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Radicular cysts are one of the most common odontogenic cyst of the jaws. However, those arising from primary teeth are rare. An 8-year-old boy reported to the Department of Pedodontics and Preventive Dentistry with the chief complaint of pain and swelling on the lower left primary molar tooth region. Radiographic examination revealed a well-defined radiolucency with continuous hyperostotic border. Considering the age of the child, size of lesion, and involvement of unerupted premolars; marsupialization was preferred as a conservative treatment of choice. The success of the treatment was evident both clinically and radiographically during the follow-up period. [ABSTRACT FROM AUTHOR]

Background: Effective caries removal in pediatric dentistry is vital for reducing discomfort and maintaining oral health. Traditional methods like drilling can be invasive, prompting interest in alternatives such as the chemo-mechanical caries removal method. Aim: This study aimed to compare the efficacy, pain and satisfaction, treatment time, and microbiological outcomes of a sodium hypochlorite-based chemo-mechanical caries removal method (CarieMove® Gel) with conventional drilling in pediatric patients. Methods: A randomized controlled clinical trial involved 30 children aged 7-9 years with bilateral class 1 caries in first permanent molars, as per the International Caries Detection and Assessment System (ICDAS) No 4, with no pulp involvement. CarieMove® Gel was randomly applied to one side for caries removal, while the conventional drilling method was used on the other side. Caries removal efficacy, pain and satisfaction, caries excavation time and microbial presence before and after treatment were registered. Data were collected, and tabulated statically analyzed at a 5% significance level (p ≤0.05). Results: Comparative analysis showed similar overall efficacy between the chemo-mechanical and conventional methods, with no significant difference (p=0.083). Pain and patient satisfaction pain perception were significantly higher with the chemo-mechanical method (p<0.001), despite a longer treatment time (p<0.001). Microbiological evaluations revealed no significant difference in bacterial count between both methods (p=0.893). Conclusion: This study highlighted the efficacy and acceptability of CarieMove® Gel as a promising alternative to traditional drilling for caries removal in pediatric patients. While both methods were effective, CarieMove® Gel resulted in a higher patient satisfaction. Although treatment time was slightly longer, the increased comfort and positive experiences suggest its value for young children. [ABSTRACT FROM AUTHOR]

Acquaintance with the behavior of children in dental office setting is highly important in treatment success. People with different blood groups often have different behaviors. Thus, the blood group may aid in prediction of behavior of pediatric dental patients. This study is aimed at assessing the relationship of the blood group with level of cooperation of pediatric dental patients. This cross-sectional study was conducted on 130 children between 4 and 6 years of age. The blood group of children was recorded according to their identification card or by collecting an intraoral blood sample during pulpotomy and using the respective kit. To assess the level of cooperation of children, their behavior was videotaped during the procedure, and the videos were assessed by two pedodontists. The behavior of children was scored according to the Venham scale. Data were analyzed by SPSS 26 and Chi-square, Fisher's exact test, and Mann–Whitney U test. The blood group was A in 35.7%, B in 5.8%, AB in 3.2%, and O in 53.5%. Children with blood group O had maximum cooperation (52.6) while those with blood group B had minimum cooperation. Pairwise comparisons of the groups regarding the Venham scale revealed significant differences between blood groups A and B (P = 0.0001) and also B and O (P = 0.005). Pairwise comparisons of the groups regarding the level of cooperation also revealed significant differences between blood groups A and B (P = 0.0001) and B and O (P = 0.019). Blood group B may be correlated with certain behavioral traits such as dental fear and anxiety and the resultant poor cooperation. [ABSTRACT FROM AUTHOR]

Background: The stainless steel crowns (SSCs) placed using the Hall technique disrupt the occlusion, but stabilization appears to occur within a short period post‐placement. Negligible understanding and comprehension is presently handy about the changes in overbite and bite force after placement of stainless steel crown using the Hall technique in children. Aim/Hypothesis: To evaluate the digital occlusal analysis of vertical dimension and maximum intercuspal position to understand the changes in overbite and bite force after placement of stainless steel crown using the Hall technique. Design: Twenty children who needed treatment for the carious tooth with decay extending to enamel and dentin and multisurface caries were managed using the Hall technique. Following that, overbite measurement for vertical dimension was carried out clinically using digital vernier calipers. Later, the T‐Scan III was used for measuring occlusal load at the maximum intercuspal position. The bite force and occlusal premature contacts were digitally analysed and recorded pre‐operatively, immediately after placement of SSC and after 1 month follow‐up period. Results: A significant result in the vertical dimension, bite force on crowned tooth, and significant reduction in the prematurities were seen from baseline to one‐month follow‐up. Conclusion: There was an occlusal re‐equilibration attained after 1 month. [ABSTRACT FROM AUTHOR]

Background: Dental anxiety is a term used to describe fear or stress in a dental setting which a pedodontist has to face routinely. Studies have shown that genetics of blood group plays an important role in human behavior. The genes which code for ABO blood group system are also responsible for the activity of certain neurotransmitters like dopamine. The aim of this study was to assess the correlation between dental anxiety and different blood groups in children. Materials and Methods: The study included 80 healthy children of age 6–12 years requiring Class I and Class II cavity restorations. Dental anxiety was measured using the Animated Emoji Scale during the procedure. Data regarding the blood group of patients were collected using past medical records from parents or guardians. Results: The results showed that the mean dental anxiety score was highest in blood Group AB (3.60), followed by B (2.48), O (2.19), and A (2.00) which was statistically significant. No statistically significant results were found in terms of gender and Rh factor. Conclusion: Dental anxiety scores show a correlation with blood groups. [ABSTRACT FROM AUTHOR]

Root canal therapy success in deciduous teethis achieved by meticulous removal of debris and necrotic tissue.Anatomy and root resorption increasethe complexity of the primary root canal system during instrumentation. Also, the formation of smear layer during instrumentation of root canal hinders the cleaning and shaping of root canal system. These are the major hindrance in complete eradication of bacteria while performing cleaning & shaping of root canal systems. The use of irrigants in root canalalong with mechanical instrumentation is very effective during procedure of cleaning and shaping in endodontic treatment. The irrigants that are most routinely used include saline, sodium hypochlorite, EDTA, chlorhexidine and MTAD. None of the irrigants alone fulfill the ideal requirements for optimal activity. Various studies have shown that anirrigating solution when used in a particular sequence is better in attaining optimal irrigation. The purpose of this article is to study the effectiveness & correlation among various available root canal irrigants used in pediatric dentistry. [ABSTRACT FROM AUTHOR]

Chemomechanical caries removal is an excellent method for minimally invasive caries excavation, and the removal agents are either sodium hypochlorite (Na OCl)- or enzyme-based. The Na OCl-based agents include GK-101, GK-101E (Caridex) and Carisolv, and the enzyme-based agents include Papacarie and the experimental material, Biosolv. This review outlines the changes in chemomechanical caries removal methods and focuses on recently published laboratory and clinical studies. The historical development, mechanism of action, excavation time and biological effects on pulp and dental hard tissues are described. Based on existing evidence, the currently available chemomechanical caries removal methods are viable alternatives to conventional rotary instrument methods. Chemomechanical methods could be extremely useful in very anxious, disabled and paediatric patients. It does seem some of these agents would still benefit from quicker excavation times in order to achieve more universal acceptance. However, as a means of conserving the caries-affected dentine, chemomechanical caries removal is possibly much more successful than conventional rotary instrumentation. [ABSTRACT FROM AUTHOR]