ABSTRACT
BACKGROUND: The chemomechanical method of caries removal is a modality that is non-invasive, cost-effective, and if some caries preventive measures could be added to them, then it might render the remaining dentin more resistant to future caries attacks also. Thereby, this study is conducted to evaluate the in vivo aspect of newly developed "one man army material-Apacaries gel". AIM AND OBJECTIVE: To evaluate and compare the antimicrobial efficacy, efficiency, and pain perception of a chemomechanical caries removal agent (Apacaries gel) with a conventional method. DESIGN: Twenty children (aged 6-12 years) with bilateral occlusal caries making a sample size of 40 were included in the study. Group I: caries removal using rotary instruments and Group II: caries removal using Apacaries gel (n = 20 each). Caries removal time and pain perception were measured using a stopwatch and Wong-Baker Pain Scale. Dentin samples of both groups were taken before and after caries removal for microbiological analysis. STATISTICAL ANALYSIS USED: The data were statistically analyzed using the Student's t-test to compare the two groups. RESULTS: There was a non-significant difference in bacterial count while a significant difference was seen in time consumption and pain perception in both methods of caries removal. CONCLUSION: Chemomechanical caries removal (Apacaries gel) can be an effective clinical alternative treatment for caries removal in children. KEY MESSAGES: It is the only in vivo study on "Apacaries gel-a one man army" which eliciting the unique property of prevention of dental caries. HOW TO CITE THIS ARTICLE: Dogra M, Gupta MP, Sheikh T, et al. Stop Drill, Make a Change: An In Vivo Study. Int J Clin Pediatr Dent 2021;14(2):258-262.
ABSTRACT
AIM: To find the association of dermatoglyphics and dental caries in normal and cerebral palsy (CP) children. MATERIALS AND METHODS: A total of 150 children of age group 6-12 years were selected and divided into three equal groups. Group I constituted of 50 CP caries-active children, group II constituted of 50 healthy caries active children, and group III consisted of 50 healthy caries-free children. World Health Organization (WHO) criteria were used for diagnosis and recording of decayed, missing, filled teeth (DMFT)/deft scores. Fingerprints of both hands were taken using a stamp pad and analyzed using the Cummin and Midlo method. RESULTS: The results were statistically analyzed using one-way analysis of variance (ANOVA) and post hoc Tukey's honestly significant difference (HSD). The data for the entire study were calculated using statistical package for social sciences (SPSS) statistical software 19.0 version. The mean DMFT/deft score was the highest for the CP caries-active group compared to the healthy caries-active and healthy caries-free children. Dermatoglyphic pattern distribution in the CP caries-active group showed more whorls and that in the healthy caries-free group showed more arches. Intergroup comparisons for DMFT/deft and dermatoglyphic patterns were significant except between CP caries-active children and healthy caries-active children. CONCLUSION: Association of dermatoglyphics and dental caries was observed among CP caries-active children, healthy caries-active children, and healthy caries-free children. This association can be helpful in identifying the possible genetic predisposition and early prediction of dental caries in CP children, so as to initiate oral health measures at an early stage. CLINICAL SIGNIFICANCE: Maintaining oral hygiene has always been a challenge in children because of many difficulties like behavior management and lack of dexterity, and it becomes all the more difficult in the case of children with special needs. Dermatoglyphics can be proven to be a very useful, noninvasive, and economical tool for the preliminary diagnosis of diseases of suspected genetic origin like dental caries and CP. HOW TO CITE THIS ARTICLE: Somani R, Gupta MP, et al. Dermatoglyphics as a Noninvasive Tool for Predicting Dental Caries in Cerebral Palsy and Healthy Children: An In Vivo Study. Int J Clin Pediatr Dent 2019;12(3):237-242.
