Global Developmental Delay in Children with Full Mouth Rehabilitation: A Case Series.

Global developmental delay (GDD) is a chronic neurological disturbance that includes defects in one or more developmental domains. Although some diagnosed delays are benign, certain presentations are more worrisome. The developmental domains can be motor, cognitive, daily activities, speech or language, and social or personal development. The etiology of GDD can be prenatal, perinatal, or postnatal. It can be diagnosed early in childhood as the delay or absence of one or more developmental milestones. Hence the role of pediatric dentists and pediatricians becomes more crucial in identifying this condition. How to cite this article: Thimmegowda U, Chikkanarasaiah N, P A, et al. Global Developmental Delay in Children with Full Mouth Rehabilitation: A Case Series. Int J Clin Pediatr Dent 2023;16(3):522-527.

Evaluation of Anatomical Variations in Root and Canal Morphology of Primary Maxillary Second Molars: A Cone-beam Computed Tomography Study.

INTRODUCTION: Visualizing the pulp cavity requires adequate knowledge of the size, morphology, and variation of the root canals of primary teeth. The morphology of the root canals in deciduous teeth causes difficulties during endodontic treatment. There have not been many studies on root canal variations in primary teeth in the Indian population. AIM AND OBJECTIVE: To assess the variation in the root and canal morphology of primary maxillary second molars using cone-beam computed tomography (CBCT) in the pediatric Indian population. MATERIALS AND METHODS: The institutional database and private diagnostic centers were used to gather CBCT images of 25 children (50 images) between the age-group of 5 years and 9 years. The CBCT images were rebuilt using Scanora software, and the data were assessed and analyzed using the SPSS version for Windows. RESULTS: Out of 50 primary maxillary second molars, the majority of the second molars had three roots and three canals (Variant I) which account for 66% of teeth. Variant II had three roots and three canals with distobuccal and palatal roots fused in 14% of cases whereas 18% of cases showed three roots and four canals in which mesiobuccal root had two canals (Variant III). The remaining 2% of cases showed four roots with four canals (Variant IV) which were statistically significant. CONCLUSION: We concluded that within the constraints of our study, there was a difference in the root canal configuration of primary maxillary second molars in the investigated group of the Indian population. HOW TO CITE THIS ARTICLE: Krishnamurthy NH, Jose S, Thimmegowda U, et al. Evaluation of Anatomical Variations in Root and Canal Morphology of Primary Maxillary Second Molars: A Cone-beam Computed Tomography Study. Int J Clin Pediatr Dent 2021;14(5):628-632.

Fragile and Brittle Bone Disease or Osteogenesis Imperfecta: A Case Report.

AIM AND OBJECTIVE: The aim and objective of this report is to describe the dental management of 11-year-old patient with type III osteogenesis imperfecta (OI). BACKGROUND: Osteogenesis imperfecta or brittle bone disease is caused by mutations in the collegen type I gene which is a heterogeneous rare connective tissue disorder. Dentinogenesis imperfecta, hearing impairment, scoliosis, sclera is blue, hyperlaxity of ligaments, and fragile skin are other common features. Individuals having positive family history suggest a straightforward diagnosis of OI but can be difficult in the absence of affected family. CASE DESCRIPTION: We report a case of 11-year-old boy, with a chief complaint of pain and swelling on the lower left back tooth region which was associated with extraoral draining sinus. His medical history revealed multiple fractures sustained during routine handling. On examination, the child was pale, dyspneic, with rhizomelic dwarfism, and relative macrocephaly with frontal bossing. On the grounds of history taken, clinical examination and respective investigations carried out, we came to a conclusion of osteogenesis imperfect type III. As the child needs a special care, we planned for a conservative treatment approach. CONCLUSION: The craniofacial abnormalities in OI-III affected person's impact on their dentofacial appearance and masticatory function. A detailed dental and craniofacial investigation is necessary in affected persons in order to identify any primary or secondary abnormalities. As soon as the deciduous teeth erupt, patients with OI should be evaluated with adequate dental treatment and oral hygiene instructions in order to reduce the need for extensive treatment. CLINICAL SIGNIFICANCE: Although oral manifestations are seldom seen, dentist should be extremely alert while managing this fragile bone disease. Early diagnosis, increased awareness, and effective treatment plan will reduce the effects of this debilitating disease. An ounce of prevention is worth a pound of cure, especially when something has no cure. HOW TO CITE THIS ARTICLE: Krishnamurthy NH, Chikkanarasaiah N, Nanjappa A, et al. Fragile and Brittle Bone Disease or Osteogenesis Imperfecta: A Case Report. Int J Clin Pediatr Dent 2020;13(4):425-428.

Primary Molar Pulpectomy Using Two Different Obturation Techniques: A Clinical Study.

CONTEXT: A major goal in pediatric dentistry is preservation of the integrity of primary teeth and their supporting tissues until physiological process of exfoliation takes place. Pulpectomy serves such a purpose using various materials and techniques to fill the canals of primary teeth. Aims: The aim of this in vivo study was to determine the efficacy of modified disposable syringe technique in root canals of primary molars using digital radiography when obturated with endoflas. SETTINGS AND DESIGN: A clinical study was undertaken for a period of 6 months. SUBJECTS AND METHODS: A total of 60 primary maxillary and mandibular molars were selected in the age group of 4-8 years and randomly divided into two groups. The teeth were obturated with handheld lentulospiral and a modified disposable syringe techniques. Postoperative radiographic evaluation was done for quality of fill and voids using digital radiography. Statistical Analysis Used: Results were assessed using Chi-square test and Mann-Whitney U-test. Results: No statistically significant difference between quality of obturation using hand-held lentulospiral and modified disposable syringe (P < 0.05) was observed. Optimal obturation was achieved in both techniques; however, voids in obturation were not significant. CONCLUSIONS: Both the hand-held lentulospiral and modified disposable syringe technique are effective in the obturation of primary molar root canals in terms of quality of fill.

The effect of Propolis and Xylitol chewing gums on salivary Streptococcus mutans count: a clinical trial.

BACKGROUND: Streptococcus mutans is one of the most common cariogenic microorganisms. Use of natural anticariogenic agents, such as Xylitol has been well-established in the literature. On the other hand, there is a scarcity of studies that have reported the antimicrobial potential of Propolis as an anticariogenic chewing agent; hence, the present study was designed. AIMS: To evaluate and compare the anticariogenic action of two commercial chewing gums Propolis and Xylitol on the salivary S. mutans count in a group of children from Bengaluru city. SETTINGS AND DESIGN: Clinical setting and experimental design. MATERIALS AND METHODS: Thirty healthy children aged 8-11 years with decayed, missing, and filled teeth (dmft)/DMFT index score≥3 were included in the study. Before the test, unstimulated saliva was collected. Children divided into Group I and II were given Propolis and Xylitol chewing gums respectively; to chew for 15 min. Saliva samples were then collected at 15 min (just after spitting) and after 1 h. The amount of S. mutans in saliva was evaluated using a selective media (MSAB). In addition, compliance of the two chewing gums among the children was tested with a questionnaire. STATISTICAL ANALYSIS USED: Student's t-test. RESULTS: Six samples out of 30 were excluded due to no growth. The total number of bacterial colonies was significantly reduced when compared to baseline in both the groups. Propolis gum showed statistically significant reduction in the number of colonies as compared to Xylitol. Xylitol gum was more preferred than Propolis gum by the children. CONCLUSIONS: Propolis chewing gum can be used as an anticariogenic agent in children.