Journal of South Asian Association of Pediatric Dentistry

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2019 | January-June | Volume 2 | Issue 1

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Gauri Kalra, Jatinder Dhillon, Vijay Prakash Mathur


[Year:2019] [Month:January-June] [Volume:2] [Number:1] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/jsaapd-2-1-iv  |  Open Access |  How to cite  | 



Shagun Agarwal, Saumya N Pandey, Suleman A Khan, Anshul Sharma

From Disharmony to Harmony: Management of Impacted Central Incisor with the Combined Surgical and Orthodontic Approach

[Year:2019] [Month:January-June] [Volume:2] [Number:1] [Pages:4] [Pages No:1 - 4]

Keywords: Impacted incisor, Orthodontic traction, Surgical exposure, Supernumerary tooth

   DOI: 10.5005/jp-journals-10077-3020  |  Open Access |  How to cite  | 


Introduction: Supernumerary teeth in the maxillary midline are common. Early detection of such teeth is important if pathological complications are to be avoided. Supernumerary teeth are the main cause of impaction of maxillary incisors. Impacted maxillary incisors can have a major impact leading to dentofacial malocclusion in an individual. Case report: In this reported case, the occlusal radiographic view of a 10-year-old boy revealed an impacted supernumerary tooth in the maxillary anterior region, which was interfering with the eruption of the permanent left central incisor. The impacted supernumerary tooth was surgically removed, and the impacted maxillary left central incisor was moved into its proper position with surgical exposure and orthodontic traction force, after which it showed excellent stability. Conclusion: Impaction of the maxillary permanent incisor is not a frequent case in pediatric dentistry, but its treatment is challenging because of the importance of these teeth in facial esthetics and developing child psychology.


Original Article

Srushti Vaidya, Seema Bargale, Bhavna Dave, Anshula Deshpande, Gaurav Chawda, Paridhi Shah

Assessment of Knowledge and Awareness Regarding Dental Home among Pediatric Residents in Vadodara City, Gujarat, India: A Cross-sectional Study

[Year:2019] [Month:January-June] [Volume:2] [Number:1] [Pages:5] [Pages No:5 - 9]

Keywords: Dental home, Pediatric residents, Primary care

   DOI: 10.5005/jp-journals-10077-3021  |  Open Access |  How to cite  | 


Introduction: The dental home is inclusive of all aspects of oral health that results from the interaction of the patient, parents, dentists, and pediatricians. Pediatricians being the first point of contact are considered to be in a unique position to diagnose oral diseases early and are expected to stay updated with the concept of dental home. Materials and methods: A cross-sectional survey study design was conducted among 60 pediatric residents in two medical institutes. A questionnaire comprising 12 questions was distributed and they were asked to fill the proforma. Descriptive statistical analysis was done. Results: One hundred percent samples favored promoting oral health and spread awareness about the concept of dental home. About 70% of the pediatric residents from a private university and 60% of the pediatric residents from a public university examined the oral cavity as a part of their routine oral examination. About 56.7% of the residents from a private university and 40% of the residents from a public university discussed about oral health with their parents. About 60% of the residents from a private university and 53.3% of the residents from a public university were aware of the presence of a dental home in their institutes. About 63.3% of the residents from a private university and 46.6% of the residents from a public university were aware of the ideal time to visit a dental home for the first time. Conclusion: Awareness of the presence of dental home was more in residents from a private university. Referral to the dental home was higher by private university residents. There exists a lack of knowledge and understanding regarding the concept of dental home among the pediatric residents of Vadodara city.


Original Article

Sakshi Bamba, Sanjay Chachra, Himanshu Duhan

A Questionnaire-based Study to Assess the Level of Awareness among Parents about Preventive Measures and its Relationship with Dental Health Status of 6–12 Years Old Children in Panchkula, Haryana, India

[Year:2019] [Month:January-June] [Volume:2] [Number:1] [Pages:4] [Pages No:10 - 13]

Keywords: DMFT/dmft, Oral health awareness, Parents, School-going children

   DOI: 10.5005/jp-journals-10077-3022  |  Open Access |  How to cite  | 


Background: Good oral health is important for the overall health and well-being of a child and is one of the building blocks for a disease-free life. Parent/caregiver plays a major role in a child's life, so their knowledge and attitude about oral health will have a great impact on the child's oral health. Objective: The objective of this study is to evaluate oral health awareness in parents of children aged 6-12 years in Panchkula and its relationship with the dental health status of their wards. Materials and methods: Two hundred parents of children aged 6-12 years with no systemic condition/pathology were included in the study. A comprehensive questionnaire with apparent validity was designed covering questions regarding views of parents for their children on oral health knowledge, caries prevention, and role of diet which was distributed to the parents. Data were statistically analyzed using SPSS 20. Results: The results showed that children of parents having unsatisfactory knowledge of oral health had higher decayed, missing, and filled teeth (DMFT/dmft) scores as compared to the children of parents having satisfactory knowledge of oral health. Conclusion: Education of parents regarding oral health is important in keeping their child's oral health in good condition.


Original Article

Kavita Dhinsa, Sonali Saha, Gaurav Singh, Gurpreet Dhinsa, Dhritanayana Das, Gauri K Yadav

Assessment and Comparison of Dental Anxiety by Measuring Physiological, Psychological and Immune Responses in Pediatric Patients Undergoing Noninvasive Dental Treatment

[Year:2019] [Month:January-June] [Volume:2] [Number:1] [Pages:8] [Pages No:14 - 21]

Keywords: Dental anxiety, Hemodynamic parameters, Salivary biomarkers, Stress

   DOI: 10.5005/jp-journals-10077-3023  |  Open Access |  How to cite  | 


Introduction: Pediatric dentistry has been associated with a lot of fear of pain and anxiety in children toward dental treatment. Therefore, the stress factor is higher in children visiting dentists, and this stress may increase or decrease in the subsequent visits depending on the treatment modality they are exposed to. Aim and objectives: The aim of this study is to assess and compare dental anxiety in pediatric patients during noninvasive dental treatment using salivary biomarkers (salivary cortisol, salivary ?-amylase, and salivary immunoglobulin A (IgA)) and hemodynamic parameters. Also, to test the correlation of dental anxiety with all the biomarkers using the Corah's Dental Anxiety Scale (CDAS). Study design: Saliva samples were collected from 60 children aged (6-12 years) with at least two or more carious lesions. The stimulated saliva samples were collected before and after treatment at the first and second appointments, respectively. Methodology: Cardiovascular and salivary parameters including oxygen saturation, pulse rate, salivary cortisol, amylase, and IgA were assessed and co-related with the CDAS using the pulse oximeter, enzymatic method for amylase, immunoturbitidy method for IgA, and ELISA kit for salivary cortisol estimation. Results: There was a marked increase in salivary cortisol and amylase levels in new patients, while returning patients showed even higher cortisol levels and lower amylase levels. Conclusion: Estimation of salivary biomarkers and hemodynamic parameters proved to be an effective measure for the estimation of dental anxiety in pediatric patients.



Heena Sarangal, Monika Rohilla, Saumil Mogre

Conservative Treatment of Dentigerous Cyst Favoring the Normal Eruption of the Involved Teeth

[Year:2019] [Month:January-June] [Volume:2] [Number:1] [Pages:3] [Pages No:22 - 24]

Keywords: Dentigerous cyst, Developmental cyst, Odontogenic cyst

   DOI: 10.5005/jp-journals-10077-3016  |  Open Access |  How to cite  | 


Dentigerous cyst is the most common developmental odontogenic cyst of the jaw, which apparently develops by the accumulation of fluid either between the reduced enamel epithelium and enamel or between the layers of the enamel organ. However, the mechanism of development of dentigerous cyst has unlit now remains unclear. Such cyst remains asymptomatic initially unless when infected. Management of dentigerous cyst in children needs special considerations because of the presence of developing permanent tooth buds. The purpose of this case report is to describe the diagnosis of dentigerous cyst in a 10-year-old boy that was developed around an unerupted mandibular first permanent premolar and to describe its management with marsupialization to allow the growing tooth associated with the cyst to continue eruption into the oral cavity.



Tarang C Arora, Deval Arora, Abhay M Tripathi, Sonali Saha, Kavita Dhinsa

Burkitt's Lymphoma—A Case Report

[Year:2019] [Month:January-June] [Volume:2] [Number:1] [Pages:4] [Pages No:25 - 28]

Keywords: Burkitt's lymphoma, Chemotherapy, Lymphoma, Non-Hodgkin's

   DOI: 10.5005/jp-journals-10077-3017  |  Open Access |  How to cite  | 


Introduction: Lymphomas are malignant neoplasms arising from lymphocytes B cell or T cell that affects mainly lymph nodes, spleen, and other nonhematopoietic tissues. They are classified as Hodgkin's lymphoma (HL) and non-Hodgkin's lymphoma (NHL). NHL is diagnosed in extranodal sites in 40% of cases, mainly in the head and the neck region, while HL is found in extranodal sites (1-4%) with a lower incidence. Though it is poorly differentiated, rare, and aggressive, but it is known to have the shortest doubling time creating special challenges for diagnosis and treatment. In the oral soft tissues, lesions can occur as hard and diffuse tumors involving oral vestibule, gums, and posterior region of the hard palate. The extent of disease at presentation is the most important prognostic factor in Burkitt's lymphoma. Management: Management modality includes chemotherapy as the mainstay of treatment for this disease; consultation with a hematologist and an oncologist should be obtained as soon as possible. Aim: The following case report depicts a rare case of a 9-year-old male child with an aggressive form of Burkitt-like (BL) lymphoma highlighting the diagnosis, dental management, precautions, and general and dental considerations to be kept in mind in such special patients with immunocompromised status and considerations in such immunocompromised patients.



Chaithra P Remadevi, Saravanakumar M Subramani, Anjana Gopalakrishnan, Muralikrishnan Balachandran

Anterior Dental Crossbite Correction: An Esthetic Makeover

[Year:2019] [Month:January-June] [Volume:2] [Number:1] [Pages:3] [Pages No:29 - 31]

Keywords: 2 × 4 appliance, Anterior crossbite, Expansion appliance, Malocclusion

   DOI: 10.5005/jp-journals-10077-3018  |  Open Access |  How to cite  | 


Anterior dental crossbite is commonly seen in children who have malocclusion. Early diagnosis and correction of anterior crossbite may prevent the adverse effects upon the growth and development of a child. Different techniques have been used to correct anterior crossbite in mixed dentition. The present case reports describe the successful management of anterior dental crossbite with removable and fixed appliances. These appliances can be used as an alternative technique for the management of anterior dental crossbite.



Aditi Garg, Ramanand Vignesh, Jatinder K Dhillon, Farrukh Faraz

Apert Syndrome: A Case Report

[Year:2019] [Month:January-June] [Volume:2] [Number:1] [Pages:3] [Pages No:32 - 34]

Keywords: Branchial arch, Craniosynostosis, Dysmorphic, Syndactyly

   DOI: 10.5005/jp-journals-10077-3019  |  Open Access |  How to cite  | 


Introduction: Apert syndrome is one of the rare forms of acrocephalosyndactyly, also characterized as the branchial arch syndrome, thereby affecting derivatives of the first and the second branchial arch. It represents autosomal dominant inheritance. It constitutes craniosynostosis, syndactyly of extremities, and dysmorphic facial features with significant oral manifestations. Case presentation: The presented case report emphasizes a 13-year-old female with a chief complaint of pain in left mandibular posterior tooth region. The patient was diagnosed with Apert syndrome at birth and presented with typical features such as craniosynostosis, syndactyly and dysmorphic facial features. The patient was active and playful and showed positive behavior towards dental treatment. Discussion: As the case represents rarity and similarity in features with other craniosynostosis syndromes such as Crouzon syndrome and Pfeiffer syndrome, it becomes a diagnostic dilemma. Thus, genetic counselling and early intervention form an essential part of treatment. As cases reported in Indian literature are deficient and typical features in the oral cavity are accustomed, a dentist should be acquainted with diagnosis and form a part of the multidisciplinary management team.


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