scholarly journals CLINICAL EVALUATION OF CHEMO-BECHANICAL CARIES REMOVAL USING CARIE-CARE SYSTEM AMONG SCHOOL CHILDREN

2014 ◽  
Vol 04 (03) ◽  
pp. 080-084
Author(s):  
Amitha M. Hegde ◽  
Preethi V. C. ◽  
Amarshree Shetty ◽  
Shreema Shetty
Keyword(s):  
Dental Treatment ◽  
Clinical Success ◽  
Treatment Protocol ◽  
Pediatric Dentistry ◽  
Conventional Technique ◽  
Permanent Teeth ◽  
Chi Square ◽  
Group I ◽  
Caries Removal ◽  
Care System

AbstractDental caries is considered as one of the most serious dental diseases that results in localized dissolution and destruction of the calcified tooth tissues. As possible alternatives to conventional techniques of caries removal, chemo mechanical caries removal systems have emerged. AIM: To clinically observe the advantages of Chemo-mechanical method of caries removal over Conventional technique. MATERIALS AND METHODS: A total of 64 teeth of 32children with class 1 open carious lesions were selected for the study from the school dental clinic after taking written consent. They were divided into two equal groups according to method of caries removal (32 chemomechanical and 32 conventional from both primary and permanent teeth respectively). In Group I, caries was removed using the carie-care system and in Group II, with the conventional drill and were restored equally with amalgam and ketac molar respectively. The restored teeth were followed up after 1 week, 1 month, 6 months and 1 year respectively for its clinical success. RESULTS: The results were subjected to statistical analysis using students paired t-test and chi-square tests. It showed that though Chemomechanical technique took a marginal increase in time compared to the conventional technique, it was found to be more comfortable for all the children. Amalgam restorations showed better retention compared to ketac molar restorations in both the techniques. CONCLUSION: Chemomechanical technique though time consuming is definitely superior compared to conventional technique in pediatric dentistry, provided we use a less technique sensitive restorative material which retains in the oral cavity for longer period of time. It is definitely a better treatment protocol in school based dental treatment compared to conventional technique

Utility of Bispectral Index Monitoring during Deep Sedation in Pediatric Dental Patients

2014 ◽  
Vol 39 (1) ◽  
pp. 291-296 ◽  
Author(s):  
C Dag ◽  
T Bezgin ◽  
N Özalp ◽  
G Gölcüklü Aydın
Keyword(s):  
Dental Treatment ◽  
Deep Sedation ◽  
Pediatric Dentistry ◽  
P Value ◽  
Chi Square ◽  
Mean Values ◽  
Dental Patients ◽  
Physiological Variables ◽  
Paired Samples ◽  
Significant Difference

Objective: The aim of this study was to compare the total medicament doses and recovery profiles of patients for whom Bispectral Analysis (BIS) monitor was used to monitor sedation. Study design: Thirty-four uncooperative paediatric patients aged 3-6 years who attended to the Department of Pediatric Dentistry for dental treatment were enrolled in the study. Patients were randomly divided into 2 groups of 17 patients each. Physiological variables including oxygen saturation, blood pressure and heart rate were recorded. In one group (BIS-monitored group), drugs were administered to maintain patients’ BIS values between 60-70, while the other group (Non-BIS-monitored Group) was not monitored using BIS. Data was evaluated by Chi-square, Mann Whitney U, Independent Samples t, Paired Samples t and Wilcoxon signed tests, with a p-value of <0.05 considered to be statistically significant. Results: There was no significant difference in total anesthetic doses, incidence of adverse events or recovery profiles of patients between non- BIS-monitored and BIS-monitored groups (p≯0.05). However, distinct correlation was determined among mean values of UMSS and BIS values (p<0.05). Conclusion: BIS represents no advantage over the current commonly accepted methods for monitoring sedation depth in children.

scholarly journals Parental knowledge and attitudes regarding the emergency treatment of avulsed permanent teeth

2012 ◽  
Vol 06 (04) ◽  
pp. 370-375 ◽  
Author(s):  
Sezin Ozer ◽  
Elif Ipek Yilmaz ◽  
Sule Bayrak ◽  
Emine Sen Tunc
Keyword(s):  
Emergency Management ◽  
Emergency Treatment ◽  
Parental Knowledge ◽  
Pediatric Dentistry ◽  
Demographic Characteristics ◽  
Permanent Teeth ◽  
Chi Square ◽  
Knowledge And Attitudes ◽  
Parental Level ◽  
Educational Campaigns

ABSTRACTObjective: The aim of this study was to examine parental knowledge and attitudes about avulsed permanent teeth and their emergency treatment in children.Methods: A total of 289 parents of children aged 6-12 years receiving care at the Ondokuz Mayis University Pediatric Dentistry Clinic were included in the study. Questionnaires were used to collect data on parents’ demographic characteristics, previous training in traumatic dental injury and treatment and knowledge of avulsed permanent teeth and their emergency management. Chi-square tests were used to identify differences in responses for different variables.Results: More than half of the participating parents were female (69.6%) and between the age of 30-39 years (64.4%). Most (90.7%) reported that they would not replant the avulsed tooth in its socket, and most (68.2%) gave correct answers regarding the optimum time for which an avulsed tooth should be left out of the mouth prior to replantation. However, most parents were not sufficiently informed about the appropriate method for cleaning a dirty avulsed tooth or transporting it to a dentist or doctor. None of the demographic characteristics or training status was found to have a statistically significant effect on the number of correct responses regarding appropriate management of avulsion injuries (P>.05)Conclusion: This study revealed that the parental level of knowledge about the emergency treatment of avulsion in children is inadequate and that educational campaigns are necessary to improve proper emergency management of dental avulsion. (Eur J Dent 2012;6:370-375)

scholarly journals Comparison of sedative effects of oral midazolam/chloral hydrate and midazolam/promethazine in pediatric dentistry

2018 ◽  
Vol 12 (3) ◽  
pp. 221-226 ◽  
Author(s):  
Majid Mehran ◽  
Ghassem Ansari ◽  
Mojtaba Vahid Golpayegani ◽  
Shahnaz Shayeghi ◽  
Leila Shafiei
Keyword(s):  
Chloral Hydrate ◽  
Dental Treatment ◽  
Vital Signs ◽  
Pediatric Dentistry ◽  
Double Blind ◽  
Treatment Standard ◽  
Group I ◽  
Oral Midazolam ◽  
Significant Difference ◽  
Sedative Effects

Background. The aim of this investigation was to compare the sedative effects of oral midazolam/chloral hydrate and midazolam/promethazine combinations on fearful children needing dental treatment. Methods. This crossover double-blind clinical trial was conducted on 30 children aged 2‒6 years, who had at least two similar teeth needing pulp treatment. Standard vital signs were recorded before and after premedication. Wilson sedation scale was used to judge the level of sedation. Cases were divided into two groups based on the sequence of medication received. This was to overcome the sequence effect. Group I received oral midazolam (0.4 mg/kg/chloral hydrate (50 mg/kg) at the first visit while they received midazolam (0.4 mg/kg)/promethazine (5 mg/kg) in their second visit. Group II received the premedication in the opposite sequence. The operator and child were blinded to the medication administered. Sedative efficacy of the two combinations were assessed and judged by two independent pediatric dentists based on the Wilson scale. Data were analyzed with ANOVA and paired t-test. Results. Only 10% of children who received chloral hydrate with midazolam exhibited high improvement in their behavior while 53% showed reasonable positive changes and 12% had no change or even deterioration of behavior. The difference between the effect of the two combination drugs was statistically significant (P<0.05) in favor of the chloral hydrate group. Conclusion. The results showed a significant difference in the sedation level induced between the two groups. Midazolam/chloral hydrate combination more effectively improved the co-operation for dental treatment.

scholarly journals Efficacy of Papacarie for Caries Removal: An in vivo Study

2011 ◽  
Vol 2 (3) ◽  
pp. 183-186 ◽  
Author(s):  
Pallavi Urs ◽  
Sunil Raj
Keyword(s):  
Conventional Method ◽  
Pediatric Dentistry ◽  
Pressure Effects ◽  
Secondary Caries ◽  
Group I ◽  
Caries Removal ◽  
Group 2 ◽  
Mean Time

ABSTRACT Objectives Conventional caries removal is associated with unpleasant perception of drilling, requirement of local anesthesia, pressure effects on the pulp, etc. The chemomechanical method of caries removal has overcome these shortcomings. It is not only more comfortable to the patient but also preserves the healthy tissue. The present study was undertaken to evaluate and compare the time taken for caries removal, perception of pain and presence of secondary caries after a period of 10 months with Papacarie (Formulae One, Brazil 2003) and the conventional method. Bilateral primary molars in 52 children age ranging from 5-12 years were selected and divided into group I (conventional method) and group II (chemomechanical method) and compared. Results Mean time taken in the conventional method (14.5 ± 5.367 sec) was significantly higher than papain gel (11.2 ± 5.959 secs). The pain score in group 1 was significantly higher than in group 2. The pain experienced in the conventional method ranged from a minimum of 0 (none) to a maximum of 4 (uncomfortable). Whereas in papain gel, it ranged from 0 (none) to 2 (annoying). The presence of secondary caries after a follow-up of 10 months was not statistically significant. Conclusion Papacarie method seems to be promising as an alternative treatment procedure in pediatric dentistry.

scholarly journals EVALUATION OF PERFORMANCE OF COMPOSITE FILLING MATERIALS IN RESTORATION OF PERMANENT TEETH IN CHILDREN

2021 ◽  
pp. 99-102
Author(s):  
L.F. Kaskova ◽  
N.V. Yanko ◽  
O.O. Kulai
Keyword(s):  
Oral Hygiene ◽  
Clinical Performance ◽  
Clinical Success ◽  
Resin Composite ◽  
Clinical Success Rate ◽  
Composite Resins ◽  
Permanent Teeth ◽  
Chi Square ◽  
Filling Materials ◽  
Restorative Materials

A paradigm shift in dental caries treatment in paediatric dentistry is viewed towards a wide using of composite resins. This prospective clinical trial are evaluated and compared during 18 months of clinical performance of a microhybrid composite with a nanoceramic resin composite placed in сlass I and II cavities in permanent teeth in children.  Thirty one children aged between 7 and 15 years were investigated during this study. About 40 restorations were performed, 50% for each material: a nanoceramic resin composite “Ceram. X Sphere TEC one” and a microhybrid resin composite “Charisma”. The restorations have been estimated by investigators immediately after complete polishing a filling. Clinical evaluation was performed 18 months after replacement by two other investigators using modified USPHS criteria. In addition to hand instruments, a magnifier was used for investigation of the restoration margins. Eighteen fillings with “Ceram. X Sphere TEC one” and 17 fillings with “Charisma” were available. The USPHS parameters were analyzed with the Chi-square test in18 months. The level of significance was p<0.05. Also Green-Vermillion index was used for oral hygiene estimation.  There are no failed restorations and secondary caries during the studied period. There were no statistically significant differences among the materials used (p>0.5) regarding the clinical performance. Green-Vermillion hygienic index was 1.48. Thirteen children (43.42%) showed satisfactory level of oral hygiene, 10 children (35.71%) demonstrated good level and 7 children (20.87%) – unsatisfactory level.  According to the marginal discoloration and surface roughness criteria, there were no significant differences among the restorative materials (p>0.5). Marginal discoloration was seen in children with unsatisfactory oral hygiene that corresponds to the data of recent study. Marginal adaptation rate was 94.95% for nanoceramic, and 82.35% for the microhybrid restorations. The marginal defects recorded had small detectable defects at the enamel margin of the restorations. According to the anatomic form criterion, there were no significant differences among the restorative materials (p>0.5). Postoperative sensitivity of one nanoceramic and two microhybrid restorations was scored as Bravo at baseline examination, but it disappeared by the 18-months evaluation. For color match criterion, the slight differences were observed in microhybrid restoration in 18 months. This shade mismatch was clinically acceptable (Bravo), with no significant differences noted between the materials studied (p>0.5). The nanoceramic and microhybrid composites have provided acceptable clinical performance over 18-months period. The research pertaining to bigger size of a studied sample and longer observation period is considered advisable to ensure the higher clinical success rate of nanoceramic than microhybrid composite in restoration of permanent teeth in children. 

Comparison Between Rotary and Manual Instrumentation in Primary Teeth

2008 ◽  
Vol 32 (4) ◽  
pp. 295-298 ◽  
Author(s):  
S Crespo ◽  
O Cortes ◽  
C Garcia ◽  
L Perez
Keyword(s):  
Root Canal ◽  
Primary Teeth ◽  
Clinical Success ◽  
Preparation Time ◽  
Chi Square ◽  
Root Canal Filling ◽  
Group I ◽  
Patient Cooperation ◽  
Chi Square Test ◽  
Group Ii

The aim of this study was to compare the efficiency in both, preparation time and root canal shape, when using the Nickel Titanium (Ni-Ti) rotary and K-Files hand instrumentation on root canal preparation of single rooted primary teeth. Material and methods: Sixty single rooted primary teeth were selected and divided into two equal groups: Group (I) 30 teeth instrumented with manual K- files and group (II) 30 teeth instrumented with Ni-Ti rotary files (ProFile 0.04). Instrumentation times were calculated and root canal impressions were taken with light bodied silicone in order to evaluate the shape. The data was analyzed with SPSS program using the t-test and the Chi-square test to compare their means. Results: The preparation time with group (I) K- files was significantly higher than in group (II) rotary files (ProFile 0.04), with a p= .005. The ProFile system showed a significantly more favorable canal taper when compared to the K-files system (P= .002). Conclusions: The use of rotary files in primary teeth has several advantages when compared with manual K files: the efficiency in both, preparation time and root canal shape. 1. A decreased working time, that helps maintain patient cooperation by diminishing the potential for tiredness. 2. The shape of the root canal is more conical, favoring a higher quality of the root canal filling, and increasing clinical success.

scholarly journals The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children

2019 ◽  
Vol 16 (14) ◽  
pp. 2528
Author(s):  
Romana Koberova Ivancakova ◽  
Jakub Suchanek ◽  
Flora Kovacsova ◽  
Eva Cermakova ◽  
Vlasta Merglova
Keyword(s):  
General Anaesthesia ◽  
Health Professionals ◽  
Medical Records ◽  
Qualitative Data ◽  
Primary Teeth ◽  
Dental Treatment ◽  
Permanent Teeth ◽  
Healthy Children ◽  
Chi Square ◽  
Chi Square Test

Dental care under general anaesthesia (GA) is an option when normal treatment cannot be accomplished due to un-cooperation and systemic or cognitive/intellectual disabilities. The purpose of this retrospective cohort study was to analyse the dental treatment under GA in medically compromised and healthy children. The data were collected from the medical records of children who received their dental treatment under GA. The data regarding patient age, sex, general health, and type of treatment were analysed. This clinical trial included 229 study subjects (138 males, 91 females) with an average age of 8.34 (SD 3.78). Counts and relative counts were used for description of qualitative data. The association between the variables was analysed using contingency tables. The significance of the findings was tested by the chi-square test. Most of the children were older pre-school 63 (27.51%) and young school children 102 (44.54%). Medical disability (systemic or intellectual) was diagnosed in 142 children (62.01%); the remaining 87 (37.99%) were healthy children. Dental treatment of primary teeth was more commonly performed in healthy children (65.52%) compared to medically compromised children (58.45%) (p = 0.287). The total number of medically compromised children and the total number of healthy children were both considered to be 100% for the purpose of the following calculations. In terms of permanent dentition, medically compromised children required more extractions and fillings (38.03%, 57.04%) compared to healthy children (14.94%, 17.24%, respectively). The results of this study revealed that dental treatment under GA was more commonly performed in medically compromised children in permanent teeth only in comparison to healthy children. Based on these findings, both health professionals and state authorities should focus more on preventive care in medically compromised children in order to improve their oral health.

scholarly journals Nutritional status is associated with permanent tooth eruption chronology

2017 ◽  
Vol 16 ◽  
pp. 1-7 ◽  
Author(s):  
Juliana Arid ◽  
Mariana Cecília Vitiello ◽  
Raquel Assed Bezerra da Silva ◽  
Léa Assed Bezerra da Silva ◽  
Alexandra Mussolino de Queiroz ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Pediatric Dentistry ◽  
Permanent Tooth ◽  
Tooth Eruption ◽  
Permanent Teeth ◽  
Chi Square ◽  
Chi Square Test ◽  
The Mean ◽  
Delayed Eruption ◽  
Brazilian Children

Either obesity and underweight are public health concerns that affect the development of children. Aim: The aim of this study was to evaluate whether the nutritional status affects permanent tooth eruption chronology in Brazilian children. Methods: A hundred sixty children were examined by a pediatric dentistry and at the clinical examination, the number of erupted permanent teeth was evaluated. The anthropometric measurements of the children were determined, and they were divided into groups: underweight, eutrophic, overweight and obese. The association between delayed tooth eruption and nutritional status groups was evaluated using chi-square test. The Shapiro–Wilk test was used to verify the normality of the data. To compare the mean number of delayed teeth according to nutritional status’ groups Kruskal-Wallis test with multiple comparison by Dunn's test was performed. Results: Fifty-six children had delayed tooth eruption in at least one permanent teeth and delayed tooth eruption was more common in underweight children than in eutrophic children (p=0.0091). Conclusion: In conclusion, our study suggests that underweight Brazilian children have a higher incidence of delayed eruption.

scholarly journals Assessment of communication words during dental treatment requiring with and without local anaesthesia between child and pediatric dentist

2021 ◽  
pp. 14-20
Author(s):  
Shital Kiran Davangere Padmanabh ◽  
◽  
Para Dave ◽  
Keyword(s):  
Local Anaesthesia ◽  
Dental Treatment ◽  
Age Groups ◽  
Test Results ◽  
Chi Square ◽  
Pediatric Dentist ◽  
Dental Procedures ◽  
Group I ◽  
Significant Difference ◽  
Chi Square Test

Aim: To evaluate the widely used words by children and pediatric dentist during different dental procedures that involves treatment under local anaesthesia (LA) and without LA. Methods: 40 children aged between 6-12years were divided in to 2 groups, Group; I treated under local anaesthesia and Group II without anaesthesia. Each group comprising of 20 subjects (male- 10) (female -10) were recruited from the Department of Pediatric and Preventive Dentistry. The procedure was randomized only in one appointment by collecting the data conducted by recording the conversations between the child and dentist from the time the child walks in the dental operator until the session got over. The conversation was taped, transcribed and analyzed linguistically and statistically using chi-square test. Results: A total of 50 words were used with a minimum of 15 words in a session. There were no significant difference were found in words spoken by the child and the practitioner regarding gender, session, and duration of being acquainted with (p>0.05). Regarding age groups, (4–7-year-old) significantly used fewer words than the schoolers (6–12-year-old) (p<0.05). Conclusions: This study proved that the most commonly used words by the practitioner in treatment under LA and without LA were “syringe”, “pain” and “to identify” and “stop”, “open your mouth”, and “to identify” respectively.

scholarly journals Clinical and Radiographic Outcomes of Immature Teeth Treated with Different Treatment Protocols of Regenerative Endodontic Procedures: A Retrospective Cohort Study

2021 ◽  
Vol 10 (8) ◽  
pp. 1600
Author(s):  
Radovan Žižka ◽  
Šimon Belák ◽  
Jiří Šedý ◽  
Kamila Fačevicová ◽  
Iva Voborná ◽  
...  
Keyword(s):  
Success Rate ◽  
Sodium Hypochlorite ◽  
Root Development ◽  
Clinical Success ◽  
Treatment Protocol ◽  
Clinical Success Rate ◽  
Permanent Teeth ◽  
Treatment Protocols ◽  
Radiographic Outcomes ◽  
Root Area

Regenerative endodontic procedure (REP) is a progressive treatment modality for immature permanent teeth with necrotic pulp. The ambiguousness about the predictability of REP outcome in relation to complete disinfection of the root canal system and the occurrence of discoloration still exists. The aim of this retrospective study was to analyze two treatment protocols on clinical success rate, radiographic root development and the occurrence of discoloration. Eighteen patients were treated by a single operator by either treatment protocol according to the American Association of Endodontists (AAEP, n = 9) or a modified protocol (MP, n = 9) with the use of 5% sodium hypochlorite and sandblasting. Patients were followed up after 3, 6, 9, 12, 18 and 24 months and clinical success, radiographic root development and the occurrence of discoloration were assessed. The clinical success of MP was significantly higher in two years follow-up (p = 0.015), but the change in radiographic root area was higher for AAEP (p = 0.017) and the occurrence of discoloration was higher in AAEP (p = 0.029). The use of 5% sodium hypochlorite for a longer period of time leads to a higher success rate. The sandblasting of the access cavity reduces the occurrence of discoloration.

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