International Journal of Clinical Pediatric Dentistry最新文献

{"title":"Premedical Procedure Anxiety for Intravenous Cannulation in Hospitalized Children: A Facility-based Cross-sectional Study.","authors":"Sunil Baliga, S R Ravikiran, Rajath Rao, Sowmini Padmanabh Kamath","doi":"10.5005/jp-journals-10005-3311","DOIUrl":"10.5005/jp-journals-10005-3311","url":null,"abstract":"<p><strong>Aims and background: </strong>Inpatient children may experience varying anxiety regarding intravenous (IV) cannulation. This study assessed preprocedural anxiety and procedural pain levels and determined their correlation.</p><p><strong>Methods: </strong>We conducted an observational cross-sectional study involving 4-10-year-old children. Preprocedural anxiety was assessed by the Venham picture test (VPT) and Raghavendra, Madhuri, and Sujata pictorial scale (RMS-PS) while the revised faces pain scale (FPS-R) evaluated pain perception at the IV cannulation site. We analyzed the data via SPSS version 25.</p><p><strong>Results: </strong>Out of 385 children, the majority (234, 60.8%) were aged 4-7 years, and 57.4% were boys. The 4-7-year-olds had significantly higher anxiety levels (<i>p</i> < 0.001), with no significant difference between the sexes. High to very anxiety was reported in 24.7%, while 13% had average anxiety (VPT), and 49% were somewhat happy (RMS-PS). Children who underwent first-time cannulation had higher median anxiety, and we found no significant difference in comparison to those with prior IV cannulation experience. Preprocedural anxiety significantly correlated with procedural pain (Spearman's rho: VPT vs FPS: 0.76; RMS vs FPS: 0.66, both <i>p</i> < 0.001), with a stronger correlation in children with no prior IV cannulation experience.</p><p><strong>Conclusions: </strong>Younger children and those experiencing first-time IV cannulation reported higher anxiety, with a significant correlation to procedural pain.</p><p><strong>Clinical significance: </strong>Self-report anxiety assessment tools usage can help pediatric teams identify and implement strategies to alleviate anxiety and create a comfortable atmosphere for inpatient children.</p><p><strong>How to cite this article: </strong>Baliga S, SR R, Rao R, <i>et al</i>. Premedical Procedure Anxiety for Intravenous Cannulation in Hospitalized Children: A Facility-based Cross-sectional Study. Int J Clin Pediatr Dent 2025;18(11):1333-1338.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 11","pages":"1333-1338"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655944","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 Microhardness and Solubility after Addition of Two Different Combinations of Double Antibiotic Powders Containing Metronidazole + Ciprofloxacin and Metronidazole + Amoxicillin Clavulanate to a Bulk-fill Alkasite Material, Cention-N: An <i>In Vitro</i> Study.","authors":"Thimmaipally Sai Abhishek, Hp Suma Sogi, Mansi Jain, Thimmaipally Anuvamshika, Apurva Gambhir, Priyanka Sharma","doi":"10.5005/jp-journals-10005-3298","DOIUrl":"10.5005/jp-journals-10005-3298","url":null,"abstract":"<p><strong>Background: </strong>The incorporation of antibiotics into restorative materials has been shown to improve antibacterial effectiveness in previous studies. However, it remains uncertain whether such modifications could influence the mechanical properties of these materials.</p><p><strong>Materials and methods: </strong>Metal molds (10 mm diameter × 6 mm thickness) were fabricated and divided into three groups: Group I-Cention-N (control), group II-Cention-N combined with metronidazole + ciprofloxacin, and group III-Cention-N combined with metronidazole + amoxicillin-clavulanate. The prepared specimens were immersed in neutral and acidic artificial saliva for 21 days. Microhardness and solubility were assessed at 24 hours, 72 hours, 7 days, and 21 days.</p><p><strong>Results: </strong>In neutral saliva, all groups showed a gradual rise in microhardness values over 21 days. In acidic saliva, microhardness decreased for groups II and III, whereas group I exhibited a significant increase (<i>p</i> = 0.020). Solubility values were lowest in group III across both storage media.</p><p><strong>Conclusion: </strong>The incorporation of antibiotic powders into Cention-N resulted in reduced solubility without adversely affecting its microhardness, which remained comparable to the unmodified material.</p><p><strong>How to cite this article: </strong>Abhishek TS, Sogi HS, Jain M, <i>et al.</i> Comparative Evaluation of Microhardness and Solubility after Addition of Two Different Combinations of Double Antibiotic Powders Containing Metronidazole + Ciprofloxacin and Metronidazole + Amoxicillin Clavulanate to a Bulk-fill Alkasite Material, Cention-N: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2025;18(S-1):S45-S53.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 Suppl 1","pages":"S45-S53"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12776987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935617","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 the Relationship between Crying Patterns, Dental Anxiety, and Behavior Guidance Techniques: A Behavioral Interventional Study.","authors":"Namratha Tharay, Deepa Gurunathan, Svsg Nirmala, Sivakumar Nuvvula, Venkata N Bavikati","doi":"10.5005/jp-journals-10005-3191","DOIUrl":"10.5005/jp-journals-10005-3191","url":null,"abstract":"<p><strong>Background: </strong>The cry is considered the basic reflex action the child tries to communicate. Applying behavior guidance techniques (BGT) suitably allows the dentist to lessen fear and anxiety.</p><p><strong>Aim: </strong>The study aims to correlate the crying patterns with behavior and dental anxiety, and select appropriate nonpharmacological BGT for a specific type of cry.</p><p><strong>Settings and design: </strong>The present study is designed to be a single-arm, behavioral interventional study.</p><p><strong>Materials and methods: </strong>A total of 50 children aged 5-11 years were included, out of which crying was observed in 39 children. The cry was video-recorded during different treatment procedures commonly employed in pediatric dentistry and evaluated by two examiners to determine its type. Furthermore, the BGT was applied in a specific order, starting from tell, show, do (TSD) to physical restraints until the child displays a positive behavior; then, the appropriate technique was noted. Dental anxiety was noted preoperatively, during the treatment, and postoperatively. The data was subjected to statistical analysis.</p><p><strong>Results: </strong>Among different types of cry, the frightened cry (FC) was the most common, followed by the compensatory (CC), obstinate (OC), pain (PC), and manipulative cry (MC). TSD was more effective in children, and the least was HOME (hand-over-mouth exercise). The association between the crying patterns, dental anxiety, behavior, and BGT is statistically significant (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Based on the cry, precise BGT can be chosen for a particular treatment procedure. Hence, cry can be considered a potential communication tool in pediatric dentistry.</p><p><strong>Clinical significance: </strong>Cry can be an effective means of communication in pediatric dentistry. Clinically, the study helps to choose a particular behavior guidance to alleviate dental fear and anxiety.</p><p><strong>How to cite this article: </strong>Tharay N, Gurunathan D, Nirmala SVSG, <i>et al.</i> Assessment of the Relationship between Crying Patterns, Dental Anxiety, and Behavior Guidance Techniques: A Behavioral Interventional Study. Int J Clin Pediatr Dent 2025;18(S-1):S6-S10.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 Suppl 1","pages":"S6-S10"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12776919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935575","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 the Efficacy of <i>Alstonia scholaris</i>, <i>Calotropis procera</i>, and Chlorhexidine Mouthrinses on Oral Health of Children Aged 9-12 Years: A Randomized Clinical Trial.","authors":"Parnaja Sanjay Valke, Ashveeta J Shetty, Shilpa S Naik, Sanjana R Kodical, Priya Gore, Pranali Sandip Band","doi":"10.5005/jp-journals-10005-3329","DOIUrl":"10.5005/jp-journals-10005-3329","url":null,"abstract":"<p><strong>Aim and background: </strong>Chlorhexidine (CHX) is a gold-standard chemotherapeutic agent for preventing gingival and periodontal diseases. However, its drawbacks, such as metallic taste, burning sensation, and staining of teeth, make its acceptance questionable in children. To address this, the study aimed at the formulation of mouthrinses using herbal extracts of <i>Alstonia scholaris</i> and <i>Calotropis procera</i> plants, and evaluating and comparing its efficacy with CHX.</p><p><strong>Methodology: </strong>The study was registered at CTRI (CTRI/2024/06/068874), which involved formulation of mouthrinses using the extracts, followed by a double-blinded clinical trial with 60 children aged 9-12 years, randomly assigned to three groups: <i>A. scholaris</i>, <i>C. procera</i>, and CHX. Parents were directed to dispense 10 mL of mouthrinse to their children two times a day for 14 days. The children were assessed at baseline and 14 days for plaque index, gingival index, salivary pH, and taste acceptability.</p><p><strong>Results: </strong>The intragroup comparison showed a statistically significant reduction in mean plaque scores across all three groups over 14 days. Additionally, the <i>C. procera</i> group exhibited a significant increase in salivary pH over 14 days (<i>p</i> < 0.05). The intergroup comparison revealed no statistically significant differences in mean plaque and gingival scores (<i>p</i> < 0.05). However, the <i>C. procera</i> group showed an increase in salivary pH compared to the other two groups (<i>p</i> < 0.05). Furthermore, the taste acceptability of the <i>C. procera</i> group was significantly better than that of the other groups (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The two herbal extracts were as effective as CHX in maintaining the oral health of children, with better taste acceptance, and can be considered as an alternative to CHX.</p><p><strong>Clinical significance: </strong>Mouthrinses formulated with <i>A. scholaris</i> and <i>C. procera</i> extracts can be safely and effectively used for children.</p><p><strong>How to cite this article: </strong>Valke PS, Shetty AJ, Naik SS, <i>et al.</i> Assessment of the Efficacy of <i>Alstonia scholaris</i>, <i>Calotropis procera</i>, and Chlorhexidine Mouthrinses on Oral Health of Children Aged 9-12 Years: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2025;18(S-1):S54-S60.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 Suppl 1","pages":"S54-S60"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12776961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935622","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":"Analysis of Mothers' Willingness for Age 1 First Dental Visit of Their Child using Andersen's Behavioral Model of Health Service Utilization.","authors":"Indira M Devraj, Ps Praveen Kumar, U Anusha, H S Rajani, M S Girish, Kanika S Dhull","doi":"10.5005/jp-journals-10005-3405","DOIUrl":"10.5005/jp-journals-10005-3405","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries (ECC) is a preventable disease among children under 6 years of age. The first dental visit (FDV) is a preventive model endorsed by the American Academy of Pediatric Dentistry and the American Academy of Pediatrics. It is designed to improve oral health outcomes, yet the FDV attendance rate before the age of 1 is low globally, especially in India.</p><p><strong>Aims: </strong>To investigate maternal willingness to attend the FDV within 1 year of age and explore associations with predisposing, enabling, and need factors using Andersen's behavioral model for health services utilization.</p><p><strong>Materials and methods: </strong>A cross-sectional survey was conducted among mothers of children aged 9-15 months. A validated questionnaire was administered to 640 mothers visiting vaccination centers in two hospitals. Statistical analysis involved descriptive statistics and logistic regression to evaluate factors influencing FDV willingness.</p><p><strong>Results: </strong>Willingness to attend FDV within 1 year of age was significantly influenced by predisposing factors, such as oral health knowledge, perceived barriers, and susceptibility to caries. Enabling factors, such as socioeconomic status and family support, showed minimal influence, while need factors, including the perceived oral health of the child, strongly correlated with FDV willingness. Findings revealed low awareness and attendance rates for FDV in the study population.</p><p><strong>Conclusion: </strong>First dental visit attendance among infants in the study population is critically low, highlighting the need for targeted awareness campaigns. Pediatric healthcare professionals should actively promote oral health and FDV as preventive measures during well-baby visits to enhance acceptance and utilization.</p><p><strong>Clinical significance: </strong>This study's focus on analyzing mothers' willingness to pursue the FDV at age 1, using Andersen's behavioral model of health service utilization, which provides actionable insights into the multifactorial drivers behind health-seeking behavior. Understanding how predisposing, enabling, and need-based factors influence maternal decision-making not only aids in identifying barriers to early dental care but also highlights opportunities to tailor public health interventions.</p><p><strong>How to cite this article: </strong>Indira MD, Praveen Kumar PS, Anusha U, <i>et al.</i> Analysis of Mothers' Willingness for Age 1 First Dental Visit of Their Child Using Andersen's Behavioral Model of Health Service Utilization. Int J Clin Pediatr Dent 2025;18(S-1):S94-S98.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 Suppl 1","pages":"S94-S98"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12776895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935634","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 Nickel Release from Three Commercially Available Stainless Steel Crowns: An <i>In Vitro</i> Study.","authors":"K Rinu, Santhosh T Paul, Divya Reddy, Umme Azher, M Smitha","doi":"10.5005/jp-journals-10005-3272","DOIUrl":"10.5005/jp-journals-10005-3272","url":null,"abstract":"<p><p>Stainless steel crowns (SSC) have been extensively used for the restoration of posterior teeth in pediatric dentistry. Nickel is considered an essential trace element and a constituent of stainless steel crowns. There are no pertinent details found on the biodegradation of nickel from the new generation crowns. Therefore, the purpose of the study was to compare the release of nickel from three groups of stainless steel crowns produced by different manufacturers.</p><p><strong>Aims and background: </strong>To evaluate and compare the amount of nickel released from three groups of stainless steel crowns produced by different manufacturers (3M, DNTO^TM and KIDS crown^TM).</p><p><strong>Materials and methods: </strong>In total, 30 crowns were divided into three groups. Each group consisted of 10 stainless steel crowns. They were further subdivided into four subgroups, each comprising one, two, three, and four crowns respectively. Each subgroup's test materials were placed in separate glass beakers containing 100 mL of artificial saliva at 37°C in an incubator for 4 weeks. The required amount of salivary sample was drawn out of each beaker, and nickel release was analyzed independently on days 1, 7, 14, 21, and 28 by using an Inductively Coupled Plasma-Optical Emission Spectrophotometer (ICP-OES).</p><p><strong>Results: </strong>3M^TM crowns revealed a comparatively higher nickel release than KIDS crown^TM and DNTO^TM crowns.</p><p><strong>Conclusion: </strong>The study concluded that both DNTO^TM and KIDS crown^TM showed measurable nickel release in comparison to 3M^TM crowns, and the nickel release from 3M^TM crowns was greater compared to the experimental groups.</p><p><strong>Clinical significance: </strong>In terms of nickel release, KIDS crown and DNTO crowns are better compared to the standard 3M crowns.</p><p><strong>How to cite this article: </strong>Rinu K, Paul ST, Reddy D, <i>et al.</i> Comparative Evaluation of Nickel Release from Three Commercially Available Stainless Steel Crowns: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2025;18(S-1):S16-S21.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 Suppl 1","pages":"S16-S21"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>In Vivo</i> Comparative Evaluation of Four Different Obturation Techniques in Primary Teeth: A Randomized Controlled Clinical Trial.","authors":"Selvapriya Subbaraj, Madhan Chenchugopal, Arun Elangovan, Aarthi Jagadeesan","doi":"10.5005/jp-journals-10005-3302","DOIUrl":"10.5005/jp-journals-10005-3302","url":null,"abstract":"<p><strong>Purpose of the study: </strong>Pulpectomy has been a routine remedial endodontic procedure for treating a pulpally inflamed or infected deciduous tooth. The success of pulpectomy depends on thorough cleaning and shaping of the canals, complete debridement of the tissue remnants out of root canal spaces, and achieving a fluid-tight seal without any voids. Interestingly, the need for selection of a proper obturation technique collectively holds a major role in fulfilling various factors stated to be responsible for having a positive outcome. Hence, the purpose of the present research was to compare and assess the quality of obturation of various obturation techniques used in primary mandibular molars.</p><p><strong>Materials and methods: </strong>A total of 128 root canals of 64 deciduous mandibular molar teeth were randomly allocated for obturation with zinc oxide eugenol (ZOE) paste using four primary teeth obturating techniques. The obturation quality was evaluated by scoring the extent of filling and the existence of voids. Intergroup comparison of the data was done using Fisher-Freeman-Halton exact test.</p><p><strong>Results: </strong>The mean age of the study population was 7.58 ± 1.44 years (26 males and 22 females). The intergroup comparison of the obtained data subjected to statistical analysis using Fisher-Freeman-Halton exact test revealed statistically significant results with <i>p</i>-value of 0.04 and 0.03 when group III was compared with groups I and IV, respectively.</p><p><strong>Conclusion: </strong>NaviTip double side port system proved to be efficient in attaining both optimally filled as well as a homogeneous obturation without voids in primary mandibular molar teeth.</p><p><strong>How to cite this article: </strong>Subbaraj S, Chenchugopal M, Elangovan A, <i>et al. In Vivo</i> Comparative Evaluation of Four Different Obturation Techniques in Primary Teeth: A Randomized Controlled Clinical Trial. Int J Clin Pediatr Dent 2025;18(11):1311-1317.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 11","pages":"1311-1317"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655651","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":"Emerging Paradigms in Preventive Dentistry: A Review of Nonfluoridated Remineralizing Agents.","authors":"Nithya Annie Thomas, Charisma Thimmaiah, Baby Rahana Shinu, Shweta Kajjari, Manju Babu, S Dhivya, Lida Philip, Venisha Ann Alexander","doi":"10.5005/jp-journals-10005-3309","DOIUrl":"10.5005/jp-journals-10005-3309","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Nonfluoridated remineralizing agents have gained significant attention as alternatives or adjuncts to fluoride for managing early caries and enhancing enamel health. This narrative review explores the composition, mechanisms of action, applications, and efficacy of various nonfluoridated remineralizing agents, including calcium phosphate-based systems, casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), bioactive glass, hydroxyapatite nanoparticles, Galla Chinensis, theobromine, Enamelon technology, bamboo salt solution, grape seed extract, tricalcium phosphate, and titanium fluoride technology. The review is based on recent literature to provide a comprehensive overview of these materials and their clinical implications.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Dental caries remains one of the most prevalent oral diseases worldwide. Fluoride has been the cornerstone of caries prevention due to its well-documented ability to enhance enamel remineralization and inhibit demineralization. However, fluoride is often described as a double-edged sword. While its benefits in caries prevention are well-established, excessive fluoride exposure can lead to adverse effects such as dental fluorosis, enamel mottling, and systemic toxicity. These concerns are especially significant for young children, who are more vulnerable to fluoride ingestion. Consequently, there is a growing need to explore nonfluoridated remineralizing agents that can offer comparable efficacy without associated risks.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A comprehensive literature search was conducted using databases such as PubMed, Scopus, and Web of Science. The search included studies published between 2015 and 2024 to ensure the inclusion of recent advancements. Keywords such as \"nonfluoridated remineralizing agents,\" \"enamel remineralization,\" \"CPP-ACP,\" \"bioactive glass,\" \"hydroxyapatite,\" \"Galla Chinensis,\" \"theobromine,\" \"Enamelon technology,\" \"bamboo salt solution,\" \"grape seed extract,\" \"tricalcium phosphate,\" and \"titanium fluoride\" were used. Articles were selected based on relevance, with emphasis on randomized controlled trials, &lt;i&gt;in vitro&lt;/i&gt; studies, and clinical reviews. A total of 80 articles were initially screened, of which 20 were included in this review based on their relevance to the topic.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;This review examines recent advancements in nonfluoridated remineralizing agents, their mechanisms of action, and their role in contemporary preventive dentistry. Evidence suggests that nonfluoridated agents play a promising role in promoting enamel remineralization and reducing demineralization without the concerns associated with fluoride toxicity. Further research is warranted to refine these technologies and establish long-term clinical outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;How to cite this article: &lt;/strong&gt;Thomas NA, Thimmaiah C, Shinu BR, &lt;i&gt;et al&lt;/i&gt;. Emerging Paradigms in Preventive Dentistry: A Review of Nonfluoridated Remineralizing Agents. Int","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 11","pages":"1404-1406"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655840","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 Salivary Alpha Amylase as a Noninvasive Biomarker in Dental Apprehension in Children: A Cross-sectional Study.","authors":"Kavya Pala, Sridhar Mukthineni, Naseemoon Shaik, J Sravanthi, Ghanta Snehika, Hasina Khan","doi":"10.5005/jp-journals-10005-3395","DOIUrl":"10.5005/jp-journals-10005-3395","url":null,"abstract":"<p><strong>Aim: </strong>Dental anxiety is most prevalent during childhood and adolescence. It increases the decayed-missing-filled teeth index (DMFT), limits the provision of oral healthcare services, jeopardizes the dentist-patient relationship, decreases oral health quality of life, and negatively impacts psychosocial health. So the aim of the study is to assess salivary alpha amylase (SAA) levels when using audiovisual (AV) aids in children with varying dental anxiety.</p><p><strong>Materials and methods: </strong>After obtaining the institutional ethical clearance, 60 children aged 4-12 years were considered for administration of local anesthesia for various dental procedures. They are divided into two groups of 30 each, based on the modified Venham picture test (MVPT). Heart rate (HR), blood pressure (BP), and SAA levels of these children were correlated with the effect of the AV distraction method.</p><p><strong>Results: </strong>Paired <i>t</i>-test and Wilcoxon signed-rank test were performed to compare the mean pre- and postoperative HR, BP levels, and SAA levels within the two groups, respectively. Statistically significant reduction (<i>p</i> = 0.000*) in the physiological parameters was noticed after using AV aids as a behavior modification technique in both groups.</p><p><strong>Conclusion: </strong>Audiovisual aids are a useful adjunct to reduce anxiety and discomfort associated with the dental procedures in a pediatric dental clinic.</p><p><strong>How to cite this article: </strong>Pala K, Mukthineni S, Shaik N, <i>et al</i>. Evaluation of Salivary Alpha Amylase as a Noninvasive Biomarker in Dental Apprehension in Children: A Cross-sectional Study. Int J Clin Pediatr Dent 2025;18(11):1385-1389.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 11","pages":"1385-1389"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655846","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 Effectiveness of Three Different Types of Toothbrushes Among 8-12-year-old Children.","authors":"Abeer M Abdullah, Rawan Srbland, Reama Alaofi, Abdalrahman M Ainousa, Basil M Andijani, Faisal M Dardeer, Mohammed Alulaiyan, Shahad N Abudawood","doi":"10.5005/jp-journals-10005-3300","DOIUrl":"10.5005/jp-journals-10005-3300","url":null,"abstract":"<p><strong>Background/objectives: </strong>Dental caries and periodontal diseases are considered the most common oral diseases that could be controlled by daily toothbrushing using a toothbrush. However, manual regular toothbrushing techniques may be performed incorrectly due to the inadequately developed motor skills of children. The new U-shaped toothbrush does not require as much control, and it is much easier to handle. Our objectives are to compare the effectiveness of plaque removal among three toothbrushes: Manual U-shaped toothbrush (U), battery-powered regular toothbrush (E), manual regular toothbrush (R), and the three above-mentioned to the control group (no brushing) (C).</p><p><strong>Methods: </strong>This randomized controlled clinical trial was conducted at King Abdulaziz University Dental Hospital (KAUDH). A total of 56 participants (8-12-year-old) were randomly divided into the above-mentioned four groups. Two examiners conducted the study, where the first examiner was blinded to the type of toothbrush used, and was responsible for recording the full-mouth plaque score (FMPS) before and after brushing, while the second examiner was responsible for teaching children how to use the assigned toothbrush.</p><p><strong>Results: </strong>For the FMPS means difference, a significant difference was found between the brushing groups (<i>p</i> < 0.001), <i>post hoc</i> testing showed statistically significant differences between (C) and (R) (<i>p</i> < 0.001), (C) and (E) (<i>p</i> < 0.001), (R) and (E) (<i>p</i> < 0.001), and (E) and (U) (<i>p</i> < 0.001), but not between (C) and (U) (<i>p</i> = 0.1229), or (R) and (U) (<i>p</i> = 0.1229).</p><p><strong>Conclusion: </strong>The plaque removal efficiency was observed among (E), followed by (R), then (U) toothbrushes among children aged 8-12 years.</p><p><strong>How to cite this article: </strong>Abdullah AM, Ainousa AM, Andijani BM, <i>et al</i>. Comparison of the Effectiveness of Three Different Types of Toothbrushes Among 8-12-year-old Children. Int J Clin Pediatr Dent 2025;18(11):1318-1321.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 11","pages":"1318-1321"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655764","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}