Peripheral Giant Cell Granuloma in 9-Year-Old Female Patient

The peripheral giant cell granuloma (PGCG) is a benign hyperplastic gingival lesion of unknown etiology occurring mostly in adults. However, it is less commonly seen in females withpreponderance for fifth and sixth decade of the life. It is clinically difficult to distinguish PGCG from pyogenic granuloma, fibrous epulis or irritation fibroma. This article presents a case with exophytic gingival lesion in 9 years old female patient. This lesion was interfering with functions and altering the esthetics. It is a challenge for the clinician to manage such type of pathologies in young children

A Retrospective Analysis of Demographic and Clinical profile of Pediatric Dental Patients Treated Under General Anesthesia

Aim - To determine the demographic and clinical profile of children treated under general anaesthesia in last 7 years. Methodology - A Medical-record department (MRD) based retrospective study was planned. Dental records all the pediatric patients treated under general anaesthesia in past 7 years (2012-2019) were reviewed and evaluated in the current retrospective analysis. For each patient, detailed clinical and demographic details were extracted and analysed using descriptive statistical analysis and chi-square test. Results – In the current study, dental records of total 93 patients were included. These were divided into 2 groups – based on patient’s medical history, wherein group A included healthy children and group B included children with special health care with mean age of 5.40 ± 2.1 years and 10.3 ± 6.3 years respectively. Dental anxiety and un-cooperative behaviour (57%) were the main indication for treating pediatric patient under general anaesthesia and stainless-steel crown cementation was the most frequent procedure performed for both groups. Intra-group analysis showed significant association between age of the patient and need for dental treatment under general anaesthesia in group A (P ≤ 0.05). However, there was no significant difference and corelation found between gender and need for general anaesthesia. (P ≥ 0.05). Conclusion - According to the study, majority of the children treated under general anaesthesia were below 5 years and the major indication was un-cooperative behaviour. Stainless-steel crowns cementation was the most common treatment modality provided. It is important to emphasis more on prevention dental caries and thus avoid unnecessary exposure of children to general anaesthesi

Mineral trioxide aggregate (MTA) in dentistry: A review of literature

Mineral trioxide aggregate (MTA) is a unique material with several exciting clinical applications. MTA has potential and one of the most versatile materials of this century in the field of dentistry. During endodontic treatment of primary and permanent tooth MTA can be used in many ways. MTA materials have been shown to have a biocompatible nature and have excellent potential in endodontic use. MTA materials provide better microleakage protection than traditional endodontic repair materials using dye, fluid filtration, and bacterial penetration leakage models. In both animal and human studies, MTA materials have been shown to have excellent potential as pulp-capping and pulpotomy medicaments. MTA material can be used as apical and furcation restorative materials as well as medicaments for apexogenesis and apexification treatments. In present article, we review the current dental literature on MTA, discussing composition, physical, chemical and biological properties and clinical characteristics of MTA

Management of impacted dilacerated maxillary central incisor: A clinical case report

The impacted maxillary incisor is detrimental for problems related to esthetics and occlusion in permanent dentition stage. A case with an unerupted maxillary central incisor was diagnosed radiographically with impacted dilacerated maxillary central incisor. The management of the case was carried out surgically and orthodontically. By combining two stages of surgical exposure, orthodontic traction and alignment, the impacted dilacerated incisor was successfully moved into desired position. A two-year follow-up of the stability and periodontal health showed that the tooth placed in the occlusion maintained both esthetics and function

Research and Reviews: Journal of Dental Sciences Clinical Management of Rudimentary Supernumerary Tooth and Peg-Shaped Lateral Incisor: A Case Report

ABSTRACT Supernumerary teeth can be classified supplemental and rudimentary. Many complications can be associated with supernumeraries, like impaction, delayed eruption or ectopic eruption of adjacent teeth, crowding and unaesthetic in nature. Early intervention to remove it is usually required to obtain reasonable alignment and occlusal relationship. This article will present the clinical management with a conservative approach of a (i) rudimentary supernumerary tooth, (ii) peg shaped lateral incisor and (iii) hypoplasticteeth

Randomized, controlled clinical study to evaluate efficacy of novel indigenously designed controlled release flurbiprofen gel system for management of periodontal diseases

Background: This randomized, controlled clinical study was planned to evaluate the use of anti-inflammatory drug flurbiprofen in the form of locally delivered controlled release gel in the treatment of periodontal disease. Materials and Methods: The flurbiprofen gel was indigenously prepared in the concentration of 0.3%. The 30 patients with localized periodontal pockets measuring ≥5 mm were randomly divided into three groups. The groups received flurbiprofen gel, flurbiprofen gel after prophylaxis, and placebo gel after oral prophylaxis, respectively. The clinical parameters for plaque and gingival inflammation were evaluated at baseline, 7 th day, and 14 th day. Results: The results of the study suggested the statistically significant ( P < 0.05) improvement in the gingival status of the patients with the use of flurbiprofen gel as an adjunct to scaling and root planing as compared to oral prophylaxis or gel alone. Conclusion: The data demonstrated that the additional use of local drug delivery of flurbiprofen through gel media enhances the positive effects of scaling and root planing and helps in faster resolution of the inflammation

Comparative evaluation of oral hygiene status and gingival enlargement among epileptic and healthy children as related to various antiepileptic drugs

Background: Epilepsy is a gathering of neurological disorders characterized by epileptic seizures. Epileptic children, who are on active treatment with antiepileptic drugs, have a well-recognized side effect of gingival enlargement. Therefore, all efforts should be made, particularly for the population who are diagnosed or affected by the systemic disease. This study was conducted with an aim to determine oral hygiene status and gingival enlargement among epileptic and healthy children as related to various antiepileptic drugs. Materials and Methods: The cross-sectional observational study was conducted in the department of pedodontics and attached general hospital. A sample size of 120 participants with 60 healthy and 60 epileptic children between age 2 and 14 years were included. Oral health status of participants was examined using oral hygiene simplified index and plaque index. Gingival enlargement was assessed using Miranda–Brunet index. For statistical analysis, one-way ANOVA test, independent t-test, and Pearson's Chi-square test were used. Results: From the total participants included in the study, 49% of participants had good oral hygiene from healthy group, and 28% participants had poor oral hygiene from the epileptic group. Sodium valproate was the most common drug used and was associated with increased gingival enlargement. Conclusion: Conclusion can be drawn that epileptic children under medication had poor oral hygiene and an increased risk for gingival enlargement as compared to their healthy counterparts. It must be stressed that the epileptic patients should be given dental care without conditions and provided with best possible care to restore esthetics and functions

In vitro comparative evaluation of cleaning efficacy and volumetric filling in primary molars: Cone beam computed tomography evaluation

Introduction: Pulpectomy of primary teeth is mostly carried out with hand files and broaches which is tricky and time consuming procedure. The development of new design features like varying tapers, non-cutting safety tips and varying length of cutting blades have resulted in new generation of rotary instruments. Aim: To compare and evaluate cleaning efficacy, canal preparation and volumetric filling using conventional files and rotary V Taper files through cone beam computed tomography. Materials and Method: Thirty extracted primary molars were selected. The teeth were randomly divided into three groups each containing 10 teeth i.e. 30 canals in each group. Group A was instrumented with K files; Group B rotary V Taper files and Group C was Hybrid group. Sodium hypochlorite (1%) was used for irrigation. Root canal filling was done with Zinc Oxide Eugenol cement in all groups. The volumetric analysis i.e. Percentage of Volume (POV) of the root canal filling in primary molars was done through CBCT Software. Result: In present study, p- value was found to be significant (<0.05). Almost 100% of canals of hybrid group were fully filled and 63.3% of canals of hand filing group were partially filled. The filling was found to be dense and no. of voids was least in hybrid group. Conclusion: Clinical time required in primary molar endodontics, especially with unpredictability and difficulty of canal morphology, is inevitable. The study confirms superior ability of rotary-file systems to shape severely curved canals with less time and significant decrease in procedural errors like partial filling, voids and inappropriate canal preparation

Dimensional comparison of rubber dam clamp prongs with cervical mesiodistal dimension of primary second molar

Background: The stability of the rubber dam (RD) basically depends on the selection of a properly fitting clamp corresponding to the tooth. There are significant differences in tooth size between various races. This implies that the commercially available RD clamps may fit well to teeth of one population but not to another. Aim: The aim of this study was to obtain standard measure of mesiodistal widths at the cervical level of primary second molars in Gujarat children and to compare them with commercial RD clamps commonly used in paediatric dentistry. Materials and Methods: A total of sixty children were selected on the basis of selection criteria. The mesiodistal widths of primary second molars were measured at the clinical cervical level for buccal and lingual sides, respectively, by a digital Vernier caliper. It was compared with mesiodistal with of RD clamps no. #14A, #7 and #13A/12A. Statistical tests independent sample t-test and single sample t-test were applied. Results: All clamps width show significant difference either buccal or lingual side with their respected teeth (P < 0.05). #14A and #7 clamp show <1 mm discrepancy for mandibular second molar while for maxillary second molar discrepancy were more than 1 mm. #13A/#12A show large discrepancy for mandibular second molar. Conclusion: Cervical mesiodistal dimensions of primary mandibular molars were generally larger than those of primary maxillary molars. #14A and #7 can relatively fit to primary mandibular second molar and #13A/#12A for primary maxillary second molar

Paediatricians' knowledge, attitude and awareness towards infant oral health care and treatment needs: A cross-sectional survey

Introduction: Paediatricians examine infants several times during the 1st and 2nd years of life. Parents usually seek paediatricians' guidance in securing their child's normal growth and development. If proper counsel regarding the child's development and eruption of teeth as well as guidance for the prevention of various oral diseases is rendered at this age, better oral health can be attained for these children. Aims: This study aimed to determine and assess the knowledge and treatment needs of paediatricians for infant oral health care (OHC) in Vadodara, Gujarat. Materials and Methods: One hundred paediatricians practicing in Vadodara City, registered in the Indian Medical Association, were randomly selected for the study. They were requested to fill an objective questionnaire without providing any infant oral health information. Filled questionnaire pro forma was collected by principle investigator. The descriptive analysis was done for the data. Results: Out of the 100 paediatricians, ninety returned the questionnaire, with the response rate of 90%. Knowledge regarding infant OHC was found to be poor in 60% and average in 40% and attitude regarding the same was found to be poor in 20%, average in 60% and good in 20% of the responders. Awareness regarding infant OHC was found to be good in 80% and average in 20% of the paediatricians. Conclusion: Paediatricians need to update themselves on recent recommendations regarding infant oral health to ensure that all their patients receive timely preventive and restorative dental care. This study showed that there is a need for more communication between the paediatricians and pedodontists so as to deliver better child OHC