Management of Dentally Anxious Adolescents with Retraining Technique: A Double-blind Randomized Controlled Clinical Study.

Background: Anxiety toward dental treatment may be the reason for not only young children but also secondary school children to postpone dental treatment despite having severe pain. Hence this study was undertaken to recognize such anxious secondary school children prior to the treatment and tried to manage them with the retraining technique. Materials and methodology: The present interventional study comprised 100 participants with highly anxious about dental treatment and were selected randomly within the secondary school age group of 11-16 years visiting the dental hospital. These selected participants were randomly allocated into two groups with 50 members in each group. Group I participants were managed with the retraining behavior management technique and in group II subjects retraining behavior management technique was not employed. Preinterventional and postinterventional dental anxiety (DA) scores were assessed using a Modified Dental Anxiety Scale (MDAS). The data obtained was statistically analyzed with Statistical Package for the Social Sciences (SPSS) version 22 using the Wilcoxon sign ranked test. Results: There was a significant difference in preinterventional and postinterventional mean DA scores in group I treated with the retraining technique with no significant difference in group II. Conclusion: The retraining technique can be used in managing highly anxious secondary school children during dental procedures. How to cite this article: Saraswati S, Saraswati SD, Mudusu SP, et al. Management of Dentally Anxious Adolescents with Retraining Technique: A Double-blind Randomized Controlled Clinical Study. Int J Clin Pediatr Dent 2023;16(S-2):S118-S121.

Assessment of Four Obturation Methods in Deciduous Teeth Using Digital Radiography: An In Vivo Study.

Aim and objective: This study was carried out to comparatively assess the efficiency of four methods of obturation viz Lentulo spiral, Navi tip syringe, Bi directional spiral, and Past inject carrier in deciduous teeth using vista scan. Materials and methods: A total sample of 100 primary root canals [4 groups of 25 canals each] with 2/3rd of root length were selected and randomly allocated into four different obturating techniques, i.e., Group I: Lentulo spiral, Group II: Navi tip syringe, Group III: Bi directional spiral, and Group IV: Past inject carrier. The quality of obturation [Coll and sadrain, 1996] and presence or absence of voids were evaluated by using Vista scan. The recorded data was statistically analyzed. Results: The highest mean rank value of optimally filled canals was obtained by Group IV [58.00] followed by Group I [50.00] with no significant difference. The highest mean rank value of under filled canals and over filled canals were obtained by Group III and Group II, respectively, and these results were statistically significant. All the four obturation techniques showed presence of voids with no significant difference. Conclusion: Both Lentulo spiral and Past inject carrier were equally efficient in attaining an optimally filled homogenous obturation in deciduous teeth. How to cite this article: Raju SS, Reddy RE, Rani TS, et al. Assessment of Four Obturation Methods in Deciduous Teeth Using Digital Radiography: An In Vivo Study. Int J Clin Pediatr Dent 2022;15(S-1):S52-S56.

Prevalence of Arrested Caries in Three Areas of South India with Different Groundwater Fluoride Levels: An Epidemiological Study.

Background: Dental caries, though a progressive disease, if intervened early may become arrested, provided there is a change in the oral environment. One such factor which may lead to caries arrest is prolonged exposure to naturally available groundwater fluoride. Aim: The aim of the study is to know the prevalence of arrested caries in three geographical areas with different levels of fluoride in groundwater and to attribute if there is any correlation between the natural high fluoride levels in groundwater and the prevalence of arrested caries. Design: A cross-sectional study is conducted on schoolchildren residing in three geographical areas of south India with high, moderate, and low groundwater fluoride levels. A total of 5,982 children, from all the three regions between the age-groups 5-9 years, are examined and 1,514 children with caries are included in the study. The teeth and surfaces with active and arrested caries are identified and recorded in a structured pro forma. All the data obtained was tabulated and subjected to statistical analysis. Results: The prevalence of arrested carious lesions is found to be significantly higher in areas with high groundwater fluoride level when compared to the other two areas. Conclusion: It can be concluded that the progression of caries in children residing in areas with high groundwater fluoride level is slow and gets arrested early in the presence of a high amount of fluoride. How to cite this article: Mudusu SP, Jampanapally SR, Konda S, et al. Prevalence of Arrested Caries in Three Areas of South India with Different Groundwater Fluoride Levels: An Epidemiological Study. Int J Clin Pediatr Dent 2022;15(S-2):S186-S190.

Oral Health Status and Caries Experience in Children Diagnosed with Attention-deficit Hyperactive Disorder.

Aim: The present study aimed to assess and evaluate oral hygiene status and oral hygiene behaviors among children with the attention-deficit hyperactive disorder (ADHD) and children without ADHD. Materials and methods: A total of 34 children of ages 6-14 years were included in the study. Groups I-17 children with ADHD and group II-17 healthy children. A visual examination of dental caries and traumatic injuries was performed, and the oral hygiene status of these children was determined. The parent/guardian completed a structured questionnaire regarding the child's oral hygiene practices and food habits. Data obtained from oral examination and questionnaires were compiled and subjected to statistical analysis. Results: The student t-test and the Chi-squared test showed that children with ADHD had significantly higher decayed, missing, and filled teeth (DMFT) scores and incidence of traumatic injuries without significant difference in oral hygiene status. Conclusion: There is no significant difference in oral hygiene status between both the groups but caries experience, and incidence of traumatic injuries are high in children with ADHD. How to cite this article: Reddy ER, Kiranmayi M, Mudusu SP, et al. Oral Health Status and Caries Experience in Children Diagnosed with Attention-deficit Hyperactive Disorder. Int J Clin Pediatr Dent 2022;15(4):438-441.

Comparative Evaluation of BMI, Dental Age, Salivary Alkaline Phosphatase Levels, and Oral Health Status in Children with ß Thalassemia Major.

PURPOSE: Thalassemia poses clear systemic and oral health problems. Clinicians must be aware of various dental treatment needs in these patients. This study was undertaken to assess body mass index (BMI), dental age, salivary alkaline phosphatase levels, malocclusion, and treatment needs in children with ß thalassemia major. MATERIALS AND METHODS: A total of 100 children within the age group of 2-15 years (50 thalassemic and 50 healthy controls) were included. Dental age, oral health status, malocclusion, and intervention urgency index was recorded. Unstimulated whole saliva samples were collected to assess the salivary alkaline phosphatase levels. The recorded data were statistically analyzed. RESULTS: A significantly greater number of thalassemia children were found to be in the underweight category. A significantly high OHI-S scores and low gingival index scores were observed in thalassemia children. Salivary alkaline phosphatase levels were significantly low in thalassemia children compared to the control group. Intervention urgency index scores were significantly high in thalassemia group of children. CONCLUSION: Thalassemia children had low BMI, gingival index scores, salivary alkaline phosphatase levels and higher prevalence of malocclusion, and high OHI-S index scores compared to the healthy control group. Intervention urgency index scores revealed greater dental treatment needs in children with thalassemia. HOW TO CITE THIS ARTICLE: Rani ST, Reddy ER, et al. Comparative Evaluation of BMI, Dental Age, Salivary Alkaline Phosphatase Levels, and Oral Health Status in Children with ß Thalassemia Major. Int J Clin Pediatr Dent 2019;12(4):303-306.