Aim:The management of pain and anxiety in dentistry encompasses a number of procedural issues, including the delivery of anesthetic solution. One of the most important ways to manage the behavior of children is pain control. Trypanophobia is very common among dental patients and the most important goal of guidelines on behavior guidance for pediatric dental patient is to ease fear and anxiety in dental procedures in children. For the stated reasons, the purpose of the present study was to record child's pain sensation both objectively and subjectively while receiving dental local anesthesia using conventional syringes and diabetic needles. Materials and methods:Twenty children of age group 6 to 12 years undergoing routine dental procedures participated in the study. Every child acted as one's own control, while receiving treatment on the opposite side of the same arch. Each patient was randomly assigned to receive the injection either with conventional syringe or diabetic needle for the first visit, while the injection with the other needle was administered during the second visit. Rating scales were used for objective and subjective evaluations.Results: Statistical analysis of the measurements were made using Wilcoxon signed U test and Mann-Whitney U test which showed the mean sound, eye, motor (SEM) score difference using insulin syringe. The outcome was statistically significant when compared using the mean ranks between male and female patients with that of control group. Conclusion:It can be concluded that diabetic syringes exhibit clinical advantage and its use in pediatric dentistry for local anesthetics (LA) infiltration can prove beneficial.
Background: The aim of the study was to evaluate the effect of 10% alpha-tocopherol and 5% grape seed extract on the microhardness and shear bond strength (SBS) to bleached human dentin. Materials and Methods: This in vitro study was done on 200 extracted premolars which were decoronated and grinded to get flat dentin surface occlusaly. They were divided into four groups: (a) bleaching, (b) bleaching and application of alpha-tocopherol, (c) bleaching and application of grape seed extract, and (d) control. Groups were further subdivided into Subgroups I and II (n = 30) based on storage period before building with composite and were then tested for microhardness and SBS determination. The data thus obtained was subjected to statistical analysis which was performed using ANOVA test and post hoc Tukey's test. The significance for the entire statistical test was predetermined at P < 0.05. Results: The results showed that the microhardness values were minimum in Group A (immediately after bleaching) and maximum in control group. Comparison of data using one-way ANOVA showed that the P value was highly significant (P < 0.001) among the groups. The intergroup comparison of SBS using post hoc Tukey's tests revealed that the P value was significant (P < 0.05) when the comparison was done between the Group A and Group C and Group B with Group D immediately after bleaching. Conclusion: Adverse effects of bleaching can be reversed with the application of 10% alpha-tocopherol and 5% grape seed extract over the dentinal surface microhardness and SBS.
Background: Traumatic dental injuries are a serious public dental health problem throughout the world. The incidence of traumatic injuries is increasing over the years. Trauma to the permanent anterior teeth is a common finding. Dental trauma is an irreversible pathology that after the occurrence is characterized by a life-long debilitating effect. Aims and Objectives: The aim of this study was to estimate the prevalence and assess factors related to traumatic injuries to permanent anterior teeth among 12–15-year-old children attending private and government schools in Mathura city. Materials and Methods: An epidemiological cross-sectional study was carried out among 1000 school children aged 12–15 years in which 500 children from both government and private schools, respectively, of five geographical zones of Mathura city were randomly selected. Children completed a questionnaire related to the history of trauma to their anterior teeth after which they were examined for type of lip coverage, Angle's molar relationship, and incisor nature of trauma sustained. Statistical analysis: SPSS 21 was carried out using Student's t-test (P < 0.05), Chi-square test, and Mantel–Haenszel test. Results: The prevalence of traumatic injuries was 8.9% and was higher among government school children compared to private school children. The boys and girls with a history of trauma were 67.4% and 32.6%, respectively. The main cause of trauma was fall in the playground (46.0%). The main reason of trauma was because of pushing (65.2%). The most predominant injuries were enamel fractures and the most common place for occurrence was school. Conclusion: The prevalence of dental injuries in Mathura city was high and it has a great potential to be considered as an emerging public health problem.
A bstract Aim and objective The study aimed to assess and compare the prevalence of dental caries with its association with oral hygiene practices among 13–14 years old schoolchildren in urban and rural areas in Kamrup Metropolitan (M) District, Assam. Materials and methods A total of 1,501 schoolchildren in the age group of 13–14 years were included in the study and dental caries was recorded from decayed missing filled teeth (DMFT)/deft index as described by World Health Organization (WHO) (1997). The children were asked to fill in the basic information in the proforma by themselves. The statistical tests used in this study were unpaired t -test, Chi-square test, and one-way ANOVA test to compare the DMFT among the different age groups, gender, and location. Results A statistically significant difference was found in the prevalence of the decayed (D) component between the 14 years old (33.9%) and the 13 years old (28.5%) age groups and a highly statistical difference was found between the male (27.9%) and the female (35.7%) population. However, the prevalence of decayed components for the rural (30.1%) and the urban (33.1%) population was not statistically significant. Conclusion The overall prevalence of dental caries among schoolchildren of Kamrup (Metropolitan) District was 33.6%. C linical S ignificance Dental caries is a major public dental health problem; hence, an active and effective preventive program for dental care is needed for the child population in the area. How to cite this article Doley S, Srivastava M, Piplani A, et al. Status of Dental Caries and Its Association with Oral Hygiene Practices among School-going Children of Rural and Urban Areas in Kamrup District of Assam. Int J Clin Pediatr Dent 2022;15(2):182-186.
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