No abstract

Aim: The aim of this study is to investigate whether the Dental Discomfort Questionnaire (DDQ) could help to identify toothaches in children with autism spectrum disorder (ASD). Materials and Methods: This study involved sixty children between the age groups of 6–16 years, attending the day-care schools diagnosed with ASD. Five different groups of children were identified based on the presence of a toothache and/or carious teeth. The DDQ-8 was completed by parents and evaluated by a single examiner. Data were analyzed using descriptive statistics (SPSS version 17), and a correlation was observed between the total DDQ score and the decayed, missing, and filled teeth (dmft–DMFT) score. Results: Analysis of the data showed that DDQ-8 had a significant correlation with that of DMFT score in a group “with carious teeth but no toothache” (r = 0.497, P = 0.019) and group “with carious teeth and a toothache” (r = 0.682 P = 0.043). A group “without carious teeth where the parents were not sure whether or not the child had a toothache” had higher mean compared to other groups with DDQ-8 scores. Conclusion: There was a significant difference in the total mean DDQ scores when they were compared with that of the control group. Children with high DDQ-8 often had a high DMFT/dmft score. A significant correlation was found when the total DDQ-8 scores were compared with that of the DMFT score.

Objective: To study the correlation between mandibular growth variables using linear measurements of ramus, body of the mandible and total mandibular length with skeletal maturity indicators such as hand wrist radiographs and cervical vertebral maturation. Materials and Methods: A total of 315 patient-records (lateral cephalograms and hand-wrist radiographs) in the age group of 10-13 years were involved. The cephalometric measurements, representative of the mandibular growth, Condylion-Gonion (Co-Go), Condylion-Gnathion (Co-Gn), Gonion-Gnathion (Go-Gn), and posterior-most point of the mandibular condyle-pogonion (Fg-Pg) were traced (McNamara method). The correlation of mandibular growth variables with hand wrist parameters and cervical vertebrae maturation were assessed separately in male and female. Pearson’s correlation was used for analysis (Statistical Package for Social Sciences version 17). Results: Only 80 subjects were included in final analysis. A highly significant correlation was found among hand wrist parameters, and mandibular growth variables ( P < 0.001) in both genders. Among males, there was a highly significant correlation between cervical vertebral maturation and mandibular growth variables ( P < 0.001), whereas Co-Go has a significant correlation with C2Conc, C3Conc, and C4Conc ( P < 0.05). In females, Co-Gn, Co-Go, Go-Gn, and Fg-Pg were significantly correlated with C3Conc and C4Conc ( P < 0.001). Conclusion: Both the cervical vertebral maturation and mandibular growth variables can be accessed on the lateral ephalogram itself for the evaluation of the skeletal maturity, as effective as a hand wrist radiograph in males and females.

Traumatic dental injuries (TDIs) are common in growing children. Among all the dental injuries, complicated crown root fractures (Andreasen Class VI) of maxillary permanent anterior teeth are relatively widespread. Such fractured teeth are often considered as hopeless and are extracted. However, if the tooth is to be retained, various treatment strategies have been proposed. The aim of the present case report is to suggest a new technique to treat a complicated crown root fracture. The management of this case included endodontic procedure and orthodontic extrusion to move the fracture line above the supragingival level. A customized removable Hawley’s appliance with a modified single cantilever spring was fabricated and an anchoring Begg bracket was bonded on the residual crown of the tooth. This method is useful in the mixed dentition when there is insufficient anchorage of adjacent teeth because of preshedding mobility and trauma.How to cite this article: Mohammad Z, Penmetcha S, Bagalkotkar A, Namineni S. A Novel Approach to extrude Subgingivally Fractured Tooth using Customized Removable Appliance. Int J Clin Pediatr Dent 2018;11(1):53-57.

Objectives: This study aimed to assess the skeletal maturation by using salivary DHEAS levels and its correlation with existing skeletal maturity parameters represented by cervical vertebrae and MP3 region radiographs in adolescents in pre-pubertal and pubertal age groups. Methods: In this study, 80 children in the age range of 8 - 14 years were divided into two equal groups based on their chronological age as group I (pre-pubertal group) and group II (pubertal group). Pre-existing lateral cephalograms and medial phalanx of third finger (MP3) radiographs of their left hands were assessed. The levels of the DHEAS of each individual were analysed by ELISA kit. ANOVA with post-hoc Tukey’s test and student t-test were used for statistical analysis. P-value < 0.05 was considered significant. Results: The mean level of DHEAS values shown in the present study was 4.36 +/- 0.32 ng/mL in group I and 5.73+/-0.39 ng/mL in group II. This study showed that in group I, more subjects were in stage 1 of cervical vertebral maturation than stage 2 and there were significant differences between the two stages (P-value = 0.011); also, in group II, more subjects were in stage 3 than 4 and there were significant differences between the two stages (P-value = 0.017). This study revealed the highest salivary DHEAS levels to be in the F stage of pre-pubertal MP3 development in addition to the H stage of MP3 development in pubertal children. This study noted that there were significant differences for salivary DHEAS levels between males and females not only in pre-pubertal (P-value = 0.031), but also in pubertal stages (P-value < 0.001). Conclusions: Salivary DHEAS, like cervical vertebra and MP3 radiographs, can be used for growth assessment in young adolescents.