{"title":"Effectiveness of Diode Lasers as an Adjunct in Pulpotomy Procedures Involving Primary Teeth: A Systematic Review.","authors":"Komal S Surve, Dimple Padawe, Vilas Takate","doi":"10.5005/jp-journals-10005-3147","DOIUrl":"10.5005/jp-journals-10005-3147","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review aims to evaluate the effectiveness of diode lasers as an adjunct in pulpotomy procedures involving primary teeth.</p><p><strong>Background: </strong>Pulpotomy is a common procedure in pediatric dentistry to manage carious lesions affecting the pulp of primary teeth. Diode lasers are increasingly being considered due to their potential advantages, such as enhanced precision, reduced bleeding, and improved patient comfort. However, their effectiveness specifically in pulpotomy procedures requires a thorough assessment.</p><p><strong>Methods: </strong>A systematic search was performed across several databases, including PubMed, Cochrane Library, and Scopus, up to March 2024. Studies included in this review were randomized controlled trials (RCTs), cohort studies, and clinical trials that assessed the use of diode lasers in pulpotomy procedures for primary teeth. Data extraction included study characteristics (e.g., author, year, study design), participant demographics, details of diode laser intervention, comparison groups, outcomes assessed, and results.</p><p><strong>Results: </strong>A total of 25 studies met the inclusion criteria. The review found that diode lasers were effective in performing pulpotomies, with several studies showing potential in promoting pulp healing and reducing the need for pharmacological interventions. While lasers and alternative materials such as mineral trioxide aggregate (MTA) and Biodentine show promise in maintaining or even enhancing clinical outcomes compared to traditional agents, considerations such as cost-effectiveness, long-term efficacy, and radiographic success rates remain pivotal.</p><p><strong>Conclusion: </strong>Diode lasers show promise as an adjunct in pulpotomy procedures for primary teeth, offering potential benefits such as enhanced precision, reduced bleeding, and improved patient comfort.</p><p><strong>How to cite this article: </strong>Surve KS, Padawe D, Takate V. Effectiveness of Diode Lasers as an Adjunct in Pulpotomy Procedures Involving Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent 2025;18(6):745-752.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"745-752"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213905","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}
Vedaa Naik, Prajna P Nayak, Kunal Bhatia, Ramprasad Vasthare, Nekkanti Sridhar, Nithya A Thomas, Neha R Kini
{"title":"Feasibility of Tell-Play-Do Intervention in Outreach Programs: A Group-based Behavior Management Approach for Anxiety Reduction.","authors":"Vedaa Naik, Prajna P Nayak, Kunal Bhatia, Ramprasad Vasthare, Nekkanti Sridhar, Nithya A Thomas, Neha R Kini","doi":"10.5005/jp-journals-10005-3152","DOIUrl":"10.5005/jp-journals-10005-3152","url":null,"abstract":"<p><strong>Aims and background: </strong>Effective behavior management is essential in pediatric dentistry to reduce dental anxiety and ensure successful treatment outcomes. Negative dental experiences in childhood can lead to long-term aversion to dental care, negatively impacting oral health. In school dental outreach programs, the shift from one-on-one clinical care to group-based environments presents unique challenges for pediatric dentists, as peer influence and group dynamics can affect children's behavior and anxiety levels. Despite the need for specialized behavior management techniques tailored to these settings, research on their application and effectiveness in pediatric dentistry is limited. This study aims to evaluate the feasibility of the \"Tell-Play-Do\" (TPD) technique as a behavior management tool for improving cooperation and reducing dental anxiety in children during school-based dental outreach programs.</p><p><strong>Materials and methods: </strong>Employing cluster randomization, 130 children aged 6-10 years were assigned to either the study group (TPD) or the control group [Tell-Show-Do (TSD)], with 65 participants in each group. Each child underwent a single appointment for oral prophylaxis and simple class I cavity restorations using glass ionomer cement. Anxiety levels were measured at three points-preintervention, postintervention, and posttreatment using pulse rate (PR), respiratory rate (RR), Venham's Picture Test (VPT), and Frankl's Behavioral Rating Scale.</p><p><strong>Results: </strong>Both intervention groups demonstrated reductions in anxiety through qualitative and quantitative measures. However, the TPD technique resulted in a more significant decrease in anxiety levels, with 60% of children showing notably positive behavior compared to 33% in the TSD group.</p><p><strong>Conclusion: </strong>The TPD technique proved to be more effective in reducing anxiety and enhancing comfort during dental treatments compared to the TSD method in school outreach settings. This highlights the importance of integrating social and behavior management strategies to address the unique challenges of group-based dental care environments.</p><p><strong>How to cite this article: </strong>Naik V, Nayak PP, Bhatia K, <i>et al.</i> Feasibility of Tell-Play-Do Intervention in Outreach Programs: A Group-based Behavior Management Approach for Anxiety Reduction. Int J Clin Pediatr Dent 2025;18(6):688-694.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"688-694"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213951","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 Calcium Hydroxide, Triple Antibiotic Paste, and Calcium Hydroxide with 2% Chlorhexidine as Intracanal Medicaments in Reducing Interappointment Pain during Endodontic Treatment: An <i>In Vivo</i> Study.","authors":"Itika Jain, Shyam Agrawal, Rachit Mathur, Shaista Gazal, Akshada Mungee, Babra Khan","doi":"10.5005/jp-journals-10005-2981","DOIUrl":"10.5005/jp-journals-10005-2981","url":null,"abstract":"<p><strong>Aims and background: </strong>Root canal infections are primarily caused by microorganisms present within the pulp tissue and dentinal tubules. Intracanal medicaments are used to eliminate or suppress these microorganisms, reducing the risk of reinfection and promoting healing. The aim of this study was to evaluate the efficacy of calcium hydroxide [Ca(OH)<sub>2</sub>], triple antibiotic paste (TAP), and Ca(OH)<sub>2</sub> with 2% chlorhexidine (CHX) as intracanal medicaments in reducing interappointment pain.</p><p><strong>Materials and methods: </strong>Ninety-two patients were randomly selected for this study, fitting the inclusion criteria. They were divided into four groups: group I (control group), group II [Ca(OH)<sub>2</sub>], group III (TAP), and group IV [Ca(OH)<sub>2</sub> with 2% CHX (Ca(OH)<sub>2</sub> + CHX)]. Intracanal medicament was placed following biomechanical preparation. The pain was measured using visual analog scale (VAS), and the scores were recorded at 0, 24, 48, and 72 hours. Data analysis was done using Statistical Package for Social Sciences (SPSS) software, with a <i>p</i>-value < 0.05 considered significant. The Chi-squared test and the <i>t</i>-test were used to compare pain scores between different groups and at different time periods of the study.</p><p><strong>Results: </strong>The preoperative mean pain scores were similar for all the groups, with no statistical difference between them. All treatment groups (groups II, III, and IV) had lower pain scores compared to the control group (group I) across all time points. Additionally, group III (TAP) consistently had the lowest pain scores among all groups at each time point, indicating potentially superior pain reduction efficacy compared to the other treatments.</p><p><strong>Conclusion: </strong>Within the limitations of this study, TAP and [Ca(OH)<sub>2</sub> + CHX] are more effective at reducing pain compared to using Ca(OH)<sub>2</sub> alone, with TAP providing the most significant benefit.</p><p><strong>Clinical significance: </strong>This research provides insightful information for the selection and use of intracanal medicaments in endodontic therapy, which can guide clinical decisions and enhance patient care.</p><p><strong>How to cite this article: </strong>Jain I, Agrawal S, Mathur R, <i>et al.</i> Comparative Evaluation of Calcium Hydroxide, Triple Antibiotic Paste, and Calcium Hydroxide with 2% Chlorhexidine as Intracanal Medicaments in Reducing Interappointment Pain during Endodontic Treatment: An <i>In Vivo</i> Study. Int J Clin Pediatr Dent 2025;18(6):628-631.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"753-758"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213957","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}
Sonu Acharya, Deepa Gurunathan, Ali A Assiry, Alexander Maniangat Luke, Krishna Prasad Shetty, Mohmed Isaqali Karobari
{"title":"Comparison of Two New Calcium Silicate-based Cements in Indirect Pulp Therapy in Primary Molar Teeth: Clinical Evaluative Study.","authors":"Sonu Acharya, Deepa Gurunathan, Ali A Assiry, Alexander Maniangat Luke, Krishna Prasad Shetty, Mohmed Isaqali Karobari","doi":"10.5005/jp-journals-10005-3148","DOIUrl":"10.5005/jp-journals-10005-3148","url":null,"abstract":"<p><strong>Background: </strong>Pulp capping is a vital dental procedure used to preserve the vitality of teeth affected by deep caries lesions without irreversible pulpitis. The use of modern bioceramic materials has enhanced the predictability of vital pulp therapy.</p><p><strong>Aim: </strong>This study aimed to assess the clinical success of two calcium silicate-based cements (NeoPUTTY and e-MTA Putty) as pulp capping materials for indirect pulp capping in carious primary teeth.</p><p><strong>Materials and methods: </strong>Indirect pulp therapy (IPT) was performed on 52 deciduous molars in 26 patients presenting with deep carious lesions. The teeth were randomly assigned to two groups: NeoPUTTY (26 teeth) and e-MTA Putty (26 teeth). Patients were monitored at 1, 3, 6, and 12 months posttreatment to evaluate the clinical success of the procedures.</p><p><strong>Statistical analysis: </strong>Statistical analysis was conducted using the Statistical Package for the Social Sciences (SPSS) software version 21.0. Pearson's Chi-square test was employed to compare success and failure rates between NeoPUTTY and e-MTA Putty at four different time intervals (30, 90, 180, and 365 days) and overall success and failure rates regardless of the time intervals.</p><p><strong>Results: </strong>The clinical success rate was similar in both NeoPUTTY and Kids e-MTA Putty in 1st month. In 3rd month, there was no significant difference in the distribution of clinical success between NeoPUTTY and Kids e-MTA Putty (<i>p</i> = 0.110). At 6 months, a significantly high percentage of failure was elucidated in Kids e-MTA Putty (30.8%) compared to NeoPUTTY (3.8%) (<i>p</i> = 0.024). At 12 months, the percentage of failure was significantly high in Kids e-MTA Putty (46.2%) compared to NeoPUTTY (7.7%) (<i>p</i> = 0.004). A significant increase in the median radiographic dentin was elucidated in NeoPUTTY at 1st, 3rd, 6th, and 12th months compared to Kids e-Putty (<i>p</i> = 0.000).</p><p><strong>Conclusion: </strong>NeoPUTTY is clinically successful compared to Kids e-MTA Putty. Similarly, there is a consistent increase in radiographic dentin in NeoPUTTY compared to Kids e-MTA Putty.</p><p><strong>How to cite this article: </strong>Acharya S, Gurunathan D, Assiry AA, et al. Comparison of Two New Calcium Silicate-based Cements in Indirect Pulp Therapy in Primary Molar Teeth: Clinical Evaluative Study. Int J Clin Pediatr Dent 2025;18(6):671-676.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"671-676"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213965","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}
Kalyana C Pentapati, Deepika Chenna, K S Vijay, Nanditha Kumar, Saurabh Kumar
{"title":"Scale of Oral Health Outcomes for Children: A Reliability Generalization Meta-analysis of Cronbach's Alpha.","authors":"Kalyana C Pentapati, Deepika Chenna, K S Vijay, Nanditha Kumar, Saurabh Kumar","doi":"10.5005/jp-journals-10005-3156","DOIUrl":"10.5005/jp-journals-10005-3156","url":null,"abstract":"<p><strong>Objective: </strong>This review aimed to meta-analyze the Cronbach's α of the Scale of Oral Health Outcomes-5 (SOHO-5) questionnaire.</p><p><strong>Materials and methods: </strong>A systematic search of literature was conducted in PubMed, Scopus, EMBASE, Web of Science, Dentistry and Oral Sciences Source (EBSCO), and CINAHL using the keywords \"Scale of Oral Health Outcomes\" OR \"SOHO\" AND \"Child OR Children.\" Studies reported in English with Cronbach's α for the SOHO questionnaire were included. Screening was done by two trained experts independently. Information on descriptive metadata of the studies, country, sample size, age, sex distribution, target population, language of administration, conditions studied, study setting, study design, patient selection, and Cronbach's α of child and parent versions was collected. The \"COSMIN\" checklist for internal consistency reliability was used for quality assessment. Heterogeneity was assessed using <i>I</i> <sup>2</sup> and <i>Q</i> statistics. The random effects model was used to pool the estimates of untransformed Cronbach's α.</p><p><strong>Results: </strong>A total of 350 studies were available for the title and abstract screening, and only 34 studies were eligible for full-text screening, of which 12 studies were included for analysis. The overall estimates were 0.83 (95% CI = 0.79-0.86) and 0.85 (95% CI: 0.81-0.90; <i>n</i> = 9; <i>I</i> <sup>2</sup> = 96.83%; <i>Q</i> = 95.33) for child- and parent-reported SOHO questionnaires. Meta-regression showed no significant effect of sex on the overall estimates for both child- and parent-reported questionnaires.</p><p><strong>Conclusion: </strong>The SOHO questionnaire has good internal consistency and reliability and can be used in research and practice.</p><p><strong>How to cite this article: </strong>Pentapati KC, Chenna D, Vijay KS, <i>et al.</i> Scale of Oral Health Outcomes for Children: A Reliability Generalization Meta-analysis of Cronbach's Alpha. Int J Clin Pediatr Dent 2025;18(6):753-758.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"753-758"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213836","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 the Management of Carious Primary Molars by a Sample of Undergraduate Students from Three European Countries.","authors":"Camille Boeffard, Tiphaine Davit-Beal, Audrey Doublier, Chloé Regnard, Alexis Gaudin, Tony Prud'homme","doi":"10.5005/jp-journals-10005-3143","DOIUrl":"10.5005/jp-journals-10005-3143","url":null,"abstract":"<p><strong>Introduction: </strong>Primary molars play a key role in maintaining space and guiding the eruption of permanent teeth. The course of treatment for these teeth may differ from one country to another, even if the recommendations are the same. The goal of this study was to evaluate the selected clinical practices for primary molar treatment by students from different European countries and compare them to international recommendations. Materials and methods: An observational, multicenter, cross-sectional study was designed using a self-administered online survey that was sent to 69 European dental schools. Among those schools, 10 agreed to distribute the survey. The survey consisted of 22 questions regarding the treatment of primary molars-from anesthesia to prescription-and was divided into four main items: anesthesia, pulp treatment, coronal restoration, and prescriptions. Results: A multitude of materials and medications are available to treat primary molars. For most therapies, students responded in accordance with the American Academy of Pediatric Dentistry (AAPD) recommendations. However, there was a statistically significant link between nationality and chosen therapy regarding all items (anesthesia, pulp treatment, coronal restoration, and prescription). Conclusion: Even with differences in clinical practice, the education provided in the studied countries enabled students to practice evidence-based dentistry and follow international recommendations.</p><p><strong>How to cite this article: </strong>Boeffard C, Davit-Beal T, Doublier A, <i>et al.</i> Comparison of the Management of Carious Primary Molars by a Sample of Undergraduate Students from Three European Countries. Int J Clin Pediatr Dent 2025;18(6):647-652.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"647-652"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213900","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}
Durga Satya Sai Kamakshi Amruthavarshini Adapa, Ambili Ayilliath, Rena Ephraim, M U Mridhul, Ramnesh Parikkal, Fazila Azhikoden
{"title":"Comparison of Retention Rates of Pit and Fissure Sealants Using Flowable Composite and Moisture-tolerant Resin-based Sealant: An <i>In Vivo</i> Study.","authors":"Durga Satya Sai Kamakshi Amruthavarshini Adapa, Ambili Ayilliath, Rena Ephraim, M U Mridhul, Ramnesh Parikkal, Fazila Azhikoden","doi":"10.5005/jp-journals-10005-3176","DOIUrl":"10.5005/jp-journals-10005-3176","url":null,"abstract":"<p><strong>Aims and background: </strong>To compare and evaluate the retention rate of flowable composite and moisture-tolerant pit and fissure sealant on pits and fissures of molars.</p><p><strong>Materials and methods: </strong>A split-mouth design was chosen on 58 pediatric patients on their mandibular first permanent molars. In group I [Embrace WetBond sealant (EWS) group], the right lower permanent first molar was sealed. In group II [Estelite Flowable Composite (EFC) group], the left lower permanent first molar was treated. After application, clinical evaluation was done at 3, 6, 9, and 12 months. Postoperatively, the teeth were clinically evaluated for retention.</p><p><strong>Results: </strong>The complete retention rates of the EWS and EFC groups in our study at 3, 6, 9, and 12 months were as follows: EWS group-100%, 100%, 98.3%, 81%; EFC group-67.2%, 46.6%, 32.2%, 10.3%. The Chi-square test showed a statistically significant association between the retention rates of EWS and EFC at 12 months, with a Chi-square value of 63.127 and a <i>p</i>-value of < 0.001.</p><p><strong>Conclusion: </strong>The Embrace WetBond (EWS) sealant group showed better retention over a period of time when compared to that of EFC.</p><p><strong>Clinical significance: </strong>Composite materials with good retentive properties and which have the added advantage of higher strength will be able to withstand masticatory forces and hence prevent their loss from the tooth surfaces.</p><p><strong>How to cite this article: </strong>Adapa DSSK A, Ayilliath A, Ephraim R, <i>et al.</i> Comparison of Retention Rates of Pit and Fissure Sealants Using Flowable Composite and Moisture-tolerant Resin-based Sealant: An <i>In Vivo</i> Study. Int J Clin Pediatr Dent 2025;18(6):709-718.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"709-718"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213920","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":"Exploring Novel Behavior Modification Techniques-Comparing the Effectiveness of Bach Flower Therapy and Bubble Breath Play Therapy on Dental Anxiety in Pediatric Patients: A Randomized Clinical Trial.","authors":"Veena Balakrishnan, Punithavathy Ramachandran, Satyam Martha, Sri Ramya Maganti, Kondapalli Haritha","doi":"10.5005/jp-journals-10005-3149","DOIUrl":"10.5005/jp-journals-10005-3149","url":null,"abstract":"<p><strong>Aims and background: </strong>Pediatric patients' acclimatization to dental care is a necessary precondition for meeting their current and future oral health demands. Various behavior guidance techniques aimed at patient management, such as play therapy and Bach flower therapy (BFT), have gained popularity recently but with little evidence to prove their effectiveness. The present study aims to evaluate the effectiveness of BFT and bubble breath play therapy (BBPT) in clinical situations and compare them with the conventional Tell-Show-Do (TSD) technique.</p><p><strong>Materials and methods: </strong>A total of 45 children (aged 4-8 years) with baseline anxiety were randomly divided into three groups: BFT, BBPT, and TSD. All children received either oral prophylaxis or restorative treatment. Dental anxiety was evaluated pretreatment, during, and posttreatment using Venham's anxiety and behavioral rating scale and physiological parameters.</p><p><strong>Results: </strong>A significant reduction in mean pulse rate and blood pressure (BP) was observed postapplication of BFT and BBPT but not in the TSD group. However, intraoperatively, the TSD group showed maximum improvement in anxiety levels, with 80% of participants showing Venham's rating of 0.</p><p><strong>Conclusion: </strong>TSD is found to be most effective in allaying dental fear. While Bach flower and BBPT could both improve baseline anxiety, they did not alleviate dental fear and anxiety during treatment. Nevertheless, these alternative techniques are useful, especially in patients with subjective fears.</p><p><strong>Clinical significance: </strong>The ability to guide pediatric patients through their dental experience is a prerequisite for the success of any dental treatment in children. Various approaches for behavior guidance have evolved over the years. Studies evaluating the effectiveness of both the conventional and alternative behavior guidance techniques are necessary to help the clinician in exercising appropriate methods in practice.</p><p><strong>How to cite this article: </strong>Balakrishnan V, Ramachandran P, Martha S, <i>et al.</i> Exploring Novel Behavior Modification Techniques-Comparing the Effectiveness of Bach Flower Therapy and Bubble Breath Play Therapy on Dental Anxiety in Pediatric Patients: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2025;18(6):677-682.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"677-682"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213955","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 Bioflx Crowns, Preformed Zirconia Crowns, and CAD/CAM Crowns-Resistant to Fracture: An <i>In Vitro</i> Study.","authors":"Nidhi Gupta, Natasha Ghambir, Divya Singh, Rishabh Solanki","doi":"10.5005/jp-journals-10005-3122","DOIUrl":"10.5005/jp-journals-10005-3122","url":null,"abstract":"<p><p>The most prevalent childhood illness, early childhood caries (ECC), is frequently accompanied by severe comorbidities that have an impact on children's quality of life as well as that of their families, the community, and the medical system. Carious primary teeth have been widely treated with a variety of materials, with varied degrees of effectiveness. These materials include amalgam, glass ionomer, stainless-steel crowns (SSCs), and, more recently, zirconia and Bioflx crowns. SSC has been the gold standard for restoring carious primary molars for almost 70 years because of its affordability, longevity, and very easy process. Parents are frequently unsatisfied with SSCs' esthetic qualities, despite the technology's benefits. In this study, we assessed the link between dimensional variation and the fracture resistance of Bioflx crowns and commercially available prefabricated primary zirconia crowns. The crowns were randomly divided into three groups. A universal testing machine was used to perform fracture tests on each sample. Computer-aided design/computer-aided manufacturing (CAD/CAM) zirconia posterior crowns had the greatest mean load (1413.80 ± 7.085 N), followed by preformed zirconia crowns (391.20 ± 3.564 N) and Bioflx crowns with the least mean load (104.80 ± 2.280 N). In general, the examined zirconia and Bioflx crowns exhibited the best mechanical qualities to endure the stresses of mastication.</p><p><strong>How to cite this article: </strong>Gupta N, Ghambir N, Singh D, <i>et al.</i> Comparative Evaluation of Bioflx Crowns, Preformed Zirconia Crowns, and CAD/CAM Crowns-Resistant to Fracture: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2025;18(6):632-636.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"632-636"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213960","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}
Adnane El-Missioui, Fatima Zahra Benkarroum, Hind Ramdi
{"title":"Papillon-Lefèvre Syndrome: Case Report of Two Sisters.","authors":"Adnane El-Missioui, Fatima Zahra Benkarroum, Hind Ramdi","doi":"10.5005/jp-journals-10005-3174","DOIUrl":"10.5005/jp-journals-10005-3174","url":null,"abstract":"<p><p>Papillon-Lefèvre syndrome (PLS), also known as keratosis palmoplantaris with periodontopathia and \"hyperkeratosis palmoplantaris with periodontosis,\" is a rare autosomal recessive disorder, characterized by diffuse palmoplantar keratoderma and precocious aggressive periodontitis, leading to premature loss of deciduous and permanent dentition at a very young age. The aim of this article is to revisit PLS, address its diagnosis update and dental management, and to provide insight into the fascinating role of consanguinity in the etiology of this unusual illness. We report the case of two Moroccan sisters aged 5 and 8 years old with PLS who consulted the pedodontics department at the CCTD in Rabat, Morocco, for the early loss of teeth.</p><p><strong>How to cite this article: </strong>El-Missioui A, Benkarroum FZ, Ramdi H. Papillon-Lefèvre Syndrome: Case Report of Two Sisters. Int J Clin Pediatr Dent 2025;18(6):733-737.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"733-737"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213903","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}