scholarly journals Physical Constraint in Pediatric Dentistry: The Lived Experience of Parents

2021 ◽  
pp. 238008442110419
Author(s):  
P. Malik ◽  
B. Ferraz dos Santos ◽  
F. Girard ◽  
R. Hovey ◽  
C. Bedos
Keyword(s):  
Lived Experience ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Clinical Encounter ◽  
Interpretive Phenomenology ◽  
Physical Constraint ◽  
Ethical Concerns ◽  
Individual Interviews ◽  
Clinical Encounters ◽  
Dental Professionals

Background: The use of physical constraint in pediatric dentistry is highly controversial. Papoose boards in particular, which envelop and immobilize children during treatment procedures, have been described as barbaric devices even though their goal is to protect the patient. In this debate, the voice of parents is important but still missing in the scientific literature. Aim: To understand how parents or caregivers experienced physical constraint and the use of the papoose board on their children during regular dental treatment. Design: We conducted qualitative research rooted in interpretive phenomenology. Accordingly, we performed in-depth individual interviews with a purposive sample of 7 parents or caregivers. The interviews took place in Montréal, Canada, after the children had been treated with a papoose board for nonemergency dental treatments. The discussions were audio recorded, transcribed, and thematically analyzed. Results: Two perspectives emerged among participants. Some explained that the papoose board calmed their children, helped the dentist to complete the procedures, and made their experience less stressful. For others, the papoose board was a horrible and traumatizing experience, leading to feelings of guilt toward their children. They expressed anger toward the dentists for not allowing them enough time to decide and for imposing use of the device. Conclusion Our study raises serious ethical concerns about this practice. We believe that using a papoose board should remain an extraordinary measure and, more generally, that dental professionals should reflect on the place of children and their families in clinical encounters. Knowledge Transfer Statement: The findings of this study should encourage policy makers, dental professionals and ethicists to consider the following points: 1) the traumatizing experiences described by parents raise serious ethical concerns about the use of papoose boards; 2) the dental profession should reflect on the place of children and their families in the clinical encounter and grapple with the importance of consent and how to ensure consent in encounters involving children and their parents.

scholarly journals Community - Based Participatory Research with Hispanic/Latino Leaders and Members

2015 ◽  
Author(s):  
Mary Amendola
Keyword(s):  
Lived Experience ◽  
Participatory Research ◽  
Community Based Participatory Research ◽  
Health Seeking ◽  
Community Members ◽  
Interpretive Phenomenology ◽  
Community Based ◽  
Individual Interviews ◽  
Culturally Sensitive Interventions ◽  
Hispanic Latinos

Hispanic/Latinos (H/L) are being studied for healthcare disparities research utilizing community - based participatory research (CBPR). CBPR’s active participation of community members and researchers suggests improvement in community health. Yet there are no known studies that inductively investigated the lived experience of H/L community leaders and members with CBPR using interpretive phenomenology. Data were obtained from observations, field notes, biographical interviews, individual interviews and focus groups. The findings supported that community members wanted to collaborate with researchers utilizing the C BPR approach so that culturally sensitive interventions can be created to encourage health - seeking behaviors in their community.

scholarly journals Effects of Extraoral Suction on Droplets and Aerosols for Infection Control Practices

2021 ◽  
Vol 9 (7) ◽  
pp. 80
Author(s):  
Hidenobu Senpuku ◽  
Masahiko Fukumoto ◽  
Toshikazu Uchiyama ◽  
Chieko Taguchi ◽  
Itaru Suzuki ◽  
...  
Keyword(s):  
Infection Control ◽  
Adenosine Triphosphate ◽  
Dental Care ◽  
Dental Treatment ◽  
Effective Area ◽  
Infection Risk ◽  
Physical Characteristics ◽  
Dental Hygienist ◽  
Increased Risk ◽  
Dental Professionals

Dental professionals are at increased risk of being infected with airborne pathogens such as SARS-CoV-2 because they are often exposed to droplets/aerosols production during dental treatment. To scientifically clear the effects of extraoral and oral suctions on the droplets and aerosols produced by dental treatments using an ultrasonic scaler was analyzed. The adenosine triphosphate and bacteria in droplets and aerosols produced during simulated scaling were quantitatively observed by reactions with luciferin/luciferase and incubation in culture plates to grow bacteria, respectively. The protection against spreading droplets and aerosols by oral and extraoral suctions was recognized, and the areas were limited to the left and posterior sides of the dental chair head when a right-handed dentist and dental hygienist performed scaling. Extraoral suction is a very useful tool for reducing the infection risk of COVID-19 in dental care, but the effective area is limited depending on physical characteristics of dentist and dental hygienist.

scholarly journals COVID-19—Awareness and Practice of Dentists in Saudi Arabia

2021 ◽  
Vol 18 (1) ◽  
pp. 330
Author(s):  
Bassel Tarakji ◽  
Mohammad Zakaria Nassani ◽  
Faisal Mehsen Alali ◽  
Anas B. Alsalhani ◽  
Nasser Raqe Alqhtani ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Infection Control ◽  
Dental Treatment ◽  
Clinical Symptoms ◽  
Dental Clinic ◽  
Health Authorities ◽  
Environmental Surfaces ◽  
Guidelines And Recommendations ◽  
Current Guidelines ◽  
Dental Professionals

Dental professionals have a major role in the fight against the spread and transmission of COVID-19. This study aimed to evaluate awareness and practice of dentists in Saudi Arabia regarding COVID-19 and the utilization of infection control methods. A 24-item questionnaire was developed and distributed through social media to 627 dentists working in Saudi Arabia. 177 questionnaires were completed (28.2% response rate). Most dentists were aware about the transmission, incubation time and main clinical symptoms of COVID-19. Almost 83% of the respondents appreciate the risk of droplets, aerosols and airborne particles in transmission of COVID-19 in the dental clinic. Among the common practices of participants are measuring patient’s body temperature before undertaking a dental treatment (88.7%), cleaning the environmental surfaces at the dental clinic after each patient (91.5%) and restriction of dental treatment to emergency cases (82.5%). It seems that practicing dentists in Saudi Arabia are fairly aware about COVID-19. The practices of the surveyed dentists appear to be mostly consistent with the current guidelines and recommendations for infection control of COVID-19 in the dental clinic. Some drawbacks in knowledge and a number of inappropriate practices can be identified and require the attention of health authorities.

scholarly journals Orthodontic and pediatric dental treatment approach in patient with multiple dental anomalies

2014 ◽  
Vol 62 (2) ◽  
pp. 185-190
Author(s):  
Ricardo Alves SOUZA ◽  
Alberic Costa CARVALHO ◽  
Larissa Passos BARRETTO ◽  
Francisco Xavier Paranhos Coêlho SIMÕES
Keyword(s):  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Orthodontic Appliances ◽  
Supernumerary Tooth ◽  
Oral Rehabilitation ◽  
Stomatognathic System ◽  
Functional Aspects ◽  
Psychosocial Condition ◽  
Removable Orthodontic Appliances ◽  
Tooth Removal

The purpose of this clinical case report is to discuss the approach to oral rehabilitation of a patient with severe dental alterations such as enamel hypoplasia, change in shape, supernumerary tooth, dental ankylosis, agnesia and crowing in the incisor region. All of these problems compromised not only the esthetical and functional aspects of this patient, but his social relationships as well. Thus integrated planning between Pediatric Dentistry and Orthodontics made it possible to provide the best treatment alternative to recover the patient's stomatognathic system. Esthetic restorations were performed in the anterior tooth region with the use of resin composites, in addition to the use of removable orthodontic appliances, associated with serial extractions and supernumerary tooth removal. There were significant improvements in the esthetic and functional aspects of dentition, in addition to the patient demonstrating good evolution in his psychosocial condition, as he smiled and was more communicative during each follow-up appointment, also according to his mother's reports.

scholarly journals Assessment of the Knowledge and Approach of General Dentists Who Treat Children and Pediatric Dentists Regarding the Proper Use of Antibiotics for Children

Antibiotics ◽  
2021 ◽  
Vol 10 (10) ◽  
pp. 1181
Author(s):  
Moran Rubanenko ◽  
Sigalit Blumer ◽  
Kayan Maalof ◽  
Shlomo Elbahary ◽  
Lazar Katz ◽  
...  
Keyword(s):  
American Association ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
The European Union ◽  
Bacterial Strains ◽  
Pediatric Dentists ◽  
Knowledge Practice ◽  
Level Of Knowledge ◽  
General Average ◽  
General Dentists

Background: Antibiotics are widely used in dentistry. Dentists often provide antibiotics unnecessarily. Excessive use can induce resistant bacterial strains. There are certain indications for the proper use of antibiotics for pediatric dentistry according to the European and American Pediatric Dentistry (EAPD and AAPD). Very often dentists do not follow these guidelines. Objectives: This study aims to examine the level of knowledge among general dentists (who also treat children) and pediatric dentists on proper use of antibiotics. In addition, we examined whether there is unjustified use of antibiotics, if dentists are aware of the new and conservative approach of administering antibiotics to patients, and whether there is a relationship between years of professional seniority and dentist’s knowledge level of proper use of antibiotics. Methods: One hundred general dentists (GD) who treat children in addition to 100 pediatric dentists (PD) completed the study questionnaires which measured knowledge, practice and attitudes regrading using antibiotics during dental treatment among children. Results: The general average of level of knowledge on proper use of antibiotics among general dentists was relatively low for both GD (60.7%) and PDs (65%). PDs demonstrated a relatively greater knowledge of correct use of antibiotics, especially in cases of endodontics and trauma. PDs also showed higher awareness to latest guidelines for the admission of “prophylactic antibiotics” according to the American Association (AAPD) and/or the European Union (EAPD) compared with GDs (86.2% vs. 66.3%). Conclusion: The level of knowledge of both general dentists and pediatric dentists is poor, with a large percentage of dentists from both groups not knowing whether antibiotics are needed in a specific dental case or not. Compliance with the EAPD/AAPD guidelines is also low and inadequate. The method of prescribing antibiotics given by dentists can be improved by increasing awareness, educational initiatives, and postgraduate courses among dentists regarding the recommended indications.

scholarly journals Nursing Students and Nurses’ Recommendations Aiming at Improving the Development of the Humanistic Caring Competency

2021 ◽  
pp. 084456212110489
Author(s):  
Dimitri Létourneau ◽  
Johanne Goudreau ◽  
Chantal Cara
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Methodological Approach ◽  
University Hospital ◽  
Hospital Data ◽  
Interpretive Phenomenology ◽  
Pedagogical Strategies ◽  
Individual Interviews ◽  
Progressive Development ◽  
Regulatory Bodies

Background Most nursing education programs prepare their students to embody humanism and caring as it is expected by several regulatory bodies. Ensuring this embodiment in students and nurses remains a challenge because there is a lack of evidence about its progressive development through education and practice. Purpose This manuscript provides a description of nursing students’ and nurses’ recommendations that can foster the development of humanistic caring. Methods Interpretive phenomenology was selected as the study's methodological approach. Participants (n = 26) were recruited from a French-Canadian university and an affiliated university hospital. Data was collected through individual interviews. Data analysis consisted of an adaptation of Benner’s (1994) phenomenological principles that resulted in a five-stage interpretative process. Results The following five themes emerged from the phenomenological analysis of participants’ recommendations: 1) pedagogical strategies, 2) educators’ approach, 3) considerations in teaching humanistic caring, 4) work overload, and 5) volunteerism and externship. Conclusion The findings suggest the existence of a challenge when using mannikins in high-fidelity simulations with the intention of developing humanistic caring. The findings also reaffirm the importance of giving concrete and realistic exemplars of humanistic caring to students in order to prevent them from making “communication” synonymous to “humanization of care”.

Utility of Bispectral Index Monitoring during Deep Sedation in Pediatric Dental Patients

2014 ◽  
Vol 39 (1) ◽  
pp. 291-296 ◽  
Author(s):  
C Dag ◽  
T Bezgin ◽  
N Özalp ◽  
G Gölcüklü Aydın
Keyword(s):  
Dental Treatment ◽  
Deep Sedation ◽  
Pediatric Dentistry ◽  
P Value ◽  
Chi Square ◽  
Mean Values ◽  
Dental Patients ◽  
Physiological Variables ◽  
Paired Samples ◽  
Significant Difference

Objective: The aim of this study was to compare the total medicament doses and recovery profiles of patients for whom Bispectral Analysis (BIS) monitor was used to monitor sedation. Study design: Thirty-four uncooperative paediatric patients aged 3-6 years who attended to the Department of Pediatric Dentistry for dental treatment were enrolled in the study. Patients were randomly divided into 2 groups of 17 patients each. Physiological variables including oxygen saturation, blood pressure and heart rate were recorded. In one group (BIS-monitored group), drugs were administered to maintain patients’ BIS values between 60-70, while the other group (Non-BIS-monitored Group) was not monitored using BIS. Data was evaluated by Chi-square, Mann Whitney U, Independent Samples t, Paired Samples t and Wilcoxon signed tests, with a p-value of <0.05 considered to be statistically significant. Results: There was no significant difference in total anesthetic doses, incidence of adverse events or recovery profiles of patients between non- BIS-monitored and BIS-monitored groups (p≯0.05). However, distinct correlation was determined among mean values of UMSS and BIS values (p<0.05). Conclusion: BIS represents no advantage over the current commonly accepted methods for monitoring sedation depth in children.

scholarly journals Tele-Dentistry Rising: The Apps of Pediatric Dentistry: An Up-ToDate Review

2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Karataban PK
Keyword(s):  
Dental Care ◽  
Healthcare Professionals ◽  
Pediatric Patients ◽  
Dental Trauma ◽  
Dental Pain ◽  
Pediatric Dentistry ◽  
App Store ◽  
Pediatric Dentists ◽  
Google Play ◽  
Dental Professionals

The pandemic changed the landscape of the accessibility to healthcare in an unexpected way. The instant disconnection with healthcare professionals including dental professionals thrusted tele-medicine and tele-dentistry into the spotlight. In pediatric dentistry, there are applications developed for both patients and dentists. This article aims to provide an overview of pediatric dentistry-related applications available on the Apple App Store and Google Play Store that can be useful for children, families and pediatric dentists. iPhone XS was used to access the Apple App Store, and Samsung Galaxy Note 20 devices was used to access the applications in the Google Play Store. The keywords; pediatric dentistry, teeth, brushing teeth, toothbrush timer, pediatric dental care, dentist games, dental pain, dental trauma were selected and searched in Google Play Store and Apple App Store. In total there were 313 applications related to pediatric dentistry which were classified as “Applications for Pediatric Dentists” and “Applications for Pediatric Patients and Their Families”.

Exploring Shared Decision Making Between Family Caregivers, Persons With Disorders of Consciousness, and Rehabilitation Therapists in Acute Care

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512510247p1-7512510247p1
Author(s):  
Jennifer Weaver ◽  
Trudy Mallinson ◽  
Leslie Davidson ◽  
Christina Papadimitriou ◽  
Ann Guernon ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Caregivers ◽  
Shared Decision Making ◽  
Research Study ◽  
Medical Model ◽  
Clinical Encounter ◽  
Disorders Of Consciousness ◽  
Observational Research ◽  
Shared Decision ◽  
Clinical Encounters

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This qualitative, observational research study explored treatment encounters between patients with disorders of consciousness, rehabilitation practitioners, and family to understand how treatment decisions occurred. The data showed shared decision making (SDM) occurring as a process, meaning that not all five principles of SDM occur in one clinical encounter but rather unfold across multiple clinical encounters. We delineate differences in SDM between rehabilitation and the medical model. Primary Author and Speaker: Jennifer Weaver Contributing Authors: Trudy Mallinson, Leslie Davidson, Christina Papadimitriou, Ann Guernon, and Philip van der Wees

Mental illness: The collision of meaning with mechanism

2020 ◽  
pp. 263-289
Author(s):  
Steven E. Hyman ◽  
Doug McConnell
Keyword(s):  
Mental Illness ◽  
Gene Regulation ◽  
Human Brain ◽  
Lived Experience ◽  
Clinical Encounter ◽  
Structure And Function ◽  
Human Beings ◽  
And Function ◽  
Human Brains ◽  
The Brain

‘Mental illness: the collision of meaning with mechanism’ is based on the views of psychiatry that Steven Hyman articulated in his Loebel Lectures—mental illness results from the disordered functioning of the human brain and effective treatment repairs or mitigates those malfunctions. This view is not intended as reductionist as causes of mental illness and contributions to their repair may come from any source that affects the structure and function of the brain. These might include social interactions and other sources of lived experience, ideas (such as those learned in cognitive therapy), gene sequences and gene regulation, metabolic factors, drugs, electrodes, and so on. This, however, is not the whole story for psychiatry on Hyman’s view; interpersonal interactions between clinicians and patients, intuitively understood in such folk psychological terms as selfhood, intention, and agency are also critical for successful practice. As human beings who are suffering, patients seek to make sense of their lives and benefit from the empathy, respect, and a sense of being understood not only as the objects of a clinical encounter, but also as subjects. Hyman’s argument, however, is that the mechanisms by which human brains function and malfunction to produce the symptoms and impairments of mental illness are opaque to introspection and that the mechanistic understandings necessary for diagnosis and treatment are incommensurate with intuitive (folk psychological) human self-understanding. Thus, psychiatry does best when skillful clinicians switch between an objectifying medical and neurobiological stance and the interpersonal stance in which the clinician engages the patients as a subject. Attempts to integrate these incommensurate views of patients and their predicaments have historically produced incoherent explanations of psychopathology and have often led treatment astray. For example, privileging of folk psychological testimony, even when filtered through sophisticated theories has historically led psychiatry into intellectually blind and clinically ineffective cul-de-sacs such as psychoanalysis.

Sign in / Sign up

Export Citation Format

Share Document