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Objectives: Competency based clinical training in most of the dental schools in Saudi Arabia incorporates a clear rubrics for evaluation of clinical procedure where use of rubber dam is one of the criteria to be effectively fulfilled by the students. The present study aims to determine the knowledge, attitude and practice towards the use of rubber dam by dental students and interns of various dental schools in Saudi Arabia. Methodology: A cross-sectional study was conducted among the dental students of various Saudi university through google form during January 2022 to March 2022. A pretested questionnaire in a 5 point Likert scale ranging from strongly agree (score 5) to strongly disagree (score 1) containing three sections (each containing 10 questions) to measure knowledge, attitude and practice towards use of rubber dam was used. The questionnaire for barriers for rubber dam use included 5 items. The Chi-square test and One-way ANOVA followed by Tukey post hoc was used to compare the responses between the male and female students and dental students of difference academic levels. Results: Total of 273 valid responses were received (189 (69.23%) male and 84 (30.77%) female). The overall average Likert score for knowledge about rubber dam among dental students was 3.45 (± 1.2). The overall average Likert score for questionnaire items assessing attitude of dental students about rubber dam was 3.81 (± 0.9). The respective overall average score for male and female dental students for their attitude towards rubber dam was 3.32 (±0.8) and 4.30 (±0.11) with p = 0.04. The overall average Likert score for practice items was 3.73 (±0.8)(Table 4,Fig-2). The respective overall average score for male and female dental students for practice of rubber dam was 3.13 (±1.1) and 4.33 (±0.8) with p = 0.03. For the questionnaire items assessing the barriers for using rubber dam, the average score for unavailability of suitable rubber dam clamp and patient refuse both scored 4.3. Conclusion: The finding suggest that the dental students have adequate knowledge and training for rubber dam use. The attitude and practice towards consistent use of rubber dam should be reinforced through proper motivation. A future research with a larger sample size and patients feedback on rubber dam will be helpful.

Early childhood caries (ECC) and childhood obesity are among the most prevalent health conditions affecting children. ECC is associated with obesity through the common risk factor of sugar consumption. The present study aimed to assess the association between ECC and obesity in preschool children.A cross-sectional study was conducted among 1250 preschool children (698 girls, 552 boys; mean age: 4.3 [1.1] years). The children's body mass index was determined (BMI: weight/height in kg/m2). The World Health Organization criteria were used for the diagnosis of caries. Multivariable logistic regression was used to analyse the relationship between ECC prevalence and childhood obesity.ECC was detected in 929 (74.3%) children. The mean dmft and dmfs was 5.91 (1.13) and 8.92 (2.07) , respectively. The multiple regression model showed a statistically significant association between ECC prevalence and obesity with an adjusted odds ratio (OR) of 2.59 (95% CI: 1.88 - 3.57; P = 0.001). The logistic regression model showed that in children with a monthly family income$2666, sugar consumption, preterm low birth-weight/full-term low birth-weight (PTLBW/FTLBW), and toothbrushing frequency ≤ 1 time/day were statistically significantly associated with ECC prevalence.ECC was positively associated with obesity.

The present systematic review was conducted to investigate the effect of the self-assembling peptide (SAP) – P11-4 in the remineralization of enamel caries. The systematic search for studies was co...

OBJECTIVES This study assessed the association between soft drink consumption, gastric reflux, dental erosion, and obesity among special care children. MATERIALS AND METHODS A total of 350 special care children (male-131, female-219) mean age of 12.6 (± 2.6) years were included. Detection of dental erosion was performed according to the World Health Organization criteria. The medical evaluation assessed body mass index (BMI). With appropriate sample weighting, relationships between dental erosion prevalence and obesity were assessed using multivariable logistic regression. RESULTS Overall prevalence of dental erosion was 36%. Mean BMI for entire study population was 24.7 (± 7.8). Regression analysis showed strong association between dental erosion prevalence and consumption of soft drinks (adjusted odds ratio = 1.8; 95% CI = 0.71-2.92, P

Dental erosion and childhood obesity are associated with a common risk factor, soft drink consumption. The present study aims to assess the prevalence of dental erosion and its association with obesity among children with and without special healthcare needs.A cross-sectional study was conducted on 1,200 school children (400 children with special needs (CSHN) and 800 children without special needs) in the age group of 6 to 16 years. Dental erosion was diagnosed according to World Health Organization (WHO) criteria. Body mass index (BMI; weight/height in kg/m2) was recorded for each child. The association of dental erosion and obesity was analysed using multivariate logistic regression analysis.A total of 331 (27.6%) children presented with dental erosion. Dental erosion prevalence among CSHN was 33.5% and among children without special needs was 24.6%. In the final fully adjusted model, children with obesity presented 2.32 times (95%CI 1.17-4.89, P = 0.001) higher odds ratio (OR) of having dental erosion than normal-weight children. Children who consumed soft drinks ≥ 1 time/day and 2-6 times a week presented with an OR of 2.65 (95%CI 1.23-5.21, P = 0.001) times of dental erosion. Children with chronic vomiting and bulimia presented with a 3.27 (95%CI 1.72-6.12, P = 0.001) times higher OR of dental erosion. Children with gastric reflux presented with a 3.21 (95%CI 1.52 - 5.86, P = 0.001) times higher OR of dental erosion.The prevalence of dental erosion was slightly higher for special needs children compared to children without special needs. The study outcome suggests that obesity, chronic vomiting, consumption of soft drinks, and gastric reflux are statistically significantly associated with dental erosion.

Obesity and dental caries constitute an important public health problem worldwide. Special-needs children are at higher risk of developing dental caries and obesity because of their physical, neurological, or behavioural impairment or due to side effects of the medications they take. The present study was conducted to assess the association between dental caries and obesity among children with special health care needs in Taif City, Saudi Arabia.A descriptive cross-sectional study was conducted among 400 (220 girls and 180 boys) special-needs children. Body mass index (BMI) was determined by using height and weight measurements. Dental caries was recorded according to World Health Organization criteria. The association between caries and obesity was assessed using multivariable logistic regression analysis.289 (72.3%) children presented with caries with mean dmft and DMFT of 3.9 ± 2.7 and 4.8 ± 2.3, respectively. Regression analysis showed specials needs children were at a greater risk of having dental caries: 1.69 times (CI: 0.18-2.62, p0.05) greater with obesity; 2.01 (CI: 0.18-3.09, p0.05) times greater with sugar consumption; 2.21 times (CI: 1.27-4.12, p0.001) greater with cerebral palsy; and 2.27 (CI: 1.29-5.12, p0.001) times greater with intellectual disability.The present study showed a positive association between dental caries and obesity among children of special health care needs. Hence, a focused approach towards the common risk factors is essential to prevent both obesity and dental caries in special-needs children.

The present systematic review was conducted to investigate the effect of the self-assembling peptide (SAP) - PThe systematic search for studies was conducted through CINAHL, EMBASE, MEDLINE, Scopus, PsychINFO, and various key journals. This review was conducted in adherence to PRISMA standards and was registered in PROSPERO with registration number CRD42019110156. The methodological quality of the studies was graded through Cochrane's tool of risk of bias in non-randomized studies - of interventions (ROBINS-I).In total, 91 studies were identified for screening, and 12 studies were eligible. Ten studies showed effective enamel remineralization with PTo conclude, the present study results showed SAP- P

Background: Local anaesthesia (LA) forms the backbone of pain control techniques in dentistry and has a major role in dentistry for children. Inferior Dental Nerve Block (IDNB) has been the LA technique of choice for treatment of carious mandibular primary molars in children. However, several disadvantages have been associated with the IDNB. Buccal Infiltration (BI) with 4% Articaine have been proposed as more comfortable and pleasant alternative LA techniques to IDNB which became widely used in paediatric dentistry especially for the treatment of carious mandibular primary molars in children above the age of 4 years. Aim: To explore children and carer`s experience and satisfaction of their child’s dental treatment under LA and compare their acceptance of two LA techniques; BI with 4% Articaine and IDNB with 2% lidocaine for the treatment of mandibular carious primary molars in children under ten years of age. Method: A prospective study design was used to explore patient and carer`s acceptance of the two local anaesthetic techniques. 96 patients aged 5-9 years and their carer`s completed two questionnaires on treatment acceptance. Result: A total of 49 (50%) participants received BI with 4% Articaine and 49 (50%) had IDNB with 2% lidocaine. Two patients had IDNB but no dental treatment was performed as patients could not cope with dental treatment, thus these participants did not complete the questionnaires. The majority of the children (84.7%) and their carers (91%) were happy with their experience at the dentist including the administration of the LA (61.5% for BI and 64% for IDNB), delivery of the dental treatment (87.8% for BI and 81.6% for IDNB) and dentist management including dental teamwork (over 90%). Conclusion: Both local anaesthetic techniques; BI with 4% articaine and IDNB with 2% lignocaine were accepted among patients and carers. Dental team attitude can significantly impact the treatment outcome in children. Establishing a clear communication between the dentist, the child patient and his/her carer as well as implementing good behaviour management techniques contribute significantly to treatment acceptance among children and carers.

Background: Over the last few years, numerous reviews and studies have awarded articaine hydrochloride local anaesthetic (LA) a superior reputation, with outcomes of different studies demonstrating a general tendency for articaine hydrochloride to outperform lidocaine hydrochloride for dental treatment. Nevertheless, there seems to be no clear agreement on which LA solution is more efficacious in dental treatment for children. There is no previous publication systematically reviewing and summarising the current best evidence with respect to the success rates of LA solutions in children. Aims: To evaluate the available evidence on the efficacy of lidocaine and articaine, used in paediatric dentistry. Design: A systematic search was conducted on Cochrane CENTRAL Register of Controlled Trials, MEDLINE (OVID; 1950 to June 2017), Cumulative Index to Nursing and Allied Health Literature (CINAHL; EBSCOhost; 1982 to June 2017), EMBASE (OVID; 1980 to June 2017), SCI‐EXPANDED (ISI Web of Knowledge; 1900 to June 2017), key journals, and previous review bibliographies through June 2017. Original research studies that compared articaine with lidocaine for dental treatment in children were included. Methodological quality assessment and assessment of risk of bias were carried out for each of the included studies. Results: Electronic searching identified 525 publications. Following the primary and secondary assessment process, six randomised controlled trials (RCT) were included in the final analysis. There was no difference between patient self‐reported pain between articaine and lidocaine during treatment procedures (SMD = 0.06, P‐value = 0.614), and no difference in the occurrence of adverse events between articaine and lidocaine injections following treatment in paediatric patients (RR = 1.10, P‐value = 0.863). Yet, patients reported significantly less pain post‐procedure following articaine injections (SMD = 0.37, P‐value = 0.013). Substantial heterogeneity was noted in the reporting of outcomes among studies, with the overall quality of majority of studies being at high risk of bias. Conclusions: There is low quality evidence suggesting that both articaine as infiltration and lidocaine IAD nerve blocks presented the same efficacy when used for routine dental treatments, with no difference between patient self‐reported pain between articaine and lidocaine during treatment procedures. Yet, significantly less pain post‐procedure was reported following articaine injections. There was no difference in the occurrence of adverse events between articaine and lidocaine injections following treatment in paediatric patients.

Aim: To compare the anaesthetic efficacy for pain and behaviour during treatment with mandibular infiltration using 4% articaine (BI) with inferior dental nerve clock (IDNB) using 2% lidocaine for extraction or pulp therapy in mandibular primary molars. Design: This was equivalence parallel prospective RCT. A total of 98 children aged 5–9 years old were randomly assigned into two groups: BI supplemented by buccal intrapapillary infiltration with 4% articaine; IDNB with 2% lidocaine supplemented with long buccal infiltration. Behaviour during the injection and treatment procedures was assessed using Wong‐Baker Facial Rating Scale (W‐BFRS), Visual Analogue Scale (VAS), and Frankl Behaviour Rating Scale (FBRS). Results: During the injection phase, the absolute differences in success rates between the two techniques were 0.06 (95% CI: −0.11 to 0.23) for VAS and −0.08 (95% CI: −0.19 to 0.03) for the behaviour of the child (FBRS). FBRS results showed the equivalence of the two, whereas the VAS results showed nonequivalence with the 95% confidence intervals slightly exceeding the equivalence margin (±0.20). W‐BFRS success rates were 63.3% for both. During the treatment, VAS results showed similar success rates, demonstrating equivalence between the two as did the results for FBRS. Conclusion: The results suggested equivalence in success rates for both anaesthetic techniques during treatment.