Pediatric dentist attire and relationship with anxiety in children and parents during Covid-19 pandemic

Aim The study aimed to evaluate children's and parent's preferences of dentist's attire during Covid-19 pandemic and their relationship with dental anxiety. Methods A total of 139 Children(71 boys, 68 girls) aged 6-12 years were shown videos of a pediatric dentist working with different attire such as Personal Protective Equipment (PPE) and pedoscrub, and they were asked to express the way they preferred their dentist to be dressed. Children's anxiety levels with different attire of paediatric dentists were assessed in different age groups and for boys and girls separately and recorded it using the Facial image scale. A questionnaire regarding dental anxiety was created online and completed by 139 parents (76 females, 63 males) of various ages and different educational backgrounds who were asked to choose between two outfits. Results were tabulated and statistically analysed using Chi-square test. Results Children aged 10-12 years preferred PPE by 50.6%, whereas 48.1% of children aged 6-9 years least preferred PPE (<0.05). About 46 (33%) were scored as anxious children and they had a preference for pedoscrub. Also, nonanxious children 43(31%) preferred PPE. All educated parents (100%) selected PPE over pedoscrub and the result were shown to be statistically significant. (<0.05). Conclusion Ultimately, the majority of the anxious children chosen pedoscrub, whereas non - anxious children have chosen PPE. Furthermore, the data reveals that both educated parents and older children preferred PPE as their attire for paediatric dentists.

Antibacterial efficacy of Carica papaya leaf extract, probiotics, kidodent, and placebo mouthwashes in reduction of salivary Streptococcus mutans A double-blinded parallel designed randomized controlled trial

Aim: To compare the antibacterial efficacy of Kidodent, Probiotics, and Carica papaya Leaf extract mouthwashes in reducing Streptococcus mutans count in 8–12 years' old school children. Methodology: Sixty children of age group of 8–12 years were nominated and grouped as Group A (Kidodent mouthwash), Group B (probiotics mouthwash) Group C (C. papaya leaf extract mouthwash), and Group D (distilled water placebo). Probiotics sachets (Prebact) of about 1 g were diluted in 10 ml of water and given as mouthwash. C. papaya leaf extract was obtained by Soxhlet extraction using ethanol as a solvent. Participants were asked to rinse with mouthwashes for 30 s once daily for up to 15 days. Saliva samples were collected and inoculated using Salivarius Mitis and Agar Agar Type I at 38°C for 24 h and incubated, later colony-forming units per milliliter were determined by serial dilution and calculated using colony counter manually. Statistical Analysis: Data were statistically analyzed using the one-way ANOVA and t-test using the SPSS V.20 software. Results: Probiotics and C. papaya leaf extract mouthwashes were equally effective as Kidodent in reducing S. mutans count in saliva. Conclusion: Probiotics and C. papaya leaf extract mouthwashes manifested potential efficacy in reduction of S. mutans.

Comparative evaluation of pain perception following topical application of clove oil, betel leaf extract, lignocaine gel, and ice prior to intraoral injection in children aged 6-10 years: a randomized control study

Background@#In the field of dentistry, topical anesthetics play an important role in reducing pain during needle pricks. The anesthetic property of betel leaves remain unexplored, even though they have been widely used for the treatment of various ailments. The purpose of this study was to compare and evaluate pain perception following topical application of lignocaine gel, clove gel, ice, and newly developed betel leaf extract gel during intraoral injection in children. @*Methods@#Sixty children aged 6-10 years who met the inclusion criteria were divided into four groups. Topical anesthetic agents, 2% lignocaine (Lox-2% Jelly, Neon, Mumbai, India), 4.7% clove gel (Pain Out Dental Gel, Colgate Palmolive India Ltd, Solan, India), 10% betel leaf extract gel, and ice were applied to each group for one min, followed by administration of infiltration anesthesia. Pain perception was analyzed during needle insertion.The Wong Bakers FACES pain rating scale (WBFPRS) was used for subjective assessment and the Sound, Eye, Motor (SEM) scale for objective assessment. Recorded values were tabulated and subjected to appropriate statistical analysis using SPSS software with a P value set at 0.05. @*Results@#The clove oil and betel leaf groups demonstrated the highest WBFPRS scores, followed by the ice and lignocaine groups. The clove, betel leaf extract, and ice groups showed equal and highest SEM scores, followed by the lignocaine group. The mean WBFPRS and mean SEM scores were statistically significant. @*Conclusion@#Betel leaf extract gel is effective in reducing pain and can act as an alternative topical anesthetic agent.

Comparative evaluation of pain perception following topical application of clove oil, betel leaf extract, lignocaine gel, and ice prior to intraoral injection in children aged 6-10 years: a randomized control study

Background@#In the field of dentistry, topical anesthetics play an important role in reducing pain during needle pricks. The anesthetic property of betel leaves remain unexplored, even though they have been widely used for the treatment of various ailments. The purpose of this study was to compare and evaluate pain perception following topical application of lignocaine gel, clove gel, ice, and newly developed betel leaf extract gel during intraoral injection in children. @*Methods@#Sixty children aged 6-10 years who met the inclusion criteria were divided into four groups. Topical anesthetic agents, 2% lignocaine (Lox-2% Jelly, Neon, Mumbai, India), 4.7% clove gel (Pain Out Dental Gel, Colgate Palmolive India Ltd, Solan, India), 10% betel leaf extract gel, and ice were applied to each group for one min, followed by administration of infiltration anesthesia. Pain perception was analyzed during needle insertion.The Wong Bakers FACES pain rating scale (WBFPRS) was used for subjective assessment and the Sound, Eye, Motor (SEM) scale for objective assessment. Recorded values were tabulated and subjected to appropriate statistical analysis using SPSS software with a P value set at 0.05. @*Results@#The clove oil and betel leaf groups demonstrated the highest WBFPRS scores, followed by the ice and lignocaine groups. The clove, betel leaf extract, and ice groups showed equal and highest SEM scores, followed by the lignocaine group. The mean WBFPRS and mean SEM scores were statistically significant. @*Conclusion@#Betel leaf extract gel is effective in reducing pain and can act as an alternative topical anesthetic agent.

Dental Anxiety Levels Among Children And Their Parents Before And After Video Modelling Health Education Technique

Aim: Aim of this study is to evaluate and compare the anxiety levels of children and their parents at different visits to the Department of Pedodontics Methodology: Present study was carried out on 30 children aged 6-14 years and their parents who attended the OPD of Dept. of Pedodontics, Anxiety assessment was done using Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) for children & Modified Dental Anxiety Scale (MDAS) for parents. Results: Anxiety levels of the children was significantly less on the second visit (mean 22.23±5.20)when compared to the first visit(mean 28.13±6.82)(p-value 0.001).There is significant positive correlation between child's age and parent's anxiety(p-value 0.038).There is Nosignificant correlation between Parent's anxiety and child's anxiety at 1st visit (p-value 0.286). Conclusion: The study showed that there is gradual decrease in dental anxiety in children in subsequent visits, we found Significant positive correlation between Child's age and parents's anxiety and No-significant correlation between parental and child's anxiety

Evaluation And Comparison Of Salivary Total Antioxidant Level, Ph And Flow Rate Among Caries Active And Caries Free Children.

Oral hygiene, saliva and its constituents have crucial role in the development of dental caries. AIM: To correlate the Total Antioxidant Level (TAL), pH and Flow Rate (FR) of unstimulated saliva with caries. DESIGN:sixty children aged 6-13 years attended to the department of Pedodontics were selected. Caries Active (CA, n=30) and Caries Free (CF, n=30). METHODOLOGY: Salivary antioxidant level estimated by Phosphomolybdenum method, pH by digital pH meter and FR measured in milliliter/minute. RESULTS:Total antioxidant level was significantly high in CA(0.19) than CF children (0.08), pH (CA: 5.96, CF: 7.13) and FR (CA: 0.32 ml/min, CF: 0.42 ml/min) were less in caries active and more in free group. CONCLUSION: Higher level of total antioxidant level, lower level of pH and FR among caries active children can be used as a caries risk indicator