Management of internal and external root resorption in primary teeth of a 3-year-old with myelomeningocele: A case report.

BACKGROUND: Myelomeningocele (MMC) is a severe manifestation of spina bifida. Children with MMC have motor disability, hydrocephalus, skeletal abnormalities, and mental retardation. These individuals are more susceptible to caries due to poor oral hygiene, carbohydrate-rich diet, prolonged use of sugar-containing medications and limited motor abilities. Latex allergy is an important factor to be considered during the dental rehabilitation of such patients. CASE REPORT: A 3-year-old girl visited the dental clinic with the chief complaint of multiple carious teeth and H/o neural tube defect (NTD) which had been operated on at the age of 6 weeks. On dental examination, multiple dental abscesses and severe early childhood caries were noted. Radiographic evaluation revealed internal root resorption of tooth "K" and external root resorption of tooth "T." The two teeth were treated with ledermix paste followed by obturation with Vitapex® (Diadent Group International Inc., Burnaby, BC, Canada) along with triple antibiotic paste and placement of stainless steel crown (SSC). A latex-free environment was maintained during the entire treatment to prevent allergic reaction. A follow up after 42 months indicated clinical and radiographical success. CONCLUSION: The paper reports succesfull management of internal and external root resorption as well as latex allergy in a dental operatory. The dental perspective while dealing with patients having NTD is limited. Explaining the particulars of the treatment plan will aid in management of such cases .

An open-label, interventional, single-center, prospective clinical study to evaluate the efficacy and safety of "AHPL/AYTAB/1514" in patients suffering from halitosis.

OBJECTIVES: The main objective of the study was to assess the efficacy and safety of AHPL/AYTAB/1514 tablet in patients suffering from halitosis. METHODOLOGY: Fifty four patients were recruited in the study. Patients were advised to take maximum two tablets or at least one tablet four times a day (depending on tolerability of the drug) orally for 60 days. Patients were called for follow-up on day 15, 30, 45, 60, and 75. Data describing quantitative measures were expressed as mean ± standard deviation comparison of variables representing categorical data were performed using Chi-square test, Student's t-test, or Wilcoxon Sign Rank test. RESULTS: At the end of the treatment, significant reduction in halitosis, gingivitis index, and dental plaque index was observed. Even after stoppage of treatment for 15 days after 60 days of treatment, there was no relapse in halitosis. Few patients experienced sore throat, cough, and common cold during the study, which were resolved with the treatment of AHPL/AYTAB/1514 tablet. No significant change in vital parameters and most of the safety laboratory parameters were observed. No staining on tooth was observed in any patient. Almost all patients showed excellent improvement as per global evaluation done by the physician and patient. Almost all patients showed excellent tolerability to the study drug. Few patients showed mild AE, which were resolved without stoppage of study drug. CONCLUSION: The study provides good evidence in support of the efficacy and safety of the AHPL/AYTAB/1514 tablet in halitosis.

Interrater agreement and reliability assessment of proximal caries detection tools in mixed dentition: An in-vivo study.

OBJECTIVE: This in-vivo study was performed to assess the interrater agreement and reliability of ICDAS (visual), transillumination, radiographic, and laser fluorescence proximal caries detection tools in between primary and adjacently erupted permanent molars. METHOD AND MATERIALS: This study was in accordance with Guidelines for Reporting Reliability and Agreement Studies. Two calibrated examiners assessed the nonobvious noncavitated apparently sound 100 interproximal sites using predefined criteria. Interrater agreement was analyzed as proportion of agreement. Interrater reliability assessment was performed using weighted kappa statistics and intraclass correlation coefficient. RESULTS: The maximum interrater agreement was projected with conventional bitewing radiography (97%), and the minimum with DIAGNOdent pen (84%), with significant difference (P < .001) in the proportion of agreement. All methods showed substantial interrater reliability, except fiber-optic transillumination. Maximum interrater reliability was noticed for ICDAS (International Caries Detection and Assessment System) method with a weighted kappa value of 0.80 (96% CI, 0.58 - 0.93) followed by conventional and digital bitewing radiography, with values of 0.74 (95% CI, 0.51 - 0.96) and 0.73 (95% CI, 0.43 - 0.92) respectively. CONCLUSION: ICDAS and bitewing radiography seem to be the most reliable methods, with a higher proportion of agreement between the examiners compared to the other methods addressed in this study for proximal caries detection.