International Journal of Clinical Pediatric Dentistry
ORIGINAL RESEARCH which dissolves infected tissue, and has an excellent cleansing ability and ant... more ORIGINAL RESEARCH which dissolves infected tissue, and has an excellent cleansing ability and antimicrobial properties, when used along with mechanical instrumentation it reduces the number of infected IntroductIon The success of endodontic treatment is achieved by the complete elimination of pulpal infection and protecting it from the future invasion of microorganisms. The most likely routes of infection are exposure to the pulp in direct contact with the oral cavity or via accessory canals, open dentinal tubules, or periodontal pockets. The sequence of events and procedures in the control of endodontic infections consists of host defense mechanism, systemic antimicrobial therapy, extirpation of infected pulp, biomechanical preparation and irrigation, intracanal medicaments, hermetically sealed obturation followed by coronal restoration. But still, there are failures in endodontic treatment and one of the reasons for the failure is the contamination of the root canals with microorganisms and their propagation in lateral canals. So, to prevent the failure root canal disinfection is done with the irrigating solution. 1,2 Irrigating solution has antimicrobial properties. It facilitates the instrument's cutting efficiency and removal of the smear layer from the inaccessible area. Conventionally and most commonly used irrigating solution is sodium hypochlorite 1-4
International Journal of Clinical Pediatric Dentistry
Objective: The objective of the study was to determine and compare flexural strength and microhar... more Objective: The objective of the study was to determine and compare flexural strength and microhardness of Cention N with Glass ionomer cement (GIC) (GC Gold Label Type IX Extra) and Zirconomer improved at a distinctive time period in artificial saliva. Materials and methods: Cention N, GC Gold Label Type IX Extra, Zirconomer improved for the fabrication of samples. To determine the physical properties such as flexural strength and microhardness, test samples (n-30) of dimensions 12 mm (length)*4 mm (breadth)*2 mm (thickness) were made and divided into three groups. Every sample was dipped for 28 days in a plastic tube containing 5 mL of artificial saliva. Statistical analysis was done using one-way ANOVA with a post hoc test, intergroup and intragroup analyses were carried out. Results: In an intergroup analysis, flexural strength and microhardness of Cention N were substantially higher than Zirconomer improved and GIC (GC Gold Label Type IX Extra), respectively. In intragroup analysis found that there was a significant decrease (p < 0.001) in the level of flexural strength as well as microhardness after samples were immersed in artificial saliva of group A (Cention N), group B (GC Gold Label Type IX Extra), and group C (Zirconomer improved) from 1st day to 28th day in artificial saliva. Conclusion: It can be concluded that Cention N had the highest flexural strength and microhardness of the three materials tested. Zirconomer improved can be used as a basic filling material in various restorative procedures due to good comparable mechanical properties and is economical for patients.
International Journal of Clinical Pediatric Dentistry, 2022
SDF is simple and inexpensive to apply to the dental surface, and it adheres to the philosophy of... more SDF is simple and inexpensive to apply to the dental surface, and it adheres to the philosophy of minimal intervention dentistry. There are studies on the silver diamine fluoride and its effect on carious lesion but very little data is available on its clinical use and efficacy on carious encountered in the region of Uttarakhand. Therefore, this study is being conducted to see its effect on various patients in Rishikesh, Uttarakhand. Method A 3 months clinical study was planned including sample of 30 children incorporating both males and females aged 4-8 years will be selected amongst the patients reporting to the Outpatient Department.
Impaction of maxillary permanent incisor is not a frequently case in dental practice, but its tre... more Impaction of maxillary permanent incisor is not a frequently case in dental practice, but its treatment is challenging because of its importance to facial esthetics. Early detection of such teeth is most important if complications are to be avoided. An unusual case of impacted and inverted maxillary central incisor is reported in a 8 year old boy. Inverted maxillary central incisor was not associated with any other anomaly which is rare.
The occurrence of supernumerary teeth in the mandibular arch is rare in Indian population with a ... more The occurrence of supernumerary teeth in the mandibular arch is rare in Indian population with a prevalence of 0-1.5%. [11,12] Very few cases of
Aim: The aim of this study is to verify if the thickness of soft tissues and inclination of the i... more Aim: The aim of this study is to verify if the thickness of soft tissues and inclination of the incisors have some relation with profile, to analyze its relevance considering these two parameters separately and to screen how the combination of different inclinations and different thickness can generate different facial patterns. Materials and methods: The study was performed on 47 Caucasian patients aged between 6 years and 16 years of divided into 24 males and 23 females. None of the patients presented craniofacial changes of syndromic nature. All patients presented a value of SNA in between 80° and 84°. The inclination of the upper incisor related to the bispinal plane was between 104° and 116°. Each radiograph has been digitized or analyzed directly in digital format. To analyze the relationships between soft tissues and position of the incisors using various cephalometric measures and statistical methodology were used. Results: Analysing the general correlation between all the cephalometric parameters considered, the results found show that the thickness of the tissues had an effect in modifying the aesthetic profile with respect to the position of the incisors. The cephalometric parameters related to the esthetic profile of the maxilla are all linked by strong correlations, especially correlation between SU, ULA and LS were very high. The differences between the means were statistically significant for different groups. Using the values of Mx1 and thickness of the lip as independent variables, while the LS, SU, ULA and NLA values as dependent variables all results are significant with respect to the prediction p < 0.05. Conclusion: Thickness of the soft tissues showed a significant influence on the profile with respect to the position of the incisors. Clinical significance: Data obtained highlighted that thickness of the soft tissues must be taken into account before starting an orthodontic treatment in order to obtain best aesthetic results.
International Journal of Clinical Pediatric Dentistry
This is a case report of a 14-year-old female patient in whom a premolar from a donor was used as... more This is a case report of a 14-year-old female patient in whom a premolar from a donor was used as an allotransplant to replace her missing lower premolar. The treatment results over 6 months showed successful periodontal healing and functioning of the allotransplanted tooth. The aim of this paper is to report a procedure, allotransplantation of tooth, which is followed from ages but less preferred and documented and is surrounded by variable prognosis and also highlight the use of a intentionally extracted tooth for orthodontic purpose, which otherwise goes as a waste and moreover the use of this technique can supplement the need of an implant for the time being in the young patient without compromising her alveolar bone height, functioning, and esthetics.
International Journal of Clinical Pediatric Dentistry
The foundation for healthy permanent teeth in children and teenagers is laid during the first few... more The foundation for healthy permanent teeth in children and teenagers is laid during the first few years of life. Toothbrushing should be presented as a habit. A wide array of toothbrushes is available in the market, which differ in size, design, length, hardness, arrangement of bristles. This present clinical study is undertaken to evaluate the effectiveness of ionic toothbrush on oral hygiene status and plaque removal. Materials and methods: A total of 30 children aged 6 years to 12 years were selected in this study. The children were divided into two groups, 15 children were given HyG ionic toothbrush, were instructed how to use product according to manufacturer's instructions, 15 children were assigned to use manual toothbrush, instructed to brush their teeth in usual manner. All subjects used the same commercially available dentifrice throughout the study. Results: The results were evaluated at each visit day 0, day 15 and day 30 following 12-18 hours of no oral hygiene. The subjects brushed their teeth twice daily for 1 minute under supervision. The result showed that there was significant difference in all the mean values in all the parameters. It may be concluded from the present study that though the ionic toothbrush was insignificantly superior to the manual toothbrush, both the toothbrushes are clinically effective in removing plaque and improving the gingival conditions.
Is pain-free needle insertion possible? The most widely advocated technique in Dentistry is the u... more Is pain-free needle insertion possible? The most widely advocated technique in Dentistry is the use of topical anaesthetics before intra-oral needle insertion. Eutectic Mixture of Local Anaesthetics (EMLA) introduced to reduce the pain associated with venous cannulation and providing surface anaesthetic effect for harvesting skin grafts, was compared with commonly available topical anaesthetics: Lignocaine 2%, Benzocaine 20% and Placebo.The effectiveness was recorded by using Visual analogue scale (VAS),Lickerts’ scale and Sound,Eye,Motor(SEM) scale. It was concluded that Eutectic Mixture of Local Anaesthetics (EMLA) showed the maximum reduction in pain. Hence, EMLA eliminates the pain of intra oral needle insertion as it has a greater depth of penetration,other advantages being rapid penetration of skin and mucosa, effective diffusion through the Keratinized tissue and plasma concentration remaining within safe levels justifies its use as a topical anaesthetic in dentistry especial...
Background: Almost every dental procedure requires the use of needle insertion for the administra... more Background: Almost every dental procedure requires the use of needle insertion for the administration of local anaesthetic agent. Aims: To compare the efficacy of various topical anaesthetic agents with Eutectic Mixture of Local anesthetics (EMLA). Material and Methods: The sample population consists of 120 children between the age group of 5-15 years were randomly divided into four groups, each group comprising of 30 children. Four topical anesthetics i.e. EMLA 5%, Lignocaine 2%, Benzocaine 20% and Placebo (Vaseline) were applied for five minutes before needle insertion. The effectiveness of the topical anaesthetic agent was recorded by using Visual Analogue Scale (VAS), Lickerts’ scale and the sound eye and motor scale (SEM). Results: When EMLA (Group I) was compared with other groups in relation to Visual Analogue Scale, a highly significant difference in pain reduction (P<0.000001) was found. No significant difference was found between Lignocaine (Group II) and Benzocaine (Gr...
Background: Almost every dental procedure requires the use of needle insertion for the administra... more Background: Almost every dental procedure requires the use of needle insertion for the administration of local anaesthetic agent. Aims: To compare the efficacy of various topical anaesthetic agents with Eutectic Mixture of Local anesthetics (EMLA). Material and Methods: The sample population consists of 120 children between the age group of 5-15 years were randomly divided into four groups, each group comprising of 30 children. Four topical anesthetics i.e. EMLA 5%, Lignocaine 2%, Benzocaine 20% and Placebo (Vaseline) were applied for five minutes before needle insertion. The effectiveness of the topical anaesthetic agent was recorded by using Visual Analogue Scale (VAS), Lickerts’ scale and the sound eye and motor scale (SEM). Results: When EMLA (Group I) was compared with other groups in relation to Visual Analogue Scale, a highly significant difference in pain reduction (P<0.000001) was found. No significant difference was found between Lignocaine (Group II) and Benzocaine (Gr...
International Journal of Clinical Pediatric Dentistry
This study aimed to evaluate the knowledge of parents regarding the coronavirus outbreak and to a... more This study aimed to evaluate the knowledge of parents regarding the coronavirus outbreak and to assess the change in attitude and perception toward dental treatment during the coronavirus (COVID-19) pandemic. A structured questionnaire (on google format) containing 13 questions was used, and each question had 2 or 3 possible answers. The parents/guardians of children (aged 3-14 years) who were school-going were eligible to participate in this study. A total of 800 parents/guardians were interviewed on google reporting format from June to December 2020. A simple random sampling technique was used to select 800 parents/guardians of children, aged 3-14 years, studying in different schools in Chandigarh. According to the survey, a total of 86% of respondents said that they paid high attention to COVID-19 and explained it to their children; 97% reported that they emphasized the importance of hand hygiene and sanitation during the outbreak; 72% admitted that the outbreak has made them more conscious of the importance of maintaining good oral health and hygiene, to avoid visiting the dentist and 84% felt that the routine dental checkups and appointments should be avoided during the COVID-19 outbreak; almost half of the respondents (47%) thought that the dental environment was a potential source of infection to their kids; 37% felt getting treatment at a dental setup may expose their child to risks of COVID-19; 71% said they would take their child to a dental department if he/she had a severe toothache. Approximately 46% of the respondents expressed confidence about the preventive measures taken in the dental department to ensure safe treatment for their children. In conclusion, all respondents were concerned about COVID-19 and most of them had talked about it with their children often. In addition, a considerable percentage of them showed apprehensions about the preventive measures being taken at the dental operatory and thought that the dental environment could be more dangerous than other environments.
International Journal of Clinical Pediatric Dentistry
Background and objectives: The main causative factors for maximum periodontal diseases are dental... more Background and objectives: The main causative factors for maximum periodontal diseases are dental plaque and oral biofilms. This study was done to check the impact of quantitative light-induced fluorescence-digital (QLF-D) as a motivational tool for plaque control among children from various schools situated in Dehradun district along with education using audiovisual aids. Materials and methods: A total sample of 800 school-going children including both males and females aged 6 to 12 years from various schools situated in Dehradun district of Uttarakhand were surveyed. A pro forma was prepared and the demographics of the students were noted. All the students were first examined for the Oral Hygiene Index-Simplified (OHI-S) and then the random division was done into two groups, group A (Q-scan) and group B (basic diagnostic aids) for examination of plaque index. Results: The results of the study revealed that good OHI-S scores increased significantly from 1st visit to 3rd visit. The plaque scores for the control group, when examined with basic diagnostic aids of all three visits, were significantly good which increased subsequently from 1st visit to 3rd visit. Good plaque index score increased significantly for the test group from 1st to 3rd visit when examined with QLF-D. Conclusion: We found in our study that QLF technology is of paramount importance in epidemiological surveys and plays a pivotal role in evaluating masses in maintaining oral health care.
International Journal of Oral Health Dentistry, Apr 15, 2018
Introduction: The present study was conducted to assess the prevalence of dental caries in 6-12 y... more Introduction: The present study was conducted to assess the prevalence of dental caries in 6-12 years old school going children in various districts of Uttarakhand including those visiting the OPD of the Department of Pedodontics and to correlate the caries status of the study population with the caries related factors. Materials and Methods: The study was conducted on a sample size of approximately 1200 school going children (both males and females) aged 6-12 years. Oral examination of the children was performed and data was recorded with the help of Questionnaire which contained queries regarding the demographic details, oral hygiene habits, frequency of snacking and visits to the dentist. The findings of the present study were then recorded and analysed statistically. Results and Conclusion: The results of the present epidemiological study revealed that prevalence of dental caries was more in females, more in age group of 11-12 years children. It was noted that the children who did not brush their teeth or brushed once a day had a higher prevalence of caries. It was also seen that caries prevalence was more in children who consumed sweets and candy twice a day and in children who visited the dentist irregularly or had never visited a dentist.
International Journal of Medical Science And Diagnosis Research
When first introduced, the term Minimal Intervention Dentistry (MID) referred to use of smaller a... more When first introduced, the term Minimal Intervention Dentistry (MID) referred to use of smaller and more conservative cavity preparations. Today, concept is much broader, being a philosophy of care related to risk assessment of individual patients, early detection of oral disease, targeted preventively orientated strategies and limited surgical intervention appropriate to level of disease1-3. “Extension for prevention” which was previously taught has been changed to “Prevention of extension”. Though concept of MID has been stressed upon for more than a decade, but its uptake has not been global. MID should be the standard of care in modern dentistry, as it avoids over-zealous restorative interventions as well as supervised neglect. As dental profession worldwide grapples with challenges of dealing with high rates of dental diseases in socially disadvantaged and medically compromised patients, it is even more important to incorporate these concepts into practice to deal with challeng...
The gingiva is often the site of localize growth that are considered to be reactive rather than n... more The gingiva is often the site of localize growth that are considered to be reactive rather than neoplastic in nature.Many of these lesions are difficult to be identified clinically and can only be identified by histological examination.Many types of localized reactive lesions occurring on the gingiva includes focal fibrous hyperplasia, pyogenic granuloma, peripheral giant cell granuloma and peripheral ossifying fibroma . Clinical reports of 12 and 13 year old girls with Pyogenic Granuloma and Peripheral ossifying fibroma are presented.
Journal of South Asian Association of Pediatric Dentistry
The transitional period between puberty and maturity is known as adolescence. Due to hormonal cha... more The transitional period between puberty and maturity is known as adolescence. Due to hormonal changes during this age, teenagers undergo a lot of physical, emotional, and psychological changes. There is a variety of oral afflictions that are seen during adolescence. Behaviors related to peer pressure, substance abuse, bad oral habits make dental management a challenge in this age. This article discusses the dental problems commonly seen in adolescents and the preventive methods available for the same.
International Journal of Clinical Pediatric Dentistry
This is a case report of a 14-year-old female patient in whom a premolar from a donor was used as... more This is a case report of a 14-year-old female patient in whom a premolar from a donor was used as an allotransplant to replace her missing lower premolar. The treatment results over 6 months showed successful periodontal healing and functioning of the allotransplanted tooth. The aim of this paper is to report a procedure, allotransplantation of tooth, which is followed from ages but less preferred and documented and is surrounded by variable prognosis and also highlight the use of a intentionally extracted tooth for orthodontic purpose, which otherwise goes as a waste and moreover the use of this technique can supplement the need of an implant for the time being in the young patient without compromising her alveolar bone height, functioning, and esthetics.
International Journal of Clinical Pediatric Dentistry
ORIGINAL RESEARCH which dissolves infected tissue, and has an excellent cleansing ability and ant... more ORIGINAL RESEARCH which dissolves infected tissue, and has an excellent cleansing ability and antimicrobial properties, when used along with mechanical instrumentation it reduces the number of infected IntroductIon The success of endodontic treatment is achieved by the complete elimination of pulpal infection and protecting it from the future invasion of microorganisms. The most likely routes of infection are exposure to the pulp in direct contact with the oral cavity or via accessory canals, open dentinal tubules, or periodontal pockets. The sequence of events and procedures in the control of endodontic infections consists of host defense mechanism, systemic antimicrobial therapy, extirpation of infected pulp, biomechanical preparation and irrigation, intracanal medicaments, hermetically sealed obturation followed by coronal restoration. But still, there are failures in endodontic treatment and one of the reasons for the failure is the contamination of the root canals with microorganisms and their propagation in lateral canals. So, to prevent the failure root canal disinfection is done with the irrigating solution. 1,2 Irrigating solution has antimicrobial properties. It facilitates the instrument's cutting efficiency and removal of the smear layer from the inaccessible area. Conventionally and most commonly used irrigating solution is sodium hypochlorite 1-4
International Journal of Clinical Pediatric Dentistry
Objective: The objective of the study was to determine and compare flexural strength and microhar... more Objective: The objective of the study was to determine and compare flexural strength and microhardness of Cention N with Glass ionomer cement (GIC) (GC Gold Label Type IX Extra) and Zirconomer improved at a distinctive time period in artificial saliva. Materials and methods: Cention N, GC Gold Label Type IX Extra, Zirconomer improved for the fabrication of samples. To determine the physical properties such as flexural strength and microhardness, test samples (n-30) of dimensions 12 mm (length)*4 mm (breadth)*2 mm (thickness) were made and divided into three groups. Every sample was dipped for 28 days in a plastic tube containing 5 mL of artificial saliva. Statistical analysis was done using one-way ANOVA with a post hoc test, intergroup and intragroup analyses were carried out. Results: In an intergroup analysis, flexural strength and microhardness of Cention N were substantially higher than Zirconomer improved and GIC (GC Gold Label Type IX Extra), respectively. In intragroup analysis found that there was a significant decrease (p < 0.001) in the level of flexural strength as well as microhardness after samples were immersed in artificial saliva of group A (Cention N), group B (GC Gold Label Type IX Extra), and group C (Zirconomer improved) from 1st day to 28th day in artificial saliva. Conclusion: It can be concluded that Cention N had the highest flexural strength and microhardness of the three materials tested. Zirconomer improved can be used as a basic filling material in various restorative procedures due to good comparable mechanical properties and is economical for patients.
International Journal of Clinical Pediatric Dentistry, 2022
SDF is simple and inexpensive to apply to the dental surface, and it adheres to the philosophy of... more SDF is simple and inexpensive to apply to the dental surface, and it adheres to the philosophy of minimal intervention dentistry. There are studies on the silver diamine fluoride and its effect on carious lesion but very little data is available on its clinical use and efficacy on carious encountered in the region of Uttarakhand. Therefore, this study is being conducted to see its effect on various patients in Rishikesh, Uttarakhand. Method A 3 months clinical study was planned including sample of 30 children incorporating both males and females aged 4-8 years will be selected amongst the patients reporting to the Outpatient Department.
Impaction of maxillary permanent incisor is not a frequently case in dental practice, but its tre... more Impaction of maxillary permanent incisor is not a frequently case in dental practice, but its treatment is challenging because of its importance to facial esthetics. Early detection of such teeth is most important if complications are to be avoided. An unusual case of impacted and inverted maxillary central incisor is reported in a 8 year old boy. Inverted maxillary central incisor was not associated with any other anomaly which is rare.
The occurrence of supernumerary teeth in the mandibular arch is rare in Indian population with a ... more The occurrence of supernumerary teeth in the mandibular arch is rare in Indian population with a prevalence of 0-1.5%. [11,12] Very few cases of
Aim: The aim of this study is to verify if the thickness of soft tissues and inclination of the i... more Aim: The aim of this study is to verify if the thickness of soft tissues and inclination of the incisors have some relation with profile, to analyze its relevance considering these two parameters separately and to screen how the combination of different inclinations and different thickness can generate different facial patterns. Materials and methods: The study was performed on 47 Caucasian patients aged between 6 years and 16 years of divided into 24 males and 23 females. None of the patients presented craniofacial changes of syndromic nature. All patients presented a value of SNA in between 80° and 84°. The inclination of the upper incisor related to the bispinal plane was between 104° and 116°. Each radiograph has been digitized or analyzed directly in digital format. To analyze the relationships between soft tissues and position of the incisors using various cephalometric measures and statistical methodology were used. Results: Analysing the general correlation between all the cephalometric parameters considered, the results found show that the thickness of the tissues had an effect in modifying the aesthetic profile with respect to the position of the incisors. The cephalometric parameters related to the esthetic profile of the maxilla are all linked by strong correlations, especially correlation between SU, ULA and LS were very high. The differences between the means were statistically significant for different groups. Using the values of Mx1 and thickness of the lip as independent variables, while the LS, SU, ULA and NLA values as dependent variables all results are significant with respect to the prediction p < 0.05. Conclusion: Thickness of the soft tissues showed a significant influence on the profile with respect to the position of the incisors. Clinical significance: Data obtained highlighted that thickness of the soft tissues must be taken into account before starting an orthodontic treatment in order to obtain best aesthetic results.
International Journal of Clinical Pediatric Dentistry
This is a case report of a 14-year-old female patient in whom a premolar from a donor was used as... more This is a case report of a 14-year-old female patient in whom a premolar from a donor was used as an allotransplant to replace her missing lower premolar. The treatment results over 6 months showed successful periodontal healing and functioning of the allotransplanted tooth. The aim of this paper is to report a procedure, allotransplantation of tooth, which is followed from ages but less preferred and documented and is surrounded by variable prognosis and also highlight the use of a intentionally extracted tooth for orthodontic purpose, which otherwise goes as a waste and moreover the use of this technique can supplement the need of an implant for the time being in the young patient without compromising her alveolar bone height, functioning, and esthetics.
International Journal of Clinical Pediatric Dentistry
The foundation for healthy permanent teeth in children and teenagers is laid during the first few... more The foundation for healthy permanent teeth in children and teenagers is laid during the first few years of life. Toothbrushing should be presented as a habit. A wide array of toothbrushes is available in the market, which differ in size, design, length, hardness, arrangement of bristles. This present clinical study is undertaken to evaluate the effectiveness of ionic toothbrush on oral hygiene status and plaque removal. Materials and methods: A total of 30 children aged 6 years to 12 years were selected in this study. The children were divided into two groups, 15 children were given HyG ionic toothbrush, were instructed how to use product according to manufacturer's instructions, 15 children were assigned to use manual toothbrush, instructed to brush their teeth in usual manner. All subjects used the same commercially available dentifrice throughout the study. Results: The results were evaluated at each visit day 0, day 15 and day 30 following 12-18 hours of no oral hygiene. The subjects brushed their teeth twice daily for 1 minute under supervision. The result showed that there was significant difference in all the mean values in all the parameters. It may be concluded from the present study that though the ionic toothbrush was insignificantly superior to the manual toothbrush, both the toothbrushes are clinically effective in removing plaque and improving the gingival conditions.
Is pain-free needle insertion possible? The most widely advocated technique in Dentistry is the u... more Is pain-free needle insertion possible? The most widely advocated technique in Dentistry is the use of topical anaesthetics before intra-oral needle insertion. Eutectic Mixture of Local Anaesthetics (EMLA) introduced to reduce the pain associated with venous cannulation and providing surface anaesthetic effect for harvesting skin grafts, was compared with commonly available topical anaesthetics: Lignocaine 2%, Benzocaine 20% and Placebo.The effectiveness was recorded by using Visual analogue scale (VAS),Lickerts’ scale and Sound,Eye,Motor(SEM) scale. It was concluded that Eutectic Mixture of Local Anaesthetics (EMLA) showed the maximum reduction in pain. Hence, EMLA eliminates the pain of intra oral needle insertion as it has a greater depth of penetration,other advantages being rapid penetration of skin and mucosa, effective diffusion through the Keratinized tissue and plasma concentration remaining within safe levels justifies its use as a topical anaesthetic in dentistry especial...
Background: Almost every dental procedure requires the use of needle insertion for the administra... more Background: Almost every dental procedure requires the use of needle insertion for the administration of local anaesthetic agent. Aims: To compare the efficacy of various topical anaesthetic agents with Eutectic Mixture of Local anesthetics (EMLA). Material and Methods: The sample population consists of 120 children between the age group of 5-15 years were randomly divided into four groups, each group comprising of 30 children. Four topical anesthetics i.e. EMLA 5%, Lignocaine 2%, Benzocaine 20% and Placebo (Vaseline) were applied for five minutes before needle insertion. The effectiveness of the topical anaesthetic agent was recorded by using Visual Analogue Scale (VAS), Lickerts’ scale and the sound eye and motor scale (SEM). Results: When EMLA (Group I) was compared with other groups in relation to Visual Analogue Scale, a highly significant difference in pain reduction (P<0.000001) was found. No significant difference was found between Lignocaine (Group II) and Benzocaine (Gr...
Background: Almost every dental procedure requires the use of needle insertion for the administra... more Background: Almost every dental procedure requires the use of needle insertion for the administration of local anaesthetic agent. Aims: To compare the efficacy of various topical anaesthetic agents with Eutectic Mixture of Local anesthetics (EMLA). Material and Methods: The sample population consists of 120 children between the age group of 5-15 years were randomly divided into four groups, each group comprising of 30 children. Four topical anesthetics i.e. EMLA 5%, Lignocaine 2%, Benzocaine 20% and Placebo (Vaseline) were applied for five minutes before needle insertion. The effectiveness of the topical anaesthetic agent was recorded by using Visual Analogue Scale (VAS), Lickerts’ scale and the sound eye and motor scale (SEM). Results: When EMLA (Group I) was compared with other groups in relation to Visual Analogue Scale, a highly significant difference in pain reduction (P<0.000001) was found. No significant difference was found between Lignocaine (Group II) and Benzocaine (Gr...
International Journal of Clinical Pediatric Dentistry
This study aimed to evaluate the knowledge of parents regarding the coronavirus outbreak and to a... more This study aimed to evaluate the knowledge of parents regarding the coronavirus outbreak and to assess the change in attitude and perception toward dental treatment during the coronavirus (COVID-19) pandemic. A structured questionnaire (on google format) containing 13 questions was used, and each question had 2 or 3 possible answers. The parents/guardians of children (aged 3-14 years) who were school-going were eligible to participate in this study. A total of 800 parents/guardians were interviewed on google reporting format from June to December 2020. A simple random sampling technique was used to select 800 parents/guardians of children, aged 3-14 years, studying in different schools in Chandigarh. According to the survey, a total of 86% of respondents said that they paid high attention to COVID-19 and explained it to their children; 97% reported that they emphasized the importance of hand hygiene and sanitation during the outbreak; 72% admitted that the outbreak has made them more conscious of the importance of maintaining good oral health and hygiene, to avoid visiting the dentist and 84% felt that the routine dental checkups and appointments should be avoided during the COVID-19 outbreak; almost half of the respondents (47%) thought that the dental environment was a potential source of infection to their kids; 37% felt getting treatment at a dental setup may expose their child to risks of COVID-19; 71% said they would take their child to a dental department if he/she had a severe toothache. Approximately 46% of the respondents expressed confidence about the preventive measures taken in the dental department to ensure safe treatment for their children. In conclusion, all respondents were concerned about COVID-19 and most of them had talked about it with their children often. In addition, a considerable percentage of them showed apprehensions about the preventive measures being taken at the dental operatory and thought that the dental environment could be more dangerous than other environments.
International Journal of Clinical Pediatric Dentistry
Background and objectives: The main causative factors for maximum periodontal diseases are dental... more Background and objectives: The main causative factors for maximum periodontal diseases are dental plaque and oral biofilms. This study was done to check the impact of quantitative light-induced fluorescence-digital (QLF-D) as a motivational tool for plaque control among children from various schools situated in Dehradun district along with education using audiovisual aids. Materials and methods: A total sample of 800 school-going children including both males and females aged 6 to 12 years from various schools situated in Dehradun district of Uttarakhand were surveyed. A pro forma was prepared and the demographics of the students were noted. All the students were first examined for the Oral Hygiene Index-Simplified (OHI-S) and then the random division was done into two groups, group A (Q-scan) and group B (basic diagnostic aids) for examination of plaque index. Results: The results of the study revealed that good OHI-S scores increased significantly from 1st visit to 3rd visit. The plaque scores for the control group, when examined with basic diagnostic aids of all three visits, were significantly good which increased subsequently from 1st visit to 3rd visit. Good plaque index score increased significantly for the test group from 1st to 3rd visit when examined with QLF-D. Conclusion: We found in our study that QLF technology is of paramount importance in epidemiological surveys and plays a pivotal role in evaluating masses in maintaining oral health care.
International Journal of Oral Health Dentistry, Apr 15, 2018
Introduction: The present study was conducted to assess the prevalence of dental caries in 6-12 y... more Introduction: The present study was conducted to assess the prevalence of dental caries in 6-12 years old school going children in various districts of Uttarakhand including those visiting the OPD of the Department of Pedodontics and to correlate the caries status of the study population with the caries related factors. Materials and Methods: The study was conducted on a sample size of approximately 1200 school going children (both males and females) aged 6-12 years. Oral examination of the children was performed and data was recorded with the help of Questionnaire which contained queries regarding the demographic details, oral hygiene habits, frequency of snacking and visits to the dentist. The findings of the present study were then recorded and analysed statistically. Results and Conclusion: The results of the present epidemiological study revealed that prevalence of dental caries was more in females, more in age group of 11-12 years children. It was noted that the children who did not brush their teeth or brushed once a day had a higher prevalence of caries. It was also seen that caries prevalence was more in children who consumed sweets and candy twice a day and in children who visited the dentist irregularly or had never visited a dentist.
International Journal of Medical Science And Diagnosis Research
When first introduced, the term Minimal Intervention Dentistry (MID) referred to use of smaller a... more When first introduced, the term Minimal Intervention Dentistry (MID) referred to use of smaller and more conservative cavity preparations. Today, concept is much broader, being a philosophy of care related to risk assessment of individual patients, early detection of oral disease, targeted preventively orientated strategies and limited surgical intervention appropriate to level of disease1-3. “Extension for prevention” which was previously taught has been changed to “Prevention of extension”. Though concept of MID has been stressed upon for more than a decade, but its uptake has not been global. MID should be the standard of care in modern dentistry, as it avoids over-zealous restorative interventions as well as supervised neglect. As dental profession worldwide grapples with challenges of dealing with high rates of dental diseases in socially disadvantaged and medically compromised patients, it is even more important to incorporate these concepts into practice to deal with challeng...
The gingiva is often the site of localize growth that are considered to be reactive rather than n... more The gingiva is often the site of localize growth that are considered to be reactive rather than neoplastic in nature.Many of these lesions are difficult to be identified clinically and can only be identified by histological examination.Many types of localized reactive lesions occurring on the gingiva includes focal fibrous hyperplasia, pyogenic granuloma, peripheral giant cell granuloma and peripheral ossifying fibroma . Clinical reports of 12 and 13 year old girls with Pyogenic Granuloma and Peripheral ossifying fibroma are presented.
Journal of South Asian Association of Pediatric Dentistry
The transitional period between puberty and maturity is known as adolescence. Due to hormonal cha... more The transitional period between puberty and maturity is known as adolescence. Due to hormonal changes during this age, teenagers undergo a lot of physical, emotional, and psychological changes. There is a variety of oral afflictions that are seen during adolescence. Behaviors related to peer pressure, substance abuse, bad oral habits make dental management a challenge in this age. This article discusses the dental problems commonly seen in adolescents and the preventive methods available for the same.
International Journal of Clinical Pediatric Dentistry
This is a case report of a 14-year-old female patient in whom a premolar from a donor was used as... more This is a case report of a 14-year-old female patient in whom a premolar from a donor was used as an allotransplant to replace her missing lower premolar. The treatment results over 6 months showed successful periodontal healing and functioning of the allotransplanted tooth. The aim of this paper is to report a procedure, allotransplantation of tooth, which is followed from ages but less preferred and documented and is surrounded by variable prognosis and also highlight the use of a intentionally extracted tooth for orthodontic purpose, which otherwise goes as a waste and moreover the use of this technique can supplement the need of an implant for the time being in the young patient without compromising her alveolar bone height, functioning, and esthetics.
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Papers by Preeti Dhawan