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   Table of Contents - Current issue
January-June 2020
Volume 5 | Issue 1
Page Nos. 1-34

Online since Thursday, July 9, 2020

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Evaluation of dental fear among pediatric age group and parental anxiety using validated assessment scales p. 1
Kesang Tsomu, Tanu Rajain, Ritu Namdev, Arun Kumar
Introduction: Dental fear and anxiety poses a significant problem in child patient management as such patients are more likely to avoid or delay seeking dental treatment, cancel dental appointments, and are considered to be the main barrier for successful completion of the dental treatment. Thus, early recognition and management of dental fear are imperative and the key to deliver effective dental treatment to the child patient. Aim: The aim of this study was to evaluate dental fear among children aged 4–12 years and parental anxiety using validated assessment scales. Methods: The study was conducted on 288 children who visited the Department of Pedodontics and Preventive Dentistry at Post Graduate Institute of Dental Sciences, Rohtak. The dental fear among children was measured using validated dental fear assessment scales, i.e., facial image scale and Children's Fear Survey Schedule-Dental Subscale (CFSS-DS). Parental anxiety was assessed using Norman Corah's Dental Anxiety Scale (C-DAS). Children dental fear was compared with parental anxiety. The factors associated with dental fear (age, gender, parent gender, previous dental experience, socioeconomic status, and background area), and also, the first dental visit age was assessed. Results: A total of 288 children showed CFSS-DS of 25.36 ± 6.130, 105 were girls (36.5%) and 183 were boys (63.5%) with CFSS-DS of 25.56 ± 6.102 and 25.25 ± 6.160, respectively. This showed that there were no significant differences in fear between boys and girls. According to the facial image scale, 0.3% of children were reported to have dental fear. Parental anxiety showed C-DAS of 7.53 ± 4.674, 163 were female (56.6%) and 125 were male (43.4%) with C-DAS 9.53 ± 5.183 and 4.94 ± 1.852, respectively. Conclusion: Parental anxiety was not associated with children's dental fear. Among factors, age, previous dental experience, and socioeconomic status were associated with children's dental fear. The most common first dental visit age among the three groups was 5 years.
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Knowledge, attitude, and practices regarding child abuse and neglect among members of different occupations in belagavi: A questionnaire study p. 7
Chandrashekhar Badakar, A Gowtham, Shivayogi M Hugar, Niraj S Gokhale, Rucha Davalbhakta, Shreyas Shah
Introduction: Child abuse and neglect is a global phenomenon and it can occur in a child's home or in organizations, schools, or communities. Child abuse and neglect has an impact on individuals, families, and communities, particularly all domains of children's development-physical, psychological, cognitive, behavioral, and social. The aim of the survey was to assess and compare the knowledge, attitude, and practices of child abuse and neglect amid the members of the occupations doctors, police, advocates, and teachers residing in Belagavi city. Materials and Methods: A questionnaire with 16 questions regarding the knowledge, attitude, and practice about child abuse and neglect was distributed to 200 members of various professions doctors, police, advocates, and teachers. Results: The response showed that teachers (98%) had better knowledge than the other group and all the members had a positive attitude. Lawyers (63%) had the most minimum practice toward child abuse and neglect. Conclusion: The results of this study showed that all the members involved in the study has a positive attitude toward tackling child abuse and neglect with teachers having the most knowledge and lawyers with minimum practice.
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Laser assisted management of hyperpigmented gingiva and eruption cyst in children – Two case reports p. 10
Paridhee Jalan, Aindrila Ghosh, Shabnam Zahir, Gautam Kumar Kundu
Lasers were introduced in pediatric dentistry to replace the conventional methods and to make the dental visits a pleasant experience for the child patient. Gingival hyperpigmentation is a common esthetic concern in patients with excessive gingival display during smiling. The eruption cyst is a form of soft tissue benign cyst which appears as a circumscribed, translucent, fluctuant swelling of the alveolar ridge seen over the site of an erupting tooth. The current case reports describe the use of diode laser in treating gingival hyperpigmentation and in excising eruption cyst in two child patients successfully.
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Mucocele: A case report with 24 months of follow-up p. 13
Astha Jaikaria, Seema Thakur
Mucocele is the most common lesion of the oral mucosa, which results from the accumulation of mucous secretion due to trauma and lip biting habits or alteration of minor salivary glands. Mostly, there are two types based on histological features as follows: extravasation and retention. Diagnosis is mostly based on clinical findings. The most common location of the extravasation mucocele is the lower lip. Mucoceles most probably affect young patients, but can affect all the age groups. The treatment of choice is surgical excision of the mucocele.
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Esthetic management of self-inflicted dental trauma in a child patient p. 16
Arundhati Goyal, Kusum Bharti
Self-mutilating habits are those in which the patient enjoys deliberately damaging himself/herself. Children have a habit of placing foreign objects into their mouth giving them a temporary feeling of relief. This case report describes an atypical case of a 4-year-old female patient with an anomalous habit of chewing pencil which led to the formation of window-like facets and trauma in primary maxillary anterior teeth. Suspected etiology was lack of mother's attention which made patient anxious and indulge into such deleterious habit. As a result, this habit turned into traumatic injury as she continued to bite deliberately on the pencil tip to suppress anxiety. The article highlights the importance of taking complete history from the parents of pediatric patients with any suspected abnormal habit that should not be neglected.
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Fusion of a supernumerary tooth with primary central incisor p. 19
Sonu Acharya, Sheetal Acharya, Mamta Mohanty
Fusion is a relatively rare developmental anomaly of the shape of the tooth characterized by union of two adjacent teeth. This can be seen in both deciduous and permanent dentition. Depending on the stage of development of teeth at the time of union, fusion may be either complete or incomplete. The prevalence of tooth fusion in the primary dentition is 0.5%–2.5% and 0.1% in permanent dentition. The exact etiology is not known, but it is thought that some physical forces or pressures cause the contact of developing teeth. The fused teeth can lead to various problems. Here, we discuss a case of a fusion in primary central incisor with supernumerary tooth in a 7-year-old male child.
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An impacted inverted mesiodens and its surgical intervention p. 22
Nidhi Agarwal, Zohra Jabin, Sampanna Kalita
An inverted mesiodens is a rare complication of the developing dentition. This case report is of a 6-year-old female child in whom this mesiodens was discovered before the eruption of permanent incisors when radiographs were taken to ascertain the condition of her carious primary maxillary incisors. The inverted mesiodens were surgically removed, which was followed by eruption of the permanent central incisors within a few days.
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A rare Indian case of GAPO syndrome with dental and other findings p. 25
Prasanna T Dahake, Yogesh J Kale, Mahesh V Dadpe, Shrikant B Kendre
GAPO syndrome is an entity with multiple congenital anomalies syndrome involving connective tissue characterized by growth retardation, alopecia, pseudoanodontia, and optic atrophy (GAPO) syndrome. To date, only approximately 45 cases of this extremely rare syndrome have been reported. We present thee case of a 9-year Indian male patient with GAPO syndrome in association with craniosynostosis along with degenerating optic nerve, short stature, partial anodontia, abnormally thick maxillary buccal and lingual frenum, born first to parents showing consanguineous marriage; however, the intelligence quotient of the child was good.
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Supernumerary premolars in a patient with neurofibromatosis type-1 p. 29
Raju Biswas, Sauvik Galui, Santanu Mukhopadhyay, Subrata Saha, Subir Sarkar
Neurofibromatosis is a relatively common dominantly inherited neurodermal dysplasia that affects many parts of the body including oral cavity. The patient, an 18-year-old girl diagnosed as neurofibromatosis Type-1 (NF1) exhibited four supernumerary premolars. In addition, panoramic radiograph of the patient showed enlarged right mandibular canal and foramen, unilocular radiolucent areas in the rami of the mandible, and increase in the dimension of coronoid notch on both sides of the mandible. The concomitant presentation of supernumerary teeth with NF1 reported here might be due to genetic linkage or could be a chance occurrence.
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Esthetic rehabilitation of anterior missing teeth due to early childhood caries p. 32
Sunil Kumar, Namita Kalra, Rishi Tyagi, Amit Khatri, Mohit Dhamija, Harsh Vijay Singh
Esthetic rehabilitation is one of the greatest challenges in the child under the age of 5 years who has suffered multiple tooth loss subsequent due to early childhood caries. An anterior esthetic appliance may be used to replace lost teeth. The appearance of the child is affected due to missing of the anterior teeth and also led to the loss of space, masticatory function, and speech development along with the development of detrimental oral habits. This case report discussed the management of anterior missing teeth with the Hollywood bridge.
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