Colleen Helder, Ahmed Nagy, Euphemia LaRee Johnson, Barry Bodt
{"title":"Validation of Size Guides for Fitting Molar Bands to Stainless Steel Crowned Primary Molars.","authors":"Colleen Helder, Ahmed Nagy, Euphemia LaRee Johnson, Barry Bodt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To create and validate size guides for fitting Denovo<sup>®</sup> plain molar bands and bands with tubes to 3M<sup>™</sup> ESPE<sup>™</sup> stainless steel crowned primary molars. <b>Methods:</b> Two size guides were created for fitting these bands to corresponding crown sizes, with an additional pre-existing guide available for comparison. Eight volunteer dentists chose their best-fit band sizes for stainless steel crowned typodont teeth, with each seeing a subset of clinical conditions as determined by a randomized factorial experiment. Comparisons of dentists' best fits and each guide individually were evaluated for over 96 fits for robustness of clinical condition in an analysis of variance and agreement using intraclass correlation. Savings in attempted fits using size guides were estimated. <b>Results:</b> No significant differences over clinical conditions were observed when evalua- ting size guides and dentists' best fits. Intraclass correlations between plain band, plain band with tubes, and the pre-existing plain band with tubes guides and observed fits were 0.997, 0.998 and 0.998, respectively, with corresponding expected savings of 1.1, 0.7 and 0.5 attempts per fit, respectively. <b>Conclusion:</b> Size guides created for fitting plain bands and bands with tubes to stainless steel crowned primary molars were validated by volunteer dentists and showed promise for decreasing waste and increasing efficiency during dental visits.).</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10459153","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":"Self-Medication for Toothache Causing Chemical Burn of Oral Mucosa and Alveolar Bone Loss in a Child.","authors":"Vinay Kumar Srivastava, Aman Kumar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chemical burn of the oral mucosa can occur as a result of the inadvertent, intentional or iatrogenic use of chemicals. Self-treatment for toothache relief with nonpharma ceutical substances can result in a chemical burn. A detailed history is paramount in such cases to identify the etiologic agent to proceed with appropriate treatment. The purpose of this report is to describe the case of an eight-year-old with a complaint of toothache who rinsed his mouth with potassium aluminium sulfate solution to achieve pain relief. This caused ulceration of the attached gingiva and oral mucosa and necrosis of the alveolar bone surrounding the offending tooth, leading to its mobility. This case highlights the disastrous consequences of inappropriate self-treatment to achieve pain relief from toothache.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10459156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rodrigo Rodrigues, Anna Alice Anabuki, Maria Eugêniad D R Ribeiro, Lara E Orlandi, Lucas G Abreu, Heloisa S Gomes, Vivien T Sakai
{"title":"Stress Response During Rapid Maxillary Expansion in Children.","authors":"Rodrigo Rodrigues, Anna Alice Anabuki, Maria Eugêniad D R Ribeiro, Lara E Orlandi, Lucas G Abreu, Heloisa S Gomes, Vivien T Sakai","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess the effect of rapid maxillary expansion (RME) on the inflammatory and stress response of patients undergoing orthodontic treatment. <b>Methods:</b> Eighty salivary samples were collected from patients (n=16) during RME at five moments: before the expander placement (T1); 25 minutes after its first activa- tion (T2); seven days after placement, shortly after the patient arrived at the dental clinic (T3); 25 minutes after the appliance activation on day seven (T4) and one month after the last activation of the appliance (T5). Cortisol and nitric oxide levels were evaluated using an immunoassay kit and the Griess method, respectively. Friedman and Wilcoxon tests were used for statistical analysis (<i>P</i> <0.05). <b>Results:</b> Participants' mean age was 11.5 years. There was a significant change in cortisol levels over the study period in the total sample (<i>P</i><0.01), for the Haas appliance (<i>P</i>=0.01), female sex (<i>P</i>=0.01), younger children (<i>P</i>=0.01), presence of large overbite (<i>P</i>=0.02), presence of posterior crossbite (<i>P</i> =0.006), Class I type occlusion (<i>P</i>=0.02) and mesofacial facial type (<i>P</i> =0.02). Regarding nitric oxide, there was a significant change over the study period in those who wore the Haas appliance (<i>P</i> =0.04). For nitric oxide levels, T1 was significantly higher than T3, T4 and T5 (<i>P</i> <0.05) for those who wore a Haas appliance. <b>Conclusion:</b> The period anticipating the consultation at the waiting reception area was more stressful than the dental procedure in patients undergoing RME. This procedure did not cause alterations in salivary biomarkers related to inflammation.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leonardo Alves de Oliveira Savtchen, Clara Miotto Silva, Luciana Faria Sanglard, Rafael Vago Cypriano, Ana Luiza Leal, Renata Pittella Cançado
{"title":"Ranula Formation After Lingual Frenectomy in a Newborn.","authors":"Leonardo Alves de Oliveira Savtchen, Clara Miotto Silva, Luciana Faria Sanglard, Rafael Vago Cypriano, Ana Luiza Leal, Renata Pittella Cançado","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ankyloglossia is a developmental anomaly characterized by a shortened lingual frenulum, which can range from cases with no clinical relevance to severe cases, where frenectomy may be indicated. In newborns, this indication has increased exponentially. The purpose of this report is to discuss obstruction of the sublingual caruncle, with a recurrent ranula, as a post-surgical complication of laser lingual frenectomy performed in a newborn. The treatment provided is also discussed (marsupialization and removal of the affected sublingual glands). Lingual frenectomy should be performed with great care, especially in newborns, because the sublingual caruncles can be affected and complications can occur.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matilda Sullivan, Caroline K Carrico, Tegwyn H Brickhouse
{"title":"The Impact of Dental Operatory Color on Anxiety in Committed Youth.","authors":"Matilda Sullivan, Caroline K Carrico, Tegwyn H Brickhouse","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To examine the impact of dental operatory room color on the level of anxiety in committed youth at a juvenile correctional center. <b>Methods:</b> A randomized controlled trial was conducted at a juvenile correctional center using an approved continuous quality assurance survey. The dental assistant collected self-reported anxiety scores from 164 individuals alternating between two dental operatory rooms. One dental operatory room was painted with color while the other dental operatory room was unaltered (white). Repeated measures linear models were used to test for associations between visit type, visit number and operatory. <b>Results:</b> For 65 percent of visits, little to no anxiety was reported. Among the remaining visits, anxiety scores were on average 1.13 points higher across all appointment types in the non-colorful operatory room but were not statistically significant (<i>P</i>=0.1373, 95 percent confidence interval [95% CI] = -0.37 to 2.63). Anxiety scores were, on average, 1.7 points higher in the non-colorful room when selected for more anxiety- inducing restorative or emergency appointments (<i>P</i>=0.4371, 95% CI = -1.37 to -4.82), which indicated some clinical significance but was not statistically significant. <b>Conclusion:</b> The color of a dental operatory room did not have a statistically significant effect on lowering the level of anxiety in incarcerated youth but may have a clinically significant effect that should be further researched.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caroline C Rolfsen, Paul L Fidel, Zezhang Wen, Andrew Chapple, Jaspreet P Ahluwalia, Amanda DiVittorio, Richard W Ballard, Jeffrey T Johnson
{"title":"Direct Comparison Between Intraoral Scanning and Alginate Impressions for Pediatric Patients: An <i>In Vitro</i> Study.","authors":"Caroline C Rolfsen, Paul L Fidel, Zezhang Wen, Andrew Chapple, Jaspreet P Ahluwalia, Amanda DiVittorio, Richard W Ballard, Jeffrey T Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To compare the accuracy and efficiency of both alginate and digital impression techniques in a method representative of a clinical setting. By evaluating the difference in fabrication time and accuracy for these techniques, it can be determined if using digital scanning is a viable alternative to alginate impressions to fabricate pediatric dental appliances.<br/> <b>Methods:</b> Both the alginate and digital impressions were taken from the same pediatric typodont study model. The alginate impressions were handled and poured up, per product instructions, and digital impressions were 3D printed. A digital caliper was used to measure different landmarks on both the stone models and 3D printed models, and these measurements were compared to the pediatric typodont to determine accuracy. All steps in the process, including obtaining the impression, fabrication of the model and total time, were recorded to determine the efficiency of both methods.<br/> <b>Results:</b> The alginate models had a significantly higher intercanine distance than the control. Measurements of anterior-posterior (AP) left, AP right, left central, and right central were larger than the control but did not show a significant difference in measurement. The alginate group had a significantly shorter impression time. Model fabrication time between the two groups was similar.<br/> <b>Conclusion:</b> Alginate impressions require less chairside time and the digital technique was shown to be accurate in all measurements. Digital scanning may be a good alternative to alginate impressions for pediatric patients.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9368558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arifa Bakerywala, Adrienne Nguyen, Azita Khanbodaghi, Cheen Y Loo
{"title":"Mandibular Regional Odontodysplasia in a Toddler.","authors":"Arifa Bakerywala, Adrienne Nguyen, Azita Khanbodaghi, Cheen Y Loo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Regional odontodysplasia (ROD) is a rare developmental anomaly with distinctive clinical, radiographical and histological findings, affecting both primary and permanent dentitions. The teeth with ROD have an atypical morphology and are usually discolored, with either delayed eruption or complete failure to erupt. Radiographically, the affected teeth have a \"ghostly\" appearance, with marked radiolucency and decreased radiodensity, showing a thin outline of enamel and dentin, which appear hypomineralized histologically, with poorly structured dentinal tubules and enamel prisms. Calcifications are frequently found in the pulp chambers of the affected teeth. This case report discusses a three-year-old girl who presented with ROD in her mandible as well as the clinical and radiographical features, and treatment of the condition.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9368712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aadithya B Urs, Sourendra Nath Basu, Kuldeep Singh, Anjali Verma
{"title":"Bilateral Dentigerous Cysts of the Permanent Mandibular First Molars Treated with Marsupialization.","authors":"Aadithya B Urs, Sourendra Nath Basu, Kuldeep Singh, Anjali Verma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bilateral dentigerous cysts (DC) associated with unerupted mandibular first molars in a non-syndromic pediatric individual are rare. Secondary infections may lead to complications, such as discomfort due to pain, disfigurement caused by enlargement of the cyst with cortical expansion of the jawbone, displacement of teeth and paraesthesia of the adjacent nerve. This case report describes the occurrence of bilateral DC in an eight-year-old patient. Marsupialization was the treatment of choice to preserve the permanent teeth and other adjacent tissues.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9738565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sterling Gray, Kellie Moore, Nicholas Callahan, Michael D Han
{"title":"The Role of the Pediatric and General Dentist in Management of Odontogenic Infections: An Algorithmic Approach From Triage to Management.","authors":"Sterling Gray, Kellie Moore, Nicholas Callahan, Michael D Han","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Odontogenic infections are preventable yet common in adults and children, and can progress to life-threatening levels if not definitively managed in a timely manner. Children with odontogenic infections often first present to the pediatric or general dental practice, making pediatric and general dentists key players in the management of odontogenic infections. While the pediatric or general dentist can definitively manage several types of infections, their critical role goes well beyond treatment to include timely and appropriate triage as well as facilitation of care when the severity of the infection exceeds the scope of their practice. Thorough and efficient triage allows the dentist to determine the most appropriate timing and setting of definitive care, thus preventing avoidable delays or inefficient use of health care resources. The purpose of this narrative review is to discuss key concepts in the overall management of odontogenic infections in children, with a focus on the clinical significance of each concept, in an algorithmic format.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9362247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Premixed Mineral Trioxide Aggregate Setting Reaction in Primary Molar Pulpotomies.","authors":"Erika Peters, Evelina Kratunova, Flavia Lamberghini, Sahar Alrayyes, Satish B Alapati","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess the setting of premixed mineral trioxide aggregate (NuSmile NeoPUTTY) when used as a pulpotomy agent in primary molars, restored in a single visit, and to compare the effect of overlying materials, including zinc oxide eugenol (ZOE), resin-modified glass ionomer cement (RMGIC) and stainless steel crowns (SSC), on the microhardness of the NeoPUTTY.<br/> <b>Methods:</b> Forty-eight extracted primary molars were prepared with the standard pulpotomy technique. Approximately three mm of NeoPUTTY were placed on the pulpal floor of each tooth. The teeth were divided into four groups according to restorative material: (1) control group-none; (2) RMGIC; (3) ZOE; and (4) ZOE and SSC. Groups 2, 3 and 4 specimens were placed in artificially simulated oral cavity conditions. After 24 hours, all teeth were sectioned mesiodistally and polished. Microhardness was then measured in Knoop scales (HK) at one mm, two mm and three mm away from the NeoPUTTY-overlying material interface following the application of a 25-gf load force for 30 seconds at each site. One-way analysis of variance was used to compare the NeoPUTTY microhardness values between groups at each depth as well as between the three different depths within each group (<i>P</i> <0.05).<br/> <b>Results:</b> No statistically significant differences in mean HK values (57.9 to 62.3 range) were found between groups at each depth, or between depths within each group (Group 1,<i>P</i> =0.328; Group 2, <i>P</i> =0.74; Group 3, <i>P</i> =0.293; Group 4, <i>P</i> =0.788).<br/> <b>Conclusion:</b> The setting reaction of NeoPUTTY, as a function of microhardness, was not affected by the presence or type of overlying material used in a single-visit pulpotomy. This <i>in vitro</i> study found no evidence against the immediate restoration of primary molar pulpotomies done with NeoPUTTY.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9362254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}