Applicability of different mixed dentition analysis in Lucknow population.

AIMS: The aim of this study was to test the reliability of Moyer's and Tanaka-Johnston method of mixed dentition analysis among Lucknow population and also derive a linear regression equation that would predict sum of mesiodistal widths of upper and lower canines and premolars for both sexes. SETTING AND DESIGN: Moyer's and Tanaka-Johnston mixed dentition space analysis were developed from a sample of North European descent children. Hence, it becomes questionable when applied to individuals with different ethnic origin. MATERIALS AND METHODS: Actual mesiodistal widths of permanent upper and lower incisors, canines, and premolars were recorded on 100 dental casts for both sexes using digital Vernier caliper nearest of 0.02 mm. Predicted values of mesiodistal widths of permanent upper and lower canines and premolars were obtained using Moyer's probability analysis at the 75th percentile and Tanaka-Johnston method. Both actual and predicted values for both sexes were put to statistical evaluation using student "t" test and unpaired "t" test. RESULTS: Differences between the actual and predicted values of upper and lower permanent canines and premolars were statistically significant in both sexes (P < 0.05) for both Moyer's and Tanaka-Johnston mixed dentition analysis. Four linear regression, equations were developed for both sexes to predict mesiodistal widths of erupting upper and lower permanent canines and premolars using the lower incisors. No significant difference was observed when the regression equations were applied. CONCLUSION: Predictions from linear regression equations matched well with the data obtained from the samples of the present study for both males and females of Lucknow population.

Recent vs Conventional Methods of Caries Removal: A Comparative in vivo Study in Pediatric Patients.

AIMS: To compare the three different methods of caries removal, conventional method using Airotor and chemomechanical method using Carisolv and Papacarie. SETTINGS AND DESIGN: The patients with multiple carious teeth were selected either in the deciduous dentition or mixed dentition. Ninety primary molars were selected from 30 children (10 males and 20 females) between the age group 6 and 9 years. MATERIALS AND METHODS: After caries excavation, cavities were evaluated for caries removal or clinical efficacy by the tactile and visual criteria, microbiological efficacy, time taken for the procedure. Patient acceptability toward the treatment was also checked with the help of a visual analog scale (VAS). The observations thus obtained were subjected to statistical analysis using analysis of variance (ANOVA), Mann-Whitney U-test and Kruskal-Wallis test. RESULTS: The clinical efficacy of caries removal was highest with Airotor while the microbiological efficacy of caries removal was almost comparable with Airotor, Carisolv and Papacarie caries removal methods. The time taken to remove caries by Airotor method was observed to be least while the patient acceptance was found to be highest with Papacarie method. How to cite this article: Chowdhry S, Saha S, Samadi F, Jaiswal JN, Garg A, Chowdhry P. Recent vs Conventional Methods of Caries Removal: A Comparative in vivo Study in Pediatric Patients. Int J Clin Pediatr Dent 2015;8(1):6-11.

'Metal to resin': a comparative evaluation of conventional band and loop space maintainer with the fiber reinforced composite resin space maintainer in children.

AIMS: To compare the clinical efficacy of two space maintainers namely, conventional band and loop and Fiber Reinforced Composite Resin (FRCR) space maintainers. SUBJECTS AND METHODS: Thirty healthy children, aged 5 to 8 years were selected having at least two deciduous molars in different quadrants indicated for extraction or lost previously. FRCR space maintainer was placed in one quadrant and in the other quadrant band and loop space maintainer was cemented. All the patients were recalled at 1 st, 3 rd, and 6 th months for evaluation of both types of space maintainer. Patient acceptability, time taken, and clinical efficacy was recorded. STATISTICAL ANALYSIS USED: The observations thus obtained were subjected to statistical analysis using Chi- square test and Mann-Whitney U test. RESULTS: Patient acceptability was greater in Group I (FRCR) in comparison to Group II (band and loop space maintainer). The time taken by Group I was significantly lower as compared to that of Group II. In Group I, debonding of enamel, composite was the most common complication leading to failure followed by debonding of fiber composite. In Group II, cement loss was the most common complication leading to failure followed by slippage of band and fracture of loop. The success rates of Groups I and Group II weares 63.3% and 36.7%, respectively. CONCLUSION: The study concluded that FRCRFiber Reinforced Composite Resin (Ribbond) space maintainers can be considered as viable alternative to the conventional band and loop space maintainers.

Oral pemphigus vulgaris in a pediatric patient.

Pemphigus vulgaris is a chronic autoimmune mucocutaneous disease that initially manifests in the form of intraoral lesions, which spread to other mucous membranes and the skin. The etiology of pemphigus vulgaris is still unknown, although the disease has attracted considerable interest. The pemphigus group of diseases is characterized by the production of autoantibody against intercellular substances and is thus classified as autoimmune diseases. A case of oral pemphigus vulgaris is presented with special emphasis on diagnostic modalities.

Rehabilitation of severely mutilated teeth under general anesthesia in an emotionally immature child.

Dental caries is the single most common chronic childhood disease. In rampant caries, there is early pulp involvement and gross destruction of the maxillary anterior teeth as well as posterior teeth. This leads to decreased masticatory efficiency, difficulty in speech, compromised esthetics, development of abnormal tongue habits and subsequent malocclusion and psychological problems. The restoration of severely decayed primary incisors is often a procedure that presents a special challenge to dentists, particularly in an uncooperative child. This case report documents the restoration of severely mutilated deciduous teeth in an emotionally immature patient under general anesthesia.

Antimicrobial activity of different endodontic sealers: an in vitro evaluation.

BACKGROUND: Microbes are considered as the primary etiological agents in endodontic diseases. The ways of reducing these agents are root canal debridement, antimicrobial irrigants, and antibacterial filling materials. But the complexity of the pulp canal system presents a problem for chemomechanical preparation. One of the factors determining the success of endodontic treatment is the sealing material with a potent bactericidal effect. AIM: The aim of the present study was to assess the antimicrobial activity of endodontic sealers of different bases - in vitro. MATERIALS AND METHOD: The antimicrobial activity of three root canal sealers (endomethasone, AH 26, and apexit) was evaluated against seven strains of bacteria at various time intervals using the agar diffusion test. The freshly mixed sealers were placed in prepared wells of agar plates inoculated with the test microorganisms. The plates were incubated for 24, 48, 72 hours, and 7 and 15 days. The mean zones of inhibition were measured. STATISTICAL ANALYSIS: All statistical analysis was performed using the SPSS 13 statistical software version. The analysis of variance (ANOVA), post-hoc Bonferroni test, and paired t test were performed to reveal the statistical significance. RESULTS: Statistically significant zones of bacterial growth inhibition were observed in descending order of antimicrobial activity: endomethasone, AH 26, and apexit. CONCLUSION: Zinc oxide eugenol based root canal sealer produced largest inhibitory zones followed in decreasing order by epoxy resin based sealer and least by calcium hydroxide based root canal sealer.

A comparative evaluation of oral midazolam with other sedatives as premedication in pediatric dentistry.

The purpose of present study was to evaluate the safety and efficacy of orally administered midazolam in children as a sedative agent and to compare it with two other older agents, triclofos and promethazine. The study was conducted on ninety child patients requiring some short dental procedure. All the patients were with a good physical status (ASA-I). The ages ranged between 3 and 9 years. The patients were randomized into three study groups: Group 1, midazolam, Group II, triclofos and Group III, promethazine, on the basis of the drugs to be administered. After administration of drugs in each group, the effects were evaluated in terms of onset of action, sedative effect, ease of treatment completion, recovery time and postoperative amnesia. Midazolam was found to be the best drug among the three to produce conscious sedation in children.

Cephalometric evaluation of Class II malocclusions in transitional dentition.

Studying malocclusion during active growth period is important because this period has the maximum impact on dentofacial structures. The present study comprises of computerised cephalometric evaluation of 100 North Indian children in the age group of 9-12 years, with 50 children in normal occlusion group. The samples were segregated according to sex with 25 females and 25 males in each group. It was concluded from the study that changes or deviations in SNB, Saddle, Articular and Gonial angles are the potential indicative factors in the development of a class II malocclusion and that class II pattern is associated with short and posteriorly placed mandible in relation to the cranial base.

Reattachment of a fractured non-vital central incisor fragment: a case report.

Reattachment of the original tooth fragment to the fractured tooth provides benefits of maintaining the tooth's shape, colour texture and translucency in the restoration. This paper describes fragment reattachment of a non-vital central incisor five months after trauma.

Effect of conditioning the enamel surface of primary teeth with citric acid: a SEM study.

The present SEM study revealed the effect of 50 percent citric acid on the primary tooth enamel subsequent to mechanical pretreatment. The enamel of primary teeth was conditioned with 50% citric acid for 1, 1.5, 2, 3 and 5 minutes. A uniformly etched enamel surface was obtained at 5 minutes.

Cytotoxicity of eugenol in sealer containing zinc-oxide.

In this study two zinc-oxide-based root canal sealers were compared for their tissue toxic response. The sealers tested were zinc-oxide eugenol and zinc-oxide glycerine. Fifteen albino rats were used for the study and were injected subcutaneously in the preset state. The tissue response was assessed by counting the polymorphonuclear cells at Day 1, Day 7 and Day 15 of the study period. The inflammatory response was graded according to the mean polymorphonuclear counts in the five rats for each period. The results showed that the toxicity was greater for the eugenol-containing sealer and increased during the three time intervals. For the non-eugenol sealer the response was milder and reached a peak by 7 days after which it decreased.

Antimicrobial efficacy of iodoformized zinc oxide-eugenol sealer on micro-organisms of root canal.

Iodoformized zinc oxide-eugenol was tested for its antibacterial effect against the aerobic and anaerobic bacteria obtained from the root canals of deciduous teeth; the bacteria were staph aureus, strep viridans, strep faecalis, bacteroides melaninogenicus and also mixed culture obtained from infected non-vital anterior teeth. The sensitivity was checked on BHI- agar plates employing well-method. Iodoformized zinc oxide eugenol paste was found to be effective for both the aerobic and anaerobic bacteria of the root canals of deciduous teeth with maximum sustaining period of 10 days; staphylococcus aureus was found to be the most susceptible, while Streptococcus faecalis the most resistant.

The effect of metronidazole on the anaerobic microorganisms of the root canal--a clinical study.

The antibacterial effect of 0.25% metronidazole solution as root canal irrigant on anaerobic bacteria was studied in ten central incisors. Each tooth was treated at four appointments, and the presence of anaerobes in the root canal was studied on each occasion. No antibacterial intracanal dressings were used between the appointments. No anaerobes could be recovered from any tooth on the fifth appointment. In the control group, where normal saline was used as an irrigant, anaerobes could be recovered in four of the ten canals. These results suggest that 0.25% metronidazole solution is more effective than saline solution as a root canal irrigant.

Pulp calcifications in primary teeth.

Information regarding the prevalence of pulp calcifications in primary teeth is lacking. The occurrence of pulp calcifications in 120 primary maxillary and mandibular extracted teeth was evaluated radiographically. Twenty-five percent of second molars presented evidence of pulp calcifications; approximately 3% of central incisors were calcified. No other categories of teeth displayed pulp involvement. The low occurrence of pulp calcifications in primary teeth support the view that the occurrence of pulp calcification increases with age.

Pulp calcifications in primary teeth.

One hundred and twenty primary maxillary and mandibular extracted teeth were collected to study the occurrence and nature of pulp calcifications. The teeth were serially sectioned, stained with hematoxylin and eosin, examined by light microscope. Pulp calcifications were observed in 31 (25.8%) teeth. Two types of pulp calcifications were noticed i.e., diffuse calcifications and free/attached type denticles. The occurrence of pulp calcification appears identical in all teeth except in the first primary molar which is statistically not significant (P greater than 0.05). The low prevalence of pulp calcifications in the primary teeth support the view that pulp calcification increases as the age advances.

Cross-sectional study to evaluate variations in attached gingiva and gingival sulcus in the three periods of dentition.

The dimensional differences of the attached gingiva and gingival sulcus in the primary, mixed and permanent dentition were studied clinically in normal gingivae of 382 children, aged 4-15 years. The depth of the gingival sulcus and the width of keratinized gingiva were also measured. Shallow gingival sulcus was observed in the primary dentition as compared to that in permanent dentition. However, in the mixed dentition deeper sulcus was observed around the newly erupted teeth. This was attributed to deeper penetration of the instrument, at the time of eruption. The widest zone of attached gingiva was observed in maxillary and mandibular incisors, decreasing gradually over the cuspids and first premolars (first primary molars), and again attached gingiva increased in second premolars (second primary molars) and first and second permanent molars. The width of attached gingiva in case of newly erupted permanent teeth (mixed dentition) was narrower in the corresponding primary teeth. This was due to an increase in the gingival sulcus depth. The attached gingiva increased in width with age. This was related to a concomitant reduction in sulcus depth.

Formocresol and glutaraldehyde pulpotomies in primary teeth.

The purpose of the present study was to compare clinically and radiologically the effects of formocresol and glutaraldehyde as a medicament in pulpotomized carious exposed vital human primary molars. In formocresol group 90% clinical and radiological success rate and in glutaraldehyde group 100% clinical and radiological success rate was observed. Thus it was concluded that glutaraldehyde is better fixative and less toxic agent than formocresol.