Tag: nevin manimala

Int J Clin Pediatr Dent. 2025 Aug;18(8):1051-1057. doi: 10.5005/jp-journals-10005-3232. Epub 2025 Sep 4.

ABSTRACT

INTRODUCTION: Telemedicine and teledentistry have become a necessity for the community these days. So, for better implementation, it is essential to recognize the existing state of knowledge, beliefs, attitudes, and practice about it among the dental professionals; hence, this survey was planned.

MATERIALS AND METHODS: A self-designed online questionnaire consisting of 19 questions divided into three sections was sent to graduate and postgraduate dental professionals practicing in North India through e-mail and WhatsApp. The responses were stored in Microsoft Excel 2007 (Microsoft, Redmond, Washington) and analyzed using Statistical software SPSS version 20.0. Descriptive statistics and frequency distribution were examined using Pearson’s Chi-squared test. A p-value < 0.05 was considered statistically significant.

RESULTS: A total of 384 dental professionals completed the questionnaire. In total, 327 (85.2%) respondents were aware of the term teledentistry. Only 33 (8.6%) individuals were able to mark all nine components of teledentistry whereas all others identified only a few components indicating lack of awareness. Only 29 (7.6%) participants have received some formal training on teledentistry. In total, 88% of participants are willing to attend training on teledentistry if provided a chance. In total, 306 (79.7%) respondents were willing to use teledentistry in the future.

DISCUSSION: The overall attitude toward teledentistry was overwhelmingly positive. Despite the positive attitudes and belief in the benefits of teledentistry, significant barriers to its widespread adoption were identified, including inadequate access to technology, lack of formal training, and concerns about the accuracy of diagnoses. Dental professionals demonstrated a high willingness to engage in further training and adopt teledentistry if provided with the necessary resources and support.

HOW TO CITE THIS ARTICLE: Sikka N, Gupta S, Arya L, et al. Assessment of Knowledge, Attitude, Practice, and Barriers to the Use of Teledentistry by Dental Professionals of India: A Cross-sectional Survey. Int J Clin Pediatr Dent 2025;18(8):1051-1057.

PMID:40989985 | PMC:PMC12451562 | DOI:10.5005/jp-journals-10005-3232

Int J Clin Pediatr Dent. 2025 Aug;18(8):977-981. doi: 10.5005/jp-journals-10005-3197. Epub 2025 Sep 4.

ABSTRACT

AIMS AND BACKGROUND: Pulpectomy is a procedure that is done by removing the entire coronal and radicular pulp of primary teeth. To achieve an optimal outcome in dental treatment, a combination of scientific knowledge and technical skills is required. Sufficient simulated practice is needed for dental students before performing treatment on patients as they get better hand-eye-foot coordination. The main aim of the study is to assess undergraduate training in pulpectomy using the typodont model and extracted natural teeth.

MATERIALS AND METHODS: The study included 100 final-year Bachelor of Dental Surgery (BDS) students, with 50 practicing pulpectomy on typodont teeth and 50 on extracted natural teeth. All students then performed pulpectomy on pediatric teeth. Clinical performance was assessed based on access cavity preparation, biomechanical preparation (BMP), obturation, and procedural efficiency. Data were analyzed using Statistical Package for the Social Sciences (SPSS) to compare the effectiveness of training on model vs natural teeth.

RESULTS: Regarding obturation, students trained with extracted teeth showed better results, with an optimal obturation (91 vs 96%). Group II (extracted natural teeth) outperformed group I (artificial teeth) in BMP. Canal cleaning adequacy was higher (91 vs 87%), and shaping accuracy improved (93 vs 87%), likely due to the realistic anatomical challenges of natural teeth. Errors in over- or underpreparation were also fewer in group II (6 vs 18%), indicating enhanced judgment in canal preparation.

CONCLUSION: In conclusion, the study demonstrated that training with extracted natural teeth resulted in superior performance in key pulpectomy procedures, such as access cavity preparation, BMP, and obturation, compared to training with model teeth.

CLINICAL SIGNIFICANCE: This study evaluates the effectiveness of model and natural teeth training in enhancing student competency for pediatric pulpectomy, aiding improvements in dental education and clinical outcomes.

HOW TO CITE THIS ARTICLE: Venkatraj R, Gurunathan D. Assessment of Undergraduate Training in Pulpectomy Using Model Teeth and Extracted Natural Teeth. Int J Clin Pediatr Dent 2025;18(8):977-981.

PMID:40989982 | PMC:PMC12451599 | DOI:10.5005/jp-journals-10005-3197

Int J Clin Pediatr Dent. 2025 Aug;18(8):946-955. doi: 10.5005/jp-journals-10005-3192. Epub 2025 Sep 4.

ABSTRACT

INTRODUCTION: Stem cell therapy has been used in a variety of clinical procedures. When introduced into a specific part of the body, these cells differentiate into a target cell type and help replace damaged tissue and improve function. This experimental study was conducted to evaluate the effect of combining various natural biomimetic materials on stem cells from human exfoliated deciduous teeth (SHED).

MATERIALS AND METHODS: After isolation and culturing of SHED to the fifth passage, cells were treated with a regular culture medium (Group I-negative control), osteoinduction medium (Group II-positive control), a combination of mineral trioxide aggregate plus coral (MC, group III), and a combination of Biodentine plus coral (BC, group IV). Viability was assessed using MTT assay on the 7th, 14th, and 21st days. Mineralization was evaluated by Alizarin Red S staining to detect calcium deposits at the same intervals. The anti-inflammatory potential for expression of MMP-9 and MMP-2 was analyzed using gelatin zymography. One-way ANOVA followed by post hoc Bonferroni test was applied for statistical comparison (p < 0.05).

RESULTS: MC showed better cell viability than BC on the 14th and 21st days. However, BC demonstrated significantly better cytodifferentiation potential (p < 0.001) and anti-inflammatory effect (p < 0.001) than MC.

CONCLUSION: With the addition of coral, the properties of both commercially available biomimetic materials were enhanced, resulting in improved osteoinductive properties of mineral trioxide aggregate and Biodentine. The MC combination showed better cell viability and proliferation, while BC showed superior cytodifferentiation and anti-inflammatory properties. Coral, as a natural material, enhanced both formulations significantly.

HOW TO CITE THIS ARTICLE: Dahake PT, Bhamare S, Kale YJ, et al. The Combination of Biomimetic Materials Enhances the Functional Differentiation of Stem Cells Exfoliated from Human Deciduous Teeth. Int J Clin Pediatr Dent 2025;18(8):946-955.

PMID:40989981 | PMC:PMC12451560 | DOI:10.5005/jp-journals-10005-3192

Int J Clin Pediatr Dent. 2025 Aug;18(8):1039-1045. doi: 10.5005/jp-journals-10005-3120. Epub 2025 Sep 4.

ABSTRACT

BACKGROUND: Bruxism is a parafunctional habit affecting the stomatognathic system, with possible detrimental effects on the cervical spine position and, consequently, the head posture.

OBJECTIVES: The present study aimed at assessing the association between bruxism and cervical spine position in human subjects.

SEARCH METHODS: Two researchers, SHS and LNM, independently searched articles using appropriate keyword combinations in four search engines: PubMed, Cochrane Library, Semantic Scholar, and Google Scholar. Conflicts, if any, were resolved by AMJ. Studies either reported in English or with complete translations available in English were selected.

SELECTION CRITERIA: Observational studies reporting bruxism and cervical position from cephalometric to photographic parameters were considered. Interventional studies were included only to collect the baseline observational data.

DATA COLLECTION AND ANALYSIS: From 22 studies, a total of nine studies were included in the systematic review and five in the meta-analysis (three with cephalometric and two with photographic parameters). 1. CVT-HOR Angle between tangent (CVT) to the cervical vertebra (CV4) and horizontal line (HOR); 2. OPT-HOR Angle between the tangent (OPT) to odontoides (CV2) and horizontal line (HOR); 3. CVT-VV Angle between tangent (CVT) to the cervical vertebra (CV4) and vertical line (VV); 4. OPT-VV Angle between the tangent (OPT) to odontoides (CV2) and vertical line (VV) (cephalometric), and craniocervical angle (photographic) were considered as dependent variables for the analyses; bruxism being the independent variable.

RESULTS: Three studies (120 subjects) showed changes in the cephalometric parameters, and two studies (45 subjects) showed changes in the photographic parameters. Using Fixed Effect Model (FEM), standardized mean difference [SMD (95% CI)] for variables CVT-HOR [-0.62 (-0.99, -0.24)], OPT-HOR [-0.67 (-1.04, -0.29)], and OPT-VV [0.76 (0.38, 1.14)] were all statistically significant with low heterogeneity (I² = 25, 0, 0). The Risk of Bias (ROB) across studies assessed using the AXIS tool was low. These parameters show a statistically significant difference in head posture between individuals with bruxism and without bruxism, relating to anterior positioning of the cervical spine in individuals with bruxism.

CONCLUSION: Association exists between bruxism and cervical spine position in human subjects with respect to the aforementioned variables of interest.

PROSPERO REGISTRATION: CRD42023433635.

HOW TO CITE THIS ARTICLE: Solanke SH, Mistry LN, Jawdekar AM. Association between Bruxism and Cervical Spine Position in Human Subjects: A Systematic Review and Meta-analysis of Observational Studies. Int J Clin Pediatr Dent 2025;18(8):1039-1045.

PMID:40989979 | PMC:PMC12451578 | DOI:10.5005/jp-journals-10005-3120

Int J Clin Pediatr Dent. 2025 Aug;18(8):982-985. doi: 10.5005/jp-journals-10005-3198. Epub 2025 Sep 4.

ABSTRACT

BACKGROUND: Enduring research in pediatric endodontics has resulted in the development of many file systems with increased efficacy and advantages. The rotary system was created to improve treatment quality and reduce manual dexterity, resulting in a better treatment protocol.

AIM: The purpose of the research involves the evaluation and comparison of efficiency as well as subsequent obturation quality of the Kedo-S and Kedo-SH files during pulp canal therapy in deciduous molars.

MATERIALS AND METHODS: Children of 4-8 years requiring pulpectomy in forty deciduous lower molars were randomly divided into two different groups: Kedo-SH file (Group I) and Kedo-S file (Group II). A stopwatch was utilized for documentation of instrumentation time, and Coll and Sadrian criteria were utilized for observation of obturation quality. Statistical analysis of the obtained data was analyzed using the independent t-test and Chi-square test.

RESULTS: Mean instrumentation time in group I was 207.2 seconds, which was far more than group II (150.8 seconds), with p-value < 0.0001. No statistically significant variance was observed in obturation quality.

CONCLUSION: Kedo-S group resulted in less instrumentation time when compared to Kedo-SH with better obturation quality.

HOW TO CITE THIS ARTICLE: Dewangan B, Ukey A, Surana P, et al. Efficiency and Obturation Quality Outcomes between Kedo-S Rotary Files and Kedo-SH Manual Files Instrumentation during Pulpectomy in Primary Molars. Int J Clin Pediatr Dent 2025;18(8):982-985.

PMID:40989977 | PMC:PMC12451586 | DOI:10.5005/jp-journals-10005-3198

Int J Clin Pediatr Dent. 2025 Aug;18(8):1023-1030. doi: 10.5005/jp-journals-10005-3230. Epub 2025 Sep 4.

ABSTRACT

AIM AND BACKGROUND: Pain and anxiety during dental procedures can be skillfully tackled using effective and efficient behavior management. The current systematic review aimed to assess how effectively binaural beats (BB) work to reduce dental pain and anxiety in children as well as adults.

METHODS: An electronic search of the databases was conducted; authors independently extracted the data from nine studies included in the review. Clinical trials included in the review were the studies that reported the effectiveness of BB used during dental procedures for reducing dental pain and anxiety among children and adults. The Cochrane risk of bias tool was used for evaluating the risk of bias. Meta-analyses were performed using the fixed and random effect models. Heterogeneity was quantified with I ² statistics. Reduction in the dental pain and anxiety scores [as measured by visual analog scale (VAS)/Venham’s picture test (VPT)] was considered the chief outcome.

RESULTS: A total of 580 studies related to the topic were identified. Studies carried out for procedures other than dental as well as duplicates were eliminated, and following analysis of full-text articles, nine studies were included for systematic review. Overall, the results showed high risk of selection and detection bias. Dental pain and anxiety scores showed significant difference when comparing pre- and postintervention values. When comparing BB with controls, there was significant reduction in dental anxiety (DA) scores, while dental pain reduction showed inconclusive results with control (no intervention) and significant reduction with positive control.

CONCLUSION AND CLINICAL SIGNIFICANCE: Dental pain and anxiety appear to be alleviated by BB. Clinicians may view BB as a viable nonpharmacological treatment for dental pain and anxiety.

HOW TO CITE THIS ARTICLE: Shukla AD, Subhadra HN, Unnikrishnan S, et al. Effectiveness of Binaural Beats in Reducing Dental Pain and Anxiety among Children and Adults: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2025;18(8):1023-1030.

PMID:40989974 | PMC:PMC12451561 | DOI:10.5005/jp-journals-10005-3230

Int J Clin Pediatr Dent. 2025 Aug;18(8):964-970. doi: 10.5005/jp-journals-10005-3231. Epub 2025 Sep 4.

ABSTRACT

AIM: To evaluate and compare the qualitative and quantitative microleakage analysis using stereomicroscope and scanning electron microscope (SEM) of the conventional pit and fissure sealant with silver nanoparticles infused pit and fissure sealant in primary and permanent teeth.

MATERIALS AND METHODS: Sixty extracted over-retained primary molars and sixty premolars extracted for orthodontic purposes were collected and then randomly and equally divided into groups, i.e., group I (primary teeth) and group II (permanent teeth), and further into subgroups, i.e., subgroup IA-primary molars on which conventional pit and fissure sealant was applied, subgroup IB-primary molars on which silver nanoparticles infused pit and fissure sealant was applied, subgroup IIA-premolars on which conventional pit and fissure sealant was applied, and subgroup IIB-premolars on which silver nanoparticles infused pit and fissure sealant was applied. Occlusal surfaces of all teeth were cleaned, etched, and water rinsed, followed by the application of pit and fissure sealant according to the groups allocated. All the samples were then subjected to thermocycling, immersed in 5% methylene blue dye, sectioned, and analyzed for qualitative and quantitative analysis of microleakage under stereomicroscope and SEM.

RESULTS: The results were tabulated and statistically analyzed using χ² and post hoc tests. No statistically significant difference was seen in qualitative and quantitative microleakage of silver nanoparticles infused pit and fissure sealant when compared to conventional pit and fissure sealant.

CONCLUSION: Infusion of silver nanoparticles into pit and fissure sealant does not affect the microleakage in primary and permanent teeth.

CLINICAL SIGNIFICANCE: Addition of silver nanoparticles to pit and fissure sealant gives an added advantage of silver without affecting the physical properties of the pit and fissure sealant.

HOW TO CITE THIS ARTICLE: Bhambri T, Bhola M, Bajaj N, et al. Impact of Novel Pit and Fissure Sealant Infused with Silver Nanoparticles in Comparison with Conventional Pit and Fissure Sealant in both Primary and Permanent Teeth: An SEM and Stereomicroscope Study. Int J Clin Pediatr Dent 2025;18(8):964-970.

PMID:40989973 | PMC:PMC12451574 | DOI:10.5005/jp-journals-10005-3231

Int J Clin Pediatr Dent. 2025 Aug;18(8):930-939. doi: 10.5005/jp-journals-10005-3190. Epub 2025 Sep 4.

ABSTRACT

AIMS AND BACKGROUND: The aim of this study is to determine the relationship between nutrition as reflected by body mass index (BMI) and the prevalence and severity of untreated dental caries in children without prior dental treatment using pulp involvement, ulceration, fistula, abscess (PUFA) index. Dental caries is common among children worldwide, with prevalence linked to factors like income, location, and dental access, affecting 60-90% of school-age children depending on location. Untreated decay can lead to pain, school absence, and low self-esteem. This study examines the relationship between BMI and the PUFA index to assess untreated caries severity. Understanding diet, health, and oral health interactions may support multifaceted interventions for preventing caries in children.

MATERIALS AND METHODS: This case-control study involved 100 primary school children in Mysuru city, India. Cases were defined as children with untreated dental caries or clinical consequences of dental caries, while controls were children without untreated dental caries or with only initial or moderate caries. Dental examinations, PUFA index assessments, and weight and height measurements were conducted. Statistical analysis included descriptive statistics, t-tests, and logistic regression.

RESULTS: No significant differences were found in age, weight, height, and BMI between cases and controls, but BMI was reported to be reduced in cases than the controls. However, cases showed significantly higher PUFA scores, particularly in pulpal involvement and abscesses. Socioeconomic status (SES), school type, and location significantly influenced anthropometric measurements but not dental health measures. Logistic regression revealed that higher BMI was associated with lower odds of PUFA category 1, while higher decayed, missing, filled teeth (DMFT) scores increased the odds. Mouthrinsing showed a strong protective effect against severe dental caries.

CONCLUSION: The study highlights the complex relationship between nutritional status, socioeconomic factors, and dental health in children. While anthropometric measures were similar between groups, significant differences in oral hygiene habits and dental health were observed. The results make it clear that different kinds of public health programs and focused interventions are needed to help children with poor oral health.

CLINICAL SIGNIFICANCE: This study explores the clinical link between BMI and the PUFA index in primary school children. Understanding this relationship is crucial, as higher PUFA scores reflect severe, untreated dental issues often found in children with lower BMI due to poor nutrition. Identifying such associations can guide interventions that target both oral health and nutritional support, helping reduce dental disease and promote overall health in children.

HOW TO CITE THIS ARTICLE: Paramasivam K, Manjunathappa TH, Kumar BS, et al. Association of Pulp Involvement, Ulceration, Fistula, Abscess and Body Mass Index among Primary School Children: A Case-Control Study. Int J Clin Pediatr Dent 2025;18(8):930-939.

PMID:40989969 | PMC:PMC12451568 | DOI:10.5005/jp-journals-10005-3190

Gynecol Oncol Rep. 2025 Sep 3;61:101944. doi: 10.1016/j.gore.2025.101944. eCollection 2025 Oct.

ABSTRACT

OBJECTIVES: Management of epithelial ovarian cancer presenting with moderate to large pleural effusion at first diagnosis is a clinical challenge. Several options are utilized with limited evidence including initial thoracoscopic evaluation, neoadjuvant chemotherapy (NACT) or some combination. We sought to evaluate the disease course and patterns of recurrence after triage to NACT.

METHODS: We included all clinical Stage IVA patients having moderate to large pleural effusions without radiologic evidence of a Stage IVB metastasis presenting to our institution between 2016 and 2021. Clinical outcomes and patterns of recurrence were evaluated using descriptive statistics and Kaplan-Meier curves.

RESULTS: There were 31 patients (7.5 % of new ovarian cancer cases) who met inclusion criteria with median age 68.0 years. Most had high grade serous histology (29; 93.5 %) and 3/27 (11.1 %) were BRCA positive. Factors influencing triage to NACT were effusion alone in 3 (9.7 %) patients whereas 14/31 (45.2 %) had ≥2 factors. Resolution of the effusion occurred after NACT alone in 23 (74.2 %). Eight patients never proceeded to surgery. Complete gross resection (CGR) of abdominal disease at interval debulking surgery (IDS) was achieved in 14/23 (60.9 %), residual disease (RD) ≤1 cm in 8/23 (34.8 %) and >1 cm in 1/23 (4.3 %). Chemotherapy response scores were available for 19/23 cases and did not correlate with survival. After IDS, all patients received adjuvant platinum-based chemotherapy for a median of 3 cycles and 4 patients received maintenance therapy (PARP inhibitor in 4, bevacizumab in 1). Median OS for the whole cohort was 30.5 months: 3-year OS was 0 % if no surgery (8 patients), 27.8 % if any visible disease after IDS (9 patients), and 71.4 % if CGR (5-year OS 64.3 %). Recurrence or progression occurred in 30/31 distributed as follows: abdomen alone (16/30, 53.3 %) versus abdomen and thorax (13/30, 41.9 %). Only 1 patient recurred in the thorax alone.

CONCLUSIONS: Limited evidence directs the best management for patients presenting with clinical Stage IVA disease. Our data represent a particularly high-risk subgroup which may be characteristic of patients with large pleural effusions and adds important information showing that approximately half of these patients have ≥2 indications to favor NACT, signifying their high-risk status. Despite this, when CGR in the abdomen was achieved at IDS, median OS was greater than 5 years.

PMID:40989964 | PMC:PMC12451284 | DOI:10.1016/j.gore.2025.101944

Plast Reconstr Surg Glob Open. 2025 Sep 22;13(9):e7110. doi: 10.1097/GOX.0000000000007110. eCollection 2025 Sep.

ABSTRACT

BACKGROUND: In this study, we aimed to perform noninvasive acoustic quantification of digital arterial Doppler sounds and to determine the possibility of evaluating digital arterial circulation using the results of acoustic assessment.

METHODS: In this prospective study, we recorded the Doppler sounds of the radial and ulnar digital arteries of all digits of 25 volunteers (male, n = 10; female, n = 15) included in the study, converted these recordings into digital files, and analyzed them using a fast Fourier transform analyzer. We recorded the Doppler sound of each digital artery by means of (1) contralateral digital artery compression, (2) ipsilateral digital artery compression, and (3) no compression as a control. The analyzed parameters comprised the equivalent sound level (Leq), sound pressure difference between the maximum and minimum sound pressures (delta sound pressure), and frequency. In addition, the Doppler sounds of the contralateral and compression groups were acoustically compared with those of the control group by 2 examiners.

RESULTS: The contralateral compression group demonstrated a statistically lower Leq and greater delta sound pressure. In particular, the delta sound pressure had a higher sensitivity and specificity. The ipsilateral compression group had a significantly lower Leq and frequency. The Doppler sounds of the contralateral compression group resembled a staccato rhythm. The agreement rate of the kappa coefficients was high.

CONCLUSIONS: The patency of the digital artery is presumably high if the Doppler sound changes to a staccato rhythm upon compression of the contralateral digital artery.

PMID:40989945 | PMC:PMC12453366 | DOI:10.1097/GOX.0000000000007110