A correlation between salivary cortisol and stress in dental procedure was noticed. Cavity preparation is more stressful procedure in children, so alternative methods can be used in anxious children. Stress associated with extraction persists to a postoperative period. No correlation exists in between Corah's anxiety scale and salivary cortisol.
Purpose To profile the etiology, clinical outcomes and drug sensitivity patterns in endophthalmitis caused by Acinetobacter baumanni. Methods Retrospective analysis of all the cases of Acinetobacter baumanni endophthalmitis presenting to tertiary referral care ophthalmic hospital in Eastern India from January 2009 to December 2011 were done. Results A total of four cases were included in the study. Out of the four cases one was post traumatic and the rest were post cataract surgery. All the cases underwent vitreoretinal surgical intervention followed by intravitreal antibiotics. A. Baumanni was isolated from vitreous in all the cases. Among all the drugs tested bacteria were found sensitive to ciprofloxacin (100 %) whereas all tested resistant to ceftazidime. Out of the four cases one had to be eviscerated, another developed retinal detachment post vitrectomy, one was phthisical at final followup, and only one patient achieved a vision of 20/200 with clear media and attached retina at final visit. Conclusion A. Baumanni is a very rare cause of endophthalmitis with poor visual and anatomical outcomes. Ciprofloxacin should be considered as first the line intravitreal antibiotic.
Aim To evaluate the effectiveness of three different behavioral modification techniques: tell-play-do (TPD), film modeling, and use of smartphone dental app in the management of child behavior. Settings and design Seventy-five children aged between 6 years and 9 years who were on their first dental visit were randomly divided into three groups. The study was conducted into two visits. Materials and methods First visit: group I—children watched a film containing various dental procedures performed on a child model followed by oral prophylaxis; group II—TPD techniques were introduced with dental instruments imitating various playing objects followed by oral prophylaxis; group III—children were asked to use mobile dental application followed by oral prophylaxis. Second visit: After 7 days interval, all the children were subjected to class I restorative treatment using glass-ionomer cement. In both visits, the heart rate (HR), facial image scale (FIS) score, and Venham’s pictorial index (VPI) score were evaluated before the intervention, after the intervention of behavior modification technique, and during the dental procedure. Statistical analysis used One-way ANOVA test followed by the post hoc Tukey test was used to compare HR and the Kruskal–Wallis test was used to compare the FIS and VPI of all three groups. Results The average HR, FIS, and VPI scores were significantly lower among children who received TPD intervention compared to those who received film modeling intervention and mobile dental application. Conclusion Tell-play-do technique is more effective in reducing children’s fear and anxiety for dental treatment. Tell-play-do can be a functional alternative method to tell-show-do (TSD) and modeling techniques during dental treatment. How to cite this article Kevadia MV, B Sandhyarani, Patil AT, et al. Comparative Evaluation of Effectiveness of Tell-Play-Do, Film Modeling and Use of Smartphone Dental Application in the Management of Child Behavior. Int J Clin Pediatr Dent 2020;13(6):682–687.
Pyogenic granuloma (PG) is a localised granulation tissue overgrowth, in reaction to mild irritation. The aetiology of the lesion is not known, though it was originally believed to be a botryomycotic infection. The clinical diagnosis of such a lesion can be quite challenging. The purpose of this article is to report an unusual case of benign tumour in an adolescent boy who was clinically diagnosed as PG and histopathologically as capillary haemangioma. PG being a benign lesion; surgical excision was performed and predisposing irritants were removed.
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