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1.
Pediatr Dent ; 42(1): 16-21, 2020 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-32075705

RESUMO

Purpose: This cross-sectional study evaluated the acceptability and demand for therapy dog support in pediatric dentistry (TDSPD). Methods: Caregiver surveys measured acceptability and demand for TDSPD using a five-point Likert scale (one equals "not at all", five equals "very much"). Provider surveys measured acceptability for TDSPD using a five-point Likert scale. Scores of four or five were regarded as positive. Surveys were administered in the pediatric dental clinic at Case Western Reserve University, Cleveland, Ohio. Results: The mean±SD of acceptability and demand from the caregiver survey was 4.67±0.96 and 3.86±1.61, respectively. Ninety percent (n equals 174) of caregivers indicated acceptability for TDSPD to support their child. Sixty-eight percent (n equals 130) of caregivers indicated demand for TDSPD. The mean±SD of acceptability from the provider survey was 3.63±1.50. Sixty-two percent (n equals 47) of provider survey respondents accepted the overall integration of therapy dogs to support patients. Thematic analysis of the qualitative provider responses yielded concerns for risk of accident (36 percent), infection control (50 percent), and clinic efficiency (33 percent). Caregiver survey qualitative responses were positive (68 percent), with respondents also sharing concerns for efficiency and zoonosis. Conclusions: Responses support the acceptability of and demand for therapy dog support in pediatric dentistry.


Assuntos
Cuidadores , Odontopediatria , Animais , Criança , Estudos Transversais , Cães , Humanos , Ohio , Inquéritos e Questionários
2.
J Dent Educ ; 84(1): 51-56, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31977093

RESUMO

Residency programs are increasingly using social media for a variety of purposes. The aim of this study was to assess the views of U.S. pediatric dental residency program directors on their programs' participation in social media and use of social media in resident selection and education. This cross-sectional study used an electronic survey sent to all 89 U.S. program directors in 2018 to assess the use of social media and obtain demographic information. Forty-six surveys were completed, for a 52% response rate. Regarding resident selection, 76% of the responding directors said their programs did not conduct any online assessment of residency candidates, although 51% responded that social media postings could influence their decisions. For resident education, 78% said their programs did not provide training in challenges posed to evidence-based dentistry by social media, yet 89% expressed concern about the influence of expert opinions via social media on clinical decision making. Regarding participation in social media, 50% of respondents said their programs used social media to promote the program. These results point to a need for further evaluation of possible knowledge and behavior gaps among residency program directors and for development of formal social media assessment and education models for use in pediatric dentistry and other residency programs.


Assuntos
Internato e Residência , Mídias Sociais , Criança , Estudos Transversais , Humanos , Odontopediatria , Inquéritos e Questionários , Estados Unidos
3.
J Clin Pediatr Dent ; 44(1): 60-65, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31995415

RESUMO

Objective: Sedation using 50% nitrous oxide (N2O) concentration is common in pediatric dentistry. The aim to assess sedation and cooperation levels following sedation with 60% and 70% N2O concentrations in children whose dental treatment failed using 50% N2O concentration. Study design: Children (n=51) aged 5-10 years were included. Sedation started with N2O concentration of 50%; when appropriate cooperation and sedation were not achieved, N2O concentration was increased to 60%, and subsequently to 70% during the same session. Sedation and cooperation levels were the primary outcomes. Adverse events were defined as secondary outcomes. Results: At 50% N2O concentration, five children reached adequate sedation and cooperation and completed their dental treatment, where 32 children completed the treatment at 60% N2O concentration. Fourteen children required a concentration of 70% to complete treatment. For ten of the latter, treatment was successfully completed, while for four, treatment failed, despite the achievement of adequate sedation. Adverse events were observed in 9%, 22%, of the children who received 60%, 70% N2O concentrations, respectively. Conclusions: When sedation with 50% N2O concentration does not achieve satisfactory cooperation to complete pediatric dental treatment, 60% N2O concentration appears to be more effective than 50% and safer than 70%.


Assuntos
Anestesia Dentária , Anestésicos Inalatórios , Criança , Pré-Escolar , Sedação Consciente , Humanos , Hipnóticos e Sedativos , Óxido Nitroso , Odontopediatria
4.
Spec Care Dentist ; 40(1): 113-120, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31674703

RESUMO

BACKGROUND/AIM: Osteopetrosis is an inherited disease characterized by increased bone density. Its genetic variability results in various phenotype expressions, whereas clinically are classified in three types: malignant infantile, intermediate and adult. The various oral manifestations of the disease give a crucial role to the pediatric dentists in diagnosis. CASE PRESENTATION: A 7-year-old girl with persistent swelling on right cheek visited a pedodontic clinic. After extra- and intra-oral examination/findings, the patient was referred for further investigation concerning a possible general pathological background. An extraction, included in the initial dental treatment plan, led to the diagnosis of osteopetrosis. Various medical examinations co-led to the diagnosis of osteopetrosis but without genetic identification. Extractions of carious teeth, under general anesthesia, and full cover or sealants, on chair, of unaffected teeth were conducted respectively to minimize the microbial load and to prevent from osteomyelitis relapse and new caries. Two more general anesthesia sessions took place due to relapse of lower jaw osteomyelitis. Follow-up was conducted every 3 months for 2 years. CONCLUSION: Osteopetrosis' diagnosis can be triggered by its oral manifestations (rampant caries, osteonecrosis, enamel defects, malformed roots/crowns, missing teeth), for which the pediatric dentist could be the first observer. Management of these patients needs multidisciplinary approach and follow-up appointments should be very frequent.


Assuntos
Cárie Dentária , Osteomielite , Osteopetrose , Adulto , Transplante de Medula Óssea , Criança , Feminino , Humanos , Odontopediatria
5.
Int J Paediatr Dent ; 30(1): 96-103, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31411790

RESUMO

Reporting guidelines can improve the quality of reports of research findings. Some specialities in health care however require guidance on areas that are not captured within the existing guidelines, and this is the case for Paediatric Dentistry where no such standards are available to guide the reporting of different types of study designs. The 'Reporting stAndards for research in PedIatric Dentistry' (RAPID) group aims to address this need by developing guidelines on reporting elements of research of particular relevance to Paediatric Dentistry. The development of RAPID guidelines will involve a five-phase process including a Delphi study, which is an explicit consensus development method designed and implemented in accordance with the Guidance on Conducting and REporting DElphi Studies. The guideline development process will be overseen by an Executive Group. Themes specific to areas in Paediatric Dentistry will be selected, and items to be included under each theme will be identified by members of the Executive Group reviewing at least five reports of experimental and analytical study types using existing reporting guidelines. For the Delphi study, the Executive Group will identify an international multidisciplinary RAPID Delphi Group (RDG) of approximately 60 participants including academics, Paediatric Dentists, parents, and other stakeholders. Each item will be evaluated by RDG on clarity using a dichotomous scale ('well phrased' or 'needs revision') and on suitability for inclusion in the Delphi study using a 9-point Likert scale (1 = 'definitely not include' to 9 = 'definitely include'). The items will then be included in an online Delphi study of up to four rounds, with participants invited from stakeholder groups across Paediatric Dentistry. Items scored 7 or above by at least 80% of respondents will be included in the checklist and further discussed in a face-to-face Delphi consensus meeting. Following this, the Executive Group will finalize the RAPID guidelines. The guidelines will be published in peer-reviewed scientific journals and disseminated at scientific meetings and conferences. All the outputs from this project will be made freely available on the RAPID website: www.rapid-statement.org.


Assuntos
Odontopediatria , Relatório de Pesquisa , Criança , Consenso , Técnica Delfos , Humanos , Projetos de Pesquisa
6.
Int J Paediatr Dent ; 30(1): 66-74, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31519054

RESUMO

BACKGROUND: Traditional metrics have been extensively used to evaluate the scientific performance. Despite being widespread accepted, citation-based metrics are not able to describe the social impact of research. A diverse metric, Altmetric, was proposed to overcome those limitations. AIM: This study aims to analyse the social impact of research in the field of paediatric dentistry and to assess if a correlation exists between the JCR citations, the AAS score, and the recently released Dimensions citation count. DESIGN: A bibliometric study was conducted on the four journals related to Paediatric Dentistry listed in the JCR from 2014 to 2017. Descriptive statistics was used to describe the articles and the journals. Pearson's correlation analysis was used to explore the relationship among JCR citations, AAS, and Dimensions. RESULTS: The percentage of articles with an AAS presents a huge variability and was significantly higher in the International Journal of Paediatric Dentistry. In our sample, the correlation between the JCR citation count and the AAS was poor in the years 2014, 2015, and 2016 and low in 2017. The correlation between JCR citation and Dimensions citation count was strong. CONCLUSIONS: The social impact of research in paediatric dentistry can be increased. Dimensions could be an alternative to the JCR. Both the editors and the researcher should change their vision and facilitate the access to research information to scholar and non-scholar audiences.


Assuntos
Fator de Impacto de Revistas , Publicações Periódicas como Assunto , Bibliometria , Criança , Humanos , Odontopediatria , Mudança Social
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.
Pediatr Dent ; 41(6): 455-467, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31882032

RESUMO

Purpose: Existing studies on adverse events (AEs) in pediatric dentistry have been limited in scope. The purpose of this study was to develop a comprehensive list of pediatric dental adverse events and assess their occurrences among pediatric dentists. This study developed the first inventory of pediatric dental adverse events. Methods: Over a three-month period, semistructured interviews were conducted with domain expert pediatric dentists to develop a comprehensive list of AEs occurring in pediatric dentistry. American Academy of Pediatric Dentistry (AAPD) members were invited to complete a validated 15-item survey about their experience with pediatric dental AEs. Data analysis was performed to determine the percentage of pediatric dentists experiencing AEs. Results: A total of 193 pediatric dental AEs were identified through interviews and surveys; 1,042 AAPD members completed the survey (response rate equals 16.3 percent). The most common AEs experienced were post-treatment soft tissue trauma (86.1 percent), nicking/damaging of adjacent teeth (52.0 percent), and intraoperative soft tissue damage (47.1 percent). The least commonly experienced AEs were patients requiring CPR (0.5 percent) and patients aspirating materials (0.4 percent). Conclusions: A significant proportion of pediatric dentists experienced adverse events, and a small but poignant number indicated that their patients faced moderate to severe AEs.


Assuntos
Atitude do Pessoal de Saúde , Odontopediatria , Criança , Odontólogos , Humanos , Inquéritos e Questionários , Estados Unidos
10.
Pediatr Dent ; 41(6): 464-471, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31882033

RESUMO

Purpose: Presenteeism, or working while sick, results in loss of productivity and risk of spreading disease. The purpose of the present study was to identify current work practices and beliefs related to presenteeism, including demographic and practice factors that may significantly relate to presenteeism among practicing dentists in the United States. Methods: A survey of American Academy of Pediatric Dentistry members assessed dentists' practices and beliefs regarding presenteeism. Data were analyzed using descriptive statistics, chi-square test, and multi-variate logistic regression. Results: Most respondents (86 percent) worked at least once while sick in the last year. Years in practice, region, and student debt level were significantly associated with presenteeism after adjusting for confounders. Reasons for presenteeism were related to practice type, gender, years in practice, region, and salary type. Conclusions: The majority of pediatric dentists treat patients while sick. Pediatric dentists are influenced to practice while sick due to perceived economic and social pressures, including meeting expectations of colleagues and patients.


Assuntos
Odontólogos , Odontopediatria , Distribuição de Qui-Quadrado , Criança , Humanos , Padrões de Prática Odontológica , Inquéritos e Questionários , Estados Unidos
13.
J Indian Soc Pedod Prev Dent ; 37(4): 345-349, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31710008

RESUMO

Aim: The aim of the study was to assess the prevalence of dental fear and anxiety among children aged 4-13 years using three fear scales, i.e., facial image scale (FIS), Nepalese version of Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), and Modified Child Dental Anxiety Scale (MCDAS). Materials and Methods: The study was conducted on 300 children (4-13 years) who visited the Department of Pedodontics and Preventive Dentistry. The fear and anxiety levels were measured using three fear measurement scales, i.e., FIS, Nepalese version of CFSS-DS, and MCDAS. The dental behavior observed was rated according to the Frankl's Behavior Rating Scale (FBRS). Results: The prevalence of dental fear according to FIS was 11.9% as evident from children having FIS 4 and 5 scores. Dental fear with CFSS-DS ≥38 was identified in 49 children (21 [12.5%] male and 28 [21.21%] female). In assessment of the behavior of children in the clinics through FBRS, it was observed that the maximum number of respondents (70.6%) showed Frankl's rating 3, i.e., positive. Conclusion: The Nepalese versions of the CFSS-DS and the MCDAS are both reliable and valid scales for evaluating dental anxiety and fear in young children. Assessing dental anxiety and fear is useful, as behavior management can be designed accordingly for child patients.


Assuntos
Comportamento Infantil , Ansiedade ao Tratamento Odontológico , Adolescente , Criança , Pré-Escolar , Medo , Feminino , Humanos , Masculino , Odontopediatria , Prevalência
14.
J Indian Soc Pedod Prev Dent ; 37(4): 350-359, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31710009

RESUMO

Background: The goal of any good dental treatment is to provide a quality dental care to the patient. This may not be possible if the patient is unwilling to cooperate or unable to do so due to their age or related factors. In such children, behavior management techniques are very helpful. With changing times, there have been changes in the law and the outlook of parents and society toward dental treatment. This influences the various behavior management methods used by pediatric dentists. Objectives: This study was conducted to assess the attitudes of parents of children of different pediatric age groups towards: Behavior management techniques used by pediatric dentists The effect of maternal anxiety on the child's behavior in clinic Pharmacological behavior management techniques The effect of parental presence in the operatory on the child's behavior. Materials and Methods: Three hundred parents were evaluated and divided into three groups comprising 100 each on the basis of their children's age, Group A: 2-5 years, Group B: 6-9 years, and Group C: 10-13 years, which were further divided into two subgroups, on the basis of the child's gender, with each subgroup having parents of 50 male and 50 female children each. For example, Group A1: 50 parents of 2-5-year-old boys, Group A2: 50 parents of 2-5-year-old girls. Results: ANOVA test showed different hierarchies of acceptance for the techniques in all the groups. In all the three groups, tell show do, positive reinforcement, and live modeling were the most accepted techniques. However, statistically significant difference between the groups was not observed for the three techniques. The least accepted techniques for all the groups were hand over mouth technique and voice control technique. Conclusion: Parents were more receptive of those techniques which were visually more acceptable involving a communicative management, such as tell show do, positive reinforcement, and live modeling.


Assuntos
Odontopediatria , Restrição Física , Atitude , Criança , Comportamento Infantil , Pré-Escolar , Feminino , Humanos , Masculino , Pais
16.
Dent Med Probl ; 56(4): 337-341, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31596061

RESUMO

BACKGROUND: Psychological methods are the preferred behavior management techniques (BMTs) for children in the dental clinical set. However, sometimes they are not successful. On such occasions, pharmacological methods can be good alternatives. Intravenous sedation is one of these methods, which are very useful in behavior management. It is highly effective when applied appropriately. OBJECTIVES: The aim of this study was to evaluate the efficacy of intravenous sedation using dexmedetomidine in comparison with ketamine and atropine in uncooperative children during dental treatment. MATERIAL AND METHODS: The study was performed on 40 healthy uncooperative children aged 2-6 years. They were equally and randomly divided into 2 groups: group D - intravenous dexmedetomidine with a loading dose of 1 µg/kg body weight (b.w.), which was followed by 0.2 µg/kg b.w./h via continuous infusion; and group K - intravenous ketamine 2 mg/kg b.w. with atropine 0.01 mg/kg b.w. Vital signs, recovery time and adverse effects were all recorded. Behavior was also evaluated using the Ohio State University Behavioral Rating Scale (OSUBRS). RESULTS: Statistically significant differences appeared in the degree of behavior between the 2 groups (p = 0.03). Group D did better than group K. The mean recovery time was shorter in group D than in group K, but there were no statistically significant differences (p = 0.12). No side effects, episodes of cardiovascular or respiratory instability were reported in either group. CONCLUSIONS: The use of intravenous sedation in managing uncooperative children is more effective with dexmedetomidine than with ketamine. The addition of atropine as an adjunct to intravenous ketamine sedation helps in preventing complications.


Assuntos
Hipnóticos e Sedativos , Criança , Pré-Escolar , Dexmedetomidina , Humanos , Ohio , Odontopediatria , Estudos Prospectivos
17.
Eur Arch Paediatr Dent ; 20(6): 507-516, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31631242

RESUMO

AIM: To update the exisitng European Academy of Paediatric Dentistry (EAPD) 2009 fluoride guidelines. METHODS: Experts met in Athens, Greece duirng November 2018 for the following groups: I Fluoride toothpastes, II Fluoride gels, rinses and varnishes, III Fluoridated milk, fluoridated salt, tablets/lozenges and drops, IV Water fluoridation. Systematic reviews and meta-analyses were reviewed and discussed for each of the groups. The GRADE system was used to assess the quality of evidence which was judged as HIGH, MODERATE, LOW or VERY LOW based on the assessment of eight criteria which can influence the confidence of the results. Following the quality assessment, GRADE was then used to indicate the strength of recommendation for each fluoride agent as STRONG or WEAK/CONDITIONAL. RESULTS: Parents must be strongly advised to apply an age-related amount of toothpaste and assist/supervise tooth brushing until at least 7 years of age. The EAPD strongly endorses the daily use of fluoride as a major part of any comprehensive programme for the prevention and control of dental caries in children. Regardless of the type of programme, community or individually based, the use of fluoride must be balanced between the estimation of caries-risk and the possible risks of adverse effects of the fluorides. Fluoride use is considered safe when the manufacturer's instructions are followed. Preventive programmes should be re-evaluated at regular intervals and adapted to a patient's or population's needs and risks. CONCLUSIONS: For the majority of European Countries, the EAPD recommends the appropriate use of fluoride toothpaste in conjunction with good oral hygiene to be the basic fluoride regimen.


Assuntos
Cárie Dentária , Fluoretos , Animais , Cariostáticos , Criança , Europa (Continente) , Grécia , Humanos , Odontopediatria , Cremes Dentais
19.
Rev. Cient. CRO-RJ (Online) ; 4(2): 42-45, May-Aug. 2019.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1024856

RESUMO

Objective: The aim of this article was to describe a case of Robinow syndrome in a pediatric patient. Case Report: Clinically, the patient had frontal bossing, flat facial profile with macrocephaly, midfacial hypoplasia, hypertelorism, wide palpebral fissures, triangular mouth, short upturned nose, short philtrum, ankyloglossia, prolonged retention of primary teeth and abnormal aligment of teeth. The radiographic exams indicated the presence of three impacted permanent supernumerary teeth, agenesis of eight permanent teeth and dental root shortening of all permanent teeth. The treatment proposed was the extraction of all retained primary teeth and the supernumerary teeth, dietary and oral hygiene instructions and orthodontic treatment. Also, important aspects to avoid complications associated with Robinow syndrome were discussed. Conclusion: This case describes uncommon oral findings and some important aspects to avoid complications associated with the Robinow syndrome. Early professional advice, treatment, and periodical follow-ups can improve the quality of life of these patients.


Objetivo: O objetivo deste artigo foi descrever um caso de síndrome de Robinow em um paciente pediátrico. Relato de Caso: Clinicamente, o paciente apresentava bossas frontais, perfil facial plano com macrocefalia, hipoplasia da face média, hipertelorismo, fissuras palpebrais amplas, boca triangular, nariz curto, filtro curto, anquiloglossia, retenção prolongada de dentes decíduos e dentes desalinhados. Os exames radiográficos indicaram a presença de três elementos supranumerários permanentes impactados, agenesia de oito dentes permanentes e encurtamento radicular de todos os dentes permanentes. O tratamento proposto foi a extração de todos os dentes decíduos retidos e os elementos supranumerários, instruções de higiene bucal e dietética e tratamento ortodôntico. Além disso, aspectos importantes para evitar complicações associadas à síndrome de Robinow são discutidos. Conclusão: Este caso descreve achados orais incomuns e alguns aspectos importantes para evitar complicações associadas à síndrome de Robinow. Aconselhamento profissional precoce, tratamento e acompanhamento periódico podem melhorar a qualidade de vida desses pacientes.


Assuntos
Odontopediatria , Síndrome , Saúde Bucal , Assistência Odontológica
20.
Cochrane Database Syst Rev ; 8: CD012595, 2019 08 08.
Artigo em Inglês | MEDLINE | ID: mdl-31425627

RESUMO

BACKGROUND: School dental screening refers to visual inspection of children's oral cavity in a school setting followed by making parents aware of their child's current oral health status and treatment needs. Screening at school intends to identify children at an earlier stage than symptomatic disease presentation, hence prompting preventive and therapeutic oral health care for the children. This review evaluates the effectiveness of school dental screening in improving oral health status. It is an update of the original review, which was first published in December 2017. OBJECTIVES: To assess the effectiveness of school dental screening programmes on overall oral health status and use of dental services. SEARCH METHODS: Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 4 March 2019), the Cochrane Central Register of Controlled Trials (CENTRAL, the Cochrane Register of Studies, to 4 March 2019), MEDLINE Ovid (1946 to 4 March 2019), and Embase Ovid (15 September 2016 to 4 March 2019). The US National Institutes of Health Trials Registry (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform were searched for ongoing trials. No restrictions were placed on language or publication status when searching the electronic databases; however, the search of Embase was restricted to the last six months due to the Cochrane Centralised Search Project to identify all clinical trials and add them to CENTRAL. SELECTION CRITERIA: We included randomised controlled trials (RCTs) (cluster or parallel) that evaluated school dental screening compared with no intervention or with one type of screening compared with another. DATA COLLECTION AND ANALYSIS: We used standard methodological procedures expected by Cochrane. MAIN RESULTS: We included seven trials (five were cluster-RCTs) with 20,192 children who were 4 to 15 years of age. Trials assessed follow-up periods of three to eight months. Four trials were conducted in the UK, two were based in India and one in the USA. We assessed two trials to be at low risk of bias, two trials to be at high risk of bias and three trials to be at unclear risk of bias.None of the trials had long-term follow-up to ascertain the lasting effects of school dental screening.None of the trials reported the proportion of children with untreated caries or other oral diseases, cost effectiveness or adverse events.Four trials evaluated traditional screening versus no screening. We performed a meta-analysis for the outcome 'dental attendance' and found an inconclusive result with high heterogeneity. The heterogeneity was found to be, in part, due to study design (three cluster-RCTs and one individual-level RCT). Due to the inconsistency, we downgraded the evidence to 'very low certainty' and are unable to draw conclusions about this comparison.Two cluster-RCTs (both four-arm trials) evaluated criteria-based screening versus no screening and showed a pooled effect estimate of RR 1.07 (95% CI 0.99 to 1.16), suggesting a possible benefit for screening (low-certainty evidence). There was no evidence of a difference when criteria-based screening was compared to traditional screening (RR 1.01, 95% CI 0.94 to 1.08) (very low-certainty evidence).In one trial, a specific (personalised) referral letter was compared to a non-specific one. Results favoured the specific referral letter with an effect estimate of RR 1.39 (95% CI 1.09 to 1.77) for attendance at general dentist services and effect estimate of RR 1.90 (95% CI 1.18 to 3.06) for attendance at specialist orthodontist services (low-certainty evidence).One trial compared screening supplemented with motivation to screening alone. Dental attendance was more likely after screening supplemented with motivation, with an effect estimate of RR 3.08 (95% CI 2.57 to 3.71) (low-certainty evidence).Only one trial reported the proportion of children with treated dental caries. This trial evaluated a post screening referral letter based on the common-sense model of self-regulation (a theoretical framework that explains how people understand and respond to threats to their health), with or without a dental information guide, compared to a standard referral letter. The findings were inconclusive. Due to high risk of bias, indirectness and imprecision, we assessed the evidence as very low certainty. AUTHORS' CONCLUSIONS: The trials included in this review evaluated short-term effects of screening. We found very low-certainty evidence that is insufficient to allow us to draw conclusions about whether there is a role for traditional school dental screening in improving dental attendance. For criteria-based screening, we found low-certainty evidence that it may improve dental attendance when compared to no screening. However, when compared to traditional screening, there is no evidence of a difference in dental attendance (very low-certainty evidence).We found low-certainty evidence to conclude that personalised or specific referral letters may improve dental attendance when compared to non-specific counterparts. We also found low-certainty evidence that screening supplemented with motivation (oral health education and offer of free treatment) may improve dental attendance in comparison to screening alone. For children requiring treatment, we found very-low certainty evidence that was inconclusive regarding whether or not a referral letter based on the 'common-sense model of self-regulation' was better than a standard referral letter.We did not find any trials addressing possible adverse effects of school dental screening or evaluating its effectiveness for improving oral health.


Assuntos
Cárie Dentária/prevenção & controle , Saúde Bucal , Odontopediatria , Serviços de Odontologia Escolar/métodos , Instituições Acadêmicas , Odontopatias/diagnóstico , Adolescente , Criança , Pré-Escolar , Humanos , Medicina Preventiva , Ensaios Clínicos Controlados Aleatórios como Assunto , Serviços de Odontologia Escolar/estatística & dados numéricos
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