RESUMEN
Background: Pediatric dental treatment is challenging in patients with early childhood caries. For clinician its difficult to manage child and provide good work at the same time. Its necessity to have the best equipments as well as materials. Nowadays, aesthetics play an important role in managing decayed teeth. Zirconia crown is better option but requires excessive preparation. As Bioflx is newly developed crown and has combined stainless steel and zirconia properties. Aim: To assess the clinical performance and child and parental satisfaction of Bioflex crowns compared to zirconia and stainless steel crowns. Methods: In this comparative study of Bioflx crowns with zirconia and stainless steel crowns, children aged three to seven years old will be selected, and 72 primary teeth requiring crowns will be randomly distributed into three groups, n = 24: Group I: Preformed stainless steel crown, control; Group II: Preformed Bioflex crown; Group III: Preformed zirconia crown. Crowns will be evaluated for recurrent caries, plaque accumulation, restoration failure, gingival status opposing tooth wear, and clinicians and parental satisfaction at zero, three, six, and 12 months. Results: Bioflx crown will have better clinical as well as parental satisfaction among zirconia and stainless steel crowns. Conclusions: The Bioflx crown can be used as an alternative economical esthetic full-coronal restoration for primary teeth. Trial registration: CTRI registration number: CTRI/2023/05/052256; Date of registration: May 03, 2023. Protocol version: Two; Date: April 22, 2023.
Asunto(s)
Coronas , Satisfacción del Paciente , Acero Inoxidable , Circonio , Circonio/normas , Acero Inoxidable/normas , Coronas/normas , Odontología Pediátrica/métodos , Odontología Pediátrica/normas , Humanos , Masculino , Femenino , Preescolar , NiñoAsunto(s)
Indicadores de Salud , Evaluación de Necesidades , Cirugía Bucal/normas , Anestesia Dental/normas , Documentación , Práctica Clínica Basada en la Evidencia , Ayuno , Humanos , Alta del Paciente , Seguridad del Paciente , Satisfacción del Paciente , Odontología Pediátrica/normas , Atención Perioperativa , Medición de Riesgo , Factores de RiesgoAsunto(s)
Atención Dental para Niños/normas , Anomalías Dentarias/terapia , Adolescente , Amelogénesis Imperfecta/terapia , Niño , Atención Dental para Niños/métodos , Displasia de la Dentina/terapia , Dentinogénesis Imperfecta/terapia , Humanos , Lactante , Odontología Pediátrica/normas , Anomalías Dentarias/genéticaAsunto(s)
Atención Dental para Niños/normas , Procedimientos Quirúrgicos Orales/normas , Anomalías Dentarias/cirugía , Enfermedades Dentales/cirugía , Adolescente , Niño , Desarrollo Infantil , Atención Dental para Niños/métodos , Humanos , Recién Nacido , Procedimientos Quirúrgicos Orales/métodos , Odontología Pediátrica/normas , Traumatismos de los Dientes/cirugíaAsunto(s)
Antineoplásicos/efectos adversos , Atención Dental para Niños/normas , Atención Dental para Enfermos Crónicos/normas , Trasplante de Células Madre Hematopoyéticas , Radioterapia/efectos adversos , Niño , Atención Dental para Niños/métodos , Atención Dental para Enfermos Crónicos/métodos , Humanos , Neoplasias/terapia , Odontología Pediátrica/normasRESUMEN
A mucocele é uma das lesões benignas que mais afeta a cavidade bucal. O laser de diodo de alta potência é uma opção que substitui ou associa procedimentos complementares aos processos convencionais,tendo mais conforto pós-cirúrgico. O objetivo deste trabalho foi relatar o caso clínico de remoção de mucocele de lábio inferior em paciente infantil utilizando laser de diodo de alta potência. Paciente do sexo feminino, 8 anos de idade, compareceu à clínica de Odontopediatria da Faculdade de Odontologia São Leopoldo Mandic, em Campinas, relatando incômodo no lábio inferior, com a presença de uma bolinha. Ao exame clínico observou-se tumefação de consistência mole, flutuante, translúcida, com coloração similar à mucosa bucal. Após diagnóstico, o tratamento baseou-se na remoção cirúrgica com auxílio de laser de diodo de alta potência. Inicialmente foi realizada a anestesia infiltrativa ao redor da lesão, e então a remoção cirúrgica foi conduzida, juntamente com as glândulas acessórias para evitar recidiva, com uso do laser de diodo de alta potência. Ao fim do procedimento foi possível observar que a paciente saiu satisfeita, sendo o prognóstico favorável. No retorno de 30 dias, observou-se que não houve recidiva da lesão. O laser dediodo de alta potência, uma vez que apresenta uma série de benefícios, como excelente hemostasia, sem a necessidade de sutura, redução do edema e dor, cicatrização mais rápida e redução do tempo para realizar o procedimento, parece ser uma opção para remoção de mucocele em Odontopediatria.
Mucocele is a benign lesion that affects the oral cavity. The high power diode laser is an option as anadditional method or as a substitute to conventional procedures, with more post-surgical comfort. The objective of this study was to report a case of lower lip mucocele removal in a child patient using highpower diode laser. A female patient, 8 years old, attended the Clinic of Pediatric Dentistry, São Leopoldo Mandic School of Dentistry in Campinas, reporting discomfort in the lower lip, with the presence of aball. On clinical examination it was observed swelling of soft consistency, floating, translucent, with coloring similar to the buccal mucosa. After diagnosis, the treatment was based on surgical removal with high power diode laser assistance. Initially infiltration anesthesia around the lesion was performed,and then the surgical removal was conducted, along with the accessory glands to prevent recurrence,with high power diode laser use. At the end of the procedure it was observed that the patient leftsatisfied, with a favorable prognosis. At the 30-day post-operative return, it was observed that there was no recurrence. The high power diode laser, since it presents a series of benefits such as excellen the mostasis, without the need for sutures, reduction of swelling and pain, faster healing, reducing the time to perform the procedure, it seems to be an option for removal of mucocele in pediatric dentistry.
Asunto(s)
Humanos , Masculino , Femenino , Niño , Rayos Láser/efectos adversos , Rayos Láser , Mucocele/complicaciones , Mucocele/diagnóstico , Mucocele/mortalidad , Mucocele/prevención & control , Odontología Pediátrica/métodos , Odontología Pediátrica/normas , Odontología Pediátrica/organización & administración , Odontología PediátricaAsunto(s)
Conducta Cooperativa , Grupo de Atención al Paciente , Atención Dirigida al Paciente , Odontología Pediátrica , Pediatría , Comités Consultivos , Absceso Encefálico/diagnóstico , Cariostáticos/uso terapéutico , Preescolar , Competencia Clínica , Análisis Costo-Beneficio , Atención Dental para Niños , Caries Dental/diagnóstico , Caries Dental/prevención & control , Displasia Ectodérmica/diagnóstico , Enfermedades Genéticas Ligadas al Cromosoma X/diagnóstico , Educación en Salud Dental , Accesibilidad a los Servicios de Salud , Humanos , Síndromes de Inmunodeficiencia/diagnóstico , Lactante , Masculino , Área sin Atención Médica , Atención Dirigida al Paciente/economía , Atención Dirigida al Paciente/normas , Odontología Pediátrica/economía , Odontología Pediátrica/normas , Pediatría/economía , Pediatría/normas , Pennsylvania , Enfermedades de Inmunodeficiencia Primaria , Calidad de la Atención de Salud , Derivación y Consulta , Medición de Riesgo , Estados Unidos , Poblaciones VulnerablesRESUMEN
A significant portion of office-based general anesthesia for pediatric patients is performed in dental offices and involves mask inductions with inhaled drugs. This can lead to significant pollution with waste gases. We assessed occupational exposure to anesthetic drugs during pediatric general anesthesia in dental offices and assessed the effectiveness of the "double mask." Nine freestanding dental offices had measurements of anesthetic waste gas levels taken before and immediately after implementation of a double-mask system. Levels of nitrous oxide decreased from a median of 40.0 parts per million (ppm; interquartile range [IQR] = 23.0-46.0 ppm, n = 9) to 3.0 ppm, (IQR = 2.3-4.7 ppm, n = 9, P = 0.0055) and exceeded 25 ppm in 0% of the 9 offices (upper 95% confidence limit 34%) when using the double mask. Levels of sevoflurane decreased from a median of 4.60 ppm (IQR = 3.10-7.00 ppm, n = 9) to 0 ppm (IQR = 0-0.39 ppm, n = 9, P = 0.0024) and exceeded 2 ppm in 0% of the 9 offices (upper 95% confidence limit 34%) when using the double mask. We demonstrated in our study that the double-mask system, when used with dental "high-volumes" suctions (high-volume evacuators producing approximately 12 m(3)/h) in freestanding dental offices, was sufficient to decrease the exposure to anesthetic waste gas during pediatric mask induction in at least two thirds of offices when compared with the traditional mask.
Asunto(s)
Contaminantes Ocupacionales del Aire/efectos adversos , Anestesia por Inhalación/instrumentación , Anestesia por Inhalación/normas , Consultorios Odontológicos/normas , Depuradores de Gas/normas , Máscaras/normas , Anestésicos por Inhalación/administración & dosificación , Anestésicos por Inhalación/efectos adversos , Estudios de Seguimiento , Humanos , Exposición Profesional/prevención & control , Exposición Profesional/normas , Odontología Pediátrica/instrumentación , Odontología Pediátrica/normasRESUMEN
This revised Clinical Guideline in Paediatric Dentistry replaces the previously published sixth guideline (Fayle SA. Int J Paediatr Dent 1999; 9: 311-314). The process of guideline production began in 1994, resulting in first publication in 1997. Each guideline has been circulated widely for consultation to all UK consultants in paediatric dentistry, council members of the British Society of Paediatric Dentistry (BSPD), and to people of related specialities recognized to have expertise in the subject. The final version of this guideline is produced from a combination of this input and thorough review of the published literature. The intention is to encourage improvement in clinical practice and to stimulate research and clinical audit in areas where scientific evidence is inadequate. Evidence underlying recommendations is scored according to the SIGN classification and guidelines should be read in this context. Further details regarding the process of paediatric dentistry guideline production in the UK is described in the Int J Paediatr Dent 1997; 7: 267-268.
Asunto(s)
Coronas , Caries Dental/terapia , Restauración Dental Permanente/normas , Odontología Pediátrica/normas , Diseño de Prótesis , Preescolar , Humanos , Diente Molar , Acero Inoxidable , Diente Primario , Reino UnidoAsunto(s)
Anomalías Craneofaciales/economía , Atención a la Salud/normas , Atención Odontológica/normas , Economía en Odontología/normas , Reembolso de Seguro de Salud/normas , Salud Bucal/normas , Adolescente , Niño , Preescolar , Anomalías Craneofaciales/terapia , Atención a la Salud/economía , Atención Odontológica/economía , Política de Salud , Humanos , Lactante , Beneficios del Seguro/economía , Beneficios del Seguro/normas , Seguro Odontológico/economía , Seguro Odontológico/normas , Reembolso de Seguro de Salud/economía , Odontología Pediátrica/economía , Odontología Pediátrica/normas , Procedimientos de Cirugía Plástica/economía , Sociedades Odontológicas/normas , Estados UnidosRESUMEN
The safe sedation of children for procedures requires a systematic approach that includes the following: no administration of sedating medication without the safety net of medical supervision, careful presedation evaluation for underlying medical or surgical conditions that would place the child at increased risk from sedating medications, appropriate fasting for elective procedures and a balance between depth of sedation and risk for those who are unable to fast because of the urgent nature of the procedure, a focused airway examination for large tonsils or anatomic airway abnormalities that might increase the potential for airway obstruction, a clear understanding of the pharmacokinetic and pharmacodynamic effects of the medications used for sedation as well as an appreciation for drug interactions, appropriate training and skills in airway management to allow rescue of the patient, age- and size-appropriate equipment for airway management and venous access, appropriate medications and reversal agents, sufficient numbers of people to both carry out the procedure and monitor the patient, appropriate physiologic monitoring during and after the procedure, a properly equipped and staffed recovery area, recovery to presedation level of consciousness before discharge from medical supervision, and appropriate discharge instructions.
Asunto(s)
Anestesia Dental/métodos , Sedación Consciente/métodos , Atención Dental para Niños/métodos , Monitoreo Intraoperatorio/normas , Odontología Pediátrica/métodos , Adolescente , Anestesia Dental/clasificación , Niño , Preescolar , Sedación Consciente/normas , Sedación Profunda/métodos , Sedación Profunda/normas , Atención Dental para Niños/normas , Atención Dental para la Persona con Discapacidad/métodos , Atención Dental para la Persona con Discapacidad/normas , Técnicas y Procedimientos Diagnósticos , Política de Salud , Humanos , Lactante , Monitoreo Intraoperatorio/métodos , Monitoreo Fisiológico/métodos , Monitoreo Fisiológico/normas , Salud Bucal/normas , Odontología Pediátrica/normas , Sociedades Odontológicas/normas , Procedimientos Quirúrgicos Operativos , Estados UnidosAsunto(s)
Atención Dental para Niños/métodos , Odontología Pediátrica/métodos , Anomalías Dentarias/diagnóstico , Adolescente , Amelogénesis Imperfecta/diagnóstico , Amelogénesis Imperfecta/genética , Amelogénesis Imperfecta/terapia , Niño , Preescolar , Atención Dental para Niños/normas , Atención Dental para Enfermos Crónicos/métodos , Atención Dental para Enfermos Crónicos/normas , Displasia de la Dentina/diagnóstico , Displasia de la Dentina/genética , Displasia de la Dentina/terapia , Dentinogénesis Imperfecta/diagnóstico , Dentinogénesis Imperfecta/genética , Dentinogénesis Imperfecta/terapia , Política de Salud , Humanos , Lactante , Salud Bucal/normas , Odontología Pediátrica/normas , Sociedades Odontológicas/normas , Anomalías Dentarias/genética , Anomalías Dentarias/terapia , Estados UnidosAsunto(s)
Atención Dental para Niños/métodos , Anomalías de la Boca/cirugía , Procedimientos Quirúrgicos Orales/métodos , Odontología Pediátrica/métodos , Enfermedades Dentales/cirugía , Adolescente , Niño , Preescolar , Atención Dental para Niños/normas , Política de Salud , Humanos , Lactante , Enfermedades de la Boca/cirugía , Dientes Neonatales/cirugía , Salud Bucal/normas , Procedimientos Quirúrgicos Orales/normas , Procedimientos Quirúrgicos Ortognáticos , Odontología Pediátrica/normas , Sociedades Odontológicas/normas , Diente/cirugía , Estados UnidosAsunto(s)
Antineoplásicos/uso terapéutico , Atención Dental para Niños/métodos , Atención Dental para Enfermos Crónicos/métodos , Trasplante de Células Madre Hematopoyéticas , Odontología Pediátrica/métodos , Adolescente , Niño , Preescolar , Atención Dental para Niños/normas , Atención Dental para Enfermos Crónicos/normas , Política de Salud , Humanos , Terapia de Inmunosupresión , Lactante , Neoplasias/tratamiento farmacológico , Neoplasias/radioterapia , Salud Bucal/normas , Higiene Bucal/normas , Odontología Pediátrica/normas , Sociedades Odontológicas/normas , Estados UnidosRESUMEN
AIM: This was to evaluate some suggested diagnostic procedures, treatment policies and professional attitudes of specialists in paediatric dentistry, in light of the periodically published guidelines by The American Academy of Pediatric Dentistry, The European Academy of Paediatric Dentistry and The British Society of Paediatric Dentistry. METHODS: Using a structured questionnaire, 67% of the Israeli specialists in paediatric dentistry, who agreed to participate in this study, were personally interviewed. RESULTS: Only 7.5% of the participants reported that they carry out pulp capping of primary teeth in cases of pulp exposure. Over 50% reported restoring teeth after pulpotomy with preformed crowns. Most indicated sealing pit and fissures after considering depth and morphology of the fissures and correlation with the patient's risk to caries. Cleaning teeth after eruption of the first tooth was suggested by 75.5% of the participants. A striking majority (96%) claimed that they restored permanent anterior teeth with composite resins and most used these materials for occlusal restoration in both primary and permanent posterior teeth. Most specialists advocated the use of amalgam in proximal posterior restorations. The presence of a parent in the operatory/surgery was preferred by 85% of the dentists. CONCLUSIONS: Israeli specialists in paediatric dentistry mostly comply with the mentioned guidelines. Further studies of this nature should also be encouraged in other countries to emphasize the importance of monitoring compliance with established and evidence based guidelines.