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Journal of Clinical Pediatric Dentistry

Scott M Peters, Michele S Bergen, Elizabeth M Philipone, Angela J Yoon
Ameloblastic fibro-odontoma (AFO) is a rare benign odontogenic tumor with the histologic features of ameloblastic fibroma (AF) but also contains enamel and dentin. It is most commonly observed in the pediatric population. Distinction between AFO and AF becomes important as ameloblastic fibromas are associated with higher recurrence rates of up to 18%, and 35% of these recurrent lesions can undergo malignant transformation to ameloblastic fibrosarcoma. Hence, for amelobastic fibroma, conservative curettage is recommended for the initial lesion and marginal resection is considered for recurrent cases...
August 7, 2018: Journal of Clinical Pediatric Dentistry
R Valencia, R Espinosa, N Borovoy, S Pérez, I Ceja, M Saadia
PURPOSE: The goal of this in vitro study was to identify whether occlusal enamel deproteinization is effective in the removal of organic material in order to obtain quality etching patterns using phosphoric acid (H3 PO4 ) and sodium hypochlorite (NaOCl) compared to phosphoric acid alone. STUDY DESIGN: Nine extracted third permanent molars were polished with pumice and water. Every pit and fissure was evaluated as a unit, resulting in 40 individual units and then these were divided into five treatment groups...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Rishika, Nishita Garg, Sandeep Singh Mayall, Lumbini Pathivada, Ramakrishna Yeluri
OBJECTIVE: This manuscript shows if enamel deproteinization along with an intermediate layer of bonding enhances the retention of pit and fissure sealants.. STUDY DESIGN: Two hundred six mandibular first permanent molars were allocated to Group I (n=103) and Group II (n=103). Group I underwent deproteinization, acid etching, bonding agent application and pit & fissure sealant placement while Group II treated with acid etching followed by pit & fissure sealant application only...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Sudharani A Pyati, R Naveen Kumar, Vinod Kumar, N H Praveen Kumar, K M Parveen Reddy
OBJECTIVES: To measure and compare the levels of salivary flow rate, pH, buffering capacity, total protein, malondialdehyde (MDA) and total antioxidant capacity (TAC) between caries active and caries free children and to study the correlation between the DMFS/dfs score and above salivary parameters in caries active children. STUDY DESIGN: 50 caries active (DMFS/dfs ≥ 5) and 50 caries free (DMFS/dfs = 0) children aged between 6 to 12 years were included in the study...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Enrique Bimstein, Douglas Damm
OBJECTIVE: To describe the histological characteristics of a human primary tooth with deep caries next to the dental pulp 6 months after being treated with silver diamine fluoride (SDF). STUDY DESIGN: A tooth that was considered to be not restorable 6 months after being treated with SDF was examined with light microscopy. RESULTS: the histologic examination revealed no carious pulp exposure, tertiary dentin, a flattened odontoblastic layer adjacent to irregular tertiary dentin, dentinal tubules with silver deposits to a depth of 1 mm and no bacteria, and a pulp with no significant inflammation...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Jilen Patel, Robert P Anthonappa, Nigel M King
BACKGROUND: Recently, there has been an increased awareness of the role of the labial and lingual frenulae on a neonate's ability to latch and breastfeed efficiently. This critical review explores the (i) oral physiology of a baby nursing (ii) factors that can decrease a baby's ability to nurse efficiently, the problems these cause and their management and the (iii) relation between poor nursing efficacy and the risk of early childhood caries (ECC) Study design: An expansive search of the literature was performed using four electronic databases...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Sigalit Blumer, Rabea Iraqi, Roly Bercovich, Benjamin Peretz
OBJECTIVE: We aimed to examine if changes in oxygen saturation and pulse rate of pediatric patients during conscious sedation with midazolam and nitrous oxide are associated with child's behavior, midazolam dose, the type and duration of the treatment and demographic parameters. STUDY DESIGN: This study was a retrospective chart review of consecutive pediatric patients, aged 2.5-12.5 years, who had undergone conscious sedation for dental treatment with oral midazolam (with or without nitrous oxide) between January 2011 and September 2015 at the Department of Pediatric Dentistry of Tel Aviv University...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Masamitsu Takahashi, Jae Hyun Park, Satoshi Uzuka, Kiyoshi Tai
The development of temporary anchorage devices (TADs) has allowed for the creation of anchorage in situations where there once was none. Many studies have suggested that the most significant cause of miniscrew failure is insufficient distance between the surface of a root and the miniscrew. In order to reduce the miniscrew failure rate, a modified surgical stent has been shown to not only increase TAD insertion accuracy but also to increase TAD success rates.
August 7, 2018: Journal of Clinical Pediatric Dentistry
Neda Eslami, Taraneh Movahed, Masoumeh Asadi
OBJECTIVES: The aim of this study was to evaluate parents' perception of the oral health-related quality of life (OHRQoL) of autistic children in Iran, and to determine the quality of life of their families in relation to child' oral health status. STUDY DESIGN: 70 families with at least one child with autism, and 70 families with normal children were enrolled. Parents' perceptions of the OHRQoL of children were assessed using pre-validated PedsQL oral health scale questionnaire...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Volkan Ciftci, Aslıhan Uzel, Muharrem Cem Dogan
OBJECTIVE: A lower lingual arch is usually recommended as a holding device to maintain arch length and to prevent mesial migration of the mandibular first molars. Despite its widespread use, comparatively little is known about the effects of a lower lingual holding arch on preservation of lower arch dimensions and tooth position and the impact of the device on mandibular growth. The aim of this study is to evaluate the skeletal and dental effects of the lower lingual holding arch with regard to arch dimension, positions of mandibular molars and incisors, and usual mandibular growth...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Jiasheng D Guo, William F Vann, Jessica Y Lee, Michael W Roberts
OBJECTIVE: There is a gap in the literature regarding optimal methods for the dental team to help address the childhood obesity epidemic; accordingly, this investigation sought to identify preferred communication approaches the dental team can rely upon to initiate dialogue with caregivers regarding the weight of their children. STUDY DESIGN: A structured interview guide containing seven potential Healthy Weight Counseling (HWC) approaches and eight follow up questions was developed, pilot-tested, revised and utilized as a structured interview guide...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Luca Levrini, Giussepa Sara Salone, German O Ramirez-Yanez
OBJECTIVE: The purpose of this study was to determine the efficacy of the Myobrace/MyOSA myofunctional appliance for the treatment of mild to moderate Obstructive Sleep Apnea (OSA) in children, by means of the Apnea/Hypopnea Index (AHI). STUDY DESIGN: Nine children with a diagnosis of mild to moderate OSA were included in the study. The subjects wore the Myobrace/MyOSA myofunctional appliance for a period of 90 days. The initial AHI, determined by means of a sleep test, was used as baseline (To), and a second AHI, computed at the end of the experimental period, was used as final data (T1 )...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Flávia Sirotheau Correa Pontes, Lucas Lacerda de Souza, Victor Feliz Pedrinha, Hélder Antônio Rebelo Pontes
Ranula consists of a pathological process induced by ductal disruption of the minor salivary glands followed by extravasation of mucous material surrounding adjacent structures. A swelling causing breathing and feeding problems associated with tongue displacement is frequently observed. It is a disease that generally involves the younger age group. In newborns congenital ranula may occur, an uncommon variance that differs from common ranula by not relate to post-traumatic reactions. There are reports that indicate a salivary gland duct atresia as the main cause of this pathology...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Ah-Hyeon Kim, Eun-Suk Ahn, Youn-Soo Shim, Yong-Ouk You, Eun-Young Jeon, So-Youn An
OBJECTIVES: This study evaluated the intraoral symmetry of dental caries in primary teeth as part of a study of caries patterns in primary dentition. STUDY DESIGN: The data for 4,800 5-year-old and 4,379 8-year-old children in this study were from the 2012 Korean national oral health survey. Pearson correlation coefficients of the decayed and filled surface (dfs) values ranged from 0.436 (lower primary canines) to 0.835 (upper primary central incisors) for the right and left primary teeth and from 0...
August 7, 2018: Journal of Clinical Pediatric Dentistry
Nilaya Reddy Venumbaka, Porselvi Baskaran, Jayanthi Mungara, Madhan Chenchugopal, Arun Elangovan, Poornima Vijayakumar
OBJECTIVES: The present study was undertaken to evaluate and compare the apical extrusion of irrigant and depth of irrigant penetration into dentine using the EndoVac irrigating system and manual irrigation system in primary molar teeth. STUDY DESIGN: Twenty five extracted primary molars satisfying the inclusion and exclusion criteria were divided into two groups with 29 roots in each group with an equal distribution of apical foramen area. The teeth were mounted in pre-weighed glass bottles and the canals were irrigated with 5...
2018: Journal of Clinical Pediatric Dentistry
Elisabeth Dursun, Aude Monnier-Da Costa, Christian Moussally
After pulp therapy or with multi-surface caries in primary molars, pre-formed stainless steel crowns are usually placed to ensure tooth longevity. Esthetic alternatives, such as zirconia crowns, have been proposed, but they are invasive. Here we describe two cases of chairside computer-aided design and computer-aided manufacturing (CAD/CAM) technology used to treat extended and/or deep caries on primary molars. A powder-free chairside CAD/CAM system, a milling unit and machinable high-performance composite blocks were used...
2018: Journal of Clinical Pediatric Dentistry
Sherry Shiqian Gao, Duangporn Duangthip, Edward Chin Man Lo, Chun Hung Chu
OBJECTIVE: Early childhood caries (ECC) was prevalent in Hong Kong. Children with ECC risk should be identified early for prevention. This study aimed to identify common risk factors of ECC in Hong Kong 3-year-old children. STUDY DESIGN: Sample size calculation showed at least 6,321 of 3-year-old children should be invited in this study. A consent form and a questionnaire enquiring the children's oral health behaviours and social-economic background were distributed to their parents...
2018: Journal of Clinical Pediatric Dentistry
Zahra Jamali, Vajiheh Alavi, Ebrahim Najafpour, Naser Asl Aminabadi, Sajjad Shirazi
OBJECTIVE: This study was conducted to compare the efficacy of 3Mixtatin (a combination of simvastatin and 3Mix antibiotic) with MTA and Formocresol for the pulpotomy of primary molars. STUDY DESIGN: 114 children aged 3-6 years old with 150 primary molars were randomly allocated to three groups. MTA, Formocresol or 3Mixtatin were used for Pulpotomies. Hard setting zinc oxide eugenol was used to cover these materials. The teeth were restored with amalgam. Blinded radiographic and clinical examinations were conducted at 6, 12 and 24 months after treatment for the presence of pain, tenderness to palpation and percussion, sinus tract, swelling, presence of internal or external root resorption, inter-radicular radiolucency, and periapical lesion...
May 15, 2018: Journal of Clinical Pediatric Dentistry
Najlaa M Alamoudi, Eman S Almabadi, Eman A El Ashiry, Douaa A El Derwi
OBJECTIVES: To evaluate the effect of probiotic Lactobacilli reuteri lozenges on caries-associated salivary bacterial counts (Mutans streptococci and Lactobacillus), dental plaque accumulation, and salivary buffer capacity in a group of preschool children. STUDY DESIGN: The study group consisted of 178 healthy children (aged 3-6 years). Children were randomly grouped: the experimental group (n = 90) received L. reuteri probiotic lozenges and the control group (n = 88) received placebo lozenges, twice daily, for 28 days...
2018: Journal of Clinical Pediatric Dentistry
Scott M Peters, David A Koslovsky, Angela J Yoon, Elizabeth M Philipone
Pyogenic granuloma, also called lobular capillary hemangioma, is a benign vascular lesion of the skin and mucous membranes. While the majority of pyogenic granulomas in the oral cavity involve the gingiva, they also infrequently present at other sites including lips, oral mucosa, palate, and tongue. We report a case of a pyogenic granuloma of the tongue in a five-year old female patient.
2018: Journal of Clinical Pediatric Dentistry
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