International Journal of Clinical Pediatric Dentistry最新文献

{"title":"Association of Pulp Involvement, Ulceration, Fistula, Abscess and Body Mass Index among Primary School Children: A Case-Control Study.","authors":"Karthikaa Paramasivam, Thippeswamy H Manjunathappa, Bhuvaneshwari S Kumar, G Vaishnavi","doi":"10.5005/jp-journals-10005-3190","DOIUrl":"10.5005/jp-journals-10005-3190","url":null,"abstract":"<p><strong>Aims and background: </strong>The aim of this study is to determine the relationship between nutrition as reflected by body mass index (BMI) and the prevalence and severity of untreated dental caries in children without prior dental treatment using pulp involvement, ulceration, fistula, abscess (PUFA) index. Dental caries is common among children worldwide, with prevalence linked to factors like income, location, and dental access, affecting 60-90% of school-age children depending on location. Untreated decay can lead to pain, school absence, and low self-esteem. This study examines the relationship between BMI and the PUFA index to assess untreated caries severity. Understanding diet, health, and oral health interactions may support multifaceted interventions for preventing caries in children.</p><p><strong>Materials and methods: </strong>This case-control study involved 100 primary school children in Mysuru city, India. Cases were defined as children with untreated dental caries or clinical consequences of dental caries, while controls were children without untreated dental caries or with only initial or moderate caries. Dental examinations, PUFA index assessments, and weight and height measurements were conducted. Statistical analysis included descriptive statistics, <i>t</i>-tests, and logistic regression.</p><p><strong>Results: </strong>No significant differences were found in age, weight, height, and BMI between cases and controls, but BMI was reported to be reduced in cases than the controls. However, cases showed significantly higher PUFA scores, particularly in pulpal involvement and abscesses. Socioeconomic status (SES), school type, and location significantly influenced anthropometric measurements but not dental health measures. Logistic regression revealed that higher BMI was associated with lower odds of PUFA category 1, while higher decayed, missing, filled teeth (DMFT) scores increased the odds. Mouthrinsing showed a strong protective effect against severe dental caries.</p><p><strong>Conclusion: </strong>The study highlights the complex relationship between nutritional status, socioeconomic factors, and dental health in children. While anthropometric measures were similar between groups, significant differences in oral hygiene habits and dental health were observed. The results make it clear that different kinds of public health programs and focused interventions are needed to help children with poor oral health.</p><p><strong>Clinical significance: </strong>This study explores the clinical link between BMI and the PUFA index in primary school children. Understanding this relationship is crucial, as higher PUFA scores reflect severe, untreated dental issues often found in children with lower BMI due to poor nutrition. Identifying such associations can guide interventions that target both oral health and nutritional support, helping reduce dental disease and promote overall health in children.</p><p><strong>How to cite t","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"930-939"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132072","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 Binaural Beats in Reducing Dental Pain and Anxiety among Children and Adults: A Systematic Review and Meta-analysis.","authors":"Ankita D Shukla, H N Subhadra, Surej Unnikrishnan, Amar N Katre","doi":"10.5005/jp-journals-10005-3230","DOIUrl":"10.5005/jp-journals-10005-3230","url":null,"abstract":"<p><strong>Aim and background: </strong>Pain and anxiety during dental procedures can be skillfully tackled using effective and efficient behavior management. The current systematic review aimed to assess how effectively binaural beats (BB) work to reduce dental pain and anxiety in children as well as adults.</p><p><strong>Methods: </strong>An electronic search of the databases was conducted; authors independently extracted the data from nine studies included in the review. Clinical trials included in the review were the studies that reported the effectiveness of BB used during dental procedures for reducing dental pain and anxiety among children and adults. The Cochrane risk of bias tool was used for evaluating the risk of bias. Meta-analyses were performed using the fixed and random effect models. Heterogeneity was quantified with <i>I</i> ² statistics. Reduction in the dental pain and anxiety scores [as measured by visual analog scale (VAS)/Venham's picture test (VPT)] was considered the chief outcome.</p><p><strong>Results: </strong>A total of 580 studies related to the topic were identified. Studies carried out for procedures other than dental as well as duplicates were eliminated, and following analysis of full-text articles, nine studies were included for systematic review. Overall, the results showed high risk of selection and detection bias. Dental pain and anxiety scores showed significant difference when comparing pre- and postintervention values. When comparing BB with controls, there was significant reduction in dental anxiety (DA) scores, while dental pain reduction showed inconclusive results with control (no intervention) and significant reduction with positive control.</p><p><strong>Conclusion and clinical significance: </strong>Dental pain and anxiety appear to be alleviated by BB. Clinicians may view BB as a viable nonpharmacological treatment for dental pain and anxiety.</p><p><strong>How to cite this article: </strong>Shukla AD, Subhadra HN, Unnikrishnan S, <i>et al</i>. Effectiveness of Binaural Beats in Reducing Dental Pain and Anxiety among Children and Adults: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2025;18(8):1023-1030.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"1023-1030"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132104","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":"Dental Caries Status and Salivary Properties of Children with/without Molar Incisor Hypomineralization of 8-16 Years Age in Lucknow: A Comparative Evaluation.","authors":"Aanchal Pandey, Kavita Dhinsa, Sonali Saha, Gunjan Yadav, Temjenmenla Jamir","doi":"10.5005/jp-journals-10005-3194","DOIUrl":"10.5005/jp-journals-10005-3194","url":null,"abstract":"<p><strong>Background: </strong>\"Molar incisor hypomineralization (MIH) is a dental developmental disorder marked by defects in the enamel of molars and incisors.\" Hypomineralization is caused by several etiological factors. One such factor can be saliva and its components. \"Understanding salivary composition is crucial not only for evaluating the role of its individual components but also due to the growing interest in saliva-based diagnostics. Additionally, variations in saliva may influence the condition of compromised enamel.\"</p><p><strong>Aims: </strong>This study aims to assess the dental caries status and salivary characteristics of children aged 8-16 years diagnosed with MIH, and to compare these findings with those of healthy peers in the same age-group.</p><p><strong>Materials and methodology: </strong>Saliva samples were collected from 128 participants and divided equally into two groups, each consisting of 64 individuals. These samples underwent clinical evaluation, salivary analysis, and biochemical testing.</p><p><strong>Results: </strong>Decayed, missing, and filled teeth (DMFT) score among study group participants (MIH) was found to be higher, mean salivary pH, low salivary flow, low hydration, thick viscous saliva, and low value of buffering capacity was found in the study group. The value of salivary phosphorus was lower in MIH, whereas the value of salivary calcium and the value of salivary immunoglobulin A (s-IgA) were high among the study group.</p><p><strong>Conclusion: </strong>On overall evaluation and comparison, MIH-affected children showed marked increased levels in DMFT score, presence of thick viscous saliva, presence of more salivary calcium and IgA levels, and decreased salivary pH, hydration, buffering capacity, and salivary phosphorus levels.</p><p><strong>How to cite this article: </strong>Pandey A, Dhinsa K, Saha S, <i>et al</i>. Dental Caries Status and Salivary Properties of Children with/without Molar Incisor Hypomineralization of 8-16 Years Age in Lucknow: A Comparative Evaluation. Int J Clin Pediatr Dent 2025;18(8):971-976.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"971-976"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132136","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":"Early Intervention for Malocclusion: Role of Myobrace in Children Aged 6-10 Years.","authors":"Ajay Reddy Mareddy, Venugopal N Reddy, Vasanthi Done, Tarannum Rehaman, Aparna Durga Naga Krishna Vemula, Sumanya Narahari, Sadhana Jukanti","doi":"10.5005/jp-journals-10005-3193","DOIUrl":"10.5005/jp-journals-10005-3193","url":null,"abstract":"<p><strong>Aims and background: </strong>This study investigates the early intervention of class I, II, and III malocclusions in children using the Myobrace appliance. The aim is to evaluate the effectiveness of Myobrace in correcting dental and skeletal malocclusions, specifically focusing on improvements in dental arch alignment, occlusion, and craniofacial growth patterns.</p><p><strong>Materials and methods: </strong>Children with class I, II, and III malocclusions were treated with the Myobrace appliance over a defined period. Various parameters were assessed, including dental arch changes, crossbite correction, craniofacial development, and compliance with the prescribed treatment protocol.</p><p><strong>Results: </strong>The use of Myobrace resulted in significant improvements across all three classes of malocclusion. In class I malocclusion, alignment and space management were enhanced. In class II cases, mandibular advancement and maxillary restraint were observed, contributing to better occlusion. For class III malocclusion, Myobrace was effective in promoting maxillary growth and controlling mandibular overgrowth, resulting in improved anterior crossbite correction.</p><p><strong>Conclusion: </strong>The Myobrace appliance offers an effective early intervention for class I, II, and III malocclusions in children. The study supports its use for improving dental alignment, occlusal function, and craniofacial development. The findings support its use as a noninvasive treatment option to reduce the severity of malocclusions and potentially minimize the need for complex orthodontic procedures later in life.</p><p><strong>Clinical significance: </strong>Myobrace improves dental alignment and occlusion, enhancing oral function and facial esthetics in class I, II, and III malocclusions. It promotes favorable craniofacial development, reducing the need for invasive treatments in the future. Myobrace offers a preventive, noninvasive alternative to traditional braces, simplifying future orthodontic care.</p><p><strong>How to cite this article: </strong>Mareddy AR, Reddy VN, Done V, <i>et al</i>. Early Intervention for Malocclusion: Role of Myobrace in Children Aged 6-10 Years. Int J Clin Pediatr Dent 2025;18(8):956-963.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 8","pages":"956-963"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132098","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 Success of Endodontic Treatment in Primary Mandibular Molars Restored with Zirconia and Bulk-fill Composite Resins: A Split-mouth Randomized Clinical Trial.","authors":"Nikitha A Zacharia, Shankar Paulindraraj, Hemalatha Ramkumar, Trophimus Gnanabagyan, Nancy Solomon, Kiruthika Dhandapani","doi":"10.5005/jp-journals-10005-3166","DOIUrl":"10.5005/jp-journals-10005-3166","url":null,"abstract":"<p><strong>Background: </strong>In recent decades, parents are highly concerned for improving the cosmetic effectiveness of primary teeth restorations.</p><p><strong>Aim: </strong>To assess and evaluate the success of the endodontic treatment in primary mandibular molars restored with zirconia crown and bulk-filled (BF) composite resins.</p><p><strong>Materials and methods: </strong>In this split-mouth randomized controlled trial, 25 children aged 4-8-year-old were randomized into zirconia and BF groups. The endodontic treatment success and survival of restorations were evaluated using Kaplan-Meier and Cox regression analysis.</p><p><strong>Results: </strong>Survival rate was 88% in zirconia and 84% in BF for interradicular radiolucency, and the survival rate was 92% in zirconia and 88% in BF for periapical radiolucency. The survival rate difference between the two categories was 4% in both groups. The assumed noninferiority margin was 15%; according to that, in terms of endodontic success, the BF method was noninferior to the zirconia crown. The study failed to show the noninferiority of BF in terms of survival of restorations.</p><p><strong>Conclusion: </strong>The survival rate of endodontic treatment of BF was noninferior to zirconia, so BF can be considered as a postendodontic esthetic restoration in coronally restorable teeth.</p><p><strong>Clinical significance: </strong>(1) BF composite resin can be used as a postendodontic restoration to satisfy the esthetic demand in developing countries like India. (2) Failure in BF restorations can lead to inadequacy in endodontic treatment.</p><p><strong>How to cite this article: </strong>Zacharia NA, Paulindraraj S, Ramkumar H, <i>et al.</i> Comparison of Success of Endodontic Treatment in Primary Mandibular Molars Restored with Zirconia and Bulk-fill Composite Resins: A Split-mouth Randomized Clinical Trial. Int J Clin Pediatr Dent 2025;18(7):831-837.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 7","pages":"831-837"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214056","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":"<i>In Vitro</i> Evaluation of Contact Tightness and Marginal Overhang in Class II Primary Molar Restorations Restored with Different Matrix Systems.","authors":"Gamze N Yanar, Cengiz H Bodur, Tolga Yılmaz","doi":"10.5005/jp-journals-10005-3170","DOIUrl":"10.5005/jp-journals-10005-3170","url":null,"abstract":"<p><strong>Aims and background: </strong>Matrix systems are essential for creating the best contacts in class II restorations. The objective of this study is to compare five different matrix systems in class II cavities in terms of proximal contact tightness and marginal overhang.</p><p><strong>Materials and methods: </strong>A total of 50 standardized second primary model teeth with class II cavities were printed using a three-dimensional (3D) printer. They were divided into five groups (<i>n</i> = 10). Resin restorations were made in each group; each tooth was placed on the full teeth model; and the model was placed in the universal testing machine for proximal contact tightness measurement. The maximum friction force was measured by moving an ivory matrix band in the occlusal direction. Digital images were obtained from the interproximal area with a stereomicroscope. Marginal overhang values were obtained by subtracting the cavity borders from the restoration borders. Comparison of mean values between groups was analyzed statistically by the Kruskal-Wallis test. Cohen's effect sizes were calculated for each group analysis.</p><p><strong>Results: </strong>There was no significant difference between matrix groups in terms of proximal contact tightness (<i>p</i> = 0.255). Marginal overhang values in restorations using Tofflemire were found to be significantly lower than Walser, Metafix, and Supercap. Omnimatrix was found to be significantly lower than Metafix and Supercap.</p><p><strong>Conclusion: </strong>Among these five matrix systems, using the Tofflemire matrix can result in less overhang in primary molar restorations.</p><p><strong>Clinical significance: </strong>Although various matrix systems are being developed in modern dentistry, it has been observed that the Tofflemire matrix is still reasonable in terms of material overhang.</p><p><strong>How to cite this article: </strong>Yanar GN, Bodur CH, Yılmaz T. <i>In Vitro</i> Evaluation of Contact Tightness and Marginal Overhang in Class II Primary Molar Restorations Restored with Different Matrix Systems. Int J Clin Pediatr Dent 2025;18(7):814-819.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 7","pages":"814-819"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213772","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":"Development and Assessment of a Novel Audiosensory Performance Method for Improving the Oral Health of Visually Impaired Children.","authors":"Natasha Gambhir, Achla Goel, Nidhi Gupta, Divya Singh","doi":"10.5005/jp-journals-10005-3178","DOIUrl":"10.5005/jp-journals-10005-3178","url":null,"abstract":"<p><p>This study evaluated the effectiveness of an audiosensory performance method in enhancing oral health knowledge and status among visually impaired children aged 6-12 years in the National Capital Region (NCR), Delhi. An interventional study design was used, involving 251 participants equally divided into two groups: one using traditional Braille booklets and the other using Audiosensory Braille booklets. The median age of participants was 8 years, with a gender distribution of 53.8% male and 46.2% female. The Mann-Whitney U test compared oral health outcomes at baseline, 1, 3, and 6 months. Initial findings showed no significant differences in mean Oral Hygiene Index (OHI) and <i>Streptococcus mutans</i> (<i>S. mutans</i>) counts between groups at baseline and 1 month. However, significant improvements were observed at 3 and 6 months in the Audiosensory Braille booklet group. This group demonstrated better oral health outcomes, with notable reductions in <i>S. mutans</i> counts. The study highlights the effectiveness of combining audio instructions, tactile perception, and practical brushing exercises-known as the Audio-Tactile Performance (ATP) method-in enhancing oral hygiene practices among visually impaired children. These findings underscore the importance of tailored, inclusive educational approaches to promote sustainable oral health and overall well-being in this population. Future research should explore the long-term efficacy and practical implementation of these interventions.</p><p><strong>How to cite this article: </strong>Gambhir N, Goel A, Gupta N, <i>et al.</i> Development and Assessment of a Novel Audiosensory Performance Method for Improving the Oral Health of Visually Impaired Children. Int J Clin Pediatr Dent 2025;18(7):807-813.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 7","pages":"807-813"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213973","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 Hypertrophic Adenoids and Tonsils with Craniofacial Growth, Occlusion, and Breathing Habit in 4-12-year-old Children.","authors":"Vidhi Jaiswal, Anshula N Deshpande, Yash Shah, Aishwarya Jain","doi":"10.5005/jp-journals-10005-3162","DOIUrl":"10.5005/jp-journals-10005-3162","url":null,"abstract":"<p><strong>Aim and background: </strong>To evaluate and compare growth and development, breathing habit, and occlusion in children with and without hypertrophic adenoids and tonsils.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted on a total of 78 participants, aged 4-12 years, with 52 children with adenoid/tonsillar hypertrophy (group I) and 26 healthy children (group II). For each participant, a detailed history of respiratory obstruction or infection was recorded, followed by an orthodontic evaluation. A lateral cephalogram was taken for airway space and cephalometric analysis. Descriptive and inferential statistical tests were computed using SPSS software version 21.</p><p><strong>Results: </strong>Children with hypertrophic adenoids and tonsils showed a higher incidence of repeated tonsillitis (73.07%) and otitis media (17.3%). On assessing breathing patterns, 88.4% had the mouth breathing habit and 11.5% had the oronasal breathing habit. However, the difference was not statistically significant (<i>p</i> > 0.05). On intergroup comparison, there was a statistically significant difference observed in cephalometric and orthodontic parameters. A higher frequency of lip incompetency, constricted maxillary arch, class II molar relationship, and the posterior crossbite was observed in children with adenotonsillar hypertrophy. Children in group I reported increased overjet (4.9 ± 2.0), increased mandibular plane angle (28.8 ± 3.1), and decreased posterior facial height (61.8 ± 6.1) with a dolichofacial profile (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Adenoid or tonsillar hypertrophy in children results in altered skeletal growth patterns, showing a higher tendency of increase in anterior facial height, dolichofacial profile, change in breathing patterns, and malocclusion in children.</p><p><strong>Clinical significance: </strong>Hypertrophic adenoids and tonsils are the most common cause of respiratory obstruction in children. Such cases, if diagnosed at an early stage, can be dealt with in a holistic approach to not only intervene but also prevent growth-related problems in children.</p><p><strong>How to cite this article: </strong>Jaiswal V, Deshpande AN, Shah Y, <i>et al.</i> Correlation of Hypertrophic Adenoids and Tonsils with Craniofacial Growth, Occlusion, and Breathing Habit in 4-12-year-old Children. Int J Clin Pediatr Dent 2025;18(7):792-798.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 7","pages":"792-798"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213979","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 Impact of Green Tea Extract on Postoperative Pain Control in Children Undergoing Orthodontic Extractions: A Split-mouth, Randomized, Controlled, Double-blinded Trial.","authors":"Ayushma Chakravorty, Lavanya Govindaraju","doi":"10.5005/jp-journals-10005-3164","DOIUrl":"10.5005/jp-journals-10005-3164","url":null,"abstract":"<p><strong>Aim and background: </strong>Tooth extraction is a common pediatric dental procedure, but pain management remains challenging, with pain peaking two hours post-extraction. While analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs) are used, though effective, they have gastrointestinal side effects. Green tea, with its anti-inflammatory properties, could offer a novel approach for pain relief. This study evaluates the effectiveness of green tea extract in managing postoperative pain following orthodontic premolar extractions in children and adolescents.</p><p><strong>Method: </strong>This split-mouth, randomized, double-blind trial involved 44 children aged 12-17 requiring orthodontic extractions. Green tea extract was prepared, and each participant underwent two surgeries, with green tea extract applied to one site and saline as a placebo to the other. Assessment of pain was done using the Visual Analog Scale at 6, 12, 24, and 48 hours.</p><p><strong>Results: </strong>A study of 44 patients (mean age: 14.82 years) compared pain relief after tooth extraction. Green tea extract significantly reduced pain and analgesic use compared to saline, with lower pain scores at 6, 12, 24, and 48 hours (<i>p</i> = 0.001) and fewer analgesics needed (<i>p</i> = 0.00001).</p><p><strong>Conclusion: </strong>Green tea-infused gauze, when applied near the extraction site, is effective in pain management.</p><p><strong>Clinical significance: </strong>The study demonstrates that green tea extract is effective in managing postoperative pain following pediatric dental extractions. Its application significantly reduced pain intensity and the need for analgesics compared to a saline placebo. This suggests green tea extract is a promising, natural alternative for pain relief, offering benefits without the gastrointestinal side effects associated with NSAIDs.</p><p><strong>How to cite this article: </strong>Chakravorty A, Govindaraju L. Assessing the Impact of Green Tea Extract on Postoperative Pain Control in Children Undergoing Orthodontic Extractions: A Split-mouth, Randomized, Controlled, Double-blinded Trial. Int J Clin Pediatr Dent 2025;18(7):825-830.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 7","pages":"825-830"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214010","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 Efficacy of Advanced Platelet-rich Fibrin in Premolar Extraction Sockets as an Aid to Accelerate Orthodontic Tooth Movement and Wound Healing: A Split-mouth <i>In Vivo</i> Study.","authors":"Divya Mareddy, T R Marimallappa, Mahesh Kumar Ranghnath, Kr Ashok Kumar, B Jambukeshwar Kumar, Supriyo Pal","doi":"10.5005/jp-journals-10005-3175","DOIUrl":"10.5005/jp-journals-10005-3175","url":null,"abstract":"<p><strong>Aims and background: </strong>Surgical extraction of premolars is a routine orthodontic procedure for correcting malocclusion, but is often associated with postoperative challenges. Advanced platelet-rich fibrin (A-PRF), a second-generation platelet concentrate rich in growth factors, offers promise as an adjunct to improve healing outcomes. This study aimed to evaluate the impact of A-PRF on clinical outcomes following surgical premolar extraction.</p><p><strong>Materials and methods: </strong>A prospective split-mouth, <i>in vivo</i> study was conducted on 13 patients requiring bilateral premolar extractions for orthodontic treatment. A-PRF was applied to the extraction site on one side (study group), while the contralateral side served as a control. Mini screws were placed bilaterally to facilitate canine distalization using NiTi closed-coil springs with 150 gm of force. Clinical wound healing was evaluated on days 3 and 7 postextraction, while orthodontic tooth movement was measured monthly using digital calipers over a four-month period. Data were analyzed using Mann-Whitney U and Chi-square tests.</p><p><strong>Results: </strong>The study group demonstrated significantly better wound healing (mean score: 2.53) compared to the control group (mean score: 1.08) (<i>p</i> < 0.05). Orthodontic tooth movement was significantly higher in the A-PRF group (mean displacement: 5.89 mm) than in the control group (mean displacement: 3.71 mm) (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>A-PRF application in orthodontic extraction sockets accelerates wound healing and tooth movement by promoting osteoclastic activity and bone remodeling through a sustained release of growth factors such as platelet-derived growth factor (PDGF), vascular endothelial growth factor (VEGF), and transforming growth factor beta (TGF-β). Its minimally invasive autologous nature positions A-PRF as a promising adjunct to orthodontic treatment, reducing treatment duration and enhancing patient outcomes.</p><p><strong>Clinical significance: </strong>A-PRF improves post-extraction healing, reducing discomfort and complications in children. It supports bone remodeling, optimizing alignment and shortening treatment during growth phases. A-PRF is autologous, biocompatible, and minimally invasive, ensuring safety and better cooperation.</p><p><strong>How to cite this article: </strong>Mareddy D, Marimallappa TR, Ranghnath MK, <i>et al.</i> Evaluation of Efficacy of Advanced Platelet-rich Fibrin in Premolar Extraction Sockets as an Aid to Accelerate Orthodontic Tooth Movement and Wound Healing: A Split-mouth <i>In Vivo</i> Study. Int J Clin Pediatr Dent 2025;18(7):838-842.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 7","pages":"838-842"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213982","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}