Niraj Gokhale | KLE University (original) (raw)

Papers by Niraj Gokhale

Journal of Oral Biology and Craniofacial Research

International Journal of Clinical Pediatric Dentistry

Aim: The study aimed to explore dentist's perception of the oral health care toward child with sp... more Aim: The study aimed to explore dentist's perception of the oral health care toward child with special healthcare needs (CSHCN). Materials and methods: A total sample size of 250 was calculated. A 13-item validated questionnaire containing four domains were distributed among the participants. Descriptive analysis was used followed by one-way analysis of variance for comparison. Results: The results showed 51.54% confidence, 71.33% knowledge, and 66.90% perception among the participants. A statistically significant results were found between three domains (p value < 0.0001). Conclusion: The study concludes that there is a need to raise the level of knowledge and awareness about the oral health care of CSHCN among the dental students and professionals.

International Journal of Clinical Pediatric Dentistry

Background: Pediatric dentistry is not just about treating the tooth, but it also involves giving... more Background: Pediatric dentistry is not just about treating the tooth, but it also involves giving an overall comprehensive treatment to the child. Children like different colors and when the child is allowed to select the color of the restoration, it will positively motivate the child to accept dental treatment. Aim: The aim of our study was to evaluate and compare the clinical success rate of composite and multicolored compomer restorations and dental anxiety level in children. Materials and methods: A total of 60 samples equally divided into two study groups by of split-mouth design. In the control group, subjects received composites and in experimental group, they received colored compomers. The dental behavior was assessed using the Frankl behavior rating scale for both the groups. Dental anxiety was checked in the patients using visual analogue scale (VAS) before and after the treatment for both the groups. Children were recalled for follow up at 1, 3 and 6 months to evaluate clinical success rate amongst control and experimental group and results were subjected to statistical analysis. Results: Colored compomer proved to reduce the anxiety in the child and had a better behavioral response and positive attitude. Both restorative materials had comparable clinical success rates. Conclusion: At 6 months follow-up evaluation colored compomer restorative material showing promising with similar properties like that of composites with the added advantage of multicolors and can be considered as the new restorative material in the child dentistry. Clinical significance: Colored compomers are known to be excellent alternative restorative materials for restoration of teeth in children as they aid in behavior modification and good compliance from the patient.

International Journal of Clinical Pediatric Dentistry

Aim To determine and compare the relevance of Piaget's cognitive principles among 4- to 7-yea... more Aim To determine and compare the relevance of Piaget's cognitive principles among 4- to 7-year-old parented and orphan children in Belagavi City, Karnataka, India. Materials and methods This study was conducted on 240 children between the ages of 4 to 7 years who were equally divided into two groups of 120 parented and 120 orphan children. These were subdivided into four groups of 30 children each. Various characteristics like egocentrism, concept of cardinal numbers based on centration, lack of conservation, and reversibility were assessed, using experiments and comparison of their prevalence between two groups was carried out. Results There is a statistically significant difference in the cognitive development among parented and orphan children age 4 to 7 years. Conclusion There is a significantly better cognitive development among parented children as compared with orphan children in Belagavi city. Clinical significance A child is not a miniature adult but rather can think an...

Journal of Indian Society of Pedodontics and Preventive Dentistry

The objective of this study was to estimate the prevalence of dental anomalies in primary dentiti... more The objective of this study was to estimate the prevalence of dental anomalies in primary dentition of Indian population. This cross-sectional study was conducted on 4180 children in the age of 2-6 years. Anomalies were classified based on Kreiborg criteria. The term &amp;amp;amp;amp;quot;double tooth&amp;amp;amp;amp;quot; was used to avoid misinterpretation between gemination. and fusion. Patients having radiographs were also examined for associated dental anomalies in permanent dentition. The occurrence and gender prevalence were evaluated using descriptive statistics. About 95. (2.27%) children exhibited at least one dental anomaly. Thirty.seven children showed 51 missing teeth. (0.88%), mostly in lower right incisors with a statistically significant difference between arches. (P = 0.0056) Nine children. (0.21%) had supernumerary teeth commonly in the right maxilla. Two cases of oligodontia. (0.04%) and talon cusps. (0.04%) and one case of triple tooth. (0.02%) were observed. Forty children. (0.95%) had 43 double teeth mostly in the right mandible with a statistically significant difference between the arches. (P = 0.0105). No significant difference was observed based on gender and arch, but they were statistically significant between the right and left sides. (P = 0.018). Among the children with radiographs available, 45% showed anomalies in the succedaneous dentition. The prevalence rates of children with double tooth, hypodontia, and hyperdontia in our study are 0.95%, 0.88%, and 0.21%, respectively. The overall prevalence rate of anomalies among boys was higher than girls.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

Early treatment of carious lesions in children is important for the maintenance of oral health. M... more Early treatment of carious lesions in children is important for the maintenance of oral health. Multicoloured restorations could be the impetus for an extremely nervous or defiant child to take dental treatment. The aim of this study was to assess and compare the clinical success of conventional composites and coloured compomer material in first permanent molars of children with mixed dentition. A total of sixty sites, divided into two groups, with thirty subjects in each group using split mouth design were chosen amongst patients reporting to Department of Pedodontics and Preventive Dentistry. In control group conventional composites were placed, similarly coloured compomers were placed in experimental group under standard operating protocol. Patients were recalled for assessment of clinical success amongst control as well as experimental group at regular intervals of one; three and six months follow up based on Modified Ryge&amp;amp;amp;amp;#39;s Criteria. Statistical analysis was done using Chi-square test using SPSS version 20.0 (Chicago, USA). Both conventional composites and coloured compomers had comparable retention rates in terms of anatomical form, marginal integrity, secondary caries and marginal discolouration. The coloured compomer material showed promising results in this six month follow up study in permanent molars and had properties comparable to that of conventional composites.

International Journal of Clinical Pediatric Dentistry

Aim: To assess the level of vitamin B 12 and correlate it with dental caries [decayed, missing, a... more Aim: To assess the level of vitamin B 12 and correlate it with dental caries [decayed, missing, and filled permanent teeth (DMFT) score] and gingival diseases [plaque index (PI) and gingival index (GI)]. Design: Healthy children according to the inclusion criteria were selected by the computerized randomization method from a school to assess the vitamin B 12 levels using Centaur/ Versace machine. Materials and methods: Blood samples were collected to assess vitamin B 12 levels using automated analyzer. Oral examination was done by a single calibrated dentist. A thorough oral examination was carried out and the DMFT, PI, and GI scores of all the children were recorded and assessed. Data were analyzed using Karl Pearson's correlation test. Results: Vitamin B 12 levels were deficient in 64% of the children. In boys, vitamin B 12 deficiency was found in about 76.2%, whereas, in girls it was 57.1%, which was not statistically significant. The vitamin B 12 deficient children showed a significantly high DMFT scores than the children with normal vitamin B 12 levels. The Pearson's correlation was-0.614 for DMFT, PI value-0.663, and GI value of-0.477. The negative correlation stated that there was a reverse relation between these indices and vitamin B 12. Conclusion: In children with systemic vitamin B 12 deficiency, there is increased dental caries prevalence and associated gingival problems.

Journal of Pharmaceutical Negative Results

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

Dental caries is the most widespread disease which has a multi factorial origin. Streptococcus mu... more Dental caries is the most widespread disease which has a multi factorial origin. Streptococcus mutans is considered to be the chief pathogen in its development. Different varnishes are available which can be used for the prevention of the carious process. To compare the effect of fluoride varnish, chlorhexidine varnish and fluoride varnish containing Casein Phosphopeptide - Amorphous Calcium Phosphate (CPP-ACP) on salivary Streptococcusmutans count in children with mixed dentition over a period of six months. Seventy two children of age 6-12 years with mixed dentition were selected fulfilling inclusion and exclusion criteria and divided into three groups: Group I- Fluoride varnish group; Group II- Chlorhexidine varnish group; Group III- MI varnish (fluoride varnish containing CPP-ACP) group. After thorough oral prophylaxis and restorative treatment the varnishes were applied to the teeth once a week for four consecutive weeks in the respective groups. Salivary Streptococcus mutans count (CFU/ml of saliva) was estimated at baseline, 1 month, 3 months and 6 months after varnish application. Bonferroni post-hoc test and paired t-test for inter group and intra group comparison was used in the study. A statistically significant reduction in salivary S. mutans colony count was seen with all three groups at all the different time intervals. Maximum reduction was noted in chlorhexidine varnish group at all the intervals after varnish application. Prevention of dental caries plays a vital role in paediatric dental practice. The use of dental varnish has proved to be effective in reducing the dental caries. Chlorhexidine varnish was found to show maximum reduction in salivary S. mutans count for six month period, when compared to MI varnish and fluoride varnish. Thus, chlorhexidine varnish can be used as potent caries inhibiting agent and promote good oral health.

Contemporary clinical dentistry

Pulpotomy is a regular procedure in the management of inflamed primary teeth. Diverse materials h... more Pulpotomy is a regular procedure in the management of inflamed primary teeth. Diverse materials have been reviewed for the pulpotomy, some of them being formocresol, glutaraldehyde, ferric sulfate, and mineral trioxide aggregate (MTA). The aim was to evaluate and compare clinically and radiographically the effects of MTA as a pulp dressing after coronal pulp amputation (pulpotomy) in primary molars. Sixty primary molars of thirty healthy children using split mouth design aged between 4 and 6 years were treated by pulpotomy technique. Sixty primary mandibular molars of thirty healthy children aged between 4 and 6 years were treated by pulpotomy technique. The teeth on the right side were assigned to MTA (Group A) and the left side for the formocresol (Group B). The children were then examined clinically and radiographically every 6 months. Statistical analysis used: Chi-square test using the SPSS version 19.0 was used to compare between the two groups. Results showed that both MTA an...

International Journal of Clinical Pediatric Dentistry, 2017

Aims: Despite various advents in technology, the present era marks a shift to phytotherapeutics a... more Aims: Despite various advents in technology, the present era marks a shift to phytotherapeutics and alternative modalities to conventional endodontic treatments. Newer endodontic modalities have been developed inculcating the ancient system of medicine. The present study was done to compare and evaluate the clinical pulp response and radiographic signs after pulpotomy in four groups of primary molar teeth treated with formocresol (control), propolis extract, turmeric gel, and calcium hydroxide respectively. Materials and methods: Following ethical clearance, 90 primary molar teeth in 45 pediatric patients, aged between 4 and 9 years, were selected for pulpotomy. These were then randomly divided by split-mouth technique into two groups as experimental (propolis extract/turmeric gel/calcium hydroxide) and control (formocresol) groups. The patients were followed up for 6 months for clinical and radiographic signs and symptoms to evaluate the success of treatment. Results: A comparable clinical and radiographic success rate was seen with all experimental groups as compared to the control (formocresol) group. Conclusion: With concerns about the safety of formocresol appearing in the dental and medical literature for more than 20 years, the materials used in this study can be considered as promising alternatives for formocresol in pediatric endodontic treatment.

Journal of clinical and diagnostic research : JCDR, 2016

Journal of clinical and diagnostic research : JCDR, 2016

Background and Objective: In the contemporary scenario of both parents employed, there seems to b... more Background and Objective: In the contemporary scenario of both parents employed, there seems to be limited focus on the dietary habits and dental health of their children. Hence, we attempted to correlate the socioeconomic and working status of the parents to the incidence of their children's dental caries. Materials and Methods: One thousand school children aged between 3 and 12 years were enrolled in the study. Socioeconomic and working status of their parents was obtained by a pretested questionnaire following which these children were examined for their dental caries status. The data collected were statistically analyzed using logistic regression analysis and calculation of odds ratio. Results: A significant correlation was observed between working status of the parents and dental caries status of their children. Though, the socioeconomic status and dental caries had a weak correlation, the odds ratio was high, indicating that the children of lower socioeconomic status or family with both parents employed were at a higher risk for dental caries. Conclusion: Efforts are needed to implement programs at the school level to enhance the oral and dental health among children, as parental responsibilities toward this maybe inadequate due to economic or time constraints.

A traumatic injury to primary maxillary anterior tooth is one of the common causes for problems w... more A traumatic injury to primary maxillary anterior tooth is one of the common causes for problems with the succedaneous tooth leading to it noneruption. A missing anterior tooth can be psychologically and socially damaging to the patient. Despite a wide range of treatment options available, sometimes, it is inevitable to save the natural tooth. This paper describes the immediate replacement of a right central incisor using a fiber-composite resin splint with the natural tooth crown as a pontic following surgical extraction of the dilacerated impacted permanent maxillary central incisor. The abutment teeth can be conserved with minimal or no preparation, thus keeping the technique reversible and can be completed at chair side thereby avoiding laboratory costs. It can be used as an interim measure until a definitive prosthesis can be fabricated as the growth is still incomplete.

Background: A woman's most desired phase is parenthood, wherein a bond is developed which starts ... more Background: A woman's most desired phase is parenthood, wherein a bond is developed which starts with the development of the umbilical cord and embalms in the years to come. The oral and general health of the child, during the peri natal life can be affected by the oral health of the mother. The mothers who at some time have experienced caries feel a strong need for therapy to prevent childhood caries. Parents, especially the mothers play an important role in sculpting the behavioural habits to children. Aims and Objectives: This study was undertaken to evaluate the knowledge and attitude regarding oral care, among the parents of preschool children of Belagavi city. Methodology: Random cross sectional questionnaire based study. A cross sectional questionnaire study was carried out among 500 randomly selected preschool children and their parents of Belagavi city. Ethical approval was obtained from the institutional review board before the commencement of the study. Prior written permission from the authorities of the school and parents was obtained. The pre tested questionnaires were hen given to the parents. The data collected was analyzed using the SPSS (Statistical Package for the Social Sciences) software 18.0 version, and the Chi-square test with the level of significance set at 0.05. Results: The most important questions regarding oral health and the responses of the parents to these were tabulated; the frequencies and p-value were then calculated. Conclusions: All the parents responded appropriately to the questions that were based to assess the knowledge and attitude about oral health in childhood. Majority of them believed that primary teeth were important.

In-vogue 21 st century, the popular term globalization has defi nitely conjured a plethora of dev... more In-vogue 21 st century, the popular term globalization has defi nitely conjured a plethora of development, the economic surge, integrated corporate dental offi ces, and contemporary approaches to health-seeking behavior. Transnational medical travel, a heterogeneous phenomenon has gained attention recently as a strategy for patients to procure cost-eff ective care of superior quality relative to that provided within their home countries. Dental tourism, a subset of medical tourism, involves individuals seeking dental care outside their local healthcare systems, coupled with a vacation. India, a country of continental proportions, has become a popular destination for foreign patients in recent times, particularly in dental care. India's accessibility and availability of quality assured and cost-eff ective dental treatment, amalgamated with its myriad hues of culture and heritage, has exponentially fostered the bloom of India in " dental tourism. " Steep costs, lack of health insurance and dental benefi ts are key factors pushing low-income western world families to obtain crosscountry dental care. Dental Tourism companies and corporate dental chains are increasingly advertising " all inclusive " travel packages that include dental procedures, hotel room reservations, side trips to tourist attractions, and airline tickets to lure international clients. The objective of this scientifi c communication was to explore and address the social, ethical, economic, and legal dimensions of dental tourism in India. With current governmental activities in full throttle, the tide of dental tourism defi nitely envisages to boost the economy of the Indian Republic manifold. The future is not near. It's here!

We would like to express certain concerns about this article

Lichen planus is a mucocutaneous disease that predominantly affects older patients and occurs les... more Lichen planus is a mucocutaneous disease that predominantly affects older patients and occurs less commonly in the pediatric population. This lesion is extremely rare in childhood, and only a few cases have been cited in literature. The treatment was initiated by psychological counseling of parents and the child. The patient was put on topical steroids (triamcinolone acetonide), multivitamins, and antioxidant therapy. A routine comprehensive dental treatment was done, and a regular follow-up was done every week for a period of 3-month. Outcome: At the end of 4 weeks, all lesions resolved and the child was put under follow-up regime for 6 months and no new lesions were detected.

Journal of Oral Biology and Craniofacial Research

International Journal of Clinical Pediatric Dentistry

Aim: The study aimed to explore dentist's perception of the oral health care toward child with sp... more Aim: The study aimed to explore dentist's perception of the oral health care toward child with special healthcare needs (CSHCN). Materials and methods: A total sample size of 250 was calculated. A 13-item validated questionnaire containing four domains were distributed among the participants. Descriptive analysis was used followed by one-way analysis of variance for comparison. Results: The results showed 51.54% confidence, 71.33% knowledge, and 66.90% perception among the participants. A statistically significant results were found between three domains (p value < 0.0001). Conclusion: The study concludes that there is a need to raise the level of knowledge and awareness about the oral health care of CSHCN among the dental students and professionals.

International Journal of Clinical Pediatric Dentistry

Background: Pediatric dentistry is not just about treating the tooth, but it also involves giving... more Background: Pediatric dentistry is not just about treating the tooth, but it also involves giving an overall comprehensive treatment to the child. Children like different colors and when the child is allowed to select the color of the restoration, it will positively motivate the child to accept dental treatment. Aim: The aim of our study was to evaluate and compare the clinical success rate of composite and multicolored compomer restorations and dental anxiety level in children. Materials and methods: A total of 60 samples equally divided into two study groups by of split-mouth design. In the control group, subjects received composites and in experimental group, they received colored compomers. The dental behavior was assessed using the Frankl behavior rating scale for both the groups. Dental anxiety was checked in the patients using visual analogue scale (VAS) before and after the treatment for both the groups. Children were recalled for follow up at 1, 3 and 6 months to evaluate clinical success rate amongst control and experimental group and results were subjected to statistical analysis. Results: Colored compomer proved to reduce the anxiety in the child and had a better behavioral response and positive attitude. Both restorative materials had comparable clinical success rates. Conclusion: At 6 months follow-up evaluation colored compomer restorative material showing promising with similar properties like that of composites with the added advantage of multicolors and can be considered as the new restorative material in the child dentistry. Clinical significance: Colored compomers are known to be excellent alternative restorative materials for restoration of teeth in children as they aid in behavior modification and good compliance from the patient.

International Journal of Clinical Pediatric Dentistry

Aim To determine and compare the relevance of Piaget's cognitive principles among 4- to 7-yea... more Aim To determine and compare the relevance of Piaget's cognitive principles among 4- to 7-year-old parented and orphan children in Belagavi City, Karnataka, India. Materials and methods This study was conducted on 240 children between the ages of 4 to 7 years who were equally divided into two groups of 120 parented and 120 orphan children. These were subdivided into four groups of 30 children each. Various characteristics like egocentrism, concept of cardinal numbers based on centration, lack of conservation, and reversibility were assessed, using experiments and comparison of their prevalence between two groups was carried out. Results There is a statistically significant difference in the cognitive development among parented and orphan children age 4 to 7 years. Conclusion There is a significantly better cognitive development among parented children as compared with orphan children in Belagavi city. Clinical significance A child is not a miniature adult but rather can think an...

Journal of Indian Society of Pedodontics and Preventive Dentistry

The objective of this study was to estimate the prevalence of dental anomalies in primary dentiti... more The objective of this study was to estimate the prevalence of dental anomalies in primary dentition of Indian population. This cross-sectional study was conducted on 4180 children in the age of 2-6 years. Anomalies were classified based on Kreiborg criteria. The term &amp;amp;amp;amp;quot;double tooth&amp;amp;amp;amp;quot; was used to avoid misinterpretation between gemination. and fusion. Patients having radiographs were also examined for associated dental anomalies in permanent dentition. The occurrence and gender prevalence were evaluated using descriptive statistics. About 95. (2.27%) children exhibited at least one dental anomaly. Thirty.seven children showed 51 missing teeth. (0.88%), mostly in lower right incisors with a statistically significant difference between arches. (P = 0.0056) Nine children. (0.21%) had supernumerary teeth commonly in the right maxilla. Two cases of oligodontia. (0.04%) and talon cusps. (0.04%) and one case of triple tooth. (0.02%) were observed. Forty children. (0.95%) had 43 double teeth mostly in the right mandible with a statistically significant difference between the arches. (P = 0.0105). No significant difference was observed based on gender and arch, but they were statistically significant between the right and left sides. (P = 0.018). Among the children with radiographs available, 45% showed anomalies in the succedaneous dentition. The prevalence rates of children with double tooth, hypodontia, and hyperdontia in our study are 0.95%, 0.88%, and 0.21%, respectively. The overall prevalence rate of anomalies among boys was higher than girls.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

Early treatment of carious lesions in children is important for the maintenance of oral health. M... more Early treatment of carious lesions in children is important for the maintenance of oral health. Multicoloured restorations could be the impetus for an extremely nervous or defiant child to take dental treatment. The aim of this study was to assess and compare the clinical success of conventional composites and coloured compomer material in first permanent molars of children with mixed dentition. A total of sixty sites, divided into two groups, with thirty subjects in each group using split mouth design were chosen amongst patients reporting to Department of Pedodontics and Preventive Dentistry. In control group conventional composites were placed, similarly coloured compomers were placed in experimental group under standard operating protocol. Patients were recalled for assessment of clinical success amongst control as well as experimental group at regular intervals of one; three and six months follow up based on Modified Ryge&amp;amp;amp;amp;#39;s Criteria. Statistical analysis was done using Chi-square test using SPSS version 20.0 (Chicago, USA). Both conventional composites and coloured compomers had comparable retention rates in terms of anatomical form, marginal integrity, secondary caries and marginal discolouration. The coloured compomer material showed promising results in this six month follow up study in permanent molars and had properties comparable to that of conventional composites.

International Journal of Clinical Pediatric Dentistry

Aim: To assess the level of vitamin B 12 and correlate it with dental caries [decayed, missing, a... more Aim: To assess the level of vitamin B 12 and correlate it with dental caries [decayed, missing, and filled permanent teeth (DMFT) score] and gingival diseases [plaque index (PI) and gingival index (GI)]. Design: Healthy children according to the inclusion criteria were selected by the computerized randomization method from a school to assess the vitamin B 12 levels using Centaur/ Versace machine. Materials and methods: Blood samples were collected to assess vitamin B 12 levels using automated analyzer. Oral examination was done by a single calibrated dentist. A thorough oral examination was carried out and the DMFT, PI, and GI scores of all the children were recorded and assessed. Data were analyzed using Karl Pearson's correlation test. Results: Vitamin B 12 levels were deficient in 64% of the children. In boys, vitamin B 12 deficiency was found in about 76.2%, whereas, in girls it was 57.1%, which was not statistically significant. The vitamin B 12 deficient children showed a significantly high DMFT scores than the children with normal vitamin B 12 levels. The Pearson's correlation was-0.614 for DMFT, PI value-0.663, and GI value of-0.477. The negative correlation stated that there was a reverse relation between these indices and vitamin B 12. Conclusion: In children with systemic vitamin B 12 deficiency, there is increased dental caries prevalence and associated gingival problems.

Journal of Pharmaceutical Negative Results

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

Dental caries is the most widespread disease which has a multi factorial origin. Streptococcus mu... more Dental caries is the most widespread disease which has a multi factorial origin. Streptococcus mutans is considered to be the chief pathogen in its development. Different varnishes are available which can be used for the prevention of the carious process. To compare the effect of fluoride varnish, chlorhexidine varnish and fluoride varnish containing Casein Phosphopeptide - Amorphous Calcium Phosphate (CPP-ACP) on salivary Streptococcusmutans count in children with mixed dentition over a period of six months. Seventy two children of age 6-12 years with mixed dentition were selected fulfilling inclusion and exclusion criteria and divided into three groups: Group I- Fluoride varnish group; Group II- Chlorhexidine varnish group; Group III- MI varnish (fluoride varnish containing CPP-ACP) group. After thorough oral prophylaxis and restorative treatment the varnishes were applied to the teeth once a week for four consecutive weeks in the respective groups. Salivary Streptococcus mutans count (CFU/ml of saliva) was estimated at baseline, 1 month, 3 months and 6 months after varnish application. Bonferroni post-hoc test and paired t-test for inter group and intra group comparison was used in the study. A statistically significant reduction in salivary S. mutans colony count was seen with all three groups at all the different time intervals. Maximum reduction was noted in chlorhexidine varnish group at all the intervals after varnish application. Prevention of dental caries plays a vital role in paediatric dental practice. The use of dental varnish has proved to be effective in reducing the dental caries. Chlorhexidine varnish was found to show maximum reduction in salivary S. mutans count for six month period, when compared to MI varnish and fluoride varnish. Thus, chlorhexidine varnish can be used as potent caries inhibiting agent and promote good oral health.

Contemporary clinical dentistry

Pulpotomy is a regular procedure in the management of inflamed primary teeth. Diverse materials h... more Pulpotomy is a regular procedure in the management of inflamed primary teeth. Diverse materials have been reviewed for the pulpotomy, some of them being formocresol, glutaraldehyde, ferric sulfate, and mineral trioxide aggregate (MTA). The aim was to evaluate and compare clinically and radiographically the effects of MTA as a pulp dressing after coronal pulp amputation (pulpotomy) in primary molars. Sixty primary molars of thirty healthy children using split mouth design aged between 4 and 6 years were treated by pulpotomy technique. Sixty primary mandibular molars of thirty healthy children aged between 4 and 6 years were treated by pulpotomy technique. The teeth on the right side were assigned to MTA (Group A) and the left side for the formocresol (Group B). The children were then examined clinically and radiographically every 6 months. Statistical analysis used: Chi-square test using the SPSS version 19.0 was used to compare between the two groups. Results showed that both MTA an...

International Journal of Clinical Pediatric Dentistry, 2017

Aims: Despite various advents in technology, the present era marks a shift to phytotherapeutics a... more Aims: Despite various advents in technology, the present era marks a shift to phytotherapeutics and alternative modalities to conventional endodontic treatments. Newer endodontic modalities have been developed inculcating the ancient system of medicine. The present study was done to compare and evaluate the clinical pulp response and radiographic signs after pulpotomy in four groups of primary molar teeth treated with formocresol (control), propolis extract, turmeric gel, and calcium hydroxide respectively. Materials and methods: Following ethical clearance, 90 primary molar teeth in 45 pediatric patients, aged between 4 and 9 years, were selected for pulpotomy. These were then randomly divided by split-mouth technique into two groups as experimental (propolis extract/turmeric gel/calcium hydroxide) and control (formocresol) groups. The patients were followed up for 6 months for clinical and radiographic signs and symptoms to evaluate the success of treatment. Results: A comparable clinical and radiographic success rate was seen with all experimental groups as compared to the control (formocresol) group. Conclusion: With concerns about the safety of formocresol appearing in the dental and medical literature for more than 20 years, the materials used in this study can be considered as promising alternatives for formocresol in pediatric endodontic treatment.

Journal of clinical and diagnostic research : JCDR, 2016

Journal of clinical and diagnostic research : JCDR, 2016

Background and Objective: In the contemporary scenario of both parents employed, there seems to b... more Background and Objective: In the contemporary scenario of both parents employed, there seems to be limited focus on the dietary habits and dental health of their children. Hence, we attempted to correlate the socioeconomic and working status of the parents to the incidence of their children's dental caries. Materials and Methods: One thousand school children aged between 3 and 12 years were enrolled in the study. Socioeconomic and working status of their parents was obtained by a pretested questionnaire following which these children were examined for their dental caries status. The data collected were statistically analyzed using logistic regression analysis and calculation of odds ratio. Results: A significant correlation was observed between working status of the parents and dental caries status of their children. Though, the socioeconomic status and dental caries had a weak correlation, the odds ratio was high, indicating that the children of lower socioeconomic status or family with both parents employed were at a higher risk for dental caries. Conclusion: Efforts are needed to implement programs at the school level to enhance the oral and dental health among children, as parental responsibilities toward this maybe inadequate due to economic or time constraints.

A traumatic injury to primary maxillary anterior tooth is one of the common causes for problems w... more A traumatic injury to primary maxillary anterior tooth is one of the common causes for problems with the succedaneous tooth leading to it noneruption. A missing anterior tooth can be psychologically and socially damaging to the patient. Despite a wide range of treatment options available, sometimes, it is inevitable to save the natural tooth. This paper describes the immediate replacement of a right central incisor using a fiber-composite resin splint with the natural tooth crown as a pontic following surgical extraction of the dilacerated impacted permanent maxillary central incisor. The abutment teeth can be conserved with minimal or no preparation, thus keeping the technique reversible and can be completed at chair side thereby avoiding laboratory costs. It can be used as an interim measure until a definitive prosthesis can be fabricated as the growth is still incomplete.

Background: A woman's most desired phase is parenthood, wherein a bond is developed which starts ... more Background: A woman's most desired phase is parenthood, wherein a bond is developed which starts with the development of the umbilical cord and embalms in the years to come. The oral and general health of the child, during the peri natal life can be affected by the oral health of the mother. The mothers who at some time have experienced caries feel a strong need for therapy to prevent childhood caries. Parents, especially the mothers play an important role in sculpting the behavioural habits to children. Aims and Objectives: This study was undertaken to evaluate the knowledge and attitude regarding oral care, among the parents of preschool children of Belagavi city. Methodology: Random cross sectional questionnaire based study. A cross sectional questionnaire study was carried out among 500 randomly selected preschool children and their parents of Belagavi city. Ethical approval was obtained from the institutional review board before the commencement of the study. Prior written permission from the authorities of the school and parents was obtained. The pre tested questionnaires were hen given to the parents. The data collected was analyzed using the SPSS (Statistical Package for the Social Sciences) software 18.0 version, and the Chi-square test with the level of significance set at 0.05. Results: The most important questions regarding oral health and the responses of the parents to these were tabulated; the frequencies and p-value were then calculated. Conclusions: All the parents responded appropriately to the questions that were based to assess the knowledge and attitude about oral health in childhood. Majority of them believed that primary teeth were important.

In-vogue 21 st century, the popular term globalization has defi nitely conjured a plethora of dev... more In-vogue 21 st century, the popular term globalization has defi nitely conjured a plethora of development, the economic surge, integrated corporate dental offi ces, and contemporary approaches to health-seeking behavior. Transnational medical travel, a heterogeneous phenomenon has gained attention recently as a strategy for patients to procure cost-eff ective care of superior quality relative to that provided within their home countries. Dental tourism, a subset of medical tourism, involves individuals seeking dental care outside their local healthcare systems, coupled with a vacation. India, a country of continental proportions, has become a popular destination for foreign patients in recent times, particularly in dental care. India's accessibility and availability of quality assured and cost-eff ective dental treatment, amalgamated with its myriad hues of culture and heritage, has exponentially fostered the bloom of India in " dental tourism. " Steep costs, lack of health insurance and dental benefi ts are key factors pushing low-income western world families to obtain crosscountry dental care. Dental Tourism companies and corporate dental chains are increasingly advertising " all inclusive " travel packages that include dental procedures, hotel room reservations, side trips to tourist attractions, and airline tickets to lure international clients. The objective of this scientifi c communication was to explore and address the social, ethical, economic, and legal dimensions of dental tourism in India. With current governmental activities in full throttle, the tide of dental tourism defi nitely envisages to boost the economy of the Indian Republic manifold. The future is not near. It's here!

We would like to express certain concerns about this article

Lichen planus is a mucocutaneous disease that predominantly affects older patients and occurs les... more Lichen planus is a mucocutaneous disease that predominantly affects older patients and occurs less commonly in the pediatric population. This lesion is extremely rare in childhood, and only a few cases have been cited in literature. The treatment was initiated by psychological counseling of parents and the child. The patient was put on topical steroids (triamcinolone acetonide), multivitamins, and antioxidant therapy. A routine comprehensive dental treatment was done, and a regular follow-up was done every week for a period of 3-month. Outcome: At the end of 4 weeks, all lesions resolved and the child was put under follow-up regime for 6 months and no new lesions were detected.