Global developmental delay (GDD) refers to a disturbance in an individual child across one or more developmental domains, which include motor, cognition, daily activities, speech and language. The present case discusses a 5-year-old child with GDD associated with infantile spasms treated with sodium valproate. Delay in the widespread acquisition of skills, epilepsy and poor oral hygiene with gingival enlargement was the main concern to seek medical aid. This case is special as the child was suffering from GDD associated with sodium valproate-induced gingival enlargement.
Leopard syndrome is a rare genetic disease complex associated with multiple anomalies. The main anomalies are summarized in the acronym LEOPARD in which each letter corresponds to mnemonic for the major features of this disorder:multiple Lentigines, ECG conduction abnormalities, Ocular hypertelorism, Pulmonic stenosis, Abnormal genitalia, Retardation of growth, and sensory neural Deafness. A Four year old male patient reported with the chief complaint of decayed anterior tooth without any relevant past medical history. Based on the clinical features; the child was subjected to genetic and general physical appraisal which helped in identifying Leopard syndrome. A multidisciplinary approach by the pedodontist and medical consultants aided in the identification and management of this rare syndrome. LEOPARD syndrome has been rarely reported in the diseases associated with oro-dental or craniofacial anomalies. In this case report we describe these anomalies and discuss the relationship between them and the proposed etiology of the disease.
Aim This study aims to compare the caries removal efficacy of three minimally invasive techniques and to analyze qualitatively under stereomicroscopy and quantitatively using Vickers hardness test. Materials and methods Thirty non-carious anterior primary teeth were selected and subjected to demineralization and the same was confirmed using RadioVisioGraphy (RVG). Samples were divided into three groups: Bromelain gel, smart bur, and atraumatic restorative technique (ART). Caries removal was carried out for a time period of 2 minutes. The remaining demineralized dentin was measured using stereomicroscopy. Random dentin blocks were prepared and a microhardness test was conducted. Statistical analysis Data were subjected to statistical analysis by one-way analysis of variance (ANOVA) test. Results Stereomicroscopic analysis revealed bromelain gel and smart burs to be superior to ART. Bromelain gel was found to have comparable microhardness levels as healthy dentin. Statistically significant ( p < 0.001) results were obtained. Conclusion In terms of caries removal and microhardness, bromelain gel was highly efficient when compared to other groups. Clinical significance Fear and anxiety of children and parents about conventional drills led to the emerging trends of minimally invasive restorative dentistry. This research indicated the use of bromelain gel and smart bur in the process of caries removal and that bromelain was more efficient when compared to other groups. How to cite this article Abinaya R, Nagar P, Urs Pallavi, et al. Comparing the Efficacy of Three Minimally Invasive Techniques on Demineralized Dentin in Primary Teeth and Evaluating Its Residual Dentin and Microhardness Levels: An In Vitro Study. Int J Clin Pediatr Dent 2020;13(6):585–589.
Introduction Maintaining the function of primary teeth until their natural exfoliation is important. Pulp therapy can save the tooth and is always a calculated risk. This study aims to enquire about the current knowledge, attitude, and practice of various pulp therapy options and awareness about it among pediatric dentists of Karnataka. Method A questionnaire, consisting 21 questions formulated on various pulp therapy techniques, was formulated and forwarded to pediatric dentists through electronic media. Statistical analysis was performed using appropriate software. Results The results showed 81.2% of participants preferred calcium hydroxide for an indirect pulp-capping base, while only 37.6% preferred calcium hydroxide for direct pulp capping. For pulpectomy, 70.4% preferred iodoform for obturating material. And the most preferred material for apexification and apexogenesis was Mineral Trioxide Aggregate (MTA), that is, 61.4 and 52.3%, respectively. Conclusion The introduction of newer materials for pulp therapy has increased the quality of treatment. Many differences of opinion still exist in the areas of pulp therapy techniques and procedure selection criteria.
Background Pediatric zirconia crowns are metal free and more aesthetic and compatible option available for the full coronal coverage of the affected primary dentition. These crowns are not new to pediatric dentistry but usage is limited. Methods A cross-sectional, descriptive survey was conducted among 200 general dental practitioners and were requested to answer a questionnaire. The questions were framed regarding the knowledge of pediatric dental procedures, aesthetic replacement in case of full coverage restorations, and zirconia crown's features and its use in the practice, and were evaluated. Results Results were based on features of zirconia crowns according to which 81.5% participants mentioned them as stainless steel alternative and 62% as biocompatible material. Clinical aspects evaluated the amount of occlusal reduction in case of zirconia crown tooth preparation as 1 to 1.5 mm by 72.5% of the participants. Appropriate type of finish line and type of margins advocated by the participants was chamfer and subgingival finish line, respectively, according 62.0% participants. Conclusion The use of zirconia crowns for replacement of lost tooth structure and post-pulp therapy helps in creating good-looking restorations which help children and adolescents to improve their self-image.
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