Microinvasive, Esthetic Management of White Spot Lesion following Orthodontic Treatment Using Resin Infiltration: A Case Report.

Aim: White opacities have always been a major esthetic concern in young patients reporting for dental treatment. We aimed to achieve an esthetic noninvasive immediate correction of these lesions. Background: These discolorations of enamel have a multifactorial etiology and are mainly caused by dental fluorosis, early enamel caries, developmental defects, etc. Conventionally available treatment options for these white opacities include noninvasive and invasive approaches. Recently, a novel "microinvasive" technique has been introduced as an alternative therapeutic technique to manage these opacities esthetically and in a painless way, in a single sitting with no complications. Case description: This paper illustrates the use of resin infiltration to esthetically treat white spot lesions (WSLs) on the anterior maxillary teeth in a 24-year-old female caused due to orthodontic treatment. Conclusion: Resin infiltration can be an effective treatment option for the correction of WSLs on the labial surface of anterior teeth seen after orthodontic treatment. Clinical significance: The resin infiltration technique can be a preferred option for treating superficial WSLs and has a high patient acceptance rate with minimal risk of postoperative sensitivity. How to cite this article: Nayak UA, Kailani T, Althagafy R. Microinvasive, Esthetic Management of White Spot Lesion following Orthodontic Treatment using Resin Infiltration: A Case Report. Int J Clin Pediatr Dent 2023;16(2):396-399.

Knowledge and practice of, and attitudes toward, pulp therapy in deciduous teeth among pediatric dentists in India.

AIM: The aim of the present study was to assess the knowledge and practice of, and attitudes toward, pulp therapy in deciduous dentition among pediatric dentists. METHODS: A cross-sectional, observational survey was conducted using a closed-ended, multiple-choice questionnaire evaluating the knowledge and practice of, and attitudes toward, pulp therapy in deciduous dentition, which was formulated and sent to 360 pediatric dentists across India. Descriptive statistics were done, followed by χ2 -test to test the association between years of experience and the questionnaire items. RESULTS: A total of 3.5% of pediatric dentists performed their treatment using a rubber dam in all cases; 30% preferred to use local anesthesia prior to indirect pulp therapy (IPT). Traditional indirect pulp capping was preferred to IPT, and only 48% of them believed in not removing it completely. Pulpotomy was preferred over IPT (70%) when there was a probability of pulp exposure following complete caries excavation. Calcium hydroxide, along with iodoform, was the material of choice for the obturation of primary teeth (73.5%). A stainless steel crown was placed after pulp therapy in the primary tooth (86.3%). Most dentists believed requested immediate and 3-month follow up. CONCLUSION: The survey helps in assessing whether our views or approaches are in line with recent trends.

Visible Enamel Defects in Adolescents: How Do their Peers View Them?

AIM: The present study was aimed to determine whether adolescents make social judgments about other children who have noticeable enamel imperfections. MATERIALS AND METHODS: Two schools with very different socio-economic profiles were selected using a stratified random sampling method. Children aged 13-14 years (school class 9) and 15-16 (school class 11) were randomly selected from these schools totaling to a sample size of 200. Half the participants rated full-face photographs of a boy and girl without an enamel defect, and the other half-rated the same two photographs with the digitally modified incisors. The photographic subjects were rated on a four-point Likert's scale consisting of six positive and five negative descriptors. RESULTS: Based on the gender of the photographic subject, the mean total attribute score was almost identical. However, it was lower for photographic subjects showing enamel defects as compared to those without. CONCLUSION: The dental appearance can influence value judgments in children. CLINICAL SIGNIFICANCE: It is important to treat the enamel lesions and various developmental defects of the enamel as it may lead to a negative social judgment by peers. HOW TO CITE THIS ARTICLE: Nayak UA, Pawar A, Kappadi D, Prajapati D, Roy KJ, Wadhwa S. Visible Enamel Defects in Adolescents: How Do their Peers View Them?. Int J Clin Pediatr Dent, 2018;11(6):479-482.

Effect of Manuka honey, chlorhexidine gluconate and xylitol on the clinical levels of dental plaque.

AIMS: To compare the effect of Manuka honey, chlorhexidine gluconate (0.2%) mouthwash and xylitol chewing gum on the dental plaque levels. MATERIALS AND METHODS: Sixty healthy male dental students aged between 21 and 25 years (mean age 23.4 years) participated in the study. All the subjects received a professional prophylaxis at the start of the study, with the purpose of making the dentition 100% free of plaque and calculus. The subjects were then randomly divided into three groups, i.e. the Manuka honey group, the chlorhexidine gluconate mouthwash group and the xylitol chewing gum group. Rinsing with water or any other fluid after the procedure was not allowed as also any form of mechanical oral hygiene for all the subjects during the experimental period of 72 h. After the experimental period, the plaque was disclosed using disclosing solution and their scores were recorded at six sites per tooth using the Quigley and Hein plaque index modified by Turesky-Gilmore-Glickman. RESULTS: The mean plaque scores for Groups I, II and III were 1.37, 1.35 and 1.57, respectively. The ANOVA revealed that between-group comparison was significant, with an F-value of 5.99 and a probability value of 0.004. The T-test was carried out to evaluate the inter-group significance, which revealed that the plaque inhibition by Manuka honey was similar to that of chlorhexidine mouthwash. Both Manuka honey and chlorhexidine mouthwash reduced plaque formation significantly, better than the xylitol chewing gum. CONCLUSION: Manuka honey and chlorhexidine mouthwash reduced plaque formation significantly better than xylitol chewing gum.