Factors Affecting Self-Reported Pain in Children receiving Dental Treatment

2017 ◽  
Vol 19 (2) ◽  
pp. 2441-2452
Author(s):  
Fatma Abd El-Manem Hendawy ◽  
Sawsan Hafez Mahmoud
2015 ◽  
Vol 9 (1) ◽  
pp. 146-149 ◽  
Author(s):  
Shigeru Maeda ◽  
Yumiko Tomayasu ◽  
Hitoshi Higuchi ◽  
Minako Ishii-Maruhama ◽  
Ayaka Yamane ◽  
...  

Purpose:The purpose of this study was to identify independent factors associated with prolonged recovery time after intravenous sedation for dental treatment in patients with intellectual disabilities.Methods:This study was designed as a prospective cohort study. Participants were patients with intellectual disabilities, for whom sedation for dental treatment was planned in Okayama University Hospital. The outcome variable was recovery time. The predictor variables were patient background, antiepileptic and psychotropic drugs, and anesthesia-related variables. Factors affecting the outcome were examined with multiple regression analysis.Results:We enrolled 260 cases in this study. Oral midazolam was a strong independent determinant in prolonged recovery time. Teeth extraction, short treatment time and lower body mass index were significant independent predictors of prolonged recovery time.Conclusion:Oral midazolam is a clear independent determinant of prolonged recovery time after sedation, while psychotropic drugs and antiepileptic drugs were not independent determinants in this study.


1970 ◽  
Vol 29 (6) ◽  
Author(s):  
Burkay YAKAR ◽  
Türkkan Öztürk KAYGUSUZ ◽  
Edibe PİRİNÇCİ

Background: Dental anxiety and fear make the dental operation and the treatment difficult. Beside that it causes the delays or absence in the dental appointments so it leads to problems for oral and dental health. The aim of this study was to investigate the frequency of dental anxiety, the factors affecting dental anxiety and the effects of dental anxiety on oral dental health of the participants.Methodology: We conducted a hospital-based, cross-sectional study among 342 patients attending the outpatient clinic of a tertiary dentistry hospital. Dental anxiety and trait anxiety levels of the participants measured using MDAS and STAI scales. Weconducted the student t-test, One-way Anova and Tukey’s post hoc for the analysis of our data. The Pearson’s correlation analysis has been used for the analysis of two different quantitative data obtain from MDAS and STAI scales.Results: The age average of 342 participant of our research was 34,41±11,78. 59,1% of our participants was women. (n=202) Dental anxiety was existing in the 42,1% of the participants (n=144). 56,4% of the participants have had a hard and painful dental treatment experiences. 15,2% of our participants (n=52) had MDAS 19 point or more.Conclusions: High and statistically significant dental anxiety scores have been detected for the patients who are women, housewives, who had uneasy and painful dental treatment stories who have personel inclinations to the anxiety. Examinations directed to the factors which would increase the dental anxiety, may prevent possible complications and also the risk carried by the patients related to the dental health may be estimated with the help of this kind of examinations. 


Author(s):  
Seon-Hui Kwak ◽  
Soo-Myoung Bae ◽  
Sun-Jung Shin ◽  
Bo-Mi Shin

We conducted a multilevel analysis to identify factors affecting adolescents’ preventive dental treatment experience in South Korea. We sampled 72,435 students who participated in the 9th Korea Youth Risk Behavior Web-based Survey. The individual-level variables were divided into demographic factors, socioeconomic factors, oral health behavioral factors, and oral symptom experience factors. The regional-level variables included oral health resources, rate of students receiving oral health education at school by region, social deprivation index, and the number of private educational institutions. A higher rate of receiving oral health education in school by region was associated with increased fluoride application (1.04 times, p = 0.003). However, the number of private educational institutes per 1000 people was negatively associated with fluoride application experienced by students (0.64 times, p = 0.039). Students underwent more scaling when there were more dentists per 10,000 individuals (1.14 times, p = 0.008) and less scaling in areas with a higher social deprivation index (0.88 times, p = 0.024). To increase the access to preventive care for oral diseases among adolescents, a preventive system should be established in schools, and a primary dental care system should be established through the cooperation of the government, private dental clinics, and schools.


2017 ◽  
Vol 8 (1-2) ◽  
pp. 63-68
Author(s):  
Shreyas Tikare ◽  
Nabeeh A. AlQahtani ◽  
Alezi Braimoh Eroje ◽  
Khadeeja Maleh AlQahtani ◽  
Jawaher Ahmad Assiri ◽  
...  

Objectives: School dental screening and referral is a dental public health measure that helps children with oral health problems to come in contact with dental services. Recent studies have failed to demonstrate the effectiveness of school screening programs in stimulating dental attendance. The objective of the present study is to assess the effectiveness of school oral health screening in stimulating dental attendance and factors affecting dental attendance among female primary school children in Saudi Arabia. Methodology: A multistage cluster random sampling method was used in which the unit of randomization was the school. All children were given comprehensive oral health education followed by oral screening. Oral health referrals to visit dental clinic were given to children needing any dental treatment. The parents were contacted by telephone two months after oral health referral and information on child’s dental attendance and reasons for failing to attend dental clinics was collected according to predetermined set of questions and the data was subjected to statistical analysis. Results: A total of 1,035 female school children aged 6 to 12 years received oral health education at school followed by dental screening. Only 211 (23.8%) children attended dental clinics after receiving oral health referrals. The most important reason for not attending the dental clinic was difficulty for working parents to take time off (41.2%) followed by logistic problems (20.4%) and some parents thought dental treatment was not important since there was no pain (9.7%). The least perceived barriers were cost of dental treatment (3.6%), difficulty in taking leave from school (3%), and school exams (3%). Conclusions: School oral health screening and referrals have been found to be ineffective at stimulating dental attendance. Parental factors like ‘lack of time’ and ‘logistic problems’ for taking their child to the dentist were found to be major factors affecting dental attendance. Methods to improve parent’s awareness regarding oral health of children and alternative choices to ensure adequate dental care to vulnerable children needs to be explored.


2019 ◽  
Vol 7 (4) ◽  
pp. 329-335
Author(s):  
N. O. Gevkaluk ◽  
V. R. Machogan

Introduction. Odontopreparation is an integral step in orthopedic dental treatment with non-removable orthopedic constructions. Correctly performed this stage in the treatment of artificial crowns is a guarantee of the quality of orthopedic treatment. Ensuring a stable geometry of the stump, a ledge of sufficient width on the abutment and the absence of defects on its surface, the clarity of the preparation margin and the correct ratio with marginal periodontal tissues are the most significant criteria for the quality of the intervention. In addition, the quality of the odontopreparation of the orthopedic profile is influenced by the clarity of adherence to the selected algorithm of preparation and the properties of the rotary tool used. The available literature data indicate numerous deviations in the practice of dentistry from the recommended methodology of odontopreparation, which can be explained by the relatively high frequency of complications of treatment with non-removable orthopedic structures. The purpose of the article is to analyze the key factors affecting the quality of fixation and the durability of the functioning of artificial crowns, based on an assessment of the basic principles of odontopreparation for this type of orthopedic structures and the reaction of periodontal tissues based on an analytical review of the literature. Materials and methods. The article presents the data of the literature review on the main factors that are of great importance as the fixation and durability of the functioning of artificial crowns on the stumps of dissected teeth while observing step-by-step odontopreparation algorithms with provision of proper functional and desired aesthetic requirements without negative influence on the condition of the tissue. Conclusion. Based on the analysis of literary sources, it was concluded that the key factors affecting the quality of the formation of the tooth stump to be prosthetized, subject to step-by-step odontoperational algorithms with the creation of conditions for high-quality fixation and durability of the functioning of the artificial crown, ensuring the proper functional and desired aesthetic requirements without negative impact periodontal tissues can significantly reduce the manifestation of unwanted complications, and as a result to increase the effectiveness of prosthetics with artificial crowns.


2015 ◽  
Vol 62 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Shigeru Maeda ◽  
Yumiko Tomoyasu ◽  
Hitoshi Higuchi ◽  
Minako Ishii-Maruhama ◽  
Masahiko Egusa ◽  
...  

Abstract Some patients with intellectual disabilities spend longer than others in emergence from ambulatory general anesthesia for dental treatment. Although antiepileptic drugs and anesthetics might be involved, an independent predictor for delay of the emergence remains unclear. Thus, a purpose of this study is to identify independent factors affecting the delay of emergence from general anesthesia. This was a retrospective cohort study in dental patients with intellectual disabilities. Patients in need of sedative premedication were removed from participants. The outcome was time until emergence from general anesthesia. Stepwise multivariate regression analysis was used to extract independent factors affecting the outcome. Antiepileptic drugs and anesthetic parameters were included as predictor variables. The study included 102 cases. Clobazam, clonazepam, and phenobarbital were shown to be independent determinants of emergence time. Parameters relating to anesthetics, patients' backgrounds, and dental treatment were not independent factors. Delay in emergence time in ambulatory general anesthesia is likely to be related to the antiepileptic drugs of benzodiazepine or barbiturates in patients with intellectual disability.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 915-922
Author(s):  
Geethika B ◽  
Jessy ◽  
Manjari

Dental practitioners should use their knowledge and skills and be able to identify and effectively treat dental diseases in children. The child’s and family’s response should be taken into account for providing safe and effective treatment for the paediatric patients. The present study aims to analyse the preference of GA by parents for children under 5 years of age. This retrospective study was conducted among the paediatric dental patients under 5 years of age visiting  Saveetha Dental College and Hospitals. The data of the 154 patients who were indicated for GA procedure were collected. The collected data was statistically analysed using IBM SPSS Software (20.0). The results proved that the majority (72.08%) of the parents did not accept the GA procedure. Parents of 3 year old children were the most accepting (44.2%) of GA procedure. Among gender,parents of female children show a slightly higher percentage of acceptance (51.2%) when compared to the parents of the male children (48.8%). Most common reason for acceptance was parents of children undergoing full mouth rehabilitation procedures(55.8%). Majority of the parents who  accepted the GA procedure were educated (83.7%) which shows that educational qualification plays an important role. Therefore it is important to bring the positive attitude among parents for delivering safe and quality dental treatment.


2020 ◽  
Vol 15 (4) ◽  
pp. 114-120
Author(s):  
Rinat Saleev ◽  
Nadezhda Fedorova ◽  
Vladimir Viktorov

Subject. This article provides a brief description of socially significant factors affecting the quality of life of elderly and senile patients who applied for dental care in the orthopedic profile at the municipal health care institution of the dental profile in Cheboksary. The criteria for assessing the quality of life and the laws of their manifestation in elderly patients of different social groups are listed. A quantitative and structural analysis of orthopedic structures used in the process of orthopedic dental treatment of the examined group of patients is given. One of the priority areas of modern scientific and practical dentistry is the study of the quality of life of patients with a dental profile. The quality of life of elderly and senile patients with a dental profile has not been adequately studied, while the study of this problem may underlie many problems of organizing dental care for this population group, which determined the purpose of this publication. Methodology. The study of the quality of life features of this group of patients was carried out in the form of a classic observational longitudinal prospective study with a double survey of respondents. As an optimal tool for studying the quality of life of patients with a dental profile, an alternative version of the specialized questionnaire “The degree of importance of dental health, 14” was chosen. Results. The analysis revealed patterns between the social affiliation of patients, the choice of the orthopedic design used as a denture, and the quality of life of the examined group of patients. Conclusions. The study revealed that older people who continue to work, live in families, have an average and high level of average monthly income, lead an active lifestyle, initially had higher quality of life than people who do not work, with a low income, lonely and forced to lead a passive lifestyle.


2021 ◽  
Vol 4 (4) ◽  
pp. 320-328
Author(s):  
Sosham John ◽  
Hamda Sultan AlMesmar

<b><i>Objective:</i></b> Oral health is an integral part of preventive healthcare for pregnant women. This study aimed to determine the oral health problems and oral hygiene practices and identify the factors affecting dental treatment utilization among a representative population of pregnant women in Dubai. <b><i>Methods:</i></b> A cross-sectional study was conducted using data from anonymous structured questionnaires filled by 1,450 pregnant women attending primary health centers across different geographical locations in Dubai. <b><i>Results:</i></b> Of the 1,450 women, 97.8% brushed at least once a day. At least one dental problem during pregnancy was reported by 49.9%, but dental attendance during pregnancy was only 17.4%. Factors associated with dental visits were nationality, previous pregnancy, oral health problems, brushing habits, routine dental visits, and professional advice on oral care. The odds of dental attendance increase for UAE national women by 1.48, women who had other children before the current pregnancy by 1.35, those having oral health problems by 1.85, those who brush more than once a day by 1.51, those who visited the dentist routinely at least once a year by 1.92, and those who received oral health education by 2.82. The most cited reasons for not going to the dentist were no perceived dental problem (51.8%) and concerns regarding the safety of dental treatment during pregnancy (33.9%). <b><i>Discussion/Conclusion:</i></b> In spite of acceptable oral hygiene practices, a significant number of pregnant women (49.9%) experience dental problems. However, only a few women (17.4%) visit the dentist during their pregnancy. It is critical to design and implements strategic oral health programs for pregnant women in Dubai.


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