RESUMEN
Purpose: To evaluate the dental caries prevalence in Type 1 Diabetes Mellitus (T1DM) as compared to healthy children and, to assess the salivary components (flow rate, glucose, α-Amylase, Streptococcus mutans) and dental plaque in relation to their dental caries status. Methods: Dental caries were estimated by using the DMFS index and dental plaque by Sillness and Loe plaque index. The following methods were used to assess the salivary components; draining method to determine the flow rate; glucose oxidase peroxidase method for glucose; substrate method for α-Amylase, Mitis Salivarius Bacitracin agar was used to culture Streptococcus mutans. Results: Caries prevalence was significantly lower in T1DM. In the diabetic group, a significant positive correlation was found between DMFS value and plaque, DMFS value and salivary glucose, and also with DMFS value and salivary α-Amylase. A significant negative correlation was found between the DMFS value and the unstimulated salivary flow rate. The multivariate regression analysis demonstrated that decrease in the unstimulated salivary flow rate to be significantly associated with increasing DMFS values. Conclusion: The caries prevalence was found to be low in T1DM when compared to the healthy children, the cause for it being related to the low plaque scores. Low caries prevalence could also be due to the restriction of sucrose in their diet. Clinical significance: As clinicians, along with restoring the smiles of a child patient, we have to retrospectively analyze the factors involved in the causation of dental caries. Educating the parents and the child in regard to this will help prevent the occurrence of any new carious lesion. How to cite this article: Manjushree R, Anandakrishna L, Prasad KS K, et al. Evaluation of Salivary Components and Dental Plaque in Relation to Dental Caries Status in Type 1 Diabetes Mellitus. Int J Clin Pediatr Dent 2022;15(S-2):S121-S125.
RESUMEN
The maxillary anterior region is the most common site for the occurrence of radicular cyst in permanent dentition, because of a high frequency of trauma in this region. As radicular cyst is categorized as an inflammatory cyst, endodontic treatment of the tooth associated with the cyst becomes a part of the treatment regimen. Management of radicular cyst becomes challenging when it involves tooth with complex root morphology. This report presents the diagnosis and successful management of a dilacerated maxillary central incisor associated with a radicular cyst and external root resorption. Cone-beam computed tomography was used to view the extent of the cyst and understand the aberrant root canal morphology of the dilacerated tooth. Root canal therapy was followed by cyst enucleation, apicoectomy, and placement of platelet-rich fibrin. At 1-year recall, appreciable healing as evidenced by a decrease in the size of the radiolucency on the radiographic examination was seen.