Trends and Characteristics of Pediatric Dentistry Patients Treated under General Anesthesia

2018 ◽  
Vol 42 (4) ◽  
pp. 303-306 ◽  
Author(s):  
Maxwell N Rudie ◽  
Michael M Milano ◽  
Michael W Roberts ◽  
Kimon Divaris
Keyword(s):  
General Anesthesia ◽  
Pediatric Dentistry ◽  
Continuing Care ◽  
Administrative Claims ◽  
Care Needs ◽  
Special Health Care ◽  
Chapel Hill ◽  
Dental Rehabilitation ◽  
Tests Of Association ◽  
System Information

Purpose: The aims of this study were to describe the demographic characteristics of pediatric dentistry patients undergoing dental rehabilitation under general anesthesia (DRGA) at UNC-Chapel Hill during the last 13 years and identify factors associated with multiple (1 versus 2 or more) DRGA visits during that timeframe. Study design: Administrative claims data were used to identify children and adolescents (age <18 years) who underwent DRGA between 1/1/2002 and 12/31/2014 at the UNC Hospitals system. Information on children's age, sex and all treatment-associated CDT codes were collected. Descriptive statistics and bivariate tests of association were used for data analyses. Results: There were 4,413 DRGAs among 3,973 children (median age=4 years 8 months, males=55%) during the study period. The annual rate of DRGAs increased over time, peaking (n=447) in 2013. Overall, 9% of children had ≥2 visits with repeat rates up to 18%. There was no association between children's sex and receipt of one versus multiple DRGAs; however, craniofacial cases were more likely (p<0.0005) to have multiple DRGAs compared to non-craniofacial ones. Conclusion: DRGAs are on the increase—with the exception of craniofacial and special health care needs patients, multiple DRGAs may be reflective of sub-optimal adherence to preventive and continuing care recommendations.

scholarly journals Assessment of Oral Status in Pediatric Patients with Special Health Care Needs receiving Dental Rehabilitation Procedures under General Anesthesia: A Retrospective Analysis

2016 ◽  
Vol 17 (6) ◽  
pp. 476-479
Author(s):  
Neha Awasthi ◽  
Neeraj Solanki ◽  
Anjali Kundu ◽  
Suveet Mathur ◽  
Suresh Bidhumadhav
Keyword(s):  
Health Care ◽  
General Anesthesia ◽  
Retrospective Analysis ◽  
Dental Treatment ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Dental Rehabilitation ◽  
Special Health

ABSTRACT Introduction Dental problems serve as additional burden on the children with special health care needs (CSHCN) because of additional hospitalization pressure, they face for the treatment of various serious medical problems. These patients have higher incidence of dental caries due to increased quantity of sugar involved in the drug therapies and lower salivary flow in the oral cavity. Such patients are difficult to treat with local anesthesia or inhaled sedatives. Single-sitting dental treatment is possible in these patients with general anesthesia. Therefore, we conducted this retrospective analysis of oral health status of CSHCN receiving various dental treatments in a given population. Materials and methods A total of 200 CSHCN of age 14 years or less reporting in the pediatric wing of the general hospital from 2005 to 2014 that underwent comprehensive dental treatment under general anesthesia were included in the study. Patients with history of any additional systemic illness, any malignancy, any known drug allergy, or previous history of any dental treatment were excluded from the study. Complete mouth rehabilitation was done in these patients under general anesthesia following standard protocols. Data regarding the patient's disability, type, duration, and severity of disability was collected and analyzed. All the results were analyzed by Statistical Package for the Social Sciences (SPSS) software. Chi-square test, Student's t-test, and one-way analysis of variance were used to assess the level of significance. Results Statistically significant results were obtained while analyzing the subject's decayed missing filled/decayed extracted filled teeth indices divided based on age. Significant difference was observed only in cases where patients underwent complete crown placement even when divided based on type of disability. While analyzing the prevalence, statistically significant results were observed in patients when divided based on their age. Conclusion In CSHCN, dental pathologies and caries indices are increased regardless of the type or extent of disability. Clinical significance Children with special health care needs should be given special oral health care, and regular dental checkup should be conducted as they are more prone to have dental problems. How to cite this article Solanki N, Kumar A, Awasthi N, Kundu A, Mathur S, Bidhumadhav S. Assessment of Oral Status in Pediatric Patients with Special Health Care Needs receiving Dental Rehabilitation Procedures under General Anesthesia: A Retrospective Analysis. J Contemp Dent Pract 2016;17(6):476-479.

scholarly journals Parental Presence/Absence in the Dental Operatory as a Behavior Management Technique: A Review and Modified View

2018 ◽  
Vol 19 (2) ◽  
pp. 237-241 ◽  
Author(s):  
Hicham Riba ◽  
Asma Al-Shahrani ◽  
Hayat Al-Ghutaimel ◽  
Adel Al-Otaibi ◽  
Salim Al-Kahtani
Keyword(s):  
Behavior Management ◽  
Pediatric Dentistry ◽  
Management Technique ◽  
Care Needs ◽  
Parental Presence ◽  
Special Health Care ◽  
Dental Patients ◽  
A Minor ◽  
Controversial Aspect ◽  
Special Health

ABSTRACT Introduction Parental presence/absence in the dental operatory (also called: Parent-in—parent-out technique) is an extremely controversial aspect of the nonpharmacological BMTs. Historically, dentists used to exclude parents from dental operatory to avoid their interference with the dentist's aptitude to build a rapport and relationship with the child, hence increasing the child management problems by disrupting treatment and making the dentist unfocused and uncomfortable. Aim The purpose of this article is to review and emphasize on the importance of parental presence/absence in the dental operatory, especially in a certain age group, as a behavior management technique (BMT) in pediatric dentistry, and to present a modified view of this technique. Results This article reviews the current literature concerning behavior management in pediatric dentistry. It includes a medline database search and review of the comprehensive textbooks in pediatric dentistry. Some recommendations were based on the opinions of experienced researchers and clinicians. Conclusion Parent-in—parent-out technique in dental operatory is advocated to gain emotional support and avoid the effect of traumatic separation, especially in younger children or special health-care needs patients. Clinical significance The parent-in—parent-out technique in dental operatory is underused, or misused. This article clarifies the proper use of this technique along with a minor modification to it to make it more effective on young apprehensive dental patients. How to cite this article Riba H, Al-Shahrani A, Al-Ghutaimel H, Al-Otaibi A, Al-Kahtani S. Parental Presence/Absence in the Dental Operatory as a Behavior Management Technique: A Review and Modified View. J Contemp Dent Pract 2018;19(2):237-241

scholarly journals Caries risk assessment of a sample of children attending preventive specialized dental center in Al Resafa, Baghdad

2020 ◽  
Vol 32 (4) ◽  
pp. 17-24
Author(s):  
Zaid N Muhson ◽  
Shaymaa Thabit ◽  
Fatima S Al-ward ◽  
Sahar AE Al Shatari
Keyword(s):  
Risk Assessment ◽  
Health Care ◽  
Pediatric Dentistry ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Caries Risk ◽  
Care Needs ◽  
Special Health Care ◽  
Carious Lesions ◽  
Special Health

Background: Young children’s oral health maintenance and outcomes are influenced by their parent’s knowledge and beliefs, which affect oral hygiene and healthy eating habits. This study aims at assessing caries risk in children aged 6 months to 6 years attending the Specialized Center of Preventive and Pediatric Dentistry Center at Al-Resafa sector in Baghdad. Materials and Methods: A cross-sectional study was conducted from 15 May – 15 June 2018, all children attended the center (80 children) were assessed by using the standard caries risk assessment tool of the American Academy of Pediatric Dentistry (AAPD). Results: The highest percentage of children was as follows: no fluoride exposure 44(55%), did not brush 46(57.5%), had no special health care needs 77(96.25%), had no missed teeth due to caries 51(63.75%), had no-visible plaque 52(65%), frequent or prolonged between-meal exposure/day 55(68.75%), their mothers had carious lesions in last 7-23 months 34(42.5%); in visual caries: had carious lesions or restorations in last 24 months 67(83.75%), while the incipient carious lesions in last 24 months were 50(62.50%). Most of risk assessment score for the participants was moderate 57(71.3%), followed by low risk 16(20%), while the participants with high risk were 7(8.8%), with a statistically significant association between the risk assessment score and fluoride exposure (p=0.043), sugary foods or drinks(p=0.038), caries experience of the mothers (p=0.001), brushing (p=0.020) visual caries (p=0.000), incipient caries (p= 0.000), missing teeth due to caries (p= 0.001), but no statistical significance with special health care needs (p=0.533) and visible plaque (p=0.259). Conclusion: Moderate-risk of developing dental caries was predominant among the participants, followed by low-risk and less high-risk categories.

Pediatric Dentistry Specialty as Part of a Longer Continuum of Care: A Commentary

2016 ◽  
Vol 40 (5) ◽  
pp. 341-344
Author(s):  
H Barry Waldman ◽  
Rick Rader ◽  
Stephen Sulkes ◽  
Steven P Perlman
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Special Needs ◽  
Oral Health Care ◽  
Pediatric Dentistry ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Special Health

The transition of teenagers with special needs to young adulthood is a complex period for the children and their families. This transition is especially difficult when it comes to securing needed oral health care. The teenager is forced to transfer from the services of an age defined pediatric dental specialist with training to provide care for individuals with special needs, to 1) general practitioners with limited formal training and often unwillingness to provide care and 2) at a period when most states provide limited or lack of adult dental Medicaid programs. These issues and the need to expand pediatric dental specialist involvement in the general transitional period are reviewed.“Pediatric dentistry is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.”1“Our system of preparing and maintaining our abilities to provide oral health services for an increasing diverse population must be brought up to date to meet the challenges posed by the treatment of young adults with disabilities.”2“Most responding dentists (to a national study of pediatric dentists) helped adolescents with and without SHCNs (Special Health Care Needs) make the transition into adult care, but the major barrier was the availability of general dentists and specialists.”3

Experience of Animal Assisted Therapy in Pediatric Dentistry Unit

2020 ◽  
pp. 1-12
Author(s):  
Matías González Jara ◽  
Darling Rivera Gómez ◽  
Francisca Salazar Zúniga ◽  
Scarlette Norambuena Norambuena ◽  
Marcelo Valle Maluenda ◽  
...  
Keyword(s):  
Health Care ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Special Health Care Needs ◽  
Animal Assisted Therapy ◽  
Children And Youth ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Special Health

Children and youth with special health care needs, belongs to a group of individuals presenting several health issues of variable complexity and special care needs in health, one of them a successful dental treatment. The high prevalence of oral pathologies is not the only complication we found in dental attention; there are also behaviour and communication disorders, affecting the cooperation level in dental treatment. In spite of the limitations previously mentioned, different adaptations and techniques have surged in order to achieve a successful dental treatment. In this article we describe animal assisted therapy as a useful complementary method for pediatric dental treatment. Objective: Describe the experience of animal assisted therapy in pediatric dentistry treatment of children and youth with special health care needs. Methods: Descriptive-retrospective study performed in 2019, revision of 32 clinical digital records of Hospital, of children and youth with special health care needs, ages between 4-13 years old, and their pediatric dentistry treatment records with animal assisted therapy. Results: 32 patients with dental treatment, in 26 patients (81.25%) dental treatment was successful; 36 dental procedures were performed, 19 invasive and 17 non invasive. Conclusion: The implementation of animal assisted therapy as a complement of pediatric dentistry treatment had a high acceptance and allowed successful invasive and non invasive dental procedures in children and youth with special health care needs.

scholarly journals It's Lame to Tame-children with Special Health Care Needs

2014 ◽  
Vol 1 (1) ◽  
pp. 39
Author(s):  
B. Jenefa Vinodhini ◽  
Sharath Asokan ◽  
P. R. Geetha Priya ◽  
J. Baby John
Keyword(s):  
Health Care ◽  
Behavior Management ◽  
Pediatric Dentistry ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Management Techniques ◽  
Behavior Management Techniques ◽  
Special Health

Children with the special health care needs may often be a challenge to the dentist in their management. These children with the special needs often find themselves difficult to cooperate during treatment, creating a harmful situation. Many techniques have been implicated in modern pediatric dentistry for the management of these children. It is generally believed that the non pharmacological behavior management techniques cannot be used successfully with these children. Physical restraints and pharmacological management techniques are the most commonly used strategies. This paper highlights that the proper use of non-pharmacological behavior management techniques can be very effective to teach these children coping skills that may enable to receive a comprehensive dental care over their life time.

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