bluuebunny/crossref_metadata_2025_split huggingface dataset:
Does Pictorial and Textual Health Warning Labels on Sugar-sweetened Beverages Effect Consumer Consumption: An Exploratory, Cross-sectional Study
Authors: Vedha V. P. K. , Mohanty Vikrant R. , Balappanavar Aswini Y. , Kapoor Shivam , Gupta Vaibhav 
Published: December 2023

Background:
Sugar is considered to be the arch criminal of dental caries, and sugar sweetened beverages (SSBs) are a common source of dietary sugar. It is an established fact that tobacco warning labels efficiently inform customers about the harmful effects of tobacco and enable individuals to reduce consumption. Lessons learnt from tobacco warning labels can be applied to developing and implementing warning labels for SSBs.

Aim:
To develop pictorial and textual health warning labels for SSBs and assess effectiveness among the study population regarding oral health risks and their readiness to change their consumption pattern.

Methodology:
An exploratory cross-sectional study was conducted among 200 patients visiting a Public Dental Hospital in New Delhi. Pictorial and textual warnings for SSBs were developed and assessed for the comprehension and credibility, persuasiveness, and impact of the warning labels by a specially designed questionnaire.

Results:
More than 80% of the study population found both the warning labels to be easy to understand, believable, and truthful. Pictorial warning labels had very high impact that 96% of the study population was ready to reduce their consumption and more appreciably 29% of the respondents were ready to quit SSB consumption. Similarly, 95% of the study population were ready to reduce their consumption on seeing the textual warning labels (P = 0.12) with 27.5% reporting to completely give up the consumption.

Conclusion:
Textual and pictorial warnings have desired deterrent impact on the SSB consumers who tend to consume SSBs habitually. It can help us in achieving the sustainable development goals.
Development and Validation of an Instrument to Assess Oral Health Literacy among Adults-seeking Dental Care in Pune, India
Authors: Dargad Priti , Hegde-Shetiya Sahana , Jadhav Sudhir Laxman 
Published: December 2023

Context:
Oral health literacy (OHL) has emerged as an important dimension of oral health care with the potential to have multiple applications in a health-care setting. Most of the tools that measure were developed out of India.

Aim:
Since OHL is a contextually sensitive construct, this study developed and validated a tool to measure OHL among adults in India.

Material and Methods:
A questionnaire covering all three domains of OHL was framed in two languages using the “dual development approach.” After content validation, the 20-item questionnaire was subjected to test-retest, pretest, and pilot test. It was then administered to 200 adults in a dental college and five private clinics. Socio-demographics, Decayed, Missing, Filled Permanent Teeth (DMFT) and Oral Hygiene Index– Simplified (OHI-S) were recorded to establish the construct and predictor validity of the tool.

Results:
The results showed that the overall reliability of the questionnaire was high, with Cronbach’s alpha of 0.81. The mean OHL score was 15.4, with a minimum score of 2 and a maximum of 20. A statistically significant correlation was found between socioeconomic status and OHL as an indicator of convergent validity (r = 0.62). The discriminant validity of the questionnaire was assessed by comparing OHL levels with education levels using the Kruskal–Wallis test, and statistically significant results were derived. Significant associations (P < 0.001) between DMFT and OHL; and OHI-S and OHL were found with an adjusted odds ratio of 3.01 and 4.78, respectively, establishing its predictive validity.

Conclusions:
Hence the validity and reliability of this tool were established through this research, opening avenues for further research.
Knowledge and Attitude of Students and Teachers who Smoke Toward the Electric Chanting Cigarette Lighter in Colleges of Pimpri-Chinchwad – A Cross-sectional Study
Authors: Bomble Nikhil , Shetiya Sahana Hegde , Agarwal Deepti 
Published: December 2023

Introduction:
The mandatory pictorial warnings on cigarette packets were not properly understood and thus were not very effective. Hence, there was a felt need for a strategy which could bring an implicit change in the attitude and practice of tobacco users. Electric chanting lighter chants a death phrase when users light up, to deter smokers from smoking, which is patented by the Cancer Patient Aid Association, Mumbai, India. However, as the attitude toward it was unknown, this study was conducted.

Objective:
The objective of the study is to assess knowledge and attitude of smoking college students and teachers toward the electric chanting lighter.

Materials and Methods:
A questionnaire study was conducted among the students and teachers of arts, science, and commerce colleges in Pune. A total of 100 (25 teachers and 75 students) participants were part of the study, which was conducted in 2014. Every participant was asked to listen to the lighter live and then immediately a self-administered questionnaire was provided to them to answer.

Results:
It was seen that, albeit 100% of the staff and 95% of the students were aware of the fact that smoking causes cancer, neither of the groups were even remotely aware of the existence of a chanting lighter. Eighty percent of the staff and 70% of the students believed that the chanting lighter would be accepted by the society. Meanwhile, 80% of the staff and 66% of the students agreed that the chanting lighter will play an essential role to help give up the habit of tobacco use in the long run.

Conclusion:
It can be concluded that, the chanting lighter can be promoted as one of the first verbal warning aid to be used for smoking cessation. It is clearly reflected through this study that this lighter can bring about a change in the attitude of smokers.
Influence of Mother’s Oral Health Knowledge and Attitude on Primary Teeth among 1–6-year-old Children Attending Pediatric Hospital in Nellore District: A Cross-sectional Study
Authors: Desu Ravali Durga , Kumar R. V. S. Krishna , Gomasani Srinivasulu , Reddy V. Prathyusha , Prasanth Punamalli Symon 
Published: December 2023

Introduction:
Oral health in children plays an important role as it lays down the foundation for healthy permanent teeth. In children, primary teeth play an important role in eating, speech, and facial appearance and also as a perfect space maintainer for permanent teeth. Mother is the first teacher of the child and she is the one who will take care of the child, so knowledge regarding the importance of primary teeth is necessary.

Aim:
The present study aimed to assess the knowledge of mothers with children aged 1–6 years on primary teeth and their importance.

Materials and Methods:
A cross-sectional study was conducted among the mothers of children between 1 and 6 years attending a pediatric hospital in Nellore for 3 months. A prevalidated closed-ended questionnaire consisting of 15 questions on the knowledge and attitude of mothers on primary teeth and the importance of visiting a dentist for regular dental checkup was given, and the responses were collected on the same day.

Results:
A total of 211 mothers participated in the study and filled the questionnaire, of which 65.4% are of the view that it is important to save an infected primary tooth, and among them, 60.2% agreed for treatment. About 41.7% responded that they visited a pediatrician when pain occurs and 51.7% believed that having too much sweets is the reason for tooth decay.

Conclusion:
This study concluded that the mothers of preschool children had partial knowledge of primary teeth and there is a need to improve the knowledge of the importance of primary teeth and regular dental checkup.
Prevalence of Early Childhood Caries and Its Association with Feeding Habits among 3–5 Year Old Preschool Children: A Cross-sectional Study in Chennai City, India
Authors: Mahapatra Shilpa , Chaly Preetha Elizabeth , Mohapatra Smruti Chandan 
Published: December 2023

Background:
Early childhood caries (ECC) is a form of dental caries affecting infants, toddlers, and preschoolers.

Aim:
The study was carried out to determine the prevalence of ECC and its association with feeding habits among the preschool children aged 3–5 year old in Chennai city.

Materials and Methods:
A cross-sectional study was conducted among 342 randomly selected mother-child dyads in Chennai city. The mothers were asked to complete a self-administered questionnaire comprising of their demographic data and child’s feeding habits. The presence of decay was assessed by a single trained examiner using the criteria described by the World Health Organization (2013). Data obtained were analyzed using Chi-square test. The significance level was set at P ≤ 0.05.

Results:
The overall ECC experience among the study subjects was 53.8%. Among the children who started bottle feeding at the age of 1–2 years, 72.9% belonged to the high caries group. The practice of nocturnal bottle feeding was observed in 39.6% children in the high caries group. Moreover, 56.2% in the high caries group were fed cow’s milk. ECC was higher among children who consumed snacks 1–3 times a day.

Conclusion:
Duration and frequency of bottle feeding, nocturnal feeding practice, feeding with cow’s milk, and frequent consumption of snacks, were significantly associated with ECC experience among the children. Data obtained may serve as a baseline for planning and evaluation of community development and oral health promotion programs.
Assessing the Prevalence of Traumatic Dental Injuries and its Impact on Self-esteem among Schoolchildren in a Village in Gurugram
Authors: Kundu Priyanka , Tandon Shourya , Chand Sachin , Jaggi Amrita 
Published: December 2023

Background:
Pitiful smile and oral health have always been bounded up to poor social relationships and permanent impairment that causes harm to the ability to learn and grow which may lead toward decreased self-esteem.

Aim:
This study was conducted to assess the prevalence of traumatic dental injuries (TDIs) and its impact on self-esteem among schoolchildren in a village of Gurugram.

Materials and Methods:
This cross-sectional epidemiological study was conducted among 10–17-year-old schoolchildren to assess the prevalence and impact of TDIs. Convenience sampling was used and 240 schoolchildren constituted the sample size. TDIs were recorded using Ellis classification, and self-esteem was recorded using Rosenberg’s Self-Esteem Scale. For statistical analysis, Chi-square test and t-test were used. The odds ratio was utilized to assess and compare the self-esteem according to high and low esteem among individuals with or without dental trauma.

Results:
Results of the present study showed that out of total 240 children, 54.2% were males and 45.8% were females. The overall prevalence of trauma was found to be 28.3%. Ellis class I was the most common type of injury in schoolchildren (70%). The most frequently traumatized teeth were maxillary incisors, among which maxillary central incisor was the most affected (60.4%). The difference between low and high self-esteem among individuals with or without dental trauma low esteem, high esteem was not statistically significant (P > 0.05).

Conclusion:
By improving oral health in schools may contribute considerably to the self-esteem of individuals in positive direction and help them in becoming a socially competent adult.
Implementation of Digitization in Dentistry from the Year 2011 to 2021: A Bibliometric Analysis
Authors: Gavali Neelam , Chandak Alaka , Waghmare Pramod , Jamkhande Amol , Nisa Shams UL , Shah Priyanka 
Published: December 2023

Introduction:
Digitalization has revolutionized dentistry in the last decade. Current application in digitization has increased which includes use of various systems such as cone-beam computed tomography for implant purpose, temporomandibular joint disease diagnosis, utilization of computer-aided design–computer-aided manufacturing system (CAD-CAM system) for prosthodontics. The usage of digital dentistry is made right from diagnosis to treatment planning which reduces the time consumption & human efforts to a great extent & increases accuracy for treatment planning. Therefore, this review focuses on analysis of implementation of digitization in dentistry from 2011 to 2021.

Objectives:
This study aims to analyze the scientific literature on digitization in dentistry by examining the origin of manuscripts, study types, and levels of evidence.

Materials and Methods:
The study retrieved data from journals indexed in Scopus. Subsequently, a descriptive analysis was conducted on bibliographic data, collaboration network, and keyword co-occurrence. The articles were then classified based on their field of interest, main research question, study type, and level of evidence.

Results:
The study has identified 203 original papers on digital dentistry, published in 112 journals, and co-authored by 1436 individuals affiliated with 89 institutions from 45 countries. While the majority (81.4%) of these papers were from a single country, we observed high collaboration among institutions from the United States, Britain, and Brazil. The primary focus of these papers was on the potential uses of digital technology in dentistry. Regarding study type, most articles were systematic reviews, cross-sectional studies, and original research papers.

Conclusion:
Integrating digital technology in dentistry has brought numerous benefits, including a more organized and streamlined approach to medical records and thorough investigation and treatment planning within a shorter timeframe. Furthermore, digital technology enables the accurate detection of even the minutest details, minimizing errors and eliminating human bias. The use of three-dimensional imaging techniques allows for the precise determination of objects’ geometrical characteristics and spatial orientation, resulting in the accurate placement of implants and prosthetics.

Clinical Relevance:
Digitization in dentistry has opened a whole new world for practitioners to focus on the patient satisfaction approach. Digital platforms can help optimize diagnosis and consulting and provide an excellent base for treatment planning.
Finite Element Stress Analysis after Simulated Canal Preparation Using Two Different Methods: An In vitro Study
Authors: Sasidhar P. C. , Govula Kiranmayi , Anumula Lavanya , Maddineni Kowmudi 
Published: December 2023

Background:
The success of root canal treatment and the amount of surviving dentin tissue around the root canals determine the prognosis of root canal-treated teeth. Stainless steel or nickel–titanium (NiTi) file can prepare the root canal biomechanically. The widespread use of NiTi equipment has improved the predictability of the crucial phase of root canal treatment.

Aim and Objective:
This study aimed to evaluate and compare the stresses generated by rotary and reciprocatory files in straight and curved canals.

Methodology:
Computer-assisted design models of mandibular premolars with straight and curved root canals and rotary and reciprocatory files were made per the detailed drawings. After preprocessing, node-to-node connections were made, boundary connections were defined and subjected to stress application, which was analyzed using finite element analysis.

Results:
The maximum von Mises stress under a vertical load of 12.5 N that appeared in the curved canal with rotary motion was 40.287 Mpa. Reciprocatory action produces fewer stresses than rotary motion. The maximum von Mises stresses under a vertical load of 12.5 N appeared in straight root with reciprocatory movement (18.697 Mpa). The peak of von Mises stresses under a vertical load of 12.5 N appeared in curved roots with reciprocatory motion was 27.524 Mpa. The results might be attributed to the salient design of the rotary instrument and its continuous motion during the simulated canal preparation, which reduces the compacting forces of the obturating material.

Conclusion:
Within the study’s limitations, it can be stated that the rotary group had higher stress distribution in both straight and curved canals than the reciprocatory group in dynamic analysis. On static analysis, the rotary group has shown a lower amount of stress when compared to the reciprocating group in both straight and curved canals. There was no significant difference between the two analyses.
Association of Serum Leptin Levels in Patients with Chronic Periodontitis and Cardiovascular Diseases
Authors: Indraganti Bhavya , Samatha Yalamanchili Pallavi , Chivukula Satya Kishore , Surapaneni Hemchand , Chandra Challa Bharath , Atluri Rohith 
Published: December 2023

Background:
In recent years, clinical studies have shown an association between leptin and periodontal disease. The present study aimed to estimate and compare the serum leptin levels in chronic periodontitis patients with cardiovascular diseases.

Materials and Methods:
A total of 30 subjects were included in the study and are divided into three groups, i.e. Group 1: ten healthy subjects, Group 2: ten subjects with chronic periodontitis, and Group 3: ten subjects with periodontitis and cardiovascular disease. Two millimeters of the venous blood sample was collected from the antecubital fossa of all the sixty subjects under aseptic conditions. Serum was obtained from the blood by centrifuging at 2500 rpm for 10 min. Now, this collected serum is used to estimate leptin using a leptin enzyme-linked immunosorbent assay (ELISA) kit (Clementia biotech). Leptin levels were assessed in an ELISA reader. Statistical analysis was conducted using SPSS software version 24.

Results:
A significant correlation was observed with serum leptin levels and clinical parameters in the chronic periodontitis + cardiovascular disease group, i.e. plaque index (r = −0.96, P = 0.0003*), gingival index (r = −0.89; P = 0.0005*), probing depth (r = −0.82; P = 0.003*), and clinical attachment level (r = −0.84; P = 0.001*) * is Statistically Significant.

Conclusion:
The study found a statistically significant increase in serum leptin levels in the Group III compared to Groups II and I which suggest an increase in inflammatory state increases the serum levels of leptin.
A Curious Case of Eroded Citations and the Current Status of Top 50 Cited Articles by Indian Periodontists: A Bibliometric Analysis
Authors: Baghele Om Nemichand , Nagime Shital Chandraprakash , Ugale Gauri Mahesh , Bhandari Vishnudas Dwarkadas , Vamdama Kharidi Laxman 
Published: December 2023

Context:
The bibliometric studies on topmost articles on many subjects are available and fascinating, but there is no research available analyzing the fate of top-cited articles. The citation to an article is a dynamic process which is dependent on a multitude of factors and may indicate the direction of research.

Aims:
The aim of this study was to analyze using bibliometric approach the current status of the top 50 cited articles by Indian periodontists based on the PubMed database published in 2014.

Settings and Design:
The study was conducted at the Departments of Periodontology at Dental Council of India recognized Maharashtra Institute of Dental Sciences & Research, Latur. It is a comparative follow-up bibliometric citation analysis of publications by Indian Periodontists.

Subjects and Methods:
All the 50 top-cited articles were individually searched on PubMed and Google Scholar databases for their availability and citations. The citations received by these articles till November 25, 2022, by 11.00 a.m. Indian Standard Time were subjected to detailed analyses.

Statistical Analysis Used:
Descriptive statistics using mean, median, range, percentages, and proportions were used for analysis.

Results:
Total citations to the 50 articles were increased from 597 (2012) to 932 (2022) with an overall increase of 6.7 citations/article. Seventeen (34%) articles showed a decrease in citations as compared to 2012 numbers; a decline of 99 citations with an average of 5.8 citations/article. One article showed no change, and the rest 32 (64%) noted an increase by 434, averaging 13.6 citations/article. The topmost 2012 article was relegated to the 10th spot in 2022 while it remained at the 6th spot in Google Scholar citations. In 2022, the topmost article received 57 PubMed and 466 Google Scholar citations.

Conclusions:
A top-cited or classic article may not remain at that position through its lifecycle, but goes on receiving citations. There are instances of “erosion in citations” as well which needs to be recognized and awareness among researchers is necessary. There is a need to identify the current top 50 classic articles and compare them with these to understand the focus on current research topics.
Comparative Evaluation of Fracture Resistance in Endodontically Treated Teeth Using Epoxy Resin-based Sealer and Bioceramic Sealer: An In vitro Study
Authors: Gadekar Apeksha Dhanraj , Jadhav Aniket , Sharma Anupam , Patil Ruchira , Shinde Mrunal , Ingale Vinaya 
Published: December 2023

Background:
The aim of this study was to compare the fracture resistance of endodontically treated teeth using epoxy resin-based sealer and bioceramic sealer.

Materials and Methods:
Twenty-eight single-rooted, single-canal mandibular premolars extracted for orthodontic purposes were used in this in vitro study. The teeth were decoronated using a wheel diamond bur to a standard length of 14 mm under water lubrication. The canals were irrigated between successive filings. All teeth were instrumented (biomechanical preparation) by ProTaper rotary files up to F2. These teeth were then divided into two groups based on the type of root canal sealer used. Gutta-percha was used for all the samples: Group I: Bio-C root canal sealer and Group II: AH Plus root canal sealer. The teeth were embedded in acrylic resin blocks, and fracture force was measured using a universal testing machine. Independent sample t-test/unpaired t-test was performed to assess significant differences between the two groups. This comparison showed statistically significant differences between the two groups (P < 0.05).

Results:
Group I, i.e., Bio-C (bioceramic based) sealer, showed higher resistance to fracture than Group II, i.e., AH Plus (resin based) sealer.

Conclusion:
Based on this in vitro study, the Bio-C sealer was more effective as compared to the resin-based AH Plus sealer.
High-grade B-cell Lymphoma Initially Presenting with Dysphagia, Upper Gastrointestinal Bleeding, and Adrenal Invasion
Authors: Gamal Ahmed Y. , AlOtaibi Yazzan , Alqahtani Nasser T. , Alsultan Qasem A. , Alakeel Fadi 
Published: December 2023

Abstract
Gastric high-grade B-cell lymphoma (HGBL) with adrenal gland invasion is a rare clinical entity with few cases reported in the literature. Patients usually present with nonspecific symptoms that lead to delays in the diagnosis, initiation of treatment, and prognosis. In this report, we present a case of a middle-aged woman in her 60s who presented with shortness of breath, dysphagia, early satiety, and melena. Further investigations confirmed the presence of an ulcerated gastric mass with invasion to the left adrenal gland, and histopathological and molecular studies of the gastric mass confirmed the diagnosis of B-Cell Lymphoma with MYC and BCL-6 rearrangements, a rare aggressive lymphoma subtype known as HGBL. Consequently, she was started on R-CHOP-21 chemotherapy protocol with good outcomes and resolution of the mass on repeat imaging; the current report aimed to emphasize the importance of recognizing unusual presentations of HGBL, especially gastric HGBL, which will help in early recognition, treatment, and prognosis.