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Int J Gen Med ; 14: 2397-2405, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34135623


BACKGROUND: Midline diastema in children is a prevalent developmental entity, and this pathological condition may remain in many children due to various factors. Nonetheless, the evidence on etiological factors of the midline diastema in children is minimal. PURPOSE: To evaluate the etiological factors of midline diastema causes in children below 12 years of age from the published data. METHODS: A literature search was confined to the English language using MeSH terms conferring to PICO format in PubMed, Cochrane Library, and Ovidsp covering the period from January 1960 to December 2019. Search in Google Scholar, grey literature, and hand search on references were performed to find additional data. Suitable studies were selected based on the predefined inclusion and exclusion criteria. Quality analysis of the chosen studies conducted using the Newcastle-Ottawa Scale (NOS) adapted for cross-sectional studies. RESULTS: Only eight studies were available for final analysis among those four studies from India, two studies from Korea, one study from Brazil, and another study from Canada. The most common etiology for midline diastema was supernumerary teeth followed by morphology labial frenum and nasal airflow condensation. The quality analysis of these studies based on NOS showed one study with unsatisfactory, four studies with satisfactory, and three with good quality. CONCLUSION: Morphology of frenum, pre-maxillary supernumerary teeth, and nasal airflow condensation seem to be the most common causes of midline diastema in children below 12 years.

J Indian Soc Pedod Prev Dent ; 38(4): 413-418, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33402626


BACKGROUND: To evaluate the influence of parent-provided distraction (PPD) and interactive distraction (ID) with a handheld video game (HVG) on the child's responses to local anesthesia (LA) administration during dental treatment. METHODS: Children attending the department of pediatric dentistry were randomly selected and distributed to the two groups (PPD and an ID with HVG). Parents in the operatory and the principles of tell-show-do remained common in both the groups. Behavioral, physiological, and self-report measures of pain were estimated using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale, pulse rate, as well as Iowa pain thermometer-revised (IPT-R) scale and compared for both groups correspondingly. The SPSS (standard statistical package) version 17.0 (SPSS Inc., Chicago, USA) was used for statistical analysis at the significance of P < 0.05. RESULTS: A total of 30 children (15 in each group) aged 7-11 years participated in the study. There were no significant differences observed among boys and girls (P > 0.05). The independent t-test for the pulse rate showed no significant difference between the two groups (P > 0.05). Paired t-test for pulse rate in the PPD group showed a significant difference compared to ID with the HVG group (P < 0.05). The scores for FLACC and ID with HVG, showed a statistically significant decrease in scores recorded for ID with HVG, whereas the scores recorded for FLACC did not show any statistically significant difference. CONCLUSION: Based on the study results, PPD would be the least distressful option, compared to the ID with HVG in children while administering LA.

Anestesia Local , Jogos de Vídeo , Criança , Feminino , Humanos , Masculino , Dor , Medição da Dor , Pais