31 research outputs found
Supernumerary teeth: Report of four unusual cases
Supernumerary tooth denotes duplication of tooth in the normal series. It is a developmental anomaly and has been argued to arise from multiple etiologies. These teeth may remain embedded in the alveolar bone or can erupt into the oral cavity. The supernumerary tooth might cause esthetic and/or functional problems, especially if it is situated in the maxillary anterior region. Complications reported were delayed or prevented eruption of succedaneous teeth, displacement or rotation, crowding of the affected region, abnormal diastema, dilacerations, cystic formation, and sometime eruption into the nasal cavity. In this case report, four unusual cases of supernumerary teeth that resulted in varying degrees of disturbances in permanent dentition are presented. Conservative surgical intervention and light orthodontic forces were used to bring the teeth into normal position with minimal disturbance to the surrounding oral structures
Awareness of emergency management of dental trauma
Aim: Traumatic dental injuries frequently occur in society and may occur at home. The ultimate prognosis of an avulsed tooth occurring in a child may depend on the parents′ knowledge of appropriate emergency measures. This study is aimed at evaluating the awareness level of a sample of Indian (Rohtak, Haryana) parents in the management of dental trauma. Materials and Methods: A total of 1500 parents were surveyed using a self-administered structured questionnaire. The questionnaire was divided into three parts. The tabulated data were statistically analyzed using the Chi-square test. Result: This study indicated a low level of knowledge regarding tooth avulsion and replantation procedures to be followed in emergency. The residing area and age of parent did not affect the knowledge and awareness of parents. Moreover, well-educated parents also had very little or no information about dental trauma first-aid. The lack of significance in correct answers between those with and without such experience indicated that past experience did not seem to have increase the knowledge of the correct emergency procedures. Very little or no information about tooth avulsion and replantation had been given to most of them. Conclusion: Dental injury prevention and management should be recognized as a major public health issue and adequate resources to be allocated for research in this area. Educational programs to improve the knowledge and awareness among the parents have to be implemented
Animal bite injuries in pediatric population: a systematic review
Objectives: To assess the scientific literature pertaining the risk factors for injuries among victims of animal bite injuries. Data and sources: A systematic review of scientific literature published until May 2020 was carried out in the following databases: PubMed, Cochrane Library, Google Scholar and Journals@ovid. Study selection: A total of 924 records were found, of which 29 articles fulfilled the inclusion criteria and were analyzed. There was a male preponderance in most of the studies with male/female ratio ranging from 0.75:1 to 2.1:1. The age range varies from 0 to 19 years with the mean age varying from 3.6 to 8 years. Pitbulls, Rottweiler's, German shepherds, Bull terriers, Labradors and Dobermans were breeds with higher risk of attack. The animals were familiar to the victim (own, friends, neighbors) in 27–98% instances. Most cases of animal bite injuries were recorded during Summer and Spring months. Head and neck followed by extremities was found to be most inflicted area. Conclusions: The sociodemographic characteristics of victim as well as the biting animal affect the circumstances leading to biting episode. However, the results should be interpreted with caution due to the high heterogeneity among studies and moderate quality evidence
Retracted Article: Neomycin and gentamicin detection <i>via</i> molecular recognition with cyclam-decorated gold nanoparticles
We, the Editor and Publisher of the journal Supramolecular Chemistry, have retracted the following article: Tanuja Yeluri, Rajesh S. Bhosale, Namdev V. Ghule, Aaron M. Raynor, Sidhanath V. Bhosale & Sheshanath V. Bhosale (2015) Neomycin and gentamic in detection via molecular recognition with cyclam-decorated gold nanoparticles, Supramolecular Chemistry, 27:11-12, 772-779, DOI: 10.1080/10610278.2015.1071819 Since publication, significant concerns have been raised about the integrity of data and figures in the article. When approached for an explanation, the corresponding author did not provide the requested supporting information. RMIT University, where research had been conducted, confirm they are investigating issues related to the integrity of the published work. As verifying the validity of published work is core to the integrity of the scholarly record, we are therefore retracting the article. The institution and the corresponding author have been informed. We have been informed in our decision-making by our policy on publishing ethics and integrity and the COPE guidelines on retractions. The retracted articles will remain online to maintain the scholarly record, but they will be digitally watermarked on each page as ‘Retracted’.</p
Correlation of fluoride intake with haemoglobin level and intelligence quotient in 8–12 year aged children: an observational study from India
Abstract Background Fluorosis caused by excess intake of fluoride can affects various soft tissues of the body, such as the gastrointestinal tract, blood, brain tissues and thyroid gland apart from dental fluorosis and skeletal fluorosis. Nonskeletal fluorosis is considered reversible if diagnosed early and treated promptly. Therefore, diagnostic methods that can be easily performed even by primary health care workers and depict any ongoing health problems, should be validated. Dental fluorosis, assessment of fluoride in urine and water are tests that fulfill these requirements. To date, no study has correlated haemoglobin (Hb) with dental fluorosis; moreover, studies focusing on intelligence quotient (IQ) had conflicting results and need further research. Hence, study was conducted to determine any relationship among different fluoride assessment parameters (severity of dental fluorosis, fluoride level in urine and drinking water) with IQ status and hemoglobin level of children aged 8–12 years, affected with or without dental fluorosis. Methods A total of 300 children aged 8–12 years were evaluated for dental fluorosis via Dean’s index, IQ level via Raven’s coloured progressive matrices test, Hb level, and fluoride content in water and urine. Results Water fluoride, age and gender were significantly associated with Hb. Intelligence was significantly related to urinary fluoride levels. Presence or absence of dental fluorosis and its severity were not significantly related to IQ or Hb. Conclusions Excess fluoride intake has adverse effects on hematological parameters and children’s cognitive neurodevelopment, which were evaluated by current fluoride exposure markers, i.e., water and urinary fluoride. However, dental fluorosis cannot be used as a definitive assessment marker for these conditions, as it is not significantly correlated with these conditions
Pediatric Dentofacial Trauma during COVID-19 Lockdown Period in North Indian Population: The changed Trends
Background/aims: Coronavirus disease 2019 (COVID-19) pandemic has impacted the life of mankind, including the epidemiology and pattern of dentofacial traumatic (DFT) injuries. The aim of the present study is to quantify and analyze the characteristics of DFT among children during the COVID-19 pandemic lockdown period in 2020 and to compare this to data over the same period in 2019 (prepandemic/prelockdown period).
Materials and methods: Data of patients aged 0–12 years who suffered DFT was collected retrospectively from the beginning of the lockdown period, that is, 24th March 2020, till the day lockdown restriction was eased, that is, 31st May 2020. The children aged 0–12 years with similar characteristics who reported during a similar time period in the year 2019 were kept as the comparator group. The outcomes studied were epidemiology, etiology, and pattern of injury.
Result: Total number of children who suffered DFT increased during the pandemic lockdown in 2020 as compared to the prepandemic period. The place where the injury occurred was significantly changed to the indoor environment. Fall was still the major cause of trauma. Luxation injuries were more frequent than tooth fractures (p < 0.05). Conservative management was more favored during the lockdown period.
Conclusion: Results suggest that the lockdown period had affected the epidemiology, etiology, and diagnosis of traumatic dentofacial injuries in children. We must plan our resources considering the expected wave/school shutdowns in the future and the increased incidence of traumatic dental injuries in children. While trends were evident in the collected data, these must be carefully interpreted as this was a single-center study with a small sample size
INTERNATIONAL JOURNAL OF ADVANCES IN CASE REPORTS FIXATION OF ALVEOLAR FRACTURE OF MANDIBLE USING MODIFIED WIRE COMPOSITE SPLINT 3 (WCS 3): NONINVASIVE ALTERNATIVE IN MIXED DENTITION PERIOD
ABSTRACT Injuries of the tooth bearing portion of the mandible (alveolus) are common and can even result after a relatively low impact trauma. The conservative treatment is in most cases advocated before the use of more complex invasive treatment that have a negative effect on skeletal growth and unerupted teeth. Knowledge of conservative and less invasive treatment options is essential in order to minimize these potential risks. The purpose of this case report is to describe the management of a traumainduced mandibular alveolar fracture in an 10 year old boy using a modified wire composite splinting type 3(WCS 3) that proved to be less invasive successful alternative in mixed dentition period
Ameliorative potential of stem cells from human exfoliated deciduous teeth (SHED) in preclinical studies: A meta-analysis
The preclinical and clinical role of mesenchymal stem cells from various adult sources is extensively investigated and established in regenerative medicine. However, the comprehensive exploration of the therapeutic potential of Stem cells from human exfoliated deciduous teeth (SHED) is inadequate. Therefore, we performed a systematic meta-analysis of preclinical animal model studies in several diseases to provide insight into SHED's efficacy and therapeutic potential. Two blinded and independent investigators searched the available online databases and scrutinized the included studies. Meta-analysis was performed to evaluate the pooled effect estimate of intervention of SHED by Review Manager 5.4.1. To investigate the therapeutic efficacy of SHED intervention, we also analyzed the test of heterogeneity (I2), overall effect (Z), sensitivity, and publication bias. Among the 2156 scrutinized studies, 40 were included and evaluated as per inclusion and exclusion criteria. The intervention of SHED and its derivatives in several diseases depicted statistically significant therapeutic effects in periodontitis, pulpitis, spinal cord injury, parkinson's disease, alzheimer's disease, focal cerebral ischemia, peripheral nerve injury, and retinal pigmentosa. SHED also improved levels of alanine aminotransferase, aspartate aminotransferase, and bilirubin in liver fibrosis . In autoimmune diseases also, values were significant. SHED also showed a statistically significant reduction of wound healing area and new bone formation in bone defects. The pooled effect estimates of included preclinical studies demonstrated a statistically significant therapeutic effect of SHED in numerous diseases. Based on our data, it is suggested that the potential of SHED may be implemented in clinical trials after conducting a few more preclinical studies
Assessment of oral health status and prevalence of dental caries and molar incisor hypomineralization among asthmatic children: An observational study
Background:
Asthma as a systemic disease and the medication used for its management may have impact on the oral health status of individual.
Aim and Objectives:
To assess the oral health status and prevalence of dental caries and MIH among asthmatic children and to assess any association with different variables.
Method and Materials:
It was an observational study done on 8-12 years old children reporting to the asthma clinic of a tertiary health center. Adapted and structured assessment from was used to collect various independent variables. Clinical parameters such as dental caries, periodontal status, Molar incisor hypomineralization, salivary flow rate were assessed. Shapiro-Wilk test, Student-t test, Mann-Whitney test, Chi-square test, KruskalWallis test were used for statistical analysis.
Results:
The mean Decayed Missing Filled tooth, Molar Incisor Hypomineralization, Plaque Index, Gingival Index score were 2.90, 0.15, 0.97, 0.50 respectively in asthmatic children. The difference with non-asthmatic group was non-significant. The mean salivary flow rate was 0.292 ml/min in asthmatic group.
Conclusion:
Salivary flow rate was significantly reduced in asthmatic children as compared to non-asthmatic children. Other variables such as DMFT, MIH, gingival and periodontal indices did not differ significantly from non-asthmatic group
Arrest of interproximal caries lesion in primary molars with 38% silver diamine fluoride solution and 5% sodium fluoride varnish: A randomized clinical trial
Background:
Dental caries is a global public health concern, with interproximal caries presenting a particular challenge due to their limited accessibility. Fluoride has long been employed in the prevention and management of early-stage carious lesions.
Aim:
To evaluate and compare the effectiveness of 38% silver diamine fluoride (SDF) and 5% sodium fluoride varnish (NaF) in arresting interproximal caries in primary molars.
Settings and Design:
A split-mouth randomized clinical trial was conducted following the CONSORT guidelines.
Methods:
Children aged 5–9 years with at least two noncavitated interproximal carious lesions (ICCMS stages RA1–RB4) were included. Teeth were randomly assigned to receive either 38% SDF (Group 1) or 5% NaF varnish (Group 2), applied biannually. Caries arrest was assessed radiographically as primary outcome at 6, 9, and 12 months.
Statistical Analysis:
Descriptive statistics summarized the data. Normality was confirmed through the Shapiro–Wilk test, permitting parametric analysis. Paired and unpaired t-tests assessed intra- and inter-group differences, respectively, and Chi-square tests analyzed the categorical variables. A two-tailed α =0.05 and power of 80% were applied.
Results:
At the 12-month follow-up, the caries arrest rate was 76.31% in Group 1 and 47.3% in Group 2, showing a statistically significant difference (P < 0.05). The arrest rates for 38% SDF at RA1, RA2, RA3, and RB4 were 90.9%, 88%, 80%, and 37.5%, respectively, compared to 80%, 60%, 22.2%, and 0% for 5% NaF varnish.
Conclusion:
SDF demonstrated greater effectiveness than NaF varnish in arresting interproximal caries in primary molars, particularly in lesions involving dentin
