Comprehensive oral rehabilitation amidst COVID-19 times with general anaesthesia in the primary dentition in children with frankel's definitely negative behaviour

Accomplishing complete dental rehabilitation in a young child requires extra efforts, primarily because of the need to make use of behavior modification techniques, especially in the children requiring extensive dental procedures. Pharmacological means are sought when nonpharmacological techniques fail. General anesthesia (GA) comes to rescue in such cases. The applicability of GA in pediatric dentistry has been researched a lot and found to be effective. The case reports describe the challenges faced in managing the mutilated dentition in two children with Frankel's behavior rating as 1 (definitely negative behavior), in the midst of a pandemic where the pediatric dentist had to take care of the parental anxiety related to the child's oral conditions along with the concern of safety protocols followed in light of the ongoing COVID-19 pandemic. Complete oral rehabilitation was accomplished for both the children under GA

Distalization, A unique weapon in an orthodontist’s armoury: A case series

Distalization is widely used as an effective method of gaining space with or without the need of extractions. Various Extra-oral and intra-oral appliances have been introduced over the years. The pendulum appliance and its modifications are specifically very popular among clinicians owing to their effectiveness. The present case series comprises of two cases that have been effectively treated using the pendulum appliance ensuing in aesthetically pleasing outcomes.</jats:p

Efficacy of Papain Gel—A Smart Alternative to Conventional Methods of Carious Dentin Removal: An <i>In Vitro</i> Study

Aim: The study was aimed at finding out the efficacy of the caries removal ability of a chemomechanical agent (papain gel) and comparing it with that of conventional slow-speed rotary carbide burs and mechanical hand excavators in deciduous extracted molars. Materials and methods: A total of 30 extracted teeth that were used for the present study were distributed equally among two major categories (15 each) by simple random sampling technique. The teeth were sectioned into two halves mesiodistally in a longitudinal plane through the center of the caries. In each category, the corresponding halves were sectioned off randomly but in equal numbers further into two groups as follows: Category 1: Group I hand excavators and group II carbide burs. Category 2: Group III hand excavator group and group IV Papacarie group. Parameters recorded included total time taken for caries removal and residual caries remaining using caries detection dye in each group and category, which were estimated and observed under a stereomicroscope (magnification 12.5×). The data was computed and statistically analyzed to find out and compare the efficacy of caries removal of three different methods used. Results: As per the critical difference (CD), the results of the study showed the caries removal mean time for group IV (Papacarie group) when compared to other groups was significantly higher (p p p p < 0.05). Conclusion: From the results of this study, it was found that papain gel can be used as an effective alternative method compared to conventional methods for caries removal, especially in pediatric patients, owing to its lesser time commitment and better outcome