Sedación consciente, inhalatoria y farmacológica, su efectividad en la reconducción de la conducta del paciente pediátrico en la consulta dental: estudio observacional de corte transversal / Conscious inhalation and pharmacological sedation, its effectiveness in the reconduction of the behavior of the pediatric patient in the dental office: cross-sectional observational study

OBJETIVO: El objetivo del estudio fue evaluar si la sedación consciente reconduce o no la conducta del paciente pediátrico, en la consulta dental. METODOLOGÍA: La muestra del estudio clínico se obtuvo de sesenta y cinco pacientes que no permiten el tratamiento dental en la consulta odontológica,con edades comprendidas entre los 4 y 9 nueve años de edad. RESULTADOS: De los 65 pacientes que representa el 100% de la muestra, se obtuvo que el 86,15% pudo reconducir la conducta después de la sedación consciente. Sin embargo, en el 13,85% el comportamiento después de la sedación consciente no se pudo reconducir. CONCLUSIÓN: La sedación conscientepuede ayudar a reducir la fobia, estrés que los pacientes pediátricos presentes en la consulta dental. Asimismo, nos permiten llevar a cabo el tratamiento previsto, además de ayudar a reconducir la conducta del paciente

INTRODUCTION: The objective of the study was to evaluate whether conscious sedation redirected or not the behavior of the pediatric patient, in the dental office. MATERIALS AND METHODS: The clinical study sample was obtained from sixty-five patients who do not allow treatment in the dental office, aged between 4 and 9 years. RESULTS: Of the 65 patients representing 100% of the sample, it was obtained that 86.15% was able to redirect the behavior after conscious sedation. However, in 13.85% the behavior after conscious sedation could not be redirected. CONCLUSION: Conscious sedation can help reduce phobia, stress that pediatric patients present in the dental office. They also allow us to carry out the planned treatment, in addition to helping to redirect the patient's behavior

Webpalestra COVID-19 (Coronavírus): condutas de biossegurança para as urgências em Odontopediatria

Assista mais vídeos sobre COVID-19 no link abaixo: https://www.youtube.com/playlist?list... Assista mais vídeos da série Tele Saúde Bucal no link abaixo: https://www.youtube.com/playlist?list... Acesse os slides das nossas palestras na Biblioteca Virtual do Telessaúde ES! Confira a data da exibição e encontre o material desejado. Faça download e tenha o material preparado pelos nossos palestrantes. https://telessaude.ifes.edu.br/biblio...

Accuracy of teledentistry examinations at predicting actual treatment modality in a pediatric dentistry clinic.

Objectives The purpose of this study was to assess the accuracy of predicting dental treatment modalities for children seen initially by means of a live-video teledentistry consultation. Methods A retrospective dental record review was completed of 251 rural pediatric patients from the Finger Lakes region of New York State who had an initial teledentistry appointment with a board-certified pediatric dentist located remotely at the Eastman Institute for Oral Health in Rochester, NY. Proportions of children who were referred for specific treatment modalities and who completed treatment and proportions of children for whom the treatment recommendation was changed were calculated. Fisher's exact test was used to assess statistical significance. Results The initial treatment modality was not changed for 221/251 (88%) children initially seen for a teledentistry consultation. Thirty (12%) children had the initial treatment modality changed, most frequently children who were initially suggested treatment with nitrous oxide. Based on the initial treatment modality, changes to a different treatment modality were statistically significant (Fisher's exact test, p < 0.0001). Conclusions Our data suggest that the use of a live-video teledentistry consultation can be an effective way of predicting the best treatment modality for rural children with significant dental disease. A live-video teledentistry consultation can be an effective intervention to facilitate completion of complex treatment plans for children from a rural area that have extensive dental needs.

[Therapeutic education in pediatric dentistry: analysis of obstacles and levers to the development of programmes in France in 2016]. / Éducation thérapeutique en odontologie pédiatrique : analyse des obstacles et leviers au développement de programmes en France en 2016.

OBJECTIVE: Over recent years, therapeutic patient education has become part of dental medicine. Management of early childhood caries, known to be a very common chronic disease, has evolved to include an educational dimension. The objective of this study was to identify the levers and barriers to the development of formalized therapeutic education programmes and alternatives. METHODS: A comprehensive exploratory qualitative study was conducted between November 2015 and June 2016 on a targeted sample of 15 people aware of the problem of TPE in dentistry. RESULTS: The study showed that TPE training in dentistry is underdeveloped, despite its numerous benefits: change of the healthcare professional's approach, implementation of structured educational programmes, development of research, etc. There are many obstacles to the development of TPE programmes: insufficient resources, rigid legislation or lack of knowledge of TPE practices. The dental profession is an obstacle itself because of its lack of understanding and variable degrees of integration the medical community. There are multiple levers, but the main ones are changing attitudes of the profession and the provision of resources to develop TPE. Although alternatives to TPE programmes exist (accompanying measures, short educational strategies, connected health), they cannot replace TPE. CONCLUSION: More educational strategies must be developed in the field of dentistry. However, the framework of TPE must be adapted to the profession to ensure good uptake.

Remoção de mucocele com laser diodo: relato de caso clínico em paciente infantil / Mucocele removal with laser diode: case report on child patient

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 a“ball”. 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.

Análisis de las causas de exodoncia en la población infantil atendida en una clínica universitaria / Causes of tooth extraction

Introducción: conocer las causas de exodoncia en la población infantil, tanto en la dentición temporal como en la permanente, es necesario para poder valorar el impacto de las medidas preventivas, así como para definir las actuaciones en materia de salud bucodental. Material y métodos: estudio de campo epidemiológico, observacional, descriptivo, transversal en la práctica clínica habitual, siendo la población de estudio los menores de 18 años que acuden a la clínica universitaria y a los que se les exodoncia uno o varios dientes. Resultados: se realizaron 97 exodoncias a 55 pacientes (4% de la población atendida), un 58,8% eran niñas. La media de edad fue de 8,69 años (desviación estándar [DE] 2,15). El tramo etario en el que se realizaron más exodoncias fue el de seis a diez años (52,6%). La alteración de la erupción dentaria (39,2%) fue la causa más frecuente de exodoncia, seguido por la caries (34%). En la población inmigrante la causa más frecuente fue la caries (69,56%). Conclusiones: es necesario implementar, desde las consultas de Pediatría y gabinetes de Odontología, medidas preventivas en la población de seis a diez años potenciando hábitos dietéticos y nutritivos que faciliten una correcta reabsorción de la dentición temporal, para disminuir el número de exodoncias y conseguir una correcta salud oral (AU)

Introduction: to know the causes of tooth extraction in child population, both deciduous and definitive dentition, is necessary to be able to appreciate the impact of the preventive measures, as well as determine the intervention in matters of oral health to get a healthy population. Materials and methodologies: epidemiologic, observational, descriptive and transversal study is designed in the usual practice of odontology. Its population consisted of people under the age of 18 who went to University clinic, and those who got one or more teeth extracted. Results: 97 removals were made to 55 patients (4% of treated population), 58.8% were female patients. The average age was 8.69 (EV 2.15). The most frequent age range to have teeth extracted was from 6 to 10 years old (52.6%). Dental growing disorder was the most frequent cause of tooth extraction (39.2%), followed by caries (34%). In inmigrant population the most frequent cause was the caries (69.76%). Conclusions: it is necessary to introduce, from pediatric consulting rooms in odontology, preventive measures in the population from 6 to 10 years old, reinforcing dietary and nutritional habits which facilitate a proper reabsorption of deciduous dentition, to decrease the number of extractions and to get a good oral health (AU)

Abordagem de pacientes com ansiedade ao tratamento odontológico no ambiente clínico / Management of patients with dental anxiety at clinical environment

Objetivos: Discutir a ansiedade frente ao tratamento odontológico e apresentar as principais escalas disponíveis para a sua mensuração nas crianças e nos adultos. Materiais e métodos: para esta revisão de literatura os artigos foram selecionados na base de dados online PubMed, dentre os publicados entre 1979 até julho de 2015, e que estavam de acordo com os critérios STROBE e CONSORT. Resultados: Foram selecionados 30 artigos e a revisão destes mostrou que a escolha das escalas depende da idade do paciente, de sua capacidade cognitiva, bem como do tempo disponível para a aplicação dos instrumentos. A ansiedade odontológica e a condição em saúde bucal dos pais e dos filhos estão diretamente relacionadas. Conclusão: o Cirurgião-Dentista deve estar atento para diagnosticar e quantificar a ansiedade adequadamente, visando o estabelecimento de estratégias de abordagem comportamental e clínica individualizadas, tornando a consulta odontológica mais eficaz e menos estressante, tanto para o profissional quanto para os seus pacientes.

Objectives: to present the main dental anxiety scales available for children and adults, explainits association between parents and siblings. Methodology: the articles were selected in PubMed, from 1979 until July 2015, chosen studies were according to STROBE and CONSORT. Results: Thirty articles were selected, after their review it was found that the choice of scales depends on patients’ age, cognitive ability, and available time to implement the instruments. Parents’ dental anxiety and oral health conditions interfere directly with those in children. Conclusion: Is mandatory for professionals to diagnose and quantify oral health literacy levels and anxiety, in order to establish clinical and behavioral approach strategies, making a most effective and less stressful dental appointment, for both, the professional and patients.

Valoración del riesgo de caries infantil en un servicio hospitalario de urgencias / Risk assessment for childhood caries in a hospital emergency department

La caries es una destrucción de los tejidos mineralizados del diente, siendo la enfermedad crónica más prevalente del niño. Objetivos: Determinar, mediante un estudio de enfermería, la prevalencia de riesgo de caries en los niños que acuden a un Servicio de Urgencias Hospitalarias. Método: Aplicación del formulario validado para la evaluación de riesgo de caries propuesto por la Sociedad Americana de Odontopediatría, con 14 ítems para niños de más de 7 años y 13 ítems en menores de esa edad. La aplicación de dicho formulario ha contemplado la caducidad de la dentición temporal en relación a la edad del niño estudiado. Resultados: El formulario se ha completado en 101 niños. El 72.7% de los niños menores de 7 años y el 89.1% de los mayores de 7 años presentan uno o más factores de alto riesgo para caries infantil, existiendo diferencias notables en los resultados, en función del origen de los niños o de su etnia. Los peores resultados los ofrecen los niños gitanos cuyo riesgo de caries es el 100% en grupos de cualquier edad. Conclusiones: Hemos determinado mediante un estudio de enfermería, la prevalencia de riesgo de caries infantil. La Enfermería española puede y debe asumir un papel activo en la promoción de la salud oral infantil, aplicando activamente sus conocimientos (AU)

Dental caries is a destruction of the mineralized tissues of the tooth and is the most prevalent chronic disease of children. Objective: Determine, by a nurse study, the prevalence of high risk of dental caries among children treated at a hospital emergency room. Methods: We applied an adaptation of the form CAT (caries-risk assessment tool) proposed by the American Society of Pediatric Dentistry, consisting of 14 items for children over 7 years and 13 items for children under that age. The test has been applied considering the resorption time of the deciduous teeth in relation to the child's age studied. Results: The form has been completed in 101 children. 72.7% of children under 7 years old and 89.1% of those aged 7 years have one or more high risk factors for childhood caries. We found differences in the results, depending on the origin or ethnicity of the children studied. Conclusions: We determined the prevalence of risk for childhood caries. The Spanish nurses can and should play an active role in promoting children's oral health, actively applying their knowledge (AU)

Children's Toothbrushing Practices Recommended on the Internet by Pediatric Dentistry Associations.

PURPOSE: The purpose of this study was to describe online recommendations by North and South American National Associations of Pediatric Dentistry (NAPD), intended for laypersons, concerning children's toothbrushing practices. METHODS: In February 2015, the International Association of Pediatric Dentistry (IAPD) website and the Latin American Association of Pediatric Dentistry (ALOP) Facebook webpage were searched to identify which countries had NAPD. Attempts were made to obtain the electronic addresses of ALOP national member societies, and Google and Facebook were used to identify NAPD not found using the previous strategies. RESULTS: Of the 35 countries in North and South America, 19 had NAPD that were shown on the Internet, and 11 of them provided data for the study. All NAPD gave advice on fluoride concentrations in toothpaste and when to start toothbrushing; most made recommendations on the amount of toothpaste, toothbrushing frequency, and when to brush, and a few gave advice on toothbrushing supervision and rinsing after toothbrushing. There was no consensus on most of the recommendations that were evaluated. CONCLUSIONS: Only a few National Associations of Pediatric Dentistry from the Americas provide online information for parents and laypersons concerning children's toothbrushing practices. Of the information provided, some are either controversial, outdated or lack scientific evidence.

The evolution of behavior guidance: a history of professional, practice, corporate and societal influences.

Behavior guidance in pediatric dentistry is a composite of influences including expert opinion, historical precedent, scientific studies, and social factors including the law and the media. The early icons of pediatric dentistry injected their personal views on child management, and those often reflected the child-rearing norms of the times. The business of pediatric dentistry with its efficiency and quality orientations also shaped approaches to behavior management. Scientific studies contributed minimally. A major influence on behavior guidelines in recent years has been external scrutiny of techniques prompted by media and other exposure of both private practice and corporate management of children. Changing parenting and reaction of society to authority have also had significant impact on behavior. This paper describes in more detail the evolution of behavior guidance and the subsequent codification of practices into professionally derived guidelines.

[Diagnosis and treatment of supernumerary teeth in the premaxillary region: a literature review].

Supernumerary teeth are more frequently located in the premaxillary region. Mesiodentes are the most common supernumerary teeth, occurring in 0.15% to 1.9% of the population. Supernumerary teeth are frequently diagnosed in a random radiograph, or after clinical symptoms appear. The majority of the complications consist of delayed or ectopic eruption of the permanent incisors. It is important for the clinician to be aware of the phenomenon and its implications, in order to diagnose it as early as possible. Extraction of the supernumerary teeth in the late mixed dentition, will minimize the chances of damaging the adjacent permanent teeth, but will reduce the possibility of spontaneous eruption of an impacted permanent incisor. Extraction in the early mixed dentition can expedite the eruption of the permanent incisor, although it may involve sedation or general anesthesia, due to lack of cooperation in the young patient. Because to the risk of uneruption of the permanent impacted incisor, exposure of the teeth and bonding a ligature or bracket at the same procedure, and providing a possibility for the dentist to make the incisor erupt after the first operation, should the incisor not erupt spontaneously. Treating these cases require the cooperation of pediatric dentist, orthodontic and dental surgeon, and sometimes the involvement of an anesthesiologist.