International Journal of Clinical Pediatric Dentistry最新文献

{"title":"Cheiloscopy-Your Identity, Our Indicator: A Cross-sectional Study to Evaluate the Relationship between Lip Prints and Dental Caries in Children of Jammu Province.","authors":"Rumisa N Kashani, Bhavna Kaul, Sonam Rajput, Aishwaraya Gupta, Syed Gulbar Shah, Yasir M Dar, Isha Gupta","doi":"10.5005/jp-journals-10005-3235","DOIUrl":"10.5005/jp-journals-10005-3235","url":null,"abstract":"<p><strong>Background: </strong>Dental caries, a major public health concern, is impacting millions of people worldwide. Its etiology being complex, nevertheless, a possibility of true genetic dental decay has puzzled dental researchers for years, as anatomical structures, namely, lips, thumb, and tooth enamel, are derivatives of an embryonic germ layer, the ectoderm.</p><p><strong>Aims and objectives: </strong>The study aims to know the association between lip print and tooth decay and to determine the type of lip print that is most susceptible to tooth decay. To determine this relationship, the lip print samples (lip prints) were extracted from the subjects and segregated according to their types and the presence of dental caries.</p><p><strong>Methodology: </strong>A descriptive, cross-sectional study was conducted among 110 children aged 6-9 years by cheiloscopy and examination of dental caries using decayed, missing, and filled teeth (DMFT)/decayed, extracted, and filled teeth (DEFT) index. The recording of lip prints was done on bond paper and analyzed using Suzuki and Tsuchihashi's classification.</p><p><strong>Result: </strong>In our research, lip prints with branched pattern (type II) were seen in majority of the samples with a higher incidence of caries.</p><p><strong>Conclusion: </strong>The study aided us in correlating certain patterns that may be related to specific incidences of dental caries and their association. Type II (branching) pattern was predominant among the cheiloscopic patterns recorded in our study.</p><p><strong>How to cite this article: </strong>Kashani RN, Kaul B, Rajput S, <i>et al</i>. Cheiloscopy-Your Identity, Our Indicator: A Cross-sectional Study to Evaluate the Relationship between Lip Prints and Dental Caries in Children of Jammu Province. Int J Clin Pediatr Dent 2025;18(8):992-996.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"992-996"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132090","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 Antibacterial Efficacy of Conventional Root Canal Irrigation System and Metronidazole, with and without Pro-agitator Tip System, in Primary Anterior Teeth: An <i>In Vivo</i> Study.","authors":"Aditi P Patil, Laxmi Lakade, Krishna Patil, Preetam Shah, Smita Patil, Rucha Davalbhakta","doi":"10.5005/jp-journals-10005-3160","DOIUrl":"10.5005/jp-journals-10005-3160","url":null,"abstract":"<p><strong>Aims and background: </strong>The current study was designed to compare the antimicrobial efficacy of the conventional irrigation technique with sodium hypochlorite (NaOCl) and metronidazole (MTDZ) using a disposable syringe and pro-agitator tip system (PATS) against <i>Enterococcus faecalis</i> in primary anterior teeth.</p><p><strong>Materials and methods: </strong>About 42 children requiring pulpectomy in nonvital primary anterior teeth were divided into three groups. In the control group, teeth were irrigated with 3% NaOCl using a conventional needle irrigation (CNI) system. In experimental group I, 0.5% MTDZ and a CNI system were used, and in experimental group II, 0.5% MTDZ irrigant was used with the PATS. Samples were collected before and after cleaning and shaping of canals using paper points. The samples were incubated at 37°C for 24 hours on bile esculin agar, and colonies of <i>Enterococcus</i> species were counted.</p><p><strong>Results: </strong>Significant reduction in the percentage of <i>Enterococcus</i> species was found in the control group (88.38%) as compared to experimental groups I and II. Meanwhile, no significant difference was seen in the reduction of the species between experimental group I (38.78%) and experimental group II (53.52%).</p><p><strong>Conclusion: </strong>NaOCl irrigation with a conventional needle showed better antibacterial efficacy against <i>E. faecalis</i> when compared to MTDZ with CNI and the PATS. No difference between MTDZ with CNI and with the PATS was seen.</p><p><strong>Clinical significance: </strong>About 3% NaOCl irrigant with CNI has shown antibacterial efficacy against <i>E. faecalis</i> as compared to 0.5% MTDZ with CNI and the PATS.</p><p><strong>How to cite this article: </strong>Patil AP, Lakade L, Patil K, <i>et al</i>. Comparison of Antibacterial Efficacy of Conventional Root Canal Irrigation System and Metronidazole, with and without Pro-agitator Tip System, in Primary Anterior Teeth: An <i>In Vivo</i> Study. Int J Clin Pediatr Dent 2025;18(8):911-916.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"911-916"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132116","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 Knowledge, Attitude, Practice, and Barriers to the Use of Teledentistry by Dental Professionals of India: A Cross-sectional Survey.","authors":"Neha Sikka, Shruti Gupta, Lavina Arya, Shashi Bala, Vishal Arya, Jyoti Prajapat","doi":"10.5005/jp-journals-10005-3232","DOIUrl":"10.5005/jp-journals-10005-3232","url":null,"abstract":"<p><strong>Introduction: </strong>Telemedicine and teledentistry have become a necessity for the community these days. So, for better implementation, it is essential to recognize the existing state of knowledge, beliefs, attitudes, and practice about it among the dental professionals; hence, this survey was planned.</p><p><strong>Materials and methods: </strong>A self-designed online questionnaire consisting of 19 questions divided into three sections was sent to graduate and postgraduate dental professionals practicing in North India through e-mail and WhatsApp. The responses were stored in Microsoft Excel 2007 (Microsoft, Redmond, Washington) and analyzed using Statistical software SPSS version 20.0. Descriptive statistics and frequency distribution were examined using Pearson's Chi-squared test. A <i>p</i>-value < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 384 dental professionals completed the questionnaire. In total, 327 (85.2%) respondents were aware of the term teledentistry. Only 33 (8.6%) individuals were able to mark all nine components of teledentistry whereas all others identified only a few components indicating lack of awareness. Only 29 (7.6%) participants have received some formal training on teledentistry. In total, 88% of participants are willing to attend training on teledentistry if provided a chance. In total, 306 (79.7%) respondents were willing to use teledentistry in the future.</p><p><strong>Discussion: </strong>The overall attitude toward teledentistry was overwhelmingly positive. Despite the positive attitudes and belief in the benefits of teledentistry, significant barriers to its widespread adoption were identified, including inadequate access to technology, lack of formal training, and concerns about the accuracy of diagnoses. Dental professionals demonstrated a high willingness to engage in further training and adopt teledentistry if provided with the necessary resources and support.</p><p><strong>How to cite this article: </strong>Sikka N, Gupta S, Arya L, <i>et al</i>. Assessment of Knowledge, Attitude, Practice, and Barriers to the Use of Teledentistry by Dental Professionals of India: A Cross-sectional Survey. Int J Clin Pediatr Dent 2025;18(8):1051-1057.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"1051-1057"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132082","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":"Management of Jaw Fractures in Pediatric Patients Using Orthodontic Appliances: A Case Series.","authors":"Ram Kishore Ratre, Vilas Newaskar, Abhilasha Kanesh, P Afeefa, Deepteash Ghosh","doi":"10.5005/jp-journals-10005-3196","DOIUrl":"10.5005/jp-journals-10005-3196","url":null,"abstract":"<p><strong>Aims: </strong>Mandibular fractures are common in pediatric patients due to active lifestyles, with the mandible being the most frequently fractured facial bone. In children, fractures are often greenstick, requiring careful management to avoid disrupting growth and dentition. Conventional treatments, such as intermaxillary fixation (IMF) using arch bars, can be challenging in mixed dentition. This case series explores the use of orthodontic appliances as an alternative approach for managing pediatric mandibular fractures.</p><p><strong>Case description: </strong>Three pediatric patients with mandibular fractures were treated using orthodontic appliances for IMF-case 1: a 9-year-old male with a left mandibular angle fracture was treated with stainless steel brackets and elastics for 2 weeks. Follow-up showed full recovery with no pain or occlusal issues. Case 2: a 6-year-old male with bilateral condylar and symphyseal fractures was treated with brackets on all teeth up to the deciduous second molars. After 2 weeks, improved occlusion and mouth opening were noted. Case 3: a 6-year-old female with a right condylar fracture showed improved occlusion and symptom resolution after 2 weeks of treatment.</p><p><strong>Conclusion: </strong>Orthodontic appliances provide a noninvasive alternative for IMF in pediatric mandibular fractures. They offer stable fixation, preserve developing dentition, and reduce the need for invasive procedures, ensuring proper healing.</p><p><strong>Clinical significance: </strong>Orthodontic appliances are a viable treatment option for pediatric mandibular fractures, especially in mixed dentition. This approach enhances patient comfort, improves oral hygiene, and avoids complications associated with traditional fixation methods, making it an effective tool in pediatric trauma care.</p><p><strong>How to cite this article: </strong>Ratre RK, Newaskar V, Kanesh A, <i>et al</i>. Management of Jaw Fractures in Pediatric Patients Using Orthodontic Appliances: A Case Series. Int J Clin Pediatr Dent 2025;18(8):1018-1022.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"1018-1022"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131725","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":"Skeletal Anchorage in Class III Malocclusion in Early Adolescence.","authors":"Sidrit Beqiraj, Giovanni M Gravina","doi":"10.5005/jp-journals-10005-3237","DOIUrl":"10.5005/jp-journals-10005-3237","url":null,"abstract":"<p><p>Treatment of class III malocclusions remains a real challenge in orthodontics. Traditionally, treatment consists of devices that use patients' teeth as anchorage. That can cause undesirable effects on teeth and limited skeletal effects on jaws. Recently, the use of miniscrews has brought new opportunities for the success of treatment of these malocclusions. Skeletal anchorage increases the treatment effects on the jaws and also increases the limit of the patient age for treatment of these malocclusions. In this article, two cases with skeletal class III malocclusion treated with miniscrews on both jaws in early adolescent patients are presented.</p><p><strong>How to cite this article: </strong>Beqiraj S, Gravina GM. Skeletal Anchorage in Class III Malocclusion in Early Adolescence. Int J Clin Pediatr Dent 2025;18(8):1002-1010.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"1002-1010"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131949","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":"Decoronation: A Conservative Approach Following Dental Trauma in a Pediatric Patient.","authors":"Ali Alaqla","doi":"10.5005/jp-journals-10005-3273","DOIUrl":"10.5005/jp-journals-10005-3273","url":null,"abstract":"<p><strong>Aim: </strong>This case report discusses an 11-year-old patient who experienced intrusive luxation of the anterior teeth due to trauma. The condition was treated with nonsurgical root canal treatment (NS-ReTx) followed by decoronation.</p><p><strong>Background: </strong>Intrusive luxation, a prevalent dental injury in children, necessitates prompt intervention. Nonsurgical root canal treatment, a conservative approach, is frequently employed. Decoronation, which involves the removal of the damaged tooth structure, is crucial for access and cleaning. This procedure, followed by restorative care, can help preserve the tooth and prevent future complications.</p><p><strong>Case description: </strong>An 11-year-old male patient with luxative intrusion of teeth 11 and 21 was treated conservatively with nonsurgical root canal therapy, followed by the decoronation of tooth 11.</p><p><strong>Conclusion: </strong>Effective management of dental trauma in children is essential for achieving optimal long-term outcomes and promoting healthy alveolar bone development. Following established treatment protocols is vital for preserving permanent teeth and reducing complications such as root resorption. Ongoing research is dedicated to refining techniques to enhance success rates. Specialized care is critical for maintaining the integrity and supporting the growth of injured teeth in young patients.</p><p><strong>Clinical significance: </strong>Proper management of dental trauma in children is essential for achieving optimal long-term outcomes and promoting alveolar bone development. Adhering to established treatment protocols helps preserve permanent teeth and minimize complications, such as root resorption. Ongoing research continues to refine techniques to improve success rates. Specialized care is vital for ensuring the integrity and growth of injured teeth in young patients.</p><p><strong>How to cite this article: </strong>Alaqla A. Decoronation: A Conservative Approach Following Dental Trauma in a Pediatric Patient. Int J Clin Pediatr Dent 2025;18(8):997-1001.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"997-1001"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132066","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 Black Rice Bran Mouthwash in Modulating Saliva pH Among Children.","authors":"Marhamah F Singgih, Harun Achmad, Sherly Horax, Salsabyila Wahyuni, Hasta Handayani Idrus","doi":"10.5005/jp-journals-10005-3189","DOIUrl":"10.5005/jp-journals-10005-3189","url":null,"abstract":"<p><p>The prevalence of dental and oral problems in Indonesia is 57.6%. One of the most dominant dental and oral health problems in Indonesia is dental caries. Black rice contains many nutrients and bioactive compounds. The main compounds contained are anthocyanins, which are natural pigments and contain flavonoids that can act as antibacterial.</p><p><strong>Purpose: </strong>To determine the differences in salivary pH in children before and after using black rice bran extract as a mouthwash.</p><p><strong>Materials and methods: </strong>The type of research that is used is quasi-experimental with three group pretest-post test design. The sample of the research is 30 students. Each sample's will be measured for salivary pH before and after using black rice bran extract mouthwash, antiseptic mouthwash, and distilled water.</p><p><strong>Results: </strong>For the group using black rice bran extract as a mouthwash the average salivary pH before rinsing with black rice bran extract mouthwash there was a significant effect on the pH value of saliva before and after using black rice bran extract mouthwash.</p><p><strong>Conclusion: </strong>In this study, it was found that gargling using black rice bran extract mouthwash can affect the pH of saliva in the oral cavity. The effect can be seen from the initial average salivary pH of 6.6 (acidic) and changes in salivary pH after using mouthwash to 7.3 (normal). This indicates a change in salivary pH in a stable direction from acidic conditions to normal conditions.</p><p><strong>How to cite this article: </strong>Singgih MF, Achmad H, Horax S, <i>et al</i>. Assessing the Effectiveness of Black Rice Bran Mouthwash in Modulating Saliva pH Among Children. Int J Clin Pediatr Dent 2025;18(8):940-945.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"940-945"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132085","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":"Clinical and Radiographic Evaluation of Indirect Pulp Capping with Mineral Trioxide Aggregate and Calcium Hydroxide in Primary Molars: A Systematic Review and Meta-analysis.","authors":"C K Anija, Nupur Suresh Ninawe, Shivani Sawant, Rashmi Dongarwar, Nilam Vitthalrao Honaje","doi":"10.5005/jp-journals-10005-3171","DOIUrl":"10.5005/jp-journals-10005-3171","url":null,"abstract":"<p><strong>Aims and background: </strong>An optimal pulp capping material should promote the formation of reparative dentin, preserve pulpal vitality, and create an effective barrier against bacterial infiltration. Due to issues like disintegration and tunnel defects, mineral trioxide aggregate (MTA) has become a preferred recent alternative to calcium hydroxide (Ca(OH)₂) for indirect pulp capping in primary teeth. In the literature, there have been conflicting opinions regarding the selection of materials for indirect pulp capping. Hence, the aim of this systematic review was to evaluate and compare the effectiveness of MTA and Ca(OH)₂ as indirect pulp capping agents in deep carious lesions of primary molars.</p><p><strong>Methods: </strong>This review was carried out following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The databases searched included MEDLINE (via PubMed), Google Scholar, and Cochrane. Randomized clinical trials published until January 31, 2024, without year restrictions, were included. The systematic review assessed the effectiveness of MTA and Ca(OH)₂ as indirect pulp capping agents in primary molars.</p><p><strong>Results: </strong>The search resulted in 412 published studies. Four hundred and five articles that did not meet the inclusion criteria, were duplicates, or were not in English were excluded. A total of seven studies were included in the systematic review to assess clinical and radiographic effectiveness, and five studies were selected for meta-analysis (radiographic effectiveness). MTA showed greater reparative dentin formation as compared to the Ca(OH)₂ group with a standardized mean difference of 0.45; however, the difference between the two groups was not statistically significant.</p><p><strong>Conclusion: </strong>Both MTA and Ca(OH)₂ can be effectively utilized as indirect pulp capping agents in deep carious lesions of primary molars.</p><p><strong>Clinical significance: </strong>This systematic review and meta-analysis highlights the effectiveness of MTA and calcium hydroxide [Ca(OH)₂] as indirect pulp capping agents in primary molars with deep carious lesions, providing valuable evidence-based guidance for pediatric dentists in selecting the most suitable pulp capping agent.</p><p><strong>How to cite this article: </strong>CK A, Ninawe NS, Sawant S, <i>et al</i>. Clinical and Radiographic Evaluation of Indirect Pulp Capping with Mineral Trioxide Aggregate and Calcium Hydroxide in Primary Molars: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2025;18(8):1031-1038.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"1031-1038"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132140","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 Two Active Distraction Techniques during Intraoral Local Anesthesia Administration among 3-6-year-old Children: A Randomized Controlled Trial.","authors":"Preethi Mahalakshmi Vijayakumar, Basil M Mathew, Nasreen Banu, Veena Arali","doi":"10.5005/jp-journals-10005-3158","DOIUrl":"10.5005/jp-journals-10005-3158","url":null,"abstract":"<p><strong>Aim: </strong>A common and inevitable intrusive technique that causes anxiety in people of all ages, but particularly in young ones, is local anesthesia. A variety of behavioral management strategies, including active distraction tactics such as having a communication with the child, deep breathing, Writing In The Air Using Leg (WITAUL), and stress balls, are available to help reduce anxiety brought on by local anesthesia. The purpose of this study was to assess and compare the behavioral management techniques: stress ball and the hands-eyes-mouth distraction technique (HEM-DT).</p><p><strong>Materials and methods: </strong>Three groups of 60 preschool children participated in the study: group I (control group: communication), group II (stress ball distraction), and group III (HEM-DT). After applying topical lidocaine gel to the buccal mucosa, local anesthetic (LA) was deposited. The Wong-Baker Faces Pain Rating Scale (WBFPRS) was used to measure dental pain following the administration of local anesthesia, while the Facial Image Scale (FIS) was used to measure anxiety. A pulse oximeter was used to measure the pulse rate. An analysis of variance (ANOVA) was used to compare the groups (<i>p</i> < 0.05).</p><p><strong>Results: </strong>HEM-DT showed significant difference on comparing pre-FIS and post-FIS scores, with a <i>p</i>-value of 0.014. Pulse rate was comparatively lesser in HEM-DT. When comparing WBFPRS between the three groups, HEM-DT exhibited significant difference.</p><p><strong>Conclusion: </strong>HEM-DT technique was found to be better than stress ball technique and communication.</p><p><strong>Clinical significance: </strong>The HEM-DT is a useful tool in pediatric dentistry that helps divert a child's attention from the needle and reduce their pain perception during various treatments.</p><p><strong>How to cite this article: </strong>Vijayakumar PM, Mathew BM, Banu N, <i>et al</i>. Comparative Evaluation of Two Active Distraction Techniques during Intraoral Local Anesthesia Administration among 3-6-year-old Children: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2025;18(8):907-910.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"907-910"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132143","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":"Association between Bruxism and Cervical Spine Position in Human Subjects: A Systematic Review and Meta-analysis of Observational Studies.","authors":"Supriya H Solanke, Laresh N Mistry, Ashwin M Jawdekar","doi":"10.5005/jp-journals-10005-3120","DOIUrl":"10.5005/jp-journals-10005-3120","url":null,"abstract":"<p><strong>Background: </strong>Bruxism is a parafunctional habit affecting the stomatognathic system, with possible detrimental effects on the cervical spine position and, consequently, the head posture.</p><p><strong>Objectives: </strong>The present study aimed at assessing the association between bruxism and cervical spine position in human subjects.</p><p><strong>Search methods: </strong>Two researchers, SHS and LNM, independently searched articles using appropriate keyword combinations in four search engines: PubMed, Cochrane Library, Semantic Scholar, and Google Scholar. Conflicts, if any, were resolved by AMJ. Studies either reported in English or with complete translations available in English were selected.</p><p><strong>Selection criteria: </strong>Observational studies reporting bruxism and cervical position from cephalometric to photographic parameters were considered. Interventional studies were included only to collect the baseline observational data.</p><p><strong>Data collection and analysis: </strong>From 22 studies, a total of nine studies were included in the systematic review and five in the meta-analysis (three with cephalometric and two with photographic parameters). 1. CVT-HOR Angle between tangent (CVT) to the cervical vertebra (CV4) and horizontal line (HOR); 2. OPT-HOR Angle between the tangent (OPT) to odontoides (CV2) and horizontal line (HOR); 3. CVT-VV Angle between tangent (CVT) to the cervical vertebra (CV4) and vertical line (VV); 4. OPT-VV Angle between the tangent (OPT) to odontoides (CV2) and vertical line (VV) (cephalometric), and craniocervical angle (photographic) were considered as dependent variables for the analyses; bruxism being the independent variable.</p><p><strong>Results: </strong>Three studies (120 subjects) showed changes in the cephalometric parameters, and two studies (45 subjects) showed changes in the photographic parameters. Using Fixed Effect Model (FEM), standardized mean difference [SMD (95% CI)] for variables CVT-HOR [-0.62 (-0.99, -0.24)], OPT-HOR [-0.67 (-1.04, -0.29)], and OPT-VV [0.76 (0.38, 1.14)] were all statistically significant with low heterogeneity (<i>I</i>² = 25, 0, 0). The Risk of Bias (ROB) across studies assessed using the AXIS tool was low. These parameters show a statistically significant difference in head posture between individuals with bruxism and without bruxism, relating to anterior positioning of the cervical spine in individuals with bruxism.</p><p><strong>Conclusion: </strong>Association exists between bruxism and cervical spine position in human subjects with respect to the aforementioned variables of interest.</p><p><strong>Prospero registration: </strong>CRD42023433635.</p><p><strong>How to cite this article: </strong>Solanke SH, Mistry LN, Jawdekar AM. Association between Bruxism and Cervical Spine Position in Human Subjects: A Systematic Review and Meta-analysis of Observational Studies. Int J Clin Pediatr Dent 2025;18(8):1039-1045.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"1039-1045"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132122","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}