In vitro analysis of material micro-leakage in pit and fissure sealants.

A preferable choice of material offers superior resistance against micro-leakage for clinical applications in preventing dental caries in pits and fissures is of interest. A total of 45 extracted human premolars were cleaned, stored in a saline solution, and randomly divided into three groups, each intended for treatment with one of the sealants: Fuzi VII, ClinPro, and Embrace Wetbond. The application of the sealants followed the manufacturers' instructions strictly. The teeth were subjected to thermal cycling to simulate oral conditions. Marginal micro-leakage was then assessed by dye penetration method using a 0.5% methylene blue dye. Teeth were sectioned, and dye penetration was measured under a stereomicroscope. The results showed that all the tested materials exhibited some degree of micro-leakage. Within the limitations of this In vitro study, it was concluded that Embrace Wetbond exhibited superior performance in terms of minimizing marginal micro-leakage among the tested pit and fissure sealants.

Tensile strength of conventional glass ionomer cement and silver reinforced glass ionomer cement.

A comparative analysis and assessment of the compressive strength (CS) and diametral tensile strength (DTS) between conventional glass ionomer cement (C-GIC) and a silver-reinforced GIC (S-GIC) variant is of interest. Ten specimens of both C-GIC (GC Fuji II, Japan) and S-GIC (Riva Silver, SDI, Australia) were fabricated for the evaluation of compressive strength, and an identical number of samples were created for the examination of tensile strength. These specimens were then tested using a universal testing apparatus. The results exhibited that both the compressive and diametral tensile strengths were significantly greater for the S-GIC cement in comparison to the C-GIC, with a notable p-value of 0.001. The findings suggest that S-GIC may be considered a viable alternative to conventional GIC.

Comparison of Antibacterial Activity of Various Additives to Glass Ionomer Restoration: An In Vitro Study.

Introduction: Glass-ionomer (GIC) cement was introduced in 1972 as a "new filling material of dentistry". It is bioactive and plays an important role in caries prevention due to its ability to release fluoride into the oral environment and remineralization of dental hard tissues. However, its properties such as moisture sensitivity, wear resistance, and bond strength are not sufficient to inflict the antimicrobial environment. This in vitro study aimed to evaluate the antibacterial property of four different GIC cements against S. mutans and L. acidophilus. Methodology: This study was conducted on 120 disk-shaped samples (30 for antibacterial activity), which were placed in Petri dishes holding Müeller Hinton agar. Bacterial strains were overhauled in the brain heart infusion culture medium, and by utilizing disposable straps on blood agar medium, 100 ml of the strain inoculum was plated out. Through the diffusion method on the solid medium, the antibacterial activity of GIC was determined. Results: The antibacterial activity was the highest for Riva silver and chemifill rock for 24 and 72 hours, respectively. For 48 hours, Equia forte and chemifill rock had the highest antibacterial activity, and there was a significant difference between the groups. Conclusion: Ketac™ molar easymix inhibited the growth of S. mutans and L. acidophilus but had the lowest antibacterial effect compared to other GICs.

An in vitro Study on the Antibacterial Efficiency of the Various Composites in the Children: An Original Research.

Background: Many generations of esthetic materials have been introduced in the market, the most popular being the composites. Bioactive restorative materials are a recent development in restorative dentistry. However, the main cause of secondary caries is the development of bacterial plaque on these restorations. Current in vitro study was conducted to assess the antibacterial properties of three common composites. Materials and Methods: Only a single parameter was assessed in this study, which was the bacterial colonies on each of the material blocks that were confined in the same experimental conditions. For this assessment, three composite materials were used that were made into blocks of 10 each. "Beautifil Flow Plus X" and "ACTIVA BioACTIVE" were used as the interventional groups, while "Filtek Z250 XT" was used as the control. Streptococcus mutans was used as an antibacterial test subject, and confocal laser scanning microscopy was used to observe the results. Results: When compared to other groups, ACTIVA BioACTIVE exhibited the highest quantity of dead bacteria on the material surface. There was significant variance among the three composites in the number of live and dead bacterial colonies. Conclusion: The highest antibacterial efficacy among the evaluated materials allows for a conclusion.

A Correlation between Clinical Classification of Dental Pulp and Periapical Diseases with its Patho Physiology and Pain Pathway.

Background: Dental pain due to pulpal involvement is difficult to diagnose due to the apparent inaccessibility of pulp to the clinical tests, indistinct symptoms, and referred toothache originating from the periodontal tissues. Though we have various clinical classification systems to categorize pulpal diseases, we are yet biased about the exact pathophysiology and pain pathway associated with it. Dental pulp has a complex physiology, and so is its pathophysiology. Aims & objectives: To concisely reviews the basic understanding of the pathophysiology of pulp, pain pathway, and its correlation with the classification of various clinical conditions of pulpal inflammation and periapical diseases. Methodology: Literature search on pulpal diseases and pathophysiology from the sources: MEDLINE, PubMed, Web of Science and Cochrane Databases dated from 1965 till December 2020 was carried on to collect 163 articles. Results: Filtered search on the pathophysiology of pulp, pain pathway, and classification of various clinical conditions of pulpal inflammation resulted us to precise 36 articles required for our understanding and demystifying the correlation. Conclusion: The emphasis should be laid on understanding the minute changes occurring inside the pulp in due course of inflammation to aid its diagnosis and a treatment plan accordingly. How to cite this article: Samir PV, Mahapatra N, Dutta B, et al. A Correlation between Clinical Classification of Dental Pulp and Periapical Diseases with its Patho Physiology and Pain Pathway. Int J Clin Pediatr Dent 2023;16(4):639-644.

Intraoral Lipoma: A Case Report.

The soft tissue tumor lipoma is quite frequent. Although it is the most mesenchymal tumor of the trunk and proximal regions of the extremities, it is quite uncommon to find it on the oral mucosa, accounting for just 1% to 5% of benign oral tumors. There is no specific location that is more prone to lipoma development in the mouth. Some frequent sites are the tongue, buccal mucosa, and the mouth's floor. A Yellowish mass with no symptoms is the normal clinical appearance. In most cases, the overlaying epithelium is unharmed, and superficial blood vessels may be seen passing through and around the tumor. The differential diagnosis might also include granular cell tumors, neurofibroma, traumatic fibroma, and diseases of the salivary glands (mucocele and mixed tumor). Herein a detailed case of a 28-year-old woman with a right-sided lower-lip oral lipoma is presented in this paper.

Oral Health-related Quality of Life Assessed by Child: Oral Impacts on Daily Performances Index and Their Association with Dental Caries Prevalence and Gingival Bleeding Status of 12-year-old School Children in Bhubaneswar City.

Aim and objective: To assess the association, if any, between oral health-related quality of life (OHRQoL) measured using child oral impact on daily performances (C-OIDP) index and dental caries and gingival bleeding status among 12-year-old school children of Bhubaneswar city. Materials and methods: A cross-sectional descriptive study was conducted, and the data were collected using child oral impacts on daily performances index, a closed-ended questionnaire among the 12-year-old school children of Bhubaneswar, Odisha, India, to find out the association between dental caries prevalence among gingival bleeding status. Data were analyzed using descriptive statistics, and Chi-squared tests were used to determine the significant differences in the variable of interest. Results: The study population consists of 1,034 students, out of which 457 (44.2%) are males and 577 (55.8%) are females. A total of 463 (44.8%) children belonged to private schools, and 571 (55.2%) children belonged to government schools. The prevalence of dental caries among males was found to be 49.8% among males and 49.5% among females. A total of 58.8% of the school children presented the impact of oral problems in at least one of the eight daily performances evaluated by C-OIDP. Conclusion: According to the current study, eating was the most negatively impacted of the eight daily performances; it was also evident that dental caries, gingival bleeding, and OHRQoL were associated. How to cite this article: Kanungo S, Kumar G, Dhull KS, et al. Oral Health-related Quality of Life Assessed by Child: Oral Impacts on Daily Performances Index and Their Association with Dental Caries Prevalence and Gingival Bleeding Status of 12-year-old School Children in Bhubaneswar City. Int J Clin Pediatr Dent 2023;16(6):837-841.

Pedia tricks - Out-of-the-box thinking in paediatric dentistry.

Noncooperative behaviour faced by a paediatric dentist is the most common attribution towards behavioural manifestations of anxiety in children, and it had been observed that these relationships are long-deterministic and form part of the aforementioned belief system of the child. Forehead and Long in their study found that most uncooperative behaviour of the child is due to their strong will and these children are generally confident, persistent and independent. A fruitful method to deal with strong willed children is to violate the causal relationship by some magic tricks from preventive via curative to his/her follow ups visits. Tricks can be applied at three levels of their visit. Level 1 is preoperative tricks, which includes the preventive measures that teach and educate children for good oral health. Level 2 is operative tricks, which involves child preparedness for successful dental procedures. Level 3 is postoperative tricks, which involve positive reinforcement for regular follow ups. The purpose of this review is to make paediatric dentists think like magicians by using the science behind the magic and applying it in their practice for creating a positive attitude of a child toward dentistry and better procedural experience.

Oral health status among Bhoi children of Nimapara block in Puri district, Odisha - A cross-sectional study.

Background: In Odisha, the scheduled castes account for 17.13% of the overall population. In spite of prioritizing the oral health status of children globally, oral diseases continue to be a major public health problem in India. Due to lack of literature and baseline data, the aim of the study was to assess the oral health status of children of Bhoi scheduled caste of Nimapara block in Puri district of Odisha. Methods: A cross-sectional survey was conducted among 208 Bhoi children who were enrolled using a multistage randomized sampling method in Nimapara Block of Dhanua Gram Panchayat, Puri District. Information on sociodemographic details and oral health status were collected using the modified WHO Oral Health Assessment Form for children, 2013. Number and percentages was derived using MS Excel and SPSS package version 26.0. Comparison between discrete and continuous data was done using Chi-square test and ANOVA. P value of <0.05 was considered to be statistically significant. Results: The mean DMFT and dmft of the total study participants were 1.28 ± 1.159 and 2.53 ± 1.058, respectively, and these findings were statistically significant (p < 0.05). Among the age group of 6-12 years, the mean number of sextants with bleeding and calculus were 0.66 ± 0.476 and 0.62 ± 0.686, respectively, and among 13-15 years aged group, they were 0.86 ± 0.351 and 1.52 ± 0.688. Mild fluorosis was detected in the study population. Dental trauma was seen in 21% of the Bhoi children. Conclusion: Most of the participants had poor oral hygiene and the prevalence of dental caries was high. As there is lack of knowledge about oral hygiene maintenance, proper health education should be administered. Under these circumstances, the implementation of preventive programs such as pit and fissure sealants, atraumatic restorative restorations can be implemented to reduce the dental caries.

Ternion Cusp: An Unusual Variant of Talon's Cusp: A Case Report.

Background: Teeth are hard mineralized anatomical components of the dentofacial skeleton that are developed during the gestation period by odontogenesis. This dental development comprises five stages viz. initiation, proliferation, histodifferentiation, morphodifferentiation, and apposition. Excitation to the dental organ during morphodifferentiation is responsible for the formation of a talon cusp, which manifests as a cusp-like structure of hard tissue projecting from the cingulum to a varying measurable length toward the incisal edge of maxillary and mandibular anterior teeth. Various literature has reported that it comprises enamel, dentine, and an inconsistent amount of pulp tissue. Old literature suggests its occurrence in primary and permanent teeth and mostly on the palatal aspect of teeth as one cusp; therefore, known as a talon cusp (eagle's talon). Case description: An exceptional case of three cusped structures projecting from the palatal side of a maxillary central incisor is thus reported. The rare occurrence of an atypical talon cusp with three well-defined mamelon-like cusps on the palatal surface of the permanent maxillary central incisor is coined as ternion cusp, meaning "three" by authors. Its occurrence is repercussed as attrition of the teeth in the opposite arch. Selective or retruded contact position (RCP) was done, followed by topical fluoride application was rendered. Conclusion: Managing and treating these exceptional cusps depends upon their size, present complications, and patient compliance. How to cite this article: Sharma V, Mohapatra A, Bagchi A. Ternion Cusp: An Unusual Variant of Talon's Cusp: A Case Report. Int J Clin Pediatr Dent 2022;15(6):784-788.

Assessment of oral health status and treatment needs amongst the tribals residing in Northern Bhubaneswar, Odisha.

INTRODUCTION: Odisha has the third highest percentage of tribal population in India. This study was conducted to evaluate the oral health status and treatment needs of tribal population residing in northern Bhubaneswar. MATERIAL AND METHODS: A crosssectional household survey was conducted using the modified WHO Oral Health Assessment Form (2013). Cluster random sampling technique was employed. Type III clinical examination was done. Statistical analysis was carried out using Chi square test, t test and ANOVA. RESULTS: A total of 877 participants were examined out of which 589 were males and 288 females with age ranging from 2-74 years. The mean dmft score was 4.13 ± 0.73 in 2-5-year-old participants, and in the age groups of 35-44 years and 65-74 years, the scores were 5.32 ± 2.36 and 7.56 ± 4.29 respectively. Statistically significant differences were observed in the presence of healthy gums, bleeding gums and presence of shallow pockets across the different age groups. Preventive treatment was required mostly by the participants in the age group 13-15 years. CONCLUSION: The present study showed a high prevalence of dental caries and periodontal disease among the study participants. Preventive treatment was required mostly by the participants in the age group 13-15 years.

Knowledge, attitudes and behaviour towards oral hygiene of transgenders in Bhubaneswar during COVID-19.

INTRODUCTION: Reducing harmful oral hygiene practices can minimize the negative impacts of periodontal diseases. Transgenders are among the most vulnerable groups. Knowledge of their oral hygiene awareness, attitude and behaviour shall help in improving their oral health and also in planning oral health strategies specific to this group. AIM: To explore the oral hygiene-related knowledge, attitude and practices of transgenders residing in the Bhubaneswar during COVID-19. METHODOLOGY: A cross-sectional study was conducted among the transgenders residing in Bhubaneswar using a self-structured questionnaire containing questions on knowledge, attitude and practices related to oral hygiene. Mann-Whitney U test was applied to find any significant differences between different variables in groups. RESULTS: A total of 205 transgenders participated in the study. Around 43.9% of the transgenders in rural areas felt they had bad breath and there was no statistically significant difference between the two groups. Majority of the participants in the rural areas did not know how to describe the health of their teeth and gums while 43% of the participants in the urban areas felt their oral health was good. There was statistically significant difference between the two groups in the type of material used for cleaning teeth [p = 0.020]. There was statistically significant difference between the two groups in terms of brushing their teeth everyday [p = 0.005, duration of brushing [p = 0.052], tools used for cleaning teeth [p = 0.023] and method employed to control mouth odour. CONCLUSION: The information presented in this study adds onto our understanding of the oral hygiene related behaviour among the transgenders.

Quantification and Measurement of Changes in Anxiety Level in Preschool Children and Their Mothers through Multiple-visit Dental Treatment.

AIM: The aims of the present study were to quantify anxiety and find the level of anxiety in the very 1st day of dental treatment and the pattern of change in the following visits and to find possible impact of maternal anxiety during dental treatment of their wards. MATERIALS AND METHODS: The study was conducted on 297 children aged 3-6 years visiting the Department of Pedodontics and Preventive Dentistry of Dr. R. Ahmed Dental College and Hospital for treatment. In addition, accompanying parents were also included in the study. The blood pressure and heart rate of the participants were recorded at three visits with a digital blood pressure and heart rate monitor with wrist cuff (Omron; Japan). The same instrument and the same procedure were employed for the mothers also. Blood pressures and pulse rates so recorded were tabulated according to age and were made ready for statistical analysis using the SPSS version 12 (Statistical Package for Social Sciences, SPSS Inc., Chicago, Illinosis, USA) software. RESULTS: There was a significant difference in blood pressure and heart rate of children in the subsequent visits. CONCLUSION: The majority of the children suffered from anxiety on the 1st day of treatment which gradually diminished in the subsequent visits. Maternal anxiety was also highest in the initial visit which gradually came down in the subsequent visits.

Prevalence of dental caries and treatment needs in children in coastal areas of West Bengal.

OBJECTIVE: This study was carried out to measure the caries prevalence and treatment needs in school children of 6-14 year old residing in coastal areas of West Bengal. MATERIALS AND METHODS: A total of 1764 children of 6-14 years age group, studying in different primary and high schools of the coastal areas were examined using World Health Organization criteria (1997) to record the prevalence of dental caries. The treatment needs were also calculated according to that given criteria. STATISTICAL ANALYSIS: The results were subjected to statistical analysis using the Chi-square test and unpaired 't' test. RESULTS: Dental caries were founded low in the studied population. The overall all caries prevalence in the permanent dentition was 28.06%, in boys it was 25.39% and in girls it was 30.86%. Therefore caries prevalence in female was higher and which was statistically highly significant (P < 0.05). The most frequently required treatment was one surface filling followed by other treatments irrespective of sex and age group. DISCUSSION: The presence of sea foods containing high fluoride and least availability of refined carbohydrate in the diet may be the reason of lower prevalence. CONCLUSION: child oral health is always a matter of concern for a developing country so further research is required to explore actual causes.