International Journal of Clinical Pediatric Dentistry最新文献

{"title":"Analysis of Microhardness and Surface Roughness in Newer Pedo Shade Nanocomposite: An <i>In Vitro</i> Study.","authors":"Manisha Br Rajadurai, Ganesh Jeevanandan, Ghadi Duhduh Arishi, Hammam A Bahammam, Satish Vishwanathaiah, Nikhil Marwah, Suman Panda, Prabhadevi C Maganur","doi":"10.5005/jp-journals-10005-3539","DOIUrl":"10.5005/jp-journals-10005-3539","url":null,"abstract":"<p><strong>Background: </strong>Microhardness and surface roughness are essential mechanical properties to assess the clinical performance and longevity of dental materials. The newer Pedo shade nanocomposite is developed for use in pediatric dentistry for strip crowns used in severely decayed primary anterior teeth. The main aim of the study was to assess and compare the microhardness and surface roughness of the newly developed Pedo shade nanocomposite with the conventional composite material.</p><p><strong>Materials and methods: </strong>A total of 60 composite disk specimens were fabricated using standardized Teflon molds and divided into two groups (<i>n</i> = 30): group A (pediatric-shade nanocomposite) and group B (conventional nanocomposite). Baseline microhardness and surface roughness values were recorded after 24 hours of storage in artificial saliva. Specimens were then immersed in fresh milk for 1 hour daily over 14 days. Microhardness was reassessed on day 14 using a Vickers hardness tester, while surface roughness was evaluated using a stylus profilometer. Statistical analysis was performed using paired and independent <i>t</i>-tests.</p><p><strong>Results: </strong>Group A demonstrated no statistically significant change in microhardness following milk immersion (<i>p</i> > 0.05), whereas group B showed a significant reduction (<i>p</i> < 0.05). Surface roughness values did not differ significantly between baseline and postimmersion measurements for either group.</p><p><strong>Conclusion: </strong>Within the limitations of the study, we conclude that the microhardness and surface roughness of the newly developed Pedo shade nanocomposite are superior when compared with the conventional nanocomposite.</p><p><strong>How to cite this article: </strong>Rajadurai MB, Jeevanandan G, Arishi GD, <i>et al.</i> Analysis of Microhardness and Surface Roughness in Newer Pedo Shade Nanocomposite: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2026;19(5):554-559.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"554-559"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253815","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":"Chew and Renew: Comparative Evaluation of a Novel Fixed Functional and Nonfunctional Space Maintainer.","authors":"Priyanka Balakrishnan, Daya Srinivasan, M S Saravanakumar, Farah Shehani Areef, K Mohammed Billal Sheriff, Svetha Sampath","doi":"10.5005/jp-journals-10005-3507","DOIUrl":"10.5005/jp-journals-10005-3507","url":null,"abstract":"<p><strong>Background: </strong>Premature loss of primary molars often leads to malocclusion, space loss, and functional disturbances. While conventional fixed space maintainers like band and loop (BL) preserve arch space, they fail to restore function. The double band and pontic (DBP) design introduces a functional component aimed at improving masticatory efficiency and parental satisfaction.</p><p><strong>Aim: </strong>To compare and correlate the clinical and radiographic success of fixed functional (DBP) and nonfunctional (BL) space maintainers over 3, 6, and 12 months.</p><p><strong>Materials and methods: </strong>A split-mouth, double-blinded randomized controlled trial was conducted in 30 children aged 7-9 years requiring bilateral extraction of mandibular primary second molars. One side received BL, and the other DBP. Parameters assessed included gingival health (Löe and Silness index), survival rate, space loss (study models), chewing efficiency (peanut crunch test), parental acceptance (Likert scale), and eruption interference (radiographs). Data were analyzed using SPSS v 20.0.</p><p><strong>Results: </strong>DBP demonstrated significantly better chewing efficiency, higher parental acceptance, and superior space maintenance with reduced appliance failures compared to BL. However, DBP was associated with slightly increased gingival inflammation and minor eruption interference in 13.8% of cases at 6 and 12 months.</p><p><strong>Discussion: </strong>The DBP appliance provides functional and esthetic benefits while effectively maintaining space. Though slightly more plaque retentive, its advantages in stability and mastication justify its clinical use. It marks a shift toward multifunctional space maintenance in pediatric dentistry.</p><p><strong>Conclusion: </strong>The DBP appliance emerges as a promising, functionally superior alternative to conventional BL, combining esthetics, chewing efficiency, and durability in pediatric space maintenance.</p><p><strong>How to cite this article: </strong>Balakrishnan P, Srinivasan D, Saravanakumar MS, et al. Chew and Renew: Comparative Evaluation of a Novel Fixed Functional and Nonfunctional Space Maintainer. Int J Clin Pediatr Dent 2026;19(5):599-606.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"599-606"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253818","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 Efficacy of Four Different Types of Medicaments for Pulpotomy of Primary Molars: A Clinical and Radiographic Study.","authors":"Vanishree Bk Naik, Sana S Mulla, Rooposhi Saha, Aftab Ahmad, Rana Ismail, Yusuf Chunawala","doi":"10.5005/jp-journals-10005-3518","DOIUrl":"10.5005/jp-journals-10005-3518","url":null,"abstract":"<p><strong>Aim and objective: </strong>To compare and evaluate both clinically and radiographically the effectiveness of four distinct pulpotomy medications in primary molars-mineral trioxide aggregate (MTA) gel, Biodentine, TheraCal LC, and MTA putty.</p><p><strong>Materials and methods: </strong>This <i>in vivo</i> investigation involved 60 primary molars from children aged 4-8 years, which were randomly assigned into four groups-group A received MTA gel, group B received Biodentine, group C received TheraCal LC, and group D received MTA putty. Radiographic examinations were carried out prior to treatment, following treatment, and at 6 months, while clinical assessments were carried out at 1, 3, and 6 months. Data normality was explored using the Kolmogorov-Smirnov and Shapiro-Wilk tests. Intergroup and intragroup comparisons were done using the Chi-squared test regarding the efficacy of the four materials.</p><p><strong>Results: </strong>Clinical and radiographic success of MTA gel (80 and 90%) and MTA putty (80 and 90%) were found to be highest. Although the results of Biodentine (70 and 80%) and TheraCal LC (70 and 80%) were found to be similar.</p><p><strong>Conclusion: </strong>Following a 6-month clinical and radiographic evaluation, MTA putty and MTA gel showed the most favorable outcomes, followed by Biodentine and TheraCal LC.</p><p><strong>How to cite this article: </strong>Naik VBK, Mulla SS, Saha R, <i>et al.</i> Comparative Efficacy of Four Different Types of Medicaments for Pulpotomy of Primary Molars: A Clinical and Radiographic Study. Int J Clin Pediatr Dent 2026;19(5):611-617.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"611-617"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253796","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":"Safety Evaluation of Articaine and Lignocaine as Local Anesthetic Agents in Pediatric Dental Patients: A Systematic Review and Meta-analysis.","authors":"Purva B Babhulgaonkar, Prasanna T Dahake, Mahesh V Dadpe, Yogesh J Kale, Shrikant B Kendre, Nilima R Thosar","doi":"10.5005/jp-journals-10005-3513","DOIUrl":"10.5005/jp-journals-10005-3513","url":null,"abstract":"<p><strong>Aims and background: </strong>Articaine is known to be safe in children; however, it is not suggested for children under the age of four. Various studies have been performed that show articaine as a superior local anesthetic (LA) agent when compared with lignocaine. This study aimed to systematically review the safety of lignocaine and articaine as LA agents in pediatric dental patients.</p><p><strong>Method: </strong>An electronic search of randomized controlled trials (RCTs) reporting on adverse reactions of lignocaine and articaine in children between 4 and 13 years of age was conducted. The databases searched included PubMed, Cochrane Library, CBM, Embase, Web of Science, and CNKI. A thorough electronic search was conducted for studies published up to May 2024. Seven articles were included in the systematic review. For each of the included studies, the methodological quality and risk of bias (RoB) were assessed. Relative risk (RR) and standard deviations were used to summarize the data from each of the studies, and meta-analyses were conducted with studies of limited heterogeneity.</p><p><strong>Results: </strong>Based on the available evidence, lignocaine and articaine appear to have similar safety profiles when used as LA agents in pediatric dental patients. Meta-analysis showed a nonsignificant statistical difference in favor of soft tissue injury [RR = 0.47, 95% confidence interval (CI) (0.17, 1.28), <i>p</i> = 0.14], postoperative pain (RR = 1.68, 95% CI (0.56, 5.08), <i>p</i> = 0.36), and edema (RR = 1.78, 95% CI (0.17, 18.81), <i>p</i> = 0.63). Overall adverse events were also nonsignificant (RR = 1.26, 95% CI (0.62, 2.54), <i>p</i> = 0.52).</p><p><strong>Conclusion: </strong>Buccal infiltration with 4% articaine was equally safe as inferior alveolar nerve block (IANB) with 2% lignocaine for primary tooth extraction and endodontic procedures. More clinical trials should be conducted that measure the effects of lignocaine and articaine on blood pressure, pulse rate, and tissue rehabilitation.</p><p><strong>How to cite this article: </strong>Babhulgaonkar PB, Dahake PT, Dadpe MV, <i>et al.</i> Safety Evaluation of Articaine and Lignocaine as Local Anesthetic Agents in Pediatric Dental Patients: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2026;19(5):648-654.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"648-654"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253668","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":"Application of Artificial Intelligence for Detection of Dental Carious Lesions in Digital Dental Radiographs: An <i>In Vitro</i> Study.","authors":"Neha Sikka, Anshika Goel, Lavina Arya, Sahil Sikka, Priya Nagar, Shashi Bala","doi":"10.5005/jp-journals-10005-3541","DOIUrl":"10.5005/jp-journals-10005-3541","url":null,"abstract":"<p><strong>Aim: </strong>An artificial intelligence (AI) model has been introduced to recognize and classify attributes present on the digital intraoral periapical radiographs (IOPA) radiographic images and aid in identification of carious lesions in efficient manner.</p><p><strong>Materials and methods: </strong>An object detection-based CNN model (YOLOv4) has been modified and trained for real-time object (caries) localization and classification (based on depth) using a labeled dataset. During the training phase, the training dataset images with bounding box information [center coordinates (x, y), width, height (w, h) values, and class labels such as E, D1, D2 and D3] were prepped. The training was performed in Darknet-53 YOLOv4 GPU environment on Google Colab. Dentists with more than 5 years of clinical experience were recruited as observers. The statistical analysis was done using SPSS version 25. Interexaminer reliability was checked using Fleiss' Kappa test. The sensitivity, specificity and area under receiver operating characteristic curves (AUC) of AI model and human observers (MHO) were calculated and compared.</p><p><strong>Results: </strong>The AI model demonstrated lower sensitivity (80.0%) for caries detection than MHO (90.9%) <i>p</i>-value = 0.0001, <i>F</i> value = 18.4309 whereas greater specificity (91.7%) than MHO (90.2%) <i>p</i>-value = 0.5363, <i>F</i> value = 0.3825.</p><p><strong>Conclusion: </strong>The performance metrics showed promising outcomes in terms of detecting caries. The proposed model has achieved an accuracy of 84.66% and precision of 93.62% in diagnosing carious lesions. However, the performance of the model in carious depth classification was not satisfactory. The way forward is to collect more periapical images for training of AI model. Within the limitations of this study, it is concluded that the YOLO-based CNNs can be used in the diagnosis of caries in periapical radiographs.</p><p><strong>How to cite this article: </strong>Sikka N, Goel A, Arya L, <i>et al.</i> Application of Artificial Intelligence for Detection of Dental Carious Lesions in Digital Dental Radiographs: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2026;19(5):641-647.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"641-647"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253726","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":"Correlation of Dental Caries with Body Mass Index in Children Aged 5-14 Years: A Cross-sectional Study.","authors":"Andrea Coello Hidalgo, Ana Alvear Miquilena, Diego Quiguango Farias, Maria Rodriguez Tates, Byron Velasquez Ron","doi":"10.5005/jp-journals-10005-3515","DOIUrl":"10.5005/jp-journals-10005-3515","url":null,"abstract":"<p><strong>Aim: </strong>The main objective of this study was to determine whether there is a significant association between body mass index (BMI) and the presence and number of dental caries in the analyzed participants.</p><p><strong>Background: </strong>In the oral cavity, various modulating factors can result in the presence of dental caries; moreover, this condition is considered to be an infectious-contagious disease that exhibits a broad incidence.<b>Materials and</b> <b>methods:</b> A total of 2,689 children were recruited for this study, with 314 children aged 5-14 years (95% confidence level margin of error of 0.5%). The participants received dental care in 2024 in Quito, Ecuador. Assessments of height and weight were performed, along with the calculation of the BMI and nutritional diagnosis. The patients were classified as obese, overweight, normal, malnourished, or severely malnourished. An odontogram was performed; moreover, the cariogenic index CPO-D (measuring decayed, lost, or filled teeth) was performed on permanent teeth, whereas the ceo-d (measuring decayed, extracted, or filled teeth) was performed on primary teeth.</p><p><strong>Results: </strong>The descriptive analysis revealed a high prevalence of dental caries in all the BMI categories, with percentages ranging from 70.2% in normal-weight children to 84.6% in underweight children. Specifically, children with obesity exhibited a prevalence of dental caries of 76%, whereas those who were overweight exhibited a prevalence of 75.4%. These findings suggest that there is a high burden of dental caries across all nutritional groups, thus reinforcing the notion that both undernutrition and excess weight may be associated with an increased risk of dental disease.</p><p><strong>Conclusion: </strong>This study revealed that there is a high burden of dental caries across all nutritional groups, particularly with respect to the association between BMI and the presence and number of caries.</p><p><strong>Clinical significance: </strong>Diagnosing dental caries is a mandatory diagnostic process in dentistry; however, correlating with diseases should be a priority for dentists, applying it mandatorily in children and adolescents. We present this small analysis that demonstrates correlation with BMI.</p><p><strong>How to cite this article: </strong>Hidalgo AC, Miquilena AA, Farias DQ, <i>et al.</i> Correlation of Dental Caries with Body Mass Index in Children Aged 5-14 Years: A Cross-sectional Study. Int J Clin Pediatr Dent 2026;19(5):624-629.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"624-629"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253283","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 Pain Perception and Postoperative Pain in Children with Precooled Injection Sites Using Popsicles for Local Anesthesia: A Randomized Controlled Trial.","authors":"Harsh S Baldawa, Deepa Gurunathan","doi":"10.5005/jp-journals-10005-3463","DOIUrl":"10.5005/jp-journals-10005-3463","url":null,"abstract":"<p><strong>Background: </strong>Pain management plays a pivotal role in pediatric dentistry, influencing a child's overall experience and future cooperation with dental care. Local anesthesia (LA) administration and postoperative discomfort following tooth extraction often contribute to anxiety and negative perceptions. Nonpharmacological methods, such as cryotherapy, have shown promise in reducing pain. Popsicles, commonly used as a cooling agent, may serve as a dual-function intervention-precooling the injection site and providing postoperative analgesia.</p><p><strong>Aim: </strong>To evaluate and compare pain perception during LA administration and postoperative pain in children treated with and without popsicle-based precooling.</p><p><strong>Materials and methods: </strong>This randomized controlled trial included 48 children aged 4-9 years requiring primary tooth extraction. Participants were randomly allocated into three groups: Group A (control, no precooling), group B (precooling with a standard popsicle), and group C (precooling with a popsicle of choice). Pain perception was assessed using the Wong-Baker FACES Pain Rating Scale (WB) and the Face, Legs, Activity, Cry, and Consolability (FLACC) scale during LA administration and 30 minutes postextraction. Data were analyzed using the Kruskal-Wallis and Wilcoxon signed-rank tests.</p><p><strong>Results: </strong>Significant differences in pain scores were found among the groups during both LA administration and 30 minutes postextraction (<i>p</i> < 0.001). Both intervention groups reported significantly lower pain scores than the control group, with no significant difference between the two popsicle groups.</p><p><strong>Conclusion: </strong>Precooling injection sites with popsicles effectively reduces pain perception and postoperative discomfort in children. This simple, cost-effective, and child-friendly approach offers a valuable addition to pediatric pain management strategies.</p><p><strong>How to cite this article: </strong>Baldawa HS, Gurunathan D. Comparative Evaluation of Pain Perception and Postoperative Pain in Children with Precooled Injection Sites Using Popsicles for Local Anesthesia: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2026;19(5):549-553.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"549-553"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253772","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 <i>In Vitro</i> Study on the Demineralization Potential of Different Milk Types on Primary Teeth.","authors":"Amulya Jalumuru, Sri R Maganti, Punithavathy Naren, Satyam Martha, K Haritha, Korukonda V Sridevi","doi":"10.5005/jp-journals-10005-3510","DOIUrl":"10.5005/jp-journals-10005-3510","url":null,"abstract":"<p><strong>Aims and background: </strong>Milk is a fundamental source of nourishment for infants until they are weaned. It plays a role in enamel remineralization, inhibits bacterial adhesion, and prevents biofilm formation. Although lactose present in milk is a fermentable sugar, certain conditions can promote caries formation from milk consumption. As milk is widely consumed by children, this study aims to evaluate how different types of milk influence dental health.</p><p><strong>Methodology: </strong>A total of 40 primary incisors were included in the study, which were initially tested for mineral content and pH. These teeth were immersed in vial tubes containing four different types of milk. Later, the teeth were analyzed for mineral content, pH, and microhardness, respectively.</p><p><strong>Results: </strong>Calcium content increased in all groups, with the highest increase in breast milk, and pH dropped significantly in infant formula and soy milk, and a lower hardness values were seen in infant formula and soy milk.</p><p><strong>Conclusion: </strong>Human breast milk (HBM) and bovine milk had a protective effect on enamel, indicated by an increase in calcium content, stable or minimally reduced pH, and higher postimmersion hardness values. In contrast, soy milk and infant formula showed a significant drop in enamel pH and hardness values, with infant formula additionally causing mineral loss.</p><p><strong>Clinical significance: </strong>The type of milk consumed during infancy can affect early enamel integrity. Breast and bovine milk offer better protection against demineralization compared to soy milk and infant formulas.</p><p><strong>How to cite this article: </strong>Jalumuru A, Maganti SR, Naren P, <i>et al.</i> Comparative <i>In Vitro</i> Study on the Demineralization Potential of Different Milk Types on Primary Teeth. Int J Clin Pediatr Dent 2026;19(5):618-623.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"618-623"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253729","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":"Cold Atmospheric Plasma in Pediatric Dentistry: A Paradigm Shift toward Antibiotic-free Minimally Invasive Care.","authors":"Prachi Kumari, Kanika S Dhull, Brahmananda Dutta, Abinash Mohapatra, Indira M Devraj, Singi Rj Reddy","doi":"10.5005/jp-journals-10005-3505","DOIUrl":"10.5005/jp-journals-10005-3505","url":null,"abstract":"<p><strong>Objectives: </strong>A revolutionary alternative to antibiotics, cold atmospheric plasma (CAP) provides a potent means of addressing the worldwide problem of antibiotic resistance. Its potential use in pediatric dentistry is yet mainly untapped, which emphasizes the necessity of focused study.</p><p><strong>Materials and methods: </strong>Using a thorough examination of 20 well-reviewed publications published between 2016 and 2025, this in-depth study looks at the antibacterial qualities, modes of action, safety concerns, and clinical uses of CAP in pediatric dental care. In order to rapidly and effectively eradicate microorganisms, CAP works by generating reactive oxygen and nitrogen species (RONS), which damage bacterial cell membranes and biofilms. <i>Lactobacillus acidophilus</i> and <i>Streptococcus mutans</i> are efficiently eradicated by CAP in a matter of seconds, cutting down on treatment time and easing patient worry. Additionally, CAP strengthens the enamel against microbial attacks by improving fluoride retention.</p><p><strong>Results: </strong>According to this review, CAP may be used in dentistry as a less invasive option to traditional antibiotics because it eases anxiety and does not add to the growing issue of resistance.</p><p><strong>Conclusion: </strong>Despite its positive advantages, there are still several obstacles to overcome, like the requirement for cost-effectiveness, device standardization, and regulatory approval for kid-specific devices. Future research should concentrate more on improving CAP technology, investigating how it might be used with other dental advancements, and evaluating its long-term impacts on oral health results.</p><p><strong>How to cite this article: </strong>Kumari P, Dhull KS, Dutta B, <i>et al.</i> Cold Atmospheric Plasma in Pediatric Dentistry: A Paradigm Shift toward Antibiotic-free Minimally Invasive Care. Int J Clin Pediatr Dent 2026;19(5):667-672.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"667-672"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253749","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 Remineralization Efficacy of Nanosilver Fluoride and Xylitol-coated Calcium Phosphate Fluoride Varnishes Using Atomic Force Microscopy and DIAGNOdent®: An <i>In Vitro</i> Study.","authors":"Sandra R Mathews, Charisma Thimmaiah, Kushagra Sachdeva, Srikant Natarajan, Reshma Kumarchandra, Y M Karuna, N P Anupama","doi":"10.5005/jp-journals-10005-3517","DOIUrl":"10.5005/jp-journals-10005-3517","url":null,"abstract":"<p><strong>Background: </strong>In recent years, noninvasive caries treatments have drawn increased attention from the scientific community. Fluoride varnishes are topical agents that protect the teeth from caries, as they have a prolonged effect on the duration of fluoride and tooth enamel contact.</p><p><strong>Aim: </strong>To utilize DIAGNOdent® and Atomic Force Microscopy (AFM) and compare the effectiveness of sodium fluoride, nanosilver fluoride, and xylitol-coated calcium phosphate fluoride varnishes on remineralization.</p><p><strong>Materials and methods: </strong>To create artificial carious lesions, 30 samples of prepared enamel were placed for 96 hours at 37°C in a demineralizing solution with a pH of 4.4. The samples were then evaluated. Following this, remineralization was performed over the course of 14 days using sodium fluoride, nanosilver fluoride, and xylitol-coated calcium phosphate fluoride. All specimens were examined using DIAGNOdent® (KaVo, Germany) and AFM at baseline, postdemineralization, and remineralization. Utilizing a scanning electron microscope, qualitative examination was conducted. The Kruskal-Wallis, Chi-square, and Wilcoxon signed-rank tests were used to statistically examine the data.</p><p><strong>Results: </strong>At baseline, median surface changes using DIAGNOdent readings were comparable between groups. Significant variations were seen across the three groups when the parameter postremineralization was compared. Sodium fluoride had the greatest median values of 8, followed by xylitol-coated calcium phosphate fluoride and nanosilver fluoride, showing 6 and 4, respectively.</p><p><strong>Conclusion: </strong>Nanosilver fluoride and xylitol-coated calcium phosphate fluoride showed higher remineralization of artificial carious lesions than sodium fluoride varnish.</p><p><strong>How to cite this article: </strong>Mathews SR, Thimmaiah C, Sachdeva K, <i>et al.</i> Comparative Evaluation of Remineralization Efficacy of Nanosilver Fluoride and Xylitol-coated Calcium Phosphate Fluoride Varnishes Using Atomic Force Microscopy and DIAGNOdent®: An <i>In Vitro</i> Study. Int J Clin Pediatr Dent 2026;19(5):635-640.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 5","pages":"635-640"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13269157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273205","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}