Publications by authors named "Shivayogi M Hugar"

32 Publications

Infected Radicular Cyst of Deciduous Second Molar Mimicking Dentigerous Cyst of Second Premolar in a Young Child: A Rare Entity.

Int J Clin Pediatr Dent 2021 May-Jun;14(3):434-437

Department of Pediatric and Preventive Dentistry, KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Radicular cysts are the most common cystic lesions in the oral cavity. Radicular cysts have a rare occurrence in the primary dentition. Radicular cysts arising from deciduous teeth are reported to occur in the age range of 3-19 years with a male predominance. The etiological factor is long-standing dental caries and dental trauma. The present case report describes the inflammatory radicular cyst involving the deciduous mandibular second molar. Surgical management includes enucleation of the cyst along with mandibular second premolar in a 5-year-old female patient. The surgical cavity was closed by an obturator appliance to maintain the patency. Eventful healing was seen after 3 months of follow-up. Kajjari S, Gowtham A, Meharwade P, Infected Radicular Cyst of Deciduous Second Molar Mimicking Dentigerous Cyst of Second Premolar in a Young Child: A Rare Entity. Int J Clin Pediatr Dent 2021;14(3):434-437.
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http://dx.doi.org/10.5005/jp-journals-10005-1954DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8543986PMC
November 2021

Evaluation of the Effect of Long-term Use of Three Intracanal Medicaments on the Radicular Dentin Microhardness and Fracture Resistance: An study.

Acta Stomatol Croat 2021 Sep;55(3):291-301

Department of Oral and Maxillofacial Sciences, Sapienza University, University of Rome, Italy.

Objectives: The aim of this research was to evaluate the effect of long-term use of three intracanal medicaments on the radicular dentin microhardness and fracture resistance.

Material And Methods: A chemomechanical preparation was done using the Protaper rotary instruments up to F3. The teeth were stored in an incubator at 37°C at 100% humidity and were categorized in three groups by random allocation, namely: Triple Antibiotic Paste (TAP), Calcium hydroxide paste (Apexcal) and Ledermix. Following medicament application, the access openings of all teeth were sealed with 4 mm thickness of cavit. The samples were stored for periods of 1 week, 1 month and 3months. Two dentin cylinders measuring 5mm and 3mm were obtained from each sample. The cervical third was used for fracture resistance and the middle third was used for micro hardness evaluation. The microhardness testing was done using a Knoop microhardness tester, and the fracture resistance testing was done using the universal testing machine.

Results: Calcium hydroxide showed maximally negative effect on the physical properties of radicular dentin compared to TAP (p= 0.0100 at one month and Ledermix (p=0.0001 at one month). With an increase in the application time, there was an increased deterioration in the physical properties of radicular dentin.

Conclusion: Long-term placement of calcium hydroxide, Triple Antibiotic Paste, and Ledermix (p= 0.0001at 3 months) significantly affects the microhardness and fracture resistance of radicular dentin.
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http://dx.doi.org/10.15644/asc55/3/6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514225PMC
September 2021

Comparative Evaluation of Efficacy of Calcium Hydroxide, Propolis, and as Intracanal Medicaments in Root Canal Treatment.

J Contemp Dent Pract 2021 Jun 1;22(6):707-712. Epub 2021 Jun 1.

Department of Conservative Dentistry and Endodontics, KLE VK Institute of Dental Sciences, KLE Academy of Higher Education and Research (KAHER), Belagavi, Karnataka, India.

Aim: To evaluate and compare the antimicrobial efficacy of Ca(OH), 25% propolis, and 25% as intracanal medicaments in root canal treatment.

Materials And Methods: Total 60 freshly extracted permanent incisors were decoronated and chemomechanical preparation of root canal was performed. Samples were inoculated with a pure culture of and incubated for 21 days. Colony-forming units (CFUs) were recorded before medication. Incubated samples were randomly categorized into three groups, namely, Ca(OH), propolis, and , with 20 samples in each group. Antibacterial activity was assessed by evaluating the variance in the CFUs on Day 7. Paired "" test and Post-hoc Tukey's test were applied to analyze the data.

Results: Reduction of CFUs was noticed in all the groups ( <0.001), however the reduction was more predominant in the propolis group.

Conclusion: Propolis is more effective against , when compared to and Ca(OH).

Clinical Significance: Propolis could be used as an effective medicament in root canal treatment.
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June 2021

Bridging the communication gap in autistic children, one picture at a time.

J Oral Biol Craniofac Res 2021 Oct-Dec;11(4):507-510. Epub 2021 Jul 15.

Department of Pediatric and Preventive Dentistry, KLE V.K. Institute of Dental Sciences, Belagavi, Karnataka, India.

One of the main domains of paediatric dentistry is providing oral health care, especially to the children with special needs, like those affected with autism spectrum disorder (ASD). Such children exhibit poor oral hygiene primarily due to their limited communication ability, lack of joint attention, oversensitivity to sensory stimuli and motor coordination deficits. In such cases, multiple studies suggest and emphasize on the importance of early use of interventional services. Children affected with ASD tend to be visual learners, and therefore, are better suited for visual interventional methods. Amongst which, picture exchange communication system (PECS), originally developed by Bondy-Frost, is gaining rapid momentum. It is suggested to help individuals to initiate requests and communicate their needs via picture cards; hence aid in acquiring functional communication and speech, improve socio-communicative impairments, and decrease the behavioural problems. This scoping review aims to raise awareness on PECS amongst the dental fraternity, by emphasizing its usage pertaining to dentistry. PECS though rated hard, has proved to be beneficial in improving oral hygiene practices among autistic children.
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http://dx.doi.org/10.1016/j.jobcr.2021.07.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327663PMC
July 2021

Chairside endodontic management of a child with fibrodysplasia ossificans progressiva.

J Indian Soc Pedod Prev Dent 2021 Apr-Jun;39(2):221-224

Department of Pedodontics and Preventive Dentistry, KAHER's KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Fibrodysplasia ossificans progressiva (FOP) is an exceptionally atypical genetic disorder characterized by heterotopic bone formation within skeletal muscles, ligaments, tendons, and other connective tissues that affects one in 2 million people. A 4-year-old girl with FOP was referred to our practice with complaints of pain and discomfort in both sides of the lower jaw. Clinical examination revealed deep multiple caries and buccal gingival abscess in relation to multiple teeth. Endodontic care and conservative dental procedures were planned and performed chairside after a detailed discussion with FOP medical and dental experts. Very brief dental appointments were conducted with breaks to prevent muscle fatigue. No usage of regional anesthesia or dental dam clamps was done. The patient and her parents were counseled for oral hygiene maintenance, and periodic topical fluoride treatments were performed during successive follow-up appointments. The child is followed for 34 months post-treatment. The dental treatment modifications implemented for the present case were enough to institute good oral health and to prevent the creation of heterotopic ossifications in the maxillofacial region.
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http://dx.doi.org/10.4103/JISPPD.JISPPD_192_20DOI Listing
August 2021

Assessment of knowledge and attitude toward informed consent and assent for biomedical research involving children among health-care professionals in Belagavi city: A questionnaire study.

J Indian Soc Pedod Prev Dent 2021 Jan-Mar;39(1):16-21

Department of Pediatric and Preventive Dentistry, KAHER's KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Background: Most of the nations have proposed research regulations to protect the rights and welfare of the research participants. Among such regulations are the informed consent and assent. In the present world, informed consent and assent is the cornerstone in health practice.

Aims And Objectives: To compare and evaluate the knowledge and attitude toward informed consent and assent for biomedical research involving children among health-care professionals in Belagavi city.

Materials And Methods: A cross-sectional questionnaire study was conducted among 300 house surgeons divided into four groups of Medical, Dental, Nursing, and Ayurveda faculty of Belagavi city. A self-administered multiple choice questions were used to evaluate the knowledge and a five-point Likert scale was used to asses attitude regarding informed consent and assent for research involving children. Statistical analysis was done using SPSS version 20.

Results: There was statistically significant difference in mean knowledge and attitude among all four groups (P < 0.05), and there was no significant correlation between knowledge and attitude as a whole in each group of professionals (P > 0.05).

Conclusion: Emphasis on additional training is the need of the hour for all the faculty participants and also incorporation of study material regarding informed consent and assent for research involving children by the policy makers.
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http://dx.doi.org/10.4103/jisppd.jisppd_1_21DOI Listing
April 2021

Comparative evaluation of root ZX Mini® apex locator and radiovisiography in determining the working length of primary molars: An In Vivo study.

J Oral Biol Craniofac Res 2021 Apr-Jun;11(2):257-262. Epub 2021 Feb 17.

Department of Pedodontics and Preventive Dentistry, KLE Academy of Higher Education and Research, KLE VK Institute of Dental Sciences, Belagavi, India.

Introduction: Working length determination is a crucial step for success of pulpectomy. Various new modalities have been developed. The newest technology includes EAL. Electronic apex locators require less chair side time, do not produce pain and avoid unnecessary radiation which makes it more superior in paediatric endodontic procedures.

Aim: To evaluate and compare Root ZX mini apex locator and Radiovisiography (RVG) for determining working length in primary molars.

Materials And Methods: A sample of 30 primary molar teeth was subjected to working length determination by Root ZX mini and RVG. The data was collected and then tabulated and subjected to statistical analysis.

Results: On comparison among two groups, it was found there was no difference between the efficiency of modalities. A positive correlation was seen among Root ZX mini and RVG (ICC ​= ​0.99).

Conclusion: Root ZX mini and radiovisiography are seen to be precise in determination of working length in primary molars. It can be said that Root ZX mini i. e the electronic apex locators can be used as an adjunct to Radiovisiography and conventional radiography.
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http://dx.doi.org/10.1016/j.jobcr.2021.02.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7918273PMC
February 2021

Comparative evaluation of antibacterial efficacy of conventional glass-ionomer cement and bulk-fill alkasite material when combined with doxycycline and double antibiotic paste containing ciprofloxacin and metronidazole against and spp.: An study.

J Indian Soc Pedod Prev Dent 2020 Oct-Dec;38(4):361-366

Department of Pedodontics and Preventive Dentistry, KAHER'S KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Introduction: Glass-ionomer cement (GIC) have been indispensable to pediatric dentistry. Along with these, newer materials like bulk-fill alkasite cement (Cention N) are popularizing. In spite of this, the search is still on for the "ideal" bioactive material which could provide a therapeutic edge. In light of this, incorporation of antibiotics in GIC or newer materials like bulk-fill alkasite cement (Cention N) would provide a novel alternative material to the dentists.

Aim: The study was aimed at comparing the antibacterial efficacy of conventional glass-ionomer cement (CGIC) and bulk-fill alkasite cement (Cention N) with doxycycline (DOX) and double antibiotic paste (DAP) containing metronidazole and ciprofloxacin (1.5% w/w) on Streptococcus mutans and Lactobacillus.

Materials And Methods: Agar well diffusion method was followed, in which material discs of 10 mm were made and inserted into the wells. Inhibition zones were calculated after incubation for 24 h at 37°C with zone interpretation scale.

Results: A highly significant statistical correlation was found between antibacterial efficacy of the control groups (CGIC and bulk-fill alkasite cement [Cention N]) without antibiotics as compared to the experimental group (CGIC and bulk-fill alkasite cement [Cention N] with DOX and DAP), P = 0.0001 and P = 0.0006 for the CGIC group and P = 0.0147 and P = 0.0080 for the Cention N group (P < 0.05).

Conclusion: Incorporation of antibiotics significantly enhanced the antibacterial efficacy of CGIC and bulk-fill alkasite cement (Cention N).
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http://dx.doi.org/10.4103/JISPPD.JISPPD_143_20DOI Listing
January 2021

Assessment of Dentist's Perception of the Oral Health Care toward Child with Special Healthcare Needs: A Cross-sectional Study.

Int J Clin Pediatr Dent 2020 May-Jun;13(3):240-245

Department of Pediatrics and Preventive Dentistry, KAHER's KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Aim: The study aimed to explore dentist's perception of the oral health care toward child with special healthcare needs (CSHCN).

Materials And Methods: A total sample size of 250 was calculated. A 13-item validated questionnaire containing four domains were distributed among the participants. Descriptive analysis was used followed by one-way analysis of variance for comparison.

Results: The results showed 51.54% confidence, 71.33% knowledge, and 66.90% perception among the participants. A statistically significant results were found between three domains ( value < 0.0001).

Conclusion: The study concludes that there is a need to raise the level of knowledge and awareness about the oral health care of CSHCN among the dental students and professionals.

How To Cite This Article: Hugar SM, Soneta SP, Gokhale N, Assessment of Dentist's Perception of the Oral Health Care toward Child with Special Healthcare Needs: A Cross-sectional Study. Int J Clin Pediatr Dent 2020;13(3):240-245.
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http://dx.doi.org/10.5005/jp-journals-10005-1777DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450186PMC
September 2020

Comparative Evaluation of Retention and Antibacterial Efficacy of Compomer and Glass Hybrid Bulk Fill Restorative Material as a Conservative Adhesive Restoration in Children with Mixed Dentition-An Two-arm Parallel-group Double-blinded Randomized Controlled Study.

Int J Clin Pediatr Dent 2020 ;13(Suppl 1):S45-S54

Department of Pediatric and Preventive Dentistry, KAHER's KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Aim And Objective: To compare and evaluate the retention along with antibacterial efficacy of colored compomer and glass hybrid bulk fill glass ionomer restorative material as a conservative adhesive restoration in children of age 6-12 years.

Materials And Methods: Sixty children were selected fulfilling the inclusion and exclusion criteria falling in the age group of 6-12 years with mixed dentition and two groups were formed: group I-colored compomer and group II-glass hybrid bulk fill material. Initially, oral prophylaxis was carried out and baseline collection of saliva was completed. Then, the restorative treatment was completed. Retention of the material and antibacterial count [colony-forming units (CFU)/mL of saliva] was estimated at 1, 3, and 6 months after the restorative procedure.

Results: It was seen that retention rate with glass hybrid bulk fill group was 100%, whereas with colored compomer group it was 90% at end of 6 months. Although good antibacterial activity was shown by both the group at 1, 3, and 6 months follow-up but statistically significant drop was seen in the glass hybrid bulk fill group at 3-month intervals than the colored compomer group with a value of 0.0001 ( < 0.05).

Conclusion: Among both the materials, glass hybrid bulk fill restorative material showed good retention compared to Colored compomer material but it was not statistically very significant. Also, both the materials have shown good antimicrobial activity at 1, 3, and 6 months follow-up.

How To Cite This Article: Mundada MV, Hugar SM, Hallikerimath S, Comparative Evaluation of Retention and Antibacterial Efficacy of Compomer and Glass Hybrid Bulk Fill Restorative Material as a Conservative Adhesive Restoration in Children with Mixed Dentition-An Two-arm Parallel-group Double-blinded Randomized Controlled Study. Int J Clin Pediatr Dent 2020;13(S-1):S45-S54.
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http://dx.doi.org/10.5005/jp-journals-10005-1866DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8359895PMC
January 2020

An Comparative Evaluation of Dental Anxiety Level and Clinical Success Rate of Composite and Multicolored Compomers in 6 to 12 years of Children.

Int J Clin Pediatr Dent 2018 Nov-Dec;11(6):483-489

Department of Pedodontics and Preventive Dentistry, Kaher's KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Background: Pediatric dentistry is not just about treating the tooth, but it also involves giving an overall comprehensive treatment to the child. Children like different colors and when the child is allowed to select the color of the restoration, it will positively motivate the child to accept dental treatment.

Aim: The aim of our study was to evaluate and compare the clinical success rate of composite and multicolored compomer restorations and dental anxiety level in children.

Materials And Methods: A total of 60 samples equally divided into two study groups by of split-mouth design. In the control group, subjects received composites and in experimental group, they received colored compomers. The dental behavior was assessed using the Frankl behavior rating scale for both the groups. Dental anxiety was checked in the patients using visual analogue scale (VAS) before and after the treatment for both the groups. Children were recalled for follow up at 1, 3 and 6 months to evaluate clinical success rate amongst control and experimental group and results were subjected to statistical analysis.

Results: Colored compomer proved to reduce the anxiety in the child and had a better behavioral response and positive attitude. Both restorative materials had comparable clinical success rates.

Conclusion: At 6 months follow-up evaluation colored compomer restorative material showing promising with similar properties like that of composites with the added advantage of multicolors and can be considered as the new restorative material in the child dentistry.

Clinical Significance: Colored compomers are known to be excellent alternative restorative materials for restoration of teeth in children as they aid in behavior modification and good compliance from the patient.

How To Cite This Article: Hugar SM, Kohli D, Badakar CM, Gokhale NS, Thakkar PJ, Mundada MV. An Comparative Evaluation of Dental Anxiety Level and Clinical Success Rate of Composite and Multicolored Compomers in 6 to 12 years of Children. International Journal of Clinical Pediatric Dentistry, 2018;11(6):483-489.
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http://dx.doi.org/10.5005/jp-journals-10005-1562DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611540PMC
July 2019

Comparative evaluation of the antimicrobial susceptibility and cytotoxicity of husk extract of and chlorhexidine as irrigating solutions against , and - An study.

J Indian Soc Pedod Prev Dent 2018 Apr-Jun;36(2):142-150

Department of Pedodontics and Preventive Dentistry, KLE University's KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Aim And Background: The aim of the present study is to evaluate and compare the antimicrobial susceptibility and cytotoxicity of Cocos nucifera and chlorhexidine (CHX) as irrigating solutions against Enterococcus faecalis, Prevotella intermedia, and Porphyromonas gingivalis.

Materials And Methods: The ethanolic extract of husk of C. nucifera was prepared. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of the extract were determined using the serial broth dilution method and its cytotoxicity was evaluated against human periodontal fibroblasts using 3-(4,5-dimethyl-thiazole-2-yl)-2,5-diphenyl tetrazolium bromide assay. Antibacterial susceptibility for two irrigating solutions, namely 2% CHX gluconate irrigant (Group I) and 1.5% C. nucifera husk irrigant (Group II), was tested against P. gingivalis, P. intermedia, and E. faecalis.

Results: The MIC and MBC of C. nucifera husk extract for P. gingivalis were 468.75 μg/ml and 1562.5 μg/ml, for P. intermedia were 48.8 μg/ml and 1875 μg/ml, and for E. faecalis were 1562.5 μg/ml and 3750 μg/ml, respectively. The extract was nontoxic to the human periodontal fibroblast. Both the materials have shown similar antibacterial susceptibility and no difference was observed at baseline, 10, 30, and 60 min using two-way repeated measures of ANOVA. However, a statistically significant difference was observed between different time points for P. gingivalis and P. intermedia using Bonferroni multiple comparison test (f = 826.1390, P ≤ 0.05).

Conclusion: 1.5% of ethanolic husk extract of C. nucifera has a significant antibacterial action against polymicrobial dental biofilm and its activity is comparable to that of 2% CHX which validates its use as a future irrigating solution for overcoming bacterial resistance with synthetic agents.
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http://dx.doi.org/10.4103/JISPPD.JISPPD_1176_17DOI Listing
October 2018

Evaluation of the Relevance of Piaget's Cognitive Principles among Parented and Orphan Children in Belagavi City, Karnataka, India: A Comparative Study.

Int J Clin Pediatr Dent 2017 Oct-Dec;10(4):346-350. Epub 2017 Feb 27.

Lecturer, Department of Pedodontics & Preventive Dentistry, KLE VK Institute of Dental Sciences, KLE University, Belagavi, Karnataka India.

Aim: To determine and compare the relevance of Piaget's cognitive principles among 4- to 7-year-old parented and orphan children in Belagavi City, Karnataka, India.

Materials And Methods: This study was conducted on 240 children between the ages of 4 to 7 years who were equally divided into two groups of 120 parented and 120 orphan children. These were subdivided into four groups of 30 children each. Various characteristics like egocentrism, concept of cardinal numbers based on centration, lack of conservation, and reversibility were assessed, using experiments and comparison of their prevalence between two groups was carried out.

Results: There is a statistically significant difference in the cognitive development among parented and orphan children age 4 to 7 years.

Conclusion: There is a significantly better cognitive development among parented children as compared with orphan children in Belagavi city.

Clinical Significance: A child is not a miniature adult but rather can think and perceive the world differently from an adult. Understanding a child's intellectual level can enable a pedodontist to deliver improved quality care to children. According to Jean Piaget, in the preoperational period, children think symbolically and their reasoning is based more on appearance rather than logic. It is often rightly said that a child's behavior is a reflection of his parents. However, Piaget did not consider the effect of social setting and culture on the cognitive development. This study was carried out as there is not much literature available to describe the cognitive development of children in the Indian scenario and the influence of parental presence on the same. Badakar CM, Thakkar PJ, Hugar SM, Kukreja P, Assudani HG, Gokhale N. Evaluation of the Relevance of Piaget's Cognitive Principles among Parented and Orphan Children in Belagavi City, Karnataka, India: A Comparative Study. Int J Clin Pediatr Dent 2017;10(4):346-350.
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http://dx.doi.org/10.5005/jp-journals-10005-1463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789137PMC
February 2017

Comparison of the Effect of Fluoride Varnish, Chlorhexidine Varnish and Casein Phosphopeptide- Amorphous Calcium Phosphate (CPP-ACP) Varnish on Salivary Level: A Six Month Clinical Study.

J Clin Diagn Res 2017 Aug 1;11(8):ZC53-ZC59. Epub 2017 Aug 1.

Postgraduate Student, Department of Paedodontics and Preventive Dentistry, KLE University's KLE VKIDS, Belagavi, Karnataka, India.

Introduction: Dental caries is the most widespread disease which has a multi factorial origin. is considered to be the chief pathogen in its development. Different varnishes are available which can be used for the prevention of the carious process.

Aim: To compare the effect of fluoride varnish, chlorhexidine varnish and fluoride varnish containing Casein Phosphopeptide - Amorphous Calcium Phosphate (CPP-ACP) on salivary count in children with mixed dentition over a period of six months.

Materials And Methods: Seventy two children of age 6-12 years with mixed dentition were selected fulfilling inclusion and exclusion criteria and divided into three groups: Group I- Fluoride varnish group; Group II- Chlorhexidine varnish group; Group III- MI varnish (fluoride varnish containing CPP-ACP) group. After thorough oral prophylaxis and restorative treatment the varnishes were applied to the teeth once a week for four consecutive weeks in the respective groups. Salivary count (CFU/ml of saliva) was estimated at baseline, 1 month, 3 months and 6 months after varnish application. Bonferroni post-hoc test and paired t-test for inter group and intra group comparison was used in the study.

Results: A statistically significant reduction in salivary colony count was seen with all three groups at all the different time intervals. Maximum reduction was noted in chlorhexidine varnish group at all the intervals after varnish application.

Conclusion: Prevention of dental caries plays a vital role in paediatric dental practice. The use of dental varnish has proved to be effective in reducing the dental caries. Chlorhexidine varnish was found to show maximum reduction in salivary count for six month period, when compared to MI varnish and fluoride varnish. Thus, chlorhexidine varnish can be used as potent caries inhibiting agent and promote good oral health.
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http://dx.doi.org/10.7860/JCDR/2017/26541.10409DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5620921PMC
August 2017

An comparison of casein phosphopeptide-amorphous calcium phosphate paste, casein phosphopeptide-amorphous calcium phosphate paste with fluoride and casein phosphopeptide-amorphous calcium phosphate varnish on the inhibition of demineralization and promotion of remineralization of enamel.

J Indian Soc Pedod Prev Dent 2017 Oct-Dec;35(4):312-318

Department of Pedodontics and Preventive Dentistry, KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Aim: This study aims to determine and compare the extent of inhibition of demineralization and promotion of remineralization of permanent molar enamel with and without application of three remineralizing agents.

Materials And Methods: Forty extracted permanent molars were randomly divided into two groups 1 and 2, longitudinally sectioned into four and divided into subgroups A, B, C, and D. The sections were coated with nail varnish leaving a window of 3 mm × 3 mm. All sections of Group 1 were treated with their respective subgroup-specific agent: Casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) paste for subgroup A, CPP-amorphous calcium phosphate fluoride (ACPF) paste for subgroup B, CPP-ACPF varnish for subgroup C and subgroup D served as a control. The sections were then subjected to demineralization for 12 days following which lesional depth was measured under the stereomicroscope. All the sections of Group 2 were subjected to demineralization for 12 days, examined for lesional depth, then treated with their respective subgroup specific agents and immersed in artificial saliva for 7 days. The sections were then examined again under the stereomicroscope to measure the lesional depth.

Results: CPP-ACPF varnish caused significant inhibition of demineralization. All three agents showed significant remineralization of previously demineralized lesions. However, CPP-ACPF varnish showed the greatest remineralization, followed by CPP-ACPF paste and then CPP-ACP paste.

Conclusion: This study shows that CPP-ACPF varnish is effective in preventing demineralization as well as promoting remineralization of enamel. Thus, it can be used as an effective preventive measure for pediatric patients where compliance with the use of tooth mousse may be questionable.
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http://dx.doi.org/10.4103/JISPPD.JISPPD_308_16DOI Listing
June 2018

Assessment of Vitamin B and Its Correlation with Dental Caries and Gingival Diseases in 10- to 14-year-old Children: A Cross-sectional Study.

Int J Clin Pediatr Dent 2017 Apr-Jun;10(2):142-146. Epub 2017 Jun 1.

Postgraduate Student, Department of Pedodontics and Preventive Dentistry VK Institute of Dental Sciences, KLE University, Belagavi Karnataka, India.

Aim: To assess the level of vitamin B and correlate it with dental caries [decayed, missing, and filled permanent teeth (DMFT) score] and gingival diseases [plaque index (PI) and gingival index (GI)].

Design: Healthy children according to the inclusion criteria were selected by the computerized randomization method from a school to assess the vitamin B levels using Centaur/ Versace machine.

Materials And Methods: Blood samples were collected to assess vitamin B levels using automated analyzer. Oral examination was done by a single calibrated dentist. A thorough oral examination was carried out and the DMFT, PI, and GI scores of all the children were recorded and assessed. Data were analyzed using Karl Pearson's correlation test.

Results: Vitamin B levels were deficient in 64% of the children. In boys, vitamin B deficiency was found in about 76.2%, whereas, in girls it was 57.1%, which was not statistically significant. The vitamin B deficient children showed a significantly high DMFT scores than the children with normal vitamin B levels. The Pearson's correlation was -0.614 for DMFT, PI value -0.663, and GI value of -0.477. The negative correlation stated that there was a reverse relation between these indices and vitamin B.

Conclusion: In children with systemic vitamin B deficiency, there is increased dental caries prevalence and associated gingival problems.

How To Cite This Article: Hugar SM, Dhariwal NS, Majeed A, Badakar C, Gokhale N, Mistry L. Assessment of Vitamin B and Its Correlation with Dental Caries and Gingival Diseases in 10- to 14-year-old Children: A Cross-sectional Study. Int J Clin Pediatr Dent 2017;10(2):142-146.
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http://dx.doi.org/10.5005/jp-journals-10005-1424DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571382PMC
June 2017

Comparative Assessment of Conventional Composites and Coloured Compomers in Permanent Molars of Children with Mixed Dentition: A Pilot Study.

J Clin Diagn Res 2017 Jun 1;11(6):ZC69-ZC72. Epub 2017 Jun 1.

Postgraduate Student, Department of Pedodontics and Preventive Dentistry, KLE VK Institute of Dental Sciences, KLE University, Belagavi, Karnataka, India.

Introduction: Early treatment of carious lesions in children is important for the maintenance of oral health. Multicoloured restorations could be the impetus for an extremely nervous or defiant child to take dental treatment.

Aim: The aim of this study was to assess and compare the clinical success of conventional composites and coloured compomer material in first permanent molars of children with mixed dentition.

Materials And Methods: A total of sixty sites, divided into two groups, with thirty subjects in each group using split mouth design were chosen amongst patients reporting to Department of Pedodontics and Preventive Dentistry. In control group conventional composites were placed, similarly coloured compomers were placed in experimental group under standard operating protocol. Patients were recalled for assessment of clinical success amongst control as well as experimental group at regular intervals of one; three and six months follow up based on Modified Ryge's Criteria. Statistical analysis was done using Chi-square test using SPSS version 20.0 (Chicago, USA).

Results: Both conventional composites and coloured compomers had comparable retention rates in terms of anatomical form, marginal integrity, secondary caries and marginal discolouration.

Conclusion: The coloured compomer material showed promising results in this six month follow up study in permanent molars and had properties comparable to that of conventional composites.
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http://dx.doi.org/10.7860/JCDR/2017/25596.10083DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5535484PMC
June 2017

Comparative Evaluation of Mineral Trioxide Aggregate and Formocresol Pulpotomy in Primary Molars: A 60-month Follow-up Study.

Contemp Clin Dent 2017 Jan-Mar;8(1):122-127

Department of Periodontics, KLE University's KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Introduction: Pulpotomy is a regular procedure in the management of inflamed primary teeth. Diverse materials have been reviewed for the pulpotomy, some of them being formocresol, glutaraldehyde, ferric sulfate, and mineral trioxide aggregate (MTA).

Aims: The aim was to evaluate and compare clinically and radiographically the effects of MTA as a pulp dressing after coronal pulp amputation (pulpotomy) in primary molars.

Settings And Design: Sixty primary molars of thirty healthy children using split mouth design aged between 4 and 6 years were treated by pulpotomy technique.

Subjects And Methods: Sixty primary mandibular molars of thirty healthy children aged between 4 and 6 years were treated by pulpotomy technique. The teeth on the right side were assigned to MTA (Group A) and the left side for the formocresol (Group B). The children were then examined clinically and radiographically every 6 months. Statistical analysis used: Chi-square test using the SPSS version 19.0 was used to compare between the two groups.

Results: Results showed that both MTA and formocresol have the same outcome on the primary molars, with Chi-square value being 1.1483 ( ≥ 0.05). None of the teeth in any children in the study showed any clinical pathology.

Conclusion: The principle conclusions of this study are that there are no significant differences in MTA and formocresol. The success rate of MTA and formocresol pulpotomy can be considered comparable till this therapy influences the development and growth of the permanent teeth.
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http://dx.doi.org/10.4103/ccd.ccd_849_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426144PMC
June 2017

Comparative Evaluation of Clinical and Radiographic Success of Formocresol, Propolis, Turmeric Gel, and Calcium Hydroxide on Pulpotomized Primary Molars: A Preliminary Study.

Int J Clin Pediatr Dent 2017 Jan-Mar;10(1):18-23. Epub 2016 Dec 5.

Postgraduate Student, Department of Pediatric and Preventive Dentistry, KLE VK Institute of Dental Sciences, Belgaum, Karnataka, India.

Aims: Despite various advents in technology, the present era marks a shift to phytotherapeutics and alternative modalities to conventional endodontic treatments. Newer endodontic modalities have been developed inculcating the ancient system of medicine. The present study was done to compare and evaluate the clinical pulp response and radiographic signs after pulpotomy in four groups of primary molar teeth treated with formocresol (control), propolis extract, turmeric gel, and calcium hydroxide respectively.

Materials And Methods: Following ethical clearance, 90 primary molar teeth in 45 pediatric patients, aged between 4 and 9 years, were selected for pulpotomy. These were then randomly divided by split-mouth technique into two groups as experimental (propolis extract/turmeric gel/calcium hydroxide) and control (formocresol) groups. The patients were followed up for 6 months for clinical and radiographic signs and symptoms to evaluate the success of treatment.

Results: A comparable clinical and radiographic success rate was seen with all experimental groups as compared to the control (formocresol) group.

Conclusion: With concerns about the safety of formocresol appearing in the dental and medical literature for more than 20 years, the materials used in this study can be considered as promising alternatives for formocresol in pediatric endodontic treatment.

How To Cite This Article: Hugar SM, Kukreja P, Hugar SS, Gokhale N, Assudani H. Comparative Evaluation of Clinical and Radiographic Success of Formocresol, Propolis, Turmeric Gel, and Calcium Hydroxide on Pulpotomized Primary Molars: A Preliminary Study. Int J Clin Pediatr Dent 2017;10(1):18-23.
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http://dx.doi.org/10.5005/jp-journals-10005-1400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5360797PMC
December 2016

Successful Management of the Masochistic Habit in a Child with Santovuori-Haltia-Hagberg Disease (Infantile Neuronal Ceriod Lipofuscinoses).

J Clin Diagn Res 2017 Jan 1;11(1):ZD47-ZD49. Epub 2017 Jan 1.

Postgraduate Student, Department of Paedodontics and Preventive Dentistry, KLE VK Institute of Dental Sciences, KLE University , Belagavi, Karnataka, India .

Self-injurious behaviours are usually related to paediatric patients with mental retardation. The management of such patients is quiet challenging to the paediatric dentists because of the difficulty to communicate with such patients regarding their feelings verbally. Here, we present a case report of successful management of self-injurious behaviour in a child with Infantile Neuronal Ceriod Lipofuscinoses (INCL).
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http://dx.doi.org/10.7860/JCDR/2017/24120.9286DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324523PMC
January 2017

Severe congenital cyclic neutropenia: A case report.

Int J Appl Basic Med Res 2016 Oct-Dec;6(4):293-296

Department of Paedodontics and Preventive Dentistry, ACPM Dental College, Dhule, Maharashtra, India.

Congenital cyclic neutropenia syndrome is a constitutional genetic disorder which is characterized by very low number of neutrophils (neutropenia). Patients suffering from this disorder clinically present with neutropenia at early age, history of recurrent fever, ulcerations in the oral cavity, gingivitis, and other recurrent infections. This paper describes a case report of a child with recurrent mouth ulcers, fever, and later diagnosed with severe congenital cyclic neutropenia. This also emphasizes the importance of identification of rare causes of immunosuppressive conditions in children presenting with recurrent oral ulcers and poor dental hygiene, to prevent long-term complications of oral cavity and also morbidity and mortality secondary to neutropenic sepsis.
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http://dx.doi.org/10.4103/2229-516X.192598DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5108111PMC
November 2016

Knowledge, attitude, and practices of oral health care in prevention of early childhood caries among parents of children in Belagavi city: A Questionnaire study.

J Family Med Prim Care 2016 Apr-Jun;5(2):286-290

Department of Pediatric Dentistry, Child Dental Health, Oman Dental College, Muscat, Oman.

Aim: The aim of this study was to assess the existing knowledge, attitude, and practices of "oral health care" in the prevention of early childhood caries (ECCs) among parents of children in Belagavi city.

Materials And Methods: A cross-sectional study was conducted in the outpatient Department of Pedodontics and Preventive Dentistry, KLE VK Institute of Dental Sciences, Belagavi, Karnataka. Institutional Ethical Clearance was obtained. The study was conducted during the month of April 2014 to October 2014 after taking prior informed consent from the 218 parents. Inclusion criteria were parents getting their children treated for dental caries and who were willing to participate. Parents who could not read and write were excluded from the study. The self-administered, close-ended questionnaire was written in English. It was then translated in local languages, i.e. Kannada and Marathi, and a pilot study was conducted on 10 parents to check for its feasibility and any changes if required were done.

Results: The response rate was 100% as all 218 parents completed the questionnaire. Of 218 parents, 116 were mothers and 102 were fathers. The overall mean knowledge score was 69.5%. The overall mean attitude score was 53.5%. The overall attitude toward prevention of ECC was not in accordance to knowledge. The overall mean of "good" practices and "bad" practices score was 33.5% and 18.5%, respectively. Good knowledge and attitude toward oral health do not necessarily produce good practices.
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http://dx.doi.org/10.4103/2249-4863.192332DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5084549PMC
November 2016

Letter to the Editor on "Clinical Evaluation of Success of Primary Teeth Pulpotomy Using Mineral Trioxide Aggregate, Laser and Biodentine - An Invivo Study".

J Clin Diagn Res 2016 Aug 1;10(8):ZL01. Epub 2016 Aug 1.

Professor, Department of Pedodontics and Preventive Dentistry, KLE University's KLE VK Institute of Dental Sciences , Belagavi, Karnataka, India .

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http://dx.doi.org/10.7860/JCDR/2016/18834.8231DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5028423PMC
August 2016

Natural tooth as an interim prosthesis.

J Nat Sci Biol Med 2016 Jul-Dec;7(2):189-93

Department of Pedodontics and Preventive Dentistry, KLE University's VK Institute of Dental Sciences, Belagavi, Karnataka, India.

A traumatic injury to primary maxillary anterior tooth is one of the common causes for problems with the succedaneous tooth leading to it noneruption. A missing anterior tooth can be psychologically and socially damaging to the patient. Despite a wide range of treatment options available, sometimes, it is inevitable to save the natural tooth. This paper describes the immediate replacement of a right central incisor using a fiber-composite resin splint with the natural tooth crown as a pontic following surgical extraction of the dilacerated impacted permanent maxillary central incisor. The abutment teeth can be conserved with minimal or no preparation, thus keeping the technique reversible and can be completed at chair side thereby avoiding laboratory costs. It can be used as an interim measure until a definitive prosthesis can be fabricated as the growth is still incomplete.
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http://dx.doi.org/10.4103/0976-9668.184710DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4934113PMC
July 2016

Influence of application of chlorhexidine gel and curcumin gel as an adjunct to scaling and root planing: A interventional study.

J Nat Sci Biol Med 2016 Jul-Dec;7(2):149-54

Department of Pedodontics and Preventive Dentistry, KLE VK Institute of Dental Sciences, Belgaum, Karnataka, India.

Background: Currently, the most common therapy for periodontal diseases consists of professional scaling and root planing (SRP). However, it was found to be of limited efficacy especially in areas which are inaccessible to periodontal instrumentation. Therefore, treatment strategies using antimicrobials in conjunction with conventional therapy have evolved. Thus, the study was undertaken with an.

Aim: To evaluate the efficacy of application of chlorhexidine gel and curcumin gel as an adjunct to SRP.

Materials And Methods: The study was conducted on thirty chronic periodontitis patients who were divided into two groups as control and experimental groups using a split-mouth design. After SRP chlorhexidine gel was applied in control and curcumin gel in experimental groups. The plaque index, gingival index, sulcus bleeding index, probing pocket depth were recorded at baseline and subsequently after 1 month and 45 days.

Results: The results revealed that both chlorhexidine gel and curcumin gel have an effect on mild to moderate periodontal pockets in chronic periodontitis patients, but greater reduction was observed in the experimental group than the control group.

Conclusion: It can be concluded that both control and experimental gel can be used as an adjunct to SRP, but the curcumin gel was more effective than the chlorhexidine gel in the treatment of mild to moderate periodontal pockets with a significant reduction in the indice scores when compared to the baseline values.
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http://dx.doi.org/10.4103/0976-9668.184701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4934104PMC
July 2016

Comparative Evaluation of the Antibacterial Efficacy of Type II Glass lonomer Cement, Type IX Glass lonomer Cement, and AMALGOMER™ Ceramic Reinforcement by Modified "Direct Contact Test": An in vitro Study.

Int J Clin Pediatr Dent 2016 Apr-Jun;9(2):114-7. Epub 2016 Jun 15.

Postgraduate Student, Department of Pedodontics and Preventive Dentistry KLE Vishwanath Katti Institute of Dental Sciences, Belagavi Karnataka, India.

Background: Streptococcus mutans (ATCC25175) has a profound effect on the incidence of dental decay in the human population. Many studies have been performed to assess the antimicrobial activity of different cements. However, little or no information is available about the antibacterial properties of Type II glass ionomer cement (GIC), Type IX GIC, and AMALGOMER™ ceramic reinforcement (CR).

Aim: To comparatively evaluate the antibacterial activity of Type II GIC, Type IX GIC, and AMALGOMER™ CR by modified direct contact test.

Materials And Methods: The total sample size was 72 which was divided into four study groups. Six wells were coated by each: Type II GIC, Type IX GIC, AMALGOMER™ CR, and control group (only S. mutans). Statistical analysis was done using analysis of variance and the intergroup comparison was done using post hoc Tukey test.

Results: AMALGOMER™ CR was found to have a better antibacterial effect as compared with Type II and IX GIC.

Conclusion: AMALGOMER™ CR can serve as a valuable cement in pediatric dentistry due to its anticariogenic property. How to cite this article: Hugar SM, Assudani HG, Patil V, Kukreja P, Uppin C, Thakkar P. Comparative Evaluation of the Antibacterial Efficacy of Type II Glass lonomer Cement, Type IX Glass Ionomer Cement, and AMALGOMER™ Ceramic Reinforcement by Modified "Direct Contact Test": An in vitro Study. Int J Clin Pediatr Dent 2016;9(2):114-117.
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http://dx.doi.org/10.5005/jp-journals-10005-1345DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4921878PMC
July 2016

A comparative evaluation of antibacterial effectiveness of sodium hypochlorite, Curcuma longa, and Camellia sinensis as irrigating solutions on isolated anaerobic bacteria from infected primary teeth.

J Indian Soc Pedod Prev Dent 2016 Apr-Jun;34(2):165-71

Department of Pedodontics and Preventive Dentistry, KLE VK Institute of Dental Sciences, KLE University, Belagavi, Karnataka, India.

Context: In endodontics, most of the commercial intra-canal medicaments have cytotoxic reactions and because of their inability to eliminate bacteria from dentinal tubules, recent medicine has turned its attention to the usage of biologic medication prepared from natural plants. The literature to testify the efficacy of natural alternatives in primary teeth is meagre and its effects as irrigating solutions need to be evaluated.

Aim: To evaluate the antibacterial effectiveness of sodium hypochlorite, ethanolic extracts of Curcuma longa (turmeric) and Camellia sinensis (green tea) as irrigating solutions against the anaerobic bacteria isolated from the root canals of infected primary teeth.

Materials And Methods: Thirty patients were selected based on the selected inclusion and exclusion criteria. Preoperative radiographs were taken. Rubber dam isolation and working length estimation were done, following which thirty samples were taken from the root canals of infected primary teeth using sterile absorbent paper points and transferred to tubes containing thioglycolate transport medium. The bacteria were then isolated using standard microbiological protocols and were subjected to antibiotic sensitivity testing using the three test irrigants.

Statistical Analysis: SPSS 18 software using Chi-square test was used for statistical analysis.

Results: The most commonly isolated bacteria included Porphyromonas sp., Bacteroides fragilis, Peptostreptococcus, and Staphylococcus aureus. Sodium hypochlorite and C. longa (turmeric) showed good antibacterial effect and were effective against most of the isolated bacteria. There was statistically significant difference in the antibacterial effect among the three tested groups (P < 0.001). The least effective was C. sinensis (green tea).

Conclusion: The infected primary teeth almost always present with a polymicrobial structure with a wide variety of anaerobic bacteria. The chemo-mechanical preparation plays an important role in eradicating the population of predominant micro-organisms in treating these teeth with promising effects with the use of newer test irrigants while avoiding the side effects of sodium hypochlorite.
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http://dx.doi.org/10.4103/0970-4388.180447DOI Listing
July 2017

Ellis-van Creveld syndrome.

BMJ Case Rep 2013 Jul 9;2013. Epub 2013 Jul 9.

Department of Pedodontics and Preventive Dentistry, KLE VK Institute of Dental Sciences, Belgaum, Karnataka, India.

Ellis-van Creveld (EvC) syndrome or chondroectodermal dysplasia is an autosomal recessive disorder with characteristic clinical manifestations. The four principal characteristics are chondrodysplasia, polydactyly, ectodermal dysplasia and congenital heart defects. Its incidence in the general population is low. The oral manifestations of EvC syndrome include both soft tissues and teeth, but the dental literature on the subject is scarce. The present case describes the constant and variable oral findings in these patients, which can be diagnosed at any age, even during pregnancy. The presence of a variety of oral manifestations, such as fusion of upper lip to the gingival margin, presence of multiple frenula, abnormally shaped and microdontic teeth and congenitally missing teeth requires multidisciplinary dental treatment, with consideration for the high incidence of cardiac defects in these patients.
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http://dx.doi.org/10.1136/bcr-2013-009463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3736210PMC
July 2013

Knowledge and awareness of dental trauma among Indian nurses.

Int Emerg Nurs 2013 Oct 11;21(4):252-6. Epub 2013 Jan 11.

Department of Pedodontics and Preventive Dentistry, KLE VK Institute of Dental Sciences, Nehru Nagar, Belgaum, Karnataka, India. Electronic address:

Aim: The aim of the study was to assess the knowledge and awareness regarding the emergency management of dental traumatic injuries among the present and prospective nurses of KLE Institute of Nursing Sciences and Hospital, Belgaum, India.

Methodology: A 15-item questionnaire regarding the clinical situation of tooth avulsion inquiring nurses' knowledge was administered to 308 nursing professionals, includes nursing interns and staff nurses.

Results: Out of 300 respondents, only 2.2% knew about the storage medium used for storing avulsed tooth. Majority of the participants accepted that they had no knowledge regarding the emergency management of dental traumatic injuries and also that no training had been given to them about this.

Conclusion: As nurses stand on the front lines of responding to emergency, it is essential that they also possess adequate knowledge about dental traumatic injuries and its emergency management. As the findings of our study revealed poor knowledge about emergency management of dental trauma, it is concluded that there is a need for mass educational campaign to broaden the nurses' knowledge about this.
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http://dx.doi.org/10.1016/j.ienj.2012.12.001DOI Listing
October 2013

Prosthetic rehabilitation of a preschooler with induced anodontia - A clinical report.

Contemp Clin Dent 2011 Jul;2(3):207-10

Department of Pedodontics and Preventive Dentistry, Lingayat Education Society's V.K Institute of Dental Sciences, Nehru Nagar, Belgaum, Karnataka, India.

A case of prosthetic rehabilitation with complete dentures for a three year nine months old child is presented. Dental prosthesis are frequently used to avoid psychologic, speech, or swallowing problems in preschooler children. The case was followed up for a period of three years. These prosthesis were modified as the child grew and as the permanent teeth erupted into the oral cavity the dentures were trimmed from the areas of erupting teeth to facilitate their eruption.
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http://dx.doi.org/10.4103/0976-237X.86462DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214528PMC
July 2011
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