AimThe study evaluated the use of self-adhering flowable composite as a fissure sealant and compared it with a resin-based pit and fissure sealant.Materials and methodsForty children were selected for the study and all their four permanent first molars were subjected to fluoride free pumice oral prophylaxis. Their occlusal fissures were then prepared with fissurotomy bur using high-speed handpiece under cotton roll isolation and low volume suction. Simple random sampling was done and accordingly a child either received either a resin-based fissure sealant or a self-adhering flowable composite on the prepared fissure. All the restorations were clinically evaluated using Ryge’s direct evaluation criteria for four times i.e., immediately after the treatment, at the end of 3rd, 6th and 12th month. The retention was evaluated using Horowytz criteria.ResultsThe retention rate of Dyad flow after one year was significantly higher than that of Helioseal-F (p = 0.015). The marginal integrity of Dyad Flow was significantly better than that of Helioseal-F during every evaluation period (p < 0.05). Both retention and marginal integrity of both sealants were similar in maxillary and mandibular molars at all evaluation periods.ConclusionDyad flow can be used as an alternative to the conventional fissure sealant.Clinical significanceIn pediatric dentistry, where shorter appointment time is warranted, the self-adhering composite has the edge over conventional fissure sealant.How to cite this article: Wadhwa S, Nayak UA, Kappadi D, Prajapati D, Sharma R, Pawar A. Comparative Clinical Evaluation of Resin-based Pit and Fissure Sealant and Self-adhering Flowable Composite: An In-vivo Study. Int J Clin Pediatr Dent. 2018;11(5):430-434.
Aim: The aim of the present study was to assess the knowledge and practice of, and attitudes toward, pulp therapy in deciduous dentition among pediatric dentists. Methods:A cross-sectional, observational survey was conducted using a closedended, multiple-choice questionnaire evaluating the knowledge and practice of, and attitudes toward, pulp therapy in deciduous dentition, which was formulated and sent to 360 pediatric dentists across India. Descriptive statistics were done, followed by χ 2 -test to test the association between years of experience and the questionnaire items.Results: A total of 3.5% of pediatric dentists performed their treatment using a rubber dam in all cases; 30% preferred to use local anesthesia prior to indirect pulp therapy (IPT). Traditional indirect pulp capping was preferred to IPT, and only 48% of them believed in not removing it completely. Pulpotomy was preferred over IPT (70%) when there was a probability of pulp exposure following complete caries excavation. Calcium hydroxide, along with iodoform, was the material of choice for the obturation of primary teeth (73.5%). A stainless steel crown was placed after pulp therapy in the primary tooth (86.3%). Most dentists believed requested immediate and 3-month follow up. Conclusion:The survey helps in assessing whether our views or approaches are in line with recent trends. K E Y W O R D Sindirect pulp capping, primary teeth, pulp therapy, pulpectomy, pulpotomy
Aim The present study was aimed to determine whether adolescents make social judgments about other children who have noticeable enamel imperfections. Materials and methods Two schools with very different socio-economic profiles were selected using a stratified random sampling method. Children aged 13–14 years (school class 9) and 15–16 (school class 11) were randomly selected from these schools totaling to a sample size of 200. Half the participants rated full-face photographs of a boy and girl without an enamel defect, and the other half-rated the same two photographs with the digitally modified incisors. The photographic subjects were rated on a four-point Likert's scale consisting of six positive and five negative descriptors. Results Based on the gender of the photographic subject, the mean total attribute score was almost identical. However, it was lower for photographic subjects showing enamel defects as compared to those without. Conclusion The dental appearance can influence value judgments in children. Clinical significance It is important to treat the enamel lesions and various developmental defects of the enamel as it may lead to a negative social judgment by peers. How to cite this article Nayak UA, Pawar A, Kappadi D, Prajapati D, Roy KJ, Wadhwa S. Visible Enamel Defects in Adolescents: How Do their Peers View Them?. Int J Clin Pediatr Dent, 2018;11(6):479-482.
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