International Journal of Clinical Pediatric Dentistry最新文献

{"title":"Digital Evaluation of Pathologic Root Resorption in Primary Mandibular Molars and Its Implications on Succedaneous Unerupted Premolars.","authors":"Ramya Ramanathan, Paul Chalakkal, Siya Gajanan Dukle, Harsh U Manerkar, Mubasshir Ahmed Shaikh, Sayali Jain","doi":"10.5005/jp-journals-10005-3536","DOIUrl":"10.5005/jp-journals-10005-3536","url":null,"abstract":"<p><strong>Background: </strong>Pulpal infection from primary molars may have periapical implications resulting in pathological root resorption (PRR). There is little clarity regarding its effects on succedaneous teeth. Therefore, the aim of the study was to evaluate the effects of PRR on the root formation and eruption of their succedaneous premolars.</p><p><strong>Materials and methods: </strong>Digital orthopantomograms (OPGs) were obtained of subjects aged between 6 and 9 years. A split-mouth study design was planned, wherein the affected side had to contain a carious mandibular primary molar (MPM) showing PRR. The corresponding tooth on the contralateral side had to be unaffected, showing physiologic root resorption alone. Premolar root formation, premolar eruption, and MPM root resorption pattern were measured digitally. A sample size of 56 OPGs were used for the study. Statistics were carried out using STATA version 17.0 (StataCorp). Shapiro-Wilk, Cohen's <i>d</i>, and Student's <i>t</i>-tests were also used.</p><p><strong>Results: </strong>Greater amounts of premolar root formation and intra-alveolar eruption had occurred resulting from PRR of the overlying primary molars. A greater amount of PRR was observed on the distal and mesial roots of the first and second molars, respectively.</p><p><strong>Conclusion: </strong>PRR in primary molars enhances the root formation and intra-alveolar eruption of their succedaneous premolars.</p><p><strong>Clinical significance: </strong>This study objectively demonstrates that PRR in primary mandibular molars accelerates root formation and intra-alveolar eruption of succedaneous premolars. The split-mouth design minimizes interindividual variability, strengthening the evidence for the proposed space replacement theory of eruption. These findings clarify previous inconsistencies and enhance clinical understanding of premolar eruption patterns in pediatric dentistry.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"718-722"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608260","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 Buzzy Bee in Reducing Pain Perception during Local Anesthesia in Children: A Split-mouth Crossover Study.","authors":"","doi":"10.5005/jp-journals-10005-3596","DOIUrl":"10.5005/jp-journals-10005-3596","url":null,"abstract":"","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"798-799"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621582","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 Remineralization Potential of Different Remineralizing Agents on Carious Lesion of Primary Teeth: A Systematic Review and Meta-analysis.","authors":"Aditi S Oza, Bhagyashree Salunkhe, Raju Umaji Patil, Riddhi S Joshi, Vineet Vinay","doi":"10.5005/jp-journals-10005-3535","DOIUrl":"10.5005/jp-journals-10005-3535","url":null,"abstract":"<p><strong>Aims: </strong>To compare the remineralization potential of nanohydroxyapatite (nHA), fluoridated nano hydroxyapatite (NHA-F), nanosilver fluoride (NSF), bioactive glass (BAG), nanobioactive glass (nBAG), silver diamine fluoride (SDF), sodium fluoride (NaF), casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), tricalcium phosphate (TCP) and fluoride in primary teeth.</p><p><strong>Materials and methods: </strong>This study has included articles from databases such as MEDLINE, Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, CINAHL, PsycINFO, Scopus, ERIC, and ScienceDirect published until December 31, 2023. The search resulted in the display of 3086 articles, of which 1396 cited as duplicates were eliminated, eventually providing with 15 articles for review after being subjected to the inclusion and exclusion criteria.</p><p><strong>Statistical analysis: </strong>The extracted data were analysed in qualitative and quantitative methods, along with the generation of forest plots using RevMan software version 5. The risk of bias was assessed using the QUIN tool.</p><p><strong>Results: </strong>15 studies were included in the qualitative and 8 in the quantitative synthesis. The nHA vs Naf comparison resulted in pooled value [OR (CI)] 0.01 [95% CI (1.13 to 1.15)] <i>p</i> (0.99) not statistically significant, NSF vs NaF pooled value value [OR (CI)] 0.77 [95% CI (0.13 to 1.42)] <i>p</i> (0.02) was statistically significant, Subgroup analysis BAG and nBAG vs NaF pooled value [OR (CI)] 1.00 [95% CI (0.14 to 1.86)] p(0.02) was statistically significant.</p><p><strong>Conclusions: </strong>This study concluded that the newer nanoparticulate and the nonfluoridated remineralizing agents are as effective as or more effective than other agents.</p><p><strong>Key messages: </strong>This study highlights the newer agents, such as nanoparticulate and nonfluoridated remineralizing agents' potential in comparison to other commonly used agents, and focuses more on remineralization of primary teeth as a preventive treatment option.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"770-778"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608302","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":"Quality Assessment of KEDOO Criteria and Coll and Sadrian Criteria in Evaluation of Root Canal Obturation:A Comparative Study.","authors":"Mehak Behal, Ruchika Kundra, Mebin George Mathew, Shaila Masih","doi":"10.5005/jp-journals-10005-3528","DOIUrl":"10.5005/jp-journals-10005-3528","url":null,"abstract":"<p><strong>Aim and background: </strong>The success of pulpectomy in primary teeth depends significantly on the quality of root canal obturation. While the Coll and Sadrian criteria have traditionally been used to evaluate obturation at the tooth level, they do not assess individual canal fill quality or detect voids. The recently introduced KEDOO classification offers a canal-specific approach. This study aimed to compare the diagnostic performance of the KEDOO classification with the traditional Coll and Sadrian criteria in assessing obturation quality in primary molars.</p><p><strong>Methods: </strong>A retrospective observational study was conducted using digital periapical radiographs of pulpectomized primary molars from children aged 4-9 years. Each radiograph was evaluated using both the Coll and Sadrian criteria and the KEDOO classification. The Coll and Sadrian criteria assessed obturation at the level of the entire tooth, whereas the KEDOO classification evaluated each canal separately and also identified the presence of voids. Chi-square analysis was used to compare the classifications, and intrarater reliability was measured using Cohen's kappa.</p><p><strong>Results: </strong>Out of 234 retrieved radiographs, 132 met the inclusion criteria and were analyzed. According to the Coll and Sadrian criteria, 62% of mandibular and 77.4% of maxillary molars were classified as optimally filled. In contrast, the KEDOO classification showed lower optimal fill rates at the canal level: 32.9 and 49.4% for mandibular mesial and distal canals, and 35.8, 32.1, and 69.8% for maxillary mesial, distal, and palatal canals, respectively. Voids were detected in 49.4% of mandibular and 50.9% of maxillary molars. Intrarater reliability was perfect for Coll and Sadrian (<i>κ</i> = 1.00) and almost perfect for KEDOO (<i>κ</i> = 0.815).</p><p><strong>Conclusion: </strong>The KEDOO classification provides a more detailed, canal-specific, and diagnostically sensitive evaluation of obturation quality in primary teeth. As it evaluates each canal individually and detects voids, it offers improved precision over traditional methods.</p><p><strong>Clinical significance: </strong>Incorporating the KEDOO classification into pediatric endodontic practice may enhance the accuracy of obturation assessment, enable early detection of suboptimal fillings, and contribute to improved long-term treatment outcomes.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"752-757"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608269","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 Different Pediatric Local Anesthesia Delivery Techniques in Reducing Pain and Anxiety: A Randomized Clinical Trial.","authors":"M Lavanya Mangala Valli, A R Senthil Eagappan, B Asvitha, S Nandini, T Subakeerthi, Priya Kannan","doi":"10.5005/jp-journals-10005-3526","DOIUrl":"10.5005/jp-journals-10005-3526","url":null,"abstract":"<p><strong>Introduction: </strong>Pain and anxiety during local anesthesia (LA) administration are major concerns in pediatric dentistry, as they greatly influence a child's participation during dental treatment. The purpose of this research was aimed at assessing and comparing the effectiveness of three different techniques for delivering LA-namely the conventional syringe, Woodpecker StarPen, and Buzzy® system-in alleviating pain and anxiety associated with inferior alveolar nerve block (IANB) administration in children aged 6-10 years.</p><p><strong>Methods: </strong>A randomized clinical trial was carried out on 120 healthy children aged 6-10 years who needed an IANB. Participants were randomly allotted into three groups (<i>n</i> = 40 each): group I-conventional syringe, group II-Woodpecker StarPen, and group III-Buzzy® system. Pain and anxiety were assessed using physiological [heart rate (HR)], subjective (Wong-Baker FACES Pain Rating Scale), and behavioral/objective [Face, Leg, Activity, Cry, Consolability (FLACC) scale] measures. Obtained data were statistically analyzed.</p><p><strong>Results: </strong>In all three groups, HR, subjective pain perception [Wong-Baker FACES Pain Scale (WBFPS)], and behavioral responses (FLACC) scores increased during LA administration and declined postadministration. The Buzzy® group demonstrated significantly lower HR, WBFPS, and FLACC scores compared with the conventional syringe and StarPen groups, indicating superior control of pain and anxiety. The StarPen group showed moderate improvement over the conventional technique but was less effective than the Buzzy® system.</p><p><strong>Conclusion: </strong>The Buzzy® system proved to be the most efficient in reducing pain and anxiety during administration of LA in children, followed by the StarPen and conventional syringe. It may be considered a valuable tool for improving patient comfort in pediatric dental settings.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"747-751"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621620","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":"A Three-dimensional Finite-element Analysis of von Mises Stress and Strain Distribution Generated by Nickel-Titanium Rotary Files in Primary Root Dentin.","authors":"Vaishnavi Mathawala, Madhura Pawar, Shraddha Shirsat, Sneha Panamgipalli, Sejal Patil","doi":"10.5005/jp-journals-10005-3534","DOIUrl":"10.5005/jp-journals-10005-3534","url":null,"abstract":"<p><strong>Aim and background: </strong>The aim of the present study was to evaluate and compare the mechanical behavior of two commercially available nickel-titanium (NiTi) pediatric rotary file systems with different cross-sectional geometries and tapers using three-dimensional (3D) finite element analysis (FEA).</p><p><strong>Methodology: </strong>Two pediatric NiTi rotary file systems, varying in cross-sectional design and taper, were selected for this study. Detailed 3D models of both systems were generated using advanced computer-aided design (CAD) software. These models were then subjected to finite element simulations replicating clinical conditions to evaluate mechanical parameters. The primary variables assessed included von Mises stress distribution, maximum displacement, and strain patterns when subjected to simulated intracanal forces during root canal instrumentation.</p><p><strong>Results: </strong>The FEA demonstrated significant differences in the mechanical behavior of the two file systems. The file with a triangular cross-sectional design and greater taper exhibited higher stress concentrations, particularly in the apical third, increasing susceptibility to deformation or fracture. On the other hand, the file with an S-shaped cross-section and reduced taper showed a more uniform stress distribution pattern, lower maximum displacement, and reduced strain, indicating superior mechanical performance under simulated clinical loads.</p><p><strong>Conclusion: </strong>The design characteristics of pediatric NiTi rotary files, including cross-sectional geometry and taper, play a crucial role in determining their mechanical behavior. Files with favorable cross-sectional designs and lower taper demonstrate better stress distribution and deformation resistance, thereby enhancing their clinical safety and efficiency.</p><p><strong>Clinical significance: </strong>Understanding the design variables on the mechanical performance of pediatric NiTi rotary files influences optimal instrument selection, promoting more efficient endodontic treatment in primary teeth.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"687-692"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608275","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":"Navigating Complexity in Endodontic Therapy in Children: Case Series on Radix Entomolaris.","authors":"Mridula Goswami, Rimshheanam Rimshheanam, R Mona Pattu, Akansha Gupta","doi":"10.5005/jp-journals-10005-3537","DOIUrl":"10.5005/jp-journals-10005-3537","url":null,"abstract":"<p><strong>Aims and background: </strong>This case series aims to highlight the identification and management of radix entomolaris (RE), an anatomical variation of the mandibular molar, emphasizing its clinical implications on the development of dentition, occlusion, and endodontic treatment. This anatomical variant can lead to diagnostic challenges, inadequate cleaning, persistent infection, or potential treatment failure if not recognized.</p><p><strong>Case description: </strong>This case series presents three cases of permanent mandibular first molar that had periapical radiolucency and the presence of an additional distal root lingually, which was identified by the same lingual, opposite buccal (SLOB) rule. During endodontic therapy, the additional canal within the RE was successfully located and treated, leading to the resolution of symptoms.</p><p><strong>Conclusion: </strong>The presence of a RE necessitates thorough preoperative assessment and careful management during endodontic procedures. Awareness of this anatomical variation is critical for successful outcomes of endodontic therapy.</p><p><strong>Clinical significance: </strong>These cases underscore the importance of understanding variations in dental anatomy for effective diagnosis and treatment planning in pediatric endodontics. Enhanced knowledge of such anatomical features can improve clinical outcomes and reduce the likelihood of complications in similar cases.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"794-797"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608227","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 Risk Assessment of Marginal Gingival Thickness and Accumulation of Plaque in Preschool Children: A Cross-sectional Study.","authors":"Krishna Salil, Jesudass Govada, Suneetha Motru, Pvm Uday Mohan, Pujari Manasa, Roja Ramani Nutakki","doi":"10.5005/jp-journals-10005-3524","DOIUrl":"10.5005/jp-journals-10005-3524","url":null,"abstract":"<p><strong>Aim and background: </strong>Gingival thickness varies among individuals and teeth, potentially influencing plaque retention and gingivitis risk, yet its impact in young children remains underexplored. This cross-sectional study aimed to assess the relationship between marginal gingival thickness and plaque accumulation in deciduous molars of preschool children aged 3-5 years.</p><p><strong>Subjects and methods: </strong>A total of 360 caries-free deciduous molars (180 maxillary and 180 mandibular) from systemically healthy children were examined. Marginal gingival thickness was measured using the transgingival probing method with a #15 endodontic reamer and digital vernier caliper after applying 2% local anesthetic gel. Plaque scores were assessed using Silness and Löe's plaque index. Independent <i>t</i>-tests compared gingival thickness and plaque scores between left and right molars, while Pearson's correlation analyzed their relationship.</p><p><strong>Results: </strong>No statistically significant differences in gingival thickness or plaque scores were observed between left and right maxillary or mandibular first and second molars. A moderately strong positive correlation was found between gingival thickness and plaque scores in the majority of examined teeth. Other teeth showed weak to very weak correlations.</p><p><strong>Conclusion: </strong>The gingival thickness is generally seen as thinner phenotype in primary dentition and observed less plaque accumulation around the teeth. Majority of the observed samples have a very weak to moderately strong positive correlation between gingival thickness and plaque scores.</p><p><strong>Clinical significance: </strong>The gingival phenotype generally observed in preschool children is a thinner phenotype; thus, more regular oral hygiene interventions should be followed to avoid the risk of gingival diseases.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"736-739"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Evaluation of the Efficacy of Biologically-based Regenerative Endodontic Procedures in the Healing of Periapically Involved Young, Immature Permanent Teeth With/Without Using Mineral Trioxide Aggregate.","authors":"Shivani Gupta, Shalini Garg, Abhishek Dhindsa, Bhavna G Saraf, Sumit Garg, Pragati Poddar","doi":"10.5005/jp-journals-10005-3531","DOIUrl":"10.5005/jp-journals-10005-3531","url":null,"abstract":"<p><strong>Introduction: </strong>Endodontic management of an immature nonvital tooth along with apical periodontitis poses many potential complications. A randomized clinical trial was conducted to assess the effectiveness of three different techniques: Gp I-revascularization with mineral trioxide aggregate (MTA) (as additional coronal plug below final restoration); Gp II-apexification with MTA (MTA as a direct apical plug); and Gp III-revascularization without using MTA (no MTA below final restoration).</p><p><strong>Materials and methods: </strong>A total of 28 patients with a mean age of 9.44 ± 2.55 years finally completed the study of 12 months duration. Maturogenesis was assessed by developing tooth to next Nolla's stage, visual examination of radiographs, and quantitative assessment of digitalized radiographs in three parameters, that is, root lengthening, root thickening, and narrowing of the apical foramen. A decrease in PAI score assessed healing of periapical periodontitis/radiolucencies.</p><p><strong>Results: </strong>About 100% clinical success was seen in all three groups, Gp I, Gp II, and Gp III, regarding the resolution of signs and symptoms of pain, tenderness, swelling, sinus, and mobility. On quantitative examination of digitalized radiographs, Gp I showed maximum maturogenesis. Maximum healing in minimum time was observed in Gp II <6 months' time interval.</p><p><strong>Clinical significance: </strong>This study highlights the effectiveness of MTA apexification and MTA revascularization in managing nonvital immature permanent teeth with apical periodontitis, aiding clinicians in tailored treatment decisions for improved patient outcomes.</p><p><strong>Conclusion: </strong>There is no difference in efficacy between MTA apexification and MTA revascularization to treat nonvital immature permanent teeth.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"679-686"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621643","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 Parental Perceptions and Oxygen Saturation Response to Papoose Board and Comfy Wrap Restraints in Pediatric Dental Procedures: A Crossover Study.","authors":"Ankita Tapkir, Nilesh Rathi, Vini Mehta, Tripti Lath, Raksha Shetty, Khushi Prasad","doi":"10.5005/jp-journals-10005-3532","DOIUrl":"10.5005/jp-journals-10005-3532","url":null,"abstract":"<p><strong>Aims and background: </strong>Physical restraint is necessary in pediatric dentistry to manage an uncooperative child. Although the Papoose Board is widely utilized, it has been implicated in causing psychological and physiological issues. The Comfy Wrap is a new option that aims to provide a more child-centered and comfortable environment. This study compared the two techniques based on parental perception and the physiological stress reaction assessed by oxygen saturation (SpO₂) levels.</p><p><strong>Materials and methods: </strong>A randomized crossover trial was carried out among 40 patients aged 3-7 years needing protective stabilization for dental treatment. They were equally allocated to two groups: group A was given the Papoose Board first and then the Comfy Wrap; group B was given the interventions in reverse order. Parental views were obtained on a structured questionnaire following each intervention. Children's SpO₂ levels were measured before, during, and after every restraint application. Statistical methods included descriptive statistics, repeated measures ANOVA, and Tukey's <i>post hoc</i> tests.</p><p><strong>Results: </strong>A greater percentage of parents in each group preferred the Comfy Wrap to the Papoose Board (41.1% in group A and 56.25% in group B). Parents rated the Comfy Wrap as less scary and acceptable. SpO₂ values changed significantly with time in group A (<i>p</i> < 0.001), although no significant difference was found between restraint methods (<i>p</i> = 0.074). The Comfy Wrap showed greater physiological stability for group B with a significant intervention effect (<i>p</i> = 0.023).</p><p><strong>Conclusion: </strong>Although both the Papoose Board and the Comfy Wrap enabled successful pediatric dental treatment, the Comfy Wrap was always more accepted by parents and was linked to improved physiological stability, as indicated by SpO₂.</p><p><strong>Clinical significance: </strong>In pedodontics, the Comfy Wrap was found to be a more acceptable and physiologically superior restraint technique than the Papoose Board.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"704-710"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608217","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}