International Journal of Clinical Pediatric Dentistry最新文献

{"title":"Effect of Prenatal Intervention on Dental Caries and Risk Factors in Children with Unilateral Cleft Lip and/or Palate in Medellín, Colombia: A Nonrandomized Controlled Clinical Trial.","authors":"Ana María Cerón-Zapata, Bibiana Andrea Castro-Montoya, Paola Valdivieso-Gaviria","doi":"10.5005/jp-journals-10005-3598","DOIUrl":"10.5005/jp-journals-10005-3598","url":null,"abstract":"<p><strong>Background and aim: </strong>Cleft lip and palate prenatal diagnosis has increased, seemingly allowing better preparation of the mother regarding psychosocial aspects, feeding, growth, and development. The purpose of the study was to compare the proportion of early childhood caries (ECC) using the ICDAS visual criteria and caries risk assessment by CAMBRA® in individuals with unilateral cleft lip and palate (UCLP) diagnosed prenatally and postnatally, treated with nasoalveolar molding (NAM) and whose mothers received a personalized motivational intervention approach (PMIA).</p><p><strong>Materials and methods: </strong>A nonrandomized controlled experimental study was conducted on children with UCL/P treated with NAM and diagnosed prenatally and postnatally. Both groups had PMIA. Dental caries was assessed using the ICDAS criteria during the first 3 years of life, and caries risk was assessed using the CAMBRA® system in the third year of life. Results: A higher proportion of cavitated caries lesions was observed in the prenatal group at 2 years of age. At 3 years old, a higher proportion of noncavitated caries lesions was observed in the postnatal group according to the ICDAS criteria, without statistical significance.</p><p><strong>Conclusion: </strong>Both groups presented early childhood caries despite receiving a personalized motivational intervention approach. There were no significant differences in the CAMBRA® risk index between the groups.</p><p><strong>Clinical significance: </strong>Despite the interventions carried out, both groups showed the presence of ECC. This highlights a significant public health issue that demands broader and more systematic intervention by institutions, with a particular emphasis on educational programs on oral health with rigorous follow-up.</p><p><strong>How to cite this article: </strong>Cerón-Zapata AM, Castro-Montoya BA, Valdivieso-Gaviria P. Effect of Prenatal Intervention on Dental Caries and Risk Factors in Children with Unilateral Cleft Lip and/or Palate in Medellín, Colombia: A Nonrandomized Controlled Clinical Trial. Int J Clin Pediatr Dent 2026;19(8):972-979.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 8","pages":"972-979"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991335","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":"Nature's Cross-linkers: <i>In Vitro</i> Evaluation of Proanthocyanidin-rich Agents on Adhesive Bond Strength.","authors":"Asvitha Babu, Senthil Ar Eagappan, Priyadharshini Suresh, Nandini Sundararajan, Subakeerthi Thirumal, Priya Kannan","doi":"10.5005/jp-journals-10005-3527","DOIUrl":"10.5005/jp-journals-10005-3527","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Restorative dentistry has progressed significantly with the advent of adhesive materials, moving away from traditional amalgam restorations due to esthetic limitations and health concerns. While acid-etch techniques have improved the bonding of composite resins to enamel and dentin, achieving durable adhesion to dentin remains a challenge due to its complex structure and susceptibility to degradation by matrix metalloproteinases (MMPs). Natural cross-linking agents rich in proanthocyanidins (PACs), such as grape seed extract (GSE), demonstrated potential in stabilizing dentin collagen by inhibiting MMP activity, thereby enhancing resin-dentin bond strength. Cinnamon, a notable source of PACs with even higher concentrations than GSE, has not yet been thoroughly studied in this context, particularly in permanent teeth. Additionally, there is limited research on the effects of such cross-linking agents on primary teeth, which possess unique structural characteristics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To assess the efficacy of PAC-rich cross-linking agents extracted from cinnamon and grape seeds in enhancing microshear bond strength (μSBS) at the dentin-resin interface in primary and permanent teeth and compare them with conventional dentin-bonding strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;A total of 45 primary molars and 45 permanent premolars were cleaned and sectioned to expose mid-coronal dentin surface. The prepared specimens were then embedded in acrylic resin blocks to facilitate standardized handling and testing. Specimens were randomly allocated into 3 groups: group I-cinnamon extract, group II-GSE, and group III-control. All specimens were etched with 37% phosphoric acid. Specimens in groups I and II received cross-linkers for 60 seconds before the application of bonding agent and composite resin. After 24 hours of storage at room temperature, μSBS was tested using a universal testing machine, and failure modes were examined under a stereomicroscope.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The cinnamon extract group exhibited the highest μSBS, followed by the GSE group and the control group. One-way analysis of variance (ANOVA) revealed a statistically significant difference in the mean μSBS values among the groups for both primary and permanent teeth, with &lt;i&gt;p&lt;/i&gt;-values of 0.007 and 0.000, respectively. &lt;i&gt;Post hoc&lt;/i&gt; Tukey honestly significant difference (HSD) analysis confirmed that both the cinnamon extract and GSE groups exhibited significantly higher bond strength compared with the control group. The cinnamon extract group exhibited greater bond strength than the GSE group. Failure mode analysis revealed a predominance of cohesive failures in both experimental groups, indicating that fractures primarily occurred within the restoration material rather than at the dentin-resin interface. In contrast, the control group, treated with conventional bonding techniques, showed a higher incidence of adhe","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"801-806"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713702","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 Sealing Ability of Biodentine, Biostructure Mineral Trioxide Aggregate, Theracal LC, and Bio-C Repair as Perforation Repair Material: An Inverted Laser Scanning Confocal Microscopic Study.","authors":"Langpoklakpam Monica Devi, Gunjan Yadav, Amit Rai, Sonali Saha, Kavita Dhinsa, Anshul Sharma","doi":"10.5005/jp-journals-10005-3552","DOIUrl":"10.5005/jp-journals-10005-3552","url":null,"abstract":"<p><strong>Aim and background: </strong>One of the endodontic errors that might happen during a root canal procedure is perforation in the furcation area. To prevent bacterial contamination, it should be repaired as quickly as possible with a biocompatible material. The study sought to assess and also compared the ability of the materials, i.e., Biodentine, Biostructure Mineral Trioxide Aggregate, Theracal LC, and Bio-C Repair, to seal the perforation in permanent molars as materials of choice for perforation repair.</p><p><strong>Materials and methods: </strong>In the present study, 65 samples were made ready using Rhodamine B dye and distributed into five groups of thirteen samples each: group I (perforations left unsealed, i.e., positive control), group II (perforations sealed using Biodentine), and group III [perforations repaired with Biostructure mineral trioxide aggregate (MTA)]. In group IV, Theracal LC was used to seal the perforations. Similarly, in group V, Bio-C Repair was applied to repair the perforation. Samples were observed in an Inverted Laser Scanning Confocal Microscope. The degree of the penetration of the dye was estimated in mm (millimeters) with the help of the Software IMAGE J. Data obtained were subjected to <i>Post hoc</i> Tukey's test and One-way Analysis of variance test.</p><p><strong>Results: </strong>The mean depth in regard to penetration was found to be maximum in group I, then group V, and minimum in group II. Overall, there was a statistically significant difference (<i>p</i> < 0.001) among the mean depth of penetration of all five study groups.</p><p><strong>Conclusion: </strong>Biodentine, Biostructure MTA, Theracal LC, and Bio-C Repair showed microleakage, while Biodentine showed the least marginal leakage amongst all, and Bio-C Repair exhibited the highest microleakage.</p><p><strong>Clinical significance: </strong>In order to seal and manage furcation perforation effectively, this study will educate dentists on how to choose and apply the best perforation repair material to achieve a good prognosis.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"881-887"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713713","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":"Oral Embryonal Rhabdomyosarcoma and Its Management: A Rare Enigmatic Pediatric Case Report with Immunohistochemistry.","authors":"Dominic Augustine, S V Sowmya, Rajanikanth B Rajaram, Kavitha Prasad, Kuntala Mondal, Harini Palanivelu","doi":"10.5005/jp-journals-10005-3543","DOIUrl":"10.5005/jp-journals-10005-3543","url":null,"abstract":"<p><strong>Aim and background: </strong>Malignant tumors are rarely seen in children, of which lymphomas and sarcomas like rhabdomyosarcoma and Ewing sarcoma prevail. Histopathologically, these lesions show numerous round cells, which make it difficult to differentiate between one another. Molecular analysis such as immunohistochemistry has proved to be beneficial and cost-effective. The current report aims to highlight an enigmatic case of embryonal rhabdomyosarcoma (ERMS), emphasizing the role of immunohistochemistry.</p><p><strong>Case description: </strong>A 3-year-old female patient presented to the dental outpatient department with a chief complaint of a progressively enlarging, diffuse swelling over the left cheek region, persisting for the past 2 weeks. Radiographic examination revealed a poorly defined radiopacity involving the maxillary sinus, leading to a provisional diagnosis of odontogenic myxoma. However, tru-cut biopsy from the lesion demonstrated undifferentiated small round to oval cells with occasional strap-like cells and an absence of odontogenic islands, contradicting the initial impression. Subsequent immunohistochemical analysis revealed cytoplasmic desmin positivity, a high Ki-67 labeling index, and negativity for S-100 and CK-19. Based on the immunohistochemical findings, a definitive diagnosis of ERMS was rendered. The patient underwent chemotherapy, and posttreatment evaluation with positron emission tomography and computed tomography (PET-CT) demonstrated marked tumor regression.</p><p><strong>Conclusion: </strong>This case report highlights the crucial importance of using tru-cut biopsy along with immunohistochemical analysis to obtain an accurate and timely diagnosis of ERMS, which facilitates the early start of appropriate targeted treatment.</p><p><strong>Clinical significance: </strong>The resolution of diagnostic challenges in ERMS hinges on the use of meticulous biopsy technique coupled with advanced immunohistochemical analysis.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"940-946"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713695","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 and Correlation between Dental Fluorosis and Drinking Water Fluoride Levels among 12-15-year-old School-going Children of Rayalaseema Region of Andhra Pradesh, India.","authors":"R Swetha, Naveenraj Sakthi, Prabu Duraisamy, Sunayana Manipal, M Rajmohan","doi":"10.5005/jp-journals-10005-3556","DOIUrl":"10.5005/jp-journals-10005-3556","url":null,"abstract":"<p><strong>Background: </strong>Dental fluorosis causes tooth color changes, creating esthetic, functional, and physiological problems. High fluoride consumption impairs mental development and lowers intelligence quotient (IQ) in children, affecting dental esthetics and well-being.</p><p><strong>Objectives: </strong>To estimate fluoride levels and the relation between water fluoride levels and dental fluorosis in 12- to 15-year-old schoolchildren.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted among 1,182 schoolchildren aged 12-15 years. Fluoride analysis by ion-selective electrode method covered 41 villages of Chittoor mandal, Chittoor district, Andhra Pradesh. Among these, 25 villages had suboptimal fluoride levels, 16 had optimal levels, and none exceeded the optimal level. A stratified random sampling technique was employed. Dental fluorosis was recorded using the modified Dean's fluorosis index (1942) and community fluorosis index (CFI). Statistical analysis was done using the Chi-squared test and Pearson's correlation.</p><p><strong>Results: </strong>Dental fluorosis prevalence was 66.5%. Children who consumed borewell water had 75% fluorosis. Boys showed 53.3% higher prevalence than girls. About 99.8% had no history of fluoride toothpaste or tablet usage in fluoride zones. Also, 83.6% had no familial history of fluorosis. Pearson correlation between fluoride concentration in drinking water and CFI shows positive correlation (<i>r</i> = 0.960). CFI scores ranged 0.48-1.17. The majority of villages showed medium public health significance (1.02-1.17).</p><p><strong>Conclusion: </strong>Even at optimum fluoride levels, the prevalence of fluorosis is at a higher level. Scanty rainfall, deep borewells, and drought were the reasons for increased prevalence even at optimum fluoride levels. Optimum level of 1 parts per million (ppm) does not seem to be appreciable for Indian conditions. Results serve as a blueprint for public health administrators, dental professionals, and policymakers.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"913-919"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713725","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 Mobile Health Applications Compared to Conventional Motivational Interviewing in Improving Toothbrushing Duration and Its Impact on Dental Caries Among 6-12-year-old Children: 12-month Randomized Controlled Trial.","authors":"Devanshe Chaudhary, Inder Kumar Pandit, Neeraj Gugnani, Monika Gupta","doi":"10.5005/jp-journals-10005-3553","DOIUrl":"10.5005/jp-journals-10005-3553","url":null,"abstract":"<p><strong>Aim and background: </strong>Toothbrushing for 2 minutes twice daily is a well-established preventive strategy against dental caries. However, compliance among children remains poor, and traditional motivational methods often fail to sustain behavior change. mHealth apps offer interactive features to improve brushing habits, yet evidence linking their use to improved brushing duration and clinical outcomes remains limited. This study aimed to compare the effectiveness of two dental apps (Brush DJ app and Brushing Time app) with conventional face-to-face motivational interviewing in improving toothbrushing duration and to assess their impact on oral hygiene and caries incidence among children aged 6-12 years.</p><p><strong>Materials and methods: </strong>A 12-month, 3-arm, parallel-group, assessor-blinded randomized controlled trial was conducted with 120 children (40 per group). Participants were randomized to Brush DJ app, Brushing Time app, and motivational interviewing. Brushing duration, OHI-S Debris Index, and dmfs/DMFS index were assessed at baseline and at 3, 6, 9, and 12 months. Data were analyzed using the Kruskal-Wallis and Mann-Whitney U tests, with significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>At 12 months, Brush DJ achieved the highest mean brushing duration (104.9 seconds), significantly greater than the face-to-face group (82.0 seconds; <i>p</i> = 0.033). The Brushing Time app recorded a mean of 100.5 seconds, not significantly different from Brush DJ. OHI-S scores improved most in the Brushing Time app group (1.0), followed by Brush DJ (1.03), both significantly better than face-to-face (1.4; <i>p</i> < 0.05). Caries incidence (dmfs/DMFS) showed marginally lower scores in the app groups (Brushing Time app: 4.6; Brush DJ app: 4.8) compared to face-to-face (5.1), though differences were not statistically significant.</p><p><strong>Conclusion: </strong>Both the Brush DJ app and the Brushing Time app were more effective than face-to-face counseling in improving brushing duration and oral hygiene.</p><p><strong>Clinical significance: </strong>Freely available mHealth apps offer a promising, accessible, and sustainable adjunct to traditional counseling in promoting better toothbrushing habits and oral health in children.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"888-893"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713763","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 Intelligence Quotient of 5-10-year-old Children in Salem District, India with Varying Fluoride Levels: A Cross-sectional Study.","authors":"Reshma Elizabeth Rajan, Veena Arali, Sowndarya Gunasekaran, Vinola Duraisamy, Pradeep D Gainneos, Yash Latkar, J Baby John","doi":"10.5005/jp-journals-10005-3547","DOIUrl":"10.5005/jp-journals-10005-3547","url":null,"abstract":"<p><strong>Aim and background: </strong>Prolonged exposure to excessive fluoride can cause fluorosis and affect the developing brain by crossing the placental and blood-brain barriers. Salem district, with an average groundwater fluoride concentration of 3.7 ppm, which exceeds the recommended levels, provides a setting to explore its impact on children's intelligence quotient (IQ). The aim of the study was to assess and correlate the IQ levels of children in the age group of 5-10 with fluoride levels in water using Raven's Colored Progressive Matrices (RCPM).</p><p><strong>Materials and methods: </strong>This study employed a cross-sectional design to study a cohort of 5-10-year-old children in Salem. Participants were selected based on groundwater fluoride levels (<1.0 ppm, 1.0 ppm, and ≥1.0 ppm). The study included children born and raised in Salem, whose mothers resided there during pregnancy. Children with a history of brain diseases were excluded. Parents completed a validated modified questionnaire by Makharia et al., and socioeconomic status was rated using the Updated Modified Kuppuswamy Scale (2021). Children's intellectual ability was assessed with the RCPM under a trained psychologist's supervision, and IQ scores were classified per the Current Wechsler classification. Data were analyzed using chi-square tests, regression analysis, and Spearman's correlation.</p><p><strong>Results: </strong>Among the five areas assessed, Ayothiyapattinam had the highest fluoride levels, and Attayampatti the lowest. Children in low-fluoride areas had a higher proportion in the superior IQ group (5.6%) than those in high-fluoride areas (1.5%).</p><p><strong>Conclusion: </strong>Elevated fluoride levels were linked to lower IQ scores, with no significant association between socioeconomic status and IQ.</p><p><strong>Clinical significance: </strong>This study underscores the relatively underexplored effects of fluoride on neurodevelopment, demonstrating its potential to adversely impact children's IQ when exposure exceeds recommended limits. Maintaining optimal fluoride levels is essential to achieving a balance between its protective benefits for dental health and its implications for cognitive development.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"851-856"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713930","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":"Patient Comfort and Acceptance of Different Isolation Techniques for Silver Diamine Fluoride Application: A Randomized Clinical Trial.","authors":"Shilpa Shetty Naik, Rachna Sharma, Divya Shetty, Shirin Chavan, Mayuri Gorule, Rhea Shah, Sanpreet Singh Sachdev","doi":"10.5005/jp-journals-10005-3548","DOIUrl":"10.5005/jp-journals-10005-3548","url":null,"abstract":"<p><strong>Background: </strong>Efficient isolation is critical for effective silver diamine fluoride (SDF) application in pediatric dentistry. However, conventional methods like cotton roll isolation may be uncomfortable and compromise cooperation. This study compares patient comfort and acceptance of cotton roll, OpalDam, and OptraDam during SDF application.</p><p><strong>Aim: </strong>To evaluate and compare patient discomfort and satisfaction associated with cotton roll, OpalDam, and OptraDam isolation techniques during SDF application in primary mandibular molars of children.</p><p><strong>Materials and methods: </strong>Thirty-nine children aged 5-9 years were randomly allocated to cotton roll, OpalDam, or OptraDam isolation (<i>n</i> = 13 per group). A calibrated operator applied 38% SDF under the assigned isolation. Postprocedure pain was recorded with the Wong-Baker FACES Pain Rating Scale (WBFPS); a six-item 0-10 numerical questionnaire captured annoyance, gag reflex, fluid leakage, oral stretching, tongue pressure, and overall comfort. Intergroup differences were analyzed with one-way analysis of variance (ANOVA) and Tukey <i>post hoc</i> tests (<i>α</i> = 0.05).</p><p><strong>Results: </strong>Mean WBFPS scores differed significantly (<i>F</i> = 7.708, <i>p</i> = 0.002). OpalDam showed the lowest pain (1.38 ± 1.50) vs OptraDam (2.54 ± 2.11) and cotton rolls (4.00 ± 1.41). The difference in pain experienced by patients treated under cotton roll and OpalDam exhibited a statistically significant difference (<i>p</i> = 0.001). Across all questionnaire domains, OpalDam achieved the most favorable ratings, followed by OptraDam, with cotton rolls consistently demonstrating higher discomfort (<i>p</i> < 0.05 for all comparisons).</p><p><strong>Conclusion: </strong>OpalDam and OptraDam provide superior patient comfort and acceptance compared to cotton roll isolation. OpalDam may be the preferred method for noninvasive pediatric procedures such as SDF application.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"857-862"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713761","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":"Oral Manifestations of Sweet Syndrome in a Child: A Case Report.","authors":"Muhammad Asyraf Hamzah, Mern Jo Tay, Syed Nabil, Ahmad Shuhud Irfani Zakaria, S Nagarajan Mp Sockalingam","doi":"10.5005/jp-journals-10005-3544","DOIUrl":"10.5005/jp-journals-10005-3544","url":null,"abstract":"<p><p>Sweet syndrome is a relatively rare disease characterized by neutrophilia, tender and erythematous skin lesions with sudden onset of fever. Oral involvement is usually rare. We report a case of a 5-year-old boy who presented with fever, spontaneous erythematous swelling over the right periorbital and suprasternal region, upper left lip swelling, generalized gingival hyperplasia over the upper gingiva, and a single ulcer on the right soft palate region. Blood results was consistent with bicytopenia and leukocytosis, while biopsy of the skin and gingival lesions revealed dense infiltration of mixed inflammatory cells composed predominantly of neutrophils. Sweet syndrome was suggested based on the clinical presentations and histological features. Steroid treatment was initiated according to the suggested protocol; unfortunately, the child's condition started to deteriorate 3 weeks after his initial presentation, and he passed away 2 weeks later due to massive intracranial bleeding. Proper investigation and screening are crucial when any oral lesions with unknown causes are encountered.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"947-949"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713674","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 Perception Following Topical Application of Clove Oil, EMLA 5%, and Lignocaine Hydrochloride Gel 2% as a Pre-anesthetic Agent in Children Aged 7-10 Years: A Randomized Controlled Study.","authors":"Neha Awasthi, Yanina Singh, Sukhdeep Singh, Dhirja Goel, Tamanna Singla, Ashima Tyagi, Farha N Ahamed","doi":"10.5005/jp-journals-10005-3550","DOIUrl":"10.5005/jp-journals-10005-3550","url":null,"abstract":"<p><strong>Aims and objective: </strong>The topical anesthetic potential of clove, despite its long-standing use in dentistry, remains largely underexplored in clinical research. Hence, the present study aims to compare the pain perception following topical application of clove oil, EMLA 5%, and lignocaine hydrochloride gel 2% in 7-10-year-old children in a randomized controlled trial.</p><p><strong>Materials and methods: </strong>A randomized clinical study was undertaken on children aged 7-10 years, who were separated into three groups using computer-generated randomization. Group I: Clove oil, group II: EMLA 5%, and group III: lignocaine hydrochloride gel 2%. Prior to administering the local anesthetic, each group was given the specified topical anesthetic drug. Wong-Baker FACES Pain Rating Scale (subjective) and Sound-Eye-Motor (SEM) scale (objective) were used for assessing pain.</p><p><strong>Statistical analysis: </strong>Data was analyzed using Statistical Package for Social Sciences (SPSS) version 21. The dependent variables were represented as mean and standard deviation. Kruskal-Wallis test was used for the intergroup comparison of pain.</p><p><strong>Results: </strong>All agents showed reduction in pain scores, while clove oil and EMLA showed comparable effectiveness. No significant difference was observed among groups.</p><p><strong>Conclusion: </strong>All three agents are effective pre-anesthetic agents. Clove oil can serve as a viable herbal alternative.</p><p><strong>Clinical significance: </strong>Clove oil demonstrates comparable efficacy to conventional topical anesthetics, offering a safe, natural, and cost-effective alternative for pain reduction in pediatric dentistry.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"869-873"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713213","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}