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Journal of Clinical Pediatric Dentistry

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ISSN (Print) 1053-4628
Published by Journal of Clinical Pediatric Dentistry

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A Computerized Photographic Method to Evaluate Changes in Head Posture and Scapular Position Following Rapid Palatal Expansion: A Pilot Study
- Abstract: Objective: to assess the applicability of a computerized method to measure on digital photographs the changes in head and scapular posture following rapid palatal expansion (RPE) treatment. Study design: randomized controlled trial. Twenty-three children (age 9.27±0.88 years) diagnosed with maxillary constriction were randomly divided into two groups: 1. Study group (n=12): patients receiving RPE treatment; 2. Untreated controls (n=11). Postural measurements were taken on frontal, lateral, and dorsal views of each subject. In the study group measurements were taken at T0 (the day orthodontic records were taken), T1 (end of RPE active phase), and T2 (RPE removal). In controls the same observations were conducted at T0 and T1(98.18±36.01 days after T0). Measurements were statistically analyzed (Intraclass Correlation Coefficient, t-tests, Signed Rank test, One-Way Repeated Measures Analysis of Variance, Tukey test; p
  PubDate: Mon, 22 Apr 2013 14:59:34 GMT
Maxillary Protraction at Early Ages. The Revolution of New Bone Anchorage Appliances
- Abstract: Purpose: An update is provided on the different types of early treatment for class III malocclusions of maxillary origin. There is an increasing tendency to prescribe maxillary orthopedic treatment with skeletal an-chorage, with the purpose of enhancing the skeletal and reducing the dentoalveolar effects - offering a management option for children with important deformations that otherwise would have to wait until adult age to receive surgical treatment. Method: A literature review has been made of maxillary bone orthopedic traction appliances in growing children with class III malocclusions. A Medline (PubMed) search was made using the following MeSH terms: Cephalometric, Child, Malocclusion class III / therapy, Extraoral traction appliances, Palatal expansion, Bone plates, Skeletal anchorage, Orthodontic anchorage. Results: Many articles show that the greatest maxillary advances are obtained at very early ages, though with a greater tendency towards relapse. However, skeletal anchorage has been seen to afford a lesser relapse rate and greater dentofacial orthopedic efficiency due to its low dentoalveolar impact. In any case, further randomized clinical studies are needed to firmly establish the quantifiable differences in terms of maxillary advance, optimum traction age, optimum traction appliance and potential side effects. At present, the incorporation of surgically inserted bone anchorage appliances (miniplates and miniscrews) offers a purely orthopedic approach to treatment, with minimization of the undesirable side effects of traditional dentofacial orthopedic compensation based on dentoalveolar anchorage. Nevertheless, further studies are needed to consolidate the supporting scientific evidence in this field.
  Content Type Journal Article
  Category Dentofacial Orthopedics and Orthodontics
  Pages 219-229
  
  Authors
  B Solano-Mendoza, School of Dentistry, University of Seville
  A Iglesias-Linares, School of Dentistry, University of Seville
  RM Yañez-Vico, School of Dentistry, University of Seville
  A Mendoza-Mendoza, School of Dentistry, University of Seville
  JJ Alió-Sanz, School of Dentistry, Complutense University of Madrid
  E Solano-Reina, Department of Orthodontics. School of Dentistry, University of Seville
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:34 GMT
Orocraniofacial Findings and Dental Management of a Pediatric Patient with Dubowitz Syndrome
- Abstract: Dubowitz syndrome is a rare genetic condition characterized by microcephaly, dysmorphic facial features and delayed general growth. It is transmitted through autosomal recessive inheritance. The purpose of this report is to describe the oral, craniofacial and systemic characteristics of a 7-year 11-month-old boy with Dubowitz syndrome and the dental management provided. The pediatric dentist should possess the ability to recognize this rare alteration, to provide dental treatment and to refer for the necessary medical and multidisciplinary treatment.
  Content Type Journal Article
  Category Hospital Dentistry
  Pages 203-206
  
  Authors
  JA Garrocho-Rangel, Pediatric Dentistry Posgraduate Program, Facultad de Estomatología, Universidad Autónoma de San Luis Potosí, México
  GA Bueno-Rubio, Pediatric Dentistry Posgraduate Program, Facultad de Estomatología, Universidad Autónoma de San Luis Potosí, México
  B Martínez-Sandoval, Pediatric Dentistry Posgraduate Program, Facultad de Estomatología, Universidad Autónoma de San Luis Potosí, México
  MS Ruiz-Rodríguez, Pediatric Dentistry Posgraduate Program, Facultad de Estomatología, Universidad Autónoma de San Luis Potosí, México
  MA Santos-Diaz, Pediatric Dentistry Posgraduate Program, Facultad de Estomatología, Universidad Autónoma de San Luis Potosí, México
  AJ Pozos-Guillén, Pediatric Dentistry Posgraduate Program, Facultad de Estomatología, Universidad Autónoma de San Luis Potosí, México
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:33 GMT
Timing of Permanent Teeth Eruption in Turkish Children
- Abstract: Objective: To identify the mean time of permanent teeth eruption in children aged 5-15 years in Samsun, Turkey. Study Design: A total of 1,491 children aged 5-15 years (Female: 773; Male: 718) were included in this study. Teeth were recorded as either “not erupted” or “erupted,” which was defined as having at least one cusp visible in the oral cavity. Differences between eruption times for males and females and for maxillary and mandibular teeth were analysed using independent t-tests. Results: Eruption tended to be earlier in females than in males, but this difference was significant only for maxillary and mandibular canines and mandibular first premolars (p
  PubDate: Mon, 22 Apr 2013 14:59:33 GMT
In Vivo Evaluation of Lesion Sterilization and Tissue Repair in Primary Teeth Pulp Therapy Using Two Antibiotic Drug Combinations
- Abstract: Aim : The purpose of this study is to evaluate and compare the clinical and radiographic effectiveness of Ciprofloxacin, Minocycline, Metronidazole combination with Ciprofloxacin, Minocycline and Tinidazole combination when used for Lesion Sterilization and Tissue Repair in primary teeth. Method: 25 healthy children, visiting Dept. of Pediatric & Preventive Dentistry, D.A.P.M.R.V.Dental College, Bangalore, India, aged between 6 - 9 years who were having 30 infected primary teeth are selected and divided into 2 groups. In Group A, a mixture of 3mix-MP Ciprofloxacin, Metronidazole and Minocycline was placed on the floor of the pulp chamber covering the root canal orifices. In Group B a mixture of Ciprofloxacin, Tinidazole and Minocycline was placed as a layer on the floor of the pulp chamber. The procedure was completed in a single visit. Post operative clinical evaluation was done after 1,6,12 and 24 months. Postoperative radiographic evaluation was done at 6,12 and 24 months. Results: No statistically significant difference is observed between both the groups and a combination of Ciprofloxacin, Minocycline and Tinidazole antibacterial drugs can be used on teeth pulpally involved with physiologic root resorption. Conclusion: After a 24 Month follow up, we can conclude that primary teeth with the periradicular lesions, can be conserved by using combination of Ciprofloxacin, Minocycline and Tinidazole antibacterial drugs.
  Content Type Journal Article
  Category Clinical Research for Better Practice
  Pages 189-191
  
  Authors
  AR Jaya, Department of Pedodontics, Rajarajeshwari Dental College, Bangalore
  P Praveen, Department of Pediatric and Preventive Dentistry, D.A.P.M.R.V Dental College, Bangalore
  A Anantharaj, Department of Pediatric and Preventive Dentistry, D.A.P.M.R.V Dental College, Bangalore
  K Venkataraghavan, Department of Pediatric and Preventive Dentistry, College of Dental Sciences & Research, Ahmedabad, Gujrat
  S Prathibha Rani, Department of Pediatric and Preventive Dentistry, D.A.P.M.R.V Dental College, Bangalore
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:31 GMT
Multiple Supernumeraries in a Non-Syndromic Patient
- Abstract: Presence of supernumerary teeth (ST) in non-syndromic patients is an exceptional event. The aim of this article is to present an unusual case of a non-syndromic 12 years old girl with 12 ST. In the reported case supernumeraries were found in three quadrants and the most common ST were bicuspids. All ST were surgically excised and occlusion and functionality was restored with prosthetic appliances. ST are an exceedingly uncommon event in the Pediatric Clinic. An extensive review of the literature dealing on non-syndromic cases comprising 10 or more ST and a discussion about the origin of the ST is presented.
  Content Type Journal Article
  Category Oral Pathology
  Pages 193-197
  
  Authors
  C Ledesma-Montes, Pathology Department, Post Graduate and Research Division, Dental Faculty, National University of Mexico
  JF Salcido-García, Admission and Diagnosis Department, Post Graduate and Research Division, Dental Faculty, National University of Mexico
  F Hernández-Flores, Dental and Maxillofacial Surgery Department, Post Graduate and Research Division, Dental Faculty, National University of Mexico
  M Garcés-Ortíz, Pathology Department, Post Graduate and Research Division, Dental Faculty, National University of Mexico
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:31 GMT
Extreme Tooth Abnormalities and Treatment under General Anesthesia in a Child with chronic GVHD Surviving Relapse of Acute Lymphoblastic Leukemia
- Abstract: Treatment for acute lymphoblastic leukemia (ALL) mainly consists of chemotherapy, irradiation and bone marrow transplantation. In terms of long-term treatment effects, dental abnormalities and chronic graft-versus host disease (GVHD) are problems. We present a patient surviving relapse of ALL at one year of age. He had extreme dental abnormalities and multiple caries. Most of his permanent teeth were abnormal, and multiple caries were observed. Since he had a strong vomiting reaction to dental treatment, general anesthesia was given. During the general anesthesia, much sputum was aspirated because of chronic GVHD. His dental condition was worse than other cases reported previously. Since the survival rate has increased recently, the dental effects of ALL treatment have become significant. Especially, in patients undergoing total body irradiation at under 2 years of age, it is highly likely that dental problems will occur in the future.
  Content Type Journal Article
  Category Hospital Dentistry
  Pages 199-201
  
  Authors
  S Maeda, Department of Dental Anesthesiology, From Okayama University Hospital
  M Suda, Department of Dental Anesthesiology and Special Care Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  M Ishii, Department of Dental Anesthesiology and Special Care Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  Y Tomoyasu, Department of Dental Anesthesiology
  H Higuchi, Department of Dental Anesthesiology
  Y Okazaki, Department of Pediatric Dentistry
  M Egusa, Special Needs Dentistry
  T Miyawaki, Department of Dental Anesthesiology and Special Care Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:31 GMT
Clinical Measurement of Maximal Mouth Opening in Children: A Pioneer Method
- Abstract: Objectives: To determine the maximal mouth opening (MMO) in children aged 3 to 5 years from Indian population and to examine the possible influence of age, gender, height and body weight on MMO. Study Design: Assessment of MMO is accomplished with a modified Vernier Caliper by measuring the distance between the incisal edge of upper and lower incisor during maximal mouth opening upto the painless limit. Participants of the study were healthy children selected among regular students from local schools. Age, gender, height and body weight of each child were also recorded at the same time. Results: The results of the present study revealed that MMO in Indian children were 41.61 mm, 44.9 mm and 46.81 mm for boys and 40.09 mm, 44.22 mm and 46.2 mm for girls at age of 3,4 and 5 years respectively. Further significant associations were noted in between age, height, body weight and MMO. However, no gender difference was observed. Conclusion: A definite relationships exist between MMO, age, height and body weight in Indian children with primary dentition.
  Content Type Journal Article
  Category Clinical Research for Better Practice
  Pages 171-176
  
  Authors
  A Kumar, Department of Pedodontics and Preventive Dentistry, Government Dental College, Rohtak
  S Dutta, Department of Pedodontics, Government Dental College, Rohtak
  J Singh, Department of Pharmacology, PGIMS Rohtak Government Dental College and Hospital
  R Mehta, Department of Prosthodontics, Government Dental College and Hospital, Patiala
  A Hooda, Department of Oral Anatomy Department of Oral Anatomy, Government Dental College & Hospital, Rohtak
  R Namdev, Department of Pedodontics, Government Dental College, Rohtak
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:30 GMT
Enamel Thickness in Primary Teeth
- Abstract: Objective: The aim of this study was to determine the enamel thickness of all primary teeth in both maxilla and mandible. Study Design: An in vitro study was performed with fifty primary teeth including five each of central and lateral incisor, canine, first and second primary molars in both maxillary and mandibular region. Samples were mounted on wax sheets and scanned using a 64-slice CT scanner, which were then 3D reconstructed. Three serial slices were obtained from the middle of the coronal portion of each tooth. Volume rendering was done to differentiate three distinct zones of enamel, dentin and the pulp from each slice. A box was constructed touching the borders of the image on all the surfaces and the mid-point of each side was taken to measure the enamel thickness. Results: Tests used were ANOVA, Post-hoc Tukey's test and student's paired t-test. Enamel thickness was not the same on all the sides. Intergroup comparisons between maxillary anterior and posterior teeth showed difference in enamel thickness. On comparing the mandibular anterior and posterior teeth, the posteriors showed a greater value of enamel thickness on all the sides.(p
  PubDate: Mon, 22 Apr 2013 14:59:30 GMT
Adhesiveness of Various Glass Ionomer Cements in Cavities Treated with Carisolv
- Abstract: Objective: The purpose of this study was to investigate the adhesion of glass ionomer cements to dentin and the effect of pretreatment using Carisolv. Study design: Forty extracted permanent teeth with caries were used for this study. All lesions were removed using the Carisolv system and teeth were divided into eight groups. Groups 1 to 4 were filled with three types of conventional glass ionomer cements and a resin modified glass ionomer cement. Group 8 was restored with composite resin. In the remaining three groups (Groups 5 to 7), several pretreatment procedures, including EDTA and dentin primer application and a combination of these, were performed before restoring with resin modified glass ionomer cement. All restorations were thermocycled, and microleakage tests were performed on all teeth. Results: There were no statistical differences among Groups 1, 2 and 3 or between Groups 4 and 8. However, Groups 1 to 3 had higher microleakage levels than Groups 4 and 8. Groups 5 to 7 showed similar leakage levels as Group 4. Conclusion: Pretreatment with EDTA or dentin primer did not improve bonding ability. Combination of caries removal using Carisolv and a resin modified glass ionomer cement restoration without pretreatment seems to be an acceptable method for caries treatment.
  Content Type Journal Article
  Category Clinical Research for Better Practice
  Pages 183-187
  
  Authors
  Y Yamada, Department of Endodontics, Showa University School of Dentistry, Japan
  Y Masuda, Department of Endodontics, Showa University School of Dentistry, Japan
  Y Kimura, Department of Endodontics, Ohu University School of Dentistry, Japan
  M Hossain, Faculty of Dentistry Shahbag, Bangabandhu Sheikh Mujib Medical Universiy, Bangladesh
  A Manabe, Department of Clinical Cariology, Showa University School of Dentistry, Japan
  H Hisamitsu, Department of Clinical Cariology, Showa University School of Dentistry, Japan
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:30 GMT
Clinical and Radiographic Outcomes Of Pulpotomized Primary Molars Treated with White or Gray Mineral Trioxide Aggregate And Ferric Sulfate -Long Term Follow-Up
- Abstract: Aim: To compare the long term clinical and radiographic outcomes of pulpotomies in primary molars per-formed with white or gray Mineral Trioxide Aggregate (MTA) in combination with ferric sulfate (FS), when one package of MTA is used for multiple treatments. Design: Sixty eight children with 86 vital carious primary molars underwent pulpotomy with FS, and grey or white MTA. One package of MTA was used for 7-8 treatments. Clinical and radiographic evaluation was performed before and 6 to 47 months after treatment. Results: Success rates were similar for pulpotomies performed with white (60-teeth) and grey MTA (16 teeth) (p>0.05), and for those performed with the addition of FS to white or gray MTA when one package of MTA was used for multiple pulpotomies compared to one package of MTA alone. Conclusion: Gray and white MTA in conjunction with FS induce comparable clinical and radiographic success rate. The use of one package of MTA for multiple pulpotomies, combined with FS, is a cost-effective treatment.
  Content Type Journal Article
  Category Clinical Articles
  Pages 137-141
  
  Authors
  G Frenkel, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel
  A Kaufman, Department of Endodontics, School of Graduate Dentistry, Rambam Health Care Campus, and Faculty of Medicine,, Technion, IIT, Haifa, Israel
  M Ashkenazi, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:29 GMT
Salivary Candida, Caries and Candida in Toothbrushes
- Abstract: Background: Candida species are common inhabitants of the normal oral microbiota. A few studies founded a relationship between high levels of Candida albicans in the oral cavity and high DMF scores. Toothbrushes can also be reservoirs of microorganisms, the proliferation of these microorganism on a toothbrush could be a major factor for its distribution in the oral cavity. Aim: To examine the associations between salivary Candida and DMF, and between salivary Candida and Candida in the toothbrush. Method: 46 healthy school children, who attended a University pediatric dental clinic, were tested for Candida in their saliva and in their toothbrush. Their DMF was recorded. Results: 38 children were Candida-positive (79.2%), out of whom 5 demonstrated a positive growth of Candida in the toothbrushes. No correlation was found between Candida in the saliva and in the toothbrush. The number of Candida-positive girls was significantly higher than the number in boys. No significant relationship between caries experience and the presence of Candida was found. Conclusions: No correlation was found between Candida in the saliva and in the toothbrush. The origin of the Candida in the toothbrush is not totally clear.
  Content Type Journal Article
  Category Clinical Research for Better Practice
  Pages 167-170
  
  Authors
  T Ratson, Department of Pediatric Dentistry
  R Bar-Ness Greenstein, Department of Oral biology
  Y Mazor, Department of Oral biology
  B Peretz, Department of Pediatric Dentistry
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:29 GMT
Measurement and Assessment of Pain In Children - A Review
- Abstract: Pain is a common experience during childhood. Despite the magnitude of effects that pain can have on a child, it is often inadequately assessed and treated. Numerous myths, insufficient knowledge among caregivers, and inadequate application of knowledge contribute to the lack of effective management. The pediatric pain experience involves the interaction of physiologic, psychologic, behavioral, developmental, and situational factors. Pain is an inherently subjective multifactorial experience and should be assessed and treated as such. Pediatric Dentists are responsible for eliminating or assuaging pain and suffering in children when possible. To accomplish this, we need to expand our knowledge, use appropriate assessment tools and techniques, anticipate painful experiences and intervene accordingly. As an assessment of pain which constitutes the foundation for all pain treatment, developing valid measures is both a clinical and research challenge. Clinicians and researchers should select measures with full knowledge of their psychometric strengths and weakness, as well as in keeping with their explicit conceptual model of pain. The purpose of this paper is to address potential sources of pain measurement, and responses to pain control and distractions based on the pediatric developmental stages.
  Content Type Journal Article
  Category Review
  Pages 125-136
  
  Authors
  Amit Jain, Department of Pedodontics and Preventive Dentistry, Kanti Devi Dental College and Hospital, Mathura, Uttar Pradesh, India
  Ramakrishna Yeluri
  A K Munshi, Postgraduate Training and Dental Research
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:29 GMT
Esthetic Recovery of Smile Using Composite Resin and “Biological Posts” and Crowns
- Abstract: The recovery of teeth that have been extensively destroyed by dental caries can be achieved through direct and indirect restorative procedures. This paper presents a case of the esthetic and functional recovery of permanent maxillary incisors with extensive dental caries in an adolescent patient through the use of a composite resin and “biological posts and crowns”. A case report was drafted to describe the direct restoration of central maxillary incisors using composite resin and endodontic treatment of the lateral maxillary incisors, the construction of dentinal posts, the adaptation and cementing of the posts to the root canals, preparation and molding of crown portions, model construction, the choice of extracted teeth and the making and cementing of “biological crowns”. The use of a composite resin and the cementing of “biological posts and crowns” reestablish dental esthetics and function. Biological restorations maintain all the characteristics of natural teeth and have a significant psychosocial impact on the patient's quality of life. However, it should be stressed that this technique was only indicated in the present case after the determination of a significant improvement in oral hygiene.
  Content Type Journal Article
  Category Clinical Articles
  Pages 153-156
  
  Authors
  RG Vieira-Andrade, Department of Pediatric Dentistry and Orthodontics. School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
  JR Ribondi, Department of Dentistry, School of Dentistry, Federal University of the Vales of Jequitinhonha and Mucuri, Diamantina, Minas Gerais, Brazil
  AM Botelho, Department of Dentistry, School of Dentistry, Federal University of the Vales of Jequitinhonha and Mucuri, Diamantina, Minas Gerais, Brazil
  AM Fernandes, Department of Dentistry, School of Dentistry, Federal University of the Vales of Jequitinhonha and Mucuri, Diamantina, Minas Gerais, Brazil
  KTA Tavano, Department of Dentistry, School of Dentistry, Federal University of the Vales of Jequitinhonha and Mucuri, Diamantina, Minas Gerais, Brazil
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:29 GMT
Parental Cooperation Scale in the Pediatric Dentistry Setting: Reliability and Criteria
- Abstract: Objective: The purpose of this study was to provide reliability and criteria data on a newly defined parental cooperation scale (PCS) and in addition correlate between parent scores and their child's behavior in the dental setting. Study design: 244 parents accompanying their child to a dental visit were evaluated by two independent pediatric dentist evaluators. 150 parents were designated to be revaluated at least two weeks following the initial evaluation by the same examiner. Children's dental behavior was previously evaluated using the Frankl rating scale. Results: A majority of the parents were found to be highly positive and positive (40% of the parents were evaluated as being PCS rating 4, 26% were rated 3). 35% of the parents were rated as being negative or extremely negative (27%, 8% respectively). 139 parents were re-evaluated at least two weeks following their initial assessment. 64% were rated as highly cooperative and cooperative; 36% were negative or extremely negative. 244 children participated in the study (mean age ± SD, 6.8 years ± 2.86). 67% were rated as Frankl scale extremely cooperative and cooperative (31%, 35.5% respectively). 33% were negative or extremely negative (26.1%, 7.3% respectively). When comparing the Frankl behavior of each child to their parent's PCS a significant association was found (McNemar test value 17.668, p=0.007). Conclusion: The PCS was evaluated and found to be a reliable tool to evaluate parental dental behavior. Parents with negative behavior were more likely to present with children who also exhibit negative dental behavior and vice versa.
  Content Type Journal Article
  Category Clinical Research for Better Practice
  Pages 157-161
  
  Authors
  A Kupietzky, Department of Pediatric Dentistry, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel
  E Tal, Jerusalem, Israel
  KG Vargas, North Liberty, Iowa
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:29 GMT
Impact of Maternal Xylitol Consumption on Mutans Streptococci, Plaque and Caries Levels in Children
- Abstract: Aim:The present study was designed to determine whether maternal xylitol consumption through regular chewing of xylitol gums can affect the salivary mutans streptococci (MS), dental caries, and dental plaque levels of their children. Method: Study sample included 60 mother and child pairs with high salivary mutans streptococcus (MS) levels. Samples were randomly divided into experimental group (30 pairs) and control group (30 pairs). Mothers in the experimental group received xylitol chewing gum treatment three times/ day for three months, whereas the controls received fluoride varnish. Both groups received oral hygiene instructions, dietary counseling and restorative treatment. All children were examined after 6, 12 and 18 months from the initiation of the study to assess caries, plaque and salivary mutans streptococcus (MS) levels. Results showed that at 18 month the percent of children with high streptococcus levels in the control significantly increased when compared to the increase in the experimental group. Throughout the study, dmft scores of experimental children showed marginal non significant increase compared to controls that showed higher scores. Plaque scores revealed statistically non significant decrease among both groups. Conclusions: maternal xylitol consumption provided better preventive outcomes on salivary (MS) levels compared to fluoride varnish treatments.
  Content Type Journal Article
  Category Clinical Research for Better Practice
  Pages 163-166
  
  Authors
  N M Alamoudi, Faculty of Dentistry, King Abdulaziz University, Saudi Arabia
  A G Hanno
  H J Sabbagh
  M I Masoud
  A S Almushayt
  D A El Derwi
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:29 GMT
Systematic Reviews in Dental Research. A Guideline
- Abstract: Background: A systematic review aims to combine outcome data from published studies in a population. It is based on a number of steps and although there are numerous advantages in systematic review studies, dentists have been finding difficulties in performing them. Objective: Taking into account the misconceptions and difficulties in conducting this kind of study, this article aims to guide readers for understanding, performing, and interpreting comprehensive systematic reviews in dental research.
  Content Type Journal Article
  Category Review
  Pages 117-124
  
  Authors
  LC Maia, Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
  AG Antonio, Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:28 GMT
Ribbond for Treatment of Complicated Crown Fractures: Report of 3 Cases
- Abstract: Dental trauma is relatively common and can occur secondary to sporting injuries, falls, fights, or accidents. According to the International Association of Dental Traumatology, 50% of children experience dental trauma between the ages of 8 to 12. There are many options for endodontic and restorative treatments of traumatized teeth. Ribbond, which was introduced in the market in 1992, consists of bondable, reinforced ultra-high strength polyethylene fibers. Ribbond may be an option for the treatment of traumatized teeth because of its aesthetic properties; absence of additional tooth preparation; and its high resistance to traction, which allows it to easily adapt to tooth morphology. In this report, we describe endodontic and restorative treatments using Ribbond for 3 female patients with horizontal complicated crown fractures of the maxillary incisors.
  Content Type Journal Article
  Category Clinical Articles
  Pages 149-152
  
  Authors
  Ozlem Martı Akgun, Department of Pediatric Dentistry, Central of Dental Sciences, Gulhane Medical Academy, Ankara, Turkey
  Ceyhan Altun
  Gunseli Guven
  Feridun Basak
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:28 GMT
Comparative Evaluation of Formocresol and Mineral Trioxide Aggregate in Pulpotomized Primary Molars - 2 Year Follow Up
- Abstract: Aim: The aim of the present study was to clinically and radiographically evaluate Mineral Trioxide Aggre-gate (MTA) as an agent for pulpotomy in primary teeth and to compare it with that of Formocresol (FC) pulpotomy. Method: Seventy first and second primary mandibular molars of children were chosen on patients who required minimum two pulpotomies in either arch or same arch. After the standardized technique of Pulpotomy with MTA and Formocresol, all molars were treated with a thick mix of Zinc oxide Eugenol cement into the coronal pulp chamber followed by preformed stainless steel crown. The children were followed up for clinical and radio graphical examination after 6,12 and 24 month for Pain, Swelling, Sinus/ fistula, Periapical changes, Furcation radiolucency and internal resorption. Results: MTA represents 97% clinical success rate in comparison to Formocresol with 85% success. Radiographically also MTA showed more promising results with 88.6% success in comparison to Formocresol with 54.3%. Conclusions: Thus, MTA pulpotomy has emerged as an easier line of treatment to save the premature loss of primary teeth due to caries or trauma.
  Content Type Journal Article
  Category Clinical Articles
  Pages 143-147
  
  Authors
  P Airen, department of Pedodontics, Modern Dental College and Research Centre, Indore, India
  A Shigli, Bharti Vidyapeeth Dental College, Wanlesswadi, Sangli, Maharashtra, India
  B Airen, Dept of Community Dentistry, Sri Aurobindo College of Dentistry, Indore, India
  Journal Journal of Clinical Pediatric Dentistry
  Print ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 2 / Winter 2012
  PubDate: Mon, 22 Apr 2013 14:59:28 GMT
Dentistry and Childhood Poverty in the United States
- Abstract: The proportion and numbers of children living in low income families and without health insurance continues to increase. The magnitude of these problems is considered at localized levels in terms of the impact on the use of dental services.
  Content Type Journal Article
  Category Public Health
  Pages 113-116
  
  Authors
  HB Waldman, Distinguished Teaching Professor, Department of General Dentistry, Stony Brook University
  D Cannella, Director of Behavioral Sciences, Assistant Professor, Department of General Dentistry, School of Dental Medicine, Stony Brook University
  SP Perlman, Boston University School of Dental Medicine
  Journal Journal of Clinical Pediatric Dentistry
  
  Print
  ISSN 1053-4628
  Journal Volume Volume 37
  Journal Issue Volume 37, Number 1 / Fall 2012
  PubDate: Tue, 08 Jan 2013 21:37:11 GMT