Evaluation of 2-Stage Injection Technique in Children.

Effective pain control during local anesthetic injection is the cornerstone of behavior guidance in pediatric dentistry. The aim of this study was to evaluate the practical efficacy of a 2-stage injection technique in reducing injection pain in children. This was a split-mouth, randomized controlled crossover trial. One hundred cooperative children aged 7 to 13 years in need of bilateral local anesthetic injections (inferior alveolar nerve block, posterior superior alveolar nerve block, or maxillary and mandibular buccal infiltrations) for restorative, endodontic, and extraction treatments were recruited for the study. Children were randomly allocated to receive either the 2-stage injection technique or conventional technique at the first appointment. The other technique was used at the successive visit after 1 week. Subjective and objective evaluation of pain was done using the Wong-Baker FACES Pain Rating Scale (FPS) and Sound Eye Motor (SEM) scale, respectively. The comparison of pain scores was done by Wilcoxon sign-rank test. Both FPS and SEM scores were significantly lower when the 2-stage injection technique of local anesthetic nerve block/infiltration was used compared with the conventional technique. The 2-stage injection technique is a simple and effective means of reducing injection pain in children.

Desmoplastic fibroma of the mandible: case report and review of literature.

Desmoplastic fibroma is a rare benign and locally aggressive myo fibroblastic tumour, frequently seen in the second or third decades of life. The mandible and the maxilla are infrequently involved, and the mandible is the most commonly affected of the facial bones. Nevertheless, reports of desmoplastic fibroma affecting the mandible are scarce in the literature. This article reports a rare case of desmoplastic fibroma affecting the angle of the mandible in a 10-year-old Indian male. In addition, a review of literature relating to desmoplastic fibroma affecting the angle of the mandible is presented.

Oral health status and treatment needs of hearing impaired children attending a special school in Bhimavaram, India.

BACKGROUND: Children with hearing impairment (CHI) have special accessibility issues to meet their health care needs. Their oral health status is deprived and has wide ranging treatment needs to attend. AIM: The aim of this study was to evaluate the oral health status and treatment needs of CHI attending a special school in Bhimavaram Town, India. STUDY DESIGN: The study design was a descriptive cross-sectional study. MATERIALS AND METHODS: This study was conducted in November 2012 at SVS special school for deaf, Bhimavaram, India. This study involved 180 CHI of both genders, aged 6-16 years, divided into Group-I (6-8 years), Group-II (9-12 years), and Group-III (13-16 years). Oral health status and treatment needs were recorded using methods and standards recommended by the WHO for Oral Health Surveys, 1997. Dental caries prevalence (decayed, missing, and filled teeth [DMFT/dmft]), gingivitis levels (Lφe, Silness Gingival Index), plaque levels (Silness, Lφe Plaque index), and treatment needs were the parameters recorded and analyzed. STATISTICAL ANALYSIS: Z-test for proportion, one-way analysis of variance, and Chi-square test were used to analyze the data. RESULTS: Prevalence of dental caries in the sample was found to be 65% with a mean level of caries prevalence (DMFT) of 1.6 ± 1.3 in Group-I, 1.9 ± 1.2 in Group-II, and 2.2 ± 1.2 in Group-III. About 91.7% of the total children examined needs treatment. The mean plaque and gingivitis scores of the sample were 1.70 ± 0.61 and 1.59 ± 0.58, respectively. CONCLUSION: These findings imply the overwhelming situation of CHI in oral health perspective. Hence, prevention-based educational and motivational programs should be targeted to this vital group to achieve adequate oral hygiene levels.