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Atif M, Tewari N, Saji S, Srivastav S, Rahul M. Effectiveness of various methods of educating children and adolescents for the maintenance of oral health: A systematic review of randomized controlled trials. Int J Paediatr Dent 2024; 34:229-245. [PMID: 37840214 DOI: 10.1111/ipd.13125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 08/08/2023] [Accepted: 09/13/2023] [Indexed: 10/17/2023]
Abstract
BACKGROUND School-based oral health education has emerged as one of the most effective methods to instill a positive attitude toward oral health in children. AIM This systematic review (SR) aimed to assess the effectiveness of different methods of oral health education in children and adolescents. DESIGN Systematic search was conducted in PubMed, Cochrane, Web of Science, LILACS, Scopus, and EMBASE on January 29, 2023. Review included only randomized controlled trials (RCTs), and their risk of bias (ROB) was assessed by Cochrane RoB-2. Data were extracted and analyzed by expert group. The GRADE approach was used to assess the quality of evidence for each outcome. Every step was conducted in duplicate, and disagreements were resolved by consulting the third reviewer. RESULTS The SR included 10 RCTs with majority showing a high ROB. They included 12 methods with the commonest being the use of leaflets/flash cards. Most interventions were effective in improving oral hygiene, gingival health, and knowledge except conventional teaching methods, lecture by using PowerPoint by dentists, and e-learning interventions. The grade of evidence in the majority of outcomes was found to be low or very low. CONCLUSION Interventions using the interactive methods such as games, motivational-experiential learning, and audiovisual methods were found to be more effective than controls and other interventions. Variabilities in study methods and outcome variables must be addressed in the future.
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Affiliation(s)
- Mohammad Atif
- Division of Pediatric and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Division of Pediatric and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India
| | - Seba Saji
- Division of Pediatric and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India
| | - Sukeshana Srivastav
- Division of Pediatric and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India
- Department of Dentistry and Oral Health, Section of Orthodontics, Aarhus University, Aarhus, Denmark
| | - Morankar Rahul
- Division of Pediatric and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India
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Tewari N, Cehreli Z, Haldar P, Atif M, Alani A, Rahul M. The risk of bonded fragment loss in crown-fractured anterior teeth managed by fragment reattachment: a systematic review and meta-analysis. Evid Based Dent 2024:10.1038/s41432-024-01003-9. [PMID: 38609648 DOI: 10.1038/s41432-024-01003-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Revised: 03/15/2024] [Accepted: 03/25/2024] [Indexed: 04/14/2024]
Abstract
PURPOSE To identify the factors affecting the risk of bonded fragment loss in crown-fractured anterior teeth managed by fragment reattachment. METHODS The study protocol followed the best practices of evidence-based medicine and was registered in PROSPERO. A comprehensive literature search was performed electronically in six databases (PubMed, Embase, SCOPUS, Web-of-Science, Lilacs, and Cochrane) on 18-09-2023. It was saved in EndNote-online and duplicates were removed. Selection of articles was performed in two stages, followed by data-extraction, risk of bias assessment, data-analysis, and meta-analysis. The quality of evidence for the outcomes was assessed by the GRADE-approach. RESULTS The study included six articles that had similar selection protocols with variations in duration from trauma to treatment and the observation period. Only one study employed pre-attachment fragment preparation and three performed post-attachment reinforcements. Overall loss of fragment was 20% (95%CI-13,30%). When the risk ratio for loss of restoration or fragment was compared, it was found to be 2.21 (95%CI-1.52,3.21) in uncomplicated crown fractures, 2.54 (95%CI-1.35,4.79) in complicated crown fractures. The risk of bias was found to be low in two and moderate in four studies. Grade of evidence for all the outcomes was very low. CONCLUSION Fragment loss was lowest in uncomplicated crown fractures where reinforcement had been performed, and highest when bonding was done in complicated crown fractures without reinforcement. The risk of fragment loss was higher than the loss of composite restorations.
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Affiliation(s)
- Nitesh Tewari
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
| | - Zafer Cehreli
- Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Partha Haldar
- Centre of Community Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Mohammad Atif
- Department of Pediatric Dentistry, ZA Ahmed Dental College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
| | - Aws Alani
- Department of Restorative Dentistry, Kings College London, London, UK
| | - Morankar Rahul
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Ravi M, Tewari N, Atif M, Srivastav S, Shrivastava N, Rahul M. Comparative assessment of scientific reach and utilization of the International Association of Dental Traumatology 2020 guidelines: An altmetric and citation analysis. Dent Traumatol 2024; 40:229-237. [PMID: 37775956 DOI: 10.1111/edt.12893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Revised: 09/14/2023] [Accepted: 09/14/2023] [Indexed: 10/01/2023]
Abstract
BACKGROUND/AIM The updated version of the International Association of Dental Traumatology (IADT) guidelines was published online in May 2020 in the form of four papers. They are extensively used in dental trauma education in textbooks, undergraduate and postgraduate programs, and clinical workshops. Hence, this study aimed to assess the impact, global scientific reach, and utilization of these guidelines through altmetric and citation analysis. MATERIAL AND METHODS The protocol was prepared after an expert group discussion. Dimensions database was used to derive the altmetric and citation data on April 10th, 2023. The data was extracted by using a self-designed pre-piloted form by two authors independently. The citing articles were further categorized into the type of study and the domains and subdomains of dental traumatology. The VOSviewer program was utilized to explore the correlation between the subdomains and the overlap of citations was assessed by creating a citation matrix. RESULTS A total of 552 citations had been collectively received by the four papers. The highest was seen for the guidelines for fracture and luxation in permanent teeth (FL), avulsion in permanent teeth (AV), general introduction (GI), and primary teeth (PT). Dental Traumatology had the maximum number of citing papers for each guideline. They were from 52 countries with English being the commonest language. Overall, the maximum number of citations had been received in narrative reviews (n = 104) and the majority of cited papers were categorized in the therapeutic domains. The most common subdomain for the papers that cited GI, FL, and AV was "treatment protocols in permanent teeth", while it was "awareness of prevention and emergency management of traumatic dental injuries" for the papers that had cited PT. CONCLUSIONS This analysis highlighted that the IADT 2020 guidelines are globally popular resources, which are widely used by the researchers across specialities and are intended towards clinical application.
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Affiliation(s)
- Mugilan Ravi
- Department of Paediatric Dentistry, All India Institute of Medical Sciences, Raipur, India
| | - Nitesh Tewari
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Mohammad Atif
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Sukeshana Srivastav
- Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Nikhil Shrivastava
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Rahul M, Atif M, Ganguly S, Pushpam D, Sahni S, Tewari N, Mathur VP, Bakhshi S. Response to comment on long-term effects of chemotherapy and radiation received during early childhood on the developing dentition of pediatric cancer patients. Spec Care Dentist 2024; 44:608-610. [PMID: 37296506 DOI: 10.1111/scd.12891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 05/31/2023] [Indexed: 06/12/2023]
Affiliation(s)
- Morankar Rahul
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences, New Delhi, India
| | - Mohammad Atif
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences, New Delhi, India
| | - Shuvadeep Ganguly
- Department of Medical Oncology, Dr. B.R.A. IRCH, AIIMS, New Delhi, India
| | - Deepam Pushpam
- Department of Medical Oncology, Dr. B.R.A. IRCH, AIIMS, New Delhi, India
| | - Shubham Sahni
- Department of Medical Oncology, Dr. B.R.A. IRCH, AIIMS, New Delhi, India
| | - Nitesh Tewari
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences, New Delhi, India
| | - Sameer Bakhshi
- Department of Medical Oncology, Dr. B.R.A. IRCH, AIIMS, New Delhi, India
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Tupper A, Devi K P, Rahul M, Tewari N. Dentofacial manifestations of a Paediatric patient with Goltz-Gorlin Syndrome. BMJ Case Rep 2024; 17:e257659. [PMID: 38355206 PMCID: PMC10868244 DOI: 10.1136/bcr-2023-257659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2024] Open
Abstract
Goltz-Gorlin syndrome is a rare X-linked inherited disorder associated with PORCN (porcupine homolog-Drosophila) gene mutation. It primarily affects the skin and its appendages. The characteristic cutaneous features include a blaschko-linear pattern, skin atrophy, pigmentary changes, and telangiectasia. The oral manifestations have been reported in more than half of the affected individuals. The most common oral findings include enamel hypoplasia, hypodontia, supernumerary teeth, microdontia, vertical grooving of the teeth, taurodontism, fusion, and abnormal root morphology reported in sporadic cases. The objective of this case report is to describe the dentofacial characteristics of a middle childhood aged girl with Goltz-Gorlin syndrome.
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Affiliation(s)
- Anku Tupper
- Pediatric and Preventive Dentistry, All India Institute of Medical Sciences, Delhi, New Delhi, India
| | - Pavithra Devi K
- Pediatric and Preventive Dentistry, All India Institute of Medical Sciences, Delhi, New Delhi, India
| | - Morankar Rahul
- Pediatric and Preventive Dentistry, All India Institute of Medical Sciences, Delhi, New Delhi, India
| | - Nitesh Tewari
- Pediatric and Preventive Dentistry, All India Institute of Medical Sciences, Delhi, New Delhi, India
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Devi K P, Tewari N, O'Connell A, Srivastav S, Rajeswary A, Upadhyay AD, Haldar P, Rahul M, Mathur VP, Bansal K. Risk factors associated with traumatic dental injuries in individuals with special healthcare needs-A systematic review and meta-analysis. Dent Traumatol 2024; 40:91-110. [PMID: 37638637 DOI: 10.1111/edt.12882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 07/28/2023] [Accepted: 07/28/2023] [Indexed: 08/29/2023]
Abstract
BACKGROUND/AIM Individuals with special healthcare needs (SHCN) are more likely to sustain traumatic dental injuries (TDIs) due to distinct risk factors. The aim of this review was to assess various risk factors associated with TDIs in individuals with SHCN. MATERIALS AND METHODS The protocol was designed according to the recommendations of the Cochrane-handbook, Joanna Briggs Institute, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered in PROSPERO (CRD42022357422). A comprehensive search was performed in PubMed, LILACS, Web of Science, EMBASE and Scopus using a pre-defined strategy without any limitation of language and year of publication. It was last updated on 25 April 2023. Studies addressing the TDIs in individuals with SHCN were included. Data extraction and analyses were performed, risk of bias (ROB) assessment was done using the Joanna Briggs Institute's critical appraisal tool, and a meta-analysis was performed using random-effects model. RESULTS A total of 21 studies were included in the review. They were categorized according to the target disease/condition: cerebral palsy (n = 5), ADHD and autism spectrum disorders (n = 5), visually impaired (n = 4), and multiple disorders (n = 7). The studies showed variability in the design and methods; however, 17 out of 21 studies showed moderate to low ROB. Increased overjet and lip incompetence were the main risk factors reported in the studies. The commonest injuries were observed to be enamel and enamel and dentine fractures. CONCLUSION The overall pooled prevalence of TDI in individuals with special healthcare needs was 23.16% with 20.98% in males and 27.06% in females. Overjet >3 mm and inadequate lip coverage were found to be associated with a higher risk of TDI in all the categories of individuals with special healthcare needs except ADHD and ASD. Falls at home in cerebral palsy, falls while walking and self-harm in ADHD and ASD, falls at home and collision in visual impairment, and unspecified falls in multiple disorders could be identified as the most common cause of TDI.
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Affiliation(s)
- Pavithra Devi K
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Anne O'Connell
- Paediatric Dentistry, Dublin Dental University Hospital, Trinity College (University of Dublin), Dublin, Ireland
| | - Sukeshana Srivastav
- Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Amritha Rajeswary
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Ashish Dutt Upadhyay
- Clinical Research Unit, All India Institute of Medical Sciences, New Delhi, India
| | - Partha Haldar
- Centre of Community Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Kalpana Bansal
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Atif M, Sharma S, Tewari N, Rahul M, Mathur VP, Bansal K. Effect of wire diameter and extent of wire composite splint on the mobility of luxated and anchor primary teeth: A typodont study. Dent Traumatol 2024. [PMID: 38270265 DOI: 10.1111/edt.12936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 12/29/2023] [Accepted: 01/10/2024] [Indexed: 01/26/2024]
Abstract
BACKGROUND/AIMS The recommendations for splinting are well established for the injuries of permanent dentition; however, ambiguity still exists for the injuries in primary dentition. Hence, this study aimed to determine the most appropriate dimensions of stainless steel wire and its extent, for achieving the physiologic mobility in primary dentition. MATERIAL AND METHODS This study was designed as an in vitro experiment by using a typodont model of primary dentition. The baseline mobility of primary maxillary incisors was calibrated to the physiologic mobility of natural primary incisors by using a Teflon tape wrapped around the roots of resin teeth. Splinting was done using a stainless steel wire of 0.2 mm (Group I), 0.3 mm (Group II), and 0.4 mm (Group III). These groups were subdivided (a, b, and c) on the basis of the extent of the splint, and pre splint mobility (Pre-PV) and post-splint mobility (Post-PV) were tested by Periotest M. The splint effect was calculated by subtracting Post-PVs and Pre-PVs. RESULTS The normal values of mobility in healthy human volunteers ranged from 10.5 to 13. The overall splint effect was higher in Group III irrespective of the extent of the splint, whereas it was found to be the lowest in Group I (b and c). The splint effect increased with the extent of the splint in all the groups. Among all the groups, the splint effect on the anchor teeth was observed to increase with the extent of the splint and the diameter of the wire. CONCLUSION The mobility of the injured and anchor teeth splinted with 0.2-mm stainless steel wire was similar to the pre-splint and physiologic mobility. The most favorable extension was one tooth adjacent to the injured tooth on each side for both 0.2- and 0.3-mm wires.
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Affiliation(s)
- Mohammad Atif
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Saurabh Sharma
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Kalpana Bansal
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Lokade A, Rahul M, Mishra D, Jot K, Shrivastava N, Tewari N, Bansal K, Mathur VP. Anatomical and Histological Characteristics of Prematurely Erupted Teeth in Newborns. J Dent Child (Chic) 2023; 90:147-151. [PMID: 38123927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2023]
Abstract
Purpose: To assess the characteristics of dental hard and soft tissue structures of prematurely erupted teeth in newborns. Methods: Extracted natal and neonatal teeth were assessed in ground sections for evaluation of enamel, dentin, dentino-enamel junction and cementoenamel junction. Soft tissue harvested was histologically analyzed for cellularity, vascularity and other characteristics of the dental pulp. Results: This study included 15 teeth from nine neonates, of which seven erupted at birth, eight erupted within the first month of birth. All erupted in the mandibular anterior region. The demineralized ground section revealed enamel cracks, a straight dentinoenamel junction, and S-shaped dentinal tubules along with the enamel lamellae, and enamel spindle. None of the samples showed enamel tuft or cementum. Histology of soft tissue revealed enhanced cellularity, vascularity without any fibrosis, calcification and inflammation when compared with the young healthy pulp in permanent teeth. Conclusion: The prematurely erupted teeth in newborns were almost exclusively rootless and exhibited the characteristic anatomical findings pertaining to enamel, dentin, dentinoenamel junction and cementoenamel junction. The histology of their dental pulp was characterized by increased cellularity and vascularity compared.
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Affiliation(s)
- Amolkumar Lokade
- Research Officer, Department of Pediatric and Preventive Dentistry, India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Assistant Professor, Department of Pediatric and Preventive Dentistry, India Institute of Medical Sciences, New Delhi, India
| | - Deepika Mishra
- Additional Professor, Centre for Dental Education and Research, India Institute of Medical Sciences, New Delhi, India
| | - Kiran Jot
- Resident, Department of Oral Pathology, Centre for Dental Education and Research, India Institute of Medical Sciences, New Delhi, India
| | - Nikhil Shrivastava
- Resident, Department of Pediatric and Preventive Dentistry, India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Additional Professors, Department of Pediatric and Preventive Dentistry, India Institute of Medical Sciences, New Delhi, India
| | - Kalpana Bansal
- Additional Professors, Department of Pediatric and Preventive Dentistry, India Institute of Medical Sciences, New Delhi, India
| | - Vijay P Mathur
- Professor and Head, Department of Pediatric and Preventive Dentistry, India Institute of Medical Sciences, New Delhi, India
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Mathur VP, Duggal I, Atif M, Tewari N, Rahul M, Duggal R, Chawla A. Development and validation of risk of bias tool for the use of finite element analysis in dentistry (ROBFEAD). Comput Methods Biomech Biomed Engin 2023; 26:1822-1833. [PMID: 36475384 DOI: 10.1080/10255842.2022.2148465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 11/13/2022] [Indexed: 12/12/2022]
Abstract
There has been a systematic review of studies that used FEA in dental sciences, but no adequate risk of bias (RoB) analysis technique has been developed. Therefore, the development and validation process of RoB in studies using the finite element analysis in dentistry (ROBFEAD) tool is described. In the first phase of development, the scope of the tool and possible modifications were covered, and validation was done in the second phase. The developed tool comprised 6 domains and a total of 22 guiding questions in these domains. This article proposes the development and validation of ROBFEAD, a tool for measuring RoB in finite element research in dentistry.
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Affiliation(s)
- Vijay Prakash Mathur
- Pediatrics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Isha Duggal
- Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Mohammad Atif
- Pediatrics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Pediatrics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Pediatrics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Ritu Duggal
- Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Anoop Chawla
- Department of Mechanical Engineering, Indian Institute of Technology, New Delhi
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Asaithambi R, Devi P, Pamei D, Rahul M, Tewari N, Bansal K, Mathur VP. A Critical Analysis of "Two-Year Outcomes of Coronal Pulpotomy in Young Permanent Molars with Clinical Signs Indicative of Irreversible Pulpitis ". Pediatr Dent 2023; 45:374-375. [PMID: 37904268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2023]
Affiliation(s)
- Rathika Asaithambi
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute Of Medical Science (AIIMS), New Delhi, Delhi, India
| | - Pavithra Devi
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute Of Medical Science (AIIMS), New Delhi, Delhi, India
| | - Dammuilung Pamei
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute Of Medical Science (AIIMS), New Delhi, Delhi, India
| | - Morankar Rahul
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute Of Medical Science (AIIMS), New Delhi, Delhi, India
| | - Nitesh Tewari
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute Of Medical Science (AIIMS), New Delhi, Delhi, India
| | - Kalpana Bansal
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute Of Medical Science (AIIMS), New Delhi, Delhi, India
| | - Vijay Prakash Mathur
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute Of Medical Science (AIIMS), New Delhi, Delhi, India
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Tewari N, Saji S, Goel S, Srivastav S, Alani A, Mathur VP, Rahul M, Bansal K. Prevalence of sports-related traumatic orofacial and dental injuries in Asian countries: a systematic review and meta-analysis. J Sports Med Phys Fitness 2023; 63:982-994. [PMID: 37314438 DOI: 10.23736/s0022-4707.23.14915-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
INTRODUCTION The head and face, due to their prominent positions, are at risk of intentional and unintentional injuries in the majority of competitive sports. There are regional preferences for sports and differences in infrastructural facilities. The majority of the recommendations for sports have been based on the studies conducted in the western world. Hence, this systematic review aimed to estimate the prevalence of sports-related orofacial and dental injuries in professional-sportspersons living in Asian countries. EVIDENCE ACQUISITION A protocol was prepared as per the best practices of evidence-based medicine and registered (PROSPERO-CRD42021252488). Search strategy was based on the research question and conducted in six databases using text words and MeSH terms. Scrutiny of title and abstracts and later full-texts were done as per eligibility criteria. Data extraction was done using a pre-piloted sheet and the risk of bias (ROB) was assessed. Qualitative synthesis and meta-analyses were performed and the strength of evidence was assessed by using GRADE-approach. EVIDENCE SYNTHESIS Twenty-three studies published between 1998 to 2021 and from nine countries were included. The highest numbers were from Türkiye (N.=7). The total number of professional sportspersons assessed in all the included studies was 14,457. The highest prevalence of orofacial and dental injuries observed was 66.18% and the highest prevalence of dental injuries was 39.81%. Low risk of bias was seen only in four studies. The changes were observed during the sensitivity analysis with all the meta-analyses showing significant publication bias and heterogeneity. CONCLUSIONS The pooled prevalence of the combined orofacial and dental injuries was found to be 40.6%, while that of orofacial injury was 17.1% and dental injuries was 15.9%. There were 23 studies included in this review which covered 27 different sports from nine Asian countries. A high level of heterogeneity and the high ROB were observed in the majority of the studies. Further studies on the basis of the recommendations provided in the systematic review will improve the quality of evidence in this area in future.
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Affiliation(s)
- Nitesh Tewari
- Department of Pediatric and Preventive Dentistry, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India -
| | - Seba Saji
- Department of Pediatric and Preventive Dentistry, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Shubhi Goel
- Department of Pediatric and Preventive Dentistry, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Sukeshana Srivastav
- Department of Pediatric and Preventive Dentistry, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Aws Alani
- Section of Restorative Dentistry, Kings College London, London, UK
| | - Vijay P Mathur
- Department of Pediatric and Preventive Dentistry, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Department of Pediatric and Preventive Dentistry, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Kalpana Bansal
- Department of Pediatric and Preventive Dentistry, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Atif M, Tewari N, Mathur VP, Bansal K, Rahul M. Effect of 940 nm diode laser irradiation and dentin bonding agent on permeability of furcation area in primary molars. Indian J Dent Res 2023; 34:284-288. [PMID: 38197348 DOI: 10.4103/ijdr.ijdr_731_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2024] Open
Abstract
Purpose Multiple accessory canals make furcation area of primary molars the most common port of entry of bacterial endotoxins to periradicular area. Reduction in permeability can improve prognosis of these teeth. Therefore, this study was designed to compare the effect of 940 nm diode laser and dentin bonding agent on the dye penetration of furcation area in primary molars. Material and Methods Thirty teeth were divided into three groups, that is, Group 1 (control group), Group 2 (dentin bonding agent applied over floor of pulp chamber), and Group 3 (diode laser irradiated over floor of pulp chamber). The samples were prepared and seven from each group were tested by dye penetration and three were sent for scanning electron microscopy. Rise in temperature in the perifurcal area was also recorded at the time of laser irradiation. Dunn's pair-wise comparison analysis was used for the analysis for the difference in dye penetration among the group. Results : The maximum rise in temperature recorded postirradiation was 6.90C. Dye penetration was significantly reduced in Group 2 Dentin bonding group (DBG) as compared to control group (P = 0.0025). Reduction in permeability was observed in Group 3 Laser group (LG) but this was not statistically significant (P = 0.197). Scanning electron microscope revealed open dentinal tubules in Group 1. There were no open dentinal tubules in Group 2, while Group 3 had sealed dentinal tubules with glass-like surface over the region. Conclusion Dentin bonding agent led to substantial decrease in dye penetration of furcation area of primary molars. This method should be evaluated clinically to improve successful pulpectomy procedures of primary molars.
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Affiliation(s)
- Mohammad Atif
- Department of Pediatrics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Department of Pediatrics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay P Mathur
- Department of Pediatrics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Kalpana Bansal
- Department of Pediatrics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Department of Pediatrics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Tewari N, Goel S, Srivastav S, Mathur VP, Rahul M, Haldar P, Ritwik P, Bansal K. Global status of knowledge of parents for emergency management of traumatic dental injuries: a systematic review and meta-analysis. Evid Based Dent 2023; 24:91. [PMID: 37188922 PMCID: PMC10184085 DOI: 10.1038/s41432-023-00883-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Accepted: 01/26/2023] [Indexed: 05/17/2023]
Abstract
RESEARCH PROTOCOL The protocol was developed as per the recommendations of the Cochrane-handbook and PRISMA and was registered in PROSPERO. LITERATURE SEARCH Search was performed by using MeSH-Terms and keywords in PubMed, Scopus, Embase, Web of Sciences, Lilacs, and Cochrane databases and gray literature sources 15th July 2022. There were no limits regarding the year of publication and language. Hand-searching of included articles was also performed. Titles and abstracts and later full texts were screened as per strict inclusion and exclusion criteria. DATA EXTRACTION Self-designed pilot-tested form was used. QUALITY APPRAISAL Risk of bias was analyzed through Joanna-Brigg's-Institute's-critical appraisal checklist. The evidence analysis was done by using the GRADE approach. DATA ANALYSIS Qualitative synthesis was performed for describing the study characteristics, details of sampling, and results of various questionnaires. It was discussed by the expert group and presented using KAP heat map. Meta-analysis was done by using Random Effects Model. RESULTS AND INTERPRETATION The risk of bias was found to be low in seven and moderate in one study. It was observed that >50% of parents knew about the urgency to seek professional advice after TDI. Only <50% of parents were confident of their ability to identify the injured tooth, clean the soiled avulsed tooth, and perform the replantation. Appropriate responses regarding immediate action after tooth avulsion were given by 54.5% (95% CI: 50.2-58.8, p = 0.042) of parents. The knowledge of the parents regarding the emergency management of TDI was found to be inadequate. The majority of them were interested in obtaining information about dental trauma first aid.
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Affiliation(s)
- Nitesh Tewari
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
| | - Shubhi Goel
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
- Public Health Dentistry, Pt BD Sharma Post Graduate Institute of Dental Sciences, Rohtak, India
| | - Sukeshana Srivastav
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
- Orthodontics, Aarhus University, Aarhus, Denmark
| | - Vijay Prakash Mathur
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Partha Haldar
- Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Priyanshi Ritwik
- University of Texas Houston School of Dentistry, Houston, TX, USA
| | - Kalpana Bansal
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Chaurasia B, Tewari N, Mathur VP, Nag TC, Yadav SC, Rahul M, Mishra D, Bansal K. Evaluation of two rehydration protocols for fractured tooth fragments for characteristics of penetration of resin tags using confocal laser scanning microscopy. Dent Traumatol 2023; 39:157-164. [PMID: 36409272 DOI: 10.1111/edt.12807] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 10/22/2022] [Accepted: 10/25/2022] [Indexed: 11/23/2022]
Abstract
BACKGROUND Fragment reattachment is the recommended treatment modality in uncomplicated crown fractures. There is a paucity of literature regarding the mechanisms responsible for increased resistance to fracture after fragment rehydration in such cases. Hence, the aim of this proof-of-concept study was to decipher the microscopic changes in the penetration characteristics of resin in tooth fragments after different rehydration protocols. MATERIAL AND METHODS Sixty bovine incisors free of structural deformities were fractured as per a standard protocol and the fragments were stored in saline at 4°C. They were randomly allocated into three groups (n = 20)-Group 1: negative-control, no-rehydration, Group 2: rehydration by immersion in distilled water for 15 min, Group 3: rehydration by humidification for 15 min. They were subjected to the "experimental bonding protocol" using an eighth-generation bonding agent mixed with rhodamine-B dye. The samples were subjected to decalcification and sectioned into cubical blocks (2 × 2 × 2 mm3 ). They were embedded in paraffin wax, sectioned by an ultramicrotome and evaluated by using a confocal laser scanning microscope. The depths and width of the resin tags were assessed by image analysis software, and the number of tags was counted manually by blinded evaluators. Statistical analysis was done with Stata-14. RESULTS The depth of penetration of the resin tags was greatest in Group 2 (927.81 ± 280.38 μm) followed by Group 3 (902.03 ± 371.85 μm) and Group 1 (287.74 ± 124.80 μm). Similarly, the width of the penetrated resin tags was greatest in Group 2 (58.29 ± 21.15), followed by Group 3 (35.53 ± 22.15) and Group 1 (23.89 ± 6.88). The number of resin tags in the majority of the samples in Group 1 had less than 25 tags (65%), whereas there were more than 25 tags in Group 2 (70%) and Group 3 (75%). These differences were statistically significant (p < .05). CONCLUSION The resin penetration, as observed by the number of tags and their depth and width, was significantly affected by the rehydration of the fragments. The fragments rehydrated in the distilled water had greater penetration of resin tags than those rehydrated in a humidification chamber.
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Affiliation(s)
- Bikash Chaurasia
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Tapas Chandra Nag
- Electron Microscope Facility, SAIF, Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India
| | - Subhash Chandra Yadav
- Electron Microscope Facility, SAIF, Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Deepika Mishra
- Oral Pathology and Microbiology, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Kalpana Bansal
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Tewari N, Mathur VP, Goel S, Rahul M, Srivastav S, Sultan F, Haldar P, Ritwik P. Does dental trauma have impact on the oral health-related quality of life of children and adolescents? Evid Based Dent 2023; 24:41. [PMID: 36878983 DOI: 10.1038/s41432-023-00849-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Accepted: 04/28/2022] [Indexed: 03/08/2023]
Abstract
RESEARCH QUESTION Does dental trauma have impact on the oral health-related quality of life of children and adolescents? RESEARCH PROTOCOL Protocol was designed as per the best practices of evidence-based medicine, guidelines for umbrella reviews and registered in PROSPERO. LITERATURE SEARCH PubMed, Scopus, Embase, Web of Sciences and Lilacs were searched for studies meeting the inclusion criteria from start of databases to 15th July 2021. Grey literature and registries of systematic review protocols were also searched. Hand searching of the references of included articles was also performed. The literature search was updated on 15th October 2021. Scrutiny of the titles and abstracts and later full text was done as per the inclusion and exclusion criteria. DATA EXTRACTION Self-designed pre-piloted form was used by two reviewers. QUALITY APPRAISAL AMSTAR-2 was used to assess the quality of systematic reviews, PRISMA was used to check reporting-characteristics and citation-matrix was used to evaluate study-overlap. Quality of evidence was assessed by using Kohler's-criteria. DATA ANALYSIS Qualitative synthesis was performed for describing the study characteristics, details of sampling and the tool of OHRQoL used. The meta-analytic data was used for evaluating the evidence and its strength for each of the outcomes. RESULTS AND INTERPRETATION A significant impact of all types of TDI on OHRQoL in children and adolescents was observed. The effect of uncomplicated TDI on OHRQoL in children and all ages showed no difference from controls. Though the quality of evidence in these interpretations was weak.
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Affiliation(s)
- Nitesh Tewari
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
| | - Vijay P Mathur
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Shubhi Goel
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | | | - Farheen Sultan
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Partha Haldar
- Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Priyanshi Ritwik
- University of Texas Houston School of Dentistry, Houston, TX, USA
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Tewari N, Saji S, Srivastav S, Alani A, Mathur VP, Rahul M. Sports-Related Traumatic Orofacial and Dental Injuries in Asian Countries. Asia Pac J Public Health 2023; 35:234. [PMID: 36734175 DOI: 10.1177/10105395231153454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- Nitesh Tewari
- Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences, New Delhi, India
| | - Seba Saji
- Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences, New Delhi, India
| | - Sukeshana Srivastav
- Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences, New Delhi, India
| | - Aws Alani
- Restorative Dentistry, King's College London, London, UK
| | - Vijay Prakash Mathur
- Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences, New Delhi, India
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Amritha R, Rahul M, Tewari N, Atif M, Mathur V. Critical analysis of the article titled, "Dental trauma splints for the mixed dentition- A finite element analysis of splint material, splint extension, missing teeth and PDL representation". Dent Traumatol 2023; 39:95-96. [PMID: 36226919 DOI: 10.1111/edt.12796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 09/28/2022] [Accepted: 09/28/2022] [Indexed: 01/14/2023]
Affiliation(s)
- Rajeswary Amritha
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Morankar Rahul
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Nitesh Tewari
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Mohammed Atif
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Vijay Mathur
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
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Rahul M, Lokade A, Tewari N, Mathur V, Agarwal D, Goel S, Keshari P, Sharma S, Bansal K. Effect of Intracanal Scaffolds on the Success Outcomes of Regenerative Endodontic Therapy - A Systematic Review and Network Meta-analysis. J Endod 2023; 49:110-128. [PMID: 36410623 DOI: 10.1016/j.joen.2022.11.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 11/12/2022] [Accepted: 11/12/2022] [Indexed: 11/20/2022]
Abstract
INTRODUCTION The scaffolds used in regenerative endodontic therapy (RET) provide structural support for cells so that they can adhere to the scaffolds and also are crucial for cellular proliferation and differentiation. The objective of this network meta-analysis was to compare effects of different intracanal scaffolds on success outcomes of RET. METHODS PubMed/Medline, EMBASE, Cochrane, CINAHL, Scopus, and Web of Science databases were searched. Studies evaluating and/or comparing clinical and/or radiographic success of RET using different scaffolds with a minimum of 12 months follow-up were included. The Cochrane Collaboration risk of bias (ROB) tool and appropriate tools from Joanna Briggs Institute were used for the assessment of ROB. A network meta-analysis was performed to compare the primary outcome (clinical success) and other success outcomes (root maturation, and pulpal sensibility) using different scaffolds. RESULTS Twenty-seven studies fulfilled the desired inclusion criteria of which 25 had a low ROB whereas 2 had a moderate ROB. Clinical success of RET using platelet-rich plasma (PRP), blood clot (BC), and platelet-rich fibrin (PRF) scaffolds ranged between 91.66%-100%, 84.61%-100%, and 77%-100% respectively. The different scaffolds did not show any statistically significant difference in clinical success (PRF vs BC [P = 1.000], PRP vs BC [P = 1.000], and PRF vs PRP [P = .999]), apical root closure (PRF vs BC [P = 1.000], PRP vs BC [P = .835], PRF vs PRP [P = .956]), and pulp sensibility (PRF vs BC [P = .980], PRP versus BC [P = .520], and PRF vs PRP [P = .990]). CONCLUSION The intracanal scaffolds used during RET did not result in significant differences in regard to clinical success, root maturation, and pulpal sensibility.
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Affiliation(s)
- Morankar Rahul
- Division of pedodontics and preventive dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India.
| | - Amolkumar Lokade
- Division of pedodontics and preventive dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Nitesh Tewari
- Division of pedodontics and preventive dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Vijay Mathur
- Division of pedodontics and preventive dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Deepali Agarwal
- Division of Public Health Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Shubhi Goel
- Department of Public Health Dentistry, Postgraduate Institute of Dental Sciences, Rohtak, Haryana, India
| | | | - Sidhartha Sharma
- Division of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Kalpana Bansal
- Division of pedodontics and preventive dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
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Rahul M, Atif M, Ganguly S, Pushpam D, Tewari N, Mathur V, Bakhshi S. Long-term effects of chemotherapy and radiation received during early childhood on the developing dentition of pediatric cancer patients. Spec Care Dentist 2023; 43:87-93. [PMID: 35605233 DOI: 10.1111/scd.12730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 04/22/2022] [Accepted: 05/03/2022] [Indexed: 01/25/2023]
Abstract
INTRODUCTION The short-term effects of chemotherapy and irradiation are well documented; however, there is paucity regarding their long-term effects, especially in children and adolescents. CASE DESCRIPTION This paper discusses the long-term effects of chemotherapy and/or radiation received by the patients during their early childhood on the developing dentition. It comprises the compilation of 11 cases with alteration in the dental development screened from 138 cases of the childhood cancer patients who received the chemotherapy and/or radiation as a part of anticancer therapy. RESULTS AND CONCLUSION The findings revealed that the age of initiation of anticancer therapy along with the synergistic effect of chemo-irradiation, and the dose of radiation used were the principal determinants for the dental abnormalities. The root-related abnormalities were found to be varied and more common as compared to the missing teeth and defects related to the tooth crown.
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Affiliation(s)
- Morankar Rahul
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences , New Delhi, India
| | - Mohammad Atif
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences , New Delhi, India
| | | | - Deepam Pushpam
- Department of Medical Oncology, Dr. B.R.A. IRCH, AIIMS, New Delhi
| | - Nitesh Tewari
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences , New Delhi, India
| | - Vijay Mathur
- Division of Pediatric & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences , New Delhi, India
| | - Sameer Bakhshi
- Department of Medical Oncology, Dr. B.R.A. IRCH, AIIMS, New Delhi
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Johnson RM, Tewari N, Kumar V, Rahul M, Mathur VP, Bhawal UK. Inflammatory mediators for predicting the risk of trauma‐induced root resorption: A systematic review. Dent Traumatol 2022; 39:264-275. [PMID: 36458683 DOI: 10.1111/edt.12810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 11/11/2022] [Accepted: 11/15/2022] [Indexed: 12/04/2022]
Abstract
BACKGROUND/AIM External inflammatory root resorption (EIRR) and external replacement root resorption (ERRR) are the most common adverse outcomes after luxation injuries or dental injuries. They are usually detected radiographically after considerable progression. It can be envisaged that evaluation of inflammatory mediators might serve as an objective and reliable method of predicting the risk of resorption. The aim of this systematic review was to assess the evidence regarding the risk of resorption and to provide future research directions. METHODS An a priori protocol was prepared by a multidisciplinary expert group, as per the Cochrane handbook and PRISMA guidelines. The systematic search was conducted in six databases and grey-literature sources. Scrutiny of titles and abstracts, and later full-text articles was performed, and data were extracted. Risk of bias analysis was done by using the Joanna Briggs Institute's Critical Appraisal Checklist for analytical cross-sectional and cohort studies. RESULTS Eight studies were included in the systematic review and could be categorized as per the source of biomarkers, namely epithelial cells from mucosa, gingival crevicular fluid and extracted teeth. The studies utilizing epithelial cells had been conducted between 2015 and 2018 in Brazil and did not find any correlation with EIRR. Two of the studies with extracted teeth found differences in the immunologic profiles of teeth with resorption. Three studies evaluating gingival crevicular fluid found increased levels of dentine sialoprotein and Interleukin-1-α. CONCLUSION Among the three sources, the inflammatory gingival crevicular fluid appeared to be the most non-invasive source of biomarkers for predicting trauma-induced root resorption, although the evidence about this came from two studies with moderate and one study with high risk of bias. The primary studies in this systematic review showed variability in terms of the sample sizes, age of the patients, the grading/classification of trauma-induced resorption and the evaluation methods which must be addressed by future researchers.
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Affiliation(s)
- Riya Marie Johnson
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Nitesh Tewari
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Vijay Kumar
- Conservative Dentistry and Endodontics, Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Morankar Rahul
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Vijay Prakash Mathur
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Ujjal Kumar Bhawal
- Department of Biochemistry and Molecular Biology Nihon University School of Dentistry at Matsudo Chiba Japan
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21
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Tewari N, Goel S, Mathur VP, O’Connell AC, Johnson RM, Rahul M, Sultan F, Goswami M, Srivastav S, Ritwik P. Success of medicaments and techniques for pulpotomy of primary teeth: An overview of systematic reviews. Int J Paediatr Dent 2022; 32:828-842. [PMID: 35271753 PMCID: PMC9790730 DOI: 10.1111/ipd.12963] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 02/12/2022] [Accepted: 02/20/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND Pulpotomy is an effective, vital pulp therapy procedure for caries-affected or traumatized primary teeth. Though its efficacy is widely accepted, the superiority of medicaments and techniques remains debatable. AIM The aims of this review were to compare the success rates of various pulpotomy medicaments or techniques, assess the methodological quality of reviews, and grade the level of evidence for each comparison. DESIGN This review followed the principles of evidence-based medicine and recommendations for the overview of systematic reviews. An a priori protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD42021244489). A comprehensive literature search was performed by two reviewers, and studies were selected from various databases according to predefined criteria. Two reviewers independently used a self-designed pilot-tested form to extract data from the selected studies. A quality analysis was performed using A MeaSurement Tool to Assess systematic Reviews-2 (AMSTAR-2) and the ROBIS tool. Reporting characteristics and overlap of the primary studies were also assessed. We used modified Köhler's criteria for evaluating the quality of evidence for outcomes of included systematic reviews and meta-analyses. RESULTS The scrutiny of 62 full-text articles resulted in the inclusion of eight systematic reviews. The quality of four of the reviews was found to be critically low, and the overlap of primary studies in the meta-analyses was found to be high. Pulpotomy medicaments/techniques, except calcium hydroxide, had success rates of more than 80% for all domains and time periods. Most of the comparisons revealed no differences in the clinical, radiographic, or overall success rates. Mineral trioxide aggregate, however, was found to have better radiographic and overall success rates than calcium hydroxide at periods greater than 12 and 18 months. It also had a greater radiographic success rate than full-strength/1:5 diluted and full-strength formocresol at 24 months. Formocresol was found to have better overall success rates than calcium hydroxide at all time periods and better radiographic success rates at 12 months. Only 12 of the 63 comparisons had suggestive or weak evidence, whereas all others had either negligible evidence or insufficient data. CONCLUSIONS The pulpotomy medicaments/techniques, except calcium hydroxide, showed success rates of more than 80%, whereas most comparisons revealed no differences. Mineral trioxide aggregate, however, was found to be better than calcium hydroxide and formocresol in several respects. This study highlights the lack of evidence regarding the choice of pulpotomy agents for the treatment of caries-affected primary teeth and elucidates the domains that require primary studies in the future.
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Affiliation(s)
- Nitesh Tewari
- Division of Pedodontics and Preventive DentistryCentre for Dental Education and ResearchAll India Institute of Medical SciencesNew DelhiIndia
| | - Shubhi Goel
- Division of Pedodontics and Preventive DentistryCentre for Dental Education and ResearchAll India Institute of Medical SciencesNew DelhiIndia
| | - Vijay Prakash Mathur
- Division of Pedodontics and Preventive DentistryCentre for Dental Education and ResearchAll India Institute of Medical SciencesNew DelhiIndia
| | - Anne C. O’Connell
- Dublin Dental University Hospital, Trinity College (University of Dublin)DublinIreland
| | - Riya Marie Johnson
- Division of Pedodontics and Preventive DentistryCentre for Dental Education and ResearchAll India Institute of Medical SciencesNew DelhiIndia
| | - Morankar Rahul
- Division of Pedodontics and Preventive DentistryCentre for Dental Education and ResearchAll India Institute of Medical SciencesNew DelhiIndia
| | - Farheen Sultan
- Division of Orthodontics and Dentofacial DeformitiesCentre for Dental Education and ResearchAll India Institute of Medical SciencesNew DelhiIndia
| | - Mridula Goswami
- Pedodontics and Preventive DentistryMaulana Azad Institute of Dental SciencesNew DelhiIndia
| | - Sukeshana Srivastav
- Division of Orthodontics and Dentofacial DeformitiesCentre for Dental Education and ResearchAll India Institute of Medical SciencesNew DelhiIndia
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Lohith G, Krithikaa S, Kallur K, Swamy S, Ramaswamy V, Bj S, Pichandi A, Tungappa S, Patil S, Amalraj J, Ghosh R, Dasgupta R, Naik R, Rahul M, Naseer M, Kumar BA. Flagging the Merited Lesions-Fibroblast 1 and 4 Imaging to Map the Key Avid Domains for Spiked Antigenicity Using SBRT In Situ Vaccination and Metronomic Radiation with Anti PDL-1 Therapy for Augmented Abscopal-Radscopal Responses in Disseminated Cancers. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.1641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Lokade A, Tewari N, Goel S, Mathur VP, Srivastav S, Rahul M. Comparative evaluation of fragment reattachment protocols for the management of teeth with crown-root fractures. Dent Traumatol 2022; 38:319-324. [PMID: 35278343 DOI: 10.1111/edt.12745] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 03/01/2022] [Accepted: 03/03/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIM A crown-root fracture is a fracture of both the crown and the root of a tooth. The International Association of Dental Traumatology (2020) guidelines recommended fragment reattachment and stabilization of loose fragments as an immediate management protocol for uncomplicated crown-root fractures. However, the lack of evidence and unpredictability make it a less popular treatment option. The aim of this study was to compare three protocols of fragment reattachment for the management of teeth with crown-root fractures. METHODOLOGY Eighty mandibular bovine incisors with similar dimensions and no structural deformities were selected and randomized into four groups: Group I (Control/sound teeth); Group II (no rehydration); Group III (rehydration in distilled water for 15 min) and Group IV (rehydration in a humidification chamber for 15 min). A fracture was simulated to extend from the labial side of the middle-third of the crown to the palatal side of the cervical-third of the root. Fragments were exposed to the environment under normal temperature and pressure. Fragments were later reattached as per the standard protocol following the rehydration as specified for each group. Samples were subjected to thermocycling, and the force required to fracture them was evaluated by using a universal testing machine. RESULTS The highest mean force required to fracture was seen in Group IV (208.27 ± 75.99 N) followed by Group III (182.01 ± 90.13 N) and Group II (158.85 ± 68.04 N). These differences were statistically significant. Comparison of the mean difference of force required to fracture between pairs of groups revealed statistically significant mean differences only between the controls and each experimental group. CONCLUSION The force required to fracture the reattached fragments in teeth with crown-root fractures was affected by rehydration of the fragments. The force was higher in fragments reattached after rehydration, and the highest force was required in the teeth that had been rehydrated in a humidification chamber.
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Affiliation(s)
- Amolkumar Lokade
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Shubhi Goel
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Sukeshana Srivastav
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Atif M, Raghuthaman S, Tewari N, Mathur VP, Rahul M. Letter to the editor related to recently published systematic review "What is the best long term treatment modality for immature permanent teeth with pulp necrosis and apical periodontitis?". Eur Arch Paediatr Dent 2022; 23:499-500. [PMID: 35298830 DOI: 10.1007/s40368-022-00704-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 03/10/2022] [Indexed: 11/27/2022]
Affiliation(s)
- M Atif
- Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 110029, India
| | - S Raghuthaman
- Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 110029, India
| | - N Tewari
- Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 110029, India.
| | - V P Mathur
- Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 110029, India
| | - M Rahul
- Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 110029, India
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Tewari N, Goel S, Srivastav S, Mathur VP, Rahul M, Chaurasia B, Raghuthaman S. 'CARE compliance' of case reports published in Dental Traumatology in the past two decades: A bibliometric analysis. Dent Traumatol 2022; 38:175-184. [PMID: 35179818 DOI: 10.1111/edt.12738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 02/02/2022] [Accepted: 02/04/2022] [Indexed: 12/01/2022]
Abstract
BACKGROUND/AIMS The journal Dental Traumatology (DT) is one of the best resources in the field of dental traumatology. It has always encouraged publication of case reports of good quality. The CARE statement (2011) was developed for uniform and transparent reporting of cases in medical sciences. Since case reports are inseparable from the DT literature, the aim of this bibliometric-analysis was to evaluate the case reports published in the DT in the last two decades (2001-2021) and assess their compliance regarding CARE guidelines for elucidating the trends in DT and the reporting quality of these papers. METHODOLOGY Two authors independently observed the tables of contents in all issues of DT from 2002-2021 and identified case reports. Selected articles were scrutinized to determine their eligibility. Data extraction was performed, case reports were segregated into domains, and their CARE compliance was evaluated by using a self-designed-validated method. Differences between the case reports published in two decades (2002-2011 and 2012-2021) were analysed with the Chi-square test. RESULTS A total of 1612 articles published between February 2002 and October 2021 were scrutinized to identify 357 case reports with 277 from the period of 2002-2011 and 80 between 2012 and 2021. The highest number of case reports originated from Asia (2002-2011:135, 2012-2021:28). The CARE compliances of the majority of reports in the decade of 2002-2011 were between 75 and 85% (good) while the CARE compliances of the majority of reports from 2012-2021 were between 85 and 95% (very good) or >95% (excellent). These differences were statistically significant (p < .005). CONCLUSIONS The number of case reports published in the decade of 2002-2011 were more than three times the number of case reports published in the decade of 2012-2021. The highest number of reports in both decades were from Asia and belonged to the therapeutic and prognostic domains. The CARE compliances of the reports in the decade of 2012-2021 were better than those from 2002-2011.
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Affiliation(s)
- Nitesh Tewari
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Shubhi Goel
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Sukeshana Srivastav
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Bikash Chaurasia
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Sruthila Raghuthaman
- Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Srivastav S, Tewari N, Duggal R, Goel S, Rahul M, Mathur VP, Yadav R, Upadhyaya AD. Cone-Beam Computed Tomographic Assessment of Maxillary Sinus Characteristics in Patients With Cleft Lip and Palate: A Systematic Review and Meta-Analysis. Cleft Palate Craniofac J 2022; 60:742-751. [PMID: 35179403 DOI: 10.1177/10556656221080359] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The aim of this systematic review and meta-analysis was to evaluate the maxillary sinus characteristics of patients with cleft lip and palate (CLP). The study included manuscripts which met the following criteria: (1) study of individuals with CLP in any age group or gender and (2) study of individuals in whom assessment of maxillary sinus characteristics had been done by cone-beam computed tomography. Studies with (1) individuals having special health-care needs and (2) individuals with any syndrome affecting the development of the head and neck were excluded. In total, 11 articles were included in the review, based on the inclusion and exclusion criteria. Pooled maxillary sinus volume (MSV) on the cleft sides of patients with unilateral cleft lip and palate (UCLP) was found to be 9433.14 mm3 (95% CI, 7453.99-11 412.30), which was significantly smaller than that of controls. The meta-analyses also revealed significantly reduced MSV on the cleft sides of patients with UCLP. The differences between cleft and noncleft sides of the patients with UCLP were not found to be statistically significant. Strength-of-evidence was found to be moderate in 4 characteristics, along with 10 out of 11 articles showing low risk-of-bias. It was concluded that MSV was reduced and mucosal thickening was increased/present in patients with CLP as compared with controls. The differences between MSV of cleft and noncleft sides of the patients with UCLP could not be established. However, heterogeneity was found in terms of sample size, stratification of samples by age, and evaluation of some confounding factors.
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Affiliation(s)
- Sukeshana Srivastav
- Centre for Dental Education and Research, 28730All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Centre for Dental Education and Research, 28730All India Institute of Medical Sciences, New Delhi, India
| | - Ritu Duggal
- Centre for Dental Education and Research, 28730All India Institute of Medical Sciences, New Delhi, India
| | - Shubhi Goel
- Centre for Dental Education and Research, 28730All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Centre for Dental Education and Research, 28730All India Institute of Medical Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Centre for Dental Education and Research, 28730All India Institute of Medical Sciences, New Delhi, India
| | - Rahul Yadav
- Centre for Dental Education and Research, 28730All India Institute of Medical Sciences, New Delhi, India
| | - Ashish Dutt Upadhyaya
- Department of Biostatistics, 28730All India Institute of Medical Sciences, New Delhi, India
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Jiang CM, Duangthip D, Auychai P, Chiba M, Folayan MO, Hamama HHH, Kamnoedboon P, Lyons K, Matangkasombut O, Mathu-Muju KR, Mathur VP, Mei ML, Morgan M, Poolthong S, Rahul M, Srinivasan M, Takahashi T, Yaklai S, Zhang S, Zou XC, Chu CH, Lo ECM. Changes in Oral Health Policies and Guidelines During the COVID-19 Pandemic. Front Oral Health 2022; 2:668444. [PMID: 35048011 PMCID: PMC8757803 DOI: 10.3389/froh.2021.668444] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 04/19/2021] [Indexed: 12/23/2022] Open
Abstract
The aim of this study was to describe the changes in oral health policies and guidelines in response to the Coronavirus disease 2019 (COVID-19) pandemic in different countries and regions around the world. Information on oral health policies and guidelines from 9 countries (Canada, China including Hong Kong, Egypt, India, Japan, New Zealand, Nigeria, Switzerland, and Thailand) were summarized, and sources of the information were mostly the national or regional health authorities and/or dental council/associations. The changes made to the oral health guidelines depended on the severity of the COVID-19 pandemic. This included suspension of non-emergency dental care services at the peak of the COVID-19 outbreak, and easing the restrictions on non-essential and elective dental care when the pandemic became under control. The COVID-19 risk mitigation strategies include strict adherence to infection control practices (use of hand sanitizers, facemask and maintaining social distancing), reducing the amount of aerosol production in the dental setting, and managing the quality of air in the dental treatment rooms by reducing the use of air conditioners and improving air exchange. The COVID-19 pandemic has shown a major impact on dental practice. Dental professionals are trying to adapt to the new norms, while the medium to long-term impact of COVID-19 on dentistry needs further investigation.
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Affiliation(s)
- Chloe Meng Jiang
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | | | - Prim Auychai
- Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Mirei Chiba
- Graduate School of Dentistry, Tohoku University, Sendai, Japan
| | | | | | | | - Karl Lyons
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | | | | | - Vijay Prakash Mathur
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - May Lei Mei
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Mike Morgan
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Suchit Poolthong
- Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Morankar Rahul
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Murali Srinivasan
- Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Tetsu Takahashi
- Graduate School of Dentistry, Tohoku University, Sendai, Japan
| | - Sanicha Yaklai
- Graduate School of Dentistry, Tohoku University, Sendai, Japan
| | - Shinan Zhang
- Affiliated Stomatological Hospital, School of Stomatology, Kunming Medical University, Kunming, China
| | - Xin Chun Zou
- Affiliated Stomatological Hospital, School of Stomatology, Kunming Medical University, Kunming, China
| | - Chun Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
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Abstract
Anticoagulant therapy is commonly indicated during pregnancy to prevent thrombosis and prevention of prosthetic heart valve-associated thromboembolic events. Warfarin is a synthetic anticoagulant with low molecular weight and can cross the placenta resulting in congenital abnormalities termed fetal warfarin syndrome. This paper highlights the case of an 8-year-old boy with warfarin embryopathy. It highlights the extraoral and intraoral findings of the case along with the cephalometric analysis and provides insight into the phenotypic variations among the different cases reported in the literature.
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Affiliation(s)
- Morankar Rahul
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Nikhil Shrivastava
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Nitesh Tewari
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Vijay Mathur
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
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Rahul M, Gowthaman K, Tewari N, Mathur V. Dental manifestations of pseudo-vitamin-D deficiency rickets in a paediatric patient. BMJ Case Rep 2021; 14:e244517. [PMID: 34969788 PMCID: PMC8719130 DOI: 10.1136/bcr-2021-244517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2021] [Indexed: 11/03/2022] Open
Abstract
Vitamin D-resistant rickets shows the resistance to vitamin D (Vit-D) therapy, which traditionally works well in cases with deficiency rickets. The signs start appearing as early as in the first month of life and are characterised by the defective mineralisation at the ends of cartilage and bones despite having normal Vit-D levels in the serum. This case report highlights the dental and maxillofacial manifestations in a 3-year-old girl diagnosed with pseudo-Vit-D deficiency rickets. The report also highlights the variations in the dental manifestations of the condition reported in the literature.
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Affiliation(s)
- Morankar Rahul
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Keerthana Gowthaman
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Nitesh Tewari
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Vijay Mathur
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
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Tewari N, Tamchos R, Chaurasia B, Rahul M, Mathur VP, Goel S, Bansal K. Comparison of three protocols for the management of re-fracture of teeth with uncomplicated crown fractures. Dent Traumatol 2021; 38:71-76. [PMID: 34538028 DOI: 10.1111/edt.12709] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 07/21/2021] [Accepted: 07/20/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Crown fractures restored by fragment reattachment are liable to re-fracture, which may cause fragment dislodgement. There is a paucity of literature regarding management of fragment reattachment cases following a further fracture. Hence the aim of the present in-vitro study was to evaluate and compare the efficacy of three different management protocols for such scenarios. METHODOLOGY Eighty maxillary bovine incisors without structural deformity and with similar dimensions were fractured as per the standard protocol. They were subjected to drying for 24 hours and the fragments were rehydrated by placing them in a humidification chamber for 15 minutes. They were then reattached by using flowable light-cured composite resin. The teeth (n=20) were fractured again by fixing them in a mechanical frame and using a mallet. They were randomly allocated to three experimental groups. (Group I mechanical abrasion and fragment reattachment, Group II mechanical abrasion, humidification and reattachment, Group III mechanical abrasion and composite restoration, and Group IV positive control with no re-fracture). The samples were thermocycled and the force required to fracture was tested by using a universal testing machine (Instron-3360, USA). This was done by applying a tangential load with a speed of 1 mm/min to the teeth with a 500-kg load cell. Statistical analysis of the results was performed using ANOVA and the independent t-test. RESULTS The highest force required to fracture was reported in Group IV (333.26 ± 66.69N) while the lowest was in Group II (254.86 ± 105.23N). The forces in Group I and Group II were 258.36 ± 65.78N and 298.02 ± 97.94N, respectively (p=0.016, F=3.68). The independent t-test between the groups revealed a significant difference between Group I and Group IV (p= 0.001) and Group II and Group IV (p=0.009). CONCLUSION The force required to fracture was significantly lower in the groups involving attachment of the re-fractured fragments. Among the experimental groups, the group with composite restoration required the highest force to fracture.
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Affiliation(s)
- Nitesh Tewari
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Rigzen Tamchos
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Bikash Chaurasia
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Shubhi Goel
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Kalpana Bansal
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Mathur VP, Gowthaman K, Shrivstava N, Atif M, Tewari N, Rahul M, Bansal K. An Insight into Systematic Review and Meta-Analysis of Nonvital Pulp Therapy for Primary Teeth. Pediatr Dent 2021; 43:338-339. [PMID: 34654491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- Vijay P Mathur
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Keerthana Gowthaman
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Nikhil Shrivstava
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Mohammad Atif
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Kalpana Bansal
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Rahul M, Atif M, Tewari N, Mathur V. Cancer-related radiation therapy in early childhood leading to root abnormality in multiple permanent teeth. BMJ Case Rep 2021; 14:e244770. [PMID: 34413047 PMCID: PMC8378346 DOI: 10.1136/bcr-2021-244770] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2021] [Indexed: 11/04/2022] Open
Affiliation(s)
- Morankar Rahul
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Mohammad Atif
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Nitesh Tewari
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Vijay Mathur
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
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Tewari N, Jonna I, Mathur VP, Goel S, Ritwik P, Rahul M, Haldar P, Bansal K, Pandey RM. Global status of knowledge for the prevention and emergency management of traumatic dental injuries among non-dental healthcare professionals: A systematic review and meta-analysis. Injury 2021; 52:2025-2037. [PMID: 34176635 DOI: 10.1016/j.injury.2021.06.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Accepted: 06/09/2021] [Indexed: 02/02/2023]
Abstract
OBJECTIVES This Systematic Review was conducted to evaluate the global status of the knowledge of prevention and emergency management of traumatic dental injuries among non-dental healthcare professionals (NDHCP). METHODS The protocol was designed as per PRISMA guidelines and registered in PROSPERO (CRD42020192381). A broad-based search using text-words and MeSH terms was performed in established databases as per a predefined strategy without any distinction of language and year of publication. Studies without details of the questionnaire, knowledge score, validity and reliability were excluded. Data extraction was performed and risk of bias assessment was done using the Joanna Briggs Institute's critical appraisal tool and a meta-analysis was performed. RESULTS The qualitative synthesis included 14 studies between 2009-2020 with nine of them from Asia. Majority of the studies had low risk of bias and reported poor overall level of knowledge. Less than 40% of the NDHCP had received a dental trauma first aid training in six of the 10 studies and majority of the participants (>50%) believed that dental trauma training was required in five studies. Less than 36% of the participants were adequately aware of the correct approach towards management of avulsed permanent tooth in five studies. CONCLUSION The knowledge of non-dental health care professionals regarding the emergency management of traumatic dental injuries was insufficient or low in the majority of studies and the knowledge about prevention was not evaluated. There was a paucity of studies from the countries of Europe and Australia, with wide variability in the study methods, categories of the participants and questionnaire characteristics.
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Affiliation(s)
- Nitesh Tewari
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Room No 608, 6th Floor, New Delhi 110029, India.
| | - Immaculate Jonna
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Room No 608, 6th Floor, New Delhi 110029, India
| | - Vijay Prakash Mathur
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Room No 608, 6th Floor, New Delhi 110029, India
| | - Shubhi Goel
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Room No 608, 6th Floor, New Delhi 110029, India
| | - Priyanshi Ritwik
- Department of Pediatric Dentistry, The University of Texas, Health Sciences Centre at Houston, Texas, USA
| | - Morankar Rahul
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Room No 608, 6th Floor, New Delhi 110029, India
| | - Partha Haldar
- Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi 110029, India
| | - Kalpana Bansal
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Room No 608, 6th Floor, New Delhi 110029, India
| | - Ravindra Mohan Pandey
- Department of Biostatistics, All India Institute of Medical Sciences, New Delhi 110029, India
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34
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Rahul M, Sultan F, Tewari N, Mathur V. Orofacial characteristics and dental management in a child with moyamoya disease. BMJ Case Rep 2021; 14:14/5/e241211. [PMID: 34020988 DOI: 10.1136/bcr-2020-241211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Moyamoya disease is a chronic, progressive intracranial arteriopathy. It is characterised by progressive stenosis/occlusion of distal intracranial carotid and cerebral arteries. It is associated with a high risk of ischaemic and haemorrhagic stroke. Hereditary, infectious and inflammatory factors have been found to be associated with this condition; however, its aetiology is still unclear. The estimation of disease prevalence is approximately 1.6 to 16.1 in 100 000 live births. This article presents the case of a 5-year-old girl child diagnosed with moyamoya disease, placing emphasis on the clinical and radiographic orofacial characteristics of the case and its dental management.
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Affiliation(s)
- Morankar Rahul
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Farheen Sultan
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Nitesh Tewari
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
| | - Vijay Mathur
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, Delhi, India
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Gowthaman K, Rahul M, Nitesh T. Letter to the editor regarding recently published systematic integrated review related to the role of preoperative laboratory testing in elective oral and maxillofacial surgeries. Natl J Maxillofac Surg 2021; 12:128-129. [PMID: 34188416 PMCID: PMC8191551 DOI: 10.4103/njms.njms_134_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Accepted: 09/26/2020] [Indexed: 11/04/2022] Open
Affiliation(s)
- Keerthana Gowthaman
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India E-mail:
| | - Morankar Rahul
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India E-mail:
| | - Tewari Nitesh
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India E-mail:
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Bansal K, Saji S, Mathur VP, Rahul M, Tewari N. A Survey of Self-perceived Physical Discomforts and Health Behaviors Related to Personal Protective Equipment of Indian Dental Professionals during COVID-19 Pandemic. Int J Clin Pediatr Dent 2021; 14:784-789. [PMID: 35110872 PMCID: PMC8783226 DOI: 10.5005/jp-journals-10005-2061] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Aim In the current situation of COVID-19 pandemic, personal protective equipment has to be mandatorily worn by dental professionals all times in the dental clinical settings. The aim of this study was to assess the physical discomforts and related health issues faced by dental professionals while wearing personal protective equipment in dental clinical settings during the pandemic. Methods This was an online cross-sectional survey conducted in November to December 2020 among dental professionals of various regions of country. A prevalidated questionnaire was sent through email/WhatsApp groups to 650 dental professionals. Informed consent was taken from all the participants. Information was collected about the demographics, type of dental set-up, average daily working hours, types of PPE worn, physical discomforts related to the various procedures in dentistry. Association was analyzed between demographics and the discomforts using Chi-square test. Results A total of 309 dental professionals (163 females, 146 males) from all parts of the country responded to the online questionnaire. Maximum respondents were postgraduates or pursuing MDS (79%), majority (42.1%) were pediatric dentists followed by general dentists. Sweating, difficulty in vision, difficulty in breathing, and headache were the common discomforts reported by majority of the respondents. Headache and difficult breathing were more significantly associated with female dental professionals (p < 0.05). N95 wear was associated with breathing difficulty (56%) while use of faceshield led to the discomforts in visual acuity in 46% respondents. Conclusion The survey has depicted several challenges and various physical discomforts being experienced by the dental professionals during this pandemic. Although wearing PPE is associated with difficulties to dentists but it is extremely essential to wear PPEs for self-protection during the ongoing pandemic. How to cite this article Bansal K, Saji S, Mathur VP, et al. A Survey of Self-perceived Physical Discomforts and Health Behaviors Related to Personal Protective Equipment of Indian Dental Professionals during COVID-19 Pandemic. Int J Clin Pediatr Dent 2021;14(6):784–789.
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Affiliation(s)
- Kalpana Bansal
- Department of Pedodontics and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India
- Kalpana Bansal, Department of Pedodontics and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India, Phone: +919810105132, e-mail:
| | - Seba Saji
- Department of Pedodontics and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay P Mathur
- Department of Pedodontics and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Department of Pedodontics and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Department of Pedodontics and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India
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Rahul M, Tewari N, Mathur V, Goel S, Jain G. Evidence mapping and quality analysis of published dental literature on COVID-19 - A systematic review. Natl J Maxillofac Surg 2021; 12:139-161. [PMID: 34483571 PMCID: PMC8386272 DOI: 10.4103/njms.njms_237_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Accepted: 02/12/2021] [Indexed: 12/14/2022] Open
Abstract
A large number of scientific articles have been published regarding impact of COVID-19 infection on dental practice, dental professionals, and the mode of spread of infection via dental procedures. The present systematic review was planned with an aim of evidence mapping and quality analysis of published research on the dental aspects of COVID-19 infection. The protocol was registered at https://share.osf.io/registration/46221-C87-BA8. The search was performed in Scopus, PubMed, Cochrane, and Embase databases till 15th July 2020. There was no restriction of year of publication and language. All types of published articles related to Dentistry, Dentist, Dental practice, and Oral health education on COVID-19 were included. The Joanna Briggs Institute's (JBI) Critical Appraisal Tools were used for the risk of bias analysis of included studies. A total of 393 articles were short-listed and were checked for eligibility and finally, 380 articles were included. Among the 380 research articles published (till July 15, 2020), the majority of the included articles belonged to the lowermost strata of the evidence pyramid. There were 54 original research articles with no randomized clinical trial, systematic review or, meta-analysis pertaining to the dental perspective of COVID-19 infection. The level of available evidence about dentistry and COVID-19 infection is very low with a lack of researches of highest quality. The guidelines/recommendations for dental professionals, proposed by the different scientific organizations/societies regarding COVID-19 infection are only consensus-based necessitating the need to formulate evidence-based guidelines. There is a need to identify essential research questions and strengthen the study designs in most of the aspects related to the dentistry and COVID-19 pandemic.
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Affiliation(s)
- Morankar Rahul
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India,Address for correspondence: Dr. Morankar Rahul, Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India. E-mail:
| | - Nitesh Tewari
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Vijay Mathur
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Shubhi Goel
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Gunjar Jain
- Department of Orthopaedics, AIIMS, New Delhi, India
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Tewari N, Sultan F, Mathur VP, Rahul M, Goel S, Bansal K, Chawla A, Haldar P, Pandey RM. Global status of knowledge for prevention and emergency management of traumatic dental injuries in dental professionals: Systematic review and meta-analysis. Dent Traumatol 2020; 37:161-176. [PMID: 33180997 DOI: 10.1111/edt.12621] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 09/15/2020] [Accepted: 09/15/2020] [Indexed: 12/21/2022]
Abstract
BACKGROUND Dental professionals are the primary care providers for traumatic dental injuries (TDI). The dental traumatology literature has a number of studies evaluating the knowledge of dental professionals from different parts of the world but its global status is unknown. Hence, the aim of this systematic review was to assess the global status of knowledge for the prevention and emergency management of TDI in dental professionals and to provide recommendations for future research. MATERIALS AND METHODS The protocol was designed as per the PRISMA guidelines and registered in PROSPERO (CRD42020192381). A broad-based search using text words and MeSH terms was performed in established databases as per a pre-defined strategy without any distinction of language and year of publication. Studies without details of the questionnaire, knowledge score, validity and reliability were excluded. Data extraction was performed, risk of bias assessment was done using the Joanna Briggs Institute's critical appraisal tool, and a meta-analysis was performed. RESULTS Sixteen studies, which had been published between 2008 and 2020, were included for qualitative synthesis. Most of them were cross-sectional, used convenience sampling and evaluated knowledge for avulsion. Previous dental trauma training was undertaken by <50% of the participants of five studies, <50% knew about the correct approach in management of complicated crown fractures in three studies and ≤60% in four studies knew the critical time for replantation. There was insufficient level of knowledge in >50% of the included studies. High risk of bias was found in three studies. CONCLUSION The knowledge level in several areas of the world was unknown. The studies lacked uniformity in methods and well-designed questionnaires and they revealed insufficient levels of knowledge among dental professionals.
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Affiliation(s)
- Nitesh Tewari
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Farheen Sultan
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Shubhi Goel
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Kalpana Bansal
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Amrita Chawla
- Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Partha Haldar
- Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Ravindra Mohan Pandey
- Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
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Tewari N, Johnson RM, Mathur VP, Rahul M, Goel S, Ritwik P, Bansal K, Atif M. Global status of knowledge for prevention and emergency management of traumatic dental injuries in sports persons and coaches: A systematic review. Dent Traumatol 2020; 37:196-207. [PMID: 33220152 DOI: 10.1111/edt.12629] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 11/16/2020] [Accepted: 11/17/2020] [Indexed: 12/25/2022]
Abstract
BACKGROUND/AIMS Sports-related dental injuries can cause pain, disfigurement, and broken teeth which may affect the athlete's well-being and psychological status. Such injuries may also lead to the fear of re-injury and other problems. Since a delay in adequate emergency treatment can have adverse effects, it is imperative that athletes and coaches have sufficient awareness of emergency treatment options. Hence, the aim of this systematic review was to evaluate the global status of knowledge among athletes and coaches regarding the prevention and emergency management of traumatic dental injuries. METHODS The protocol was designed using the PRISMA guidelines and registered in PROSPERO (CRD42020184956). A broad-based search using text words and MeSH terms was performed in established databases according to a predefined strategy without any distinction of language and year of publication. Studies without details of the questionnaire, knowledge score, validity, and reliability were excluded. Data extraction was performed and risk-of-bias assessment was done by means of the Joanna Briggs Institute's critical appraisal tool. RESULTS Nine studies published between 2005 and 2020 were included for qualitative synthesis. They were primarily from Asia with none from North America and Australia. Most of them were cross-sectional, used convenience sampling, and were interview-based. Less than 10% of the participants in two studies had adequate knowledge of the immediate emergency management of tooth avulsion, while only 2.4% of basketball players and coaches knew that it was necessary to collect the avulsed tooth or broken tooth fragments. The overall level of knowledge was reported as poor or insufficient in all studies, with moderate or high risk-of-bias in six studies. CONCLUSION The knowledge regarding emergency management of TDI was found to be low globally. Along with the choice of the sport, there was a high level of variability in the study design and sampling characteristics.
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Affiliation(s)
- Nitesh Tewari
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Riya Marie Johnson
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Shubhi Goel
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Priyanshi Ritwik
- Department of Pediatric Dentistry, The University of Texas, Health Sciences Centre at Houston, Houston, TX, USA
| | - Kalpana Bansal
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Mohammad Atif
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Tewari N, Mathur VP, Kaur A, Sardana D, Rahul M, Tamchos R, Ritwik P, Goel S, Schiavo J. Evidence mapping and quality assessment of systematic reviews in dental traumatology. Dent Traumatol 2020; 37:17-36. [PMID: 32949064 DOI: 10.1111/edt.12606] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 08/20/2020] [Accepted: 08/20/2020] [Indexed: 12/22/2022]
Abstract
BACKGROUND/AIMS Evidence mapping of systematic reviews (SRs) systematically and comprehensively identifies, organizes, and summarizes the distribution of scientific evidence in a field. The aims of this study were to delineate domains in dental traumatology (DT), evaluate the existing SRs within the domains, and identify the paucity of evidence for future research. METHODS Domains and sub-domains of DT were established according to the methods of qualitative research. The protocol for evidence mapping was prepared as per the guidelines of GEM and PRISMA. The search strategy was formulated using words and MeSH terms in eight databases without restriction of languages and year of publication. Gray literature, protocol registries, and references of selected articles were also searched. Duplicates were removed, and the final selection of SRs was completed. Data extraction and quality analysis using the ROBIS tool and the PRISMA checklist were performed. RESULTS The overall search resulted in 64 SRs from 1999 to 2020 with 44 published in last six years. The highest number of SRs had been performed in the Prognostic domain (n = 19) followed by the domains of Epidemiology (n = 15), Therapeutics (n = 10), Oral Biology (n = 7), Diagnostics (n = 6), Preventive (n = 5), and Research Methods (n = 2). Within each domain, there were variabilities in the number of reviewers, a priori protocols, search limitations, risk of bias methods, and meta-analysis. Of the SRs, including 4 Cochrane reviews, 28.4% were inconclusive. A low risk of bias was found in 48.4% of the SRs. Among the registered and ongoing SRs, six were from the domain of epidemiology, two in the domain of therapeutics, five from prognostics, and one each in the domains of prevention and research methods. CONCLUSION The SRs in DT could be mapped in seven domains with variabilities in the methods. The majority had an a priori registered protocol and a low risk of reporting errors. Within the Epidemiology and Preventive domains, SRs were present in all the sub-domains with the majority demonstrating low-risk of bias (ROB). The domain of prognosis had SRs in most sub-domains but with a high ROB. Insufficient numbers of SRs were present in most sub-domains of the Diagnostics, Therapeutics, Research Methods and Oral Biology domains.
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Affiliation(s)
- Nitesh Tewari
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Amandeep Kaur
- Conservative Dentistry and Endodontics, Regional Institute of Medical Sciences, Imphal, India
| | - Divesh Sardana
- Department of Pediatric Dentistry, The University of Hong Kong, Hong Kong, China
| | - Morankar Rahul
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Rigzen Tamchos
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Priyanshi Ritwik
- Department of Pediatric Dentistry, Health Sciences Centre at Houston, The University of Texas, Austin, TX, USA
| | - Shubhi Goel
- Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Julie Schiavo
- Dental Library Services, Louisiana State University Dental School, New Orleans, LA, USA
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Abstract
Diamond-Blackfan anaemia (DBA) is a rare genetic disorder characterised by a decrease in the production of red blood cells due to bone marrow malfunction. The estimation of disease occurrence is approximately 1 in 100 000-2 00 000 live births. This paper presents the case of a 7-year-old male child diagnosed with DBA at the age of 4 months. The diagnosis was established with haematological findings, bone marrow biopsy and molecular testing. The case was managed successfully for dental symptoms without any complication.
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Affiliation(s)
- Imam Azam
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, India
| | - Morankar Rahul
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, India
| | - Nitesh Tewari
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, India
| | - Kalpana Bansal
- Division of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, AIIMS, New Delhi, India
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Rahul M, Tewari N, Gowthaman K. A Letter Regarding Recently Published Systematic Review Comparing the Effectiveness of Manual and Rotary Root Canal Instrumentation in Primary Teeth. Int J Clin Pediatr Dent 2020; 13:310. [PMID: 32904105 PMCID: PMC7450197 DOI: 10.5005/jp-journals-10005-1766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
How to cite this article: Rahul M, Tewari N, Gowthaman K. A Letter Regarding Recently Published Systematic Review Comparing the Effectiveness of Manual and Rotary Root Canal Instrumentation in Primary Teeth. Int J Clin Pediatr Dent 2020;13(3):310.
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Affiliation(s)
- Morankar Rahul
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Keerthana Gowthaman
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Tewari N, Mathur VP, Tamchos R, Rahul M. Oral manifestations of lamellar ichthyosis in association with rickets. BMJ Case Rep 2020; 13:13/7/e235008. [PMID: 32641302 DOI: 10.1136/bcr-2020-235008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Lamellar ichthyosis (LI) is a rare genetic condition that affects the skin, with an incidence of less than 1:300 000 in different parts of the world. This report describes a case of a 5-year-old girl with LI and rickets presenting with premature loss of 51, 52, 61, 62 and 71, grade II mobility in 72, 73, 81, 82 and 83 along with loss of supporting bone with 53, 63, 72, 73, 82 and 83. This is the first report describing oral manifestations of this combination of LI and rickets.
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Affiliation(s)
- Nitesh Tewari
- Centre for Dental Education and Research, AIIMS, New Delhi, India
| | | | - Rigzin Tamchos
- Centre for Dental Education and Research, AIIMS, New Delhi, India
| | - Morankar Rahul
- Centre for Dental Education and Research, AIIMS, New Delhi, India
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Tewari N, Goel S, Rahul M, Mathur VP, Ritwik P, Haldar P, Priya H, Pandey RM. Global status of knowledge for prevention and emergency management of traumatic dental injuries among school teachers: A systematic review and meta‐analysis. Dent Traumatol 2020; 36:568-583. [DOI: 10.1111/edt.12579] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 05/12/2020] [Accepted: 05/13/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Nitesh Tewari
- Division of Pedodontics & Preventive Dentistry Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Shubhi Goel
- Division of Pedodontics & Preventive Dentistry Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Morankar Rahul
- Division of Pedodontics & Preventive Dentistry Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Vijay P. Mathur
- Division of Pedodontics & Preventive Dentistry Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Priyanshi Ritwik
- Department of Pediatric Dentistry School of Dentistry University of Texas Health Sciences Centre at Houston Houston TX USA
| | - Partha Haldar
- Centre of Community Medicine All India Institute of Medical Sciences New Delhi India
| | - Harsh Priya
- Division of Public Health Dentistry Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Ravindra M. Pandey
- Department of Biostatistics All India Institute of Medical Sciences New Delhi India
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Rahul M, Ashima G, Krishan G, Veenu S. Analysis of bone mineral density and content in children with molar incisor hypomineralization using dual-energy X-ray absorptiometry scan: A pilot study. J Indian Soc Pedod Prev Dent 2019; 37:282-285. [PMID: 31584029 DOI: 10.4103/jisppd.jisppd_321_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIM The objective was to evaluate the bone mineral density (BMD) and bone mineral content (BMC) in children affected with molar incisor hypomineralization (MIH) using dual-energy X-ray absorptiometry (DEXA) scan. MATERIALS AND METHODS The study comprised a total of 30 children aged 6-10 years. Fifteen children were affected with MIH (moderate and severe variety) diagnosed using the European Academy of Paediatric Dentistry 2003 criteria, and remaining 15 children not affected with MIH serve as a control group. DEXA scan was done in all the selected children under standard conditions. RESULTS A positive association was seen between childhood illness and MIH. The mean subtotal BMC (grams) in MIH and control group was 633 ± 80.05 and 670.33 ± 166.41, respectively, whereas mean subtotal BMD (g/m2) was 1.00 and 0.87 ± 0.35, respectively, with no statistically significant difference between two groups. BMD and BMC at the lumbar spine and thoracic spine locations were also did not vary significantly between MIH-affected children and controls. CONCLUSION Childhood illnesses were more common in MIH-affected children compared to controls. Bone maturation parameters (BMD, BMC) do not differ between MIH affected and control children.
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Affiliation(s)
- Morankar Rahul
- Oral Health Sciences Centre, Unit of Pedodontics and Preventive Dentistry, PGIMER, Chandigarh, India
| | - Goyal Ashima
- Oral Health Sciences Centre, Unit of Pedodontics and Preventive Dentistry, PGIMER, Chandigarh, India
| | - Gauba Krishan
- Oral Health Sciences Centre, PGIMER, Chandigarh, India
| | - Singla Veenu
- Department of Radiodiagnosis and Imaging, PGIMER, Chandigarh, India
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Rahul M, Gauba K, Gorwade N, Kumar A. Rare case report of idiopathic gingival fibromatosis in childhood and its management. BMJ Case Rep 2019; 12:e227942. [PMID: 30674497 PMCID: PMC6347941 DOI: 10.1136/bcr-2018-227942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/08/2019] [Indexed: 11/28/2022] Open
Abstract
Idiopathic gingival fibromatosis (GF), also known as gingivomatosis, is a rare condition in childhood, with an unknown aetiology. The oral manifestations of the condition are varied and depend on the severity and age of involvement. This paper describe the case of a 5-year-old male child with extensive gingival enlargement covering almost all the maxillary and mandibular teeth resulted in difficulty with speech, mastication and poor aesthetics. Clinical and radiographic examination along with haematological investigations ruled out any systemic association. The case was managed with conventional scalpel blade surgery along with electrocautery under general anaesthesia yielding good results without any recurrence after a 12-month follow-up. The results revealed that the oral manifestations of GF depend on its severity and the age of onset. Timely intervention can help to prevent associated complications in a growing child.
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Affiliation(s)
- Morankar Rahul
- Oral Health Sciences Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Krishan Gauba
- Oral Health Sciences Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Nitin Gorwade
- Oral Health Sciences Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Aman Kumar
- Oral Health Sciences Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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Abstract
The majority of natal and neonatal teeth are prematurely erupted primary teeth, whereas few are supernumerary in origin. They most commonly occur in mandibular central incisor region and often can lead to difficulty to the mother during breast feeding and tongue ulceration in newborn. Moreover, since majority of these have poorly developed roots and are mobile, there is always a fear of aspiration into respiratory passage. Extraction therefore is the most commonly rendered treatment for these teeth. This paper comprises cases of natal and neonatal teeth describing about their clinical characteristics and sequel. This paper has also highlighted the factor which needs to be considered during the management of natal/neonatal teeth and protocol followed at our centre.
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Affiliation(s)
- Morankar Rahul
- Oral Health Sciences Center, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India
| | - Aditi Kapur
- Oral Health Sciences Center, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India
| | - Ashima Goyal
- Oral Health Sciences Center, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India
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48
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Rahul M, Ashima G, Akshat G. Arrested root growth and concomitant failure of eruption of a developing tooth following open reduction and internal fixation of a pediatric mandibular fracture. J Indian Soc Pedod Prev Dent 2018; 36:220-222. [PMID: 29970643 DOI: 10.4103/jisppd.jisppd_228_17] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Mandible is one of the commonly fractured bone in children during maxillofacial trauma. These factures are usually managed conservatively but sometimes require open reduction and internal fixation (ORIF). Management of mandibular fracture in children is influenced by the presence of developing permanent tooth buds, minimal anchorage from primary teeth and facial growth and development. Although, there have been technical and material advancements with ORIF, it is still associated with complications related to growth and damage to developing teeth. This case report describes a case of mandibular parasymphyseal fracture managed successfully with open reduction and internal fixation using a miniplate and a consequent cessation of root growth and eruption failure of a mandibular canine present in the fixation area.
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Affiliation(s)
- Morankar Rahul
- Oral Health Sciences Centre, Unit of Pedodontics and Preventive Dentistry, PGIMER, Chandigarh, India
| | - Goyal Ashima
- Oral Health Sciences Centre, Unit of Pedodontics and Preventive Dentistry, PGIMER, Chandigarh, India
| | - Gupta Akshat
- Oral Health Sciences Centre, Unit of Oral and Maxillofacial Surgery, PGIMER, Chandigarh, India
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49
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50
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Rahul M, Kumar PA, Nair AS, Mathew S, Amaladas AS, Ommen A. Effects of at-home and in-office bleaching agents on the shear bond strength of metal, ceramic, and composite brackets to enamel. Indian J Dent Res 2017; 28:566-573. [PMID: 29072222 DOI: 10.4103/ijdr.ijdr_13_17] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIMS AND OBJECTIVES This study aimed to evaluate the effects of at-home and in-office bleaching on the shear bond strength (SBS) of metal, ceramic, and composite orthodontic brackets and to compare their SBSs. SUBJECTS AND METHODS A total of 96 human lower premolar teeth were used for this study. Six teeth were used for scanning electron microscopic study while the remaining ninety were divided into three equal groups. Each group was further subdivided into three subgroups with ten samples each. Three protocols were used. In the at-home bleaching group (n = 30), opalescence non-PF (potassium nitrate and fluoride) bleaching agent (10% carbamide peroxide) was applied onto the teeth daily for 14 days and left for 8 h each day. Teeth in the in-office group (n = 30) were treated twice in consecutive days with Opalescence boost PF (40% hydrogen peroxide). After bleaching, the specimens were stored in distilled water for 1 day before bonding. SBS testing was performed on all teeth using Instron universal testing machine. RESULTS Analysis of variance indicated a significant difference (P < 0.005) among the groups. Maximum SBS was shown by ceramic brackets in control group (Ib) and minimum was shown by composite brackets of in-office bleached group (IIIc). CONCLUSIONS The results showed that at-home bleaching did not affect the SBS significantly whereas in-office bleaching reduced SBS of metal, ceramic, and composite brackets significantly. It is preferable to use metal or ceramic brackets than composite brackets for bonding 24 h after bleaching.
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Affiliation(s)
- M Rahul
- Department of Orthodontics and Dentofacial Orthopedics, Sree Mookambika Institute of Dental Sciences, Kulasekaram, Kanyakumari, Tamil Nadu, India
| | - P Anil Kumar
- Department of Orthodontics and Dentofacial Orthopedics, Sree Mookambika Institute of Dental Sciences, Kulasekaram, Kanyakumari, Tamil Nadu, India
| | - Amal S Nair
- Department of Orthodontics and Dentofacial Orthopedics, Sree Mookambika Institute of Dental Sciences, Kulasekaram, Kanyakumari, Tamil Nadu, India
| | - Shino Mathew
- Department of Orthodontics and Dentofacial Orthopedics, Sree Mookambika Institute of Dental Sciences, Kulasekaram, Kanyakumari, Tamil Nadu, India
| | - Antony Shijoy Amaladas
- Department of Orthodontics and Dentofacial Orthopedics, Sree Mookambika Institute of Dental Sciences, Kulasekaram, Kanyakumari, Tamil Nadu, India
| | - Anna Ommen
- Department of Orthodontics and Dentofacial Orthopedics, Sree Mookambika Institute of Dental Sciences, Kulasekaram, Kanyakumari, Tamil Nadu, India
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