Posteruptive Intracoronal Resorption in a 9-year-old with Molar Incisor Hypomineralization: A Case Report.

Objectives: The case report highlights the management of late-stage sequelae of preeruptive intracoronal resorption (PEIR) with molar incisor hypomineralization (MIH). Materials and methods: A 9-year-old patient presented with occlusal cavitations in her upper and lower permanent molars with vascularized tissue seen within the dentin, without any connections with the dental pulp, and no evidence of carious activity within the lesion. The affected teeth were debrided, and Biodentine™ was placed to preserve the vital pulp. The permanent molars were restored with Hall crowns, and the case was followed up for 2 years. Results: The patient remained asymptomatic throughout the follow-up period. The resulting increase in the bite following the placement of the Hall crown settled within 2 months. Pulp vitality was preserved, and no further resorptive activity was seen in the dentition. Conclusion: Preeruptive intracoronal resorption may go unnoticed and may later present with late-stage manifestations. Patients with PEIR and MIH may end up with an exposed resorptive lesion due to posteruptive breakdown, which may be managed conservatively using Biodentine™. Clinical significance: Resorptive lesions can be conservatively managed without compromising pulpal health. Their early detection and differentiation from dental caries can prove pivotal in the preservation of the affected teeth. How to cite this article: Bhatia K, Malladi U, Thomas NA, et al. Posteruptive Intracoronal Resorption in a 9-year-old with Molar Incisor Hypomineralization: A Case Report. Int J Clin Pediatr Dent 2024;17(6):712-716.

Efficacy of Mandala Coloring Intervention on Executive Functioning and Emotional & Motivational Self-Regulation Among Children With Symptoms of Attention Deficit Hyperactivity Disorder.

INTRODUCTION: Attention deficit hyperactivity disorder (ADHD) is the most common neuropsychiatric condition of childhood. There is a sizable subset of children with ADHD symptoms in whom early intervention can prevent their progression into fulminant ADHD. However, the therapeutic options for ADHD symptoms are limited. Mandala coloring is a form of art therapy that may be used in these children, but there is a dearth of literature regarding its efficacy. METHOD: This is a prospective cohort study on 120 children aged six to 10 years diagnosed with ADHD symptoms. The children were divided into two equal groups of intervention and control. Children in the intervention group were given mandala coloring intervention for 10 weeks duration. Pre-test and post-test values of executive functioning and emotional and motivational self-regulation (EMSRQ) were compared between the two groups by using SPSS 23 (IBM Corp., Armonk, NY). RESULTS: The demographic data and baseline characteristics were comparable in both groups. Post-test values showed significant improvement across all parameters of executive functioning in the intervention group. However, the difference was not significant in EMSRQ. At follow-up, parents reported improvement in academic performance, concentration, and mindfully focusing on a single activity for a longer duration of time. CONCLUSION: The attention span and cognitive abilities of children at risk for ADHD may be improved with the relatively simple yet effective intervention technique of mandala coloring that can easily be administered by parents at home. Further research is needed to compare its efficacy with other treatment modalities.

Nontuberculous Mycobacterial Infection After Cholecystectomy: A Case Series and Literature Review.

Nontuberculous mycobacteria (NTM) are ubiquitous micro-organisms that can cause skin, soft tissue, and respiratory infections. Some of these bacteria are resistant to the commonly used disinfectants in hospitals and lead to wound infections after surgery. The diagnosis of NTM infections requires a high index of clinical suspicion as their clinical presentation often overlaps with other bacterial infections. Moreover, the isolation of NTM from clinical samples is difficult and time-consuming. Also, there is a lack of standardized treatment protocols for NTM infections. We report four cases of delayed wound infections after cholecystectomy probably due to NTM which were successfully treated by a combination of clarithromycin, ciprofloxacin, and amikacin.

Retrieval of Fractured Implant Abutment Screws: A Narrative Review.

Objective: Implant abutment screws can fracture due to various biomechanical factors. Improper fit of the prosthesis, inadequate seating of the abutment, occlusal interference, and manufacturing errors are some of the causes that can result in an abutment screw fracture. Retrieval of the retained fractured abutment screw is quite challenging to the clinician. The objective of this review is to provide information on various fractured abutment screw retrieval techniques reported in literature and to formulate a structured treatment protocol for the management of fractured abutment screws. Materials and Methods: An electronic search of Scopus and PubMed databases was performed for articles between January 1989 and December 2021 using the keywords "Implant screw fracture" and "screw retrieval." Results: Most of the articles were of the opinion that abutment screw fractures occurred due to screw loosening. Both conservative approaches and the use of commercial retrieval kits have been advocated to retrieve the fractured abutment screws. Based on various review articles, an innovative novel technique to retrieve an abutment screw fractured due to excessive torque was devised in our unit. Conclusion: Although clinicians can use various techniques to remove fractured abutment screws, every effort should be made to eliminate the cause of screw fracture. Retrieval of the broken screw fragment should be done judiciously to prevent any internal damage to the implant structure.

Alpha-foetoprotein in the diagnosis of prelabour rupture of membranes.

CONTENT: Prelabour rupture of membranes (PROM) complicates overall 10% of gestations which include 7% at term and 3 % preterm gestations. Making an early and accurate diagnosis of PROM is important, to allow gestational age specific obstetric interventions and to optimize perinatal outcome. OBJECTIVE: To study the efficacy of alpha-foeto protein in cervicovaginal secretions, to diagnose prelabour rupture of membranes. SETTING: A tertiary care centre. MATERIALS AND METHODS: We performed a prospective study on 130 patients who were at ≥ 24 weeks of gestation, who had complaint of leaking per vagina, between September 2011 and August 2013. Alpha-foetoprotein test was perfomed on cervicovaginal secretions which were collected during per-speculum examinations. A diagnosis of prelabour rupture of membranes was made, based on combined clinical diagnosis which was made during hospital stay of the patients prospectively. The efficacy of Alpha-foetoprotein was studied. Stastical Analysis: Chi-square test, Kappa analysis. RESULTS: The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of Alpha-foetoprotein were 88.9%, 98.5%, 98.3%, 90.1% and 93.8% respectively. Degree of agreement of Alpha-foetoprotein with combined clinical diagnosis was 0.875. CONCLUSION: Assessment of alpha-foetoprotein levels in cervi-covaginal secretions can be used as a reliable test to diagnose prelabour rupture of membranes when faced with a diagnostic dilemma.