RESUMO
Background: Dental anxiety is a matter of serious concern to pediatric dentists as it may impede the efficient delivery of dental care. If not adequately resolved, a persistent negative response pattern may emerge. Thaumaturgy, commonly known as magic trick, has become popular recently. It is a tool that distracts and relaxes the child by using magic trick while the dentist performs necessary treatment. Hence, the aim of this study was to evaluate the effectiveness of Thaumaturgic aid in alleviation of anxiety in 4-6 - year-old children during administration of local anesthesia using the inferior alveolar nerve block (IANB) technique. Methods: Thirty children aged between 4-6 years with dental anxiety requiring IANB were included in this study. Patients were divided equally into two groups: Group I, thaumaturgic aid group and Group II, conventional non-pharmacological group using randomization. Anxiety was measured before and after using the intervention with Raghavendra Madhuri Sujata-Pictorial scale (RMS-PS), Venham's anxiety rating scale, and pulse rate. All the data were tabulated and compared using statistical analysis. Results: Children in thaumaturgy group (Group- I) exhibited significantly lower anxiety during IANB in comparison with children in the conventional group (Group- II) and the difference was statistically significant. Conclusion: Magic tricks are effective in reducing anxiety among young children during IANB; Moreover, it expands the arsenal of behavior guidance techniques for treatment of children with anxiety and plays an important role in shaping the behavior of a child in pediatric dentistry.
RESUMO
This study aimed to assess the combined use of extraoral vibratory stimulation and extraoral cooling in reducing the pain (subjective and objective) of dental local anesthesia administration in children. PubMed, Cochrane Central Register of Controlled Trials, and Ovid SP databases were searched up to July 2021. Article titles were screened and full-text evaluations of the selected articles were performed. Finally, seven studies (391 children, aged 4 - 12 years) were included in this qualitative and quantitative analysis. The pooled data determined the combined effect of extraoral vibration and extraoral cooling as a single measure. Extraoral vibration or cooling alone were not compared. The measured primary and secondary outcomes were pain perception and subjective and objective pain, respectively. When compared with the control, extraoral vibration and cooling resulted in significant differences in the mean combined data for the variables, pain perception, and pain reaction. Children's subjective pain as measured by pain scores were reduced when extraoral vibration and cooling was used during local anesthesia administration (mean difference -3.52; 95% confidence interval [-5.06 - 1.98]) and objective pain (mean difference -1.46; 95% confidence interval [-2.95 - 0.02] ; mean difference -1.93; 95% confidence interval [-3.72 - 0.14]). Within the confines of this systematic review, there is low-quality evidence to support the use of combined extraoral vibration and cooling for reducing pain (subjective and objective) during intraoral local anesthesia administration in children.
RESUMO
BACKGROUND: Posts are used to enhance crown buildup in pulpless teeth with destructed crown portion. Different types of post are used in endodontically treated teeth. The aim of the present in vitro study was to evaluate fracture resistance of custom made, metal, glass fiber reinforced and carbon reinforced posts in endodontically treated teeth. MATERIALS AND METHODS: An in vitro study was carried out on extracted 40 human maxillary central incisor teeth, which was divided into four groups with 10 samples in each group with custom made, metal post, glass fiber reinforced, and carbon reinforced posts. The samples were decoronated at cemento-enamel junction and endodontically treated. Post space was prepared and selected posts were cemented. The composite cores were prepared at the height of 5 mm and samples mounted on acrylic blocks. Later fracture resistance to the compressive force of samples was measured using Universal Testing Machine. RESULTS: The maximum resistance to the compressive force was observed in carbon reinforced and glass fiber reinforced posts compared others which is statistically significant (P > 0.001) and least was seen in custom fabricated post. CONCLUSION: It is concluded that carbon reinforced fiber post and glass fiber posts showed good fracture resistance compared to custom made and metal posts.
RESUMO
BACKGROUND: The aim of this study was to quantitatively analyze the amount of dye leakage with AH26, Sealapex and Tubliseal sealers in endodonticaly treated teeth. MATERIALS AND METHODS: A total of 36 extracted mandibular molar specimens were divided into three groups; Group I: Sealapex, Group II: Tubliseal, Group II: AH26 with 12 samples in each group. Standard access cavity and biomechanical preparation was done with step back flare technique. Obturations were done using respective sealers in the three different groups. Then, samples were subjected to spectro photometric analysis using a filter of 670 nm. Spectrophotometric analysis was performed to quantitatively analyze the amount of dye leakage with all three sealers. RESULTS: Tubliseal exhibited the least microleakage. In comparison to Sealapex, Tubliseal showed a significant difference. Compared to Sealapex, AH26 showed no significant difference. Comparisons made between Tubliseal and AH26 showed no significant difference. CONCLUSION: In the present study, Tubliseal sealer showed least microleage compared with Sealapex and AH26 sealer.
