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1.
Pediatr Dent ; 43(4): 290-295, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34467846

RESUMO

Purpose: The purpose of this study was to evaluate the treatment outcomes of multisurface caries in primary molars treated with intracoronal restorations versus stainless steel crowns (SSCs) through a retrospective split-mouth study. Methods: Dental records were screened for patients who had treatment of one primary molar with a multisurface restoration and one primary molar with an SSC. Teeth were followed until a loss to follow-up, exfoliation, or failure. Results: A total of 988 primary molars were evaluated, with a mean follow-up time of 22 months. The survival probabilities for: SSCs were 95.5 percent at one year of service and 92.8 percent at two years of service; and for intracoronal restorations were 92.0 percent at one year of service and 80.0 percent at two years of service. Overall survival analysis showed SSCs to be significantly more successful than restorations (P<0.001), particularly in children treated at ages four years and younger (P<0.001). No statistically significant difference (P=0.10) was found for children treated at ages five years and older. Conclusions: Stainless steel crowns have a higher survival probability versus restorations for multisurface caries. In children ages four years and younger, more aggressive treatment of multi-surface caries with SSCs should be considered, as conservative treatment leads to an increased need for retreatment.


Assuntos
Cárie Dentária , Aço Inoxidável , Criança , Pré-Escolar , Coroas , Cárie Dentária/terapia , Falha de Restauração Dentária , Restauração Dentária Permanente , Humanos , Dente Molar , Estudos Retrospectivos , Dente Decíduo
2.
Eur J Dent Educ ; 2021 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-33548111

RESUMO

PURPOSE: To determine the contemporary educational experiences of predoctoral dental students in the United States and Canada regarding behaviour guidance (BG) of the child patient and assess trends from a previous study in 2004. METHODS: Data were collected from 32 predoctoral paediatric dentistry programme directors in the United States and Canada via a web-based survey. RESULTS: The didactic curriculum hours devoted to the teaching of BG techniques in 2019 are similar to 2004. A majority (60.7%) of programmes do not have a formal assessment of competency with BG techniques. Lectures (n = 28), clinical experience (n = 28) and observation (n = 26) were the most common techniques implemented to teach BG techniques, and tell-show-do (100%), non-verbal communication (82.1%), positive reinforcement (89.3%) and distraction (82.1%) were the techniques that more than 75% of dental students most commonly have hands-on experience with during their dental education. In 2019, students tended to have more hands-on experience with nitrous oxide/oxygen inhalation and less hands-on experience with aversive techniques and sedation. CONCLUSIONS: The majority of dental schools do not have a formal competency in BG of the child patient. Compared with 2004, nitrous oxide/oxygen is used more by dental students and there is less predoctoral education in aversive BG techniques.

3.
J Dent Educ ; 84(7): 742-748, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32385916

RESUMO

PURPOSE: With the increasing number of applicants and changes to information available in applications, pediatric dentistry program directors must adapt the resident selection process. The evaluation approach was significantly impacted when the National Board Dental Examination (NBDE) changed to a pass/fail grading system. The purposes of this are study to examine what criteria pediatric dentistry program directors now use to select residents, and to evaluate current criteria against those used in the past. METHODS: A 30-item survey was structured similar to a previous questionnaire used in 2005. An invitation to participate was sent via email to all pediatric dentistry program directors for the 82 Commission on Dental Accreditation (CODA)-accredited programs located in the United States and Canada. Anonymous responses were analyzed. RESULTS: There were 58 responses (70.7% response rate). The overall most important factors were clinical grades, dental school class rank, dental school grade point average (GPA), and applicant's essay. The least important factors were the applicant being a graduate of the program's dental school, Advanced Dental Admission Test (ADAT) score, and applicant's fluency in a second language. The factor that had the most significant increase in importance from 2005 is the applicant's essay, followed by dental school reputation and the dental school's pediatric program reputation. CONCLUSIONS: The most important factors to program directors are clinical grades, dental school class rank, dental school GPA, and applicant's essay. The applicant's essay has increased in importance since 2005.


Assuntos
Internato e Residência , Canadá , Criança , Humanos , Odontopediatria , Critérios de Admissão Escolar , Inquéritos e Questionários , Estados Unidos
4.
J Mich Dent Assoc ; 100(4): 40-65, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30636813

RESUMO

Mineral Trioxide Aggregate (MTA) has been used in many endodontic procedures with success. We hypothesized that MTA as a pulpotomy medicament elicits outcomes no different than that of the diluted formocresol (DFC). Purpose: The purpose of this study was to compare the outcomes of grey MTA and DFC in primary molar pulpotomies at a teaching institution and a pediatric dental practice. Methods: At the teaching institution, 206 primary molars of 122 children were enrolled. At 48-months, 20 teeth treated with MTA and 25 teeth treated with DFC, were available for evaluation. At the private practice, dental records of 245 primary molars of 68 patients were available for evaluation. Results: At 48 months, the results from both sites showed a radiographic success rate of 80 percent for DFC and 95 percent for MTA. The odds of radiographic failure were not affected by study sites. The Cox-regression analysis revealed that patient's age at the time of pulpotomy impacted the "hazard of exfoliation." Each year following the completion of DFC or MTA pulpotomy, there is a 4.6-times-more-likely chance for early exfoliation of the pulpotomized tooth. Conclusion: Grey MTA is an acceptable alternative for primary molar pulpotomies.


Assuntos
Compostos de Alumínio , Compostos de Cálcio , Óxidos , Pulpotomia , Silicatos , Pré-Escolar , Combinação de Medicamentos , Seguimentos , Humanos , Dente Molar , Estudos Prospectivos , Estudos Retrospectivos , Dente Decíduo
5.
J Endod ; 43(9S): S75-S81, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28844307

RESUMO

Clinicians face many challenges when treating immature permanent teeth in young patients. Immediate blood clot induction can be a successful option as described by some case reports. No experimental studies or clinical trials have addressed this question. We have designed a clinical trial in which we hypothesized that there is no difference in success between immediate or delayed induction protocols. After confirmation of pulpal necrosis, patients were randomized. In the delayed group, 15 teeth were treated following the American Association of Endodontists guidelines, and calcium hydroxide was used as the intracanal medication. In the immediate group, 13 teeth had a blood clot inducted at the first appointment. The teeth were evaluated after 1, 3, and 12 months. Three independent evaluators assessed the periapical healing. The Pearson chi-square test or the Fisher exact test was used to compare the success rates between the 2 groups. Currently, of the 25 recruited patients (28 teeth), 19 have completed their 12-month follow-up. The group with delayed induction had a 71% success rate, and the group with immediate induction had a 33% success rate. In most cases (79%), trauma was the etiology. All successful cases started at stage 9 of root development (Nolla), and the majority showed healing type 2. Determination of the stage of root formation and etiology are possible critical factors for any therapeutic decision. In summary, it is early to conclude or suggest any of the protocols. Clearly, much more data are needed before sample size requirements can be met.


Assuntos
Necrose da Polpa Dentária/cirurgia , Polpa Dentária/fisiologia , Regeneração , Criança , Feminino , Humanos , Masculino , Fatores de Tempo , Cicatrização
6.
J Mich Dent Assoc ; 99(2): 36-41, 71, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-30398813

RESUMO

A primary concern of dental care for the child patient is patient safety. Antibiotics and local anesthetics are very commonly used in dental care, making it critical that providers take into account the special considerations when these drugs are used with the child patient. Considerations in medication selection, indications for use, appropriate and safe dosing, suitable prescribing and administration, and potential deleterious effects are discussed. An overview is provided to ensure proper use of antibiotics and local anesthetics for the pediatric patient.


Assuntos
Anestésicos Locais/administração & dosagem , Antibacterianos/administração & dosagem , Assistência Odontológica para Crianças , Segurança do Paciente , Criança , Humanos , Prescrição Inadequada/prevenção & controle
7.
Am J Dent ; 29(2): 87-92, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27295866

RESUMO

PURPOSE: To determine the effect of stevia on caries development when incorporated into a cariogenic diet in a controlled microbial caries model. METHODS: 56 bovine tooth specimens (4 x 4 mm) were divided into four groups, each secured in a caries-forming vessel. All vessels were placed on an electric stirrer inside a 37°C incubator. The specimens were inoculated with Streptococcus mutans, and exposed for 4 days to circulating cycles of tryptic soy broth supplemented with 5% sucrose-TSBS (three x/day), and a mineral wash solution. Between TSBS cycles (three x/day), each group received one of four experimental solutions: phosphate buffer (PBS-negative control), 0.5% stevia solution, 5% stevia solution, or 5% xylitol solution. Development of caries lesions was analyzed using enamel surface hardness. Difference in Vickers Hardness between pre and post-treatment was calculated to determine caries development. Plaque was dislodged from six specimens per group, and the CFU/ml calculated. Data were analyzed using ANOVA at 95% confidence level, and individual group differences calculated using Tukey's test. RESULTS: 5% xylitol resulted in significantly less plaque at the end of the study compared to PBS and 5% stevia, but not significantly different than 0.5% stevia. 5% stevia had significantly softer lesions than the other groups, while there was no significant difference in hardness scores between 5% xylitol, 0.5% stevia and PBS.


Assuntos
Anti-Infecciosos/farmacologia , Cárie Dentária/microbiologia , Modelos Biológicos , Stevia , Animais , Biofilmes , Bovinos , Contagem de Colônia Microbiana , Técnicas In Vitro , Streptococcus mutans/efeitos dos fármacos
8.
Pediatr Dent ; 38(2): 148-53, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27097864

RESUMO

PURPOSE: The purpose of this study was to investigate the effect of silver diamine fluoride (SDF) on the microtensile bonding strength of resin composite to the dentin of primary molars. METHODS: Twelve primary molars were randomly assigned to either the control or the SDF groups, and microtensile bonding strength (mTBS) was measured. The surface morphology was evaluated by visual inspection and scanning electron microscopy (SEM) imaging. RESULTS: The mean±(SD) value of mTBS in the control and SDF group was 162.09±81.08 and 139.85±88.53, respectively (P=0.402). SEM images showed that, in the control group, the majority of the fractures occurred at the adhesive-dentin conjunction, while in the SDF group failure mostly occurred within the adhesives. CONCLUSIONS: Pretreating dentin with 38 percent silver diamine fluoride does not affect the bonding strength of composite resin to dentin. The fracture patterns observed suggest that bonding strength might be stronger between the adhesive and the SDF-applied dentin. Our data suggest that SDF can be used as a dentin pretreatment prior to resin restoration potentially contributing to secondary caries prevention in primary teeth.


Assuntos
Dentina , Dente Decíduo , Resinas Compostas , Colagem Dentária , Adesivos Dentinários , Humanos , Teste de Materiais , Microscopia Eletrônica de Varredura , Cimentos de Resina , Propriedades de Superfície , Resistência à Tração
9.
J Mich Dent Assoc ; 98(1): 26-30, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26882645

RESUMO

Ectopic eruption of a permanent tooth involves abnormal resorption of a portion or all of the adjacent primary tooth. Among the most commonly ectopically erupted teeth are the permanent first molars. Ectopically erupting molars may require intervention to allow for full eruption, or they may spontaneously self-correct and erupt into occlusion. Decisions regarding the necessity of intervention, its ideal timing, and intervention type are multifactorial. Treatment options for the ectopically erupting permanent first molar include the elastomeric separator, brass wire, pre-fabricated clip separator, custom made appliances (Humphrey appliance, Halterman appliance), or extraction of the primary molar. Early intervention when indicated can ensure proper full eruption of the permanent first molar and prevent mesial angulation, arch perimeter loss, tooth impaction and ankylosis. Two cases are described that manage ectopic eruption of the permanent first molar.


Assuntos
Erupção Ectópica de Dente/etiologia , Criança , Tomada de Decisões , Feminino , Humanos , Masculino , Dente Molar/patologia , Desenho de Aparelho Ortodôntico , Fios Ortodônticos , Ortodontia Interceptora/métodos , Planejamento de Assistência ao Paciente , Anquilose Dental/prevenção & controle , Erupção Dentária/fisiologia , Erupção Ectópica de Dente/classificação , Erupção Ectópica de Dente/terapia , Técnicas de Movimentação Dentária/instrumentação , Dente Impactado/prevenção & controle
10.
J Mich Dent Assoc ; 97(1): 36-40, 42, 74, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26285502

RESUMO

The primary etiology of periodontal disease is bacterial plaque and its byproducts in a susceptible host. Although the prevalence of plaque-induced periodontal disease is relatively low for the child and adolescent, destructive periodontal disease may be a manifestation of an underlying systemic disease. In some cases, childhood periodontal destruction may be the first sign of systemic disease, making appropriate recognition and determination of etiology critical in this population. Therefore, this literature review discusses the periodontal considerations for the child and adolescent patient, aiming to offer a guide for differential diagnosis and oral management of periodontal disease in the young population.


Assuntos
Doenças Periodontais/diagnóstico , Adolescente , Criança , Placa Dentária/microbiologia , Doença , Humanos , Doenças Periodontais/classificação , Doenças Periodontais/etiologia
11.
J Mich Dent Assoc ; 97(1): 48-54, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26285504

RESUMO

PURPOSE: Healthy Kids Dental (HKD) was created as a pilot program of the Michigan State Medicaid program to increase access to care for Medicaid-eligible children. The purpose of this study was to evaluate dentists' attitudes toward Healthy Kids Dental and Medicaid in Michigan. METHODS: An online survey was sent to practitioners with an email address registered with the Michigan Dental Association (n=4,285). RESULTS: Surveys were returned from 965 practitioners (~23 percent). Although practitioners were not fully satisfied with HKD, their satisfaction with the program was significantly higher than their satisfaction with the traditional Medicaid program (P<.001). Sixty-four percent of providers that accept Medicaid limit the number of children seen in some manner, while 28 percent of providers that accept HKD limit the number of children seen. Families with traditional Medicaid who contact an office are significantly less likely to receive treatment for their child than families with HKD insurance who contact the same office (P<.001). CONCLUSIONS: Practitioners were more satisfied with programmatic and patient-related factors of the Healthy Kids Dental program than they were with Medicaid. Dentists were more likely to treat children with HKD than children with Medicaid when the parent contacts a dentist in Michigan.

12.
J Dent Educ ; 78(9): 1301-12, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25179927

RESUMO

Interprofessional education (IPE) has received increasingly more attention over recent years. The objectives of this study were to assess 1) how nursing students' considerations concerning their own oral health and oral health-related knowledge changed from before to after experiencing IPE; 2) how nursing students', dental students', and pediatric dentistry residents' IPE-related attitudes and Readiness for Interprofessional Learning Scale (RIPLS) scores changed after experiencing an IPE rotation; and 3) how these groups' attitudes and RIPLS scores were related. Data were collected from three groups who participated in an IPE rotation: thirty-eight of forty third-year dental students (95 percent response rate), all thirty-three nursing students (100 percent), and all six pediatric dentistry residents (100 percent) prior to the rotation, and 100 percent of each group after the rotation. As a control group, data were also collected at the beginning of the winter term from first-year dental students (104 out of 105; 99 percent response rate) and second-year dental students (102 out of 116; 88 percent); the same groups were surveyed at the end of term, with response rates of 98 percent for first-year students and 89 percent for second-year students. After the rotation, the nursing students' tooth brushing frequency increased, and their comfort level with dental visits and oral health-related knowledge improved. The dental students rated the importance of nurses' having oral health-related knowledge and skills lower than did the nursing students and pediatric dentistry residents. The groups' RIPLS scores correlated with these importance ratings. Overall, while the nursing students showed positive responses to IPE, the dental students' attitudes and RIPLS scores did not change as a result of the IPE experience. Future research should explore the conditions under which dental students are impacted by IPE.


Assuntos
Atitude do Pessoal de Saúde , Educação em Odontologia , Educação em Enfermagem , Internato e Residência , Odontopediatria/educação , Estudantes de Odontologia/psicologia , Estudantes de Enfermagem/psicologia , Adulto , Cariostáticos/uso terapêutico , Competência Clínica , Assistência Odontológica , Cárie Dentária/diagnóstico , Feminino , Fluoretos Tópicos/uso terapêutico , Comportamentos Relacionados com a Saúde , Educação em Saúde Bucal , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Relações Interprofissionais , Masculino , Programas de Rastreamento , Saúde Bucal , Higiene Bucal , Pais/educação , Medição de Risco , Escovação Dentária , Adulto Jovem
13.
Pediatr Dent ; 36(1): 34-8, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24717707

RESUMO

PURPOSE: Healthy Kids Dental (HKD) was created as a pilot program of the Michigan State Medicaid program to increase access to care for Medicaid-eligible children. The purpose of this study was to evaluate dentist's attitudes toward Healthy Kids Dental and Medicaid in Michigan. METHODS: An online survey was sent to practitioners with an e-mail address registered with the Michigan Dental Association (N=4,285). RESULTS: Surveys were returned from 965 practitioners (~23 percent). Although practitioners were not fully satisfied with the HKD, their satisfaction with the program was significantly higher than their satisfaction with the traditional Medicaid program (P<.001). Sixty-four percent of providers that accept Medicaid limit the number of children seen in some manner, while 28 percent of providers that accept HKD limit the number of children seen. Families with traditional Medicaid who contact an office are significantly less likely to receive treatment for their child than families with HKD insurance who contact the same office (P<.001). CONCLUSIONS: Practitioners were more satisfied with programmatic and patient-related factors of the Healthy Kids Dental program than they were with Medicaid. Dentists were more likely to treat children with HKD than children with Medicaid when the parent contacts a dentist in Michigan.


Assuntos
Atitude do Pessoal de Saúde , Assistência Odontológica para Crianças/economia , Odontólogos/psicologia , Seguro Odontológico , Medicaid , Agendamento de Consultas , Criança , Estudos Transversais , Honorários Odontológicos , Reforma dos Serviços de Saúde , Acesso aos Serviços de Saúde , Humanos , Michigan , Seleção de Pacientes , Satisfação Pessoal , Setor Público , Mecanismo de Reembolso , Estados Unidos
14.
J Mich Dent Assoc ; 96(1): 30-3, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24654412

RESUMO

Traumatic dental injuries are common among children in the mixed dentition. A case is described outlining treatment of avulsion of immature maxillary and mandibular incisors in an 8-year-old child. Resources to aid the dentist to easily locate the most recent evidence-based treatment recommendations are described.


Assuntos
Incisivo/lesões , Avulsão Dentária/terapia , Processo Alveolar/lesões , Beisebol/lesões , Criança , Humanos , Masculino , Fraturas Mandibulares/terapia , Odontogênese/fisiologia , Tratamento do Canal Radicular , Reabsorção da Raiz/etiologia , Reimplante Dentário/métodos
15.
Pediatr Dent ; 35(5): 430-4, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24290556

RESUMO

PURPOSE: The purpose of this study was to examine pediatric dentists' awareness and experiences with oral health literacy and to identify communication techniques used with parents. METHODS: Active North American members of the American Academy of Pediatric Dentistry were invited to participate in the survey. Descriptive statistical analyses were completed, and Pearson's chi-square crosstabs tests were used to compare categorical data between groups. RESULTS: Data were collected from 22 percent (N=1,059) of pediatric dentists; 68 to 87 percent use basic communication techniques routinely, while 36 to 79 percent routinely use enhanced communication techniques. Approximately 59 percent (N=620) reported having had an experience with health literacy miscommunication, while 11 percent (N=116) are aware of an error in patient care that resulted from oral health literacy miscommunication. Respondents who have had an experience with miscommunication were significantly more likely statistically to perceive barriers to effective communication as more significant than those without a history of miscommunication experience (P<.001). CONCLUSIONS: Most pediatric dentists have experienced situations in which a parent has misunderstood information. Basic communication techniques were most commonly used, while enhanced communication techniques were used less routinely. Those who have had experience with oral health literacy miscommunication events perceive barriers to effective communication as more significant.


Assuntos
Competência Clínica , Comunicação , Educação em Saúde/métodos , Letramento em Saúde , Saúde Bucal , Pais , Odontopediatria , Adulto , Idoso , Barreiras de Comunicação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
16.
Pediatr Dent ; 35(4): 343-50, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23930634

RESUMO

PURPOSE: The purpose of this study was to determine pediatric dentists' level of job satisfaction and to explore which factors (demographic and practice/work/patient characteristics) are related to their satisfaction. METHODS: Data were collected with mailed surveys from 385 and with web-based surveys from 966 pediatric dentists in the United States. Professional satisfaction was measured with the Professional Satisfaction Scale and the Dentists' Satisfaction Scale. RESULTS: Most respondents would choose dentistry (89 percent) and pediatric dentistry (92 percent) again and would recommend dentistry (85 percent) and pediatric dentistry (83 percent) to their child as a career. Male respondents were more satisfied with income, personal and professional time, staff, and practice management aspects, and female respondents were more satisfied with patient relations. The older the dentists were, the more satisfied they were. Respondents in academia were less stressed and less satisfied with their income than respondents in nonacademic settings. The more time spent in the operatory and the less administrative work, the more satisfied the respondents were. The fewer patients from a lower socioeconomic background they treated, the more satisfied they were. CONCLUSIONS: Overall, pediatric dentists have a high level of job satisfaction. Demographic factors and practice/work/patient characteristic are related to job satisfaction.


Assuntos
Satisfação no Emprego , Odontopediatria/estatística & dados numéricos , Fatores Etários , Análise de Variância , Coleta de Dados , Feminino , Humanos , Renda , Masculino , Fatores Sexuais , Inquéritos e Questionários , Estados Unidos
17.
Pediatr Dent ; 35(3): E87-94, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23756301

RESUMO

PURPOSE: The purpose of this study was to test the hypothesis that there is no significant difference in the clinical and radiographic outcomes of diluted formocresol (DFC) compared to gray mineral trioxide aggregate (GMTA) pulpotomy in human primary molars. METHODS: A total of 152 children with 252 primary molars met selection criteria. Of those, 119 and 133 teeth were randomly assigned to the GMTA and DFC groups, respectively. Periapical radiographs, taken pre- and/or postoperatively and at each 6-month follow-up, were digitized and evaluated by three blinded and calibrated examiners. RESULTS: Over a 42-month period, a total of 865 clinical and radiographic evaluations were conducted. There was no significant difference in clinical success, with the cumulative proportion of GMTA-treated teeth surviving at 0.98 vs DFC-treated teeth at 0.95 (P>.05). Radiographic success, however, was significantly greater for GMTA vs DFC, with the cumulative proportion of GMTA-treated teeth surviving at 0.90 vs DFC-treated teeth at 0.47 (P<.001). Overall, DFC-treated teeth were 5.1 times more likely to fail than GMTA-treated teeth. Radiographic pathologies were observed more frequently in the DFC-treated teeth (P<.05). CONCLUSION: Gray mineral trioxide aggregate can be considered an acceptable replacement for diluted formocresol when used as a medicament for primary molar pulpotomies.


Assuntos
Compostos de Alumínio/uso terapêutico , Compostos de Cálcio/uso terapêutico , Formocresóis/uso terapêutico , Dente Molar/patologia , Óxidos/uso terapêutico , Pulpotomia/métodos , Materiais Restauradores do Canal Radicular/uso terapêutico , Silicatos/uso terapêutico , Dente Decíduo/patologia , Compostos de Alumínio/farmacologia , Compostos de Cálcio/farmacologia , Criança , Pré-Escolar , Falha de Restauração Dentária/estatística & dados numéricos , Combinação de Medicamentos , Feminino , Seguimentos , Humanos , Estimativa de Kaplan-Meier , Masculino , Dente Molar/diagnóstico por imagem , Dente Molar/efeitos dos fármacos , Óxidos/farmacologia , Radiografia , Materiais Restauradores do Canal Radicular/farmacologia , Silicatos/farmacologia
18.
Pediatr Dent ; 35(1): 43-6, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23635897

RESUMO

PURPOSE: The purpose of this retrospective study was to evaluate pulpotomies completed without the use of a fixative, preservative, or astringent agent prior to placement of a reinforced zinc oxide-eugenol (ZOE) sub-base in the pulp chamber and subsequent restoration. METHODS: Clinical and radiographic data were collected from a private pediatric dental office in Toronto, Ontario, Canada. The pulpotomy technique used involved: amputation of coronal pulp; radicular hemostasis via pressure with dry cotton pellet; placement of ZOE into the pulp chamber; and restoration with stainless steel crown or amalgam. RESULTS: One-hundred-ninety primary molars in 116 children (follow-up=6-94 months; mean=35.8 months) met the inclusion criteria. The radiographic, clinical, and overall success rates were approximately 95%, 97%, and 94%, respectively. The most frequently observed pathologic pulpal response was furcation radiolucency (N=7, ∼4%). The patient's age at time of pulpotomy, restoration type, tooth type, arch, and location of treatment (in-office vs general anesthesia) were not statistically significant factors influencing the success of the reinforced ZOE pulpotomy technique. CONCLUSION: The success rates indicate that the reinforced zinc oxide-eugenol pulpotomy technique may be an acceptable treatment modality for primary molars requiring vital pulp therapy.


Assuntos
Agentes de Capeamento da Polpa Dentária e Pulpectomia/uso terapêutico , Pulpotomia/métodos , Cimento de Óxido de Zinco e Eugenol/uso terapêutico , Criança , Pré-Escolar , Coroas , Ligas Dentárias/química , Amálgama Dentário/química , Cavidade Pulpar/diagnóstico por imagem , Cavidade Pulpar/patologia , Restauração Dentária Permanente/métodos , Feminino , Seguimentos , Hemostasia Cirúrgica/métodos , Humanos , Masculino , Dente Molar/diagnóstico por imagem , Dente Molar/patologia , Doenças Periapicais/diagnóstico por imagem , Doenças Periapicais/etiologia , Complicações Pós-Operatórias , Radiografia , Estudos Retrospectivos , Aço Inoxidável/química , Dente Decíduo/diagnóstico por imagem , Dente Decíduo/patologia , Resultado do Tratamento
19.
Pediatr Dent ; 34(5): 120-8, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23211896

RESUMO

PURPOSE: The purpose of this multisite, multioperator, prospective, randomized, controlled clinical trial was to evaluate 2-year outcomes of diluted formocresol (DFC) compared to gray mineral trioxide aggregate (GMTA) as pulpotomy medicaments. METHODS: Following the standard pulpotomy procedure, the pulp stumps of 252 primary molars in 168 healthy children were randomly covered with GMTA or DFC. Pulp chambers were filled with Intermediate Restorative Material (IRM(®)) and teeth were restored with stainless steel crowns. At each follow-up appointment, the clinical status of the treated tooth was assessed and radiographs were taken. A total of 694 clinical and radiographic evaluations were analyzed. RESULTS: Gender, study site, arch type, and tooth type did not influence treatment outcome. At the combined 6- to 24-month follow-up, clinical success in the DFC group was no different than for the GMTA group. Radiographically, a significantly lower success rate was found in the DFC group vs the MTA group at all time points (P<.01). Dentin bridge formation was observed at a significantly higher frequency among the GMTA group (P<.01), while internal root resorption was observed at a higher frequency in the DFC group (P<.01). CONCLUSION: At the combined 6- to 24-month follow-up, gray mineral trioxide aggregate demonstrated significantly better radiographic outcomes vs diluted formocresol as pulpotomy medicaments.


Assuntos
Compostos de Alumínio/química , Compostos de Alumínio/uso terapêutico , Compostos de Cálcio/química , Compostos de Cálcio/uso terapêutico , Óxidos/química , Óxidos/uso terapêutico , Agentes de Capeamento da Polpa Dentária e Pulpectomia/química , Agentes de Capeamento da Polpa Dentária e Pulpectomia/uso terapêutico , Pulpotomia/métodos , Silicatos/química , Silicatos/uso terapêutico , Pré-Escolar , Cárie Dentária/diagnóstico por imagem , Cárie Dentária/terapia , Combinação de Medicamentos , Humanos , Lactente , Dente Molar/patologia , Radiografia , Dente Decíduo/patologia
20.
Pediatr Dent ; 34(5): 407-13, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23211918

RESUMO

PURPOSE: The purpose of this study was to explore whether parents' satisfaction with their child's treatment and their attitudes concerning the dental visit are affected by the fit between their desire to be present/absent during their child's dental treatment and whether they were actually present/ absent. In addition, this study explored the effects of child variables (age, gender, ethnicity, and prior experiences with dental treatment) and parent variables (age, gender, and prior own dental experiences) on parents' desire to remain/not remain with their child. METHODS: Survey data were collected with paper-pencil surveys from 239 parents at the beginning and at the end of their child's dental appointment. The survey contained questions concerning the parents' preferences for being with their child in the operatory and their evaluations of the dental visit. RESULTS: Parents whose experiences concerning being in the operatory matched their wishes were more satisfied and had more positive attitudes concerning the dental visit vs parents whose experiences and wishes did not match. The older the parents were, the more they wanted to accompany the child into the operatory. CONCLUSIONS: The fit between the parents' desire to be present/absent during their child's treatment and the actual situation they encountered was significantly related with the parents' satisfaction and attitudes related to their child's dental visit.


Assuntos
Participação da Comunidade , Assistência Odontológica para Crianças/psicologia , Relações Pais-Filho , Pais/psicologia , Satisfação Pessoal , Relações Profissional-Família , Adolescente , Adulto , Fatores Etários , Idoso , Atitude Frente a Saúde , Criança , Pré-Escolar , Ansiedade ao Tratamento Odontológico , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
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