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1.
J Clin Pediatr Dent ; 44(5): 323-331, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-33181841

RESUMO

OBJECTIVE: To analyze gender differences in personal and professional demographics, job perceptions and work satisfaction between male and female pediatric dentistry academic leaders in the United States and Canada. STUDY DESIGN: A 40-question survey was sent electronically to department chairs requesting information about demographics, current circumstances of the position, professional history, and opinions about the position. Data was analyzed by the sex of the respondent. RESULTS: Eighty-eight surveys were distributed electronically and 55 chairs responded (response rate: 62.5%). Women comprised 29.5% of the sample, were younger and had less leadership training than men. Men had served longer in the position (t(41)=2.02, p=0.05) and had higher ranking academic titles. Women spent more time managing personnel (p=0.026), creating courses and programs (p=0.029), and teaching (p=0.006) than men. Female chairs perceived to have a difficult relationship with the faculty (p=0.027), felt they received less faculty support (p=0.002), and were significantly more dissatisfied in the job (p=0.037). Men were more stressed about a heavy workload than women (p=0.001). CONCLUSION: Gender was significantly related to the demographics, experience, perceptions of the skills and abilities required for job performance, time management and job satisfaction for pediatric dentistry department chairs in American and Canadian institutions.


Assuntos
Centros Médicos Acadêmicos , Odontopediatria , Canadá , Criança , Feminino , Humanos , Liderança , Masculino , Fatores Sexuais , Estados Unidos
2.
J Clin Pediatr Dent ; 44(4): 221-227, 2020 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-33167023

RESUMO

Dental treatment for anxious or fearful intellectually disabled children/adolescents (IDCA) may present great challenges, due to deficits in cognitive, intellectual, language, and social abilities, in conjunction with limited adaptive behavior. In many cases, it is necessary for the Dentist to implement advanced behavioral control techniques. Inclusive Dentistry (ID) considers profoundly each patient's individual interests and likes, including the social and family situations, for choosing the respective personalized plan -contemplating potential risks and benefits- for the behavior control, in order to obtain the maximal possible cooperation of the patient in the dental chair. Through ID, the Pediatric Dental Practitioner aims to alleviate the anxiety and fear of IDCA in the clinical setting, in such a way that these patients are positively motivated, on a long-term basis, for current and future oral care, both at the dental office and at home. This management approach may be a time-consuming method or require more effort by the dentist, but it reaps benefits when applied for many mild-to-moderate (and some severe) IDCA. The Practitioner must possess the knowledge, in-depth understanding, and professional training for the adequate use of ID during the behavioral management of anxious or fearful IDCA. The aim of the present report was to describe four representative clinical cases of IDCA at our Clinic, managed under the philosophical principles of ID.


Assuntos
Deficiência Intelectual , Adolescente , Criança , Odontologia , Odontólogos , Medo , Humanos , Deficiência Intelectual/terapia , Odontopediatria , Papel Profissional
3.
Pediatr Dent ; 42(5): 354-358, 2020 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-33087219

RESUMO

Purpose: The purpose of this study was to assess the trends and evidence typology published in the journal Pediatric Dentistry over the last two decades (1999 to 2018). Methods: All articles from Pediatric Dentistry published between 1999 to 2018 were reviewed manually. Articles were assessed by topic, study design, level of evidence, source of funding, and country of origin. Letters to the editor, editorials, abstracts, short communications, practice guidelines, technical papers, and organization-related communications were excluded from the analysis. Results: A total of 1,311 papers from Pediatric Dentistry were included for the final analysis. Across the 20 years, cariology (12.7 percent) was the most published topic, followed by restorative dentistry (10.6 percent) and systemic diseases (9.4 percent). The quality of evidence varied from level Ia (1.0 percent), level Ib (9.7 percent), level IIa (1.1 percent), level IIb (15.0 percent), level IIc (5.0 percent), and level III (50.1 percent). Forty-three different countries contributed to this publication history, with the USA, UK, and Brazil accounting for over half of the articles. Conclusion: There has been an increase in both the quantity and quality of evidence published in Pediatric Dentistry articles between 1999 and 2018 versus the previous three decades (1969 to 1998).


Assuntos
Bibliometria , Odontopediatria , Brasil , Criança , Humanos
4.
J Indian Soc Pedod Prev Dent ; 38(3): 293-303, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33004729

RESUMO

Introduction: Basic behavioral guidance (BBG) skills help in delivery of quality health care in pediatric dentistry. The complex nature of these skills, warrants analyzing actions performed. An appropriate scientific way to do this is by "reflection." Hence, the present study was designed to introduce "reflection of action" as means for learning BBG skills by undergraduates in pediatric dentistry. Methods: Participants (dental undergraduate) performed oral prophylaxis (two visits) in pediatric patients (age 3-7 years) with application of BBG skills, under video recording. They were instructed regarding "reflection on action." The learners then reviewed own videos and wrote reflections. Reflections were assessed on Boud's 4R framework and feedback was given by the faculty. Reflective writing was repeated for a second visit. Knowledge of the learners in using reflections for learning was assessed by retrospective pretest posttest questionnaire. Video recordings were scored for BBG skills. Acceptability of the intervention was addressed by satisfaction questionnaire. Results: There was a significant improvement in the knowledge of participants in using reflections for learning these skills. All participants were able to "revisit" (R1 level under Boud's 4R framework) patient encounter in their written reflections. Sixteen participants exhibited shift toward higher levels in the next visit. Video scores of learners also improved significantly over both visits. Students were satisfied with the content, delivery, and relevance of the new educational intervention. Conclusion: The strong need of improving BBG skills in pediatric dentistry was met by "reflection on action." There was improvement in the knowledge of students in using reflections for learning and application of behavior guidance skills and was well accepted.


Assuntos
Aprendizagem , Odontopediatria , Criança , Humanos , Estudos Retrospectivos , Inquéritos e Questionários , Redação
5.
J Am Dent Assoc ; 151(10): 755-763, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32979954

RESUMO

BACKGROUND: Nonsurgical caries management, particularly silver diamine fluoride (SDF) and Hall-style crowns, present alternative options for populations that have barriers to traditional treatment. The authors aimed to assess changes in the teaching and utilization of these modalities in pediatric dental residency programs. METHODS: The authors e-mailed a 29-question electronic survey regarding the utilization and teaching of nonsurgical caries management agents to US pediatric dentistry residency program directors. Data were compared with results from a similar survey conducted in 2015 to analyze trends, report protocols, barriers for utilization, and possible reasons for changes. RESULTS: Respondents from 82 programs completed the surveys (89% response rate). Although only 26% of respondents reported using SDF in 2015, 100% reported its utilization in 2020 (P < .001). The Hall-style crown technique is taught didactically in 90% of programs, and 69.5% of respondents use it at least sporadically in their clinics. Long wait times for the operating room (4 weeks-14 months) and sedation (1 week-12 months) motivate increased utilization of SDF, interim therapeutic restorations, and Hall-style crowns. Guidelines supporting off-label utilization of SDF have also resulted in its increased utilization. CONCLUSIONS: US pediatric residency programs have universally adopted SDF for caries arrest in the primary dentition, and this trend seems to extend to other nonsurgical caries management agents. These changes are likely driven by diverse barriers to delivery of traditional restorative care. PRACTICAL IMPLICATIONS: The rapid increases in teaching and utilization of minimal intervention techniques provide clinicians with more options for caries management in patients with barriers to traditional treatment.


Assuntos
Cárie Dentária , Internato e Residência , Cariostáticos/uso terapêutico , Criança , Coroas , Cárie Dentária/prevenção & controle , Fluoretos Tópicos/uso terapêutico , Humanos , Odontopediatria , Compostos de Amônio Quaternário , Compostos de Prata
6.
Eur J Paediatr Dent ; 21(3): 172, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32893645

RESUMO

The European Journal of Paediatric Dentistry (EJPD) has reached the extraordinary Impact Factor of 1.5 (Journal Citation Reports 2020 Release), passing in few years from 0.421 in 2015, when Luigi Paglia became Editor in Chief, taking over the Journal after Giuliano Falcolini. EJPD is the official journal of the Italian Society of Paediatric Dentistry (SIOI), but its scientific value and diffusion made it an authoritative reference source not only in Europe, but also worldwide. This is the result of the great work and commitment of the Editorial Board, composed by national and international experts, with the collaboration of the Managing Director Giuseppe Marzo and of the editorial staff. The prominent position that EJPD has gained in the international ranking of dental journals, where the top tier is dominated by those that mainly focus on adult patients, rewards its constant pursue of excellence of the scientific approach, giving at the same time great importance to articles dealing with everyday practice. This is the reason why the papers published in the EJPD are so rich in images. Communication through images is paramount for the current generation and generations to come. Digital diagnostic instruments and advanced treatments, 3D technologies, the current concepts of aerosol and no aerosol technique, together with the progress in the field of new dental materials, like bioactive cements for paediatric restorations or new biocompatible technopolymers (milled or 3D printed) for dentofacial orthopaedics and orthodontics are areas of great interest. We believe that our Journal should pay special attention to papers that take into account the overall health and wellness of the child using safe and efficient preventive, therapeutic or comfort techniques (laser, ozone, relative analgesia, caries diagnosis with transillumination, etc), also considering the importance of environmental conditions and promoting the collaboration with other specialists, with a focus on special need patients. EJPD also aims at guiding young paediatric dentists-graduating from postgraduate schools and residency programmes in paediatric dentistry-with a more comprehensive approach to the practical aspects of the profession, while striving to become the global scientific reference point of maternal and child oral care, defending them from the attractive flatteries of the predatory journals.


Assuntos
Fator de Impacto de Revistas , Odontopediatria , Criança , Europa (Continente) , Humanos , Itália
7.
Eur J Paediatr Dent ; 21(3): 173-175, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32893646

RESUMO

COVID-19, acronym of coronavirus disease 2019, is a viral infectious disease which rapidly developed as a pandemic. The aetiologic agent of COVID-19 is SARS-CoV-2, or severe acute respiratory syndrome coronavirus 2. The 2019 coronavirus is different from SARS-CoV, but it has the same host receptor: human angiotensin-converting enzyme 2 (ACE2). SARS-CoV-2 was first discovered in 2019 in Wuhan, China, unfortunately spreading globally, resulting in the 2019-2020 pandemic, as declared by the World Health Organization (WHO). This disease started in Asia and has spread worldwide with 1,330,240 cases and 73,868 deaths at the time of writing (6th April, 2020) and many more if this disease is not contained fast. The only effective prevention methods, until a vaccine for this disease will be produced, is active testing and containment measures. This is how China, South Korea and to some extent India have been able to reduce new cases and mortality. The health care workers, especially dentists are the most vulnerable groups of people when facing this virus.


Assuntos
Infecções por Coronavirus , Pandemias , Odontopediatria , Pneumonia Viral , Betacoronavirus , Criança , China , Humanos
8.
Eur J Paediatr Dent ; 21(3): 180-182, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32893647

RESUMO

AIM: In paediatric dentistry it is essentials to reduce axiety and fear induced by local anaesthetic injection, in order to obtain patient's cooperation and achieve a successful treatment. Hence, this review is aiming to primary evaluate pain perception in paediatric patients when using a computer-controlled local anaesthetic delivery system (C-CLADS) compared to traditional injection. MATERIALS AND METHODS: A database literature search was conducted on both MEDLINE and Cochrane Central Register of Controlled Trials and a data extraction table was created to perform a critical evaluation of each scientific article. The primary results were the perception of pain during anaesthesia and the patient's behaviour, the secondary the amount of anaesthetic required and its duration over time. RESULTS: In the review were included 7 clinical studies regarding paediatric patients where split-mouth designs or group division were used. The age range was between 5 and 17 years old. Pain and fear parameters were measured by visual analogue scales, behavioural scales, heart rate and satisfaction questionnaires. CONCLUSION: Substantial heterogeneity between clinical trials was observed, which led to difficult comparison. Computerised devices have proved to be interesting in reducing pain during anaesthesia, improving the approach to the paediatric patient. It is advisable to conduct research with anxious subjects and patients under the age of 4, because no evidence has been found in the literature. It is recommended to conduct further research with anxious subjects and patients below the age of 4, where Relative Analgesia by Langa or pharmacological anxiolysis are frequently used.


Assuntos
Anestesia Dentária , Odontopediatria , Adolescente , Anestesia Local , Anestésicos Locais , Criança , Pré-Escolar , Humanos , Percepção da Dor
9.
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
10.
J Indian Soc Pedod Prev Dent ; 38(2): 104-109, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32611853

RESUMO

Purpose: A web-based questionnaire survey was undertaken among the heads of pediatric dentistry departments to find out trainings received, participation in administrative responsibilities, expectations, stress related to the position, and overall satisfaction levels in dental institutes of India. Methodology: An online survey was sent to 188 heads of the pediatric dentistry after formulating and piloting the questionnaire. A descriptive analysis was performed using SPSS version 18.0. Results: Fifty-seven males and 43 females, making a total of 100 responses were received, making 53.2% response rate. The main issues came out to be lack of adequate training about the leadership role of heads and inadequate participation in major administrative activities related to department. The stress was primarily due to extensive paperwork, meetings, and effect on interpersonal relationships. Conclusion: It could be concluded that the respondents were not having a free hand in handling respective departments and there had been lack of formal trainings about leadership abilities and other soft skills before being appointed as head of the department.


Assuntos
Liderança , Motivação , Criança , Feminino , Humanos , Índia , Masculino , Odontopediatria , Inquéritos e Questionários
11.
PLoS One ; 15(7): e0235671, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32649689

RESUMO

BACKGROUND: Antibiotics are regularly prescribed by dental professionals in their practice, for the purpose of dental treatment as well as for the prevention of infection. The inappropriate use of antibiotics is a significant factor in the rise of antibiotic resistance. There is an immediate need for the advancement of prescribing guidelines and instructive polices to encourage the rational and appropriate utilization of medications especially antibiotics in dentistry. OBJECTIVE: The aim of this study was to identify the frequency of antibiotic prescription for treating dental infections in children among dentists in teaching institutions of Karachi, Pakistan and whether they are adhering to the prescribed international guidelines. METHODS: A cross-sectional study was conducted in three private and two public colleges of Karachi. After taking written informed consent and checking the inclusion criteria, a total of 380 participants were interviewed using a pre-designed validated questionnaire which included demographic profile and clinical case scenarios. Data were entered and analyzed on SPSS version 20. Inferential analysis was performed using chi-square test. The significance level was set at 0.05. RESULTS: Of the 380 subjects, a majority (71.3%) treated 15 or less children per month (n = 271) while 28.7% of dentists (n = 109) treated more than 15 children per month. Overall adherence to American Academy of Pediatric Dentistry guidelines was low from 26.1% to 44.2%. The difference between adherence of dentists with low and high volume of pediatric patients was significantly different for case scenarios 1, 3, 4 and 5 (p<0.001 for all) where dentists who treated 15 or less children per month were more likely to be adherent to standard antibiotic prescription guidelines than those who treated more than 15 children per month. CONCLUSIONS: This study shows that majority of dentists, particularly dentists with high volume of pediatric patients lacked adherence to professional guidelines for prescribing antibiotics for treating dental infection in children. There seem to be a lack of harmony between the recommended professional guidelines and the antibiotic prescribing pattern of dentists. Regular updates and continuing medical education for the health professionals regarding comprehensible and specific professional guidelines may lead to improved adherence of antibiotics prescription amongst dentists.


Assuntos
Antibacterianos/uso terapêutico , Odontólogos/psicologia , Prescrições de Medicamentos/estatística & dados numéricos , Padrões de Prática Odontológica/estatística & dados numéricos , Doenças Dentárias/tratamento farmacológico , Adulto , Criança , Pré-Escolar , Estudos Transversais , Feminino , Fidelidade a Diretrizes , Humanos , Lactente , Entrevistas como Assunto , Masculino , Paquistão , Odontopediatria , Inquéritos e Questionários , Doenças Dentárias/microbiologia , Adulto Jovem
12.
JDR Clin Trans Res ; 5(4): 307-311, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32663415

RESUMO

KNOWLEDGE TRANSFER STATEMENT: This article aims to acquaint clinicians treating pediatric patients with COVID-19 hazards and delineate the steps required for minimizing cross-infection in case of providing emergency treatment to children in dental offices.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Criança , Humanos , Odontopediatria
15.
Eur J Paediatr Dent ; 21(2): 89, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: covidwho-612268

RESUMO

Coronaviruses are a large family of respiratory RNA viruses that can cause severe infections of the airways, as we have seen in the past, difficult months. We know that the route of transmission of the disease is through saliva droplets produced by speaking, coughing and sneezing. The virus is highly infectious, and each infected individual infects 2.5 people on average. The average incubation period is about 5 days, with an estimated range from 2 to 14 days; the incubation period in children is similar, however some have exhibited a longer incubation. The virus binds to the cellular receptor ACE2, which in children has a structural and functional immaturity thus offering lower affinity to the pathogen; this could explain the lower incidence of infection from SARS-CoV-2 in this segment of the population.The common clinical observation is that COVID-19 is less severe in children, and in this group the disease is often asymptomatic. Pending further clinical studies able to clarify the infection and transmission dynamics, it is therefore important to apply also in children all preventive and hygiene measures recommended by the health authorities during dental treatment. We should avoid procedures that generate aerosols as much as possible, minimising the use of the air syringe. When possible, it is recommended to employ minimally invasive procedures and ART (Atraumatic Restorative Treatment). The latter is a technique that can also be employed in very young and uncooperative patients with widespread carious lesions, in order to avoid more invasive and complex procedures. Ozone therapy could be of great help in the control of the progression of the asymptomatic carious lesions, especially during the Phase 2 of reopening, when we should to minimise the use of rotating instruments producing aerosols. The above introduces a new concept of "no aerosol" that will possibly guide our therapeutic choices not only in the immediate future but also in the long term, opening scenarios of prevention and cure that are more efficient, safe, and sustainable. During procedures that generate aerosols, the use of proper PPE is crucial to minimise the risk of transmission. It is also strongly recommended to work with an assistant, and to use double suction and a rubber dam. We will have to rethink and review the schedule of daily activities, in terms of timing and mode of delivery of care, on the basis of an agenda which can be divided into "no aerosol" and "aerosol" procedures, and "virtual visits" (including management of true emergencies), creating a virtuous optimisation of care for the safety of operators and office staff, as discussed in an article published on this very EJPD issue. In the coming months we will perhaps deliver more "patient-oriented" than "tooth-oriented" treatments, and this is true not only for young patients!


Assuntos
Betacoronavirus , Tratamento Dentário Restaurador sem Trauma , Criança , Infecções por Coronavirus , Humanos , Pandemias , Odontopediatria , Pneumonia Viral
16.
Braz Dent J ; 31(2): 186-189, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32556019

RESUMO

This report describes the diagnostic process of a rare disorder in a Brazilian female child. The patient presented initially as a 7-year-old with multiple whitish submucosal nodules of a fibrous consistency in the lower lip, but with an inconclusive pathology report. When she turned 9 years of age, she presented with exacerbation of the original clinical findings, which then involved the upper lip, buccal mucosa, tongue and lingual frenulum. In addition, dermatological lesions were noted on the child's limbs and face, as well as a hoarse voice. Histopathological examination of the buccal mucosa revealed dense connective tissue with hyaline foci, which were positive with periodic acid-Schiff (PAS) staining and resistant to diastase digestion. Clinical and histopathological findings led to the diagnosis of a rare genetic disease with fewer than 300 reported cases - lipoid proteinosis. Magnetic resonance imaging revealed calcium deposits in her amygdaloid region of the brain, and nasopharyngolaryngoscopy revealed lesions in her vocal cords. The patient currently is stable and under multidisciplinary follow-up, but no treatment has been recommended to date.


Assuntos
Proteinose Lipoide de Urbach e Wiethe , Doenças Raras , Brasil , Criança , Feminino , Humanos , Odontopediatria , Pele
17.
Eur J Paediatr Dent ; 21(2): 89, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32567938

RESUMO

Coronaviruses are a large family of respiratory RNA viruses that can cause severe infections of the airways, as we have seen in the past, difficult months. We know that the route of transmission of the disease is through saliva droplets produced by speaking, coughing and sneezing. The virus is highly infectious, and each infected individual infects 2.5 people on average. The average incubation period is about 5 days, with an estimated range from 2 to 14 days; the incubation period in children is similar, however some have exhibited a longer incubation. The virus binds to the cellular receptor ACE2, which in children has a structural and functional immaturity thus offering lower affinity to the pathogen; this could explain the lower incidence of infection from SARS-CoV-2 in this segment of the population.The common clinical observation is that COVID-19 is less severe in children, and in this group the disease is often asymptomatic. Pending further clinical studies able to clarify the infection and transmission dynamics, it is therefore important to apply also in children all preventive and hygiene measures recommended by the health authorities during dental treatment. We should avoid procedures that generate aerosols as much as possible, minimising the use of the air syringe. When possible, it is recommended to employ minimally invasive procedures and ART (Atraumatic Restorative Treatment). The latter is a technique that can also be employed in very young and uncooperative patients with widespread carious lesions, in order to avoid more invasive and complex procedures. Ozone therapy could be of great help in the control of the progression of the asymptomatic carious lesions, especially during the Phase 2 of reopening, when we should to minimise the use of rotating instruments producing aerosols. The above introduces a new concept of "no aerosol" that will possibly guide our therapeutic choices not only in the immediate future but also in the long term, opening scenarios of prevention and cure that are more efficient, safe, and sustainable. During procedures that generate aerosols, the use of proper PPE is crucial to minimise the risk of transmission. It is also strongly recommended to work with an assistant, and to use double suction and a rubber dam. We will have to rethink and review the schedule of daily activities, in terms of timing and mode of delivery of care, on the basis of an agenda which can be divided into "no aerosol" and "aerosol" procedures, and "virtual visits" (including management of true emergencies), creating a virtuous optimisation of care for the safety of operators and office staff, as discussed in an article published on this very EJPD issue. In the coming months we will perhaps deliver more "patient-oriented" than "tooth-oriented" treatments, and this is true not only for young patients!


Assuntos
Betacoronavirus , Tratamento Dentário Restaurador sem Trauma , Criança , Infecções por Coronavirus , Humanos , Pandemias , Odontopediatria , Pneumonia Viral
18.
Br Dent J ; 228(12): 927-931, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32591704

RESUMO

With the use of newly issued guidelines, King's College Hospital has developed new standard operating procedures specifically for the COVID-19 pandemic. Given the unprecedented nature of the current global pandemic, this paper highlights how paediatric dental emergencies can be managed safely and efficiently, as well as new measures which can help reduce transmission of the virus. Furthermore, an audit of the current paediatric dental emergencies attending the hospital is presented. Seventy-six percent of patients attending met the agreed local criteria for urgent treatment, with the most common presentation being irreversible pulpitis. This highlights the types of cases that practitioners enrolled in urgent dental care centres (UDCs) can expect to encounter and how to effectively manage this challenging group of patients.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Pandemias , Odontopediatria , Pneumonia Viral , Criança , Humanos
19.
Eur Arch Paediatr Dent ; 21(5): 543-556, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32557183

RESUMO

PURPOSE: The first aim of this paper is to provide dental professionals caring for children and adolescents during and after the COVID-19 pandemic with a reference to international dental guidelines. The second aim is to suggest minimally invasive treatment alternatives for caries management, minimising the risk of viral cross-infection and offering a safer clinical environment. METHODS: An evidence-based pertinent literature search of different electronic databases was performed in addition to leading global dental authorities, royal colleges, and programmes. RESULTS: All guidelines released in response to COVID-19 centred around minimising Aerosol Generating Procedures (AGP) impacting the provision of regular dental treatment of paediatric patients. There was an emphasis on triaging and only treating emergency and urgent cases. Special attention was given to medically compromised children in the guidelines. Detailed guidelines for the dental environment and equipment were given. This paper also summarised the relevant evidence-based guidelines for the use of non-invasive and minimally invasive caries management techniques. CONCLUSION:  Specific recommendations for dental management of paediatric patients during and in the post-COVID-19 era are suggested. Minimisation of AGP procedures, and case-based selection of biological, non-invasive or minimally invasive methods are recommended.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Cárie Dentária/prevenção & controle , Cárie Dentária/terapia , Pandemias , Odontopediatria , Pneumonia Viral , Guias de Prática Clínica como Assunto , Adolescente , Criança , Humanos
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