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Purpose: The purpose of this in vivo study was to compare the relative efficacy of two different chemical irrigants in achieving the same objective of bacteria decrease in deciduous teeth. The classic needle irrigation system and the EndoVac system were chemical irrigants. Materials and methods: In this comparative study, 80 deciduous molars in patients aged 3-9 years were chosen according to the selection criteria. The teeth were divided randomly into four groups based on the irrigation system and irrigant used, namely, the group I [2.5% sodium hypochlorite (NaOCl) + conventional needle], group II (2.5% NaOCl + EndoVac), group III [2% chlorhexidine (CHX) + conventional needle], and group IV (2% CHX + EndoVac). Pre and postirrigation microbial samples were collected and transferred for microbial assay. Thereafter, pre and postoperative observations were recorded and a mean reduction of bacterial colony-forming units (CFU)/mL was obtained. The statistical analysis was then performed. Results: In the intragroup comparison, EndoVac and the conventional system showed a statistically significant (p > 0.05) reduction in mean CFU/mL. In the intergroup comparison, EndoVac showed better results than the conventional needle irrigation system (p > 0.05). There was more reduction in CFU in 2% CHX than in 2.5% NaOCl in both the conventional needle system (p = 0.3056) and the EndoVac system (p = 0.4573), with no significant difference. Conclusion: In this in vivo study, the efficacy of EndoVac was found to be better among all the tested groups. Around 2% CHX was found superior as compared to 2.5% NaOCl with no significant difference. Clinical significance: The EndoVac apical negative pressure irrigant system eliminates optimum bacterial load. It significantly cleans more debris from mechanically inaccessible regions of root canals. The use of 2% CHX has shown promising results due to its property of substantivity and acceptability by children. How to cite this article: Ahmadi M, Govil S. Conventional to EndoVac: A Comparative Evaluation of Two Irrigation Systems in Microbial Reduction of Primary Root Canals Using Chemical Irrigants: An In Vivo Study. Int J Clin Pediatr Dent 2023;16(S-2):S113-S117.
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AIM AND OBJECTIVE: To investigate the effect of the addition of incipient carious lesions into the WHO caries index on the prevalence of caries in preschoolers of East Lucknow city. STUDY DESIGN: A cross-sectional observational study was conducted on 530 participants in the age-group of 3-6 years. MATERIALS AND METHODS: The participants were randomly selected from nursery schools of the East Lucknow region. The dental caries status was assessed according to WHO and Ekstrand's criteria. In addition, the prevalence of cavitated and incipient carious lesions was also evaluated. The data were then subjected to statistical analysis. STATISTICS: Chi-square test and Wilcoxon signed-rank test were performed to carry out statistical analysis. p value < 0.005 was taken as statistically significant. RESULTS: Out of 530 participants examined, caries prevalence by WHO and Ekstrand's criteria was (36.8%) and (57.4%), respectively. The mean dmft values according to WHO criteria and Ekstrand's criteria were 1.16 and 1.60, respectively. The prevalence of cavitated carious lesions was higher (66.27%) when compared with that of incipient carious lesions (33.73%). CONCLUSION: A significant number of incipient carious lesions observed in the present study is an indication to include these lesions in caries diagnostic criteria. This would help in determining the exact prevalence of caries and aid in implementing proper preventive protocols for remineralization of incipient carious lesions. HOW TO CITE THIS ARTICLE: Asad F, Singh N, Rathore M, et al. Effect of Addition of Incipient Carious Lesions in Caries Diagnostic Criteria on Prevalence of Caries in North Indian Preschool Children of East Lucknow Region. Int J Clin Pediatr Dent 2021;14(5):644-647.
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AIM AND OBJECTIVE: To find the prevalence of malocclusion and orthodontic treatment need in children of East Lucknow city. MATERIALS AND METHODS: The present study was conducted in the Department of Pedodontic and Preventive Dentistry, Babu Banarasi Das College of Dental Sciences, Lucknow. The nursery and primary schools of East Lucknow were included in the study. Baby-ROMA Index and Index of Orthodontic Treatment Needs (IOTN) were tested on 400 children, which were divided into two groups of 200 in each group, referred from the Out Patient Department and school camps. A single operator who was trained and calibrated for the use of indices evaluated children. RESULTS: Intra-reliability test showed higher reproducibility of the index. It is shown that around 70% of the patient presented malocclusion from both indices. CONCLUSION: Baby-ROMA Index and IOTN were helpful to assess the severity of malocclusion and the timing for orthodontic malocclusion in young patients (primary and mixed dentition). HOW TO CITE THIS ARTICLE: Singh A, Rathore M, Govil S, et al. Prevalence of Malocclusion and Orthodontic Treatment Needs in Primary and Mixed Dentition Using Baby Roma Index and Index of Orthodontic Treatment Needs. Int J Clin Pediatr Dent 2021;14(S-1):S22-S28.
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BACKGROUND AND OBJECTIVES: Dental fear among adolescents may be associated with parenting style, however, there is little research of its effect in the Indian population. Hence, this study was planned to explore the association between dental fear and parental authority and to analyze the most common parenting style practiced in India. METHODS: 43 participants in the age group of 12-18 years were enrolled in the study after their parents informed consent. Data regarding: demographic details, number of visits to dental clinic, Modified version of Child Fear Survey Schedule-Dental Subscale, and Parental Authority Questionnaire scores were collected and analyzed. RESULTS: Dental fear score was most in males who had visited the dental clinic less than 5 times (53.4⯱â¯11.04). The dental fear reduced significantly with increase in number of visits in dental clinic. The dental fear was significantly more in 12-15 years of age group than in 16-18 years age group.There was a direct co relation of dental fear with authoritarian parents and inversely related with authoritative and permissive parenting. Parenting style showed that most of the mothers were authoritarian (39.53%), authoritative (32.56%) and the least were permissive (23.26%) types. Similarly, fathers were authoritarian (36.58%), Authoritative (26.82%) and Permissive (17.07%). CONCLUSION: Authoritarian parenting style is the most prevalent parenting style witnessed amongst both mothers and fathers in the Indian culture. High dental fear in children is directly associated with authoritarian parents while inversely with authoritative and permissive parenting style. The study recommends permissive parenting style for mothers and authoritative for fathers to reduce dental fear among their children.
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The bilateral lateral periodontal cyst is a rare nasological entity, which despite clinical and radiological presentation is being diagnosed by histological characteristics. It is asymptomatic in nature and is observed in routine radiography. The aim and objective of this article is to present a rare case of bilateral lateral periodontal cyst in a 14-year-old child. The clinical and radiographical findings, along with its management have been discussed. Enucleation of bilateral cyst without extraction of the adjacent tooth was performed. Lesion samples were sent for histopathological analysis. The histopathological analysis revealed a thin, non keratinised stratified squamous epithelium resembling reduced enamel epithelium. Epithelial plaques were also seen. A clinicopathological correlation incorporating the surgical, radiographical and gold standard histopathological findings was obtained to suggest the final diagnosis of the bilateral lateral periodontal cyst.
