate was observed with the conventional syringe (<i>p</i> = 0.001), while the Star Pen showed no such effect (<i>p</i> = 0.527). Injection duration was longer with the Star Pen (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The Woodpecker Star Pen CCLAD system provides a more comfortable and less distressing experience for children compared to the conventional syringe, making it a favorable alternative for delivering IANB in pediatric dental settings.</p><p><strong>How to cite this article: </strong>Kelkar SM, Shah PP, Chaudhary SM, <i>et al.</i> Comparative Evaluation of Pain Assessment Using Star Pen and Conventional Injection Technique during Inferior Alveolar Nerve Block Injection in Children Aged between 6 and 10 Years: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2026;19(8):980-986.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"980-986"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991676","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":"Correlation of Tongue Strength and Endurance with Overjet and Overbite in Angle Class I Malocclusion: A Study in Deutero Malay Race Ages 9-12 Years.","authors":"Vynlia Vynlia, Sarworini Bagio Budiardjo, Mochamad Fahlevi Rizal","doi":"10.5005/jp-journals-10005-3600","DOIUrl":"10.5005/jp-journals-10005-3600","url":null,"abstract":"<p><strong>Aims and background: </strong>Tongue strength and endurance are important in assessing the ability of the tongue to perform its major functions, such as eating and phonetics, as well as its relationship to the functions of occlusion formation and malocclusion, which are still under study. Tongue strength and endurance can be assessed using the Tongueometer, which is a validated device with the Iowa Oral Performance Instrument (IOPI) tongue measuring device, USA. This research is an initial study to assess tongue strength and endurance in children of the Deutero Malay race.</p><p><strong>Materials and methods: </strong>This is a cross-sectional clinical observational study. Tongue strength and endurance of a total of 44 participants aged 9-12 years were measured. Data were collected using the pressure transducer and Tongueometer. Overjet and overbite were measured using a metal ruler. Statistical analysis using Spearman correlation test. This study received approval from the Ethical Committee of the Faculty of Dentistry at Universitas Indonesia, with approval number 81/Ethical Approval/FKGUI/X/2024.</p><p><strong>Results: </strong>Correlation between tongue strength to overjet, very weak positive (<i>r</i> = 0.09), not significant (<i>p</i> > 0.05); and correlation of tongue endurance to overjet, very weak positive (<i>r</i> = 0.08), statistically nonsignificant (<i>p</i> > 0.05); correlation of tongue strength to overbite very weak negative (r = -0.026) not significant (<i>p</i> > 0.05); and correlation of tongue endurance to overbite very weak positive (<i>r</i> = 0.063), unsignificant (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>Tongue strength and endurance in Angle Class I malocclusion are very weakly and not significantly correlated with overjet and overbite in 9-12-year-olds of the Deutero Malay race.</p><p><strong>Clinical significance: </strong>Tongue strength and endurance in Angle Class I malocclusion are not influenced by overjet and overbite in 9-12-year-olds of the Deutero Malay race.</p><p><strong>How to cite this article: </strong>Vynlia V, Budiardjo SB, Rizal MF. Correlation of Tongue Strength and Endurance with Overjet and Overbite in Angle Class I Malocclusion: A Study in Deutero Malay Race Ages 9-12 Years. Int J Clin Pediatr Dent 2026;19(8):968-971.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"968-971"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991705","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":"Assessment of Matrix Band Systems in Restoring Proximal Caries of Primary Molars.","authors":"Dharini Venkataraman, Jayanthi Mungara, Poornima Vijayakumar, Deebiga Karunakaran, Shanthosh S Raj","doi":"10.5005/jp-journals-10005-3606","DOIUrl":"10.5005/jp-journals-10005-3606","url":null,"abstract":"<p><strong>Aim and objectives: </strong>To evaluate and compare three different matrix band systems in restoring proximal caries of primary molar teeth.</p><p><strong>Materials and methods: </strong>Ninety primary molar teeth with proximal caries from 54 children aged 4-7 years were selected based on the inclusion and exclusion criteria and were randomly assigned to one of the three groups (group I-Fendermate, group II-T-band, group III-Composi-Tight 3D Fusion Ring). Intraoral examination and preoperative radiographic assessment were done. The prepared cavity was restored with glass ionomer cement with the matrix system in place. Postoperative radiographs were taken. Clinical and radiographic evaluation was carried out to compare the performance of the three matrix systems. Statistical analysis was carried out using Statistical Package for the Social Sciences (SPSS) version 22.0 and the Chi-squared test. A <i>p</i>-value of <0.05 was considered statistically significant.</p><p><strong>Results: </strong>Fendermate and Composi-Tight 3D Fusion Ring were significantly superior to T-band in the establishment of proximal contact, with no significant difference in all other parameters among the three matrix systems.All three tested matrix systems were equally suitable for the restoration of proximal caries for the parameters assessed, except for the establishment of proximal contact, where Fendermate and Composi-Tight were significantly superior to the T-band system (<i>p</i> = 0.028, <i>p</i> = 0.001).</p><p><strong>Conclusion: </strong>Composi-Tight 3D Fusion Ring was better in terms of adaptation of the matrix, patient cooperation, separation of the tooth during restorative procedures, and restoration of the natural anatomic tooth form.The appropriate adaptation of matrix systems helps in the establishment of successful proximal restorations.</p><p><strong>How to cite this article: </strong>Venkataraman D, Mungara J, Vijayakumar P, <i>et al.</i> Assessment of Matrix Band Systems in Restoring Proximal Caries of Primary Molars. Int J Clin Pediatr Dent 2026;19(8):1006-1012.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1006-1012"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991717","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 Effectiveness of Intrapulpal Crushed Ice and Intrapulpal Local Anesthesia during Pulpectomy in Primary Molars.","authors":"Snehal D Jagtap, Nupur Ninawe, Ritesh R Kalaskar, Nidhi Sharma, Utkarsha S Kadam","doi":"10.5005/jp-journals-10005-3608","DOIUrl":"10.5005/jp-journals-10005-3608","url":null,"abstract":"<p><strong>Aims and background: </strong>This study aimed to evaluate the effectiveness of intrapulpal crushed ice compared to intrapulpal lidocaine as a supplementary anesthetic during pulpectomy in primary second molars of children aged 5-10 years. The goal was to assess whether crushed ice could serve as a less painful, effective alternative to intrapulpal local anesthesia when the inferior alveolar nerve block (IANB) alone is insufficient in cases of symptomatic irreversible pulpitis.</p><p><strong>Materials and methods: </strong>A randomized controlled clinical trial was conducted among 52 children fulfilling the inclusion criteria: Frankl Behavior Rating of 3 or 4, vital pulp with bleeding on exposure, and requiring supplementary anesthesia following IANB. Participants were randomly assigned using concealed envelopes to group I (intrapulpal lidocaine, 0.2-0.5 mL under pressure) or group II (intrapulpal crushed ice, placed in the pulp chamber for 3-5 minutes at -4 to 0°C). Pain perception was assessed at access opening and during biomechanical preparation using a visual analog scale (VAS) by the child and a sound, eye, motor (SEM) score by a blinded dentist. Procedure duration was recorded, and cases requiring additional anesthesia were noted.</p><p><strong>Results: </strong>The correlation between VAS and SEM scores was not uniform across groups and assessment stages. A statistically significant positive correlation was observed during access opening in Group II and during biomechanical preparation in Group I, whereas the correlations at the other assessment stages were not statistically significant.</p><p><strong>Conclusion: </strong>Intrapulpal cryotherapy using crushed ice may be a safe, child-friendly, and effective alternative to intrapulpal lidocaine, providing acceptable pain control with improved behavioral outcomes and clinical efficiency.</p><p><strong>Clinical significance: </strong>This alternative technique helps avoid the pain of intrapulpal anesthesia while providing effective pain control with a positive impact on the child's experience, making it a more child-friendly option.</p><p><strong>How to cite this article: </strong>Jagtap SD, Ninawe N, Kalaskar RR, <i>et al.</i> Comparative Evaluation of the Effectiveness of Intrapulpal Crushed Ice and Intrapulpal Local Anesthesia during Pulpectomy in Primary Molars. Int J Clin Pediatr Dent 2026;19(8):1017-1022.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1017-1022"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Fluoride Varnishes Containing Casein Phosphopeptide-amorphous Calcium Phosphate on Primary Enamel Microhardness: An <i>In Vitro</i> Study.","authors":"Pushpasanthy M, Rena Ephraim, M U Mridhul, Ambili Ayilliath, K B Dhanya, Fazila Azhikoden","doi":"10.5005/jp-journals-10005-3603","DOIUrl":"10.5005/jp-journals-10005-3603","url":null,"abstract":"<p><strong>Aims and background: </strong>Fluoride varnishes containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) have been shown to be beneficial in arresting caries lesions in permanent teeth by increasing surface hardness, causing a shift in the demineralization/remineralization equilibrium. The present study aimed to compare the enamel microhardness of primary teeth after the application of MI Varnish and Enamel Pro Varnish.</p><p><strong>Materials and methods: </strong>Sixty-three extracted primary teeth were randomly divided into three groups of 21 teeth each: control group, MI Varnish group, and Enamel Pro Varnish group. All specimens were placed in a demineralizing solution for 48 hours. MI Varnish and Enamel Pro Varnish were applied to the teeth of the respective groups, except in the control group. All specimens were placed in artificial saliva for 1 week. The preoperative and postoperative microhardness values of all specimens were measured. The results were analyzed and compared.</p><p><strong>Results: </strong>Intragroup comparison was found to be highly significant in the control group and Enamel Pro Varnish group and not significant in the MI Varnish group after remineralization when compared to baseline. However, a greater reduction in Vickers hardness number (VHN) was seen in the MI Varnish group when compared to the Enamel Pro Varnish and control groups.</p><p><strong>Conclusion: </strong>The addition of CPP-ACP to fluoride varnish increases the microhardness of surface enamel in primary teeth.</p><p><strong>Clinical significance: </strong>Fluorides with the addition of CPP-ACP will be highly beneficial for increasing the surface hardness of primary enamel and making it less susceptible to acid attack.</p><p><strong>How to cite this article: </strong>Pushpasanthy M, Rena Ephraim, Mridhul MU <i>et al.</i> Effect of Fluoride Varnishes Containing Casein Phosphopeptide-amorphous Calcium Phosphate on Primary Enamel Microhardness: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2026;19(8):1013-1016.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1013-1016"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13587636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009018","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 Performance of Stainless Steel Crowns and 3D-printed Resin Crowns in Primary Molars of Children: A Randomized Clinical Trial.","authors":"Bollepalli Bhavana, Gadisetti Lakshmi Surekha, Guduri Vineeth, Peddi Ravigna, Penmatsa Chaitanya, Spandana Cheeli","doi":"10.5005/jp-journals-10005-3616","DOIUrl":"10.5005/jp-journals-10005-3616","url":null,"abstract":"<p><strong>Aim and background: </strong>Digital dentistry has paved the way for the use of permanent resins, which are biocompatible and esthetic, as an alternative to stainless steel crowns (SSCs). So, this study evaluated and compared the clinical performance of SSCs and 3D-printed resin crowns (3D-PRCs) in pulpectomized primary molars in children.</p><p><strong>Materials and methods: </strong>This split-mouth randomized clinical trial was registered under the Clinical Trials Registry of India (CTRI) number: CTRI/2024/02/062466. Thirty-two children aged 6-9 years with 64 pulpectomized primary second molars requiring bilateral full-coronal restorations were randomly assigned to group I (SSCs) and group II (3D-PRCs). Survival rate, crown retention, and gingival health were assessed at 6 and 12 months. Data were analyzed using Kaplan-Meier (KM), Mann-Whitney <i>U</i>, and Friedman tests.</p><p><strong>Results: </strong>A statistically significant difference was observed for survival rate and crown retention (<i>p</i> = 0.001) between the SSCs (100%) and 3D-PRCs (43.8%) at both intervals, whereas both groups experienced a slight deterioration of gingival health over the 12-month follow-up period, with no statistically significant difference.</p><p><strong>Conclusion: </strong>SSCs demonstrated superior performance in terms of crown retention, longevity, and gingival health. 3D-PRCs offered a distinct advantage in esthetic appeal.</p><p><strong>Clinical significance: </strong>The esthetic limitations and potential hypersensitivity reactions associated with SSCs underscore the need for economical and durable alternatives in pediatric restorative dentistry. Integrating these 3D-PRCs with refined fabrication techniques, enhanced retention strategies into clinical practice could significantly improve treatment acceptance and long-term oral health outcomes in children.</p><p><strong>How to cite this article: </strong>Bhavana B, Surekha GL, Vineeth G, <i>et al.</i> Evaluation of Clinical Performance of Stainless Steel Crowns and 3D-printed Resin Crowns in Primary Molars of Children: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2026;19(8):1034-1040.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1034-1040"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991318","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":"Effectiveness of Snoezelen Therapy in a Sensory-adapted Dental Environment on Anxiety of 6-12-year-old Children Undergoing Dental Treatment: A Randomized Controlled Trial.","authors":"Varunika V Sahai, Shivayogi M Hugar, Niraj S Gokhale, Chandrashekhar Badakar, Krishna Kajave, Snehal S Kumthekar","doi":"10.5005/jp-journals-10005-3617","DOIUrl":"10.5005/jp-journals-10005-3617","url":null,"abstract":"<p><strong>Aim and background: </strong>Conventional behavior guidance techniques often fail to address the most common anxiety-provoking factor in children, i.e., the environment of the dental operatory. A sensory-adapted dental environment (SADE) masks the anxiety-provoking factors present in a dental clinic and helps in the relaxation of the child. Thus, the aim of this study was to evaluate and compare the effectiveness of a SADE and regular dental environment (RDE) to alleviate anxiety in children undergoing dental treatment.</p><p><strong>Materials and methods: </strong>The trial was conducted on healthy children aged 6-12 years. A sample size of 60 was calculated using the standard sample size formula. Participants were allocated into two groups: group I, RDE, and group II, SADE. Anxiety was measured pre- and postoperatively using Venham's picture test (VPT) and pulse oximetry.</p><p><strong>Results: </strong>A very highly statistically significant reduction of anxiety levels by VPT was seen postoperatively in the SADE group as compared to RDE (<i>p</i> = 0.0002). A very highly statistically significant reduction of pulse rate scores was seen postoperatively in the SADE group as compared to RDE (<i>p</i> = 0.0007).</p><p><strong>Conclusion: </strong>SADE is highly effective in anxiety reduction in children undergoing dental treatment.</p><p><strong>Clinical significance: </strong>The results of this study proved that SADE is an effective, innovative behavior guidance technique for children undergoing dental treatment.</p><p><strong>How to cite this article: </strong>Sahai VV, Hugar SM, Gokhale NS, <i>et al.</i> Effectiveness of Snoezelen Therapy in a Sensory-adapted Dental Environment on Anxiety of 6-12-year-old Children Undergoing Dental Treatment: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2026;19(8):1047-1053.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1047-1053"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991323","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 Transverse Maxillary Arch Changes in Mixed Dentition with Clear Aligners vs Conventional Maxillary Expanders: A Systematic Review and Meta-analysis.","authors":"Sayali Athawale, Nikita Mohelay, Puneet Batra, Aditya Talwar, Ashish Kumar Singh","doi":"10.5005/jp-journals-10005-3622","DOIUrl":"10.5005/jp-journals-10005-3622","url":null,"abstract":"<p><strong>Objective: </strong>To systematically evaluate and compare the effects of clear aligner therapy (CAT) vs conventional maxillary expanders [rapid maxillary expansion (RME) and slow maxillary expansion (SME)] in treating maxillary arch constriction during mixed dentition with a focus on transverse arch parameters, including intercanine and intermolar widths, molar inclination, arch perimeter, and palatal depth.</p><p><strong>Materials and methods: </strong>Electronic searches of PubMed, Embase, Scopus, and Medline upto August 2025 identified 341 records. Studies included randomized controlled trials (RCTs) and prospective and retrospective cohorts assessing ME outcomes with clear aligners and conventional RME/SME expanders in mixed dentition patients. Outcomes included intercanine width, intermolar width, arch perimeter, arch width and depth, molar inclination, and palatal volume. Risk of bias was evaluated using the revised Cochrane risk-of-bias tool for randomized trials (RoB 2) for RCTs and the Methodological Index for Nonrandomized Studies (MINORS) for nonrandomized studies.</p><p><strong>Results: </strong>Eight studies met inclusion criteria, comprising a total of 412 patients aged 8.4 ± 1.3 years. Meta-analysis showed a significant trend favoring maxillary expanders over CAT for both intercanine width expansion [-0.54; 95% confidence interval (CI): -1.17, 0.09; <i>p</i> = 0.09] and intermolar width [-1.01 (95% CI: -1.59, -0.43; <i>p</i> = 0.0006)]. CAT demonstrated superior control over molar inclination with reduced buccal tipping. Heterogeneity varied across outcomes, largely owing to differences in study designs and protocols. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) assessment revealed overall very low quality of evidence with moderate risk of bias.</p><p><strong>Conclusion: </strong>RME demonstrated significantly greater increases in intermolar width compared to CAT, while intercanine width changes were comparable between treatments. Although both modalities effectively address transverse deficiencies in mixed dentition, they differ in expansion patterns and dental effects, with CAT offering more controlled dentoalveolar expansion and minimal molar tipping.</p><p><strong>How to cite this article: </strong>Athawale S, Mohelay N, Batra P, <i>et al.</i> Comparative Evaluation of Transverse Maxillary Arch Changes in Mixed Dentition with Clear Aligners vs Conventional Maxillary Expanders: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2026;19(8):1067-1077.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1067-1077"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991726","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 Upper Airway Resistance Syndrome in Children with Orofacial Malocclusion in Bengaluru Urban District: An Observational Study.","authors":"Simran P Desai, Dhananjaya Gaviappa, Somashekar Ankanahalli Ramu, Lalitha S Jairam, Maanya Vijay","doi":"10.5005/jp-journals-10005-3619","DOIUrl":"10.5005/jp-journals-10005-3619","url":null,"abstract":"<p><strong>Background: </strong>The hallmark signs of upper airway resistance syndrome (UARS) include increased breathing effort, frequent arousals during sleep, and daytime drowsiness without noticeable problems with oxygenation or airflow. It may involve craniofacial traits such as a long face, small mouth, retrognathia, nasal obstruction, narrow throat, and high palate and primarily affects young, thin people who suffer from insomnia. UARS causes fatigue by interfering with sleep. Due to airway obstruction, mouth breathing in children can cause Class II Division 1 malocclusion and a V-shaped maxillary arch.</p><p><strong>Aim: </strong>To assess the prevalence of UARS in children with orofacial malocclusion in Bengaluru Urban District.</p><p><strong>Methods: </strong>The study included a total of 50 participants aged 8-14 years, equally divided into a case group and a control group. (1) UARS was determined using diagnostic tests such as the Apnea-Hypopnea Index (AHI) and by evaluating daytime sleepiness with the Epworth Sleepiness Scale (ESS). (2) The patient's facial profile was assessed, and all children underwent a dental examination based on canine relationship, presence or absence of posterior crossbite, amount of overjet and overbite. Palatal morphology, neck circumference, and uvula were also assessed.</p><p><strong>Results: </strong>The prevalence of UARS was significantly higher in the malocclusion group than in the control group (<i>p</i> < 0.05). Class II malocclusion, constricted maxillary arches, and retrognathic mandibles were significantly associated with increased UARS indicators.</p><p><strong>Conclusion: </strong>The study highlights a significant association between orofacial malocclusion and UARS in children. Early orthodontic screening and interdisciplinary intervention may play a critical role in identifying and managing UARS in pediatric populations.</p><p><strong>Clinical significance: </strong>This study highlights the need for early detection and management of orofacial malocclusions to prevent UARS, with orthodontic interventions such as rapid maxillary expansion improving airway patency. A multidisciplinary approach involving orthodontists, pediatricians, and otolaryngologists is essential for effective care.</p><p><strong>How to cite this article: </strong>Desai SP, Gaviappa D, Ramu SA <i>et al.</i> Prevalence of Upper Airway Resistance Syndrome in Children with Orofacial Malocclusion in Bengaluru Urban District: An Observational Study. Int J Clin Pediatr Dent 2026;19(8):1054-1059.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"1054-1059"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991424","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}