Pediatric Dental Clinic Research Articles

Risk factors for the formation of congenital hyperplasia of blood vessels (infantile hemangioma)

The aim the study. To identify correlations between the development of blood vessel hyperplasia (GCS) and risk factors in pregnant women. To identify correlations between the development of blood vessel hyperplasia (GCS) and risk factors in pregnant women. A selective retrospective analysis of 173 case histories and outpatient records of patients of the Clinic of Pediatric Maxillofacial Surgery and Dentistry of the Central Research Institute of Dentistry and Maxillofacial Surgery for 2011-2021 was carried out. The obstetric history of the mother, chronic diseases of mothers during pregnancy and bad habits were studied. The interrelation of the influencing unfavorable factor on the isolation, prevalence and vastness of foci of infantile hemangioma was determined. There was no statistically significant relationship between the harmful habits of the mother and the number of lesions, as well as the isolation of the lesion of the mandibular-facial region (CHLO) and the prevalence of the process in the child. It was found that the prevalence of the process, the isolation of the lesion and the number of foci of CHLO did not have a reliable relationship with the complicated course of pregnancy in the mother. A reliable relationship was revealed between the number of lesions in the CHLO and chronic hypoxia, between the number of defects of the cardiovascular system and the prevalence of the process. But there was no reliable relationship between the number of CCC lesions and the number of lesions. 24 patients out of 173 were premature. In these patients, a statistical severity to the occurrence of GCS was revealed. There was no reliable relationship between the genetic predisposition on the line of both parents and the prevalence of the process, with the isolation of the lesion of CHLO and with the number of foci of CHLO lesions. Prematurity, chronic hypoxia, multiple malformations of the fetal cardiovascular system are risk factors for the development of vascular hyperplasia in children.

Prevalence of malocclusion and orthodontic treatment needs among Saudi primary school male children aged 6–12 years: A cross-sectional study

Aim: To evaluate the prevalence of malocclusion and the need for early orthodontic treatment (EOT) using dental health component (DHC) of the index of orthodontic treatment need (IOTN). Materials and Methods: In this cross-sectional study, clinical examination was performed on 357 male children, aged 6–12 years who were randomly selected from five public schools and one public pediatric dental clinic, in Al-Kharj province, Saudi Arabia. The examination assessed various occlusal parameters using IOTN, across the total sample and further between two subgroups (early and late mixed dentitions). Results: For the total sample 58.8% had Angle’s Class I malocclusion, 26.7% had Angle’s Class II, 9.8% had Angle’s Class III, while crowding was present in 44.5%. Over 1/4 of the younger group and 42.8% of the older group exhibited at least one feature indicating EOT: anterior crossbite, posterior crossbite, open bite, impinging overbite, ≥7 mm overjet, and Class III malocclusion. However, no statistical differences were found between the two groups (P > 0.05). According to DHC score, 77 participants (21.6%) were in definite OTN. The DHC score demonstrates its validity in identifying evidence-based malocclusion features as significant indicators for EOT. Compared to DHC, the esthetic component significantly overestimated lack of OTN and significantly underestimated definite OTN (P < 0.05). Conclusion: The prevalence of malocclusion and EOT need is generally similar among younger and older children, but the distribution is higher among older children. Orthodontic screening at early mixed dentition stage is essential.

Evaluation of Dental Emergencies During COVID-19 Pandemic in a University-Based Pediatric Dentistry Clinic

Evaluation of Dental Emergencies During COVID-19 Pandemic in a University-Based Pediatric Dentistry Clinic

Dog-assisted therapy for control of anxiety in pediatric dentistry.

Anxiety is common in pediatric dental care, and affects the behavioral management of children. Animal-assisted therapy (AAT) has been shown to improve children's behavior. However, few studies have applied this technique in dentistry. The aim of the present study was to evaluate the applicability of dog-assisted therapy to control anxiety during pediatric dental treatment. Twenty children were selected from the Pediatric Dentistry Clinic of the Pontifical Catholic University of Campinas (PUC-Campinas), Brazil. Participants were divided into two groups: Control (n = 11; visits = 16), in which children were conditioned by methods routinely used in the clinic; and AAT (n = 9; visits = 23), in which children had contact with a dog therapist first at the reception desk and then again inside the office. The dog therapist stayed beside the dental chair with the child throughout the procedures. Corah's Dental Anxiety Scale (CS) and heart rate (HR) were used for evaluation of child anxiety. The results were tested for normality of distribution with the Shapiro-Wilk method, and subsequently analyzed in BioEstat 5.0. HR results were compared by Analysis of Variance (ANOVA) with Tukey's test, and CS scores, with the Wilcoxon test. There was a significant reduction in HR in the AAT group (p = 0.0069). In the Control group, HR did not change before, during, or after treatment (p = 0.6052). Controls showed a significant increase in anxiety measured by CS before and after treatment (p = 0.0455). In the AAT group, there was no change in CS scores before and after treatment (p = 0.3739). AAT could be an alternative to reduce anxiety during pediatric dental care.

Comparison of the Dental Treatments Performed in A Pediatric Dentistry Clinic During the Covid-19 Pandemic Period with the Pre-Pandemic Period: A Retrospective Study

Purpose: This study aimed to assess the impact of COVID-19 pandemic on attendance and treatments performed in a paediatric dental clinic.&#x0D; Materials &amp; Methods: A retrospective study was conducted using the records of pediatric patients treated in two periods: before the pandemic (15 March 2019–14 March 2020) and during the pandemic (15 March 2020–14 March 2021). Data regarding patients’ age, sex and administered treatment were collected and analyzed. The treatments applied were categorized under 6 groups: examination, restorative, preventive, prosthetic, emergency and surgical, and periodontal. Rates of each procedure were compared between two periods.&#x0D; Results: During pandemic, 11,700 patients applied to our clinics and 26,995 procedures were performed, resulting a decrease by 63.5% and 84.3% in the outpatients and treatments, respectively, compared to the pre-pandemic period. During the pandemic, the rates of examination and surgical procedures were significantly higher than those before the pandemic, while the rates of other procedures were significantly decreased (p

The incidence and structure of dental pathology in children with chronic viral hepatitis C

To develop a complex of therapeutic measures for various lesions of the oral mucosa in children with chronic viral hepatitis C. To solve the tasks and achieve the goals of the study, general clinical, biochemical, immunological, microbiological, virological, dental and statistical research methods were used in the work. The study was conducted in the period from 2018 to 2021. Data collection was carried out on the basis of the Republican Specialized Scientific and Practical Medical Center of Pediatrics of the Ministry of Health of the Republic of Uzbekistan (Department of Chronic Hepatitis. The head of the department is Academician of the Academy of Sciences of the Republic of Uzbekistan Inoyatova F.I.), as well as on the basis of the pediatric dental clinic of the Tashkent State Dental Institute. The main group of patients was formed, including 112 children with HCV and pathology of COPD. Results: The analysis showed that the proposed method of treatment had a significantly positive effect on the condition of the oral mucosa in children with hepatit C

Are lower urinary tract conditions more common in children with sleep bruxism?

Sleep bruxism is a parasomnia caused by rhythmic and non-rhythmic activity of the masticatory muscles during sleep. Prevalence of sleep bruxism is reported up to 40.6% in the literature. Sleep bruxism is a multifactorial issue and associated with multiple dental complications, sleep-related disorders, and psychosocial problems. We aimed to investigate if children with sleep bruxism suffer more from lower urinary tract conditions. Prospectively 128 children were included in this study. Sixty-four children constituted in the bruxism group and 64 children constituted in the control group. Children who admitted to the pediatric dentistry clinic with bruxism symptoms were recruited in the bruxism group. Control group constituted of consecutive 64 children who admitted to the pediatric dentistry clinic for routine dental examination. Parents were asked to fill out a questionnaire including Dysfunctional Voiding and Incontinence Scoring System (DVISS) form. Children's demographic data, presence of urinary frequency, presence of urgency, behaviour of voiding postponement, presence of daytime urinary incontinence, presence of enuresis nocturna, presence of fecal incontinence, presence of constipation, status of circumcision, and presence of bruxism related symptoms were recorded. Children with a DVISS score above 8 were considered to have functional voiding disorder. All children underwent a dental examination. The mean age of children was 73.3±26.9 months. For all children (n=128), the girl to boy ratio was 40:88. Mean DVISS score was 2.5±3.8 and the mean QOL score was 0.1±0.4 for all children. Eight (6.3%) children were found to have functional voiding disorder based on the DVISS score. There was no statistically significant difference for any lower urinary tract condition between the bruxism group and the control group (Table). Children with bruxism significantly had more tooth wear and masseter muscle hypertrophy (<0.001 and<0.05). Sleep bruxism has been linked to a number of health issues including dental, systemic and psychosocial problems. Tooth wears, fatigue/pain in chewing muscles, gum recession, facial pain, masseter muscle hypertrophy and temporomandibular joint damage are the main complications of bruxism. Moreover, bruxism has been associated with systemic diseases and sypmtoms like asthma, respiratory illnesses, enuresis nocturna, anxiety, and stress. Children with sleep bruxism suffer more from tooth wear, masseter muscle hypertrophy, and regional pain over the jaw. Additionally morning fatigue, relationship issues, and respiratory illnesses are more common in bruxist children. Lower urinary tract conditions are not more frequent in children with sleep bruxism.

Assessing Spatial Accessibility to Pediatric Dental Clinics Using the Geographic Information System

The purpose of this study was to evaluate the accessibility of pediatric dental clinics and quantitatively compare the regions with the best and worst accessibility to pediatric dental clinics in South Korea using the geographic information system. Seoul city showed the highest density of pediatric dental clinics, while Gyeongbuk and Jeonbuk provinces showed the lowest density. Seoul city had a service area ratio of 100% in all districts on a 10 km basis. In Gyeongbuk and Jeonbuk provinces, more than half of the districts had a service area ratio of 0%. In Seoul, the average distance from elementary school to the nearest pediatric dental clinic was 3.45 km. The average distance values were 43.66 km and 40.57 km in Gyeongbuk and Jeonbuk provinces, respectively, which were 12.66 times and 11.76 times longer than the average distance in Seoul city.

The Distribution of Pediatric Patients According to Accessibility to Dental Facilities in Pusan National University Dental Hospital

The purpose of this study was to analyze the accessibility to dental facilities and the differences in chief complaints of new patients who visited Pusan National University Dental Hospital. We collected information from electronic medical records for 1,820 new patients. The accessibility was analyzed by measuring the distance from the patient’s house to the dental facilities. The distance was categorized into 10 km sections, and the presence or absence of a local pediatric dental clinic within 10 km of the patient’s house was also categorized. As the distance between the house and Pusan National University Dental Hospital increased, the proportion of patients who visited for dental caries decreased, and orthodontic treatment increased. Dental caries accounts for 27.9% of less than 10 km and 20.5% over 30 km. Orthodontic treatment accounts for 25.4% within 10 km and 27.3% more than 30 km away. The presence or absence of a local pediatric dental clinic within 10 km did not significantly affect the distribution of chief complaints. This study can be used as basic research data to establish effective treatment measures that can improve the physical and geographical accessibility of patients visiting pediatric dentistry.

Root fracture in the permanent maxillary central incisors: a case report of 10 years follow-up

The objective of this case report is to present a 9-year-old female patient who suffered horizontal root fracture in the middle third of the two upper central permanent incisors. The teeth were splinted with composite resin in the proximal teeth involved in the trauma. After, the patient was referred to the pediatric dentistry clinic, where she received clinical and radiographic care for a period of ten years. Endodontic intervention was not necessary on both central incisors teeth. Tooth 11 healing by interposition of bone and connective tissue, and teeth 21 healing by interposition of connective tissue. After ten years, the teeth presented without any significant signs or symptoms requiring an invasive intervention. It is concluded that the patient's cooperation regarding care, oral hygiene and attendance at the return appointments, can be decisive for the success of the treatment.

Evaluation of the Injection Pain with the Use of Vibraject during Local Anesthesia Injection for Children: A Randomized Clinical Trial

To compare the outcomes of the conventional syringe and the outcomes of the vibraject-assisted injection (VAI) in terms of the pain of the needle insertion during various intraoral injections of local anesthesia in children aged 6-9 years. A total number of 75 children aged 6-9 years were selected from patients visiting the pediatric dental clinic at Damascus University. The children were assigned into three equal groups (25 children each) according to the type of intraoral injection needed for the treatment: Groups [Group I: received upper buccal infiltrations (UBI), Group II: received posterior palatal infiltrations (PPI), and Group III: received inferior alveolar nerve block (IANB)]. This study was conducted considering the split-mouth design. Each child was subjected to both anesthetic injections: the conventional and the vibration-assisted in two separate dental visits 2 weeks apart. At each clinic visit, subjective and objective pain levels were assessed using the visual analog scale (VAS) and Face, Leg, Activity, Cry, Consolability (FLACC) scale. Children who received local anesthesia using the Vibraject method had lower VAS and FLACC scores than those who received local anesthesia using the conventional method. Vibraject was more effective in reducing the pain with local anesthetic injection compared to the conventional injection technique in clinical dental procedures for children. In a pediatric dental clinic, pain management is considered a pillar that influences actions. Using the VAI may achieve the ease, cooperation, and compliance during the dental care session.

Children's Perceptions of Dental Experiences and Ways to Improve Them.

This qualitative study explored children's perceptions of their dental experiences and their acceptability of the CARD™ (Comfort, Ask, Relax, Distract) system, adapted for the dental setting as a means to mitigate dental fear and anxiety (DFA). A purposive sample of 12 participants (7 males) aged 8-12 years receiving dental care at the Paediatric Dental Clinic, University of Toronto, was recruited. Virtual one-on-one interviews were augmented with visual aids. Participants were oriented to and asked about their perceptions of various dental procedures. Data were deductively analyzed, according to the Person-Centered Care framework (PCC). Four themes were identified: establishing a therapeutic relationship, shared power and responsibility, getting to know the person and empowering the person. Children emphasized the importance of clinic staff attributes and communication skills. They expressed a desire to engage more actively in their own care and highlighted the positive influence of pre-operative education and preparation. Participants found the CARD™ system to facilitate opportunities for self-advocacy in their dental care.

Effectiveness of dental care automation implementation in endodontic treatment of primary teeth

Relevance. The development of medical care quality control systems and implementation of medical information systems in dental services have recently been very relevant. Thus, research to increase the level of pediatric dental care through the implementation of modern medical information systems is paramount. Aim. The study aimed to improve the dental service quality control systems for primary teeth pulpitis treatment in children under seven years by implementing a medical information system. Material and Methods. According to the Protocols of management of children with dental diseases and clinical recommendations project „Pulpitis in children”, we comparatively assessed patient record documentation quality of 236 children under seven years who presented with diagnosis К04.03 „chronic pulpitis” to the pediatric dental clinic of the Clinical Centre for Maxillofacial, Plastic Surgery and Dentistry of the MSUMD in 2016 and 2018. Results. The study confirmed that medical information system ensures a higher quality of dental record documentation. Conclusion. A medical information system implementation significantly contributes to the improvement of the dental care quality control system.

Fluoride hesitancy: A mixed methods study on decision-making about forms of fluoride.

To investigate whether professionally applied topical fluoride-hesitant caregivers are also hesitant about other forms of fluoride for their child. This was a mixed methods study of 56 caregivers hesitant about professionally applied topical fluoride for their child recruited from the University of Washington Center for Paediatric Dentistry and Seattle Children's Hospital's Odessa Brown Children's Dental Clinic. A 32-item semi-structured interview script was piloted and finalized. One-time interviews with caregivers were conducted by phone in 2019. Associations between hesitancy of topical fluoride, fluoridated water and toothpaste were assessed quantitatively via two-tailed chi-squared tests. Qualitative data were coded using an inductive approach and content analytic methods to investigate reasons for hesitancy. There were significant associations between hesitancy in all three pairwise comparisons of fluoride form (p < .01). Similar proportions of caregivers strongly or somewhat opposed fluoridated water compared with toothpaste (75% and 65%, respectively), but four times as many caregivers strongly or somewhat favoured fluoridated toothpaste compared to water for their child (25% and 7%, respectively). Concerns about harm were the most common reason caregivers opposed both fluoridated water and toothpaste. However, fluoride-hesitant caregivers reported being more comfortable with fluoridated toothpaste because amount and frequency can be controlled, and ingestion can be prevented. Professionally applied topical fluoride hesitancy is significantly associated with fluoridated water and toothpaste hesitancy, but caregivers who were hesitant about topical fluoride was more comfortable with fluoridated toothpaste than fluoridated water for their child.

Exploring Parent's Satisfaction and the Effectiveness of Preformed Metal Crowns Fitting by Hall Technique for Carious Primary Molars in Jeddah Region, Saudi Arabia: Findings of a Prospective Cohort Study.

PurposeThe Hall technique (HT) is a non-invasive approach to treating carious primary teeth. Its acceptability by parents and effectiveness is not widely known in the Middle East. Therefore, we aimed to conduct this study to explore the effectiveness of preformed metal crowns (PMCs) fitting by HT and to what extent the parent’s satisfaction for their children in Jeddah region.Materials and MethodsA prospective cohort study was conducted in the outpatient pediatric dental clinic at Jeddah Specialty Dental Center, in 2018. The cohort of children was exposed to the HT and was recalled 3 months to two years later to examine present or absence of: crown loss, open margin, signs or symptoms of reversible or irreversible pulpitis, and if the tooth exfoliated naturally. Parents who agreed to undergo the HT for their children completed a 5-point Likert questionnaire after treatment and after three months.ResultsA total of 48 children (72 teeth) were initially enrolled, but only 25 children (49 teeth) completed two years of follow-up. At 2 years follow-up, one PMC was lost (2.04%) while no teeth fitted with the HT required any further intervention. Around 96% of parents were satisfied with this procedure and 92% wanted other carious teeth to be treated similarly. All parents were satisfied with this technique because it did not include local anesthesia and no drilling. It was found that parents of girls were satisfied more than parents of boys and on average their satisfaction score at the time of treatment was 3.04 units higher than parents of boys with a significant p-value of 0.02 and 95% CI for the beta coefficient to be 0.46 to 5.62.ConclusionThe HT is effective as a treatment of dental caries and it was generally accepted by parents initially and during their follow-up visits.

Caregivers' Perspectives on Transitioning Dental Care for Adolescents with Special Healthcare Needs-A Cross-Sectional Study.

Introduction Few studies have investigated the concerns of caregivers of adolescents with special health-care needs (ASHCN) regarding the barriers and challenges of transitioning from a pediatric to an adult-based dental home. The purpose of this study was to assess these perceptions. Methods A 23-question survey was administered to guardians of ASHCN who presented to the pediatric dental clinic at the University of Maryland. Question types were either multiple choice, Likert scale responses, or open-ended. A descriptive analysis and Fisher's exact test were performed. Keywords were evaluated from the open-ended answers. Results Twenty-seven caregivers completed the survey over a six-month period. Sixty-six percent of caregivers were aware that dental needs change as child ages and thought that transitioning was a logical next step, 78% had concerns about transitional care, and 70% did not have the desire to transition. Fisher's exact analysis comparing awareness of transition versus the desire to transition was p < 0.10. Conclusion Most caregivers were aware of the changing dental needs of ASHCN and believed transitioning was a logical step. Many caregivers lacked readiness and perceived multiple barriers to transitioning. Awareness of the need to transition from pediatric to adult-based dental homes was not correlated with the readiness to transition.

Happy Smile of a New-Born Infant with Cleft Lip and Cleft Palate

Background: Cleft palate of the new-born infants with or without cleft lip, are recognized to be at risk of feeding difficulties, making it difficult to maintain adequate nutrition, and also interfere the speech function and the parents also their psychological growth. Purpose: Surgical closure of the cleft lip may be accomplished shortly after birth to relieve the parents’ anxiety as long as the general rules “ triple tens ” ( more than : 10 week of age, 10 pounds of body weight, 10 grams of haemoglobine ) that is frequently used in determining optimum timing for lip closure must be fulfilled. Case Report: Female baby at age 5 days, who was referred to pediatric dentistry clinic dr. Ramelan Naval Hospital Surabaya with parents complaining that their baby was born with cleft lip and palate and could not drink breast milk, easily choked, so they had to depend on the sonde. Case management: A maxillary feeding plate (=MFP) was made to close the cleft palate and regenerate the function of chewing and swallowing so that the infant obtains good nourishment and gain body weight until the palatal cleft closure operation. Conclusion: After the closure, her mother and family are psychologically able to prepare comprehensive protection for the child so that they too feel comfortable and confident. Smile can represent 80% of communication. When children feel comfortable because they can freely smile, this smile can attract other people to make it easier to adapt and socialize.

Determinación clínica y radiográfica del somatotipo facial en pacientes pediátricos

Es importante conocer el somatotipo facial para establecer un plan de tratamiento. Se puede determinar de forma clínica y radiográfica, clasificándose así en tres patrones: dolicofacial, mesofacial y braquifacial. Cuando es identificado orrectamente, es importante saber si algunas anomalías pueden asentarse en un mismo biotipo, conocer qué maloclusiones están asociadas y brindar el tratamiento adecuado. Objetivo: Determinar si existen diferencias entre el diagnóstico clínico (plano frontal) y radiográfico (plano sagital) e identificar el somatotipo más frecuente utilizando los dos métodos. Métodos: Se seleccionaron 89 niños de ambos géneros, entre 6 y 10 años que acudieron a la Clínica de Odontopediatría de la División de Estudios de Postgrado e Investigación (DEPeI) de la Facultad de Odontología de la UNAM, durante el periodo 2004-2005. Se revisaron 5 niños por día, a cada uno de ellos se le realizó el diagnóstico clínico del somatotipo y se les tomó radiografía lateral de cráneo para realizar su diagnóstico radiográfico, hasta completar el tamaño de la muestra. Los datos fueron analizados y registrados en el programa estadístico SPSS 12.0 utilizando una prueba de Kappa para medir la confiabilidad de los diagnósticos. Resultados: En la comparación de la media por género no hubo diferencias significativas p = 0.82. La repetibilidad de los dos métodos es baja (Kappa = 0.192). La prueba Chi cuadrada indicó que hay asociación entre género y somatotipo (c2 = 8.4; p = 0.015) en la distribución de somatotipos por diagnóstico clínico por género. Sin embargo, en la distribución de somatotipos por diagnóstico radiográfico por género la prueba indicó que no hay asociación entre género y somatotipo (c2 = 0.2; p = 0.902). Conclusiones: No hay correlación entre ambos diagnósticos, ya que la repetibilidad entre ellos fue baja. Se considera que la determinación clínica del somatotipo facial es un elemento más a considerar para el diagnóstico.

EVALUATION OF KNOWLEDGE AND AWARENESS OF PARENTS ABOUT EMERGENCY MANAGEMENT OF TRAUMATIC DENTAL INJURIES

Background: The purpose of the present study was to (i) evaluate how awareness parents living in Kocaeli, Turkey are regarding traumatic dental injuries (TDI); and to (ii) evaluate the effectiveness of an information leaflet provided during a dental visit in increasing parents’ awareness regarding TDIs. Methods: The study was conducted with 237 parents of children aged 6-12 years who applied to the Pediatric Dentistry Clinic for routine dental examinations. Parents’ awareness regarding TDIs was assessed using a questionnaire both prior to and 1 month after providing education using a leaflet that included information on the emergency management of actual trauma cases. The questionnaire consisted of 2 parts: Part 1 collected demographic information and information regarding previous experiences of dental trauma, and Part 2 included 12 questions designed to evaluate the level of awareness regarding dental trauma. Data obtained from the questionnaires were statistically analyzed using Kruskal Wallis H, Mann Whitney U, Wilcoxon, McNemar and Chi-square tests. Results: Parents scores on the questionnaires increased significantly (P&amp;lt;.05) from rather low scores (mean: 4.6) prior to education to rather high scores (mean: 9.1) after education. In addition, for each question, the number of correct answers also increased significantly after education (P&amp;lt;.05). Conclusion: The results of this study showed parents had insufficient awareness regarding traumatic dental injuries, but educating them with a leaflet that included real trauma cases during a dental visit had a great impact in terms of improving their awareness about TDIs.

The effect of a novel toothpaste in children with white spot lesions.

To investigate the effect of a novel mineral containing toothpaste in comparison to a fluoride toothpaste in children with white spot lesions. The clinical study was conducted from 2016 to 2018 at Marmara University Department of Pediatric Dentistry Clinic after approval from the ethics review committee of Yeditepe University, Istanbul, Turkey and comprised children of either gender aged 4-5 years having white spot lesions. They were randomly allocated into two groups. The FT (Fluoridated Toothpaste) group was given a 500ppm fluoridated toothpaste, while the Mineral Containing Toothpaste (MCT) group was given toothpaste containing calcium glycerophosphate, magnesium chloride, and 12% xylitol. The white spot lesions were examined using Laser Fluorescence (LF) at baseline and after a month of usage. The two readings were compared. Stimulated saliva was collected for measuring the salivary potential of hydrogen, buffering capacity, and streptococcus mutans. Data was analysed using SPSS 19. Of the 26 children, 10(38%) were girls and 16(62%) were boys. The overall mean age was 4.77±0.54 years. There were 13(50%) subjects in each of the two groups. Of the 381 measurements done, 198(52%) were in the MCT group and 183(48%) in the FT group. LF scores decreased in both the groups (p=0.001). The remineralising potential was not significantly different (p=0.866), while salivary buffering capacity and potential of hydrogen increased in both the groups but the change was not significant (p>0.05). The number of children positive for streptococcus mutans decreased in both the groups (p>0.05). The toothpaste containing calcium glycerophosphate, magnesium chloride and 12% xylitol had the remineralization properties needed for the prevention of gwhite spot lesions in children.