Both glass post and polyethylene post proved to be effective. Glass post showed the maximum retention and marginal adaptation followed by polyethylene post. Thus, it appears to be of potential interest for use especially in clinical pediatric dentistry.
Prosthodontic Management of Children with Ectodermal Dysplasia: Review of LiteratureRashu Grover and Manjul Mehra* Department of Pedodontics and Preventive Dentistry, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, India gene was located to Xq 12-13 by Zonana et al. [20]. Autosomal forms of HED are due to mutation in the EDA receptor (EDAR). EDAR binds specifically the A1 isoform of EDA (EDA-A1) but not the EDA-A2 isoform that utilizes a distinct receptor. Autosomal HED may also be caused by mutation in a cytosolic, EDAR-specific adapter molecule named EDAR-associated death domain (EDARADD) [17,18,21,22].The EDA, EDAR and EDARADD genes provide instructions for making proteins that work together during embryonic development. These proteins form part of a signaling pathway that is critical for the interaction between two cell layers, the ectoderm and the mesoderm. It is essential for the formation of several structures that arises from ectoderm, including the skin, hair, nails teeth and sweat glands. Mutation in these genes prevents normal interaction between the ectoderm and mesoderm and impairs the normal development of hair, sweat glands and the teeth [7,8]. The improper formation of these ectodermal structures leads to the characteristic features of HED. In rare cases, HED is associated with immune deficiency caused by mutations in further downstream components of the EDA pathway that are necessary for the activation of the transcription factor NFkappa b [18][19][20]23,24]. Clinical ManifestationsHypohidrosis is possibly the most remarkable characteristic of ED because it may not be the apparent in the first year of life but present later as a fever of unknown origin. The inability to sweat results in intolerance to heat, occasionally causing hyperpyrexia after mild exertion or even after a simple meal [25]. Resultant high fevers may lead to seizures and other neurological sequelae. This is one of the most common causes of mortality with a 30% rate in infancy and early childhood [26]. Other problems associated are pharyngitis, rhinitis, cheilitis and dysphagia may result from decreased number of mucous glands in the respiratory and gastrointestinal tracts [27] ClassificationThere are several classifications given by different authors. Some are based on clinical features and others on genetic component of the disorder [7,8]. Clinically there are two major types of ED namely hidrotic and anhidrotic (hypohidrotic form). The hidrotic form, inherited as an autosomal trait, affects teeth, hair and nails but usually spares the sweat glands and was first described by Clouston in 1929 [9]. Whereas the hypohidrotic form (Christ-Siemens-Touraine Syndrome) is most common type seems to be an X-linked recessive trait, with an incidence of this syndrome estimated to be 1 to 7 per 10,000 live births [10,11]. Hypodontia, hypotrichosis and hypohidrosis which form a triad are the characteristic feature of the hypohidrotic form [12,13].Other attempts at classifying EDs were proposed later [2,4,7,14,15]. ...
Objective:A potential problem in patient management in pediatric dentistry is dental anxiety among children. It is of paramount importance for pediatric dentists to identify an anxious child and review potential management options specific to every child. The aim of this study is to validate a newly devised Chotta Bheem–Chutki (CBC) pictorial scale and to compare this with Venham's pictorial scale (VPS) and facial image scale (FIS) to measure dental anxiety in young children during their first dental visit.Materials and Methods:One hundred children aged 4–12 years were randomly selected from our hospital outpatient department. Child's anxiety levels were measured using three different scales; the VPS, FIS, and the newly devised CBC pictorial scale. The scores were recorded by asking the children to choose the figure they identified with at that instant. The scores obtained from all the three scales were compared using student's t-test. Pearson correlation test was used to obtain correlation among the scales used in the study.Results:A strong correlation (0.778) was found between FIS and CBC scale. Moreover, a strong correlation (0.811) was found between VPS and CBC scale, indicating good validity of the CBC scale. Seventy five percent of the children found CBC scale to be the easiest among the three scales.Conclusion:The findings of this study suggest that CBC scale can be used as a new tool for dental anxiety assessment in children.
A bstract The aim is to evaluate the fracture resistance of endodontically treated teeth restored with posterior direct composite (PRC) resin, bulk-fill composite resin, dual-cure composite (DCC) resin, and short fiber-reinforced composite (SFC) resin material. Materials and methods Ninety sound maxillary premolar teeth were divided into 6 groups which comprised 15 teeth each. Group I was a negative control group where neither cavity preparation nor root canal treatment was done on the specimen. Group II was named positive control group as it was left unrestored after mesio-occluso-distal (MOD) preparation and root canal treatment. Groups III to VI were filled with PRC, bulk-fill composite, DCC, and SFC, respectively, and subjected to fracture testing in a universal testing machine. Results After statistical analysis, it was seen that group VI had increased mean fracture resistance as compared to other groups. Conclusion It was concluded that short fiber-reinforced composite proved to have superior properties that other experimental groups and hence can be used as a core build-up material. Clinical significance The core build-up is requisite as the residual tooth structure after endodontic procedure decreases and core build-up supplements the resistance and retention of the tooth structure. How to cite this article Kaur B, Gupta S, Grover R, et al. Comparative Evaluation of Fracture Resistance of Endodontically Treated Teeth Restored with Different Core Build-up Materials: An In Vitro Study. Int J Clin Pediatr Dent 2021;14(1):51–58.
Hypodontia is uncommon in the deciduous dentition with a prevalence that ranges from 0.5% to 0.9%, with the maxillary lateral incisor being the most affected unilaterally or bilaterally.This paper reports a case of a 6 year old female with the chief complaint of missing teeth in the upper right and left tooth region. Thorough evaluation of the primary dentition visually and permanent dentition radiographically was done. There was missing 52 and 62, along with a lack of initiation of permanent successors 12 and 22. The case was non-syndromic. Though several treatment options are available but the treatment planning depends on the evolution of the case. It requires extensive and complex treatments with early and prior identification of missing primary dentition anomalies that can guide the dentist to prevent future permanent dentition ailments and planning interceptive dental treatment at the appropriate time. At present the case is under follow up.
There are many developmental dental anomalies written in the literature which may or may not be associated with some syndrome. Whereas, two anomalies occurring in single teeth are rarely seen in a non syndromic patient. This case report presents the occurrence of dens evaginatus with two dens invaginations in a single tooth which can be of a great concern to the dentist.
Non-cavitated carious lesions are managed non-invasively through remineralization in an attempt to prevent disease progression, and to improve strength, esthetics, and function of teeth in the modern dentistry. The emphasis presently is being given to new technologies which suggest the changes in the understanding of dental caries, and most of them gave significant positive outcome regarding remineralisation when used clinically. The aim of this review article is to put a light on various available remineralizing agents along with some recently introduced agents.
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