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1.
Pediatr Dent ; 44(2): 99-107, 2022 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-35484767

RESUMO

PURPOSE: The Feeding At Sleep Time (FeAST) scale was developed and validated to assess sleep time feeding practices for children younger than three years. The purpose of this study was to describe the process of scoring and find an optimum clinical cutoff score for early childhood caries (ECC) using receiver operating characteristics (ROC) analysis, thereby enabling researchers and clinicians to assess risk for devel- oping ECC. METHODS: The FeAST scale was administered to mothers of 527 toddlers, aged 12 to 36 months, attending four outpatient depart- ments. The score was calculated based on subconstructs of combined breast-feeding (CBR) and combined bottle-feeding (CBO), and suitable cutoff points were identified using ROC analysis. RESULTS: The study established a cutoff score greater than 14 for the CBR construct and a cutoff score greater than 11 for the CBO construct of the FeAST scale to determine a child's risk for developing ECC. The area under the curve (AUC), which measures the overall performance of a scale, has yielded statistically significant values (P<0.001) with fair (0.707) and good (0.788) perform- ance for the CBR and CBO constructs, respectively. CONCLUSION: The Feeding at Sleep Time scale, based on receiver operating characteristics analysis, can potentially be used by clinicians and researchers to screen toddlers at risk of developing early childhood caries.


Assuntos
Suscetibilidade à Cárie Dentária , Cárie Dentária , Alimentação Artificial , Aleitamento Materno , Pré-Escolar , Cárie Dentária/diagnóstico , Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Feminino , Humanos , Sono
2.
J Dent Anesth Pain Med ; 21(6): 547-556, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34909472

RESUMO

BACKGROUND: This study aimed to determine the efficacy of Physics Forceps in pediatric dental extractions. METHODS: This was a double-blind, randomized controlled trial with a parallel-arm design and identical allocation ratio (1:1). Children (n=104) were randomly divided into two groups for extraction of mandibular primary teeth (group I: Physics Forceps; group II: conventional forceps). The outcome variables assessed in the study were the time taken for extraction, pre- and postoperative anxiety (using RMS pictorial scale), incidence of fractured teeth, and postoperative pain on the first and third days (using the Wong-Baker faces pain scale). RESULTS: A significant reduction (P < 0.001) in intraoperative time, anxiety, and incidence of tooth fracture was confined to group I. The pain significantly reduced from the first to the third postoperative day in both groups, but the mean reduction in RMS scores in the physics forceps group was far better than that in the conventional forceps group. CONCLUSION: Physics Forceps aid in extraction of primary teeth with minimal trauma to supporting structures, as well as reducing anxiety in the pediatric population.

3.
Indian J Dent Res ; 32(2): 199-205, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34810389

RESUMO

INTRODUCTION: Dental treatment for children requires the use of behaviour guidance techniques (BGTs), which are used in the dental office to make children cope with dental treatment. AIM: Evaluate how children and parents felt towards BGTs used in a dental office, by attitude meter and to correlate them. MATERIALS AND METHOD: Children (200) from 7-17 years and their parents were selected randomly to participate in the study. Each child and parent was asked to watch four video scenes of live BGTs, which include Tell Show Do (TSD), Modeling, Reward system, and Hand holding. A questionnaire collected demographic data, and their expressive attitudes were assessed using Line of favour (LOF) scale and Kruskal-Wallis Test. RESULTS: Most preferred BGTs for Group I was modeling, Group II Reward, Group III Tell Show Do, and Group IV was Modeling, with a mean score of 5.95, 6.04, 5.57, and 5.78, respectively. Gender wise preferences, 32% of boys and 34% of girls preferred modeling in Group I, whereas, in Group II, 20% of boys and 21% of girls preferred reward, respectively. Chi-square test revealed that there is no significant difference between the groups and gender for the preference of BGTs in Group I (P=0.893) and Group II (P=0.592). There was no significant correlation between preferences of children and their parents. CONCLUSION: Modeling was the most preferred BGT for primary school children and parents of High school children. A reward was the most preferred BGT for high school children. TSD was the most preferred BGT for parents of primary school children.


Assuntos
Atitude , Pais , Criança , Comportamento Infantil , Estudos Transversais , Feminino , Humanos , Masculino , Inquéritos e Questionários
5.
J Dent Anesth Pain Med ; 21(4): 345-355, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34395902

RESUMO

BACKGROUND: This study aimed to evaluate the efficacy of external vibrating devices and counterstimulation on a child's dental anxiety, apprehension, and pain perception during local anesthetic administration. METHODS: This was a prospective, randomized, parallel-arm, single-blinded interventional, clinical trial. One hundred children aged 4-11 years, requiring pulp therapy or extraction under local anesthesia (LA), were recruited and allocated equally into two groups (1:1) based on the interventions used: Group BD (n = 50) received vibration using a Buzzy® device {MMJ Labs, Atlanta, GE, USA} as a behavior guidance technique; Group CS (n = 50) received counterstimulation for the same technique. Anxiety levels [Venham's Clinical Anxiety Rating Scale (VCARS), Venham Picture Test (VPT), Pulse oximeter {Gibson, Fingertip Pulse Oximeter}, Beijing, China)] were assessed before, during, and after LA administration, while pain perception [Wong-Baker Faces Pain Rating Scale (WBFPS), Visual Analogue Scale (VAS)] was evaluated immediately after injection. Statistical analysis was performed using the Student's t-test to assess the mean difference between the two groups and the repeated measures ANOVA for testing the mean difference in the pulse rates. Statistical significance was set at P < 0.05. RESULTS: Significant differences in mean pulse rate values were observed in both groups. In contrast, the children in the BD group had higher diminution (P < 0.05), whereas the mean VCARS and VPT scores were conspicuous (P < 0.05). Based on the mean WBFPS and VAS scores, delayed pain perception after LA injection was more prominent in the BD group than in the CS group. CONCLUSION: External vibration using a Buzzy® device is comparatively better than counterstimulation in alleviating needle-associated anxiety in children requiring extraction and pulpectomy.

6.
Int J Gen Med ; 14: 2397-2405, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34135623

RESUMO

BACKGROUND: Midline diastema in children is a prevalent developmental entity, and this pathological condition may remain in many children due to various factors. Nonetheless, the evidence on etiological factors of the midline diastema in children is minimal. PURPOSE: To evaluate the etiological factors of midline diastema causes in children below 12 years of age from the published data. METHODS: A literature search was confined to the English language using MeSH terms conferring to PICO format in PubMed, Cochrane Library, and Ovidsp covering the period from January 1960 to December 2019. Search in Google Scholar, grey literature, and hand search on references were performed to find additional data. Suitable studies were selected based on the predefined inclusion and exclusion criteria. Quality analysis of the chosen studies conducted using the Newcastle-Ottawa Scale (NOS) adapted for cross-sectional studies. RESULTS: Only eight studies were available for final analysis among those four studies from India, two studies from Korea, one study from Brazil, and another study from Canada. The most common etiology for midline diastema was supernumerary teeth followed by morphology labial frenum and nasal airflow condensation. The quality analysis of these studies based on NOS showed one study with unsatisfactory, four studies with satisfactory, and three with good quality. CONCLUSION: Morphology of frenum, pre-maxillary supernumerary teeth, and nasal airflow condensation seem to be the most common causes of midline diastema in children below 12 years.

7.
Dent Med Probl ; 58(2): 237-241, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34019745

RESUMO

The recent pandemic outbreak of coronavirus disease 2019 (COVID-19) has created a helpless situation in healthcare systems worldwide. The disease can be transmitted in different ways, e.g., through contact, droplets, fomites, and aerosol-generating procedures. Subsequently, the World Health Organization (WHO) released recommendations regarding precautions to be taken by all healthcare workers, including dentists, in order to avoid the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 indeed has become a pandemic, and there is a need for an innovative method to continue providing dental care to children with a minimal risk of cross-infection. The objective of this short communication was to draw special attention to the teledentistry model in pediatric dentistry and to guide the management of children with dental problems during the COVID-19 pandemic. Teledentistry is a feasible method and its use can overcome challenges in the present situation. The teledentistry approach enables providing guidance, treatment plans and follow-up with remote-assistance dental care through the use of information technology instead of face-to-face contact with patients.


Assuntos
COVID-19 , Pandemias , Criança , Surtos de Doenças , Humanos , SARS-CoV-2 , Organização Mundial da Saúde
8.
Environ Sci Pollut Res Int ; 28(2): 1275-1277, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33026622

RESUMO

The pandemic outbreak of coronavirus disease (COVID-19) created a significant impact on the oral healthcare profession, and dentists are reported to have a higher risk of transmission. Aerosols and droplets are considered as primary reasons for the transmission of this infectious disease. Quality dental treatment may not be possible without the interference of aerosols in daily dental practice. However, dental societies and healthcare communities around the globe developed various protocols and algorithms with standard infection control protocols. Nevertheless, many unanswerable questions strike in dentist minds to start the dental practice during or post COVID-19 pandemic. Hence, this review focuses on the common issues that raises in daily clinical practice and possible solutions.


Assuntos
COVID-19 , Infecções por Coronavirus , Odontologia , Coronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Pandemias , SARS-CoV-2
9.
Child Youth Serv Rev ; 120: 105734, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33235401

RESUMO

BACKGROUND: During and post COVID-19 pandemic outbreak, it is essential for safeguarding this viral infection control and prevention in pediatric dental practices. The role of parents and pediatric dentist and their dental team requires specific guidance to deal with dental problems of children in the dental operatory during and post-pandemic outbreak of COVID-19 disease. PURPOSE: To report dentistry for children during and post COVID-19 pandemic outbreak. CONCLUSIONS: The present review highlights the clinical features, possible modes of transmission of COVID-19 in dental operatory, preventive strategies, emergencies that pose a significant challenge, and treatment strategies for dealing with children and parents during and post COVID-19 pandemic. Absolute measures for children during their visit to dental operatory, quality control for pediatric dental clinics, and additional preventive measures associated with examinations and management of dental problems in children have been covered in this insight.

10.
Artigo em Inglês | MEDLINE | ID: mdl-35010473

RESUMO

AIM: To assess the knowledge and perceptions of COVID-19 among pediatric dentists based on their dependent source of information. METHODS: A descriptive-analytical cross-sectional survey using a self-administered questionnaire with 23 questions was sent via Google forms to pediatric dentists. All participants were divided into three groups [postgraduate residents (PGs), private practitioners (PP), and faculty (F)]. The comparison of knowledge and perception scores was made based on occupation, source of information, and descriptive statistics used for the analysis using SPSS 21.0 (IBM, Armonk, NY, USA). RESULTS: A total of 291 pediatric dentists completed the survey, and the majority of them were females (65%). Overall, good mean scores were obtained for knowledge (9.2 ± 1.07) and perceptions (5.6 ± 1.5). The majority of the participants used health authorities (45%) to obtain updates on COVID-19, while social media (35.1%) and both (19.6%) accounted for the next two. A statistically significant difference (p < 0.05) was found among different pediatric dentists groups for relying on the source of information. CONCLUSION: Overall good pediatric dentists showed sufficient knowledge regarding COVID-19. The pediatric dentists' age, occupation, and source of information influenced knowledge regarding COVID-19, whereas perceptions were influenced by age and gender of the participants. Health authorities successfully educated pediatric dentists than the social media.


Assuntos
COVID-19 , Criança , Controle de Doenças Transmissíveis , Estudos Transversais , Odontólogos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Padrões de Prática Odontológica , SARS-CoV-2 , Inquéritos e Questionários
11.
Int J Clin Pediatr Dent ; 13(4): 355-360, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33149408

RESUMO

AIM: To measure the IQ and record dermatoglyphic patterns of children including intellectually disabled aged between 5 years and 11 years and to correlate them. MATERIALS AND METHODS: The present study was a cross-sectional study conducted in two private schools in the city corporation limits. A total of 300 children aged between 5 years and 11 years were equally allocated into three groups based on IQ using covariate adaptive randomization. IQ of the children was measured using Raven's Coloured Progressive Matrices. Bilateral palmar and finger prints were obtained on A4-size papers by ink method using rolling technique. Prints thus obtained were analyzed for dermatoglyphic variables using magnification lens and are read based on Cummins and Midlo classification for fingertip patterns and Bali and Chaube classification for palmar flexion creases. The data were entered and statistically analyzed. For statistical significance, a two-tailed probability value of less than 0.05 was taken as significant. RESULTS: The current study suggests a relationship between different fingertip patterns of digits of I, II, III, and IV of left and right hand and also digit V of right hand with various levels of IQ. CONCLUSION: Hence, dermatoglyphics can be considered as a preliminary noninvasive approach for the determination of IQ. Also, it plays an imperative role, especially in distinguishing genetic intellectual disabilities. HOW TO CITE THIS ARTICLE: Tharay N, Nirmala SVSG, Bavikati VN, et a l. Dermatoglyphics as a Novel Method for Assessing Intelligence Quotient in Children Aged 5-11 Years: A Cross-sectional Study. Int J Clin Pediatr Dent 2020;13(4):355-360.

12.
Community Dent Oral Epidemiol ; 48(6): 471-479, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32673445

RESUMO

BACKGROUND: Feeding practices adopted by parents play a critical role in the development of children's taste preferences, eating habits, nutrition and eventual weight status. Many scales have been developed to assess feeding practices among children of various age groups. This paper aimed to construct and validate a robust scale for the comprehensive assessment of sleep-time feeding practices for children aged 0-3 years and to establish the risk of developing Early Childhood Caries (ECC). METHODS: There were multiple phases to the development of the scale: (a) formation of a conceptual framework, (b) systematic development of an item pool, (c) refinement of the item pool by focus group discussion, cognitive interviewing and pretesting, (d) validity testing and (e) reliability testing. The conceptual framework was built based on four broad constructs: breastfeeding, bottle-feeding, other feeding modes and 'tooth and diet' constructs. Reviews of existing scales in related areas were instrumental in scale development and helped to generate an initial pool of 45 items, which was finally refined to 28 items. RESULTS: Cognitive interviews by the 'think-aloud protocol' helped to reduce ambiguity and maximize clarity of the questions. Pretesting the scale aided increased comprehension and specificity. Face and content validity were corroborated by 'subject matter experts' who endorsed the suitability and appropriateness of items. Reliability was assessed by test-retest, and a near-perfect agreement was obtained in 96% of the items. CONCLUSIONS: This is the first validated scale currently available for recording sleep-time feeding practices of children less than three years of age. This 28-item scale can be applied as a potential clinical scale to record sleep-time feeding history and the risk of developing ECC as well as a research scale to investigate the association of sleep-time feeding practices with ECC.


Assuntos
Dieta , Comportamento Alimentar , Aleitamento Materno , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Reprodutibilidade dos Testes , Sono , Inquéritos e Questionários
13.
Oral Health Prev Dent ; 18(1): 97-102, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32238980

RESUMO

PURPOSE: To assess the efficacy of licorice lollipops in reducing dental caries in children. MATERIALS AND METHODS: A literature search was confined to the English language using MeSH terms congruent with PICO format in 'PubMed', 'Cochrane Library' and 'Ovid', covering the period from April 1967 to December 2017. Searches in Google Scholar, grey literature and hand search of cross-references were performed to find additional data. Suitable studies were selected based on the predefined inclusion and exclusion criteria. Quality analysis and risk of bias of the selected studies were performed using the Cochrane Collaboration's tool for risk of bias. RESULTS: Overall 519 articles were retrieved, 516 (electronic databases) and 3 (Google scholar). 516 publications were excluded due to non-availability of abstracts, or because they were unrelated studies, narrative reviews, and systematic reviews as well as letters to editors. Only three studies were included for final analysis. Quality analysis of these three studies showed that only one was of high quality, whereas the other two were rated as low. CONCLUSION: Licorice lollipops showed a promising effect in reducing caries by decreasing Streptococcus mutans counts in the saliva. Further research using randomised controlled clinical trial (RCT) designs with large sample size are recommended.


Assuntos
Cárie Dentária , Glycyrrhiza , Extratos Vegetais , Streptococcus mutans , Criança , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Saliva
14.
J Indian Soc Pedod Prev Dent ; 38(4): 413-418, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33402626

RESUMO

BACKGROUND: To evaluate the influence of parent-provided distraction (PPD) and interactive distraction (ID) with a handheld video game (HVG) on the child's responses to local anesthesia (LA) administration during dental treatment. METHODS: Children attending the department of pediatric dentistry were randomly selected and distributed to the two groups (PPD and an ID with HVG). Parents in the operatory and the principles of tell-show-do remained common in both the groups. Behavioral, physiological, and self-report measures of pain were estimated using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale, pulse rate, as well as Iowa pain thermometer-revised (IPT-R) scale and compared for both groups correspondingly. The SPSS (standard statistical package) version 17.0 (SPSS Inc., Chicago, USA) was used for statistical analysis at the significance of P < 0.05. RESULTS: A total of 30 children (15 in each group) aged 7-11 years participated in the study. There were no significant differences observed among boys and girls (P > 0.05). The independent t-test for the pulse rate showed no significant difference between the two groups (P > 0.05). Paired t-test for pulse rate in the PPD group showed a significant difference compared to ID with the HVG group (P < 0.05). The scores for FLACC and ID with HVG, showed a statistically significant decrease in scores recorded for ID with HVG, whereas the scores recorded for FLACC did not show any statistically significant difference. CONCLUSION: Based on the study results, PPD would be the least distressful option, compared to the ID with HVG in children while administering LA.


Assuntos
Anestesia Local , Jogos de Vídeo , Criança , Feminino , Humanos , Masculino , Dor , Medição da Dor , Pais
15.
J Dent Anesth Pain Med ; 20(6): 377-386, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33409366

RESUMO

BACKGROUND: To compare pain perception during palatal injection administration in children aged 7-9 years while using pre-cooling of the injection site versus application of topical anesthesia as a pre-injection anesthetic during the six months. METHODS: A prospective randomized split-mouth crossover trial was conducted among 30 children aged 7-9 years, who received topical application of either a pencil of ice (test group) or 5% lignocaine gel (control group) for 2 min before injection. The primary and secondary outcome measures were pain perception and child satisfaction, measured by the composite pain score and the faces rating scale, respectively. Unpaired t-test was performed to determine significant differences between groups. RESULTS: The test group had significantly lower pain scores for self-report and behavioral measures (P < 0.0001). The changes in physiological parameters at the baseline (P = 0.74) during (P = 0.37) and after (P = 0.88) the injection prick were not statistically significant. Children felt better by the pre-cooling method (P < 0.0001). CONCLUSION: Ice application using a pencil of ice for 2 min reduced pain perception significantly compared to the use of a topical anesthetic. Moreover, ice application was preferred by children.

16.
Indian J Dent Res ; 31(6): 877-882, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33753657

RESUMO

BACKGROUND AND AIMS: The aim of this study is to evaluate the clinical efficacy of pit and fissure sealants (PFS) placed on young permanent teeth with or without the application of the bonding agent. METHODS: A.total of 100 permanent first molars from 25 children between 6-9 years of age were included and randomly allocated into 2 groups. In group A, the teeth received sealant with the bonding agent, and in group B, without a bonding agent. All the sealed teeth were evaluated for retention of the sealant at regular intervals of 3, 6, and 12 months. The difference in the retention rate with and without bonding was analyzed using Chi-square test. RESULTS: After 12 months, the clinically acceptable retention rates for PFS placed with and without bonding agent were 80% and 72%, respectively. No statistically significant difference was observed in relation to marginal integrity, marginal discoloration, and anatomic form among the PFS placed with and without bonding agent (Ps > 0.05). CONCLUSIONS: Sealant application with bonding agent showed an increased retention rate than without the use of a bonding agent. However, an additional step of bonding may be excluded in children, as it did not show any statistically significant difference in clinical retention rate compared to PFS application without bonding.


Assuntos
Cárie Dentária , Selantes de Fossas e Fissuras , Criança , Dentição Permanente , Seguimentos , Humanos , Dente Molar , Selantes de Fossas e Fissuras/uso terapêutico
17.
Int J Clin Pediatr Dent ; 12(4): 325-331, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31866719

RESUMO

Aim: To assess the performance of CarieScanPRO™ with radiovisiography (RVG) and international caries detection and assessment system II (ICDAS-II) to detect the occlusal carious lesions in the mandibular primary molars. Methods: Fifty healthy children of age 5-7 years were involved and evaluated for caries using visual ICDAS-II, RVG, and CarieScanPRO™. Operative intervention pit and fissure opening served as a gold standard for comparison of the three methods of examination. The sensitivity, specificity, accuracy, and area under the receiver operating characteristic (ROC) curve (Az) of the methods were calculated at enamel (D1), dentinoenamel junction (DEJ) (D2), and dentine (D3, D4). Results: At D1 threshold, CarieScanPRO™ showed higher values of sensitivity and accuracy (0.97 and 0.88) and RVG specificity (0.92). At D2 threshold, visual examination showed higher values of sensitivity (0.80) whereas CarieScanPRO™ showed specificity and accuracy of 0.98 and 0.87. At D3, D4 threshold, CarieScanPRO™ showed higher values of sensitivity, specificity, and accuracy (0.1, 0.98, and 0.99). Higher positive predictive value (PPV), negative predictive value (NPV) and lower false discovery rate (FDR), false-positive rate (FPR) were shown by CarieScanPRO™. The intraexaminer repeatability for CarieScanPRO™ was good with kappa at D1 (0.77) and D3, D4 (0.98). Conclusion: CarieScanPRO™ showed higher reproducibility compared to visual examination and RVG for the detection of enamel and dentinal caries. Higher accuracy of CarieScanPRO™ can be used for longitudinal monitoring of occlusal caries in primary teeth with low sensitivity at DEJ. How to cite this article: Popuri VD, Nirmala SVSG, et al. In Vivo Comparative Enactment of CarieScanPRO™ with Conventional Methods to Detect Occlusal Carious Lesions in the Mandibular Primary Molars. Int J Clin Pediatr Dent 2019;12(4):325-331.

18.
J Dent Anesth Pain Med ; 19(5): 277-288, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31723668

RESUMO

Background: This study evaluated the efficacy of virtual reality (VR) distraction and counter-stimulation (CS) on dental anxiety and pain perception to local anesthesia in children. Methods: A prospective, randomized, single-blinded interventional clinical trial with a parallel design was used. Seventy children 7-11 years old who required local anesthesia (LA) for pulp therapy or tooth extraction were recruited and allocated to two groups with equal distribution based on the intervention. Group CS (n = 35) received CS and Group VR (n = 35) received VR distraction with ANTVR glasses. Anxiety levels (using pulse rate) were evaluated before, during, and after administration of local anesthesia, while pain perception was assessed immediately after the injection. Wong-Baker faces pain-rating scale (WBFPS), visual analog scale (VAS), and Venham's clinical anxiety rating scale (VCARS) were used for pain evaluation. Student's t-test was used to test the mean difference between groups, and repeated measures ANOVA was used to test the mean difference of pulse rates. Results: Significant differences in mean pulse rates were observed in both groups, while children in the VR group had a higher reduction (P < 0.05), and the mean VCARS scores were significant in the VR group (P < 0.05). Mean WBFPS scores showed less pain perception to LA needle prick in the CS group while the same change was observed in the VR group with VAS scores. Conclusions: VR distraction is better than CS for reducing anxiety to injection in children undergoing extraction and pulpectomy.

19.
J Indian Soc Pedod Prev Dent ; 37(3): 297-302, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31584032

RESUMO

Objectives: The objective of this study is to evaluate and compare the radiographic efficacy of the quality of obturation and to assess the number of voids and the obturation time in primary teeth using Pastinject™, disposable needle, and capillary tips. Materials and Methods: A total of 34 teeth with 103 canals were randomly divided into three groups using chit method, based on used application: Group 1: Pastinject™ (Micro-Mega, Besancon, France); Group 2: Disposable needle (23G short needle BD Discardit™, Becton Dickinson India Pvt. Ltd.), and Group 3: Capillary tips (Meta Biomed© Co. Ltd., China). All the groups were named based on obturation systems used. To compare the quality of obturation, the Chi-square test was used; to assess the number of voids, Kruskal-Wallis ANOVA test was used; and to evaluate the obturation time, post hoc Scheffe one-way ANOVA test was used. All P values having <0.05 were considered as statistical significant (P < 0.05). Kappa statistics were performed to check interexaminer reliability. Descriptive statistics were used for evaluation using SPSS (version. 21). Results: Capillary tips resulted in better optimal filled canals and less obturation time, compared to disposable needle and Pastinject (P < 0.001). There was no significant difference evident among three groups in relation to voids (P = 0.111). Conclusion: Capillary tip technique proved to be the most effective, yielding a higher number of optimally filled canals and minimal voids, combined with easier placement of the material into the canals when compared to Pastinject and disposable needle obturation.


Assuntos
Materiais Restauradores do Canal Radicular , Obturação do Canal Radicular , Índia , Dente Molar , Distribuição Aleatória , Reprodutibilidade dos Testes , Dente Decíduo
20.
Spec Care Dentist ; 39(5): 505-514, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31287184

RESUMO

PURPOSE: To compare the effect of educational (sign language and video modeling) and therapeutic intervention (liquorice) on oral hygiene status of children with hearing impairment (CHI). METHODS: Ninety-three CHI, in the age range of 5-15 years, were recruited in to the study. Children were assigned to two educational intervention groups: sign language and video modeling. Each group was again randomly divided into two: with one subgroup receiving therapeutic intervention using liquorice as a mouth wash and the other group receiving no intervention. For all children, baseline oral hygiene, gingival, and plaque index scores were recorded and oral prophylaxis was performed. Based on the subgroup to which the child was assigned, oral hygiene instructions were given on a weekly basis, whereas therapeutic intervention was performed twice daily for 28 days. Reassessment was done after the completion of interventions and after 3 months, followed by statistical analysis. RESULTS: There was a significant mean reduction in oral hygiene, gingival, and plaque scores in all the children. The educational intervention could not influence the scores recorded, but the therapeutic intervention with liquorice led to a reduction in all the oral health parameters during the follow-up periods. CONCLUSION: Therapeutic intervention using liquorice as mouth wash along with educational intervention can be suggested in CHI.


Assuntos
Glycyrrhiza , Perda Auditiva , Adolescente , Criança , Pré-Escolar , Humanos , Antissépticos Bucais , Saúde Bucal , Línguas de Sinais
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