Background:One of the most important and challenging aspects of behavior management in children during dental treatment is pain control. Fear related behavior has long been recognized as the most difficult aspect of patient management and can be a barrier to good care. Administration of local anesthesia may evoke anxiety not only in the patients but also in the clinicians. Although local anesthesia is most commonly used for pain control in dentistry, researches are going to seek new and better means of managing pain. In this study, we have used a newer vibration device named Vibraject™ to give painless anesthesia. Materials and Methods: 20 children aged between 8 and 14 years, visited the Department of Pedodontics, K.D. Dental College and Hospital, Mathura, for some dental treatment were selected. In the first appointment, local anesthesia using a conventional syringe was administered. The procedure was repeated with Vibraject™ on the opposite side of the same dental arch on the subsequent visit. The child side of the same dewas assessed through visual analog scale (VAS) and faces pain rating scale (FRS) for both the techniques. Various physiological parameters were also assessed and compared between conventional and vibrating injection techniques. Results: A statistically significant difference in VAS and FRS was found between the two techniques whereas when physiological parameters (heart rate, blood pressure, and temperature) were compared at various intervals, the difference was not statistically significant. Conclusion: Vibraject provides less pain while giving local anesthetic injections in comparison to the conventional injection technique in clinical dental procedures.

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Objective: To evaluate clinically and microbiologically the efficacy of Papacarie® in the removal of carious dentin in both permanent and primary teeth. Study design: Thirty permanent and primary molars with dentinal carious lesions were excavated and subjected to clinical and microbiological assessment before and after application of Papacarie®. The gel was further tested for in vitro antimicrobial efficacy against standard cariogenic micro-organisms using agar diffusion assay. Results: Papacarie® was able to differentiate between infected and affected dentin clinically along with high patient comfort during caries excavation. The mean time taken for caries removal and restoration was observed to be 4.17 ± 0.40 min. and 8.57 ± 0.45 min. for permanent teeth and 4.21 ± 0.36 min. and 9.24 ± 0.58 min. for primary teeth. There was a significant reduction in the total viable colony forming units from the dentin samples before and after application of Papacarie®. It was also observed that Papacarie® had no inhibitory effect on standard cariogenic microorganisms in the agar diffusion assay. Conclusions: Papacarie® is an effective caries removal method clinically in both permanent and primary teeth. The number of viable microorganisms after complete caries excavation using Papacarie® still appears to be high and this bacterial count should be tackled by a suitable restorative material with potent antimicrobial activity.

Tooth jewellery has been practiced since time immemorial and has become an increasingly popular trend. This case report provides a brief insight into a kind of tooth adornment/a tooth tattoo on the enamel prevalent in parts of western Uttar Pradesh, India locally known as a 'Choump'. A tooth tattooed with 'Choumps' has extremely low incidence and could be used as an identification trait. Tooth adornment with 'Choumps' has been reported in adults however, this is the first reported case of 'Choumps' in children. ª 2015 Hosting by Elsevier B.V. on behalf of The International Association of Law and Forensic Sciences (IALFS).

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