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1.
Sichuan Da Xue Xue Bao Yi Xue Ban ; 51(2): 151-154, 2020 Mar.
Artigo em Chinês | MEDLINE | ID: mdl-32220180

RESUMO

Coronavirus disease 2019 (COVID-19) is becoming a major public health event affecting China and even the whole world. During the epidemic period of corona virus disease, appropriate oral health management and disease prevention of children is very important for children's oral and general health. In order to prevent the occurrence of cross-infection and epidemic spreading of COVID-19 during dental practice, the recommendations to parents include: not only training children to maintain hand hygiene at home, exercise appropriately, strengthen physical resistance, but also helping children develop good oral and diet habit such as effective brushing and flossing to avoid oral diseases and emergency. If non-emergency oral situation occur, parents could assist their child to take home based care such as rinsing to relieve the symptoms. When oral emergencies such as acute pulpitis, periapical periodontitis, dental trauma, oral and maxillofacial infections happen, parents and children should visit dental clinic in time with correct personal protection. During the epidemic period, children's oral emergencies should be treated in accordance with current guidelines and control of COVID-19.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Assistência Odontológica para Crianças , Comportamentos Relacionados com a Saúde , Saúde Bucal , Higiene Bucal , Pandemias , Pneumonia Viral , Criança , China , Infecções por Coronavirus/complicações , Infecções por Coronavirus/epidemiologia , Desinfecção das Mãos , Serviços de Assistência Domiciliar , Humanos , Pneumonia Viral/complicações , Pneumonia Viral/epidemiologia , Doenças Estomatognáticas/diagnóstico , Doenças Estomatognáticas/terapia
2.
J Indian Soc Pedod Prev Dent ; 38(1): 41-47, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32174628

RESUMO

Context: Assessing dental anxiety as a predictor of the likely behavior of the child in the dental operatory is of paramount importance for a clinician to render quality care. Aim: This study aims to correlate the dental anxiety of preschool children as shown during the doll placement test with that of their behavioral patterns during the first dental visit. Settings and Design: This cross-sectional study was conducted between the ages of 3-7 years. Materials and Methods: During their first dental visit, the background variables were elicited from parent/guardian at the reception desk. Later at the play area, the child was given a set of dolls representing dentist, child, and mother to place them in a model dental office having a dental chair. The child was then taken for the initial oral examination, during which the behavior of the child was rated using Frankl's Behavior Rating Scale. The data collected were analyzed using Chi-square test and binary regression analysis. Results: The observed association between the doll placement pattern and the behavior of the patient during dental treatment was statistically significant (P < 0.001). The binary regression analysis showed that the child's unpleasant previous medical and parent's unpleasant dental experiences had higher odds favoring uncooperative behavior (46.63 and 41.93, respectively). Conclusions: The child's behavior on the dental chair is associated with the doll placement pattern, which is also influenced by experiences of the child during his/her encounter with the medical doctor and previous dental experiences of their parents.


Assuntos
Ansiedade ao Tratamento Odontológico , Assistência Odontológica para Crianças , Criança , Comportamento Infantil , Pré-Escolar , Estudos Transversais , Assistência Odontológica , Feminino , Humanos , Masculino , Pais
3.
Stomatologiia (Mosk) ; 99(1): 70-76, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32125306

RESUMO

AIM: To assess the quality and access to dental care for children with dystrophic epidermolysis bullosae (DEB) living in RF regions. MATERIAL AND METHODS: 181 (55.9%) out of 324 DEB children registered in RF were enrolled in the study. The parents filled the survey assessing primary examination time, annual number of visits, quality of dental care and dental facilities, as well as access to urgent dental care, dental care under general anesthesia and dental caries prevention. RESULTS: 37.6% of children do not have regular dental examinations. Among these only in 13 cases the parents do not understand the importance of regular dental care and caries prevention, while in 55 cases the reasons are the absence of pediatric dentist and the refusal of dentist to perform examination and treatment. Only parents of 72 (40%) from 181 children think then can get proper dental care at the place of residence. Parents of 103 children stated the presence of facilities for dental treatment under general anesthesia at the place of residence but 40 of them could not have the access to it in case of urgent dental care need. In 61 cases (33.7%) the family must move to federal centers to receive urgent dental care and almost one third of children (51 from 181) receive any kind of dental treatment in federal institutions in Moscow. CONCLUSION: A large part of children with DEB living in distant RF regions have no access even to urgent dental care with cases of dentist's refusal to perform dental examination and treatment because of 'distressing' visual aspect of some DEB patients. This leads to the necessity for the family to move to state federal centers to receive dental treatment which for the financial reasons makes impossible proper frequency of dental examinations and preventive measures resulting in many cases of advanced oral pathology where multiply teeth extractions are needed.


Assuntos
Assistência Odontológica para Crianças , Cárie Dentária , Criança , Assistência Odontológica , Humanos , Moscou , Federação Russa , Extração Dentária
4.
Spec Care Dentist ; 40(2): 145-150, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32073678

RESUMO

AIM: The aim of the study was to determine the psychophysiological response (Heart rate) of special health care needs to use of facemask-eyeshield and visor worn in a dental setting. SETTINGS AND DESIGN: The cases for the present study were selected from special schools of Delhi-NCR. The patients selected were in IQ range 50-84 and children rated as positive or definitely positive according to Frankl's behavior rating scale. A total of 378 patients of age group 4-14 years were selected. METHODS AND MATERIAL: Every child was made to sit and pulse oximeter was put on his/her finger to measure Baseline heart rate. Dental examination was done using a sterile mouth mirror (No. 5) and explorer. It was done in two phases for every child: Patient underwent dental examination by clinician wearing (A) facemask-eyeshield (Euronda) and (B) visor (Oro). RESULTS: The mean heart rate during dental examination wearing visor (81.55 ± 17.54) was significantly lesser than during dental examination wearing facemask and eyeshield (84.49 ± 17.96). CONCLUSIONS: Dental anxiety levels were lower when the dentist used visor during the dental examination than when the dentist used facemask and eyeshield.


Assuntos
Ansiedade ao Tratamento Odontológico , Assistência Odontológica para Crianças , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Máscaras
5.
Eur Arch Paediatr Dent ; 21(1): 25-30, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30879260

RESUMO

BACKGROUND: Inhalation sedation (IHS), using nitrous oxide and oxygen, is a commonly used form of pharmacological behaviour management in paediatric dentistry. Previous studies suggest that IHS causes a delay in reaction time, which recovers to baseline within 10 min. AIM: To observe the reaction times (RT) of children before and after undergoing IHS for dental treatment. DESIGN: Sixty children from clinics at St Thomas' Hospital (London, UK) participated in this observational study. RT was measured using an eight-point choice reaction time system (MOART computer panel, Lafayette Instruments). RT was measured twice: before (prior to patient entering clinic for treatment) and after (immediately after discharge from the clinic). A paired-samples t test was used to analyse data. RESULTS: Fifty-two patients completed the study. There was a statistically significant delay in RT after treatment (p = 0.022). There was no significant correlation between RT and concentration of nitrous oxide, or length of the recovery period. CONCLUSION: Children may have a small impairment in reaction times following recovery from IHS in the clinical setting, regardless of the strength of nitrous oxide given, or the length of the recovery period. The child's escort should be aware of the need to supervise the child following discharge.


Assuntos
Anestesia Dentária , Anestésicos Inalatórios , Assistência Odontológica para Crianças , Criança , Sedação Consciente , Humanos , Óxido Nitroso , Oxigênio , Tempo de Reação
6.
Eur Arch Paediatr Dent ; 21(1): 43-52, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31066016

RESUMO

PURPOSE: This is the first study to adopt a multilevel approach to assess the impact of the order of dental visits on child's behaviour. The aim was to investigate which factors directly interfere with child's behaviour regardless of the order of sequential dental visits. METHODS: In this prospective longitudinal study, children aged 7-12 years were invited to participate. Child behaviour was assessed using the Frankl Scale during four sequential dental visits. Chi-square test was used to analyse the effect of dental fear on children's non-cooperative behaviour according to the presence of dental fear. Multilevel mixed logistic regression model was used to assess the association between predictor variables and the outcome (child behaviour) during the sequential dental visits. RESULTS: Overall, 111 children participated in this study. Maternal dental anxiety, dental pain and complexity of the treatment were associated with the non-cooperative behaviour in children aged 7-12 years. When stratified by dental fear, the complexity of the treatment remained associated with non-cooperative behaviour. CONCLUSIONS: The results provide evidence that, even with the familiarization of child with the dental environment, maternal dental anxiety, dental pain in the last month, and the complexity of dental treatment negatively affect the children's behaviour aged 7-12 years.


Assuntos
Assistência Odontológica para Crianças , Criança , Comportamento Infantil , Ansiedade ao Tratamento Odontológico , Humanos , Estudos Prospectivos , Odontalgia
7.
Dent Clin North Am ; 64(1): 229-240, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31735228

RESUMO

General dentists usually serve as first-line providers for pediatric patients and the gateway to their oral health. Even though general dentists are trained to be able to treat children, dental education instruction can vary greatly. These differences heavily influence the individual practitioner's knowledge base and comfort level in providing care to this vulnerable population. It is important for general dentists to be able to identify the presence of pediatric oral lesions. This article provides an overview of common pediatric oral lesions that general dentists may encounter in everyday practice.


Assuntos
Assistência Odontológica para Crianças , Odontopediatria , Atitude do Pessoal de Saúde , Criança , Odontólogos , Educação em Odontologia , Odontologia Geral , Humanos , Saúde Bucal , Padrões de Prática Odontológica , Populações Vulneráveis
9.
Pediatrics ; 144(4)2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31501238

RESUMO

BACKGROUND AND OBJECTIVES: Fifteen percent of US children live in households with inadequate food. Children who are food insecure often experience worse physical, emotional, and developmental health outcomes. Authors of previous studies have not examined the quality and cost implications of food insecurity in children. METHODS: This is a retrospective study of 7959 nationally representative US children (aged 1-17 years) in the 2016 Medical Expenditure Panel Survey. Households with food insecurity were identified by ≥3 positive responses to the 30-day, 10-item US Food Security Survey. Main outcomes were annual health expenditures and quality of care indicators: emergency department (ED) and inpatient use, primary care and specialist visits, routine medical and dental care, patient experience measures, and school absenteeism. Logistic and 2-part regression models were constructed to estimate outcomes conditional on sociodemographic and medical covariates. RESULTS: Children in households with food insecurity were more often publicly insured and had special needs compared with all other children. In multivariable logistic regression, household food insecurity was associated with significantly higher adjusted odds of an ED (adjusted odds ratio [aOR] = 1.37) or primary care treatment visit (aOR = 1.24) during the year. Household food insecurity was associated with significantly higher school absenteeism (aOR = 1.74) and lower access to care for routine (aOR = 0.55) or illness (aOR = 0.57) care. There were no differences in annual health expenditures, hospitalizations, or receipt of routine medical or dental care. CONCLUSIONS: Household food insecurity is associated with higher ED use and school absenteeism and lower access to care; however, it was not associated with higher annual health expenditures in children.


Assuntos
Abastecimento de Alimentos/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Absenteísmo , Adolescente , Criança , Pré-Escolar , Assistência Odontológica para Crianças/estatística & dados numéricos , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Abastecimento de Alimentos/economia , Gastos em Saúde , Necessidades e Demandas de Serviços de Saúde/economia , Hospitalização/estatística & dados numéricos , Humanos , Lactente , Modelos Logísticos , Masculino , Razão de Chances , Atenção Primária à Saúde/economia , Indicadores de Qualidade em Assistência à Saúde , Estudos Retrospectivos , Instituições Acadêmicas/estatística & dados numéricos , Estados Unidos
10.
Pediatrics ; 144(4)2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31537634

RESUMO

BACKGROUND: Children with neurologic impairment (NI) face high risk of recurrent severe pneumonia, with prevention strategies of unknown effectiveness. We evaluated the comparative effectiveness of secondary prevention strategies for severe pneumonia in children with NI. METHODS: We included children enrolled in California Children's Services between July 1, 2009, and June 30, 2014, with NI and 1 pneumonia hospitalization. We examined associations between subsequent pneumonia hospitalization and expert-recommended prevention strategies: dental care, oral secretion management, gastric acid suppression, gastrostomy tube placement, chest physiotherapy, outpatient antibiotics before index hospitalization, and clinic visit before or after index hospitalization. We used a 1:2 propensity score matched model to adjust for covariates, including sociodemographics, medical complexity, and severity of index hospitalization. RESULTS: Among 3632 children with NI and index pneumonia hospitalization, 1362 (37.5%) had subsequent pneumonia hospitalization. Only dental care was associated with decreased risk of subsequent pneumonia hospitalization (adjusted odds ratio [aOR]: 0.64; 95% confidence interval [CI]: 0.49-0.85). Exposures associated with increased risk included gastrostomy tube placement (aOR: 2.15; 95% CI: 1.63-2.85), chest physiotherapy (aOR: 2.03; 95% CI: 1.29-3.20), outpatient antibiotics before hospitalization (aOR: 1.42; 95% CI: 1.06-1.92), clinic visit before (aOR: 1.30; 95% CI: 1.11-1.52), and after index hospitalization (aOR: 1.72; 95% CI: 1.35-2.20). CONCLUSIONS: Dental care was associated with decreased recurrence of severe pneumonia. Several strategies, including gastrostomy tube placement, were associated with increased recurrence, possibly due to unresolved confounding by indication. Our results support a clinical trial of dental care to prevent severe pneumonia in children with NI.


Assuntos
Assistência Odontológica para Crianças , Deficiência Intelectual/complicações , Pneumonia/prevenção & controle , Prevenção Secundária/métodos , Adolescente , Antibacterianos/efeitos adversos , California/epidemiologia , Criança , Pré-Escolar , Feminino , Gastrostomia/efeitos adversos , Gastrostomia/instrumentação , Hospitalização/estatística & dados numéricos , Humanos , Lactente , Recém-Nascido , Modelos Logísticos , Masculino , Razão de Chances , Pneumonia/epidemiologia , Pneumonia/etiologia , Pontuação de Propensão , Recidiva , Terapia Respiratória/efeitos adversos , Estudos Retrospectivos , Adulto Jovem
11.
Niger Postgrad Med J ; 26(3): 158-163, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31441453

RESUMO

Background: An early first dental clinic appointment offers the prospect of prompt preventative care and parental education regarding the oral health of the child. The evidence-based recommendation by dental professionals all over the world is that a child should visit a dentist before or by 1 year of age. Aim: This study aimed to determine the chronological age at and the purpose for a first dental clinic visit amongst children aged 16 years and below attending the Paediatric Dental Clinic at the Lagos University Teaching Hospital (LUTH). Materials and Methods: This was a retrospective study conducted amongst children who attended the Paediatric Dental Clinic at the LUTH between January 2017 and December 2018. Data on age at first dental visit, reasons for attending and other information relevant to the study were collected. Descriptive statistics and Chi-square analysis were conducted, and the level of significance was set at P < 0.05. Results: A total of 1157 children were studied, comprising 580 (50.5%) males and 577 (49.9%) females. Their mean age on their first dental visit was 7.9 ± 3.7 years. Most of the children (31.4%) had their first dental visits at 7 and 9 years, and 0.8% of the children had their first dental visit below the age of 1 year. The most common reason for visiting the dental clinic was dental pain (33.1%). A higher proportion of the children (911 [79.0%]) had their first dental visit for therapeutic purposes, whereas 246 (21.0%) children visited the dental clinic for preventive care. Sex and age at first dental visit were statistically significantly associated with the reason for attendance (P < 0.001). Conclusion: Most children had their first dental visit between the ages of 7 and 9 years, mainly because of pain. It is necessary to create more awareness among parents/caregivers and to establish the concept of dental home.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Clínicas Odontológicas/estatística & dados numéricos , Visita a Consultório Médico/estatística & dados numéricos , Saúde Bucal , Pediatria/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Feminino , Hospitais de Ensino , Humanos , Masculino , Nigéria , Estudos Retrospectivos
12.
Trials ; 20(1): 530, 2019 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-31445509

RESUMO

BACKGROUND: Guidelines in pediatric restorative dentistry recommend the use of preformed pediatric stainless steel crowns (SSCs) in cases of severe tooth decay of at least two surfaces. This clinically effective and safe restorative option is frequently refused by parents for esthetic reasons; they prefer conventional restorations using esthetic filling materials (composites, glass ionomer) if lesion severity limited to two surfaces permits. Recently, manufacturers have proposed esthetic preformed pediatric zirconia crowns (ZCs) but these have been assessed in only two randomized clinical trials (RCT) with follow-ups of 6 and 12 months. Only one of these RCTs was carried out on primary molars to test ZCs (NuSmile ZR) without a groove in its inner surface. The primary objective of this proposed RCT is to assess the effectiveness of ZCs compared with SSCs. Our hypothesis is that the effectiveness of ZCs will be equivalent to that of SSCs. METHODS: In this split-mouth, 2-year RCT, pairs of primary molars in 101 child participants will be randomized and restored with SSCs (ESPE, 3M) and ZCs (EZCrowns, Sprig Oral Health Technologies) characterized by grooves on their inner surface. Primary molars will first be allocated to SSCs, and 1 to 2 weeks later the other primary molar of the same pair will be restored by ZC. The primary outcome is the success defined by the "absence of major clinical and radiographic failure" (e.g., pain, pulp infection, dental abscess or periradicular pathology visible on radiographs). The secondary outcomes include the retention and fracture rates, the gingival condition, the wear of the antagonist of the treated teeth, as well as both parental and child satisfaction. DISCUSSION: This study will investigate two types of preformed pediatric crowns for the management of severe decay on primary molars. The results may help practitioners choose the better therapeutic option and to explain to parents the advantages and disadvantages of these two therapies. TRIAL REGISTRATION: NCT03296709 . Registered on  27 September 2017.


Assuntos
Coroas , Assistência Odontológica para Crianças , Cárie Dentária/cirurgia , Restauração Dentária Permanente/instrumentação , Dente Molar/cirurgia , Dente Decíduo/cirurgia , Zircônio , Adolescente , Fatores Etários , Criança , Pré-Escolar , Cárie Dentária/diagnóstico , Planejamento de Prótese Dentária , Falha de Restauração Dentária , Restauração Dentária Permanente/efeitos adversos , Feminino , França , Humanos , Masculino , Estudos Multicêntricos como Assunto , Satisfação do Paciente , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Tempo , Resultado do Tratamento
14.
Br Dent J ; 227(1): 38-42, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31300782

RESUMO

Introduction Levels of obesity in the UK are increasing. The suitability and safety of dental care delivery can be affected by obesity. When patients' weight exceeds that of a normal dental chair, referral to specialist settings can be appropriate, yet no research has explored the process of care for this group.Aims This study aimed to explore the experiences of patients and dentists regarding referral to bariatric dental care facilities.Method Semi-structured interviews were completed with patients referred to a bariatric dental service and referring dentists. Interview transcripts were analysed thematically.Results Twelve dentists and eight patients participated. Both groups were aware that obesity influenced care and had concerns about the safety of treatment. Dentists were cautious about discussing weight though patients were willing to discuss this. The challenges in identifying weight and organising appropriate care were key issues affecting both patients and dentists.Conclusion Dentists should engage in discussions regarding obesity without hesitation, where appropriate. Redesigned patient-focused care pathways to direct patients to accessible services would help reduce stigma and improve safety for patients with obesity.


Assuntos
Bariatria , Assistência Odontológica para Crianças , Atitude do Pessoal de Saúde , Criança , Assistência Odontológica , Odontólogos , Inglaterra , Humanos , Padrões de Prática Odontológica , Encaminhamento e Consulta
15.
Artigo em Inglês | MEDLINE | ID: mdl-31311179

RESUMO

Dental care under general anaesthesia (GA) is an option when normal treatment cannot be accomplished due to un-cooperation and systemic or cognitive/intellectual disabilities. The purpose of this retrospective cohort study was to analyse the dental treatment under GA in medically compromised and healthy children. The data were collected from the medical records of children who received their dental treatment under GA. The data regarding patient age, sex, general health, and type of treatment were analysed. This clinical trial included 229 study subjects (138 males, 91 females) with an average age of 8.34 (SD 3.78). Counts and relative counts were used for description of qualitative data. The association between the variables was analysed using contingency tables. The significance of the findings was tested by the chi-square test. Most of the children were older pre-school 63 (27.51%) and young school children 102 (44.54%). Medical disability (systemic or intellectual) was diagnosed in 142 children (62.01%); the remaining 87 (37.99%) were healthy children. Dental treatment of primary teeth was more commonly performed in healthy children (65.52%) compared to medically compromised children (58.45%) (p = 0.287). The total number of medically compromised children and the total number of healthy children were both considered to be 100% for the purpose of the following calculations. In terms of permanent dentition, medically compromised children required more extractions and fillings (38.03%, 57.04%) compared to healthy children (14.94%, 17.24%, respectively). The results of this study revealed that dental treatment under GA was more commonly performed in medically compromised children in permanent teeth only in comparison to healthy children. Based on these findings, both health professionals and state authorities should focus more on preventive care in medically compromised children in order to improve their oral health.


Assuntos
Anestesia Dentária/estatística & dados numéricos , Anestesia Geral/estatística & dados numéricos , Assistência Odontológica para Crianças/métodos , Utilização de Instalações e Serviços/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Adolescente , Estudos de Casos e Controles , Criança , Saúde da Criança , Pré-Escolar , Doença Crônica , República Tcheca , Assistência Odontológica para Crianças/estatística & dados numéricos , Feminino , Nível de Saúde , Humanos , Masculino , Estudos Retrospectivos
17.
Rev. Asoc. Odontol. Argent ; 107(2): 49-53, abr.-jun. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-1015734

RESUMO

Objetivo: Identificar la edad de la primera consulta odontológica, los motivos de esta y el estado de salud/enfermedad de la población que concurre a atenderse en la Sección de Odontopediatría del Servicio de Odontología del Hospital Nacional "Prof. Alejandro Posadas". Materiales y métodos: Este es un estudio descriptivo retrospectivo, en el que se revisaron las historias odontológicas de los pacientes que concurrieron espontáneamente a la Sección de Odontopediatría del Hospital "Prof. A. Posadas" durante los meses de junio, julio y agosto de 2018. Se registraron las variables edad, motivo de la primera consulta, sexo, ceod y CPOD. Resultados: La muestra estuvo constituida por 337 historias clínicas de pacientes de 0 a 12 años; el 44,8% (n=151) llegó a la consulta por primera vez, del cual el 47% (n=71) fueron mujeres. La edad promedio de la primera consulta fue de 6,5 años (DS ±3), con una moda de 9 años. El 1,32% (n=2) tenía menos de 1 año; el 3,97% (n=6), 1 año; el 43,04% (n=65), entre 2 y 6 años; mientras que el 51,66% (n=78) tenía entre 7 y 12 años. Los motivos de consulta de los pacientes que concurrían por primera vez fueron presencia de caries, 51% (n=77); malposición dentaria, 11% (n=17); control, 15% (n=22); traumatismo, 10% (n=16); dolor, 10% (n=15), y problemas en tejidos blandos, 3% (n=4). El CPOD fue de 1,16 (DS ±1,45), y el ceod, de 4 (DS ±3,25). Conclusión: De la muestra estudiada de la población concurrente a un servicio de odontopediatría de la provincia de Buenos Aires, solo el 1,32% consultó dentro del primer año de vida, que es la edad considerada ideal para asesorar a los padres oportunamente sobre medidas preventivas y disminuir la incidencia de caries en la población infantil (AU)


Aim: To identify the age and reasons of the first dental visit and child's oral health, among attendees to the Pediatric Dentistry Section of the 'Prof. A. Posadas' Hospital. Materials and methods: This is a descriptive retrospective study, on dental clinical records selected from patients who went spontaneously to the Pediatric Dentistry Section of the 'Prof. A. Posadas' Hospital during June, July and August of 2018. Variables studied were: age, reported reasons for dental visit, gender, ceod, and CPOD. Results: The sample consisted of 337 clinical records of patients from 0 to 12 years old. 44.8% (n=151) came to the clinic for the first time (women: 47%; n=71). The average age of the first consultation was 6.5 years (SD ±3), mode 9 years. Of the sample, 1.32% (n=2) had less than 1 year, 3.97% (n=6) were 1 year old, between 2 and 6 years old 43.04% (n=65), while 51.66% (n=78) had between 7 and 12 years. The reasons for the first consultation were caries (51%; n=77), abnormal dental position (11%; n=17), control (15%; n=22), trauma (10%; n=16), pain (10%; n=15), and soft tissues consultations (3%; n=4). DMFT, 1.16 (DS ±1.45), and dmft, 4 (SD ±3.25). Conclusion: Of the sample studied from the population attending a pediatric dentistry service in the province of Buenos Aires, only 1.32% consulted within the year of life as it is considered ideal to advice parents timely on preventive measures and reduce the incidence of caries in the child population (AU)


Assuntos
Humanos , Masculino , Feminino , Criança , Assistência Odontológica para Crianças , Cárie Dentária/prevenção & controle , Unidade Hospitalar de Odontologia , Argentina , Índice CPO , Saúde Bucal , Análise Estatística , Distribuição por Idade e Sexo , Má Oclusão
18.
Eur Arch Paediatr Dent ; 20(6): 617-622, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31124081

RESUMO

PURPOSE: Due to rising numbers of dental referral to general anesthesia, more specialized dental treatments under GA were needed in the last decades in Germany. However, there are few studies about it. Therefore, the present study aimed to assess dental treatment and characteristics of the children underwent GA at Greifswald University Clinic in comparison with specialized pediatric private practices in Germany. MATERIALS AND METHODS: This analytical comparative research reviewed the records of all children younger than 18 years old, whose underwent GA at the university dental clinic and three private practices in 2011. All cases were analyzed anonymously, including age, gender, caries levels, diagnostics and dental treatments. RESULTS: About 54% and 50%, respectively, of children who underwent GA at both the university clinic and private practices were under 5 years old. Dental caries were mostly diagnosed among referred children (47.4% and 33.8% at university and private practices, resp.) followed by irreversible pulpitis (19.2% and 22.4%, resp.) and ECC (14.1% and 20.1%, resp.). Dental extractions were often performed at university clinic (40.2%) followed by fillings (33.9%), while more restorations and less extractions were supplied at private practices (47.8% and 16.3%, resp.). CONCLUSIONS: Dental caries and its complications like pulpal problems were the most important reason for children who underwent GA combined with young age (< 5 years). Therefore, a primary preventive approach would be preferable to decrease the number of children in need of comprehensive dental treatment under GA.


Assuntos
Anestesia Dentária , Assistência Odontológica para Crianças , Cárie Dentária , Adolescente , Anestesia Geral , Criança , Pré-Escolar , Assistência Odontológica , Alemanha , Humanos , Estudos Retrospectivos
20.
ABCS health sci ; 44(1): 28-33, 02 maio 2019. ilus, tab
Artigo em Português | LILACS | ID: biblio-995013

RESUMO

INTRODUÇÃO: A má oclusão dentária tem origem multifatorial, logo é difícil definir estratégicas específicas de como preveni-la. A respiração bucal e certos hábitos de sucção, se persistir por mais de 36 meses, podem influenciar de forma negativa. OBJETIVO: Identificar fatores de risco à oclusão dentária como: respiração bucal e hábitos de sucção em escolares de 8 a 10 anos de idade em Petrópolis, RJ. MÉTODOS: Estudo observacional, transversal, de caráter descritivo. Incluídos escolares de ambos os sexos, 8 a 10 anos, matriculados em sete escolas municipais de Petrópolis. Distribuído aos escolares o protocolo para a identificação da criança respiradora bucal e o questionário sobre hábitos de sucção (mamadeira, chupeta e dedo). RESULTADOS: Foram avaliados 377 protocolos para a identificação de criança respiradora bucal e 377 questionários sobre hábitos de sucção. Nos protocolos foram referidos sintomas como: dormir de boca aberta em 193 (51,2%), babar no travesseiro em 172 (45,6%), roncos em 131 (34,7%) e obstrução nasal diária em 118 (31,2%). Ao aplicar os critérios de Abreu, constatou-se uma frequência de 243 (64%) respiradores bucais e 134 (36%) respiradores nasais. Ao avaliar os 377 questionários sobre os hábitos de sucção encontraram-se: 276 (73%) crianças com hábitos de sucção e 101 (27%) sem tais hábitos. Dos 276 escolares que tiveram hábitos de sucção, houve persistência destes hábitos acima de três anos e 11 meses em 149 crianças (54%). CONCLUSÃO: Encontrada uma alta frequência de respiradores bucais e de crianças com hábitos de sucção.


INTRODUCTION: Dental malocclusion has a multifactorial origin, so it is difficult to define specific strategies for preventing it. Mouth breathing and certain sucking habits, if they persist for more than 36 months, can have a negative influence. OBJECTIVE: To identify potentially damaging factors to dental occlusion like mouth breathing and sucking habits in children aged 8 to 10 years old in Petrópolis, RJ. METHODS: Cross-sectional, observational, descriptive study. Both male and female children between the ages of 8 to 10 years, enrolled in seven public schools of Petrópolis, were included. The identification protocol for mouth breathing child and the questionnaire on sucking habits (feeding bottle, pacifier and finger sucking) were applied to the students. RESULTS: A total of 377 protocols for identification of mouth breathing children and 377 questionnaires for suction habits were evaluated. The following symptoms were reported: open mouth sleeping in 193 (51.2%), drooling on the pillow in 172 (45.6%), snoring in 131 (34.7%) and daily nasal obstruction in 118 (31,2%). After application of Abreu criteria, a frequency of 243 (64%) mouth breathers and 134 (36%) nasal breathers was observed. Evaluation of the questionnaires about sucking habits demontrated 276 (73%) children with sucking habits and 101 (27%) without such habits. Of the 276 schoolchildren with sucking habits, those habits persisted for more than 3 years and 11 months in 149 children (54%). CONCLUSION: A high frequency of mouth breathing and sucking habits children were found.


Assuntos
Humanos , Masculino , Feminino , Criança , Comportamento de Sucção , Saúde da Criança , Fatores de Risco , Assistência Odontológica para Crianças , Má Oclusão , Respiração Bucal
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