ABSTRACT
Background and aim Early childhood caries (ECC) is a profoundly impactful multifactorial condition that not only influences a child's overall well-being but also diminishes their quality of life. Given the limited availability of literature on the relationship between children's behavior and ECC, the present study utilized a standardized assessment tool to assess the association between ECC and behavioral changes in preschool children. Methodology Our study cohort consisted of 120 healthy preschool children, aged 18-60 months, evenly divided into two groups: caries-free (group I) and caries active (group II). Clinical features of ECC were meticulously inspected in each child, and the parents or caregivers completed the Child Behavior Checklist (CBCL), which comprises 100 questions related to a child's daily behavior. The total scores, the narrow-band subscales, and raw scores were obtained. Accordingly, for each raw score, t-scores were obtained using the graphic display. These scores were then subjected to various statistical analyses including the Kolmogorov-Smirnov test, Mann-Whitney U test, and Spearman's rank correlation method. Results Results of the present study revealed that there were no significant differences in behavior based on demographic factors such as gender and age. However notable differences were observed in several aspects of behavior between the two groups. Conclusion Caries-active children exhibited significantly higher levels of behavioral problems compared to their caries-free counterparts.
ABSTRACT
Background: Premature loss of primary teeth results in space loss, thus affecting the integrity of the oral tissues. According to the American Academy of Pediatric Dentistry, the treatment for a carious primary molar with pulpal involvement is pulpectomy. The success of this procedure depends on the elimination of bacteria, the most common being Enterococcus faecalis (E. faecalis), by cleaning and shaping the root canals with rotary or hand instrumentation. Aims and objectives: Evaluating and comparing the cleaning efficacy and obturation quality using Kedo-SH hand files and rotary Kedo-SG (blue) and Pro AF Baby Gold files in primary molar teeth. Materials and methods: A total of 51 extracted primary molar teeth were selected and divided into three equal groups. Group I, the control group, was instrumented with Kedo-SH hand files. Groups II and III were instrumented with Kedo-SG (blue) and Pro AF Baby Gold files, respectively. Baseline data and postinstrumentation data were sent for microbiological analysis to check microbial levels of bacteria E. faecalis. Obturation quality was then scored using Barrieshi-Nusair criteria and the T-scoring system by Robia. Results: Associating obturating length between each group, maximum samples in group I showed adequate fill. Relating to density, maximum samples in group III showed no voids present in the obturation. Distribution of the T-scoring system shows maximum samples in group III having all three qualities of ideal obturation. On comparing microbiological analysis among the groups, group I showed higher colony counts of E. faecalis compared to groups II and III. Conclusion: In the present study, rotary instrumentation in the canals showed more consistent results than hand instrumentation. Among the rotary files, Pro AF Baby Gold files show a greater reduction in E. faecalis, with a good obturation quality. Thus, the use of nickel-titanium (Ni-Ti) files is a good option for root canal instrumentation in primary teeth. How to cite this article: Shanker K, Patil SB. Evaluation of the Efficiency to Remove the Infected Dentin viaEnterococcus faecalis Bacterial Count and to Adequately Shape the Canal Using Hand Kedo-SH Files, Rotary Kedo-SG (Blue) and Pro AF Baby Gold Files in Primary Molars: An In Vitro Study. Int J Clin Pediatr Dent 2023;16(S-2):S142-S148.
ABSTRACT
AIMS: This study was aimed to determine the effectiveness of Papacárie(®) for caries removal as compared to the conventional method with respect to microbial flora, time, the amount of tissue removal, child's behavior, pain perception, and preference of treatment. MATERIALS AND METHODS: Sixty primary molars of 30 children of age 4-9 years were selected randomly and divided into two groups of 30 teeth each: Group A treated by conventional method and group B with Papacárie(®) method. RESULTS: Comparatively, no statistical difference was seen in microbial growth, total bacterial count, and lactobacilli count in both the groups (P = 0.36). The mean cavity entrance size with group A was 0.98133 mm and group B was 0.26083 mm (P < 0.001). The mean preparation time for group A was 4.7 Mins (minutes) and group B was 17.96 min s (P < 0.001). Majority of kids of both group A and B scored 3 (Frankl Behavior Rating Scale) before and after the treatment showing no statistical difference in their behavioral score (P = 1). In group A 50% of children experienced no pain as compared to 86.7% in group B (P = 0.01). There was no statistical difference in the preference of treatment (P = 0.12). CONCLUSION: Thus, the Chemo mechanical caries removal method can be considered as an effective method to control pain and preserve sound tooth structure during caries excavation.
ABSTRACT
Trauma of the oral and peroral structures are one of the most common and frequent complaints after dental caries with which a child is being referred to a dental clinic. As an emergency, we tend to treat the injuries without understanding or neglecting the cause of trauma. The different possible etiological factors are unnoticed, not revealed or not noted while taking the history of the patient. Sometimes negligence of the etiology by the dentist himself or the accompanying person could influence the prognosis and prevention. Thus, this paper is an effort towards exploring the common yet unnoticed etiological factors of pediatric dental trauma which we tend to knowingly ignore.
ABSTRACT
Dens invaginatus is a relatively rare developmental anomaly affecting usually the permanent maxillary lateral incisor. Various factors have been put forward regarding its pathogenesis. Involvement of crown/root has been reported as the coronal and radicular variety of dens invaginatus. One of the rarest variant is the Double dens invaginatus and only a few cases have been reported in the literature.This article focuses on a case of double dens invaginatus in an impacted maxillary anterior supernumerary tooth, the associated complications and its management.
