Audio distraction technique in management of anxious pediatric dental patients

Background Dental anxiety results in undesirable effects like turning away of dental treatment and increase stress among doctors that consequently have an effect on the treatment quality. The aim of this study was to evaluate the effectiveness of listening to music using headphones as an audio distraction technique on behavior and anxiety management in children receiving dental treatment. Materials and Method The present interventional prospective study comprised of 60 subjects within the age group of 6-12 who were advised for dental procedures. The patients were selected from the outpatient department and grouped randomly into group A and group B with 30 subjects in each group. The group A comprised of 30 pediatric patients who were given audio distraction aids. In the group B, the treatment procedure were carried out without any distraction aids. The anxiety level was measured before and after the treatment for both the study and control group using Wong Baker's anxiety rating scale and statistical analysis were made. Result Intergroup comparison showed highly significant difference in anxiety levels after the treatment. Intragroup comparison showed significant decrease of anxiety level from preoperative and post operative in both groups, but it was more significant in study group. The statistical analysis showed significant decrease in anxiety level after the treatment in study group than in control group. Conclusion Audio distraction technique proved to distract and reduce anxiety during dental procedures in pediatric patients

3-D Printed space maintainers - A review

Although the idea of a digital workflow is not new in dentistry, it has just recently started to be applied in pediatric dentistry. Fabrication of space maintainer is a time-consuming procedure that needs constant communication with the laboratory to be receive and provide patients the best outcomes. These devices maintain space created by premature tooth loss so that the erupting permanent teeth will not experience any kind of malocclusion As a result of clinician's natural curiosity 3-D printed space maintainer have been developed. The advanced CAD/CAM technology used for fabricating digital space maintainers improves patient experience and compliance. The current paper provides an insight on available conventional space maintainers and various aspects of technologically advanced digitainers

Ozone therapy in management and prevention of dental caries- A Review

Dental caries is the irreversible microbial disease of teeth causing demineralization of inorganic and destruction of organic. It is of serious concern as it can lead to pain due to various pulpal and periapical pathologies. It is a tedious job to prevent this dental caries which is very common dental problem with each and everyone. With new concepts emerging in prevention and management of caries, Ozone therapy is tool to prevent and manage dental caries. The use of ozone (O3) gas as a therapy is skeptical due to unstable structure. The main beneficial effect of ozone is its antibacterial effect against various bacteria. These antibacterial effects are even attributed to the prevention and management of caries. This therapy is of controversy as some prove this to be less or no effective or some prove to be more effective. This article reviews various benefits of ozone therapy in prevention and management of caries and also discussion on controversies to it

Rare case of bilateral complex odontoma associated with mandibular bicuspids

Among oral pathologic lesions, odontomas are the most common odontogenic tumor of the jaws and generally asymptomatic. They are mostly diagnosed as a result of routine radiographic investigation. In this report, we describe a very rare occurrence of bilateral complex odontoma in the region of the mandibular second premolar. Conservative surgical procedure was planned, and removal of the odontomas was carried out through the socket after extraction of the deciduous second molars, and the diagnosis was confirmed with a histopathological study

Pierre robin sequence and the pediatric dentist

This article on the dental management of a neonate with Pierre Robin sequence describes the clinical and laboratory procedures for construction of a feeding plate due to the presence of a cleft palate. Emphasis has also been laid on a few literatures to describe medical complications associated with this condition. A 56-day-old neonate had been referred to the outpatient department with the complaint of difficulty in feeding, description, and management of which has been described in the case report

Evaluation of parental attitude and practice on the primary teeth of their children in Chennai: An hospital survey

Introduction: Teeth are critical to the growth and development of a child. This survey evaluated the parental attitude and practices on the primary teeth of their children. Materials and Methods: The present study was conducted on the parents who visited the Department of Pedodontics and Preventive Dentistry, Thai Moogambigai Dental College and Hospitals, Chennai, Tamil Nadu, India, during October and November 2015. A total of 106 parents with 2-12 years children who visited for dental treatment of their children were involved in the study with their consent. A structured questionnaire was used to collect data, and the collected data were computed and analyzed using IBM-SPSS 19. Descriptive statistics was used; frequency distribution including number and percentage was calculated and inferences drawn. Results: Majority of the participants were from low socioeconomic status. About 78.3% of them visited a dental office when their children experienced toothache/trauma, 33% felt regular dental check is not important, 20.8% said treating primary teeth was not necessary, 10.4% used baby toothpaste, 96.2% did not use mouthwash, majority of the children brushed with toothpaste/powder only once daily, and 69% had no idea whether toothpaste contains fluoride. They were unaware of the pediatric oral health-care information provision and had poor knowledge. Conclusion: It was concluded that the pediatric dental health-care attitude and practice among the parents needs to be revisited

Evaluation of micronutrient (Zinc, Magnesium, and Copper) levels in serum and glycemic status after nonsurgical periodontal therapy in type 2 diabetic patients with chronic periodontitis

Aims and Objectives: To find out the effect of nonsurgical periodontal therapy on serum zinc (Zn), magnesium (Mg), and copper (Cu) concentration and glycemic status in type 2 diabetes with chronic periodontitis (CP). Materials and Methods: One hundred and twenty patients were included in this study, which was further divided into three groups. Group 1 consisted of forty patients with CP, Group 2 consisted of forty patients of CP with controlled diabetes, and Group 3 consisted of forty patients of CP with uncontrolled diabetes. Periodontal parameters such as plaque index, gingival index, bleeding on probing, pocket depth, and clinical attachment levels (CALs) were evaluated. Blood samples were collected to assess the levels of fasting blood sugar, glycosylated hemoglobin, Zn, Mg, and Cu. All parameters were evaluated at baseline and 3 months after nonsurgical periodontal therapy. Results: The results showed statistically significant reduction in all the clinical parameters within the groups except for the CAL in group 1 patients (P = 0.05). The glycemic status also showed a statistically significant reduction after treatment (P < 0.001). The intragroup comparison was taken between the values of micronutrients, showed substantial increase in the levels of both Zn and Mg and decrease in the level of Cu after nonsurgical periodontal treatment (P < 0.001). Conclusion: Patients with diabetes and periodontitis had altered metabolism of Zn, Mg, and Cu contributing to the progression and complication of diabetes mellitus and periodontitis. Nonsurgical periodontal treatment improved the variation and concentration of plasma micronutrients and also the periodontal status and glycemic level

Comparative practice of behavior management techniques in pediatric patients among BDS and MDS practitioners of other specialties

Context: Dentist plays a unique role in treatment plan for the child patient. Without a proper behavior management technique, there would not be a successful treatment outcome. Behavior management techniques among various dentists are studied. Aims: The aim of the present study is to compare the behavior management techniques of pediatric patients among undergraduate and postgraduate practitioners of other specialties. Subjects and Methods: The study was conducted in the Department of Pedodontics and Preventive Dentistry, Thai Moogambigai Dental College and Hospitals, Chennai, Tamil Nadu. A total of 88 dental surgeons were selected randomly by stratifies sampling method, in which 22 were undergraduate dentists and 66 were postgraduate dentists from different specialties. Statistical Analysis Used: Descriptive statistical techniques and bivariate analysis were used. Results: Postgraduate dentists of other specialties were more likely to accept behavior management techniques than undergraduate practitioners. Conclusions: It was concluded that practitioners should recognize that both didactic and clinical educational components may influence on the students. Hence, it is necessary that graduate dentists must be aware of the behavior modification techniques