Applicability of Bolton's Analysis: A Study on Jaipur Population

This study was undertaken to compare the Bolton's anterior and overall ratios among males and females in Jaipur population. One hundred study models (50 males and 50 females) of orthodontic patients were randomly selected from the Department of Orthodontics, Mahatma Gandhi Dental College, Jaipur. The normative data for the mesiodistal widths of males and females were established and the anterior and overall ratios were obtained for both males and females. It was observed that were no significant differences in both the ratios in males and females. Hence, both the ratios were obtained for the sample as a whole. These ratios were found to be similar to the Boltons standard with no significant differences. Therefore, it can be concluded that Boltons standards can be applied to this population irrespective of sex or ethnic background. How to cite this article: Trehan M, Agarwal S, Sharma S. Applicability of Bolton's Analysis: A Study on Jaipur Population. Int J Clin Pediatr Dent 2012;5(2):113-117.

Mutans Streptococci Colonization in Relation to Feeding Practices, Age and the Number of Teeth in 6 to 30-Month-Old Children: An in vivo Study

BACKGROUND

Early childhood caries has been characterized as first affecting the primary maxillary anterior teeth, followed by the involvement of the primary molars. Other terms for dental caries in preschool children, which inappropriately may imply cause for the disease, includes baby bottle tooth decay, nursing caries, milk bottle syndrome, baby bottle caries, nursing bottle mouth and nursing mouth.

AIM

To explore the relationships of feeding practices, age and number of teeth present with mutans streptococci colonization in infants.

DESIGN AND SETTING

A comparative clinical study conducted on 160 children aged from 6 to 30 months in the Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital in collaboration with Child Health Institute and Research Center and Department of Oral Pathology and Microbiology, Bapuji Dental College and Hospital, Davangere.

MATERIALS AND METHODS

Baseline data collection included: (i) Parents of the infants were asked open ended questions about the baby feeding practices, (ii) The age of the subjects were obtained from the immunization register maintained at Child Health Institute and Research Center and were grouped into group I (6-11 months), group II (12-17 months), group III (18-23 months) and group IV (24-30 months), (iii) Clinical examination of children was done by using mouth mirror and explorer in flash light.(6) For each child number and location of erupted teeth was recorded, (iv) Microbial screening for mutans streptococci involved sampling of saliva from each child was performed by placing a sterile wooden tongue blade on the dorsum of the tongue and the number of colony forming units (CFU) were recorded.

RESULTS

According to feeding practices, 34 children were in breastfed category, 39 were in baby bottle category and 87 children reported no bottle usage. Out of 160 children examined, a total 142 children were colonized with mutans streptococci. 18 children were found to be colonized with low colony forming units, 78 children were found to be colonized with moderate colony forming units and 64 children were colonized with high colony forming units. In baby bottle group, all of 39 subjects were reported to have sweetened milk, sugar in the bottle.

CONCLUSION

Among different feeding practices, all the three subgroups viz breastfed children, children with nursing bottle usage and children with no bottle usage, all have shown mutans streptococci acquisition. But breastfed children have shown least number of high colony forming units, which is increased in the case of children using nursing bottle and is maximum in the children who were neither breastfed nor fed with nursing bottle. Percentage of children colonized with mutans streptococci increases with age and as the number of teeth increase, number of colony forming units were also found to be increasing. How to cite this article: Sharma R, Prabhakar AR, Gaur A. Mutans Streptococci Colonization in Relation to Feeding Practices, Age and the Number of Teeth in 6 to 30-Month-Old Children: An in vivo Study. Int J Clin Pediatr Dent 2012;5(2): 124-131.

Glassfiber post: an alternative for restoring grossly decayed primary incisors

Restoration of primary incisors, which have been severely damaged by rampant caries or trauma, is a difficult task for the pediatric dentist. With the introduction of new adhesive systems and restorative materials, alternative approaches for treating these teeth have been proposed. This paper discusses the restoration of carious primary maxillary incisors using composite resin restoration reinforced with fiberglass post. Two case reports are presented here to describe the procedure. Over a 1 year period, the crowns have demonstrated good retention and esthetic results. How to cite this article: Mehra M, Grover R. Glassfiber Post: An Alternative for Restoring Grossly Decayed Primary Incisors. Int J Clin Pediatr Dent 2012;5(2):159-162.

Building-up a Smile in a 5-Year-Old Child: A Case Report

A variety of therapeutic modalities, from removable partial dentures to conventional fixed space maintainer can be used for the replacement of traumatically missing or carious lost primary anterior teeth. Dentistry has advanced to a point where it is undesirable for children to be partially edentulous or to have unattractive anterior teeth. The introduction of new materials and adhesive systems in dentistry, offers a new reconstructive alternative for severely destroyed or lost primary anterior teeth. The purpose of this article was to present a clinical case of four primary anterior teeth replacement by means of fiber-reinforced composite bridge. This technique offers a conservative, esthetic and noninvasive treatment. It can be considered, as a long- lasting reversible provisional treatment.

How to cite this article: Marwaha M, Bhat M, Nanda KDS. Building-up a Smile in a 5-Year-Old Child: A Case Report. Int J Clin Pediatr Dent 2012;5(2):151-154.