Puja Sabherwal - Academia.edu (original) (raw)

Papers by Puja Sabherwal

International Journal of Clinical Pediatric Dentistry, Mar 21, 2023

The wide variety of manifestations seen in patients of APECED is due to the targeted attack of th... more The wide variety of manifestations seen in patients of APECED is due to the targeted attack of the autoimmune system on the hormone-producing glands (Table 1). The development of autoimmunity is due to the loss of the AIRE gene, which facilitates

International Journal of Complementary & Alternative Medicine

Acta Scientific Dental Scienecs

Treacher–Collins syndrome (TCS) is a disorder of autosomal dominant inheritance commonly linked t... more Treacher–Collins syndrome (TCS) is a disorder of autosomal dominant inheritance commonly linked to the mutation of human gene TREACLE (Treacher–Collins–Franceschetti 1). It primarily affects the structures derived from the first and second brachial arches by leading to neuroepithelial cell apoptosis and failure of neural crest cell migration. TCS commonly presents with anomalies of zygoma, mandible, and ears with typical bird-like facies. The variation in severity is found to increase over generations and is affected by environmental factors and stochastic events. The paper presents a case of familial TCS in a mother and daughter with increased severity in the second generation; it also illustrates the correlation of occupational impact due to cumulative maternal exposure to polyvinyl acetate-based adhesive resin as an occupational hazard for over 30 years.

International Journal of Pedodontic Rehabilitation

International Journal of Clinical Pediatric Dentistry, 2021

Background A pulpectomy is regarded as the choice modality of treatment for necrotic teeth. The u... more Background A pulpectomy is regarded as the choice modality of treatment for necrotic teeth. The use of hand files, though popular traditionally as a gold standard, may be challenging due to increased chairside time. Postoperative pain is one of the most common complications of pulpectomy and may be unpleasant for a child/pedodontist. Rotary files were found to reduce instrumentation time, reduce apical extrusion, and in turn reduce pain but there is a lack of studies in primary teeth particularly for pediatric and reciprocating file systems. The increased number of options available today makes it a dilemma for the operator to choose a suitable file system. Aim and objective The study aimed to evaluate and compare the instrumentation time, postoperative pain, and effect on child's behavior among three groups, i.e., hand K-flex files (group I), pediatric rotary files (group II), and reciprocating files (group III). Materials and methods A total of 75 primary molar teeth after mee...

European Archives of Paediatric Dentistry

Introduction Hypnosis (H) and Progressive Muscle Relaxation (PMR) have proven to be effective in ... more Introduction Hypnosis (H) and Progressive Muscle Relaxation (PMR) have proven to be effective in a variety of medical settings; there is a paucity of their practical application in paediatric dentistry. The study aimed to comparatively evaluate the role of H and PMR on anxiety, heart rate (HR), oxygen saturation (SPO 2), blood pressure (BP), pain, and analgesic requirement during extraction in children. Materials and methods Sixty children aged 8-12 years undergoing primary molar extractions were randomly allocated to three groups-H, PMR, and control (C). The anxiety (proposed Visual Facial Anxiety scale), HR, and SPO 2 were measured pre/post-operatively with/without interventions (H, PMR, C) at 4 intervals. The BP and pain (Wong-Baker faces pain scale) were recorded pre-and post-operatively. Need for analgesic post-operatively was assessed. Results Statistically significant reduction in anxiety was noted post-extraction in H (0.30 ± 0.80), PMR (0.50 ± 0.69) (p < 0.001*). HR showed a statistically significant drop after H, PMR application. (p < 0.001*) No significant difference in SPO 2 was noted in the three groups (p > 0.05). Pain control was well achieved using H (85%), PMR (70%); BP was wellregulated in the H, PMR compared to C group (p < 0.001*). Need for analgesics was reduced in H (45%), PMR (50%) versus C (100%). Both techniques H, PMR were comparable in all measures. Conclusion Hypnosis and PMR are effective techniques for anxiolysis and pain control in paediatric dental patients.

Journal of Dental Anesthesia and Pain Medicine

Background: This study assessed anticipatory dental anxiety levels among 8-to 12-year-old childre... more Background: This study assessed anticipatory dental anxiety levels among 8-to 12-year-old children based on subjective and physiological measures and their correlation. The variations in anxiety based on sex, age, temperament, and academic performance were evaluated. Methods: An observational study was conducted in 60 children recruited from the waiting room over a 6-month period. The operator recorded subjective anxiety in the children using a novel visual facial anxiety scale. The operator also noted the demographic details and child's temperament using the nine dimensions of the Thomas and Chess criteria, and graded children as "easy," "slow to warm-up," and "difficult." The academic performance of the children was graded (parental ratings) on a five-point Likert scale. Physiological variables (heartrate [HR], oxygen saturation[SpO 2 ], and blood pressure [BP]) were recorded by another evaluator. The correlation between anxiety levels and physiological variables was also assessed. The effects of age, sex, temperament, and academic performance on anxiety were evaluated. Results: The study included 60 children aged 8-12 years, including 36 boys and 24 girls. Seventy percent of children had mild to moderate levels of pre-extraction anxiety, while 30% of children demonstrated high anxiety. A significant positive correlation was noted between anxiety levels and HR (r s = 0.477, P < 0.001*) and systolic BP (r s = 0.294, P < 0.05), while a significant but inverse correlation was observed with SpO 2 (r s = −0.40, P < 0.05). Anxiety did not influence diastolic BP. Children with difficult temperament and poor academic performance had significantly higher anxiety. Conclusion: A high percentage (70%) of children aged 8-12 years had mild to moderate anxiety prior to the extraction procedure. Increased HR, systolic BP, and reduced SpO 2 were significantly associated with high levels of anticipatory dental anxiety. Pre-extraction anxiety was significantly related to the temperament and scholastic performance.

Journal of Indian Association of Public Health Dentistry

Clinical Dentistry

Amelogenesis imperfecta (AI) incorporates an assemblage of hereditary diseases that involve the d... more Amelogenesis imperfecta (AI) incorporates an assemblage of hereditary diseases that involve the defective formation or calciﬁcation of enamel. Also known by varied names such as Hereditary enamel dysplasia, Hereditary brown enamel, Hereditary brown opalescent teeth, this defect is entirely ectodermal, since mesodermal components are unaffected. AI is typically characterized by generalized enamel defects in both primary and permanent dentition. The AI trait can be transmitted by either autosomal dominant, autosomal recessive, or X-linked modes of inheritance.AI has a marked impact on aesthetics, function and psychology of the patient. Early intervention and dental rehabilitation should be carried out with strong emphasis on the preventive care and strict follow up schedule. Key words: Amelogenesis imperfecta, developmental anomaly, Dental Rehabilitation

SRM Journal of Research in Dental Sciences