Objectives: This study aimed to compare the fracture resistance of a bulk-fill and a conventional composite and a combination of both for coronal restoration of severely damaged primary anterior teeth. Materials and Methods: In this in vitro experimental study, 45 primary anterior teeth were randomly divided into three groups. After root canal preparation, the canals were filled with Metapex paste such that after the application of 1 mm of light-cure liner, 3 mm of the coronal third of the canal remained empty for composite post fabrication. Filtek Z250 conventional composite was used in group 1, Sonic-Fill bulk-fill composite was used in group 2 and Sonic-Fill with one layer of Filtek Z250 as the veneering were used in group 3. Adper Single Bond 2 was used in all groups. The teeth were thermocycled, and fracture resistance was measured by a universal testing machine. The mode of fracture was categorized as repairable or irreparable. Data were analyzed using one-way ANOVA. Results: The mean fracture resistance was 307.00±74.72, 323.31±84.28 and 333.30±63.96 N in groups 1 to 3, respectively (P=0.55). The mean fracture strength was 14.53±2.98, 15.08±2.82 and 15.26±3.02 MPa in groups 1 to 3, respectively (P=0.77). The frequency of repairable mode of failure was 80% for the conventional, 73.6% for the bulk-fill and 80% for the bulk-fill plus conventional group, with no significant difference (P>0.05). Conclusions: Bulk-fill composites can be used for coronal reconstruction of severely damaged primary anterior teeth similar to conventional composites to decrease the treatment time in pediatric patients.

Background and AimThis study aimed to assess the awareness of parents about the presence of first permanent molar and its effect on the health of this tooth.Materials and methodsThis cross-sectional research has been done on 250 elementary school students which were 6 to 8-year-old boys and their parents in Tehran city. Sampling was done randomly. The questionnaires were filled out by the parents, and then tooth condition was registered in a visit formfor each student separately. Next, the related children’s decayed missing filled teeth (DMFT) was determined and recorded. The mean value was calculated. Data were analyzed using the statistical package for the social sciences (SPSS) via a generalized estimating equation.ResultsThere was a significant relationship between parental awareness of being permanent of the first permanent molar and DMFT (p < 0.05).ConclusionSocio-economical factors like parental education can have an effect on oral health condition.How to cite this article: Heydari A, Shahrabi M, Shafizadeh M, Anaraki EA, Aref M, Parental Knowledge and Awareness of the First Permanent Molar. Int J Clin Pediatr Dent, 2018;11(5):382-385.

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Introduction: Revascularization is the newest treatment proposed for an immature permanent tooth with necrotic pulp. Revascularization is defined as a treatment process with a biological base which is aimed at replacing the lost structures and the continued development of roots. Case presentation: Patient was an eight-year-old child with the history of trauma to the maxillary anterior region. After clinical and radiographic evaluations, tooth #9 was diagnosed with the pulp necrosis, and revascularization was carried out according to Banch and Trope principles. Conclusion: The clinical and radiographic evaluation after treatment revealed no signs and symptoms and root development was in progress which was an indication of successful treatment. It seems that, in the case of proper selection of the patient, this method can be an appropriate replacement for apexification in immature teeth with pulp necrosis.