Pyogenic Granuloma in a One-Year-Old Child: A Rare Entity.

Pyogenic granuloma (PG) is a benign vascular neoplasm seen in the first and second decades of life, and it has a female predilection. It presents as a small reddish exophytic lesion, gingiva being the most common site. This article describes an unusual presentation of PG in a one-year-old female child and highlights the importance of its early diagnosis and management to avoid discomfort and distress in these patients. The diagnosis was verified by histological examination, which revealed significant markers such as endothelial growth, vascular abundance, and chronic inflammatory cell infiltration. The chosen treatment protocol was surgical excision, which led to a successful outcome with no symptoms of recurrence, as confirmed by thorough follow-up examinations.

Comparative Evaluation of Microleakage of Various Restorative Materials in Pulpotomized Primary Molars - In Vitro Study.

Background and Objectives: Conventionally, stainless steel crown (SSC) is the preferred material for the restoration of pulpotomized primary molars. However, in situations where stainless steel cannot be used necessity for other restorative material arises. Aim: The aim of this study is to assess the microleakage of several coronal seal materials in pulpotomized primary molars- in vitro. Methodology: Seventy-five primary molars were prepared with proximo-occlusal cavities. Restoration was done with Zinc oxide eugenol cement, SSC, composite resin, resin-modified glass-ionomer cement (GIC), and amalgam. Microleakage was assessed using dye penetration technique with stereomicroscope and scanning electron microscope. Statistical Analysis and Results: The Kruskal-Wallis and Mann-Whitney tests were used to statistically analyze the results. Conclusion: With regard to this present study composite resin and resin-modified GIC offers a good alternative for SSC.

Effect of Tricalcium Phosphate and Calcium Sucrose Phosphate on the Inhibition of Streptococcus mutans: An In Vivo Study.

AIM: To determine the efficacy of tricalcium phosphate (TCP) and calcium sucrose phosphate (CSP) on the inhibition of Streptococcus mutans (SM). MATERIALS AND METHODS: Thirty healthy children between 13 and 18 years of age were divided into two groups of 15 each; Group I receiving TCP-containing cream and Group II receiving calcium sucrose phosphate-containing cream. On the first day of the study, 30 minutes after breakfast, baseline plaque samples were taken from the buccal surface of first mandibular permanent molar using a sterile wedge which was immediately transferred to sterile container containing 1 mL of saline, and were subjected to microbiological examination. On the following days, both the creams were applied to the respective groups. On the 16th day, plaque samples were collected from the same site, and colony forming units were recorded using agar plate as a culture medium. RESULTS: The mean of S. mutans count before application of TCP-containing paste was 16.27 cfu per mL and before calcium sucrose phosphate-containing paste was 15.33 cfu per mL. The mean after application of TCP-containing paste and calcium sucrose phosphate-containing paste was 3.53 and 9.87 cfu per mL, respectively. And, there was a statistically significant difference found within the groups. CONCLUSION: Both TCP and CSP have an inhibitory effect on S. mutans. CLINICAL SIGNIFICANCE: This can be an effective preventive tool for children with high caries risk and even for special child. Both TCP and CSP deposit the mineral reservoir in plaque and saliva; it may help resist the future cariogenic challenges.

Management of Traumatized Immature Vital Tooth: A Case Report.

Trauma to front tooth is one of the disturbing conditions for children and parents. The treatment strategies used to treat the immature young dentition are important for the long-term prognosis of teeth and should aim at preserving pulp vitality to secure tooth maturation and root development. This article describes a case of trauma to upper front tooth with open apex. The patient was treated with vital pulp therapy with mineral trioxide aggregate to induce apexogenesis.

Alternative Management of Impacted Permanent Central Incisor.

AIM: To discuss about the possible treatment modalities of supernumerary tooth in place of a impacted permanent tooth. BACKGROUND: Numerical anomaly with an excessive number of teeth are termed as supernumerary teeth. CASE DESCRIPTION: This paper describes a case with erupted supernumerary tooth in the place of missing left maxillary central incisor. Radiographically the left maxillary central incisor was impacted below the root of the supernumerary tooth with an additional impacted supernumerary tooth in relation to the right maxillary central incisor. CONCLUSION: A multidisciplinary approach is required in managing the supernumerary teeth. When orthodontic extrusion of the impacted permanent tooth is not possible the possibilities of retaining the supernumerary tooth should be considered. CLINICAL SIGNIFICANCE: This paper describes about the treatment of supernumerary tooth erupted in the place of missing left maxillary central incisor not amenable for orthodontic extrusion. HOW TO CITE THIS ARTICLE: Thomas J, Harris A, Hedge S, Morgan G, Prabha EA, Rinu. Alternative Management of Impacted Permanent Central Incisor. Int J Clin Pediatr Dent, 2018;11(6):529-531.