Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 4.822
Filtrar
1.
Spec Care Dentist ; 41(1): 3-12, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33040392

RESUMO

Adverse Childhood Experiences (ACEs) such as maltreatment, abuse, or neglect can disrupt childhood development and increase the risk of health issues, including dental health. Such a vulnerable population frequently may deny dental treatment due to fear of intimate contact in the oral cavity, resulting in a vicious cycle that further leads to detrimental oral health. It is important for dentists, particularly pediatric dentists, to not only understand how to identify potential cases of abuse or maltreatment but also how to treat these patients so that the dental treatment does not become a negative experience. The purpose of this paper is to understand the psychological and physical implications of pediatric patients who have had ACEs and to identify the best methods to manage these patients during the dental treatment.


Assuntos
Experiências Adversas da Infância , Maus-Tratos Infantis , Assistência Odontológica para Crianças , Criança , Humanos
2.
Braz J Med Biol Res ; 54(1): e10161, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33263609

RESUMO

The objective of this study was to describe the timing of the first dental visit and investigate the association of socioeconomic and behavioral factors with dental visit delay among 10/11-year-old children from two live-birth population cohorts with extremely contrasting socioeconomic profiles. Follow-up data (2004-2005) from cohorts of Ribeirão Preto (RP) (n=790) and São Luís (SL) (n=673) were evaluated. Delay in dental visit was defined as not visiting a dentist before the age of 7. Covariates included family socioeconomic characteristics, mother-related health behavior, and child-related characteristics. Prevalence ratios with robust standard errors were estimated. In both cohorts, less than 5% of children had visited a dentist before the age of two and about 35% of them had not visited a dentist before the age of seven. Lower mother's schooling and lack of private health insurance were associated with the delay in first dental visit for both cohorts. A small number of mother's prenatal care visits and being from a single-father family or a family without parents were only associated in the RP cohort, while having ≥4 siblings and lifetime dental pain were associated in the SL cohort. The association with dental pain probably reveals a preventive care-seeking behavior. Therefore, the percentage of delayed first dental visit of children was very high even among those with the most educated mothers. Further studies are necessary to analyze recent changes and underlying factors related to access to first dental visit after the implementation of the National Oral Health Policy in 2006.


Assuntos
Assistência Odontológica para Crianças/tendências , Fatores Socioeconômicos , Tempo para o Tratamento , Brasil/epidemiologia , Criança , Estudos de Coortes , Escolaridade , Feminino , Humanos , Masculino , Prevalência
3.
J Dent Child (Chic) ; 87(2): 98-102, 2020 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-32788003

RESUMO

Purpose: To investigate caregivers' perspective on barriers to dental care for children with autism spectrum disorder (ASD).
Methods: A cross-sectional survey assessing perceived barriers to dental care was administered to 46 caregivers who had a child with ASD (study group) and 37 who had children without ASD (control group) but with chronic health issues.
Results: The barriers most frequently reported in the study group were difficulty finding a dentist who would treat their child (32 percent) and the child's uncooperative behavior (39 percent). A significantly higher number of caregivers of children with ASD agreed that their child was uncooperative and that such behavior was a barrier to finding care (chi-square=15.22, P =0.0001). The number of barriers reported by caregivers of children with ASD was greater than that reported by the other caregivers. Caregivers of children with severe ASD perceived having the most barriers to care.
Conclusion: There are many barriers faced by caregivers in getting dental treatment for their children with ASD. Understanding the difficulty caregivers have in securing dental care for their children with ASD may help dentists and agencies work to improve access.


Assuntos
Transtorno do Espectro Autista , Assistência Odontológica para Crianças , Cuidadores , Criança , Comportamento Infantil , Estudos Transversais , Humanos
4.
Cient. dent. (Ed. impr.) ; 17(2): 99-106, mayo-ago. 2020. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-193054

RESUMO

INTRODUCCIÓN: La aparición del nuevo virus del síndrome respiratorio agudo severo Coronavirus 2 (SARS-CoV-2) ha causado una pandemia mundial llamada enfermedad del coronavirus (COVID-19) y se ha convertido en uno de los desafíos más grandes entre los profesionales dedicados a la salud. Dado que el sector sanitario bucodental es una de las poblaciones de riesgo, se debe tener especial cuidado para minimizar dicho riesgo de infección así como evitar el contagio entre profesionales y pacientes. Los síntomas respiratorios de esta enfermedad en los niños parecen ser más leves que los que experimentan los adultos, se conoce que transmiten la enferme-dad, pero los datos emergentes sobre la propagación en niños afectados por CO-VID-19 no es conocida aún en detalle. El propósito de este artículo es analizar a través de una encuesta online si los odontopediatras prevén cambios en la forma habitual de trabajo para evitar el riesgo de contagio por COVID-19 durante el trata-miento dental con pacientes infantiles. MATERIAL Y MÉTODO: se realizó una en-cuesta online dirigida a odontopediatras y odontólogos que trabajaran con niños, con preguntas sobre el conocimiento y actitud frente al COVID-19 en la consulta dental. Se registraron las variables sexo, edad, años de profesión y posesión de título en Odontopediatría. RESULTADOS: se recogieron 93 cuestionarios y se analizaron los resultados estadísticamente para cada ítem del cuestionario, representados en gráficas de porcentajes de respuesta. La mayoría de los encuestados fueron mujeres, edad media de 34,5 años, que utilizan a diario instrumental rotatorio, pero a favor de tratamientos mínimamente invasivos; cumplen con las medidas de protección, pero a veces para el manejo de la conducta infantil no es posible. CONCLUSIONES: en general, el odontopediatra deberá adaptarse a la nueva situación con el niño con respecto a las técnicas de tratamiento, así como todos los miembros del equipo dental, ya que tienen la responsabilidad profe-sional de mantenerse informados y actualizados respecto a los nuevos datos que vayan surgiendo sobre COVID-19, no solo para protegerse de posibles contagios sino tam-bién para evitar la propagación a los pacientes infantiles que acudan a realizarse un tratamiento odontológico


INTRODUCTION: The coronavirus disease (COVID-19) pandemic has been caused by appearance of a new virus called the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); and has become one of the greatest challenges for health professionals. The oral health sector is one of the populations at risk, so special care must be taken to minimise the risk of infection and prevent contagion between professionals and patients.The respiratory symptoms of this disease in children appear to be milder than those experienced by adults. Children are known to transmit the disease, but emerging data on the spread in children affected by COVID-19 is not yet known in detail.The purpose of this article is to analyse whether paediatric dentists foresee changes in their usual way of working to minimise the risk of COVID-19 infection during treatment of their patients through conducting an online survey. MATERIAL AND METHOD: An online survey was conducted of paediatric dentists and dentists working with children, with questions about their knowledge of and attitude towards COVID-19 in the dental clinic. The variables of sex, age, years of profession and having a paediatric dentistry qualification were recorded. RESULTS: 93 questionnaires were collected, the results for each item on the questionnaire were represented graphically with the percentage response and analysed statistically. Most of the respondents were women, mean age 34.5 years, who used rotary instruments daily, but were in favour of minimally invasive treatments; they usually complied with the protective measures, but sometimes this was not possible when managing child behaviour. CONCLUSIONS: In general, paediatric dentists are adapting to the new situation with children regarding treatment techniques and with other dental team members, as they have the professional responsibility to keep themselves informed and updated regarding new information about COVID-19; not only to protect themselves from possible infection but also to prevent spreading the infection to children undergoing dental treatment


Assuntos
Humanos , Atitude do Pessoal de Saúde , Assistência Odontológica para Crianças/organização & administração , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Betacoronavirus , Pandemias/prevenção & controle , Odontopediatria/estatística & dados numéricos , Assistência Odontológica para Crianças/métodos , Assistência Odontológica para Crianças/estatística & dados numéricos , Inquéritos e Questionários , Infecções por Coronavirus/prevenção & controle , Pneumonia Viral/prevenção & controle , Estudos Transversais
5.
J Public Health Dent ; 80(4): 278-287, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32815555

RESUMO

OBJECTIVES: This study examines whether a portable, school-based, preventive oral health program was associated with reduced use of treatment services over time. METHODS: We obtained encounter data from Community Health Center, Inc. (CHC) in Connecticut that operates such a program. We followed cohorts of children for 4 years, examining change in ratio of treatment to total services in the fourth year, following receipt of portable preventive care in the prior 3 years. The sample included 3,006 children 4.5 to 15 years old on their first visit during 2005-2015. We used structural equation path models to assess change in the dependent variable, controlling for available demographics and service use patterns. We conducted additional sensitivity analyses to assess robustness of our findings. RESULTS: We found a reduction in ratio of treatment (particularly restorative) to total services in the fourth year, given receipt of portable preventive care in the third year (direct impact) and receipt of portable preventive care in prior years (indirect impact). Older children and those covered by Medicaid (versus privately insured) had a higher ratio of treatment to total services in the fourth year. CONCLUSIONS: Our retrospective analysis showed CHC portable dental program may reduce the use of treatment services over time among underserved children. This program is an example of a viable approach that could be emulated elsewhere if regulations allow remote supervision of hygienists and reimbursement levels are adequate.


Assuntos
Assistência Odontológica para Crianças , Saúde Bucal , Adolescente , Criança , Pré-Escolar , Acesso aos Serviços de Saúde , Humanos , Medicaid , Estudos Retrospectivos , Instituições Acadêmicas , Estados Unidos
6.
Acta Odontol Latinoam ; 33(1): 38-44, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32621598

RESUMO

The aim of this study is to assess the prevalence of odontogenic infection in low-income Brazilian schoolchildren and evaluate its association with the subjective variables of oral health-related quality of life and dental pain. In this cross-sectional study, 230 schoolchildren aged eight to ten years old underwent a clinical oral survey in which the DMFT/dmft and PUFA/pufa indexes were measured. Afterward, children responded individually to the Child Perceptions Questionnaire (CPQ8-10) and self-reports of dental pain were collected. Data were statistically analyzed using MannWhitney or Kruskal-Wallis test with a post-test by Dunn's and Pearson correlation. Of the children evaluated, 42.6% had odontogenic infection and 80% reported experiencing dental pain. Children's age (p = 0.034) and past experience of dental pain (p < 0.002) were associated with odontogenic sepsis, in addition to impairment of their emotional well-being (p = 0.008), social welfare (p = 0.009) and overall impact on quality of life (p = 0.019). Toothache intensity (p < 0.001), frequency (p < 0.001) and duration (p < 0.001) were correlated to the overall impact on children's quality of life. The prevalence of odontogenic infection remains high among low-income Brazilian schoolchildren. Pediatric infection and its related pain induce not only various biological disorders but also impair children's self-perception of quality of life.


Assuntos
Cárie Dentária/psicologia , Infecções/epidemiologia , Qualidade de Vida , Odontalgia/epidemiologia , Brasil/epidemiologia , Criança , Estudos Transversais , Assistência Odontológica para Crianças/estatística & dados numéricos , Cárie Dentária/epidemiologia , Humanos , Infecções/etiologia , Saúde Bucal , Pobreza/estatística & dados numéricos , Prevalência , Fatores Socioeconômicos , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Odontalgia/psicologia
7.
PLoS One ; 15(7): e0236692, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32730310

RESUMO

AIMS: To assess feasibility, acceptability, and early efficacy of monetary incentive-based interventions on fostering oral hygiene in young children measured with a Bluetooth-enabled toothbrush and smartphone application. DESIGN: A stratified, parallel-group, three-arm individually randomized controlled pilot trial. SETTING: Two Los Angeles area Early Head Start (EHS) sites. PARTICIPANTS: 36 parent-child dyads enrolled in an EHS home visit program for 0-3 year olds. INTERVENTIONS: Eligible dyads, within strata and permuted blocks, were randomized in equal allocation to one of three groups: waitlist (delayed monetary incentive) control group, fixed monetary incentive package, or lottery monetary incentive package. The intervention lasted 8 weeks. OUTCOMES: Primary outcomes were a) toothbrushing performance: mean number of Bluetooth-recorded half-day episodes per week when the child's teeth were brushed, and b) dental visit by the 2-month follow-up among children with no prior dental visit. The a priori milestone of 20% more frequent toothbrushing identified the intervention for a subsequent trial. Feasibility and acceptability measures were also assessed, including frequency of parents syncing the Bluetooth-enabled toothbrush to the smartphone application and plaque measurement from digital photographs. FINDINGS: Digital monitoring of toothbrushing was feasible. Mean number of weekly toothbrushing episodes over 8 weeks was 3.9 in the control group, 4.1 in the fixed incentive group, and 6.0 in the lottery incentive group. The lottery group had 53% more frequent toothbrushing than the control group and 47% more frequent toothbrushing than the fixed group. Exploratory analyses showed effects concentrated among children ≤24 months. Follow-up dental visit attendance was similar across groups. iPhone 7 more reliably captured evaluable images than Photomed Cannon G16. CONCLUSIONS: Trial protocol and outcome measures were deemed feasible and acceptable. Results informed the study protocol for a fully powered trial of lottery incentives versus a delayed control using the smart toothbrush and remote digital incentive program administration. TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT03862443.


Assuntos
Assistência Odontológica para Crianças , Recompensa , Escovação Dentária , Pré-Escolar , Placa Dentária/diagnóstico , Placa Dentária/patologia , Placa Dentária/prevenção & controle , Índice de Placa Dentária , Feminino , Humanos , Lactente , Masculino , Aplicativos Móveis , Pais/psicologia , Projetos Piloto , Escovação Dentária/instrumentação , Escovação Dentária/métodos
8.
Braz Oral Res ; 34: e066, 2020.
Artigo em Inglês | MEDLINE | ID: covidwho-594390

RESUMO

The aim of this study was to evaluate the knowledge of and attitudes toward coronavirus disease 2019 (COVID-19) among the parents of child dental patients in Shenzhen during the outbreak. A structured questionnaire containing 10 questions was used, and each question had 2 or 3 possible answers. The parents of children (aged 0-14 years) who visited the dental department of our hospital last year were eligible to participate in this study. A total of 148 parents were interviewed by telephone in February 2020 by research staff. A total of 94.59% of the parents said they paid high attention to COVID-19 and explained it to their children; 66.22% thought the dental department environment was more dangerous than other public places; 91.89% believed the dental department had a higher risk of virus infection; and 83.78% said they would take their children to a dental department if the children had a severe toothache. Approximately 81.08% of the parents expressed confidence after we informed them about the preventive measures taken in the dental department to ensure safe treatment for their children. In conclusion, all parents were concerned about COVID-19, and most of them had talked about it with their children often. In addition, a considerable percentage of them would not take their children to the dental department even if they had severe dental pain and thought that the dental environment could be more dangerous than other environments. More information about this topic should be delivered to this population.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Assistência Odontológica para Crianças/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Pandemias , Pais , Pneumonia Viral , Adolescente , Adulto , Distribuição por Idade , Criança , Pré-Escolar , China , Infecções por Coronavirus/prevenção & controle , Escolaridade , Feminino , Humanos , Lactente , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Fatores de Risco , Distribuição por Sexo , Inquéritos e Questionários , Adulto Jovem
9.
Braz Oral Res ; 34: e066, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32520076

RESUMO

The aim of this study was to evaluate the knowledge of and attitudes toward coronavirus disease 2019 (COVID-19) among the parents of child dental patients in Shenzhen during the outbreak. A structured questionnaire containing 10 questions was used, and each question had 2 or 3 possible answers. The parents of children (aged 0-14 years) who visited the dental department of our hospital last year were eligible to participate in this study. A total of 148 parents were interviewed by telephone in February 2020 by research staff. A total of 94.59% of the parents said they paid high attention to COVID-19 and explained it to their children; 66.22% thought the dental department environment was more dangerous than other public places; 91.89% believed the dental department had a higher risk of virus infection; and 83.78% said they would take their children to a dental department if the children had a severe toothache. Approximately 81.08% of the parents expressed confidence after we informed them about the preventive measures taken in the dental department to ensure safe treatment for their children. In conclusion, all parents were concerned about COVID-19, and most of them had talked about it with their children often. In addition, a considerable percentage of them would not take their children to the dental department even if they had severe dental pain and thought that the dental environment could be more dangerous than other environments. More information about this topic should be delivered to this population.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Assistência Odontológica para Crianças/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Pandemias , Pais , Pneumonia Viral , Adolescente , Adulto , Distribuição por Idade , Criança , Pré-Escolar , China , Infecções por Coronavirus/prevenção & controle , Escolaridade , Feminino , Humanos , Lactente , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Fatores de Risco , Distribuição por Sexo , Inquéritos e Questionários , Adulto Jovem
10.
West Afr J Med ; 37(3): 253-259, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32476119

RESUMO

BACKGROUND: Stainless steel crown (SSC) restoration is one of the restorative treatment options in the management of carious primary molars. The Hall technique is a biologic method of managing carious primary teeth by sealing in the caries with SSCs without the routine local anaesthesia and tooth preparations. The objectives of this study was to compare the treatment assessments of the conventional stainless steel crown restoration with Hall technique using subjects' discomfort during treatments and parents' treatment perception, treatment acceptability and satisfaction with the treatment. METHODS: The study was a comparative analytical study involving the placement of 25 SSC restorations using the conventional method and 25 SSC restorations using the Hall technique in 25 subjects aged 3-8 years with a pair or pairs of unrestored enamel or dentinal carious primary molars matched for tooth type, dental arch and extent of caries. Discomfort during the placements of the SSCs was assessed by the subjects while treatment perception, acceptability and satisfaction were assessed by the parents with the use of questionnaires. RESULTS: There was statistically significant difference (p-value 0.00001) between the conventional method and the Hall technique for the discomfort outcomes. There was no statistically significant difference for treatment perception (p=0.73), acceptability (0.72) and satisfaction (0.60). CONCLUSION: The Hall Technique compared favourably well with the conventional method in treatment perception, acceptability and satisfaction but it gave higher level of discomfort in some of the subjects. The Hall Technique appears to be a good method for managing dental caries in primary molar teeth especially in a resource challenged environment where electricity and access to care are contending issues.


Assuntos
Coroas , Assistência Odontológica para Crianças/métodos , Cárie Dentária/terapia , Restauração Dentária Permanente/métodos , Cimentos de Resina/uso terapêutico , Aço Inoxidável , Criança , Pré-Escolar , Ligas Dentárias , Humanos , Dente Molar/patologia , Dente Decíduo/patologia , Resultado do Tratamento
11.
Pediatr Clin North Am ; 67(3): 513-524, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32443990

RESUMO

Children who have a dental home are more likely to receive preventative care, require fewer dental treatments, and are less likely to have dental disease. Many children demonstrate behavior management concerns that may impede families from establishing a dental home for their children. Conceptually, behavior concerns develop through a process of conditioning. Prevention of such problems should focus on providing positive experiences related to dental care. Treatment components to address behavior management concerns include graduated exposure, contingent reinforcement, modeling and prompting, distraction/relaxation, and cognitive behavior therapy. Further support, training, and reimbursement for time required to administer such treatment is needed.


Assuntos
Terapia Comportamental/métodos , Transtornos do Comportamento Infantil/terapia , Assistência Odontológica para Crianças/métodos , Saúde Bucal , Criança , Pré-Escolar , Relações Dentista-Paciente , Humanos , Lactente
13.
Cient. dent. (Ed. impr.) ; 17(1): 27-34, ene.-abr. 2020. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-189746

RESUMO

INTRODUCCIÓN: El objetivo del presente trabajo fue evaluar las técnicas convencionales más utilizadas por el odontólogo para el manejo de la conducta del paciente infantil en la consulta dental. Diversas técnicas pueden ser aplicadas dependiendo del desarrollo físico y emocional del paciente y de la capacidad del profesional. La Academia Americana de Odontopediatría, en su guía sobre técnicas del comportamiento, las divide en: técnicas de comunicación, otras técnicas básicas y técnicas avanzadas, recomendando las pertenecientes al primer grupo. MATERIAL Y MÉTODO: Se realizó un cuestionario en la plataforma de Google, remitido vía email a 190 odonto/estomatólogos que tratasen pacientes infantiles, obteniendo un total de 115 respuestas adecuadas para el análisis de 8 técnicas convencionales de manejo de la conducta. El estudio estadístico se realizó en el programa SPSS aplicando el test de ANOVA para una significación de p= 0,05. RESULTADOS: La técnica más utilizada por los diferentes profesionales fue la técnica decir-mostrar-hacer seguida de refuerzo positivo y control de voz. Técnicas de modificación de la conducta ocuparon un segundo término: desensibilización seguida muy de cerca por imitación. La técnica menos empleada fue la anestesia general. No encontramos diferencias significativas en relación al sexo en ninguna de las técnicas analizadas excepto en el uso de premedicación (p: 0,027), siendo los varones los que más frecuentemente la utilizaban. No se encontraron diferencias significativas en relación a la especialidad ni con la edad de los profesionales. CONCLUSIONES: Las técnicas comunicativas fueron las preferidas por los odontoestomatólogos siendo las técnicas avanzadas las menos utilizadas


INTRODUCTION: The objective of this work was to evaluate the conventional techniques most used by the dentist for the management of the behavior of the child patient in the dental office. Various techniques can be applied depending on the physical and emotional development of the patient and the professional's ability. The American Academy of Pediatric Dentistry, in its guide on behavioral techniques, divides them into: communication techniques, other basic techniques and advanced techniques, recommending those belonging to the first group. MATERIAL AND METHOD: A questionnaire was carried out on the Google platform, sent via email to 190 dentists / stomatologists who treated child patients, obtaining a total of 115 appropriate responses for the analysis of 8 conventional behavior management techniques. The statistical study was carried out in the SPSS program by applying the ANOVA test for a significance of p = 0.05. RESULTS: The technique most used by different professionals was the say-show-do technique followed by positive reinforcement and voice control. Behaviour modification techniques occupied a second term: desensitization followed closely by imitation. The least used technique was general anesthesia. We found no significant differences in relation to sex in any of the techniques analyzed, except in the use of premedication (p: 0.027), with men being the most frequently used. No significant differences were found in relation to the specialty or the age of the professionals. CONCLUSIONS: The communication techniques were preferred by the professionals, with the advanced techniques being the least used


Assuntos
Humanos , Masculino , Feminino , Adulto , Comportamento Infantil/psicologia , Odontólogos/psicologia , Assistência Odontológica para Crianças/psicologia , Odontólogos/estatística & dados numéricos , Inquéritos e Questionários , Análise de Variância , Odontopediatria/estatística & dados numéricos , Assistência Odontológica para Crianças/estatística & dados numéricos
14.
Sichuan Da Xue Xue Bao Yi Xue Ban ; 51(2): 151-154, 2020 Mar.
Artigo em Chinês | MEDLINE | ID: covidwho-18394

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 , Dieta Saudável , 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
15.
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 , Dieta Saudável , 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
16.
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
17.
Br Dent J ; 228(4): 255-258, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32112018

RESUMO

Introduction The use of general anaesthesia in paediatric dentistry should be appropriate and justified. During the treatment of children, a clinician should have foresight into the future dental requirements of the patient and whether a future general anaesthetic will be required in quick succession. Efforts should be made when possible to avoid this.Aims This service evaluation was performed to gather information regarding repeat dental general anaesthetics within Sheffield Children's Hospital NHS Foundation Trust.Methods All children's records who had experienced a repeat dental general anaesthetic between 1 January 2015 and 31 December 2018 were analysed. Those who had experienced a repeat dental general anaesthetic within two years were investigated.Results Overall, 0.63% of children had a repeat dental general anaesthetic within a two-year period. These repeat dental general anaesthetics were mainly justified due to new dental caries. 43.9% had modifying factors, such as a complex medical history, that could have impacted the need for a second dental general anaesthetic.Conclusion The repeat rate in Sheffield Children's Hospital NHS Foundation Trust is low. We believe this is a result of specialist treatment planning and appropriate use of both 'extraction only' and 'restorative and extraction' GA lists.


Assuntos
Anestesia Dentária , Assistência Odontológica para Crianças , Cárie Dentária , Anestesia Geral , Criança , Humanos , Medicina Estatal , Extração Dentária
18.
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
19.
Medicina (Kaunas) ; 56(3)2020 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-32131417

RESUMO

Background and Objectives: Early detection of dental caries lesions at active stages of development can facilitate their monitoring and reduce needs for restorative dental care. This study aimed to describe the prevalence and caries treatment needs in first permanent molars of pre-school children, based on a caries lesion activity assessment, and in relation to participants' ages, dental plaque levels and toothbrushing habits. Materials and Methods: Large cross-sectional dental caries survey using multistage cluster sampling was conducted among Lithuanian 4-6-year-old children attending kindergartens. For the present study purpose, all individuals presenting erupted permanent molars were selected. Thus, only 5-6-year-olds (n = 453) took part in this study. They were examined for caries by one calibrated examiner using Nyvad clinical diagnostic criteria that differentiate between active and inactive caries lesions. Dental plaque was assessed by the Silness-Löe index, and parents' reports about toothbrushing frequency were collected. Results: Overall, 41% of permanent molars were affected by caries; 6-year-olds had more caries lesions than 5-year-olds (p <0.05). Mean number of decayed and filled surfaces (DF-S) of all participants was 1.79 (SD 2.93), half of lesions were noncavitated, more than one-third were cavitated and fillings comprised less than one surface per child. Majority of lesions were active; prevalence of inactive lesions (all noncavitated) was 1% and 6% in 5- and 6-year-olds, respectively. Prevalence of active lesions increased with age; it correlated with plaque levels and with toothbrushing frequency (<0.001). Likelihood to detect active lesions was up to nine times higher in teeth with abundant plaque (odds ratio (OR) 8.73; confidence interval (CI) 5.35-14.25), and up to seven times higher in individuals brushing teeth irregularly (OR 6.88; CI 2.21-21.41). Conclusions: The obtained data indicate high treatment needs in the erupted permanent molars of the Lithuanian pre-school population and imply that caries management should primarily focus on improved biofilm removal, accompanied with regular use of fluoridated toothpaste.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Cárie Dentária/epidemiologia , Cárie Dentária/terapia , Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos , Criança , Pré-Escolar , Estudos Transversais , Índice CPO , Feminino , Humanos , Lituânia/epidemiologia , Masculino , Dente Molar , Razão de Chances , Prevalência , Escovação Dentária/estatística & dados numéricos
20.
BMC Oral Health ; 20(1): 64, 2020 03 04.
Artigo em Inglês | MEDLINE | ID: mdl-32131801

RESUMO

BACKGROUND: The lack of evidence for the effective management of carious lesions in children's primary teeth has caused uncertainty for the dental profession and patients. Possible approaches include conventional and biological management alongside best practice prevention, and best practice prevention alone. The FiCTION trial assessed the effectiveness of these options, and included a qualitative study exploring dental professionals' (DPs) experiences of delivering the different treatment arms. This paper reports on how DPs managed children with carious lesions within FiCTION and how this related to their everyday experiences of doing dentistry. METHODS: Overall, 31 DPs from FiCTION-trained dental surgeries in four regions of the UK participated in semi-structured interviews about their experiences of the three treatment arms (conventional management of carious lesions and prevention (C + P), biological management of carious lesions and prevention (B + P) or prevention alone (PA)). A theoretical framework, drawing on social practice theory (SPT), was developed for analysis. RESULTS: Participants discussed perceived effectiveness of, and familiarity with, the three techniques. The C + P arm was familiar, but some participants questioned the effectiveness of conventional restorations. Attitudes towards the B + P arm varied in terms of familiarity, but once DPs were introduced to the techniques, this was seen as effective. While prevention was familiar, PA was described as ineffective. DPs manage children with carious lesions day-to-day, drawing on previous experience and knowledge of the child to provide what they view as the most appropriate treatment in the best interests of each child. Randomisation undermined these normal choices. Several DPs reported deviating from the trial arms in order to treat a patient in a particular way. Participants valued evidence-based dentistry, and expect to use the results of FiCTION to inform future practice. They anticipate continuing to use the full range of treatment options, and to personally select appropriate strategies for individual children. CONCLUSIONS: RCTs take place in the context of day-to-day practices of doing dentistry. DPs employ experiential and interpersonal knowledge to act in the best interests of their patients. Randomisation within a clinical trial can present a source of tension for DPs, which has implications for assuring individual equipoise in future trials.


Assuntos
Assistentes de Odontologia/psicologia , Assistência Odontológica para Crianças/métodos , Cárie Dentária/terapia , Odontólogos/psicologia , Dente Decíduo/patologia , Adulto , Criança , Cárie Dentária/patologia , Cárie Dentária/prevenção & controle , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Odontopediatria , Pesquisa Qualitativa , Reino Unido
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA