RESUMO
BACKGROUND: Early childhood caries is like an epidemic, especially in the developing world, hence exploring its appropriate factors in causing the disease the need of the hour. Hence, the aim of the present study was to evaluate social and behavioral determinants of early childhood caries within the region of Ambala, Haryana. MATERIALS AND METHODS: The present survey elaborated oral examination among 398 study participants within the age group of 4-5 years. Carious tooth was recorded using Gruebbel's deft DEFT index using clean mouth mirror and probe. A questionnaire comprising 21 questions in English as well as Hindi was prepared. There was an interviewer who took the interview of parents or caregivers. The questionnaire consisted of questions which were aimed at gaining information regarding infants feeding practice, social factors, and dental health behavior. The results of the study were tabulated, and inferential statistics were applied using ANOVA test along with regression (multiple logistic) procedure. RESULTS: The occurrence of caries was affected by the behavioral factors such as breastfeeding habits, bottle feeding habits, age of beginning of solid foods in children. There was no influence of age of beginning of taking fluid from cup. Besides social factors like annual family income, education of mothers, age of mother at the time of birth of children, age of children, order of children in the family had a significant effect over the occurrence and severity and extent of caries. Factors such as gender of children and profession of mother did not have had a significant role in early childhood caries. Dental health habits such as tooth brushing frequency, brushing under supervision, frequency of toothbrushing, quantity of toothpaste used had a significant effect over the frequency, and acerbity of caries in early infanthood. CONCLUSION: It can be concluded from this study that there is a significant correlation between several social and behavioral determinants and early childhood caries.
RESUMO
A solitary median maxillary central incisor (SMMCI) is a rare anomaly that can occur alone or be associated with other systemic abnormalities. Early diagnosis of SMMCI is crucial as it might indicate the presence of an associated congenital or developmental abnormality. The prevalence of live-born children with SMMCI is determined to be 1:50,000 and is more common among females. The purpose of this paper was to report an unusual case of a 9-year-old girl with SMMCI who had no growth deficiency or any other systemic involvement. Since pediatricians and dentists are the first professionals to evaluate an SMMCI's patient in most cases, it is important that they be aware of the possibility of other related systemic problems that require systemic care. Appropriate treatment, diagnosis, and referral should also include neuropediatric evaluation, genetic testing, and craniofacial profile analysis along with multidisciplinary approach.
RESUMO
PURPOSE: To evaluate the clinical performance of high viscosity GIC sealant applied with or without additional light curing in children with early childhood caries (ECC). MATERIALS AND METHODS: A split-mouth clinical trial was conducted in a total of 111 3- to 5-year-old children with ECC. 180 pairs of non-carious primary second molars were selected and divided into two groups: study and control. On the basis of the application technique, selected teeth in the study group were further allotted to group A (sealant application with additional light curing) and group B (sealant application without additional light curing). Caries incidence was observed for 1 year in the anatomical pits and grooves, along with sealant retention and marginal discolouration at various intervals over the 1-year period. RESULTS: Group A (GIC sealant with additional light curing) (44.2%) showed sealant retention similar to that of group B (GIC sealant without additional light curing) (43.0%) (p = 0.885). Caries incidence was significantly higher in the control group (26%) than the sealant groups (1%) (p < 0.001). No marginal discolouration adjacent to the sealant was observed in either anatomical grooves or pits in both sealant groups for the duration of the study. CONCLUSION: Retention and caries prevention by high-viscosity GIC sealant applied with or without additional light curing was found to be similar. At the 12-month assessment, mean dmfs scores and caries incidence in primary second molars were higher in the control than in both study groups.
