Browsing by Author "Khatri, Amit"
Now showing 1 - 8 of 8
Results Per Page
Sort Options
Item Building self-esteem by prosthetic rehabilitation in a child with hypohidrotic ectodermal dysplasia, role of pediatric dentist: A case report(Mansa STM Publishers, 2022-05) Khatri, Amit; Kalra, Namita; Tyagi, Rishi; Garg, Neetu; Sabherwal, Puja; Sharma, MayankEctodermal dysplasia (ED) is a congenital disorder exhibiting multiple disorders that affect ectodermal tissues. Over 150 different presentations of the syndrome have been reported, of which the most commonly encountered are hidrotic and hypohidrotic variants. In the present paper, we report the case of an 8-year-old male who was diagnosed with hypohidrotic ED by a physician. The extraoral and intraoral findings were recorded and found in accordance with the diagnosed variant. A comprehensive therapy was initiated which included child and parent counseling, familiarizing the child with dental setup, and delivery of a removable partial denture for the upper arch and a removable complete denture for the lower arch. The importance of follow-up and newer dentures as per the growth of the patient was also explained to the parents. The article highlights the key role of a pediatric dentist in managing the child and parents in syndromes as suchItem Change in the trend of diet and lifestyle patterns among Indian children during COVID-19 confinement: a cross-sectional study(Medip Academy, 2024-03) Yangdol, Padma; Kalra, Namita; Tyagi, Rishi; Khatri, Amit; Khandelwal, Deepak; Goyal, TavishaBackground: To assess the change in the trend of diet and lifestyle behaviours during the COVID-19 pandemic in children and their association with various COVID-19-related consequences.Methods: A cross-sectional study that employed a structured 22-item questionnaire through teledentistry to 1500 children who previously visited the dental department of a tertiary hospital in Delhi. The dietary habits lifestyle changes (DHLC-COVID19) questionnaire, which was customized and validated for the study, and their COVID-19 related consequences were administered.Results: A statistically significant decreased intake of certain types of foods, high-carbohydrate snacks with a lower trend in snacking frequency was observed in children during COVID-19. The study investigated the association of variation of food intake in children i.e., 憂o consumption� and 慸ecreased consumption� in relation to family members who lost their job during COVID-19 and depicted significant relation w.r.t families who got infected, lost their life during COVID-19. Determinants of these perceived changes were examined in multivariable regression models, Chi-square test and Mc Nemar test. Moreover, a significant change in lifestyle behaviours was also observed in children during COVID-19. The comparison of weight assessment during COVID-19 and performing/ engaging in physical activity during the period depicted that there was a statistically significant difference in proportion (p<0.05).Conclusions: This study provides evidence of the detrimental effects of COVID-19 be taken into consideration when developing and implementing public health policies to protect children's health both during and after the pandemic, especially among vulnerable youngsters on the social spectrum.Item Comparison of parental satisfaction with strip crowns and primary anterior zirconia crowns in 3–5 years old children over 1 year(Wolters Kluwer – Medknow, 2021-10) Sharma, Mayank; Khatri, Amit; Kalra, Namita; Tyagi, RishiBackground: During the past decade, parental involvement for the selection of full coronal restorations for the primary anterior teeth of their children has been increased. Two most common anterior aesthetic full coronal restorations, the strip crowns and the preformed zirconia crowns, are available options. Aim: The aim of this study is to compare parental satisfaction with strip crowns and preformed primary anterior zirconia crowns over 1 year in 3–5 years old children. Materials and Methods: Forty maxillary primary incisors were restored by either strip crown or zirconia crown in 24 children. Permuted block randomization method was used for the allocation of participants. Twenty-four parents participated were recalled to fill the questionnaire over 1 year. One parent dropped out at the end of 1 year. Data were analyzed using the t-test and Chi-square test. P < 0.05 considered statistically significant. Results: Parents were satisfied with both types of restorations. Statistically significant relationship was found between overall satisfaction and durability (P = 0.004) with strip crowns and with the color (P = 0.043) in the zirconia crowns. The parents with the lower satisfaction levels with the durability of strip crowns and color of zirconia crowns rated high overall satisfaction. Conclusion: Parental overall satisfaction was higher for preformed primary anterior zirconia crowns than strip crowns. Almost equal number of parents was satisfied with all other parameters except for durability, which was more for zirconia crowns.Item A conservative approach to pediatric mandibular fracture management: Outcome and advantages.(2011-11) Khatri, Amit; Kalra, NamitaPediatric mandibular fractures are rare and their treatment remains controversial. Management is extremely complicated in mixed dentition as it is inherently dynamic and unstable. Treatment options include soft diet, intermaxillary fixation with eyelet wires, arch bars, circummandibular wiring, or stents. Alternative options include open reduction and internal fixation through either an intraoral or extraoral approach. This case report describes and evaluates the conservative technique of acrylic splint in the treatment of pediatric mandible fracture in a 12-year-old female child. The patient with isolated mandibular fracture was treated with acrylic splint and interdental wiring followed by evaluation of clinical and radiographic healing as well as the somatosensory status. Patient demonstrated clinical union to her pre-injury occlusion by three to four weeks. Panoramic finding supported the finding of clinical examination throughout the study. High osteogenic potential of the pediatric mandible allowed conservative management to be successful in this case.Item Dental Management Of A Patient With Down Syndrome: A Case Report And Review Of Literature(Atharva Scientific Publications, 2019-01) Khandelwal, Deepak; Kalra, Namita; Tyagi, Rishi; Khatri, Amit; Kumar, Sunil; MM, AfsalDown syndrome (DS) is the most common chromosomal abnormality which affects numerous organs, including the orofacial region. Patients with DS may not be cooperative during dental treatment, and in cases of complex treatment, it is necessary to use oral or inhaled sedation and/or general anesthesia, which represents safe and efficient treatment resources. This article reports a management of DS in a 7-year-old male patient who came to the Hospital of New Delhi with the chief complaint of pain in lower right back tooth region. Due to the uncooperative nature of the patient, dental treatment was done under general anesthesia in which multiple dental restoration and extraction were done.Item Evaluation of oral health of 6 to 10-year-old asthmatic children receiving bronchodilator through inhaler(Indian Society for Dental Research, 2019-09) Kumar, Sudhir; Kalra, Namita; Tyagi, Rishi; Faridi, M M A; Khatri, Amit; Satish, V N VAim: The aim of this study was to evaluate the oral health status in 6 to 10-year-old asthmatic children receiving bronchodilator (salbutamol, salmeterol, etc.) through inhaler and compare them with nonasthmatic healthy children. Settings and Design: The present study was carried out at pediatric and pedodontic department and neighboring government school. It was an observational and case–control study. Statistical Analysis: All data were analyzed using SPSS 20.0 software program and presented as mean ± standard error of mean. Chi-square test was used for the categorical data between groups. Numerical data were analyzed by Mann–Whitney U-test and t-test. Kruskal–Wallis test was performed for comparisons of median value of decayed, missing, filled surface and Decayed, Missing, Filled Surface (dmfs and DMFS) for different variables within asthmatic group. Mann–Whitney U-test for multiple comparisons and P value was adjusted according to Bonferroni correction. Negative binomial analysis was used to calculate adjusted dmfs and DMFS, and univariate analysis of variance was used for adjusted mean plaque and gingival index. Materials and Methods: The study group composed of 70 asthmatic and 70 nonasthmatic children with the same age and social background aged between 6 and 10 years old. Oral health status was assessed using caries, plaque, and gingival index. Dental caries examination was done using the WHO criteria (1997), plaque index by Silness and Loe in 1964 and gingival health by Loe and Silness in 1963. Results: The children in the asthmatic group had significantly higher caries prevalence, severity of dental plaque, and gingivitis compared with the nonasthmatic group. Plaque accumulation and gingivitis increased significantly as severity and duration of asthma increased. Conclusions: Bronchial asthma had an overall deleterious effect on caries prevalence and severity, plaque, and gingivitis on primary and permanent teeth.Item Oral health status and microbial load of Streptococcus mutans in children with Cerebral palsy in a tertiary care hospital in Delhi(Wolters Kluwer – Medknow, 2021-04) Kaushal, Drishti; Kalra, Namita; Khatri, Amit; Tyagi, Rishi; Singh, NP; Saha, Rumpa; Aggarwal, AnjuBackground: Cerebral palsy (CP) is a childhood debilitating condition which impairs the physical and mental ability of an individual to maintain oral health. Aim: The objective of the present study was assessment of dental neglect and burden of treatment needs of children affected with CP as compared to normal children in a tertiary care hospital in Delhi. Settings and Design: A sample size of 104 children of age group of 6–14 years was selected, in which 52 children of CP (case group) and 52 normal school children (control group) were recruited. Materials and Methods: Children from both groups were examined, and calculation of drug master files (DMFS), defs, oral hygiene index (OHI), and gingival index was done. The presence of trauma and malocclusion was assessed. Present caries activity was assessed by the level of Streptococcus mutans present in saliva in both groups. Treatment needs were then assessed based on intraoral findings. Statistical Analysis: Data were analyzed by SPSS 20.0 software. Student's t-test and nonparametric statistical tests such as Chi-square test and Mann–Whitney test were used as per the nature of variables studied for statistical analysis with the level of significance denoted at P < 0.05. Results: The mean DMFS, gingival index, OHI, and treatment needs were observed to be higher in the CP group. Increased S. mutans levels were observed in saliva of CP patients. Defs score, trauma, and malocclusion were not statistically significantly higher in CP group as compared to the control group. Conclusion: Cerebral palsy group had a poor oral and gingival health, a higher DMFT and burden of treatment needs and an increased risk of further caries progression due to high caries activity indicated by increased level of salivary Streptococcus mutans than the control group.Item Prevalence of dental trauma in permanent anterior teeth in 6-12-year-old children in school going children of East Delhi(Medip Academy, 2023-12) Khandelwal, Deepak; Kalra, Namita; Tyagi, Rishi; Khatri, Amit; Yangdol, PadmaBackground: Traumatic dental injury affects many children and adolescents, and it considered a challenging public health problem. Injuries involving permanent teeth are one of the most common types of trauma to the maxillofacial area. The prevalence of traumatic dental injuries varies greatly, and it ranges from 4% to 58%Methods: A cross-sectional survey was carried among 700 school children aged 6 and 12 years in East Delhi. A list of primary and secondary schools of East Delhi area was obtained. A multistage random sampling technique was adopted to select the study population. The children aged 6-12 years with signed consent and in whom permanent anteriors had erupted were included in the study. The oral examination was conducted by a single calibrated examiner using WHO oral health assessment Performa 2013.Results: Overall prevalence was 7.71%. Dental trauma was 1.90%, 10.27% and 10.12% respectively in Group I, Group II and Group III respectively. Female reported with 7.57 % and males with 10.81% (p=0.001). Maxillary Central incisors were found to be the most frequent teeth to be injured.Conclusions: Parents may lack information regarding the consequences of dental trauma and don't report for dental consultation. Along with seeking dental care, patient must be educated about the use of protective mouth guards while playing contact sports which may help to reduce the incidence and severity of dental injuries.