RESUMO
BACKGROUND: Dermatoglyphics is a scientific study that deals with the epidermal ridges and their configurations on certain body parts such as fingers, palms, and soles. In humans, during the intrauterine life (IUL) the primary palate, lip, and dermal ridges are formed during the same period, the genetic code engineered in the genome normal or abnormal is mirrored on these developing structures. Thus making dermatoglyphic a preceding tool in dental diagnosis. AIMS AND OBJECTIVES: The study aimed at evaluating dermatoglyphics as a tool in diagnosing malocclusion by comparing qualitative and quantitative dermal patterns in class I and class III skeletal malocclusion. MATERIALS AND METHODS: Sixty subjects fulfilling inclusion-criteria were segregated into two groups, group I (class I skeletal malocclusion) and group II (class III skeletal malocclusion) with 30 subjects in each group. Dermatoglyphic patterns were recorded using ink method following rolling impression technique on recording sheets. The dermatoglyphic data were assessed for different finger ridge patterns, total finger ridge count, a-b ridge count, and atd angle. RESULTS: The data were analyzed using Chi-square and paired t tests. In skeletal class III malocclusion, there was an increase in loop count and a decrease in the count of whorls and arches as compared to class I malocclusion (p = 0.037). However, in relation to total finger ridge count, a-b ridge count, and atd angle, there was no statistically significant difference found between the groups. CONCLUSION: The end of the study derived that the fingerprint patterns are valuable and ineradicable markers of malocclusion. Thus, the dermatoglyphics can be utilized as a screening tool for early prediction of skeletal class III malocclusion at a younger age-group. Further studies are suggested with the inclusion of other parameters using the inkless biometric method in different populations. HOW TO CITE THIS ARTICLE: Belludi AC, Sridhara A, Kumar NC, et al. Dermatoglyphics: A Noninvasive Diagnostic Tool in Predicting Class III Skeletal Malocclusion in Children. Int J Clin Pediatr Dent 2021;14(1):63-69.
RESUMO
OBJECTIVES/AIMS: This study was designed to determine the endodontic working length (WL) of root canals using digital extraoral periapical radiography (EOPAR) technique and comparing its accuracy with the standard digital intraoral periapical radiography (IOPAR). MATERIALS AND METHODS: Sixty single-rooted mandibular first premolars indicated for orthodontic extraction were radiographed preoperatively to ensure closed apices. After gaining endodontic access, WL was determined by IOPAR using paralleling technique, followed by EOPAR, by placing a cone at +35° from the contralateral side. Accessed tooth was then extracted to obtain the actual root canal length and was compared with the radiographic lengths. Data were subjected to statistical analysis using paired t test. RESULTS: The actual length and the extraoral radiographic length showed no statistical significant difference (p = 0.326). The difference between the mean WL obtained by IOPA and EOPA was also not statistically significant (p = 0.096). The accuracy of IOPA technique was 97.87 ± 0.91% and that of EOPA technique was 94.65 ± 2.57%. CONCLUSION: The EOPA technique with an angulation of +35° can be used as an alternative to IOPA for mandibular premolars in apprehensive children, dental phobic patients with low pain threshold, neurological difficulties, and exaggerated gag reflex. HOW TO CITE THIS ARTICLE: Sridhara A, Konde S, Noojadi SR, et al. Comparative Evaluation of Intraoral and Extraoral Periapical Radiographic Techniques in Determination of Working Length: An In Vivo Study. Int J Clin Pediatr Dent 2020;13(3):211-216.
