Introduction: Dental trauma has emerged as a significant aspect of dental public health. Traumatized teeth require early and appropriate treatment, which frequently relies on the competence of the dentists, doctors, and nurses who provide the primary care. Aim: To assess the knowledge and attitude of paramedical students about the emergency management of avulsed tooth. Materials and Methods: A cross-sectional questionnaire survey consisting of 17 questions was designed and circulated among 365 paramedical students (nursing, pharmacy and physiotherapy) of Sankalchand Patel University, Visnagar, Gujarat, India, to assess their knowledge and attitude about the emergency management of avulsed tooth. Descriptive statistics were applied by Statistical Package for Social Sciences (SPSS) software version 20.0. Results: Total 260 (71.23%, mean age of 23 years) students responded, with 71 students from Physiotherapy, 106 from Nursing and 83 from Pharmacy. A total of. 178 (68.46%) students comprehend the meaning of avulsion. While 193 (74.23%) students had knowledge that tooth re-implantation is possible. Of all the respondents, 192 students (73.84%) were familiar about the benefit of mouth guards for prevention of sports injury and 125 students (48.07%) opined that it is very important to be acquainted with emergency management of dental trauma. Conclusion: Though the paramedical students had good understanding about tooth avulsion, they were unaware about the emergency management of the situation. This warrants the need of incorporating training programmes dedicated to the subject in their curriculum.

Aim: To compare and analyze the clinical adequacy of two topical anesthetic gels, Precaine (8% lidocaine + 0.8% dibucaine) and Precaine B (20% benzocaine) in children before intraoral local anesthetic injections. Materials and Methods: This clinical study included thirty children who needed an inferior alveolar nerve block. They were divided into three groups: Group A: Precaine topical gel group, Group B: Precaine B topical gel Group, Group C: no anesthetic topical gel group (control group). These two effective topical gels were applied before giving intraoral local anesthesia, and afterward, the child's pain response was surveyed utilizing the Wong-Baker Faces Pain Rating Scale. The scores obtained were subjected to statistical analysis. Results: Intergroup comparison showed a significant mean difference between the control group and Precaine group ( P > 0.05) as well as Precaine B group ( P > 0.05). However, there is no significant difference obtained between Group A and Group B ( P < 0.05). Conclusion: It is psychologically and clinically beneficial to apply a topical anesthetic agent before injecting any intraoral anesthesia. In this study, both anesthetic gels showed a nonsignificant difference in reducing inferior alveolar injection pain, but Precaine B shows more promising results than Precaine.

Background: Developmental anomalies like Epstein pearl, Bohn’s nodule, gingival cyst, mucocele, natal teeth, tongue tie (TT), lip tie manifest in the neonate. A majority of them are benign and asymptomatic commonly resolving without any intervention. Some anomalies may require surgical intervention to avoid breast-feeding difficulties. Extensive clinical examination and knowledge of various lesions are essential for accurate diagnosis, management and parental advice. Aim was to determine the prevalence of developmental anomalies among infants (0-12months) and its effects on breastfeeding.Methods: After approval of IRB (Institutional Review Board), multistage sampling was performed to include the population of Mehsana district by dividing the district into 3 zones (north, central, south). 480 Infants were included and examined in the study according to selection criteria. Infants with cleft lip palate were excluded from the study. Intraoral examination was performed and assessment of TT, lip tie was done using Hazelbacker (HB) criteria and Kotlow’s classification. Informed written consent was obtained from parents. Mothers were asked about difficulties during breastfeeding via questionnaire. The option for surgical intervention was given to the parents when indicated.Results: A total of 480 infants (male 297 and female 183) were examined. The prevalence of Epstein pearls was 39.4%, Bohn’s nodule 6.5%, mucocele 1.5%, gingival cyst 0.4%, TT 5.2%, class III and class IV lip tie 94.1%, natal teeth 0.4%. The total, 14.8% infants who had lip tie, struggled to latch on to the breast while nursing which was statistically (0.02) significant.Conclusions: The prevalence of class III and class IV lip tie (94.1%) and Epstein pearls (39.4%) was high as compared to other developmental anomalies among the infants of Mehsana district.

Unusual Cases with the complaint of swollen gums in the region of left upper and lower back teeth since 2years of are presented. They had moderate to severe, unilateral diffuse gingival enlargement in the maxilla and mandible. The diagnosis was made based on clinical and histopathological examination after ruling out drug and family history. Surgical removal of the hyperplastic tissue was done.

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