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1.
Braz. j. oral sci ; 21: e225272, jan.-dez. 2022. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1354777

RESUMO

Aim: To compare the pre-clinical and clinical students` perceptions about the non-pharmacological behaviour management techniques in paediatric dentistry and to investigate the influence of the dental curriculum on the students` knowledge regarding this issue. Methods: A total of 283 students from the IV-and X-semester completed a questionnaire, consisted of 12 statements, describing the nonpharmacological behaviour management techniques for the treatment of paediatric dental patients. The acceptability rate was evaluated with a Likert scale ranging from 1 to 5. Results: The students from all courses demonstrated high acceptance for Reinforcement and Desensitization techniques and low for the Negative reinforcement and Physical restraint. The comparison between the perceptions of the pre-clinical and clinical students demonstrated a statistically significant increase in the acceptance of the physical restraint, along with Nonverbal communication, Modelling and Parental presence/absence (p<0.05). Conclusion: The results provide information about the students' knowledge and skills in behaviour management techniques together with some insights about how the educational process can modify the students` perceptions and views in dealing with paediatric dental patients


Assuntos
Humanos , Masculino , Feminino , Estudantes de Odontologia , Comportamento , Inquéritos e Questionários , Odontopediatria , Métodos
2.
BMC Med Educ ; 22(1): 343, 2022 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-35513807

RESUMO

BACKGROUND: During the novel COVID-19 pandemic, many universities adopted distance and hybrid learning as a modification to their teaching methods to ensure continuity of education, abiding by the worldwide recommendations of social distancing. AIM: To compare learning environments created through hybrid learning versus distance learning, to deliver paediatric dentistry course, and to assess the correlation between the created learning environment and students' satisfaction. METHOD: In this cross-sectional study, students enrolled in a hybrid paediatric dentistry course were asked to participate in an electronic survey. The learning environment was assessed using Distance Educational Learning Environment Survey (DELES), students' satisfaction was assessed using Satisfaction Scale (SS). Retrospective data for distance learning course was used for comparison. Ordinal data were compared using Mann-Whitney U test. Spearman's rank order correlation coefficient was used to correlate students' satisfaction with DELES. Multiple regression analysis was used to predict satisfaction. RESULTS: A total of 376 students' data were considered in the study. Hybrid learning had significantly higher scores than distance learning in 3 DELES scales. There was a statistically significant weak positive correlation between satisfaction and DELES. Multiple regression analysis model was statistically significant and accounted for (22.8%) of the variance in students' satisfaction. Only "Instructor support" (p = 0.001) and "Student autonomy" (p < 0.001) had a significant effect on satisfaction. CONCLUSION: This study supports the superiority of a hybrid learning environment over a complete distance learning environment, it also shows that satisfaction is correlated and can be predicted by the created learning environment. TRIAL REGISTRATION: This study has been registered on clinicaltrials.gov on 21 May 2020 with an identifier: NCT04401371 .


Assuntos
COVID-19 , Educação à Distância , COVID-19/epidemiologia , Criança , Estudos Transversais , Humanos , Pandemias , Odontopediatria , Satisfação Pessoal , Estudos Retrospectivos , SARS-CoV-2 , Estudantes
3.
Medicina (Kaunas) ; 58(4)2022 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-35454383

RESUMO

Background and Objectives: There are no guidelines on the regenerative endodontic procedures that should be followed in dental treatment. Thus, it is essential to learn the knowledge, attitudes, and opinions about regenerative endodontics among dental practitioners, particularly endodontists, as they are the first providers of this type of dental treatment. Aim: This study aimed to assess the knowledge and attitudes among residents of the Saudi Board of Advanced Restorative Dentistry (SBARD) in Saudi Arabia. Methods & Materials: A questionnaire-based survey was conducted among 128 residents of endodontics, pedodontics, and the SBARD in Saudi Arabia. The questionnaire was distributed to participants using the available electronic measures such as emails and social media. The questionnaire was made by Google Forms, and responses were received directly in the excel sheet in the email. The data were exported as an excel file, coded, and analyzed, and the p-value < 0.05 was set as significant. Results: More than 50% (74 dentists) of the participants reported receiving continuing education in regenerative treatment, with a significant difference found among specialty (p = 0.023). No significant association was found between knowledge, gender, and type of postgraduate study. The vast majority (89.1%) of the participants believed regenerative endodontics should be incorporated into dentistry curricula. About two-thirds (78.2%) of the participants declared their ability to attend future training courses in a regenerative endodontic, whereas 10.9% did not, and 10.9% were unsure. Conclusions: The dental practitioners were enthusiastic and interested in regenerative and stem cell treatment. The results also suggested incorporating regenerative treatment into the dental curriculum and signaled the need for more continued training courses.


Assuntos
Endodontia Regenerativa , Atitude , Odontólogos , Humanos , Odontopediatria , Papel Profissional , Arábia Saudita , Inquéritos e Questionários
4.
J Clin Pediatr Dent ; 46(1): 58-61, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-35311978

RESUMO

OBJECTIVE: To determine if administering a higher dosage of nitrous oxide (>50%), with a nasal hood in pediatric dental restorative procedures, can allow for a safe and more cooperative experience for the pediatric patient as measured by observable adverse reactions and the Frankl Behavior Rating Scale. STUDY DESIGN: A retrospective chart review was completed of 200 patients total, 100 for each nitrous oxide (N2O) dosage group (≤50% vs >50%). Adverse reactions and The Frankl Behavior Rating Scale during pediatric restorative procedures with N2O were compared between the two dosage groups. RESULTS: There were few adverse reactions for both nitrous oxide groups (≤50% vs >50%) and there was no statistical difference in the Frankl Behavior Rating Scale for each group. CONCLUSIONS: Patients given more than 50% of nitrous oxide were not found to have an increase in adverse events. Higher concentrations of nitrous oxide (>50%) were not found to be associated with a better behavior score when completing pediatric restorative procedures.


Assuntos
Óxido Nitroso , Odontopediatria , Terapia Comportamental , Criança , Sedação Consciente/métodos , Humanos , Estudos Retrospectivos
5.
Eur J Paediatr Dent ; 23(1): 54-60, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35274543

RESUMO

AIM: When treating patients with Autism Spectrum Disorder (ASD) the doctor-patient relationship can be very challenging. The dentist is often forced to work under general anaesthesia or conscious sedation. Children with ASD are patients with an increased risk of caries due to poor oral hygiene, a cariogenic diet and the use of xerostomal drugs. In this work therapeutic strategies used to treat this kind of patients are evaluated and a new method to treat children with ASD is presented in order to increase awareness about this condition in the dental field. METHODS: The Atlas Center (a non-profit organisation in Peurgia, Italy) has developed a software, called paINTeraction, that allows these special children to immerse themselves in a virtual reality with the help of an operator. Through this system the child can explore the dental office (and all its sounds and noises) before the real dental visit, thus connecting to the dental professional, achieving greater compliance and reducing anxiety. CONCLUSION: paINTeraction, with the use of digital technology tools, may be particularly well suited to introduce patients to the therapeutic environment, particularly in the dental setting.


Assuntos
Transtorno do Espectro Autista , Cárie Dentária , Transtorno do Espectro Autista/terapia , Criança , Cárie Dentária/prevenção & controle , Humanos , Higiene Bucal , Odontopediatria , Relações Médico-Paciente
6.
J Dent Child (Chic) ; 89(1): 57-65, 2022 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-35337401

RESUMO

Pharmacological behavior guidance has long been a mainstay of pediatric dental care. Behavioral limitations of very young children and dental fear in adolescents and children with special health care needs have made sedation and general anesthesia important to quality care delivery for these populations. The purposes of this review are to provide a broad perspective on the historical and contemporary use of sedation in pediatric dentistry, summarize available data on the safety and efficacy of opioid and multi-drug moderate sedation protocols, and consider the growing role of minimal intervention dentistry and the importance of patient and medication selection.


Assuntos
Analgésicos Opioides , Sedação Consciente , Adolescente , Analgésicos Opioides/efeitos adversos , Anestesia Geral , Criança , Pré-Escolar , Sedação Consciente/métodos , Humanos , Odontopediatria , Preparações Farmacêuticas
7.
Pediatr Dent ; 44(1): 38-44, 2022 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-35232535

RESUMO

Purpose: The purpose of this study was to determine how pediatric dentistry residency program directors evaluate residents and determine graduation readiness. Methods: A questionnaire containing demographic, multiple answer, and yes/no questions was developed by investigators and piloted to former program directors. An updated survey was distributed electronically to program directors in the United States. Subjects were asked to respond to current resident evaluation strategies and future opportunities. Results: Fifty-seven program directors responded to the survey, for a response rate of 55.9 percent. Most relied on daily observation to determine competence and ability to move to more complex procedures. Most were interested in standardized parameters to determine competence but had concerns about cost and time to implement. Most were not aware of entrustable professional activities as a method to evaluate for competence. Conclusion: Program directors rely primarily on daily observation and formal assessments to evaluate residents and determine readiness for graduation.


Assuntos
Internato e Residência , Odontopediatria , Criança , Humanos , Inquéritos e Questionários , Estados Unidos
8.
Pediatr Dent ; 44(1): 45-54, 2022 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-35232536

RESUMO

Purpose: The purpose of this study was to investigate the interest in practice ownership among pediatric dentistry residents and influencing factors, particularly educational debt. Methods: An invitation to participate in an anonymous survey was sent to 933 pediatric dentistry residents training in the United States in the spring of 2020. Results: The survey response rate was 32.9 percent. Of the respondents, 61.2 percent reported being extremely or very interested in practice ownership and 49.8 percent anticipated becoming a practice owner within five years of graduation. An inverse relationship was seen between one's level of comfort in assuming a business loan to acquire a practice and having an educational debt burden of $400,000 or greater (P=0.002). Practice management preparation was the most common concern related to future practice ownership. Those feeling completely, very, or moderately prepared to manage a dental practice were over 40 percent more likely to be extremely or very interested in practice ownership than were those who felt slightly or not at all prepared (P<0.001). Conclusions: There appears to be broad interest in practice ownership among pediatric dentistry residents. Relatively high educational debt may negatively influence future practice ownership, but it may be less influential than other factors.


Assuntos
Intenção , Internato e Residência , Escolha da Profissão , Criança , Humanos , Propriedade , Odontopediatria/educação , Inquéritos e Questionários , Apoio ao Desenvolvimento de Recursos Humanos , Estados Unidos
9.
Rev. Fac. Odont (Córdoba) ; 32(1): 11-19, mar 2022. ^etab
Artigo em Espanhol | BINACIS, BINACIS, UNISALUD | ID: biblio-1359722

RESUMO

Introducción: La terapia con pulpotomía es un tratamiento comúnmente llevado a cabo en pacientes pediátricos para contrarrestar la infección presente, frecuentemente se utilizan agentes químicos como antimicrobianos siendo algo contradictorios en cuanto a sus efectos. Objetivo: Evaluar la acción antimicrobiana del extracto etanólico de propóleo al 10% en terapia pulpar de órganos dentarios primarios. Materiales y Metodos: En este estudio se utilizó el Extracto Etanólico de Propóleo (EEP) al 10% de origen natural para el tratamiento de pulpotomías, su acción antimicrobiana fue evaluada mediantela recolección de muestras microbiológicas antes de la colocación de EEP muestra (S1) y después de su colocación muestra (S2). Se evaluó el grado de desarrollo microbiano en Unidades McFarland y por conteo de UFC en dos tiempos inicial y 24 hrs. Resultados: El propóleo mostró capacidad antimicrobiana ya que los resultados presentan una disminución promedio del crecimiento bacteriano entre las 20 muestras, siendo de 8, 30 a 8,10 en S1 y S2, así como de 9,18 a 8,96 en S1a y S2a. Los resultados muestran un efecto antimicrobiano, obteniendo diferencias entre S1 y S2, resultados que favorecen la capacidad antimicrobiana del propóleo. Conclusiones: El uso de extractos de plantas o derivados naturales como puede ser el propóleo para el tratamiento de terapias pulpares como son las pulpotomías en dientes temporales es prometedor como alternativa del formocresol.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Própole/análogos & derivados , Polpa Dentária , Pulpotomia , Odontopediatria
10.
J Inherit Metab Dis ; 45(3): 417-430, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35244948

RESUMO

The management of paediatric patients with inborn errors of metabolism (IEM) presents an unparalleled challenge for paediatric dentists owing to the multiplex of interrelated dental manifestations and metabolic management necessitating modifications to dental care. Inborn errors of metabolism describe a largely heterogenous group of genetic disorders namely attributable to a single gene defect essential for a specific metabolic pathway. Approximately 400 disorders have been described with an overall incidence of 1 in 5000 live births worldwide. Clinical presentation is classically inconspicuous and insidious in the neonatal period with pathophysiology attributable to accumulation of toxic by-products which interfere with normal function, or insufficient synthesis of essential compounds. This paper aims to discuss the primary oral and maxillofacial manifestations across the scope of inborn errors of metabolism, whilst also considering how metabolic treatment has the propensity to complicate dental management.


Assuntos
Erros Inatos do Metabolismo , Odontopediatria , Criança , Humanos , Incidência , Recém-Nascido , Programas de Rastreamento , Erros Inatos do Metabolismo/diagnóstico , Erros Inatos do Metabolismo/genética , Erros Inatos do Metabolismo/terapia
11.
MedEdPORTAL ; 18: 11201, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35036525

RESUMO

INTRODUCTION: Standardized patient (SP) methodology has been used in health professional education to help students develop communication, deeper diagnostic reasoning, and critical thinking skills. Few examples demonstrate the use of SPs to practice difficult conversations with pediatric caregivers in the pediatric dentistry literature. The objective of this educational activity was to describe the implementation of three SPs in a pediatric dentistry course for second-year dental students. METHODS: We developed three SP encounters covering interactions with caregivers of an infant with severe early childhood caries, an adolescent on the path to gender affirmation, and a child with autism and dental caries whose caregiver was resistant to fluoride- and silver-containing dental materials. We describe the case design process, rubric construction and calibration, student debriefing, and pandemic modifications. We evaluated the effectiveness of the implementation by thematic analysis of student reflections following each encounter using a qualitative descriptive framework. RESULTS: Eighty-three students completed each encounter. Qualitative analysis showed that students preferred a more realistic encounter by having a child or other distraction present. Students relied on different elements of motivational interviewing depending on the objective of each encounter and the age of the patient. Overall, the SP encounters were well received by students and faculty as an alternative or supplement to traditional student evaluation methods. DISCUSSION: We noted a number of lessons learned about implementing SP methodology in pediatric dental education. With these experiences now in place, future evaluations should measure student performance in the SP encounters against student performance during clinical care.


Assuntos
Cuidadores , Cárie Dentária , Adolescente , Criança , Pré-Escolar , Comunicação , Docentes , Humanos , Lactente , Odontopediatria/educação
12.
Eur Arch Paediatr Dent ; 23(2): 317-324, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35091862

RESUMO

PURPOSE: To investigate the attitude of final-year dental students towards their paediatric dentistry training and their confidence in treating child patients. METHODS: A 55-item questionnaire was distributed online and physically to the final-year BDSc (Hons) students at The University of  Queensland (Australia). The questionnaire consisted of four parts including theoretical knowledge, clinical observational experience, preclinical training and clinical training in paediatric dentistry. Self-reported confidence was recorded using five-point Likert scale questions ranging from 'not confident at all' to 'completely confident', which were allocated the numbers 1-5, respectively. Jamovi and GraphPad Prism were used for data analysis and creation of graphs. RESULTS: A total of 47 students completed the questionnaire giving a response rate of 77%. Approximately two-thirds of participants had previous experience working with children and 70% had observed a practitioner providing paediatric dental treatment. The students reported the lowest level of clinical confidence for pulp therapy (M = 2.32; SD = 1.08). The clinical confidence in dental trauma management was also reported to be low (M = 2.50; SD = 1.15). The clinical administration of local anaesthetic (LA) had the highest level of confidence (M = 3.95; SD = 1.03). The students reported that they were highly confident in the theoretical knowledge of behaviour guidance techniques (M = 3.64; SD = 0.97) and preclinical training involving examination, treatment planning and preventative procedures (M = 4.33, SD = 0.67). CONCLUSION: This study showed that students reported low levels of confidence in pulp therapies and trauma management in children as compared to other aspects of paediatric dentistry. Students indicated the need for more preclinical and clinical training sessions, as well as more opportunities to perform a wider variety of treatments on paediatric patients.


Assuntos
Educação em Odontologia , Odontopediatria , Austrália , Criança , Currículo , Educação em Odontologia/métodos , Humanos , Odontopediatria/educação , Estudantes de Odontologia , Inquéritos e Questionários , Universidades
13.
Artigo em Inglês | MEDLINE | ID: mdl-35055565

RESUMO

Germectomy is a procedure often required in patients at developmental age. It is defined as the surgical removal of the third molar at a very specific stage of development. The aim of this study was to systematically analyze the literature in terms of clinical indications for germectomy in patients at developmental age. Literature searches were performed using PubMed, Google Scholar, Cochrane Library and Scopus from 1952 to 30 June 2021. The study protocol was registered after the screening stage (PROSPERO CRD42021262949). The search strategy identified 3829 articles: 167 from PubMed, 2860 from Google Scholar, 799 from Cochrane Library and 3 from Scopus. Finally, eight full-text papers were included into the qualitative analysis. Based on the included studies, clinical indications for germectomy were mainly related to orthodontic causes, infectious and cariogenic causes and prophylaxis. Based on these results, it is not possible to present evidence-based clinical indications for germectomy in patients at developmental age. Clinical trials on this subject focused specifically on patients at developmental age are awaited.


Assuntos
Dente Serotino , Odontopediatria , Criança , Humanos , Dente Serotino/cirurgia , PubMed
14.
PLoS One ; 17(1): e0261881, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35045095

RESUMO

OBJECTIVE: To assess the pattern of instructions regarding the ethical requirements given to authors in various Pediatric Dental Journals. MATERIAL & METHODS: A cross-sectional survey of 'instructions for authors,' for analysis of guidelines on ethical processes, was done. Instructions to authors in journals of pediatric dentistry across the globe were reviewed for guidelines with regards to fourteen key ethical issues. Descriptive statistics were used, and results were expressed in percentages as well as numbers. RESULTS: Of the 18journals of pediatric dentistry, all 14 ethical issues were covered by the instructions to authors in only three journals with only 50% of these providing clarity about authorship using ICMJE guidelines. Furthermore, COI declaration was found to be present as mandatory in about 44% of the journals. 38.9% of the sampled journals mentioned guidelines on research misconduct, publication issues such as plagiarism, overlapping/fragmented publications, and availability of raw research data from authors. Guidelines on handling of complaints about editorial team was provided to authors by slightly over 33% of the selected pediatric dentistry titles while handling of complaints about authors and reviewers were mentioned in 16.7%and 55.6% of the journals respectively. CONCLUSION: A significant proportion of Journals of Pediatric Dentistry did not provide adequate instructions to authors regarding ethical issues.


Assuntos
Autoria , Políticas Editoriais , Ética em Pesquisa , Fidelidade a Diretrizes , Odontopediatria , Publicações Periódicas como Assunto , Estudos Transversais , Humanos , Plágio
15.
Eur Arch Paediatr Dent ; 23(2): 199-222, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34699048

RESUMO

PURPOSE: The aim of this study was to systematically review the literature to answer the question: Can children's drawings represent a helping tool so the dentist can better understand the children's pain, fear, anxiety or stress/distress and their perception concerning the dentist and/or dental treatment? METHODS: A scoping review was done. Cochrane Library, EMBASE, LILACS, LIVIVO, PsycINFO, PubMed, Scopus, Web of Science, and Grey literature was searched. Cross-sectional, quasi-experimental and qualitative studies in which patients were children and adolescents were included. Two authors independently selected studies to extract data and evaluate methodological quality by using Joanna Briggs Institute tools. Data collected included: characteristics of the studies, drawing evaluation/scales, main results and conclusion. RESULTS: Out of 1037 papers were identified in search, 25 studies verified the emotional state and the children's perceptions regarding dental environment and the dentist and were included in the narrative synthesis. The spontaneous drawings were useful to identify the children's emotions. Drawings might be considered a helping tool to identify children and adolescents' perception in relation to dental treatment. Few studies used validated instruments. There were methodological disparities among studies. CONCLUSIONS: The drawings can be considered a useful tool in identifying children's pain, fear, anxiety or stress/distress and perceptions about the dentist and/or dental treatment. Future studies with standardized analysis of the drawings are recommended. Code https://doi.org/10.17605/OSF.IO/U5BJH . "Retrospectively registered".


Assuntos
Ansiedade , Odontopediatria , Adolescente , Criança , Estudos Transversais , Medo , Humanos , Dor
16.
J Dent Educ ; 86(2): 169-177, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34599504

RESUMO

PURPOSE: Problem-based learning (PBL) has been a useful addition to health-based curricula by supporting learning with contributory discussion, research, and critical analysis of evidence in a peer-supported learning format. The aim of this study was to determine the impact of PBL on pediatric dentistry clinical education. METHODS: First-time pass-rates in clinical and objective structured clinical examinations were measured in student cohorts receiving pediatric curricular formats with (PBL+) or without a PBL (PBL-) experience. Student perceived learning outcomes were measured through a voluntary survey. The numbers of each competency attempt were compared between the study groups (PBL+ or PBL-) using Wilcoxon Rank-Sum tests or Fisher's exact tests. Mantel-Hanzel ordinal chi-square tested for differences in rates of agreement on survey responses from students in the PBL+ or PBL- groups. Significance was set at 0.05. RESULTS: There was a significant improvement in the first-time pass-rates in five of seven competencies in the PBL+ group. A significantly higher proportion of students in the PBL+ group perceived that their predoctoral pediatric dentistry rotation improved their diagnostic skills compared to the students in the PBL- group (p < 0.001). However, there was no significant difference (p > 0.05) between the perceptions on satisfaction of clinical or non-clinical staff support, perceived self-improvement in radiographic or clinical skills or overall benefits of the predoctoral pediatric dentistry rotation. CONCLUSION: The addition of a PBL component to a traditional curricular format in a pediatric dentistry clinical rotation had a positive impact on learning in a predoctoral dental program.


Assuntos
Odontopediatria , Aprendizagem Baseada em Problemas , Criança , Currículo , Avaliação Educacional , Humanos , Percepção
17.
Clin Oral Investig ; 26(2): 2031-2042, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34581886

RESUMO

OBJECTIVES: To cross-culturally adapt of MCDASf into Turkish and to evaluate reliability and validity of the Turkish version of MCDASf using explorative factor analysis (EFA), confirmatory factor analysis (CFA), and receiver operating characteristic (ROC) analysis to form a less time consuming and easy to understand tool for measuring dental anxiety. MATERIALS AND METHODS: A total of 300 children (174 females, 126 males) aged 6-12 years who were recruited at the Department of Paediatric Dentistry in RTEU at the first visit participated in the present study. For the internal consistency reliability, Cronbach's alpha was calculated. Intraclass correlation coefficients (ICCs) were calculated for test-retest reliability (n=67). Construct validity was determined by comparing with the Venham Picture Test (VPT). The factor structure was examined using EFA. CFA was used for dimensionality. The cut-off points of the Turkish version of MCDASf were plotted using a ROC curve. RESULTS: The Turkish version of MCDASf showed high internal consistency (0.703) and an excellent ICC value (0.827). Good correlations were found between the global scores of MCDASf and VPT (r=0.632). Three factors were identified from EFA and verified with CFA. Discriminant validity was supported by high scores of females and younger children (p<0.05). The cut-off point was assigned as >24.50. The area under the ROC curve (AUC) was 0.921 (95% CI: 0.873-0.969). CONCLUSIONS: The Turkish version of the MCDASf is a reliable and valid scale that satisfied psychometric properties. CLINICAL RELEVANCE: The Turkish version of MCDASf is a usable tool for the measurement of dental anxiety among Turkish speaking children.


Assuntos
Ansiedade ao Tratamento Odontológico , Odontopediatria , Criança , Ansiedade ao Tratamento Odontológico/diagnóstico , Feminino , Humanos , Masculino , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
18.
Eur Arch Paediatr Dent ; 23(1): 3-21, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34669177

RESUMO

AIM: To update the existing European Academy of Paediatric Dentistry (EAPD) 2010 policy document on the 'Best Clinical Practice guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralisation (MIH).' METHODS: Experts, assigned the EAPD, worked on two different topics: (A) Aetiological factors involved in MIH, and (B) Treatment options for the clinical management of MIH. The group prepared two detailed systematic reviews of the existing literature relevant to the topics and following a consensus process produced the updated EAPD policy document on the 'Best Clinical Practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH).' The GRADE system was used to assess the quality of evidence regarding aetiology and treatment which was judged as HIGH, MODERATE, LOW or VERY LOW, while the GRADE criteria were used to indicate the strength of recommendation regarding treatment options as STRONG or WEAK/CONDITIONAL. RESULTS: (A) Regarding aetiology, it is confirmed that MIH has a multifactorial aetiology with the duration, strength and timing of occurrence of the aetiological factors being responsible for the variable clinical characteristics of the defect. Perinatal hypoxia, prematurity and other hypoxia related perinatal problems, including caesarean section, appear to increase the risk of having MIH, while certain infant and childhood illnesses are also linked with MIH. In addition, genetic predisposition and the role of epigenetic influences are becoming clearer following twin studies and genome and single-nucleotide polymorphisms analyses in patients and families. Missing genetic information might be the final key to truly understand MIH aetiology. (B) Regarding treatment options, composite restorations, preformed metal crowns and laboratory indirect restorations provide high success rates for the posterior teeth in appropriate cases, while scheduled extractions provide an established alternative option in severe cases. There is great need for further clinical and laboratory studies evaluating new materials and non-invasive/micro-invasive techniques for anterior teeth, especially when aesthetic and oral health related quality of life (OHRQoL) issues are concerned. CONCLUSIONS: MIH has been studied more extensively in the last decade. Its aetiology follows the multifactorial model, involving systemic medical and genetic factors. Further focused laboratory research and prospective clinical studies are needed to elucidate any additional factors and refine the model. Successful preventive and treatment options have been studied and established. The appropriate choice depends on the severity of the defects and the age of the patient. EAPD encourages the use of all available treatment options, whilst in severe cases, scheduled extractions should be considered.


Assuntos
Hipoplasia do Esmalte Dentário , Odontopediatria , Cesárea/efeitos adversos , Criança , Hipoplasia do Esmalte Dentário/epidemiologia , Hipoplasia do Esmalte Dentário/etiologia , Hipoplasia do Esmalte Dentário/terapia , Feminino , Humanos , Incisivo , Dente Molar , Políticas , Gravidez , Prevalência , Estudos Prospectivos , Qualidade de Vida
19.
Clin Pediatr (Phila) ; 61(2): 168-176, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34789029

RESUMO

Children infected with COVID-19 have a critical part in community-based viral transmission. This study aimed to evaluate knowledge, awareness, attitudes, and behaviors of parents of pediatric dental patients on COVID-19 and to present required actions to prevent its spreading. A total of 524 parents took part in this cross-sectional study. A self-administered questionnaire was prepared for determining sociodemographic characteristics and socioeconomic status of parents, along with their COVID-19-related knowledge, awareness, attitudes, and behaviors. In total, 90.6% of parents were unaware that disease may show no symptoms; 61.1% and 32.6% did not know roles of "close contact with asymptomatic patients" and "dentistry practices" in transmission, respectively; 30.2% thought it could be transmitted to their children at dental clinics, and only 16.4% stated their children as carriers. Parents need to be informed on COVID-19 transmission through contact with asymptomatic individuals, risks associated with dentistry practices, and role of children in transmission.


Assuntos
COVID-19/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Pais/psicologia , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Poder Familiar/psicologia , Poder Familiar/tendências , Odontopediatria/métodos , Odontopediatria/estatística & dados numéricos , Classe Social , Inquéritos e Questionários
20.
Int J Paediatr Dent ; 32(2): 232-239, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34101918

RESUMO

BACKGROUND: Many children experience dental anxiety during dental treatment. Conscious sedation is used to alleviate anxiety and enhance a child's cooperation. AIM: This study aimed to compare the efficacy of intranasal versus sublingual dexmedetomidine. DESIGN: Forty-two healthy, uncooperative children participated in the study. They were divided randomly into two groups: In the first visit, Group I received intranasal dexmedetomidine and group II received sublingual dexmedetomidine, whereas at the second visit, the alternate route was implemented in a crossover design. The child's acceptance of drug administration method was assessed using a 4-point rating scale. Time until optimum sedation was measured. Anxiety during local anesthesia administration was scored using Venham's rating scale. Postoperative response was recorded through Vernon et al's questionnaire. RESULTS: The sublingual dexmedetomidine route was better accepted than the intranasal route (P=0.01), while the latter acted faster (P>0.001). No significant difference in anxiety scores was found between groups at baseline (P=0.84) or during local anesthetic administration (P=0.44). No negative effect was recorded by the parents who answered the Modified Vernon et al questionnaire 24 hour after the dental visit compared to before the dental visit (P=1.00). CONCLUSIONS: Both routes prevented the increase in anxiety scores equally during local anesthesia and do not have negative effect on postoperative behavior of children. However, the sublingual route showed better acceptance with longer onset time of action than the intranasal route.


Assuntos
Dexmedetomidina , Administração Intranasal , Criança , Sedação Consciente , Humanos , Hipnóticos e Sedativos , Odontopediatria
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