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1.
Eur J Paediatr Dent ; 22(1): 75-79, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33719488

RESUMO

AIM: Behaviour management is one of the essential skills of paediatric dentists. Appropriate use of behavioural principles helps the child in developing the skills and behaviours necessary to willingly undergo dental care, not hindered by undue anxiety or fear. However, very little is known about the knowledge of principles regarding behaviour management among paediatric dentists. Contingency management which is based on the principles of behaviour analysis is a widely accepted behavioural management technique and it includes reinforcement and punishment. The aim and objective of this study was to assess the knowledge of paediatric dentists regarding behavioural management principles related to contingency management. MATERIALS AND METHODS: A cross- sectional survey was conducted among paediatric dental professionals and post-graduate students pursuing masters in paediatric dentistry across Tamil Nadu, India using Knowledge of Behavioural Principles as Applied to Children (KBPAC) questionnaire modified for the dental setting. The data were obtained, tabulated and statistically analysed using SPSS. RESULTS: Responses were obtained from 130 participants, comprising 67 paediatric dental professionals and 63 post-graduate students. The overall average knowledge score was 40.72%. The mean knowledge level of paediatric dental professionals was (0.4378) versus (0.3597) among post-graduate students (p <0.05). CONCLUSION: Knowledge of behavioural management principles related to contingency management among paediatric dentists in Tamil Nadu, India is low.


Assuntos
Odontólogos , Odontopediatria , Criança , Estudos Transversais , Humanos , Índia , Inquéritos e Questionários
2.
Pediatr Dent ; 43(1): 33-41, 2021 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-33662248

RESUMO

Purpose: U.S. pediatric dentists require access to hospital operating rooms (ORs) to deliver safe and effective dental care to some children but have reported denial of access to ORs for general anesthesia (GA), causing long waiting times, deferral of medically necessary dental care, and unmeasured pain and anxiety for patients. The purpose of this pilot study was to examine the extent and possible underlying causes of operating room access denial. Methods: Public policy advocates (PPAs) of the American Academy of Pediatric Dentistry completed a written or electronic questionnaire about state-specific OR denials during March 2020. Results: Responses from 50 states and the District of Columbia showed 34 PPAs (67 percent) acknowledging OR access problems, with 14 out of 34 (41 percent) reporting a moderate or major problem. Western district PPAs reported the fewest states affected (four out of 11; 36 percent). Hospitals and reimbursement emerged as frequent foci for denials in comment analysis. Conclusions: Operating room access denial is a problem for pediatric dentists in the majority of U.S. states and the District of Columbia; in those states reporting it as a problem, it was considered moderate or major in significance by almost half.


Assuntos
Salas Cirúrgicas , Odontopediatria , Criança , Odontólogos , Humanos , Projetos Piloto , Inquéritos e Questionários , Estados Unidos
3.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 56(3): 231-237, 2021 Mar 09.
Artigo em Chinês | MEDLINE | ID: mdl-33663151

RESUMO

In recent years, dental treatments of the outpatient children under general anesthesia has gradually developed as a relatively mature behavior management model. Due to the limited operating time and the large patient flow of children in outpatient clinics, higher requirements of management are proposed both in anesthesia and dental treatment phases. The Society of Sedation and Analgesia of the Chinese Stomatological Association organized experts to formulate a guideline of dental treatments of children under general anesthesia in outpatient clinic. The guideline would provide operable implementing criteria for the entire process including general anesthesia in the dental clinics, basic clinical conditions, types of oral diagnosis and treatment, evaluation and preparation before diagnosis and treatment, anesthesia implementation and monitoring, management during the recovery period, common complications and key points of treatments. This guideline will play an important role in the rapid development of the safe and comfort dental treatments of children under general anesthesia in China.


Assuntos
Anestesia Dentária , Odontopediatria , Anestesia Geral , Criança , China , Sedação Consciente , Humanos
4.
Artigo em Inglês | MEDLINE | ID: mdl-33561086

RESUMO

The Regenerative Endodontic Procedure (REP) is a biologically based method in which a damaged pulp-dentin complex is replaced by a new vital tissue. This umbrella review aimed to critically assess the available systematic reviews (SRs) on REP. An electronic database search was conducted (PubMed-Medline, CENTRAL, Scielo, Web of Science, and LILACS) until December 2020. Studies were included if they were an SR on REP. The Risk of Bias (RoB) of SRs was analyzed using the Measurement Tool to Assess SRs criteria 2 (AMSTAR2). The primary outcome was the methodological quality in each specific section of REP protocols and outcomes. From 403 entries, 29 SRs were included. Regarding the methodological quality, ten studies were of critically low, three of low, fourteen of moderate, and two were rated as high quality. The quality of evidence produced by the available SRs was not favorable. Future high standard SRs and well-designed clinical trials are warranted to better elucidate the clinical protocols and outcomes of REP.


Assuntos
Saúde Bucal , Osteogênese , Odontopediatria , Endodontia Regenerativa , Cárie Dentária , Polpa Dentária , Necrose da Polpa Dentária , Humanos , Regeneração
5.
Br Dent J ; 230(1): 14-16, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33420449

RESUMO

For years, the British Society of Paediatric Dentistry has been highlighting the shortage of specialists in paediatric dentistry in the UK and the consequent inadequacy of provision of, and inequality of access to, specialist care. This is a problem which must be addressed nationally. The aim of this article is to understand the obstacles to change and the impact of this continuing shortage, with a particular focus on the decline in the numbers of non-consultant specialists. I will examine the challenges and possible solutions, taking into account the impact of COVID-19 on service delivery.


Assuntos
Criança , Humanos , Odontopediatria , Especialização , Reino Unido
6.
Gen Dent ; 69(1): 26-29, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33350952

RESUMO

The purpose of this study was to evaluate the outcomes of a training initiative aimed at enhancing general dentists' knowledge and clinical skills in pediatric dentistry. Data were gathered from participants in 2-day didactic and preclinical training courses offered at Nicklaus Children's Hospital from December 2015 through December 2016. Clinical knowledge was measured with a 30-item questionnaire, and self-efficacy was measured with standardized instruments. The participants' satisfaction with the course was measured at the end of the program. Data on patterns of treatment were collected pretraining and 3 months posttraining via a follow-up survey. During the study period, 38 general dentists participated in the training program and reported statistically significant increases in knowledge and cognitive skills (P < 0.05). All of the respondents to the follow-up survey reported an increase in the number of children treated and scope of services provided, and all respondents expressed satisfaction with the course (response rate = 34.2%). Training initiatives seeking to enhance the clinical skills and knowledge of general dentists may be an effective tool for modifying patterns of treatment, increasing access to care for children, and maximizing the capacity of the safety net system.


Assuntos
Odontopediatria , Padrões de Prática Odontológica , Atitude do Pessoal de Saúde , Criança , Competência Clínica , Odontólogos , Humanos , Inquéritos e Questionários
7.
Braz. dent. sci ; 24(1): 1-6, 2021. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1145564

RESUMO

Objective: To investigate if video modelling is an effective technique in behaviour modelling of a child in a dental set up. Material and Methods: Fifty children aged 4-6 years indicated for pulpectomy were enrolled in this study. They were selected based on their behaviour using Frankl behaviour rating scale. Children with Frankl behaviour rating 1 and 2 were selected for this study. The video of a child who was cooperative while undergoing pulpectomy was shown to these children. The behaviour was assessed using Frankl behaviour rating scale after the video was shown to the children included in the study. Results: There was a statistically significant difference in the behaviour rating score of the children before after the video of the cooperative child was shown to them. Conclusion: It was observed that video modelling is an effective technique in managing the behaviour of an uncooperative child in a dental set up. (AU)


Objetivo: Investigar se a modelagem em vídeo é uma técnica eficaz no manejo do comportamento de crianças no consultório odontológico. Material e Métodos: Cinquenta crianças, de 4 a 6 anos, indicadas para pulpectomia foram incluídas neste estudo. Elas foram selecionadas com base em seu comportamento utilizando a Escala de Classificação de Comportamento de Frankl. Crianças com classificação de comportamento Frankl 1 e 2 foram selecionadas para este estudo. O vídeo de uma criança que cooperou durante o procedimento de pulpectomia foi mostrado a essas crianças. Posteriormente, o comportamento das mesmas foi avaliado usando a Escala de Classificação de Comportamento de Frankl. Resultados: Houve uma diferença estatisticamente significativa na pontuação da classificação do comportamento das crianças antes e depois do vídeo da criança cooperativa ter sido mostrado a elas. Conclusão: Observou-se que a modelagem em vídeo é uma técnica eficaz no manejo do comportamento de uma criança não cooperativa em um ambiente odontológico (AU)


Assuntos
Humanos , Pré-Escolar , Criança , Ansiedade , Pulpectomia , Criança , Odontopediatria , Medo
8.
Av. odontoestomatol ; 36(4): 180-185, sept.-dic. 2020. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-198587

RESUMO

OBJETIVO: El objetivo del estudio fue evaluar si la sedación consciente reconduce o no la conducta del paciente pediátrico, en la consulta dental. METODOLOGÍA: La muestra del estudio clínico se obtuvo de sesenta y cinco pacientes que no permiten el tratamiento dental en la consulta odontológica,con edades comprendidas entre los 4 y 9 nueve años de edad. RESULTADOS: De los 65 pacientes que representa el 100% de la muestra, se obtuvo que el 86,15% pudo reconducir la conducta después de la sedación consciente. Sin embargo, en el 13,85% el comportamiento después de la sedación consciente no se pudo reconducir. CONCLUSIÓN: La sedación conscientepuede ayudar a reducir la fobia, estrés que los pacientes pediátricos presentes en la consulta dental. Asimismo, nos permiten llevar a cabo el tratamiento previsto, además de ayudar a reconducir la conducta del paciente


INTRODUCTION: The objective of the study was to evaluate whether conscious sedation redirected or not the behavior of the pediatric patient, in the dental office. MATERIALS AND METHODS: The clinical study sample was obtained from sixty-five patients who do not allow treatment in the dental office, aged between 4 and 9 years. RESULTS: Of the 65 patients representing 100% of the sample, it was obtained that 86.15% was able to redirect the behavior after conscious sedation. However, in 13.85% the behavior after conscious sedation could not be redirected. CONCLUSION: Conscious sedation can help reduce phobia, stress that pediatric patients present in the dental office. They also allow us to carry out the planned treatment, in addition to helping to redirect the patient's behavior


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Comportamento Infantil/psicologia , Sedação Consciente/métodos , Assistência Odontológica para Crianças/psicologia , Estudos Transversais , Odontopediatria/organização & administração , Assistência Odontológica para Crianças/organização & administração
9.
Br Dent J ; 229(12): 779-785, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33339924

RESUMO

Local anaesthesia forms the backbone of pain control techniques in dentistry and has a major role in dentistry for children and adults alike. Dental anxiety is still prevalent among children, causing delays in seeking dental care and leading to increased rates in childhood caries, resulting in increased hospital admissions for dental care under general anaesthesia. There is a constant search for more comfortable means of achieving local anaesthesia to provide a more positive experience for paediatric patients when seeking dental treatment. This article aims to provide an overview of local anaesthetic techniques used in paediatric dentistry, as well as methods utilised to make local anaesthetic administration more comfortable and how to increase acceptability.


Assuntos
Anestesia Dentária , Anestésicos Locais , Adulto , Anestesia Geral , Anestesia Local , Criança , Humanos , Odontopediatria
10.
Rev. cuba. estomatol ; 57(4): e2905, Oct.-Dec. 2020. tab
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1144447

RESUMO

RESUMEN Introducción: Existen diversos indicadores y controversias en la prevalencia de caries en niños con y sin discapacidad. Objetivo: Determinar la prevalencia de lesiones de caries cavitadas y no cavitadas mediante el índice CPO-D/ceo-d y el registro de lesión de mancha blanca o lesión no cavitada activa en niños con y sin discapacidad de 0-12 años atendidos en el Centro Odontológico de la Universidad de San Martín de Porres entre los años 2010-2017, Lima, Perú. Métodos: Diseño observacional, transversal y retrospectivo. Población conformada por niños atendidos en la Especialidad de Odontopediatría del durante los años 2010-2017. Se identificaron 71 pacientes: 31 sin discapacidad y 40 con discapacidad. Se revisó el odontograma de la historia clínica, índice CPO-D/ceo-d y lesiones no cavitadas activas para determinar la presencia de caries dental. Resultados: En dentición decidua en niños sin discapacidad, el promedio del total de piezas afectadas (ceo-d + lesiones no cavitadas activas) fue de 15,83 y en los niños con discapacidad fue 11,64; en dientes deciduos de la dentición mixta en niños sin discapacidad se encontró un total de ceo-d de 7,86 y en niños con discapacidad presentaron un ceo-d de 8,20; en dientes permanentes de la dentición mixta en niños sin discapacidad se evidenció un CPO-D de 3,29 y en niños con discapacidad presentaron un CPO-D de 2,27. Solo se halló diferencia estadísticamente significativa del total de piezas afectadas, en dentición decidua de niños con y sin discapacidad (p = 0,013). Conclusiones: Los niños con discapacidad presentaron solo una mayor prevalencia de lesiones de caries cavitadas y no cavitadas en dientes deciduos de la dentición mixta, en contraste con los niños sin discapacidad (sin diferencia estadísticamente significativa). En el resto de las denticiones (decidua y permanente de la mixta) la prevalencia de lesiones de caries en pacientes con discapacidad fue menor, con diferencias estadísticamente significativas(AU)


ABSTRACT Introduction: There are various indicators of and controversies about the prevalence of dental caries in children with and without disabilities. Objective: Determine the prevalence of cavitated and uncavitated carious lesions based on the CPO-D/ceo-d index and the white spot lesion or active uncavitated lesion registry in children with and without disabilities aged 0-12 years attending the Dental Care Center at San Martín de Porres University in the period 2010-2017. Methods: A cross-sectional observational retrospective study was conducted of a population composed of the children attending the pediatric dental care service in the period 2010-2017. Seventy-one patients were identified: 31 without disabilities and 40 with disabilities. A review was done of the dental chart in the medical record, the CPO-D/ceo-d index and active uncavitated lesions to determine the presence of dental caries. Results: Average total affected deciduous teeth (ceo-d + active uncavitated lesions) was 15.83 in children without disabilities and 11.64 in children with disabilities; in mixed dentition deciduous teeth total ceo-d was 7.86 in children without disabilities and 8.20 in children with disabilities; in mixed dentition permanent teeth CPO-D was 3.29 in children without disabilities and 2.27 in children with disabilities. A statistically significant difference in the total affected teeth was only found in deciduous dentition of children with and without disabilities (p = 0.013). Conclusions: Children with disabilities only showed a greater prevalence of cavitated and uncavitated carious lesions in mixed dentition deciduous teeth, in contrast with children without disabilities (not a statistically significant difference). In the remaining dentitions (mixed deciduous and permanent) prevalence of carious lesions was lower in patients with disabilities, with statistically significant differences(AU)


Assuntos
Humanos , Pré-Escolar , Criança , Odontopediatria , Assistência Odontológica para Pessoas com Deficiências/métodos , Cárie Dentária/epidemiologia , Peru , Estudos Transversais , Estudos Retrospectivos , Estudos Observacionais como Assunto
11.
Eur J Paediatr Dent ; 21(4): 257, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33337899

RESUMO

Students are back to school, however this year will bring more than just math tests and oral examinations. The toughest test is the one that scientists will have to face to prevent virus transmission within schools. Data collected in Italy show that of the diagnosed cases of COVID-19, 2.1% involved children aged 0-9 years and 4.0% children aged 10-19 years, with a mortality rate close to zero. In recent weeks, however, there has been a considerable increase in cases in the paediatric and adolescent population-many of which are asymptomatic-and 16% of the cases reported to the health surveillance system were of subjects under the age of 19. Schools account for 2.5% of new outbreaks, therefore the focus must be shifted to prevention measures such as daily temperature checks, management of suspicious cases at school, and the possibility of using rapid tests at school, due to the high frequency of febrile episodes during winter, in order to distinguish suspected Covid cases from the seasonal flu. Data at hand, scientific studies confirm that children of all ages can be infected with the coronavirus and spread it to others and that in the school environment the spread of the virus can become critical especially in the presence of "super-spreaders". In fact, it has recently been shown that the majority of patients (70%) with Covid-19 have never infected anyone else, while only 8% of patients are linked to 60% of new infections. Prevention is crucial and it represents the only way to win the fight against coronavirus, a fight that will also be fought in the classroom during fall. Paediatric dentists, who come into contact with a large number of children and are aware of their health status, are once again called to give their contribution to help safeguard the health of young patients, their parents, their classmates and the community as a whole.


Assuntos
Infecções por Coronavirus , Adolescente , Adulto , Criança , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Itália , Odontopediatria , Adulto Jovem
12.
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
13.
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
14.
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
15.
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
16.
Rev. Cient. CRO-RJ (Online) ; 5(1): 42-48, Jan.-Apr. 2020.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1130172

RESUMO

Sleep bruxism is defined as a behavior that causes masticatory muscle activities during sleep. Sleep bruxism in childhood leads to consequences, which may vary from teeth wear in deciduous dentition to temporomandibular disfunction symptoms. There's no data that demonstrates improvement of children with sleep bruxism during and after auricular acupuncture treatment. Objective: Therefore, this case report series aimed to evaluate the effect of auriculotherapy on children presenting sleep bruxism. Methods: Twelve patients were included in this study, in the mean age of 6,9. The diagnosis was evaluated by the question: "Does your kid grind their teeth while sleeping?". Treatment was performed by an acupuncture specialist in a standardized way. The therapy was given for three weeks and the effect was evaluated through a sleep diary, in which the parents noted whether or not their child grinded teeth while sleeping before (baseline) and during therapy (T1 to T3). Sleep bruxism was categorized as presence or absence of nocturnal teeth grinding and the frequency varied from 0 to 7 (baseline), 0 to 5 (T1), 0 to 7 (T2) and 0 to 4 (T3) between patients. The intensity of the reported sleep bruxism was compared according to the periods by pared T-test ( =0.05). Results: It was observed that the frequency of reports decreased significantly from baseline to T3. Conclusion: These results suggest that ear acupuncture may be an alternative therapy for sleep bruxism in childhood, once it demonstrated to reduce its frequency in this study, although patients may present different effects to therapy due to biological variability.


Introdução: Bruxismo do sono é definido como um comportamento que causa atividades musculares durante o sono. Na infância, leva a consequências que podem variar de desgaste dentário na dentição decídua a sintomas de disfunção temporomandibular. Não há estudos que demonstrem melhora de casos de crianças com bruxismo do sono durante e após tratamento com auriculoterapia. Objetivo: portanto, esta série de casos visou avaliar o efeito da auriculoterapia em crianças apresentando este quadro. Métodos: Doze pacientes foram inclusos neste estudo, com a media de idade de 6,9. O diagnóstico foi avaliado pela pergunta "Seu filho range os dentes quando dorme?". O tratamento foi executado por um especialista em acupuntura de forma padronizada. A terapia foi feita por três semanas e o efeito foi avaliado através de um diário do sono, no qual os pais anotavam se a criança rangeu os dentes enquanto dormia antes (baseline) e durante a terapia (T1 a T3). Bruxismo do sono foi categorizado como presença ou ausência de ranger de dentes e a frequência variou de 0 a 7 (baseline), 0 a 5 (T1), 0 a 7 (T2) e 0 a 4 (T3) entre os pacientes. A intensidade foi comparada de acordo com os períodos pelo teste-T pareado (=0,05). Resultados: Foi observado que a frequência de relatos diminuiu significativamente de baseline a T3. Conclusão: Estes resultados sugerem que auriculoterapia pode ser uma terapia alternativa para o bruxismo do sono na infância, uma vez que demonstrou reduzir sua frequência neste estudo, embora os pacientes possam apresentar efeitos diferentes devido à variabilidade biológica.


Assuntos
Doenças Estomatognáticas , Doenças Dentárias , Bruxismo , Criança , Odontopediatria , Bruxismo do Sono , Auriculoterapia
17.
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
18.
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
19.
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
20.
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
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