The effect of restorative treatment on children's behavior at the first recall visit in a private pediatric dental practice

2002 ◽  
Vol 26 (4) ◽  
pp. 389-393 ◽  
Author(s):  
Warren Brill
Keyword(s):  
Dental Treatment ◽  
Economic Status ◽  
Office Visit ◽  
Dental Practice ◽  
Negative Behavior ◽  
Initial Visit ◽  
Restorative Dentistry ◽  
Dental Procedure ◽  
Initial Examination ◽  
Restorative Treatment

Clinicians anecdotally believe that children, who have an invasive dental procedure after the initial office visit, often exhibit negative behavior at the recall examination. The purpose of this study was to document the behavior of children having the first recall visit at a private pediatric dental practice to determine if the restorative dentistry experience influenced behavior at recall. All children presenting for the first recall visit in the private practice of the author were included in the study (n = 271). Patient age, method of payment as an indicator of socio-economic status and whether or not they had restorative dental treatment subsequent to the initial visit was recorded by the author, who was also the treating dentist. Behavior was evaluated using the scale formulated by Sarnat, which rates behavior in 5 categories from completely cooperative to completely uncooperative. Behavior at the initial visit was also recorded and retrieved from retrospective examination of patient records. The results showed that 3 to 6 year olds, who underwent restorative dentistry, exhibited more negative behavior than those who did not. No difference in behavior was found in those children under 3 years or over 6 years of age. Depending on the age, behavior at the first recall visit may be influenced by having undergone a restorative dental procedure after the initial examination.

Comparison of the behavior of children undergoing restorative dental treatment at the first visit versus the second visit in a private pediatric dental practice

2001 ◽  
Vol 25 (4) ◽  
pp. 287-291 ◽  
Author(s):  
Warren Brill
Keyword(s):  
Dental Treatment ◽  
Economic Status ◽  
Office Visit ◽  
Dental Practice ◽  
Negative Behavior ◽  
Restorative Treatment ◽  
Pediatric Dentist ◽  
Dental Patient ◽  
Significant Difference ◽  
Rate Behavior

The purpose of this study was to determine if there was a difference in the behavior of child patients undergoing restorative dental treatment at the first office visit versus those whose first restorative treatment visit was after an initial non-threatening dental visit in a private pediatric dental practice. For patients up to and including age 9, patient behavior was recorded during the restorative session using the Sarnat scale, which rate behavior in 5 levels, from completely cooperative to completely uncooperative. Variables such as age, method of payment, referral source and sex were also recorded. The results showed that there was no statistically significant difference in the behavior of children, who had the first restorative dental experience at the initial office visit versus those children who had the first restorative procedure after a non-invasive introductory visit in all instances. There were no differences according to age, sex, socio-economic status or source of referral. It is concluded that a child may not exhibit more negative behavior as a restorative dental patient when the first visit is for restorative therapy than if the restorative treatment is delivered at a later date after a non-threatening introduction to the dental environment. Thus, a pediatric dentist need not hesitate to treat a child at the first visit for fear that it may engender more negative behavior than if the restorative dental treatment was postponed until another time.

Child behavior in a private pediatric dental practice associated with types of visits, age and socio-economic factors

2001 ◽  
Vol 25 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Warren Brill
Keyword(s):  
Dental Treatment ◽  
Economic Status ◽  
Dental Practice ◽  
Fee For Service ◽  
Negative Behavior ◽  
Patient Behavior ◽  
Dental Procedures ◽  
Dental Office ◽  
Child Patient ◽  
Method Of Payment

The purpose of this study was to describe child patient behavior patterns seen in a private pediatric dental practice. Patient behavior for every individual visit was recorded over a span of 3 consecutive months using the Sarnat Behavior Scale as the descriptive measurement device. Behavior during 5 categories of procedures was recorded: new patient examination / introduction to the office, periodic recare, restorative dentistry, orthodontic adjustment and quick check observation. Socio-demographic variables such as age, sex, method of payment as an indicator of socio-economic status, prior dental experience and referral source were also recorded. The results of this study showed: 1. the younger the child and the more threatening the procedure, the more often negative behavior was noted, 2. patients whose dental treatment was paid for by Medicaid and who are likely to be in a lower socio-economic strata, often exhibited more negative behavior than the fee-for service counterparts, 3. in general, there was no difference in the behavior between males and females, although males age 8 to 12 had a higher incidence of negative behavior than females when undergoing restorative dental procedures. There are trends between age, type of procedure, source of patient referral, method of payment and familiarity with the office, that may be able to used as behavioral predictors in a private pediatric dental office.

Behavior of pediatric dental patients throughout the course of restorative dental treatment in a private pediatric dental practice

2002 ◽  
Vol 26 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Warren Brill
Keyword(s):  
Dental Treatment ◽  
Economic Status ◽  
Age Groups ◽  
Behavior Changes ◽  
Dental Practice ◽  
Negative Behavior ◽  
Patient Behavior ◽  
Dental Patients ◽  
Dental Patient ◽  
Practice Patient

The purpose of this study was to describe and quantify patient behavior patterns observed throughout restorative dentistry appointments in a private pediatric dental practice. Patient behavior throughout the course of the first restorative dental visit was recorded using the Sarnat Behavior Scale. Behavior of patients in age groups 0 to 5 (0 to 60 months), 5 to 8 (61 to 96 months) and 8 to 12 (97 to 144 months) was noted at the start of the visit, during the procedure and when the patient was dismissed. Socio-demographic variables such as sex and method of payment as an indicator of socio-economic status were also considered. In addition, it was also noted whether, the child was referred by a general dentist. The results showed that the percentage of patients having Sarnat scores of 3, 4 or 5 (S345), which is indicative of negative behavior, increased after the start of the visit and then decreased to a lower level when the patient was dismissed. This observation was the same for all age groups, although the percentage of patients exhibiting negative behavior during all phases of the restorative appointment decreased with increasing age. In conclusion, pediatric dental patient behavior changes throughout the course of restorative dental treatment. There is an increase in negative behavior, while the teeth are being restored, which then decreases to levels below those observed at the start of the visit. This is related to age more than socioeconomic or other factors confirming that as the child ages, the incidence of negative behavior decreases, but the pattern of change during the course of the restorative visit is the same regardless of age.

scholarly journals Evaluasi dan penatalaksanaan pasien medically-compromised di tempat praktek gigi Evaluation and management of medically compromised patient in dental practice

2011 ◽  
Vol 10 (1) ◽  
pp. 47
Author(s):  
Evy Eida Vitria
Keyword(s):  
Surgical Intervention ◽  
Dental Treatment ◽  
Signs And Symptoms ◽  
Dental Practice ◽  
Dental Procedure ◽  
Laboratory Findings ◽  
Accurate Evaluation ◽  
Treatment Procedures ◽  
Systemic Condition ◽  
Compromised Patients

As a dentist, before doing dental procedure, especially regarding surgical intervention, It is necessary to ascertainthe general health of the patient whether the condition is safe enough to do dental procedure. This requires anappropriate and accurate evaluation in determining the systemic condition of medically compromised patients,which focus on pathophysiology of the disease, signs and symptoms, laboratory findings, currently accepted medicaltherapies, as well as recommendations for specific dental treatment. So, the best possible treatment procedures canbe provided and complications can be avoided.

Periodontal Health – Challenges in Restorative Dentistry

2014 ◽  
Vol 3 (2) ◽  
pp. 72-76
Author(s):  
J Reeves
Keyword(s):  
Life Expectancy ◽  
Oral Hygiene ◽  
Dental Treatment ◽  
Restorative Dentistry ◽  
Periodontal Health ◽  
High Quality ◽  
Marginal Fit ◽  
Restorative Treatment ◽  
Periodontal Tissues

As the population ages and life expectancy increases, clinicians today find themselves in the wake of an ever-growing demand for high-quality aesthetic dental treatment, by increasingly informed patients. The long-term success of both cosmetic and restorative dentistry is dependent on well designed restorations and the health of the periodontal tissues. Overhanging restorations, full crown restorations with poor marginal fit, and implant-supported prosthetics with inadequate hygiene access all increase the risk for periodontal sequelae and interproximal caries. When planning restorative treatment, consideration should be given to the restorative design, the need for hygiene access and the location of intended implants. In addition, the patient's manual dexterity and ability to manipulate oral hygiene aids is a crucial consideration, as is adequate access for the hygienist to manually debride and maintain the restorations.

scholarly journals A literature review on precautionary measures in dental practice during the pandemic: Covid-19

2021 ◽  
Vol 7 (2) ◽  
pp. 98-101
Author(s):  
Lalita Sheoran ◽  
Monika Sehrawat ◽  
Divya Sharma ◽  
Dania Fatima ◽  
Marikinda Manzoor
Keyword(s):  
Dental Treatment ◽  
Dental Practice ◽  
Infected Person ◽  
Dental Procedure ◽  
Treatment Procedure ◽  
Blood Contamination ◽  
Natural Activity ◽  
Precautionary Measures ◽  
Oral Surgical Procedure ◽  
Saliva Contamination

During the spread of pandemic disease, dental practice come across the highest risk of corona virus infection by the exposure from patient saliva, aerosols generation during the dental procedure, blood contamination during oral surgical procedure. This virus can be transmitted from symptomatic to asymptomatic individual through aerosol spread, saliva contamination. Due to its ability of airborne transmission, so aerosols generated through natural activity or during the time of any dental treatment procedure has the ability to transmit the virus from infected person to the surrounding person.

Evaluation of the Degree of Dental Anxiety in a Lot of Patients Altered in Young Adults

2019 ◽  
Vol 70 (2) ◽  
pp. 689-692
Author(s):  
Gheorghe Raftu ◽  
Elena-Claudia Sin ◽  
Aureliana Caraiane ◽  
Steliana Gabriela Bustiuc ◽  
Raluca Briceag
Keyword(s):  
Young Adults ◽  
Oral Cavity ◽  
Dental Treatment ◽  
Economic Status ◽  
Dental Anxiety ◽  
Background Level ◽  
Anxiety Scale ◽  
Statistical Relationships ◽  
And Gender ◽  
Age Range

The study aims at identifying and highlighting dental anxiety in a group of young adults, analyzing patients� concerns about the main dental treatment procedures, and establishing statistical relationships between anxiety and gender, the background, level of education, socio-economic status and knowledge of habits of care and hygiene of oral cavity characteristic of the studied group. The study group consists of 150 female (50%) and male (50%) patients , aged between 20 and 40 years. The inclusion criteria in the batch were those related to the age range of 20 to 40 years.Two respondents (Corah�s Dental Anxiety Scale, Revised (DAS-R)) were given two questionnaires ( Corah�s Dental Anxiety Scale, DAS-R), and the second questionnaire contained 7 questions about the habits dental care). Most patients� concerns about the main procedures of dental treatment / other concerns are: dental extraction, material expenses, possibility of treatments and shame she felt oppressed health of the oral cavity. Regardless of the level of dental anxiety, the oral cavity hygiene habits are not properly performed by patients, with an increased tendency for them to be disregarded by patients with severe dental anxiety.

Development of a Questionnaire to Measure Concern for Dental Appearance

2001 ◽  
Vol 89 (2) ◽  
pp. 425-430 ◽  
Author(s):  
Michael Frazer ◽  
Stan Lindsay
Keyword(s):  
Internal Consistency ◽  
Dental Treatment ◽  
Dental Practice ◽  
Statistical Regression ◽  
Varimax Rotation ◽  
Reliable Measure ◽  
Item Questionnaire ◽  
Dental Appearance ◽  
High Internal Consistency ◽  
Larger Sample

100 adults, selected for cosmetic dental treatment in a general dental practice, completed a 42-item questionnaire designed, on the basis of previous research and the author's clinical experience, to measure concern for dental appearance. This had high internal consistency and was reduced to a questionnaire of 23 items with internal consistency shown by a standardised Cronbach alpha of .84. An exploratory factor analysis with varimax rotation identified six factors, the main one appearing to be a measure of concern for dental appearance. The high internal consistency suggests that the total score for the revised questionnaire is a measure of a construct, concern for dental appearance. Although the simplest measure of that may be contained in the items for the first factor, a much larger sample would be necessary to confirm the complex factor structure and so the questionnaire's total score is probably the more reliable measure at present. A study is summarised showing that the total score provides a measure that, in statistical regression analysis, may predict the intentions of adults to take care of the appearance of their teeth.

scholarly journals Dental Management of Generalised Developmental Defect of Enamel in A Child with Global Developmental Delay

2021 ◽  
Vol 2 (6) ◽  
pp. 18-22
Author(s):  
S. N. M. P. Sockalingam ◽  
H. M. Noor
Keyword(s):  
Developmental Delay ◽  
Dental Treatment ◽  
Global Developmental Delay ◽  
Developmental Defect ◽  
Restorative Treatment ◽  
Guidance Strategies ◽  
Medical Issues ◽  
Dental Management ◽  
Structural Durability ◽  
Dental Aesthetics

Development Defect of Enamel (DDE) although not common, can bring about serious sequelae and needs immediate action. If we leave the teeth untreated, many complications such as poor dental aesthetics, chipping of teeth and dental pain often set in. These complications are further aggravated if the patient has any coexisting medical issues, such as Global Developmental Delay (GDD). Children with GDD often exhibit poor oral health with an abundance of plaque that leads to caries and periodontal disease progression because of poor motor and cognitive development. Many of them also exhibit negative behaviour toward dental treatment. This case describes the dental care for a Global Developmental Delay (GDD) child with sporadic generalised Development Defect of Enamel (DDE). The case management touches on the appropriate behaviour guidance strategies used to aid the child’s unfavourable behaviour towards treatment and the restorative treatment performed to preserve the structural durability of the affected teeth in a general dental setting.

scholarly journals Dental restoration longevity among geriatric and adult special needs patients

2017 ◽  
Author(s):  
D. J. Caplan ◽  
Y. Li ◽  
W. Wang ◽  
S. Kang ◽  
L. Marchini ◽  
...  
Keyword(s):  
Special Needs ◽  
Regression Models ◽  
Cox Regression ◽  
Dental Treatment ◽  
Treatment Options ◽  
Dental Restoration ◽  
University Of Iowa ◽  
Restorative Treatment ◽  
Dental Restorations ◽  
Iowa College

AbstractThis study aimed to describe the survival trajectory of dental restorations placed in an outpatient population of geriatric and adult special needs patients over a 15-year span, with particular interest in longevity of subsequent restorations in teeth that received multiple restorations over time. Dental restorations of different types and sizes in patients age ≥65 years treated between 2000-14 at the University of Iowa, College of Dentistry were followed until they incurred an event (i.e., restoration replacement, extraction of the tooth, or endodontic treatment of the tooth). Survival analysis and extended Cox regression models were used to generate hazards ratios for selected predictor variables. A total of 9184 restorations were followed in 1551 unique patients. During the follow-up period, 28.7% of these restorations incurred an event; and overall the restorations had a median lifespan of 6.25 years. In multivariable regression models, after controlling for gender and age, composite restorations and greater number of restoration surfaces were associated with higher risks of failure; and the initial restoration recorded in the database for each subject tended to have lower risk of failure than restorations placed later that included any of those same surfaces. This information potentially could be helpful to elderly patients considering various restorative treatment options during the dental treatment planning and informed consent process.

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