ABSTRACT
BACKGROUND: Golden proportion is a constant ratio that exists in nature, responsible for the esthetic appeal of parts in the human body. The study was aimed to assess the existence of golden proportion in primary dentition by evaluating the average width and height ratio of maxillary anterior teeth. MATERIALS AND METHODS: A total of 200 children comprising equal number of males and females aged 3-7 years with all deciduous teeth present were randomly selected. Each participant was photographed with head upright and occlusal plane parallel to floor. Distance between the participant and camera was fixed at a working distance of 60 cm. The digital images were analyzed using imaging software (Adobe V7), the perceived widths of maxillary laterals were divided by widths of central incisor and that of canines were divided by perceived widths of lateral incisor. Maxillary arch impressions were made and casts prepared. Measurement of each anterior tooth was done using digital calipers. The measured width of lateral incisor was divided by width of central incisor and that of canine was divided by measured width of lateral incisor. Perceived and measured widths were tabulated separately. RESULTS: The mean measured lateral incisor-to-central incisor ratio was 0.80. The mean measured canine-to-lateral incisor ratio was 1.32. The mean perceived lateral incisor-to-central incisor ratio was 0.75. The mean perceived canine-to-lateral incisor ratio was 0.90. The mean measured width-to-height ratio of central incisors was 1.14. The mean perceived width-to-height of central incisors ratio was 1.08. No significant statistical difference was observed between measured widths, perceived widths, measured width-to-height ratio, and perceived width-to-height ratios for both the sexes. There was strong correlation between these ratios and golden ratio (0.62). CONCLUSION: The study revealed that the golden proportion was inconsistent in terms of relative tooth width in primary dentition.
ABSTRACT
INTRODUCTION: Most children are casual and moderately agreeable in the dental treatment environment, however some of them show practices that upset the professional and make the protected conveyance of worthy treatment extremely troublesome. For such cases dental practitioner utilizes behavior management techniques. At the point when behavioral administration procedures come up short, some type of pharmacologic sedation or anesthesia may be an important and vital option. Dental sedation is a strategy in which the utilization of a medication or drugs produce(s) a condition of depression of the central sensory system empowering treatment to be completed during which verbal contact with the patient is kept up all through the time of sedation. AIM: This study was designed to evaluate and compare the effectiveness of oral midazolam and oral ketamine in combination with N2O-O2 in children undergoing dental treatment. MATERIALS AND METHODS: This study involved a sample of 30 pediatric dental patients (age range is 3-9 years), whose selection criteria included ASA I & II health status, cooperative but apprehensive behavior and a need for multiple dental extractions. The patients were assigned to receive oral midazolam on their first visit and on the follow up visit they received oral ketamine. Nitrous oxide (30%) was used during each sedation visit. Physiological parameters like Respiratory Rate (RR), pulse rate, and oxygen saturation were evaluated for each procedure, followed by the use of modified Bender Visual Motor Gestalt Test to evaluate psychomotor effects. Data were analyzed using Independent sample student t -test. RESULTS: Analysis of the data showed statistically no significant difference (p >0.05) on comparison of effectiveness of oral midazolam-N2O with oral ketamine-N2O when pulse rate, oxygen saturation and respiratory rate were taken into consideration. Psychomotor performance was found to be marginally better with oral midazolam-N2O compared to oral ketamine-N2O. CONCLUSION: Both the drugs were effective in reducing the patient anxiety while undergoing dental extractions. Though the t-test results were not statistically significant with respect to physiological parameters. Oral midazolam-N2O showed marginally better results compared to oral ketamine-N2O with respect to psychomotor effects.
ABSTRACT
BACKGROUND: Dental caries among children is one of the greatest challenges faced by dentists globally; especially that of susceptible surfaces like the Pit and fissures. Dental sealants have proved to be an effective way to prevent caries development. The Clinical success of any material depends upon its adhesion to tooth structure, resistance to wear and ability to withstand the masticatory or occlusal forces. Hence it is important to evaluate the shear bond strength (SBS). The Present study's aim was to evaluate and compare the shear bond strength of different pit and fissure sealants placed on Primary molars and Permanent Premolars. MATERIALS & METHODS: Sixty noncarious extracted teeth comprising of thirty Primary molars and thirty Permanent Premolars were divided into four groups of 15 each. The buccal surfaces of all teeth were dried, etched and the etched surfaces of Primary molars (Group I) and Permanent Premolars (Group III) were placed with Helioseal-F while Groups II and IV, that included Primary molars and Permanent Premolars received Clinpro. Shear bond strength was evaluated and the mean was obtained for all the groups. The results were analyzed using twoway analysis of variance followed by Tukeys post hoc procedure to check for significant differences. RESULTS: The specimens of unfilled sealant Clinpro (Groups II & IV) showed higher Shear bond strength when compared to the specimens of filled sealant Helioseal-F (Groups I & III). CONCLUSION: The unfilled sealant showed a better Shear bond strength compared to the filled sealant. The bond strength in Primary molars was slightly higher compared to Permanent Premolars. How to cite the article: Pushpalatha HM, Ravichandra KS, Srikanth K, Divya G, Done V, Krishna KB, Patil V. Comparative evaluation of Shear bond strength of different Pit and fissure Sealants in Primary and Permanent teeth - An In-Vitro Study. J Int Oral Health 2014;6(2):84-9.