International Journal of Clinical Pediatric Dentistry最新文献

{"title":"The Antimicrobial Efficacy of New Antibiotic Combinations against Bacteria Associated with Endo-perio Lesions in Deciduous Teeth: An <i>In Vitro</i> Study.","authors":"Prasanna T Dahake, Nilima Thosar","doi":"10.5005/jp-journals-10005-3501","DOIUrl":"10.5005/jp-journals-10005-3501","url":null,"abstract":"<p><strong>Background: </strong>Endodontic infections in deciduous teeth disseminate rapidly into surrounding areas due to anatomical complexities enhancing the formation of endo-perio lesions. Inadequate treatment of such conditions usually leads to premature tooth loss, jeopardizing dental arch integrity.</p><p><strong>Objective: </strong>To investigate the efficacy of clindamycin (C), metronidazole (M), doxycycline (D), and their combination CMD against bacteria associated with endo-perio lesions in deciduous teeth for topical application.</p><p><strong>Materials and methods: </strong>The bacteria responsible for endo-perio lesions such as <i>Eikenella corrodens</i> (BAA 1152), <i>Fusobacterium nucleatum</i> (ATCC 25586), <i>Porphyromonas gingivalis</i> (ATCC 33277), <i>Prevotella intermedia</i> (ATCC 25611), <i>Staphylococcus aureus</i> (ATCC 12598), <i>Tannerella forsythia</i> (ATCC 43037), <i>Veillonella parvula</i> (ATCC 10790). The MIC₉₉ and MBC₉₉ were calculated for clindamycin, metronidazole, doxycycline, and their combination CMD, as per Clinical and Laboratory Standard Institute (CLSI) guidelines. The data were presented as mean ± standard deviation (SD). The intergroup comparisons of the MIC₉₉ and MBC₉₉ were done using Kruskal-Wallis test, whereas intragroup pairwise comparisons were done using the Wilcoxon signed-rank test (<i>p</i> < 0.05).</p><p><strong>Results: </strong>The combination CMD was most effective, followed by clindamycin, doxycycline, and metronidazole, to eliminate test bacteria. The intergroup comparisons of all test groups and intragroup comparisons among the individual agents for MIC₉₉ and MBC₉₉ demonstrated statistically nonsignificant differences (<i>p</i> > 0.05). In contrast, intragroup comparisons of CMD against individual agents for MIC₉₉ and MBC₉₉ showed statistically significant differences (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The combination CMD can effectively eliminate bacteria associated with endo-perio lesions in deciduous teeth to decrease therapeutic failures, promote endodontic lesion healing, and increase the survival of the teeth in the dental arch.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"673-678"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608251","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 Efficiency and Efficacy of Caries Excavation Burs in Pediatric Patients: A Randomized Clinical Trial.","authors":"Riya A Pursnani, Ashish Saxena, Shikhar P Chauhan","doi":"10.5005/jp-journals-10005-3522","DOIUrl":"10.5005/jp-journals-10005-3522","url":null,"abstract":"<p><strong>Aims and background: </strong>To investigate and compare the cutting efficiency (time taken) and efficacy based on visual criteria, tactile criteria, and assessment by caries detecting dye of smart bur and diamond point in primary molars of children between 3 and 9 years. Dental caries is a progressive breakdown of tooth structure, often due to poor dietary habits in children. Traditional treatments like high-speed drilling can remove healthy tissue. Innovations like polymer burs made from polyether ketone ketone (PEKK) selectively remove decayed dentin based on hardness, reducing discomfort and preserving tooth integrity.</p><p><strong>Materials and methods: </strong>This <i>in vivo</i> double-blinded, parallel randomized clinical trial compared the cutting efficiency and efficacy of smart bur and diamond point in primary molar caries removal. Participants were randomly assigned into two groups using a computerized generated sequence. Efficiency was timed; efficacy was assessed visually, tactually, and with caries detector dye.</p><p><strong>Setting: </strong>Department of Pediatric and Preventive Dentistry, Government College of Dentistry.</p><p><strong>Participants: </strong>A total of 60 patients following inclusion criteria.</p><p><strong>Intervention: </strong>Occlusal caries in dentin was removed with two different caries excavation burs, followed by restoration with Type II glass ionomer cement.</p><p><strong>Results main outcome: </strong>The diamond point was more efficient, with a mean time of 112.93 ± 27.56 seconds, compared to 128.40 ± 19.98 seconds for the smart bur. The diamond point revealed caries completely in 76.7% of cases, higher than 43.3% with the smart bur.</p><p><strong>Conclusion: </strong>The smart bur serves as an effective aid in minimally invasive dentistry by preserving healthy tooth structure, but it does not surpass the conventional diamond point.</p><p><strong>Trial registration number: </strong>REF/2025/06/107330.</p><p><strong>Clinical significance: </strong>Smart burs, as a part of minimally invasive dentistry, preserve healthy tooth structure during caries removal. They may serve as an alternative to conventional caries excavation methods in pediatric dentistry.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"697-703"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621623","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":"Assessment of Dental Anxiety Using Doll Placement Test in a Miniature Dental Setup among 3-7-year-old Children with Verbal Communication Challenges Compared to Children with Verbal Communication Skills.","authors":"D Meera Fathima, Jayanthi Mungara, Poornima Vijayakumar, Deebiga Karunakaran","doi":"10.5005/jp-journals-10005-3523","DOIUrl":"10.5005/jp-journals-10005-3523","url":null,"abstract":"<p><strong>Background: </strong>Effective communication builds trust between the child, dentist, and parents, helping reduce fear and anxiety during dental treatment. Children with limited verbal communication often experience greater anxiety due to difficulty expressing themselves and understanding instructions.</p><p><strong>Aim: </strong>The study was conducted to assess and compare the dental anxiety levels of children with limited verbal communication skills to those with normal verbal communication skills using a Doll Placement Test in a miniature dental setup. The study also investigates correlating the measured anxiety levels with the children's behavior in the dental operatory.</p><p><strong>Materials and methods: </strong>Based on the inclusion and exclusion criteria, 82 children were selected and divided into two groups. Group A (<i>n</i> = 41) children with normal verbal communication skills and group B (<i>n</i> = 41) with limited verbal communication skills. Demographic and medical details were collected using a standardized questionnaire. Anxiety was measured using a Doll Placement Test, where the doll's position reflected the child's perceived anxiety. Behavior during the dental visit was assessed with the Modified Frankl's Behavior Rating Scale. Data were analyzed using SPSS v29.0. The chi-square test examined the association between anxiety and behavior. Relationships between variables were analyzed by Pearson's correlation.</p><p><strong>Results: </strong>In Group B, 82.9% preferred a doll position, indicating a need for parental presence (<i>p</i> = 0.036). In Group A, 82.9% showed definitely positive behavior in the dental chair (<i>p</i> = 0.002). A definite positive correlation was observed between doll placement and actual behavior between the two groups (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The Doll Placement Test in a miniature dental setup is a simple, effective tool for predicting children's dental anxiety regardless of communication ability. Children with limited verbal skills showed higher anxiety and a stronger need for parental presence, significantly correlating with their observed behavior.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"723-729"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Screen Time, Oral Health Status, and Sleep Disturbances in Children between 6 and 13 years: A Cross-sectional Study.","authors":"Vaishnavi Padmanabhan, Sushmita Shan, K Vivek, Kavitha Swaminathan, H Selvakumar","doi":"10.5005/jp-journals-10005-3538","DOIUrl":"10.5005/jp-journals-10005-3538","url":null,"abstract":"<p><strong>Background: </strong>Sleep is a critical component required for the growth and development of a child. Deviation from the normal sleep pattern, quality, and quantity directly affects the baseline functioning of the individual. Increased screen time exposure affects the overall well-being of the child, particularly the sleep and oral health.</p><p><strong>Aim: </strong>To assess the average screen time exposure, oral health status, and prevalence of sleep disorders in children between 6 and 13 years of age.</p><p><strong>Materials and methods: </strong>This cross-sectional study included 370 children visiting the Department of Pediatric and Preventive Dentistry between July 2024 and January 2025. Data were collected using a validated screen time questionnaire and the Sleep Disturbance Scale for Children. Dental caries was assessed using the ICDAS II index. The descriptive statistics were reported in the form of mean and standard deviation. ANOVA, bivariate, and multivariate linear regression analyses were performed. Statistical significance was noted when the <i>p</i>-value was ≤0.05.</p><p><strong>Results: </strong>A majority of children (60.3%) had 1-2 hours of screen time on weekdays, while 56.5% reported 2-3 hours on weekends. About 98.6% used screens during mealtimes, and 92.7% used screen devices within an hour before sleep. A statistically significant association was observed between screen usage during mealtimes and increased prevalence of both cavitated (<i>p</i> = 0.02) and noncavitated (<i>p</i> = 0.01) carious lesions. However, a weak and nonsignificant correlation was found between total sleep score and caries status.</p><p><strong>Conclusion: </strong>Prolonged screen time, especially during meals and 1 hour before bedtime, was significantly associated with a higher prevalence of dental caries in children. Despite the presence of excessive screen exposure, the incidence of clinically significant sleep disturbances remained relatively low. The findings of this study emphasize the need to monitor and moderate screen usage in children to improve overall and oral health outcomes in children.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"711-717"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621588","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":"Evaluating Anxiety Levels and Pain Perception while Administering Local Anesthesia Using Conventional Insulin Syringes and Novel Star Pen Device.","authors":"Maheshkumar Karuppiah, Utkarsh Patil, Anushka Choche, Jyothsna V Setty, Prerana Mahurkar, Nikhitha E Shaji","doi":"10.5005/jp-journals-10005-3504","DOIUrl":"10.5005/jp-journals-10005-3504","url":null,"abstract":"<p><strong>Background: </strong>Pain management during local anesthesia (LA) administration is a crucial aspect of pediatric dentistry, as it directly affects a child's cooperation, comfort, and overall dental experience. Conventional syringes are commonly used but may cause significant discomfort in children. Alternatives such as insulin syringes and the computer-controlled Star Pen aim to minimize pain through finer needles or controlled delivery. This study aims to evaluate and compare children's pain responses to LA administration using three techniques-conventional syringes, insulin syringes, and the Star Pen-to identify the most comfortable and child-friendly method.</p><p><strong>Aim: </strong>To assess and compare the efficacy and anxiety levels between the Star Pen, insulin syringe, and conventional technique for anesthetizing primary maxillary teeth in children.</p><p><strong>Materials and methods: </strong>A total of 45 children in the age-group of 4-10 years who fulfilled the inclusion criteria were selected and randomly divided into three groups. Group A participants received LA using the Star Pen method, group B participants received LA using an insulin syringe, and group C participants received LA using the conventional method (control group). Pain interpretation and dental anxiety were evaluated with the help of the Animated Emoji Scale before and after the treatment, the face, legs, activity, cry, and consolability (FLACC) scale during the treatment, and physiological parameters such as pulse rate and SpO₂ before and during the intervention.</p><p><strong>Results: </strong>Anxiety levels and pain perception were perceived to be significantly lower in the Star Pen and insulin syringe groups when compared to the conventional syringe group. The Star Pen showed superior results, followed by the insulin syringe and then the conventional syringe.</p><p><strong>Conclusion: </strong>The Star Pen showed superiority, followed by the insulin syringe, in reducing anxiety levels in children as compared to the conventional technique.</p><p><strong>Registration: </strong>The Clinical Trials Registry of India (CTRI) prospectively registered the study under the CTRI number CTRI/2025/05/087661.</p><p><strong>How to cite this article: </strong>Karuppiah M, Patil U, Choche A, <i>et al.</i> Evaluating Anxiety Levels and Pain Perception while Administering Local Anesthesia Using Conventional Insulin Syringes and Novel Star Pen Device. Int J Clin Pediatr Dent 2026;19(5):655-661.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"655-661"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253616","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 Assessment of Fracture Resistance of Conservative and Conventional Access Cavity Preparation in Primary Molars: An <i>In Vitro</i> Study.","authors":"Shalini Balaji, Jagadheeswari Ramamoorthy, K C Vignesh, Selvakumar Haridoss, Kavitha Swaminathan, Ishwarya Shanmugam","doi":"10.5005/jp-journals-10005-3511","DOIUrl":"10.5005/jp-journals-10005-3511","url":null,"abstract":"<p><strong>Aim and background: </strong>Endodontic treatment is often necessary to preserve primary molars in children with dental caries. The design of the access cavity is a key factor influencing the tooth's fracture resistance. Hence, this study was conducted to compare the fracture resistance of primary molars prepared with conservative and conventional access cavity (CAC) designs.</p><p><strong>Materials and methods: </strong>A total of 45 extracted human primary mandibular second molars were divided into three groups randomly: group I [conservative access cavity (ConAC)], group II (CAC), and group III (intact teeth, control). Access cavity preparation was performed according to the groups allocated. Root canal instrumentation was carried out using nickel-titanium rotary files, followed by irrigation with 1% sodium hypochlorite and normal saline using side-vented needles and a sonic irrigator. All teeth were obturated using calcium hydroxide and iodoform, followed by restoration with composite resin. Acrylic resin blocks were used to embed the teeth up to the cementoenamel junction. A Universal Testing Machine was used to test the fracture resistance. One-way analysis of variance (ANOVA) was used for statistical analysis (<i>p</i> < 0.05).</p><p><strong>Results: </strong>The intact teeth had the highest fracture resistance, followed by the conventional group, while the conservative group demonstrated greater deformation before failure. No statistically significant differences were observed.</p><p><strong>Conclusion: </strong>Conventional design provides enhanced mechanical stability compared to conservative designs, primarily due to improved stress distribution.</p><p><strong>Clinical significance: </strong>The choice of access cavity design should consider clinical factors, including the tooth's structural integrity and treatment objectives.</p><p><strong>How to cite this article: </strong>Balaji S, Ramamoorthy J, Vignesh K, <i>et al.</i> Comparative Assessment of Fracture Resistance of Conservative and Conventional Access Cavity Preparation in Primary Molars: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2026;19(5):588-593.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"588-593"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253776","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":"Relationship between Demographic Characteristics, Dietary Habits, and Oral Hygiene Practices and the Prevalence of Early Childhood Caries among Preschoolers.","authors":"Abhishek Anand, Swati Sharma, Jeevendra N Shukla, Arvind Kumar, Kumar Arunesh, Kumari Anuradha","doi":"10.5005/jp-journals-10005-3509","DOIUrl":"10.5005/jp-journals-10005-3509","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries (ECC) is a widely prevalent dental disease. Various risk factors affect its occurrence, such as demographic differences, dietary habits, and oral hygiene practices. This study aims to assess the association between ECC and the risk factors among preschoolers in Patna, Bihar.</p><p><strong>Materials and methods: </strong>A total of 1,200 children were included in the study, aged between 24 and 70 months. Parents of children enrolled in preschools and Anganwadi centers of Patna city formed the study population. A pretested questionnaire was used to collect demographic, dietary, and oral hygiene behavior data. Dental caries of children was assessed using the WHO Oral Health Survey 1997. A Chi-squared test of association was applied to find significant differences at the 5% level of significance.</p><p><strong>Results: </strong>ECC was prevalent in 28.1% of children. Lower socioeconomic status (<i>p</i> < 0.01), frequent snacking (<i>p</i> < 0.01), on-demand and nighttime bottle feeding (<i>p</i> < 0.01), maternal illiteracy (<i>p</i> < 0.01), and age (<i>p</i> < 0.01) were all significantly correlated with it. Protective factors included brushing under supervision, using fluoridated toothpaste, and taking nutritional supplements (<i>p</i> < 0.01). Neither birth weight (<i>p</i> = 0.055) nor the method of brushing one's teeth (brush vs finger, <i>p</i> = 0.757) was found to be a significant predictor.</p><p><strong>Conclusion: </strong>The study emphasized the multifaceted nature of ECC, with sociodemographic and dental hygiene-related factors as significant contributors. Preventive measures that prioritize better oral hygiene practices, food counseling, and parent/carer education to reduce the proportion of ECC are advised.</p><p><strong>How to cite this article: </strong>Anand A, Sharma S, Shukla JN, <i>et al.</i> Relationship between Demographic Characteristics, Dietary Habits, and Oral Hygiene Practices and the Prevalence of Early Childhood Caries among Preschoolers. Int J Clin Pediatr Dent 2026;19(5):607-610.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"607-610"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253585","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":"An <i>In Vitro</i> Study on the Comparative Assessment of Fluoride Release Capabilities of Three Types of Restorative Materials.","authors":"Sneha S Babu, Suresh Kumar Janardhanan, Balagopal R Varma, Parvathy Kumaran, Arun M Xavier, Malini Venugopal, Nishna Thankappan","doi":"10.5005/jp-journals-10005-3506","DOIUrl":"10.5005/jp-journals-10005-3506","url":null,"abstract":"<p><strong>Aims and background: </strong>This <i>in vitro</i> study aimed to compare the fluoride-releasing properties of three different restorative materials-GC type IX (conventional glass ionomer cement), Ionolux (resin-modified glass ionomer cement), and Cention N (alkasite material)-at multiple time intervals.Dental caries remains a prevalent global health issue, particularly among children. Fluoride-releasing restorative materials are widely used in pediatric dentistry due to their ability to inhibit demineralization and promote remineralization.</p><p><strong>Materials and methods: </strong>Thirty disk-shaped specimens (10 per group) were prepared according to the manufacturer's instructions and stored in deionized water. Fluoride ion release was measured using a fluoride ion-selective electrode at 5 intervals: 1, 7, 14, 21, and 28 days. Data were statistically analyzed using Kruskal-Wallis and Bonferroni <i>post hoc</i> tests.</p><p><strong>Results: </strong>All three materials exhibited the highest fluoride release on the 7th day, followed by a decline. Cention N showed the greatest fluoride release overall, peaking significantly on day 7 (11.1 ppm). GC Fuji IX had a second peak on day 14, while Ionolux exhibited moderate but consistent fluoride release throughout the study period.</p><p><strong>Conclusion: </strong>Cention N released the highest amount of fluoride among the materials tested, indicating its strong potential for caries prevention. All materials demonstrated an initial burst release followed by a gradual decline, aligning with effective long-term fluoride delivery. The findings support the continued use of fluoride-releasing materials in minimally invasive pediatric restorative dentistry.</p><p><strong>Clinical significance: </strong>This study highlights that Cention N and Ionolux can offer handling and esthetic benefits. Effective and sustained fluoride release profiles, especially the initial high release followed by a controlled decline, support their use in minimally invasive and preventive dentistry.</p><p><strong>How to cite this article: </strong>Sneha SB, Suresh KJ, Varma BR, <i>et al.</i> An <i>In Vitro</i> Study on the Comparative Assessment of Fluoride Release Capabilities of Three Types of Restorative Materials. Int J Clin Pediatr Dent 2026;19(5):594-598.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"594-598"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253732","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 Remineralizing Agents on Hypersensitivity Scores in Molar Incisor Hypomineralization-affected Teeth: A Randomized Clinical Trial.","authors":"Dewakshi Thakur, Gauri Kalra, Virender Goyal, Purva Jindal, Gianmaria F Ferrazzano","doi":"10.5005/jp-journals-10005-3516","DOIUrl":"10.5005/jp-journals-10005-3516","url":null,"abstract":"<p><strong>Objective: </strong>This randomized clinical trial aimed to evaluate and compare the efficacy of four desensitizing agents-fluoride varnish (Duraphat), FluoriMax varnish (Elevate), surface prereacted glass-ionomer (S-PRG) filler (Shofu), and silver diamine fluoride (SDF)-in managing hypersensitivity in molar incisor hypomineralization (MIH)-affected teeth.</p><p><strong>Materials and methods: </strong>A total of 80 children aged between 6 and 12 years, each presenting with at least one incisor and one first permanent molar showing yellow or brown MIH opacities, were selected for the study. The participants were randomly divided into four treatment groups-Duraphat, FluoriMax, S-PRG, and SDF. Hypersensitivity levels were assessed using the Schiff Cold Air Sensitivity Scale (SCASS) at baseline and then reevaluated at 1, 3, and 6 months following treatment. Intergroup differences were analyzed using ANOVA, followed by Tukey's honestly significant difference (HSD) <i>post hoc</i> test.</p><p><strong>Results: </strong>All groups demonstrated a significant reduction in mean SCASS scores over the 6-month period (<i>p</i> < 0.01). The greatest reduction was seen in the SDF group (mean change: - 1.36), followed by S-PRG (- 1.24), FluoriMax (- 1.04), and Duraphat (- 0.74).</p><p><strong>Conclusion: </strong>SDF demonstrated the greatest reduction in hypersensitivity in teeth affected by MIH. This was followed by S-PRG and FluoriMax, while fluoride varnish (Duraphat) was the least effective among all agents tested.</p><p><strong>Clinical significance: </strong>This study highlights the application of newer remineralizing agents, particularly SDF and S-PRG, in relieving hypersensitivity associated with MIH in children, thereby augmenting patient comfort and promoting the longevity of permanent dentition.</p><p><strong>How to cite this article: </strong>Thakur D, Kalra G, Goyal V, <i>et al.</i> Comparative Evaluation of Remineralizing Agents on Hypersensitivity Scores in Molar Incisor Hypomineralization-affected Teeth: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2026;19(5):630-634.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"630-634"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Management of Unilateral Cleft Lip, Alveolus, and Palate by Presurgical Nasoalveolar Molding: A Case Series of Five Cases.","authors":"Prateek Shakti, Sudhir Kumar, Khushtar Haider, Saumya Taneja, Jitendra Kumar, Sreevatsan Raghavan","doi":"10.5005/jp-journals-10005-3508","DOIUrl":"10.5005/jp-journals-10005-3508","url":null,"abstract":"<p><p>Cleft of the lip, alveolus, and palate is a complex congenital anomaly of the maxillofacial region, treatment of which requires a team approach and involves numerous procedures at different stages. Presurgical nasoalveolar molding (PNAM) reduces the cleft deformity as well as improves the columella-philtrum region and nose contour. This helps the surgeon achieve better postoperative results with minimal tension and a finer scar. This clinical case series showcases five cases of unilateral cleft lip and palate (CLAP) treated with Grayson's technique of PNAM before primary surgical lip repair. Model analysis showed a substantial amount of reduction of cleft deformity in all five cases, which helped in achieving superior postoperative results.</p><p><strong>How to cite this article: </strong>Shakti P, Kumar S, Haider K, <i>et al.</i> Early Management of Unilateral Cleft Lip, Alveolus, and Palate by Presurgical Nasoalveolar Molding: A Case Series of Five Cases. Int J Clin Pediatr Dent 2026;19(5):662-666.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"662-666"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253254","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}