Pediatric Dentistry and Pedodontics Commons^™

Oral Leukoplakia: Diagnosis And Management Revisited, Isaäc Van Der Waal

Journal of Dentistry Indonesia

The definition of oral leukoplakia has not much changed during the past five decades and is still a definition by exclusion of ‘known’ lesions. Therefore, a diagnosis of leukoplakia is not always a straightforward one for the clinicians and, to some extent, also for the pathologists. The traditional clinical classification in homogeneous and nonhomogeneous leukoplakia may just be simplified into leukoplakia (thin and thick/verrucous) and erythroleukoplakia. In spite of numerous reported predictive molecular and genetic parameters of malignant transformation, the presence and grade of epithelial dysplasia as assessed by histopathological examination is still the most important one. Of the various …

The Effects Of Boric Acid On The Water Solubility Of Glass Ionomer Cements, Banu Cukurluoz Bayındır, İrem Bağ

Journal of Dentistry Indonesia

Changing the water solubility property of glass ionomer cement (GIC), which is frequently used in pediatric dentistry, is the starting point of this study. Objective: To evaluate the effects of boric acid on the water solubility (WS) of GIC. Methods: The samples were prepared as n=12 in each of four groups: GIC-Conventional glass ionomer cement; BGIC with 1:3 boric acid added to conventional GIC powder; RMGIC-resin-modified glass ionomer cement; BRMGIC with 1:3 boric acid added to RMGIC powder. Weight changes were compared 1, 3 and 24 h after keeping in distilled water. One sample in each group was …

How To Manage Fan’S C Shape Canals Along With S Shape Morphology In Indian Population: A Case Series And Narrative Review, A Lavanya, Rajendra Kumar Tewari

Journal of Dentistry Indonesia

The C-shaped root canals offer greater negotiation, debridement, and obturation difficulty as they present with intercommunications, lateral canals, and reduced dentin thickness.

Objective: This case series elaborates on the recognition that these varying configurations is important to enhance adequate cleaning, shaping, and sealing of the root canal.

Case Reports: On clinical examination, all the teeth showed caries were nonresponsive to sensibility tests and toother diagnostic tests, suggestive of pulp necrosis with apical periodontitis. Conventional root canal treatment with different techniques and obturation systems have been used. This case series presents the successful management of various C-shaped configurations classified by Fan …

Misusing Elastics For Midline Diastema Closure - Disaster And Treatment Via A Case Report In Vietnam, Vo Nhu Truong Ngoc, Ly Van Huan, Hoang Kim Loan, Dang Trieu Hung, Ta Thanh Dong

Journal of Dentistry Indonesia

Midline diastema has been a popular aesthetic problem for children. Several treatment options are available, however, the use of elastic bands without other appliances for closing the diastema still remains a pressing issue in Vietnam, which could be done by the patient’s parents either themselves or under the dental practitioners’ suggestion.

Objective: To report a specific case about the extensive extrusion regarding upper central incisors in a pediatric patient due to misusing the elastic band, in which management was complex due to an unfavorable situation for splinting.

Case Report: Single rubber band usage for orthodontic movement in closing diastema has …

Enhancing Adherence To Best Practice Guidelines Related To Pressure Injury Prevention In The Operating Room At A Children's Hospital During Comprehensive Dental Procedures., Alyce Bailey Seaver

Doctor of Nursing Practice Papers

Background: 1,600,000 patients develop a hospital-acquired pressure injury every year, and 23% of these originate during surgery. Research has demonstrated that the incidence of hospital-acquired pressure injuries developing during surgery has risen over the past 5 years. This rise has been attributed to nurse circulators exhibiting poor knowledge regarding best practices for intraoperative patient positioning and intraoperative documentation that does not follow standards of care.

Purpose: This quality improvement project aimed to enhance circulator knowledge on best practices for intraoperative patient positioning and improve documentation of intraoperative patient positioning in the electronic medical record to comply with standards of …

Dental Care Utilization Among U.S. Children Participating In Early Head Start Programs, Ahlam Ibraheem Joufi

Health Services Research Dissertations

Early childhood caries (ECC) remains one of the most common preventable diseases among children under the age of 6 years. Several national stakeholders recommend establishing a continuous collaboration of individuals involved with receiving oral health services (dental home) and routine dental care for the child by 12 months. Despite this recommendation, disparities exist among young, low-income children in preventive dental service utilization. The Early Head Start (EHS) program serves low-income children aged 0-3 years and their families and promotes oral health practices and service utilization within the program. This study aims to examine predictors of dental care utilization among children …

Treatment Of Periodontitis Affecting Human Primary Teeth—A Systematic Review, Protyusha Guha Biswas, Anusha Mohan, Eswar Kandaswamy

School of Dentistry Faculty Publications

The aim of this systematic review is to report the treatment options (Intervention) and outcomes (O) for primary teeth affected by periodontitis (Population) and if the treatment of primary teeth can prevent the spread of periodontitis to permanent teeth (Outcomes). The following databases were searched for papers published before December 2022: PubMed, Embase, Web of Science, and Ebscohost. Studies on children affected by periodontitis involving the primary teeth were included and those on children who presented with periodontitis as a manifestation of systemic disease were excluded. Narrative synthesis and methodological quality assessments were performed for the included studies. Three interventional …

Prevalence Of Molar Incisor Hypomineralization In A Group Of Egyptian Children, Ayah Essam Almenawi B.D.S, Norhan Abd El-Wahab El-Dokky Professor Of Pediatric Dentistry & Dental Public Health, Soad Abdelmoniem Abdelmoniem Professor Of Pediatric And Dental Public Health

Future Dental Journal

Background: Molar incisor Hypomineralization (MIH) has become a more widespread problem around the world, while its prevalence in Egypt is underestimated with no data on its correlation to Hypomineralization of Second Primary Molars (HSPM). Aim: Estimate the prevalence of MIH and HSPM in Egypt, investigate the possibility of HSPM being a predictive factor for MIH, and the probable etiological factors for MIH. Material and Methods: Three hundred and seventeen healthy children aged seven to ten years old were dentally examined for Molar Incisor Hypomineralization and Hypomineralization of Second Primary Molars and all potentially correlated etiological factors. Both MIH and HSPM …

N Y State Dent J June-July 2023

The New York State Dental Journal

In the June-July 2023 issue, the reader will find the following feature articles:

• Understanding Persistent Bleeding in Children
• Sinus Tract vs. Fistula: There is a Difference
• What is the Prevalence of Temporomandibular Joint (TMJ) Condylar Osteoarthritis in an Asymptomatic Oral and Maxillorfacial Surgery Department Population?

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Understanding Persistent Bleeding In Children, Bret Lesavoy Dmd, Christine Wang Dds, Richard Yoon Dds

The New York State Dental Journal

This article addresses a rare postoperative complication of persistent bleeding and “liver clot” coagulum following placement of a permanent tooth pre-formed metal crown, an extraction of a carious permanent molar, and an accelerated exfoliating primary molar in an individual with medical compromise, all in young patients. Mild bleeding following dental procedures or tooth exfoliation is not an unusual occurrence; however, persistent bleeding is an uncommon event for patients. A review of literature revealed 15 reports of liver clots following adult dental procedures, but no documented cases of liver clot formation in young patients. The purpose of this article was to …

Impact Of Financial And Demographic Factors On Severity Of Treatment Procedure, Vanessa Gunderson

Theses/Capstones/Creative Projects

Indirect pulp caps (IPCs) and pulpotomies are forms of vital pulp therapy. These procedures are performed on young patients who have deep cavities due to bacterial biofilm damage; however, the two are performed and utilized differently. The less severe of the two procedures is an IPC. This is when decayed dentin is covered with biocompatible material to avoid pulp exposure. The more severe procedure, the pulpotomy, is when the inflamed coronal pulp tissue is removed either partially or fully to save any remaining pulp tissue. In this study, all IPCs and pulpotomies performed by Dr. Ben Reimer throughout ~4.5-years of …

Clinical Presentation And Differential Diagnosis Of A 10-Year-Old Presenting With Unerupted Maxillary Central Incisor: A Case Report., Dev Patel, Robin Onikul, Amy Burleson, Brenda S Bohaty, Jenna Sparks, Neena Patel, A Naidu

Posters

Delayed eruption of permanent teeth can be caused by numerous factors including nutritional deficiencies, tooth positioning, presence of supernumerary tooth, or presence of a cyst impeding eruption. The keys to identifying the cause of delayed eruption are good clinical and radiographic exam, along with obtaining a complete and accurate history from the patient and parent. This case report details a 10-year-old female presenting to the Children’s Mercy Kansas City Dental Clinic with chief concern for an unerupted upper anterior tooth. The patient’s medical history is noncontributory, and she has no known allergies. This case report will include the patient’s clinical …

Solitary Median Maxillary Incisor And Holoprosencephaly: A Review Of The Literature, Benjamin Olson, Robin Onikul, Amy Burleson, Brenda S. Bohaty, Jenna Sparks, Neena Patel

Posters

A solitary median maxillary incisor (SMMCI) is a rare anomaly that affects approximately 1:50,000 live births. The presence of an SMMCI tooth may be an isolated finding or may be associated with other anomalies such as Holoprosencephaly (HPE). Early recognition of SMMCIS is important given the possibility of other associated findings that may impact pediatric growth and development. The purpose of this clinical case is to report the clinical findings associated with a nine-month-old patient who presented to our clinics with a primary solitary median maxillary incisor and a diagnosis of HPE. This presentation will review the literature regarding the …

The Creation Of An Innovative Oral Health Assessment Survey, Purna Patel

Electronic Theses, Projects, and Dissertations

Background Oral health is an important factor to maintain overall health and well-being, such as students’ knowledge, attitude, and practice. Currently, there is a limited amount of research related to oral health awareness in college students.

Objective The purpose of the study was to define the importance of oral health and investigate college students’ understanding related to oral health. Moreover, research shows how students are protecting their oral hygiene.

Results: The outcomes revealed the college student's awareness and understanding of oral health. According to the survey questions, students believe that dental health is a significant aspect of overall health management. …

A Prospective-Randomized Study: The Impact Of Four Different Caries Removal Method On Pain And Clinical Evaluations, Merve Aydemir, Serdar Bağlar

Journal of Dentistry Indonesia

Objective: There are many different methods for removing caries. In this study, to evaluate four caries removal methods in terms of patient comfort and to evaluate the clinical success of restorations according to modified-USPHS criteria. Methods: In 31 patients with at least 4 Class II caries in their posterior teeth, 4 teeth were randomly divided into four groups and 4 different methods (conventional method, Carisolv, Papacarie, Er-Cr:YSGG Laser) were used for caries removal. Pain formation during caries removal was determined by FACE Pain Scale questionnaire. The restorations were controlled with Modified-USPHS criteria in 3-6-12 months period. Mann-Whitney U …

Treatment Of Gingival Fenestration Using Mucoperiosteal Flap With Connective Tissue Graft: A Report Of Two Cases, Swati Jaglan, Shikha Tewari

Journal of Dentistry Indonesia

Fenestration term is derived from the Latin word ‘fenestra’ means ‘window’. Gingival fenestration is not found in routine while its actual occurrence is assumed to be higher. Additionally, if these mucogingival defects persist for a longer duration it may lead to adverse outcomes like compromised esthetics, hypersensitivity, plaque and calculus deposition, and susceptibility to dental caries. Present cases of gingival fenestration were successfully treated by using full-thickness flap elevation with connective tissue graft placement. Two cases were presented with the accumulation of plaque and calculus and having gingival fenestration to the respective sites. After phase 1 therapy, full thickness flap …

A Two-Year Retrospective Evaluation Of Cone Beam Computed Tomography Indications In Pediatric, Adolescent And Adult Patients, Zeynep Betül Arslan, Esra Ceren Tuğutlu

Journal of Dentistry Indonesia

Objective: The objective was to evaluate cone-beam computed tomography (CBCT) indications and distribution in pediatric, adolescent and adult patients. Methods: A total of 1013 CBCT images were reviewed in detail from the electronic patient database. The patient’s age, gender, CBCT indications and acquisition sites, referral departments, reason for referral, incidental findings in the imaging field and the presence of artifacts in the CBCT images were all recorded. The European DIMITRA project recommendations were used to categorize CBCT indications in the children and the European Guidelines were used for adults. Results: From a total of 1013 images; 5.3% …

Management Of Tooth Hypersensitivity Under A Cantilever Fixed Partial Denture Using A Novel Low-Level Laser Therapy Protocol: A Case Report, Mohamed Fattouh, Manal Mohammed Aljuaid, Nada Ali Abdelaleem

Journal of Dentistry Indonesia

Tooth hypersensitivity is a common clinical complaint after dental treatment.

Objective: This study presents a case report of the use of a diode laser for treating tooth hypersensitivity in a patient with a cantilever fixed partial denture abutment.

Case Report: A 23-year-old female patient presented to the Faculty of Dentistry, Umm Al-Qura University in Makkah, with the chief complaint of pain in a deeply carious maxillary right first premolar. The tooth was extracted, and a cantilever fixed partial denture was placed using the second premolar as an abutment. One year later, the patient experienced tooth hypersensitivity under the bridge. Low-level …

Special Needs In Pediatric Dentistry, Emma Kail

Health and Exercise Physiology Presentations

Over the summer of 2022 I got the chance to work on my internship at a special needs and non special needs focused dentistry. Through this presentation I focus mainly on the pediatric special needs aspect of the dental care given to patients. Throughout the poster I speak about the importance of special needs care within dentistry and the field of dental health itself, where I worked and how they accommodated and worked with those with special needs to give the best care possible, and finally how this experience has changed my goals set for my future, especially within the …

Correlating Parenting Style With Their Children’S Behavior, Dental Anxiety And Dental Caries During The First Dental Visit, Esraa Abdelfattah Khattab, Norhan Abd El-Wahab El-Dokky Professor Of Pediatric Dentistry & Dental Public Health, Randa Youssef Abd Al Gawad Professor Of Pediatric Dentistry & Dental Public Health

Future Dental Journal

Aim: Correlating parenting style with their children’s behavior, dental anxiety and dental caries during the first dental visit.

Methodology: A cross sectional study was conducted. Self-administered structured questionnaire ( PSDQ) contains 32 statements regarding different parent reactions to child behavior, and participants rated responses to each item using a five-point likert scale from “never” to “always” (coded 1 to 5).The target population consisted of 105 children with their parents in Faculty of Dentistry, Future University aged 3-6 years old. The highest mean score placed the parent in the proper parenting category. The child behavior was assessed using the Frankl scale …

Food Deserts And Pediatric Oral Health Status In An Under-Resourced Urban Community, Jessica T. Mcauliffe

Theses and Dissertations

Purpose: The aim of this analysis of survey data was to assess the influence of living within a food desert as a predictor of oral health problems among children of East Henrico County, Virginia.

Methods: Survey participants were recruited and questionnaires applied online. Residing in a food desert, using access to affordable produce as a proxy value, was the independent variable, while self- reported assessment of the child’s oral health status was the primary outcome variable. Analyses controlled for other indirect factors of pediatric oral health. Logistic regression was used to model the association between the self-reported access to healthy …

Clinical Guidelines: Traumatic Dental Injuries In The Primary Dentition, Rodney J. Vergotine Bchd, Msc(Dent), Faapd, Fiadt, Fabpd, Ficd, Richa Bhatia Dds

The Journal of the Michigan Dental Association

This article explores clinical guidelines for the management of Traumatic Dental Injuries (TDI) in primary dentition. The prevalence of TDI in primary teeth and predisposing factors are discussed, emphasizing the need for appropriate initial contact and care prioritization. The International Association of Dental Traumatology's (IADT) guidelines for TDI management, focusing on primary teeth, are presented. The article covers treatment modalities, including splinting and vital pulp therapy, and emphasizes the importance of soft tissue management. Classification of TDI is outlined, with attention to supporting bone damage and its implications. Monitoring, follow-up, and care prioritization are discussed, along with ICD-11 coding for …

The Use Of Silver Diamine Fluoride In Dentistry In Virginia, Jessica Eisenberg

Theses and Dissertations

Purpose: The purpose of this research was to determine the use of silver diamine fluoride (SDF) in dentistry in Virginia and the factors that affect the practitioners’ decision. Methods: A survey was sent to the members of the Virginia Dental Association (VDA) by email and posted on the VDA social media accounts. The survey questions measured the practitioner’s demographics, knowledge, and factors that affect their utilization of SDF. Results: Most providers were general dentists (77%). The most common clinical situations for SDF use were to arrest caries in children with behavioral issues (77%), to delay restorative treatment (73%), in medically …

Assessment Of Caries Prevalence And Related Risk Factors Among A Group Of Lebanese Children With Autism Spectrum Disorder: A Case-Control Study, Ranim Bassam Kassab Pediatric Dentist, Aly Osman, Ahmad Tarabaih

International Arab Journal of Dentistry

Objectives: The study aimed to assess dental caries prevalence and its associated risk factors for children with Autism Spectrum Disorder (ASD) among different age groups.

Material and Methods: Forty-five children with autism aged between 3-16 years matched to 45 healthy children were selected. Children were recruited from autistic centers/schools in Saida, South Lebanon. Each child assessed for caries prevalence and risk factors using DMFT/dmft indices and the WHO standardized questionnaire. Student’s t-test, Pearson’s correlation test, and One-Way ANOVA followed by Tukey’s post hoc tests were used. Statistical significance was set at 95%.

Result: DMFT/dmft scores in non-ASD group were 0.85±1.53 …

The Effect Of Bevel On Fracture Resistance Of Gic Restorations In Primary Molars: In Vitro Study Rôle Du Biseau Dans La Résistance À La Fracture Des Restaurations Aux Ciments Verres-Ionomères Des Molaires Temporaires : Étude In Vitro, Audrey Fikani Dds, Lara Nasr Dds, Ms, Mph, Elie Khoury Dds, Msc, Phd, Associate Professor, Marianne Freiha Md, Marc Krikor Kaloustian Dds, Msc, Phd, Clinical Professor, Fériale Abi Zeid Daou, Melissa Chaaya Dds, Marlene Khoury Dds, Msc, Phd, Associate Professor

International Arab Journal of Dentistry

Background: Glass ionomer cements (GICs) are commonly used for restorations in primary molars due to their adhesive, hydrophilic, and bioactive properties. However, their low mechanical resistance may limit their use in proximal cavities. Recent advancements in GICs, such as the high viscosity GIC EQUIA Forte®, have improved their mechanical properties. The effect of a Cavo superficial bevel on the mechanical strength of GIC restorations has been previously studied.

Objectives: To investigate the effect of a Cavo superficial bevel on fracture resistance and the type of fracture (adhesive, cohesive, or catastrophic) in EQUIA Forte® GIC restorations in primary molars.

Methods: 56 …

Provider Racial Concordance And Medical Mistrust In Pediatric Dentistry, Chinelo Eke

Theses and Dissertations

Purpose: Studies have drawn varying conclusions on the importance of a racially concordant patient provider relationship. Medical mistrust has continued to garner attention as healthcare enterprises thread equity, diversity and inclusion throughout their organizational policies, practices and systems.

Methods: Parents/caregivers of pediatric patients at VCU Pediatric Dentistry were invited to participate. Surveys included questions about demographics, racial concordance, language preference, and the validated Group-Based Medical Mistrust Scale.

Results: A total of 246 guardians completed the survey. For guardians, 40% reported Black or African American, 31% Hispanic, and 19% Caucasian. Seventy-one percent of guardians reported speaking English, 18% Spanish, and 11% …

Utilization Of Intraoral Scanners For Fabrication Of Obturators For Patients Born With Cleft Lip/ Palate (Clp), Swara Fadnis

Theses and Dissertations

Objective: The goal of this cross-sectional study was to assess the knowledge and attitude of providers regarding incorporating a digital scanner for impression taking in children born with cleft lip and/or palate (CLP). Methods: A survey was sent out to members of the American Association of Pediatric Dentistry (AAPD). The survey included questions regarding the providers’ perception of incorporating digital intraoral scanners for impressions for fabrication of obturators. The survey also included questions about the providers’ reservations in using this technology in practice, what their experience has been with the incorporation of this technology into practice, and what is …

Pediatric Oral Health: Advances And Challenges, Denise M. Claiborne

Dental Hygiene Faculty Publications

No abstract provided.

Enhancing Dental Aligners With Direct 3d Printing Manufacturing, Erin Clark, Lauren Ickes, Tyler Madison

Williams Honors College, Honors Research Projects

Replacement of thermoforming with direct 3d printed aligners, molding appliances for dental and alveolar movement. Currently the process involved requires 3d printing models and plastic thermoforming, trimming and polishing to fabricate the end product. If possible a product that could be 3d printed that had stress retention, crack resistance, and stain resistance properties delivered in thickness between .030 and .040 inches.

Stereomicroscopic Evaluation Of Dentinal Microcracks After Instrumentation Of Curved Canal With Rotary Files In Two Motions, Nupur Vasava, Shreya Modi, Chintan Joshi, Sweety Thumar, Anisha Parmar, Kruti Jadawala

Journal of Dentistry Indonesia

Objective: This study aimed to examine the effects of three distinct file systems with two motion types—rotary and reciprocation—on the development of dentinal microcracks after root canal preparation using a stereomicroscope. Methods: Sixty mandibular molars with a curvature of 30° were decoronated and divided into three groups (Vortex Blue, Mtwo, and ProTaper Next) and two subgroups (rotary and reciprocating motions). The samples were then instrumented with the files, dyed with 1% methylene blue dye, and sectioned horizontally at 3, 6, and 9 mm from the root apex. The dentinal microcracks were inspected using a stereomicroscope at 40× magnification. One-way analysis …