Carboxymethyl Chitosan-Fluoride-doped Amorphous Calcium Phosphate: A Novel Remineralizing Gel

Background

There is a need for innovative remineralizing gel formulations based on calcium and phosphates that can slowly release fluoride ions and enhance the formation of fluorapatite crystals that are more resistant to dissolution in an acidic environment.

Aim

The aim of the work was to formulate a remineralizing agent that remineralizes enamel through the release of Ca2+, PO₄³-, and F- ions for a prolonged period of time.

Materials and methods

The gel was based on carboxymethyl chitosan (CMC) as a bioinspired gelling agent and on Fluoride-doped Amorphous Calcium Phosphate (F-ACP) as a remineralizing agent. This gel was tested in vitro on the enamel of extracted premolars after demineralization with methacrylic acid gel.

Results

When compared to the control group and demineralized enamel group, the enamel slabs remineralized with CMC/F-ACP showed a higher calcium phosphate ratio in Energy-Dispersive X-ray (EDX) and better surface morphology under scanning electron microscope (SEM).

Conclusion

Remineralization tests performed on demineralized human permanent teeth proved that CMC/F-ACP gel has excellent efficacy, inducing a complete remineralization of the outermost layers of enamel as well as a full restoration of lost mineral content.

How to cite this article

Nimbeni BS, Nimbeni SB, Divakar DD, et al. Carboxymethyl Chitosan-Fluoride-doped Amorphous Calcium Phosphate: A Novel Remineralizing Gel. Int J Clin Pediatr Dent 2023;16(5):734-739.

Association between Demographic Factors Parental Oral Health Knowledge and their Influences on the Dietary and Oral Hygiene Practices followed by Parents in Children of 2-6 Years in Buraidah City Saudi Arabia: A Pilot Study

Background

Preschool children's oral hygiene maintenance is greatly prejudiced by their parent's knowledge and understanding regarding oral health. When parents are devoid of the basic awareness of caries-associated factors, the significance of primary teeth, and oral healthcare, it is challenging to program disease prevention strategies and apply them effectively.

Aims and objectives

This pilot study aimed to assess the knowledge regarding oral health, its effects, and the influence of demographic values on the parental practices among the parents of 2-6-year-old children by using a self-administered pretested questionnaire.

Materials and methods

The questionnaire was randomly distributed among parents of 2-6-year-old children who visited Buraidah Central Hospital. The sample size taken for this pilot study was 1,000. The questionnaire included 26 questions associated with the parent's knowledge about the oral health of the child, hygiene maintenance, and dietary habits. The collected data was analyzed using SPSS software.

Results

In the present research, a total of 1,000 parents participated in the study. It was observed that parental knowledge and hygiene practices increased as the educational status increased. It was also observed that as the number of children decreased in the family, the dietary practices and hygiene practices improved. All these observations were found to be statistically significant (p < 0.05).

Conclusion

Parent's education and knowledge reflect in their child's development of healthy practices. Thus the parents need to know about oral health, which can be put into practice in their children.

Clinical significance

This research helps us to understand the significance of parental knowledge and education in the oral health practices and maintenance among the children inculcated by parents, which can help in bringing down the oral health diseases in children in future.

How to cite this article

Al Mejmaj DI, Nimbeni SB, Alrashidi RM. Association between Demographic Factors Parental Oral Health Knowledge and their Influences on the Dietary and Oral Hygiene Practices followed by Parents in Children of 2-6 Years in Buraidah City Saudi Arabia: A Pilot Study. Int J Clin Pediatr Dent 2022;15(4):407-411.

Evaluation of the Effectiveness of Video-based Intervention on the Knowledge of Infant Oral Health among New Mothers

Background and objectives

Infant oral health is the foundation upon which preventive dental health education must be built to enhance the conditions for a disease-free oral cavity. Majority of the mothers are ignorant about their oral health and also about the fact that their oral health status affects that of their babies. Educational videotapes have proved to be effective in educating mothers on various child health issues. So the objectives of this study were to educate the mothers about the need for infant oral health care, compare the level of mother's knowledge on infant oral health before and after the video presentation and assess the effectiveness of the presentation.

Methodology

An interactive educational video presentation containing evidence-based information about infant oral health care and prevention was developed. This presentation was based upon information provided by the American Academy of Pediatric Dentistry (AAPD) on anticipatory guidance. It includes the persuasive message on maternal oral health during preconception and pregnancy and its implication on birth outcomes, vertical transmission of Streptococcus mutans, infant oral health, the risk for early childhood caries (ECC), and increased caries experience on permanent teeth if primary teeth are affected. Emergency care for infant oral trauma, consequences of traumatic injuries to the primary dentition from an aspect of possible damage to the developing tooth, dietary habits, and oral hygiene behaviors. It also emphasizes the timing of the first dental visit and the periodicity of dental screenings. The survey was designed to compare the effectiveness of instructional videotaped persuasive messages by using pre- and post-questionnaires. Two hundred mothers of infants below the age of 12 months were included in the study. They were asked to fill out the questionnaires before and after the presentation on the same visit.

Results

The results showed a highly significant improvement in knowledge (p< 0.05) as assessed by the proportion of correct responses following a single viewing of the AV-aid.

Conclusion

The knowledge of new mothers on infant oral health care was inadequate, and there was an improvement in their knowledge of infant oral health care after the instructional video presentation. An instructional video presentation is an effective tool for improving the oral health knowledge of new mothers.

Significance

By this study, we want to inculcate the habit of oral hygiene maintenance among the mothers, which indirectly affects the infant's oral health. Through this study, we educated the mothers regarding infant oral health care, which significantly improved their knowledge.

How to cite this article

Singh R, Patil SS, K Madhu, et al. Evaluation of the Effectiveness of Video-based Intervention on the Knowledge of Infant Oral Health among New Mothers. Int J Clin Pediatr Dent 2022;15(3):280-286.

Role of Chitosan in Remineralization of Enamel and Dentin: A Systematic Review

Aim and objective

The purpose of this research was to analyze the role of chitosan in the remineralization of enamel and dentin.

Materials and methods

An electronic search was done for articles published from January 2009 to January 2020. A manual search was done from bibliographies of selected articles for relevant articles that were unexplored. Only in vitro studies conducted on the application of chitosan for remineralization of enamel and dentin were included in the study.

Results

Of the 162 articles that were searched, only 15 in vitro studies were selected for the study. These studies met the inclusion criteria and were published from January 2009 to January 2020.

Conclusion

The review provides insight into the mechanism of remineralization of enamel and dentin. The properties of chitosan make it an ideal biomaterial that can be employed in the formulation of a novel remineralizing gel. However, more in vivo studies, clinical trials, and research are essential to transform chitosan-based remineralizing gels from research to clinical use.

Clinical significance

This review article opens a new window of opportunities for remineralizing enamel and dentin which have been long considered a challenging job.

How to cite this article

Nimbeni SB, Nimbeni BS, Divakar DD. Role of Chitosan in Remineralization of Enamel and Dentin: A Systematic Review. Int J Clin Pediatr Dent 2021;14(4):562–568.

Displacement and Dilaceration of Permanent Teeth as a sequel of trauma to Primary Teeth diagnosed by CBCT: A Rare Case Report

Dentoalveolar trauma to the primary teeth can result in displacement, dilaceration, discoloration, delayed eruption and impaction of permanent teeth. Displacement and dilaceration of permanent teeth is the most common sequel of such injuries. The severity of such condition depends on the force of impact, region of trauma and stage of tooth development of the permanent tooth. In the present case, there was dentoalveolar trauma to primary teeth as a result of which there was displacement of the permanent incisors into the nasal floor and 90 degree dilaceration at the cementoenamel junction. The treatment included surgical removal of the displaced teeth, exposure of palatally impacted canines followed by orthodontic correction and prosthodontic replacement of the extracted teeth. Cases of dentoalveolar trauma should be critically evaluated and advanced diagnostic aids like CBCT must be used for a clear picture of the case and better treatment planning. Treatment of such cases should be followed up for a longer period of time