Assessment of Intraoral Findings of Neonates, Born in and around Meerut City.

AIM: The aim of this study is to evaluate the occlusal relationships between the gum pads of neonates and to record intraoral findings in neonates and compare with the existing findings. MATERIALS AND METHODS: The oral cavities of 1,000 healthy neonates from birth to 1 month of age were examined to evaluate the occlusal relationships between the gum pads and to record other intraoral findings in neonates and compare with the existing findings. Oral findings recorded were oral mucosal cysts, Fordyce's spot, Epstein's pearls, Bohn's nodules, ankyloglossia, natal or neonatal teeth and attachment of the upper midline frenum. Relationship between the alveolar ridges was also recorded. Obtained data were evaluated and statistically analyzed using the Statistical Package for Social Sciences (SPSS) version 21.0 and Epi-info version 3.0. RESULTS: The maxillo-mandibular relationship of gum pads in approximately 97% cases, the mandible was found distal and lingual to maxilla. The presence of anterior open bite was observed in 9.1% cases. The most common intraoral finding in examined neonates was an oral mucosal cyst, 61.2%. The presence of Epstein's pearls was the next most common finding 38.3%. Fordyce's spots were found only in 1.2% of cases, while the presence of natal/neonatal teeth was only in 0.6% of cases. Ankyloglossia was present in only 0.5% neonates. Maxillary frenum was present in 79.1% of cases and it was attached on the alveolar crest. CONCLUSION: The results of the present study were in accordance with the pre-existing data. However, anterior open-bite was seen in significantly less percentage of the population. HOW TO CITE THIS ARTICLE: Niranjan MM, Srivastava N, Rana V, et al. Assessment of Intraoral Findings of Neonates, Born in and around Meerut City. Int J Clin Pediatr Dent 2020;13(1):48-52.

Isolation of Scardovia wiggsiae using real-time polymerase chain reaction from the saliva of children with early childhood caries.

AIM: This study aimed to quantitatively assess the levels of Scardovia wiggsiae in caries-free and early childhood caries (ECC)- and severe ECC (SECC)-affected children using real-time polymerase chain reaction (RT-PCR). METHODS: Forty-five children aged <71 months were randomly recruited from the Outpatient Clinic at the Department of Pedodontics and Preventive Dentistry at Subharti Dental College and Hospital, Meerut, India. Fifteen children suffering from ECC, 15 with SECC, and 15 children without ECC were enrolled in the study. About 1-2 mL of unstimulated saliva was collected and subjected to microbial analysis using RT-PCR. RESULTS: The SECC group (n = 15) was found to have significantly higher mean relative 16s rRNA expression of S. wiggsiae (3.67) than both ECC (n = 15) and controls (n = 15) (1.69 and 0.85, respectively). S. wiggsiae was detected in 86.7% of the SECC and 60% ECC group and was detected negligibly in the control (caries free) group. The correlation of decayed, missing, or filled surface levels with 16s rRNA levels showed significant positive correlation with 16S rRNA in both ECC and SECC patients. CONCLUSION: Salivary levels of S. wiggsiae were significantly associated with ECC in children. S. wiggsiae represents a new frontier in the microbial etiology of ECC. This may lead to the development of new antimicrobial agents targeted to this organism and improve the treatment of ECC.

Bilateral Maxillary Paramolars in an Adolescent.

Paramolars are relatively uncommon supernumerary molars. Limited cases of bilateral maxillary or mandibular paramolars have been reported. This case report describes bilateral maxillary premolars and their management in a 15-year-old girl, whose chief complaint was food lodgment in these regions. After a diagnosis of bilateral maxillary premolars was made and confirmed by orthopantomogram, both of the paramolars were extracted.

Diagnostic potential of inflammatory biomarkers in early childhood caries - A case control study.

BACKGROUND: Early Childhood Caries (ECC) is most common chronic infectious disease of childhood. Diagnosis of dental caries has been limited to clinical, visual and radiographic methods but its inflammatory component remained unexplored. Hence, this study aims to evaluate salivary levels of inflammatory cytokines in children with ECC to assess their potential as non-invasive biomarkers. METHODS: 50 subjects were recruited (25 ECC patients and 25 healthy children). Saliva samples were taken from all subjects and collected again from patients after rehabilitative intervention. Levels of IL-6, IL-8 and TNF-α were determined using ELISA. Cytokines level were statistically correlated with each other and with DMF score along with ROC curve analysis. RESULTS: Salivary levels of IL-6, IL-8 & TNF-α were significantly higher in patients which got significantly reduced after rehabilitative intervention. Levels of these cytokines were significantly associated with severity of dental caries. These cytokines were correlating with each other along with DMF score upon Spearman correlation. ROC curve reveals optimum sensitivity and specificity of these cytokines for diagnosis in ECC with absolute levels observed for IL-6. CONCLUSIONS: Significant elevation of IL-6, IL-8 and TNF-α with optimum sensitivity and specificity might imply their involvement as potential non-invasive diagnostic/prognostic markers in ECC.

Peripheral and Central Giant Cell Lesions in Children: Institutional Experience at Subharti Dental College and Hospital.

INTRODUCTION: Giant cell lesions (GCG) are a group of varied lesions that contain a multitude of multinucleated, osteoclast like giant cells within connective tissue stroma. These include giant cell granulomas which may be central (CGCG), if they lie within the jaw bone, or, peripheral (PGCG) if they lie within the soft tissue. Giant cell granulomas comprised 9.29% of all oral lesions. This case series comprises of 5 giant cell lesions in children between the ages of 4 to 12 years. MATERIALS AND METHODS: A retrospective analysis was conducted of all patients who were diagnosed with giant cell lesions and treated over a period of 10 years (from August 2004 to August 2014) at Subharti Dental College and Hospital, Meerut, India. RESULTS: A total of 5 giant cell lesions were identified in this case series, of which 2 cases were diagnosed as PGCG and 3 cases as CGCG. Surgical excision and curettage was performed for 2 peripheral lesions under local anesthesia while 1 central lesion was excised under general anesthesia. Two central lesions were treated with a non-surgical approach using intralesional corticosteroid. CONCLUSION: Our experience suggests that a correct diagnosis and complete surgical excision with curettage is effective in complete management of oral giant cell lesions in the pediatric age group.

Remineralizing Agents: The Next Frontier.

Remineralizing agents represent a new frontier in dentistry. They may be classified as fluoride agents, calcium and phosphate based agents, herbal agents or combinations. The modes of delivery of remineralizing agents may be as dentifrices, mouth rinses, lozenges or chewing gums. The applications of remineralizing agents may be extrapolated to virtually every branch of dentistry ranging from pediatric to geriatric dentistry.

Non suicidal self injury resulting in dental trauma in an adolescent.

BACKGROUND/AIM: Non-suicidal self injury may be a possible etiologic factor for dental trauma in adolescents. The aim of this case report is to present a case of non-suicidal self injury resulting in dental trauma in a 16 year old adolescent boy. CASE REPORT: This report illustrates a case of non-suicidal self injury in a 16 year old healthy boy with resultant trauma to the maxillary central incisors and the left lateral incisor (teeth 11, 21, and 22). Three tests were applied; Wechsler Abbreviated Scale of Intelligence™ (WASI), Inventory of Statements about Self Injury (ISAS), and UPPS Impulsive Behavior Scale (UPPS); to assess the patient's intellectual and behavioral functioning. Dental treatment was rendered in the form of composite restorations on teeth 11, 21, and 22. RESULTS AND DISCUSSION: The patient had a general intelligence quotient (IQ) of 92 (SD = 10.9), verbal score of 86.6 (SD = 14.6), and performance IQ of 93.4 (SD = 23.66) which implied that the intelligence levels were well within the normal range. The patient demonstrated self hitting behavior and predominantly intrapersonal functions of his NSSI on testing with the ISAS scale and elevated urgency scores on the UPPS scale. The total UPPS score was 115.9 and urgency score was 35.9. NSSI was an outlet for negative emotions and to release self directed anger. This resulted in dental trauma to teeth 11, 21, and 22. CONCLUSION: NSSI may be an etiologic or risk factor for dental trauma in intellectually normal adolescents as seen in the present case. Self hitting, intrapersonal factors or self directed factors and impulsivity are more likely to predispose an adolescent toward performance of such behavior.

Comparative Evaluation of the Effects of Fluoride Mouthrinse, Herbal Mouthrinse and Oil Pulling on the Caries Activity and Streptococcus mutans Count using Oratest and Dentocult SM Strip Mutans Kit.

BACKGROUND: As the technological level of healthcare increases, it is important not to lose sight of the basics of patient care. No matter how sophisticated dental techniques have become, preventive dentistry still remains the foundation for oral health. Therefore, antimicrobial mouthrinses are developed to provide an effective means of preventing colonization by micro-organisms. AIM: The aim of this study was to evaluate and compare the antimicrobial activity of oil pulling, herbal mouthrinses and fluoride mouthwash on the caries activity and S. mutans counts in the saliva of children, using Oratest and Dentocult SM kit. DESIGN: Fifty-two healthy children between the age group of 6 to 12 years were selected for the study and divided into four groups based on the mouthrinse used as group 1: fluoride, group 2: herbal, group 3: oil pulling and group 4: control. The estimation of caries activity and S. mutans was done prior to and after the subjects were instructed to use the mouthrinse twice daily for a period of 2 weeks. STATISTICAL ANALYSIS: The comparisons were made by applying paired 't' test with the level of significance set at p < 0.05. Difference between more than two mean values was done by using ANOVA and Post hoc Bonferroni test was used for multiple comparisons. RESULTS AND CONCLUSION: The efficacy of fluoride and herbal mouthrinses was found to be comparable while oil pulling did not provide any additional benefit to be used as an effective antimicrobial agent in reducing the bacterial colonization of an individual. How to cite this article: Jauhari D, Srivastava N, Rana V, Chandna P. Comparative Evaluation of the Effects of Fluoride Mouthrinse, Herbal Mouthrinse and Oil Pulling on the Caries Activity and Streptococcus mutans Count using Oratest and Dentocult SM Strip Mutans Kit. Int J Clin Pediatr Dent 2015;8(2):114-118.

Laser Pulpotomy-An Effective Alternative to Conventional Techniques: A 12 Months Clinicoradiographic Study.

BACKGROUND: Vital pulpotomy is a single-stage procedure of surgical amputation of the coronal portion of exposed vital pulp, usually as a means of preserving the vitality and function of the remaining radicular portion. AIMS AND OBJECTIVES: The aim of this study was to compare the clinical and radiographic success rates for ferric sulfate (FS), electrosurgery (ES) and laser pulpotomy in human primary molars. MATERIALS AND METHODS: In a randomized clinical trial, 30 primary molars indicated for pulpotomy in children aged 4 to 10 years were treated using either a FS (10 teeth), ES technique (10 teeth) and laser (10 teeth). Following the pulpotomy, the teeth were evaluated for clinical and radiographic success at 3, 6, 9 and 12 months on the basis of the presence of pain, sinus, mobility, internal and external resorption, periapical radiolucency, calcification in the canal and bone loss. STATISTICAL ANALYSIS: The data were assessed with Chi-square test. RESULTS: After 12 months of follow-up, both clinical and radiographic success rates were 100% in the laser group but only 80% in both ES and FS groups. There was statistically significant difference between the success rates of three groups (p < 0.05). CONCLUSION: Laser pulpotomy showed better clinical as well as radiographical results than ES and FS pulpotomy. Laser pulpotomy was also found superior in terms of operating time, patient cooperation, ease of use and pain. Although results of the study showed the failure rates for electrosurgical pulpotomy to be equal to those for FS pulpotomy, electrosurgical pulpotomy being a nonpharmacological technique considered more favorable. Further studies using larger sample size and longer evaluation periods are suggested. How to cite this article: Gupta G, Rana V, Srivastava N, Chandna P. Laser Pulpotomy-An Effective Alternative to Conventional Techniques: A 12 Months Clinicoradiographic Study. Int J Clin Pediatr Dent 2015;8(1):18-21.

Obsessive compulsive disorder in dental setting.

Globally, 20% of children and adolescents suffer from a disabling psychologic illness. Among these, Obsessive Compulsive Disorder (OCD) is listed by the World Health Organization (WHO) as one of the 10 most disabling conditions, with prevalence rates of OCD in children ranging between 1 to 3%. Pediatric dentists are in a unique position to diagnose psychological problems in children and adolescents due to their ongoing relationship with children and their parents that starts at a very early age. Timely diagnosis of psychological illness can result in early intervention as well as better patient management for the dentist too. The purpose of this case report is to highlight a case of OCD in an adolescent girl diagnosed in a dental setting.

Pediatric oral lichen planus: review and case report.

Oral Lichen Planus (OLP) is one of the most common dermatologic diseases occurring in the mouth with an overall prevalence of 0.5 - 2.2%. Childhood OLP is rare and follows an atypical course. OLP typically presents clinically as bilateral, symmetrical, flat- topped polygonal papules and plaques that may be symptomatic or asymptomatic. The aim of this article is to present a brief review of OLP with a case report of a 7 year old girl with OLP.

A Comparative Evaluation of the Effect of Bonding Agent on the Tensile Bond Strength of Two Pit and Fissure Sealants Using Invasive and Non-invasive Techniques: An in-vitro Study.

BACKGROUND: Newer technologies and the development of pit and fissure sealants have shifted the treatment philosophy from 'drill and fill' to that of 'seal and heal'. AIMS: The purpose of this in-vitro study was to evaluate the effects of bonding agents on the tensile bond strengths of two pit and fissure sealants by using invasive and non-invasive techniques. STUDY DESIGN AND METHODS: One hundred and twenty bicuspids were collected and teeth were divided into two groups: Group-I (Clinpro) and Group-II (Conseal f) with 60 teeth in each group. For evaluating tensile bond strengths, occlusal surfaces of all the teeth were flattened by reducing buccal and lingual cusps without disturbing fissures. Standardised polyvinyl tube was bonded to occlusal surfaces with respective materials. Sealants were applied, with or without bonding agents, in increments and they were light cured. Tensile bond strengths were determined by using Universal Testing Machine. STATISTICAL ANALYSIS: Data were then statistically analysed by using Student t-test for comparison. RESULTS: A statistically significant difference was found in tensile bond strength in invasive with bonding agent group than in non-invasive with bonding agent group. CONCLUSION: This study revealed that invasive techniques increase the tensile bond strengths of sealants as compared to non- invasive techniques and that the use of a bonding agent as an intermediate layer between the tooth and fissure sealant is beneficial for increasing the bond strength.

Surgical Repositioning of a Dilacerated Impacted Incisor.

Dilaceration is one of the most common complications of trauma to deciduous dentition. The possible causes of dilaceration are trauma and developmental disturbances, while some authors suggest an association with some developmental syndromes. Dilaceration can be seen in both the permanent and deciduous dentition. The present case report describes surgical repositioning of a dilacerated impacted maxillary central incisor in a 9-year-old boy.

Mandibular fracture in an 18-month-old child.

Facial trauma in a child can be a greatly distressing experience for the parents as well as the child, causing uncontrollable crying in the child and panic and fear in the parents. Facial injuries in children are less common than in adults. This case report describes the management of symphysial fracture of the mandible in an 18-month-old girl. The fracture was reduced under general anesthesia and then stabilized with an acrylic cap splint, utilizing circummandibular wiring.

Oral health in children guidelines for pediatricians.

Dental caries in the primary dentition can have significant damaging effects on a childs growth due to impairment of oral functions. Since the first encounter of a child to a medical environment is often through pediatricians and medical practitioners, it is important that they be aware of the prevention of oral disease that begins early in life. The aim of this article is to diminish the existing ambiguity among pediatricians and medical practitioners regarding oral disease and its prevention.

Prosthetic Rehabilitation in Marble Bone Disease.

Osteopetrosis is a rare metabolic disease.(1) Dental abnormalities may be attributed to the pathological changes in osteopetrosis. Patients with osteopetrosis are especially susceptible to osteomyelitis of mandible.(1) A 13-year-old girl presented with complaint of jaw swelling on left side. The radiograph of left mandible (lateral oblique view) showed small sequestrum with irregularity and erosions of the man-dibular cortical margins. This case report aims at diagnosis and treatment of osteopetrosis with superadded mandibular osteomyelitis-a are entity.

A comparative evaluation of hydroxyapatite crystals and glutaraldehyde as agents for pulpotomy in deciduous molars.

PURPOSE: To evaluate and compare clinically and radiographically use of hydroxyapatite crystals and 2% glutaraldehyde as a pulpotomy agent. METHOD: Thirty deciduous molars were treated with pulpotomy using hydroxyapatite crystals and 2% glutaraldehyde. RESULTS: Clinical and radiographic findings were observed at three months and six months. The success rate was found to be 100% clinically and 80.33% radiographically in the hydroxyapatite crystals group and 100% clinically and radiographically in the glutaraldehyde group. CLINICAL SIGNIFICANCE: The results of this study revealed that hydroxyapatite crystals is a potential pulpotomy agent for deciduous molars.

Orofacial cat bite: a case report.

The article describes an unusual case of a 7 years old male child presenting with orofacial cat bite injury that occurred in infancy. This resulted in loss of deciduous and permanent tooth buds and consequently hampered alveolar growth. The patient was given a removable partial denture to restore function and aesthetics. The article highlights the importance of complete history, diagnosis and management of such injuries in children.