International Journal of Clinical Pediatric Dentistry最新文献

{"title":"Pediatric Surgical Management of Cystic Ameloblastic Fibroma-Mural Type: A Rare Enigmatic Pathology.","authors":"Dhananjaya Gaviappa, K Vineeth Kumar, Dominic Augustine, Samudrala Venkatesiah Sowmya, Tanya Saxena, Sibikar Prabakar","doi":"10.5005/jp-journals-10005-3180","DOIUrl":"10.5005/jp-journals-10005-3180","url":null,"abstract":"<p><strong>Introduction: </strong>Cystic ameloblastic fibroma (CAF) is an uncommon mixed odontogenic tumor. It is rare in children and has a mean age of 15.9 years, commonly seen in the posterior mandibular region. The mural type of CAF is an even rarer subtype, characterized by the presence of cystic spaces lined by tumor cells.</p><p><strong>Aim: </strong>To document the clinical, radiographic, histopathological features, and surgical management of a rare case of cystic ameloblastic fibroma-mural type in an 8-year-old male. The report also aims to provide insights into the diagnosis and treatment of this rare odontogenic tumor in the pediatric population.</p><p><strong>Case description: </strong>We present a case of an 8-year-old male who was diagnosed with a mural type of CAF. The patient presented with facial asymmetry and painless swelling of the right mandible. Diagnosis was confirmed through clinical, radiographic, and histopathological examinations, following which a management plan involving the extraction of affected teeth and the surgical excision of the lesion was performed. A 2-year follow-up showed no recurrence.</p><p><strong>Conclusion: </strong>This report highlights the importance of early diagnosis and prompt management of CAF during the mixed dentition stage. Small lesions may be treated conservatively, but extensive lesions require radical treatment. This case is the first documented instance of CAF in the Asian population and the second occurrence in patients under 10 years old. It outlines the management protocol for CAF in younger patients with mixed dentition, emphasizing the importance of early intervention for positive outcomes.</p><p><strong>How to cite this article: </strong>Gaviappa D, K VK, Augustine D, <i>et al.</i> Pediatric Surgical Management of Cystic Ameloblastic Fibroma-Mural Type: A Rare Enigmatic Pathology. Int J Clin Pediatr Dent 2025;18(7):871-878.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 7","pages":"871-878"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214034","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":"Antagonistic Primary Tooth Wear Caused by Opposing BioFLX^®, Zirconia, and Stainless Steel Crowns: Chewing Cycle Simulation Study.","authors":"Pragati Pareek, Sunnypriyatham Tirupathi, Karuna Kumari, Lamea Afnan","doi":"10.5005/jp-journals-10005-3161","DOIUrl":"10.5005/jp-journals-10005-3161","url":null,"abstract":"<p><strong>Introduction: </strong>The choice of crown material for primary teeth restorations is crucial in pediatric dentistry, as it impacts both the restoration's longevity and the wear on opposing teeth. This study aimed to compare the wear on primary teeth and their antagonists when opposed by zirconia, BioFLX®, and stainless steel crowns (SSCs), using a multiaxis computer-controlled chewing simulator (SD Mechatronik CS-4.4) to replicate masticatory mechanisms and forces.</p><p><strong>Materials and methods: </strong>Primary teeth specimens were mounted and paired with opposing preformed crowns of zirconia, BioFLX®, and stainless steel (SS). These pairs were subjected to 2,40,000 chewing cycles using a chewing simulator, simulating 1 year of oral chewing conditions. The volumetric wear of the crowns and their antagonists was measured using digital scanning (Medit Lab scanner) both pre- and postsimulation. Data were analyzed using the Wilcoxon signed-rank test, Kruskal-Wallis test, and Mann-Whitney <i>U</i> test to assess intra- and intergroup differences.</p><p><strong>Results: </strong>After 2,40,000 chewing cycles, antagonistic wear varied significantly among crown materials (<i>p</i> = 0.006), with zirconia antagonist causing the highest wear (1.00 mm³), followed by SS antagonist (0.58 mm³), and BioFLX® antagonist (0.24 mm³), which caused the least wear. Crown wear differences were not statistically significant (<i>p</i> = 0.147), with zirconia crowns exhibiting a volume reduction of 0.26 mm³, BioFLX® crowns 0.48 mm³, and SSCs 0.11 mm³. BioFLX® demonstrated superior performance in minimizing antagonistic wear.</p><p><strong>Conclusion: </strong>Primary teeth opposed by BioFLX® crowns exhibited the least wear, making it the most favorable material for minimizing antagonistic tooth wear. SSCs caused moderate wear, while zirconia crowns resulted in the highest wear on opposing primary teeth. These findings suggest that BioFLX® is a promising option for pediatric restorations, as it better preserves primary tooth structure. Clinicians should consider these results when choosing crown materials to ensure optimal long-term outcomes in pediatric patients.</p><p><strong>How to cite this article: </strong>Pareek P, Tirupathi S, Kumari K, <i>et al.</i> Antagonistic Primary Tooth Wear Caused by Opposing BioFLX^®, Zirconia, and Stainless Steel Crowns: Chewing Cycle Simulation Study. Int J Clin Pediatr Dent 2025;18(7):784-791.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 7","pages":"784-791"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214066","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":"Familial, Nonsyndromic, Generalized Radiculomegaly Affecting Both Dentitions: The First Reported Case.","authors":"Ramya Ramanathan, Paul Chalakkal, Siya Gajanan Dukle, Aman Rajput, Daulat Kumar","doi":"10.5005/jp-journals-10005-3165","DOIUrl":"10.5005/jp-journals-10005-3165","url":null,"abstract":"<p><strong>Aim and background: </strong>Radiculomegaly is a rare anomaly characterized by the abnormal elongation of tooth roots. Its etiology is poorly understood and is often diagnosed accidentally during routine dental or radiographic evaluations. The condition may pose challenges while carrying out root canal treatment, extraction, or orthodontic tooth movement.</p><p><strong>Case description: </strong>This article highlights the first ever reported case of familial, nonsyndromic, generalized radiculomegaly affecting the primary and permanent dentitions in a 13-year-old male who had visited the Department of Pedodontics and Preventive Dentistry for a dental checkup. Clinical examination revealed a delay in eruption since his dentition was inconsistent with his age. An orthopantomograph showed the presence of primary and permanent teeth with longer roots than usual.</p><p><strong>Conclusion: </strong>A diagnosis of radiculomegaly was made from full-mouth CBCT tooth measurements that confirmed longer roots. Orthopantomographs of his sibling and father revealed similar findings.</p><p><strong>Clinical significance: </strong>Radiculomegaly is a rare condition. It is generally asymptomatic; however, it may cause difficulties during endodontic treatment. Therefore, early diagnosis is beneficial.</p><p><strong>How to cite this article: </strong>Ramanathan R, Chalakkal P, Dukle SG, <i>et al.</i> Familial, Nonsyndromic, Generalized Radiculomegaly Affecting Both Dentitions: The First Reported Case. Int J Clin Pediatr Dent 2025;18(7):879-882.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 7","pages":"879-882"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213976","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":"Tongue Retraining Appliance: Clear Tongue Crib and Clear Tongue Cage Appliance.","authors":"Joby Peter, R Krishna Kumar, John Joseph Methippara, Reshma Joseph, N V Chaithanya","doi":"10.5005/jp-journals-10005-3169","DOIUrl":"10.5005/jp-journals-10005-3169","url":null,"abstract":"<p><strong>Aims and background: </strong>This article introduces a novel tongue training appliance \"clear tongue cage or clear tongue crib appliance\" designed to address and correct tongue thrusting and improper tongue positioning, which are common contributors to malocclusion, speech difficulties, and other orthodontic issues. The innovative design incorporates materials and features that enhance comfort and effectiveness. The appliance functions by gently guiding the tongue to an optimal position, promoting proper swallowing and resting posture. Additionally, it aids in the effectiveness of orthodontic treatments by preventing the tongue from interfering with dental alignment processes.</p><p><strong>Results: </strong>Clinical trials demonstrate significant improvements in tongue positioning, speech clarity, and overall oral health among users.</p><p><strong>Conclusion: </strong>The findings suggest that consistent use of the appliance, under professional supervision, can lead to lasting benefits in tongue positioning and thereby prevent malocclusion.</p><p><strong>Clinical significance: </strong>This appliance represents a significant advancement in myofunctional therapy, offering a noninvasive, user-friendly solution for patients of all ages.</p><p><strong>How to cite this article: </strong>Peter J, Kumar KR, Methippara JJ, <i>et al.</i> Tongue Retraining Appliance: Clear Tongue Crib and Clear Tongue Cage Appliance. Int J Clin Pediatr Dent 2025;18(7):902-906.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 7","pages":"902-906"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213999","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":"Efficacy of Ion-releasing Pit and Fissure Sealants Compared with Other Modified Pit and Fissure Sealants when Subjected to Heat and Ultrasonic Vibration: An <i>Ex Vivo</i> Comparison.","authors":"Nishtha Gosain, Noopur Kaushik, Nikhil Srivastava, Vivek Rana, Sakshi Bhardwaj","doi":"10.5005/jp-journals-10005-3233","DOIUrl":"10.5005/jp-journals-10005-3233","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Pit and fissure sealants are important tools for the prevention of dental caries on the occlusal surfaces, but despite sealing the deep pits and fissures, occlusal dental caries continues to be a major problem due to incomplete penetration and loss of retention of the material, leading to microleakage.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To evaluate the efficacy of recently introduced ion-releasing pit and fissure sealants in comparison to fluoride-releasing and amorphous calcium phosphate (ACP)-containing sealants in terms of their penetration depth and microleakage when subjected to heat and ultrasonic vibration postsalivary contamination.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;An &lt;i&gt;ex vivo&lt;/i&gt; comparative study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;One hundred forty-four freshly extracted primary/permanent molars with intact occlusal surfaces were taken and divided into three equal groups (&lt;i&gt;N&lt;/i&gt; = 48) based on the type of sealants applied-group 1 (ion-releasing), group 2 (fluoride-releasing), and group 3 (ACP-containing). These groups were further divided into three equal subgroups (&lt;i&gt;n&lt;/i&gt; = 16) based on the method of sealant placement-A (conventional), B (heat), and C (ultrasonic vibration). After cleaning the occlusal surfaces, occlusal surfaces were etched and the sealants were applied as per groups and subgroups. Samples were then placed in basic fuchsin dye for 24 hours. The crowns were sectioned and examined under a stereomicroscope for penetration depth and microleakage analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Statistical analysis: &lt;/strong&gt;Kruskal-Wallis test, Dunn's &lt;i&gt;post hoc&lt;/i&gt; test, one-way analysis of variance (ANOVA) test, and Tukey's &lt;i&gt;post hoc&lt;/i&gt; test.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Ion-releasing pit and fissure sealant (group 1) showed maximum penetration depth and minimum microleakage when subjected to ultrasonic vibration method (&lt;i&gt;p&lt;/i&gt; &lt; 0.005). The ultrasonic vibration subgroup exhibited significantly greater penetration into the fissures compared with the other test subgroups (&lt;i&gt;p&lt;/i&gt; &lt; 0.005).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Ion-releasing pit and fissure sealant (group 1) placed through ultrasonic vibration proved to be the best in terms of maximum penetration depth and minimum microleakage.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical relevance: &lt;/strong&gt;Bioactive pit and fissure sealants provide greater mechanical strength, penetration depth, and least microleakage compared to the other sealants, that is, ACP-containing and fluoride-releasing sealants. Additionally, the sealants can be treated with heat and vibration to increase the material's viscosity, thereby improving its properties.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;How to cite this article: &lt;/strong&gt;Gosain N, Kaushik N, Srivastava N, &lt;i&gt;et al.&lt;/i&gt; Efficacy of Ion-releasing Pit and Fissure Sealants Compared with Other Modified Pit and Fissure Sealants when Subjected to Heat and Ultrasonic Vibration: An &lt;i&gt;Ex Vivo&lt;/i&gt; Comparison. Int J Clin Pediatr Dent 2025;18(7):864-870.&lt;/p","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 7","pages":"864-870"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Oil Pulling Using Extra Virgin Olive Oil on Plaque and Gingivitis Scores and Caries Activity Evaluated by Ora Test in Pediatric Dental Patients: An <i>In Vivo</i> Study.","authors":"Sandeep Kumar Valasingam, Prathibha Laxmi Kanikaram, Archana Vadla, Sirigiri Naga Praveenkanth Reddy, Lahari Nagasamudram, Raja Vardhan Kuravadi","doi":"10.5005/jp-journals-10005-3142","DOIUrl":"10.5005/jp-journals-10005-3142","url":null,"abstract":"<p><strong>Aim: </strong>Oil pulling is well documented as an alternative therapy with many therapeutic benefits, both systemic and oral. Extra virgin olive oil (EVOO) has proved to be of much benefit because of its antioxidant effect and low caloric value. This study hypothesizes that olive oil can be used to reduce the caries activity in pediatric patients. The aim of the present study is to evaluate the effect of oil pulling using EVOO on plaque and gingivitis scores and caries activity evaluated by Ora test in pediatric dental patients.</p><p><strong>Materials and methods: </strong>This is a prospective case-control study conducted on 20 children aged 6-12 years where olive oil was taken as the study group and chlorhexidine as the positive control group. Children were randomly selected and allocated to two groups. The baseline examination of plaque and gingivitis scores was evaluated by a single trained examiner, and the Ora test was performed on the same day. After 1 month of using olive oil, a second examination and Ora test were performed. Data were subjected to statistical analysis.</p><p><strong>Results: </strong>There was a significant mean reduction of 0.46 ± 0.09 in plaque scores and 0.26 ± 0.04 in gingivitis scores in olive oil group after 1 month. There was no statistically significant difference when mean reduction of plaque scores was compared between both the groups, but significant reduction was noticed in gingivitis group (0.26 ± 0.04). There was a significant and comparable reduction of caries activity in both the groups after 1 month. Olive oil showed increased caries activity reduction compared to chlorhexidine.</p><p><strong>Interpretation and conclusions: </strong>Both the groups showed substantial benefit of reduction in plaque scores and gingivitis scores after 1 month. Olive oil seems to have comparable results to chlorhexidine and also showed additional therapeutic benefit on gingival inflammation and reduction in caries activity.</p><p><strong>Clinical significance: </strong>Olive oil in the form of oil pulling can be effectively used as a natural alternative to counteract poor oral hygiene status and high caries activity in pediatric dental patients.</p><p><strong>How to cite this article: </strong>Valasingam SK, Kanikaram PL, Archana V, <i>et al.</i> Effect of Oil Pulling Using Extra Virgin Olive Oil on Plaque and Gingivitis Scores and Caries Activity Evaluated by Ora Test in Pediatric Dental Patients: An <i>In Vivo</i> Study. Int J Clin Pediatr Dent 2025;18(6):666-670.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"666-670"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213884","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":"Efficiency of Three Interdental Plaque Control Aids (Dental Floss, Water Flosser, and Interdental Brush) as an Adjunct to Toothbrushing in Children.","authors":"Annam George, Jayanthi Mungara, Poornima Vijayakumar, Deebiga Karunakaran, Shanthosh Raj, Abirami Kumar","doi":"10.5005/jp-journals-10005-3140","DOIUrl":"10.5005/jp-journals-10005-3140","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;General well-being of an individual, particularly oral health, depends on the maintenance of optimal oral hygiene. Evidence-based research has established the role of plaque biofilm as an etiologic factor that increases the risk of developing oral diseases such as dental caries and gingival and periodontal diseases. Brushing with either manual or mechanical toothbrushes is most commonly practiced for the removal of plaque, but its efficiency is limited to surfaces it can access, i.e., facial, lingual, and occlusal surfaces of the teeth. During the mixed dentition period, there is closure of all physiological spaces and establishment of tight proximal contact, increasing the risk of proximal caries and gingival diseases if appropriate plaque control measures are not undertaken.Numerous interdental cleaning aids are available in the market, such as dental floss, interdental brushes, wooden interdental aids, and oral irrigators, to support patients' self-care needs. Dental floss is used along with toothbrushing for interdental plaque removal in both primary and permanent dentition. It may act differently on the primary tooth due to its distinct anatomy-bulbous crowns, broad, flat contact areas, and cervical constrictions. Floss types include waxed, unwaxed, bonded, unbonded, and those with drug additives, with handles such as stick floss of F-type and Y-type.Interdental brushes are found to be effective in removing interdental plaque, as recommended by the European Federation of Periodontology 2015 workshop. They can reach interdental grooves or fissures that are not physically accessible to other devices, are safe and easy to use, and their selection depends on individual needs. Oral irrigators, such as the dental water jet-first introduced in 1962 by a Colorado dentist and now known as the water flosser-have the advantage of reaching inaccessible areas in both open and closed dentitions. They are effective in plaque removal, can be used with chemical plaque control agents, and are considered to be three times more effective than manual brushing. Water flossers are also useful for children with special healthcare needs.However, complete removal of plaque biofilm remains a challenge and depends on a child's manual dexterity, devices used, skills acquired through training, appropriate technique, and frequency of oral hygiene practice. With this background, the present study was undertaken to assess and compare the plaque removal efficiency of three interdental cleaning devices as an adjunct to brushing in children with mixed dentition.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;The present study was conducted by the Department of Pedodontics and Preventive Dentistry. A total of 308 children were screened, and 100 children aged 6-12 years with a minimum of 20 scorable teeth, free of systemic diseases and willing to participate with informed consent, were selected. Children with oral lesions, dental caries, or devel","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"637-640"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213947","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":"Effects of Thermocycling on Antimicrobial Activity, Contact Angle, Surface Roughness, and Microhardness of Nanomodified Glass Ionomer Cement: An <i>In Vitro</i> Analysis.","authors":"Shreejha Vasudevan, Jessy Paulraj, Subhabrata Maiti","doi":"10.5005/jp-journals-10005-3179","DOIUrl":"10.5005/jp-journals-10005-3179","url":null,"abstract":"<p><strong>Background: </strong>The long-term stability and performance of nanomodified glass ionomer cement under conditions mimicking the oral environment must be studied.</p><p><strong>Aim: </strong>The aim of the study is to assess the effects of thermocycling on antimicrobial activity, contact angle, surface roughness, and microhardness of nanomodified glass ionomer cement.</p><p><strong>Materials and methods: </strong>Chitosan, titanium, zirconia, and hydroxyapatite (Ch-Ti-Zr-HA) nanoparticles were synthesized and combined through a one-pot method to create a single product. This product was subsequently incorporated into glass ionomer powder, and disc-shaped modified GIC specimens were fabricated in concentrations of 3%, 5%, and 10%, designated as group I, group II, and group III, respectively. Group IV served as the control, consisting of conventional glass ionomer cement. Characterization was performed. Each group was evaluated for antimicrobial activity and physical characteristics such as wettability, surface roughness, and microhardness before and after thermocycling. The specimens were thermocycled at 55°C, with a dwell time of 15 seconds for 30,000 cycles. The obtained data were statistically analyzed using an unpaired t-test.</p><p><strong>Results: </strong>Enhanced antimicrobial activity was observed in 5% Ch-Ti-Zr-HA nanomodified GIC against both <i>Streptococcus mutans</i> (S. mutans) and <i>Lactobacillus</i>, demonstrating improved performance with better wettability and least roughness without compromising material hardness (p < 0.05).</p><p><strong>Conclusion: </strong>Ch-Ti-Zr-HA nanomodified GIC has strong antimicrobial efficacy, enhanced wettability, decreased surface roughness, and improved microhardness even after artificial aging (thermocycling). These findings indicate improved surface characteristics, which can minimize microbial adhesion and contribute to a durable dental restorative material.</p><p><strong>How to cite this article: </strong>Vasudevan S, Paulraj J, Maiti S. Effects of Thermocycling on Antimicrobial Activity, Contact Angle, Surface Roughness, and Microhardness of Nanomodified Glass Ionomer Cement: An <i>In Vitro</i> Analysis. Int J Clin Pediatr Dent 2025;18(6):724-732.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"724-732"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213923","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 analysis of Kedo S-Plus and Baby Blue Pediatric Rotary File Systems in Primary Molars for Canal Transportation, Canal Centricity, and Volumetric Changes using Cone-beam Computed Tomography.","authors":"Rohini R Bartakke, Mayur S Bhattad, V G Babu, Sumit S Rajewar, Ankita Chandak, Siva T Sivalenka","doi":"10.5005/jp-journals-10005-3172","DOIUrl":"10.5005/jp-journals-10005-3172","url":null,"abstract":"<p><strong>Background: </strong>The complex morphology of primary root canals presents a major challenge in pediatric endodontics, making effective canal preparation crucial to treatment success. Only a limited number of instruments can achieve thorough three-dimensional canal cleaning.</p><p><strong>Aim: </strong>The present <i>in vitro</i>, parallel-arm experimental study was designed to assess and compare canal transportation, centering ability, and volumetric changes following instrumentation with Kedo S-Plus and Baby Blue pediatric rotary file systems in primary teeth using cone-beam computed tomography (CBCT) analysis.</p><p><strong>Materials and methods: </strong>A total of 104 extracted primary molars with at least 7 mm of root length were randomly allocated into two groups: group A-Kedo S-Plus, and group B-Baby Blue rotary file systems. Pre- and postinstrumentation CBCT scans were obtained for each specimen. Data were analyzed to determine canal transportation, centering ability, and volumetric alterations in the root canal system.</p><p><strong>Results: </strong>At the apical third, statistically significant differences were observed between the two groups. The Kedo S-Plus system demonstrated superior centering ability and reduced canal transportation compared to the Baby Blue file system. Additionally, greater volumetric changes were associated with Baby Blue instrumentation.</p><p><strong>Conclusion: </strong>The Kedo S-Plus rotary file system was more effective in preserving the original root canal anatomy and induced fewer volumetric alterations than the Baby Blue rotary file system, suggesting its preferred use in primary root canal preparation.</p><p><strong>How to cite this article: </strong>Bartakke RR, Bhattad MS, GV B, <i>et al.</i> Comparative analysis of Kedo S-Plus and Baby Blue Pediatric Rotary File Systems in Primary Molars for Canal Transportation, Canal Centricity, and Volumetric Changes using Cone-beam Computed Tomography. Int J Clin Pediatr Dent 2025;18(6):621-627.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"621-627"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213932","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 Management of Child with Myelomeningocele Associated with Type II Arnold-Chiari Malformation: Case Report and Review of Literature.","authors":"Makkada Yuvaraj Padmanabhan","doi":"10.5005/jp-journals-10005-3150","DOIUrl":"10.5005/jp-journals-10005-3150","url":null,"abstract":"<p><strong>Aim and background: </strong>Myelomeningocele (MMC), the most severe form of spina bifida, is a congenital malformation of the spinal cord and brain, often associated with type II Arnold-Chiari malformation. This condition leads to significant complications such as hydrocephalus, cerebrospinal fluid (CSF) leakage, mobility impairment, and bladder/bowel incontinence. These issues, along with social and financial burdens, profoundly affect patients and their families. Children with MMC are also at higher risk of dental neglect, increasing the likelihood of severe oral health issues like dental caries and gingival disease.</p><p><strong>Case description: </strong>This case focuses on the dental management of a young child with MMC and type II Arnold-Chiari malformation. Due to the elevated risk of complications from general anesthesia or sedation, behavior management techniques were employed to provide comprehensive dental care. The treatment approach considered the child's medical complexities, mobility limitations, and neurosensory challenges, ensuring that oral health needs were met safely and effectively.</p><p><strong>Conclusion: </strong>Children with MMC and type II Arnold-Chiari malformation require careful treatment planning to avoid anesthesia-related risks. Comprehensive dental care can be successfully provided using behavior management strategies.</p><p><strong>Clinical significance: </strong>This case highlights the importance of adapting dental care to the needs of children with complex medical conditions. Nonpharmacological strategies can ensure safe treatment, reducing the risk of complications and improving overall health outcomes.</p><p><strong>How to cite this article: </strong>Padmanabhan MY. Dental Management of Child with Myelomeningocele Associated with Type II Arnold-Chiari Malformation: Case Report and Review of Literature. Int J Clin Pediatr Dent 2025;18(6):738-744.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"738-744"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213887","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}