Mandibular Block or Maxillary Infiltration

2012 ◽  
Vol 36 (3) ◽  
pp. 245-250 ◽  
Author(s):  
D Ram ◽  
E Amir ◽  
R Keren ◽  
J Shapira ◽  
E Davidovich
Keyword(s):  
Local Anesthesia ◽  
Adverse Reactions ◽  
Dental Treatment ◽  
Age Groups ◽  
Parent Report ◽  
Lower Lip ◽  
Dental Appointment ◽  
Previous Visit ◽  
Two Age Groups ◽  
Dental Appointments

Purpose: Local anesthesia by mandibular block or maxillary infiltration is commonly administered to children receiving dental treatment of primary molars. Discomfort, when presenting, most often involves the lower lip. The purpose of this study was to investigate whether children would be more opposed to attending a dental treatment following anesthesia by mandibular block than by maxillary infiltration. Methods: Each of 102 children in two age groups: 3 to 5 years, and 6 to 9 years, received the two types of local anesthesia at dental appointments one week apart. Their opposition to attending a subsequent appointment was assessed by parent report. Results: More adverse reactions were observed during and following anesthesia with mandibular block than with maxillary infiltration. Few of the children in either age group expressed opposition to attend a dental visit after receiving mandibular block or maxillary infiltration in the previous visit. Conclusions: Though more adverse reactions were observed in children following mandibular block than maxillary infiltration, this did not result in increased opposition to attend a subsequent dental appointment.

scholarly journals Dental anxiety and the effectiveness of local anesthesia

2020 ◽  
Vol 19 ◽  
pp. e208127
Author(s):  
Hadi Esmaeili ◽  
Mohammad Malekzadeh ◽  
Davood Esmaeili ◽  
Farid Nikeghbal
Keyword(s):  
Logistic Regression ◽  
Elementary Education ◽  
Regression Model ◽  
Local Anesthesia ◽  
Logistic Regression Model ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Cross Sectional

Aim: The successful anesthesia is an essential factor for dental treatment. This study aimed at determining the effectiveness of local anesthesia and it’s relationship with dental Anxiety. Methods: This cross-sectional study was carried out on 256 dental patients, in 2017. Dental Anesthesia was administered after completing the Modified Dental Anxiety Scale by the patients. The level of anesthesia was recorded in one of three states (successful, difficult, and failed). Collected data was analyzed using SPSS version 22 and tests of, Chi-square, independent t-test, analysis of variance, and logistic regression model.  Results: About 60.5% subjects had moderate-severe dental anxiety. The mean of dental anxiety significantly was lower in the successful anesthesia group (P<0.01). Patients with elementary education had a significantly higher level of dental anxiety (P<0.01). Dental anxiety was significantly higher in the age group of ≥59 years, compared to the other age groups, except for 49-58 years (P<0.05). Subjects with a significantly higher level of dental anxiety more delayed their visits to the dentist. The logistic regression model showed that the dental anxiety (high anxiety) and literacy level (elementary) were the most important predictors of failed or difficult anesthesia. Conclusion: Informing patients about dental treatment procedures, regular and periodic visits to the dentist, using psychotherapeutic techniques to reduce dental anxiety before anesthesia, could play an important role in the success of anesthesia.

scholarly journals Psychological assessment of the attitude to oral diseases of patients of older age groups who have applied for dental care

2021 ◽  
Vol 19 (2) ◽  
pp. 84-89
Author(s):  
A. A. Alekseeva ◽  
G. I. Lukina ◽  
I. S. Glatkov ◽  
A. V. Lukin
Keyword(s):  
Psychological Assessment ◽  
Dental Treatment ◽  
Age Groups ◽  
Negative Attitude ◽  
Subsequent Treatment ◽  
Older Age ◽  
Oral Diseases ◽  
The Third ◽  
Dental Diseases ◽  
Dental Appointment

Aim. Determination of the psychological type of attitude to the patient's illness, depending on gender and age group, which will further improve communication between the patient and the dentist.Materials and methods. This article provides a psychological assessment of patients in relation to diseases of the oral cavity at a dental appointment using the adapted TOBOL technique. This technique is based on typing patients according to certain cognitive characteristics described in the article. For this study, 65 people of older age groups were interviewed.Results. The frst group of attitudes towards the disease included 27 patients (41.5%), the second – 24 (37%), the third – 14 (21.5%). 11 (45.8%) men were assigned to the frst group, 8 (33.3%) men – to the second and 5 (20.9%) – to the third group. Women showed a distribution: 16 (39%) women belonged to the frst group, 16 (39%) – to the second and 9 (22%) – to the third group, respectively. Negative attitude towards dental diseases, reluctance to treat them sharply increases in centenarians.Conclusions. With increasing age, there is a growing tendency towards pessimization and aggression. Sensitized attitudes toward illness, depression, refusal of treatment, or blame-shifting complicate diagnosis and subsequent treatment. To prevent unwanted emotions and improve the quality of communication, the dentist should be guided by an individual approach to these patients, which should be based on the basic principles of ethics and deontology. Only then will dental treatment be effective and complete.

Relationship between Child and Parental Dental Anxiety with Child's Psychological Functioning and Behavior during the Administration of Local Anesthesia

2016 ◽  
Vol 40 (6) ◽  
pp. 431-437 ◽  
Author(s):  
Vasiliki Boka ◽  
Konstantinos Arapostathis ◽  
Nikolaos Kotsanos ◽  
Vassilis Karagiannis ◽  
Cor van Loveren ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Psychological Functioning ◽  
Dental Treatment ◽  
Cooperative Behavior ◽  
Dental Anxiety ◽  
Social Subscale ◽  
The Mean ◽  
And Behavior ◽  
Dental Appointment ◽  
The Relationship

Objectives: The aims of this study were to determine: 1) the relationship between children's psychological functioning, dental anxiety and cooperative behavior before and during local anesthesia, 2) the relationship of parental dental anxiety with all the above child characteristics. Study design: There was a convenient sample of 100 children (4–12 years). Child dental anxiety and psychological functioning were measured using the “Children's Fear Survey Schedule” (CFSS-DS) and the “Strengths and Difficulties Questionnaire” (SDQ) respectively. Parental dental anxiety was measured using the “Modified Dental Anxiety Scale” (MDAS). All questionnaires were completed by parents. Before and during local anesthesia, the child behavior was scored by one experienced examiner, using the Venham scale. Non-parametric tests and correlations (Mann-Whitney, Spearman's rho) were used for the analysis. Results: The mean SDQ score was 10±5.6 for boys (n=60) and 8.3±4.8 for girls (n=40) (p=0.038), but there was no correlation with children's age. The mean CFSS-DS score was 33.1±11.86 and there was no correlation with age or gender. Children with higher levels in the pro-social subscale of the SDQ had significantly less anxiety and better behavior before local anesthesia. Higher mean CFSS-DS scores were significantly associated with uncooperative behavior during local anesthesia (p=0.04). There was no correlation between parents' and their children's dental anxiety, psychological functioning and behavior. 46% of the children had previous dental experience in the last 6 months. As time since the last dental treatment increased, an improvement was found in children's behavior during local anesthesia. Conclusions: Child psychological functioning was related to dental anxiety and behavior during dental appointment involving local anesthesia.

Premedication Intake Behavior - Does It Predict Behavior During Dental Treatment?

2012 ◽  
Vol 36 (4) ◽  
pp. 389-392
Author(s):  
E Davidovich ◽  
S Naser ◽  
J Shapira ◽  
D Ram
Keyword(s):  
Nitrous Oxide ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Age Groups ◽  
Predictive Tool ◽  
Nitrous Oxide Oxygen ◽  
Oral Premedication ◽  
And Behavior ◽  
Influence Behavior ◽  
Two Age Groups

Objectives: to investigate whether behavior during hydroxyzine administration predicts children's behavior during dental treatment and whether behavior during treatment is affected by the complexity of treatment. Materials and method: 118 children aged 2 to 6.5 years old were treated under conscious sedation with oral premedication (3.7 mg/kg of hydroxyzine in a concentration of 50mg/5 cc. hydroxyzine) and 50% nitrous oxide/oxygen sedation. Children were divided in two age groups: aged 2 to ≤ 4 years old, and aged 4 ≯ to 6 years old. Behavior during first examination; cooperation during premedication administration, cooperation during nitrous oxide nose-mask placement, behavior during dental treatment, treatment duration and complexity of treatment were recorded. Results: More children in the older group took the premedication willingly (p=0.026). Significant correlation (p=0.002) between behavior during examination and nitrous oxide mask acceptance was found in the older age group. No correlation was found regarding the cooperation during premedication intake and behavior during treatment within and between age groups. No statistical differences within the groups and between the groups were found between complexity of treatment and behavior during treatment. Conclusions: Premedication intake is not a reliable predictive tool for behavior during treatment in children aged 2-6.5 years. Complexity of treatment does not influence behavior during treatment in children aged 2-6.5 years.

Assessment of pain and pain relief in children at a dental appointment

2020 ◽  
Vol 20 (2) ◽  
pp. 101-104
Author(s):  
E. N. Anisimova ◽  
N. Yu. Anisimova ◽  
O. S. Kovylina ◽  
I. A. Kravchenko
Keyword(s):  
Pain Relief ◽  
Visual Analogue Scale ◽  
Local Anesthesia ◽  
Analogue Scale ◽  
Rating Scales ◽  
Dental Treatment ◽  
Subjective Assessment ◽  
Pain Rating ◽  
Dental Appointment ◽  
Analogue Scales

Relevance. Subjective assessment of pain in children is traditionally implemented using visual analogue scales. The need for comfortable dental treatment in children is obvious, therefore, in order to obtain the most reliable data, it is necessary to develop pain rating scales and the effectiveness of pain management in accordance with the age of the child.Purpose. Development of visual analogue scales designed to assess the effectiveness of pain relief when performing outpatient dental interventions in children, depending on the age of the child.Materials and methods. A visual analogue scale was designed to evaluate the effectiveness of pain relief in children at an outpatient dental appointment, in accordance with the age of the child. 100 patients aged 4 to 12 years were examined.Results. The reaction and behaviour of the child during dental treatment using local anesthesia were the basis of the designed pain rating scales. In the age group of 4-7 years, the visual analogue scale was filled in by the doctor, the child and the parent, and in the second group of patients aged 7 to 12 years, the scale was filled in by the child and the doctor, since in this age category children could independently correlate themselves with the picture on the scale.Conclusions. The designed scales of subjective assessment of the effectiveness of local anesthesia in children allow to determine the quality of the studied methods and means of local anesthesia in pediatric dental practice.

Concordance of Glucose-Based and of HbA1c-Based Diagnoses of Diabetes in Patients with Peripheral Artery Disease—A Comparison between Two Age Groups

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1522-P
Author(s):  
CHRISTOPH H. SAELY ◽  
ALEXANDER VONBANK ◽  
CHRISTINE HEINZLE ◽  
DANIELA ZANOLIN ◽  
BARBARA LARCHER ◽  
...  
Keyword(s):  
Peripheral Artery Disease ◽  
Age Groups ◽  
Peripheral Artery ◽  
Artery Disease ◽  
Two Age Groups

Foundation for the Prevention and Pathological Aspects of Diseases of the Mucous Membranes of the Oral Cavity (Review)

2020 ◽  
Vol 3 (6) ◽  
pp. 8-11
Author(s):  
Bakaev Zh. N.
Keyword(s):  
Oral Cavity ◽  
Rural Women ◽  
Rural Areas ◽  
Southern China ◽  
Age Groups ◽  
Urban Residents ◽  
Volgograd Region ◽  
Mucous Membranes ◽  
The Russian Federation ◽  
Two Age Groups

According to the authors, the prevalence of SOPR diseases is from 3 to 20%.In a study of 1573 residents of southern China in two age groups who use tobacco and alcohol, the incidence of SOPR was higher among men living in rural areas compared to urban residents. Among women aged 35-44 years, the incidence was higher in urban women, and in the 65-77-year-old group in rural women. In the course of studies in Brazil, among 335 patients older than 60 years, 646 diseases of the SOPR were identified. Similar results were obtained in the analysis of SOPR diseases in the Volgograd region of the Russian Federation

Internet Sex discourse and porn viewing by Arab adolescents: The overt and the covert and its impact on their sexual education and behavior (Preprint)

2018 ◽  
Author(s):  
Anat Gesser-Edelsburg ◽  
Munawar Abed Elhadi
Keyword(s):  
Age Groups ◽  
Sexual Education ◽  
The Internet ◽  
Traditional Values ◽  
Sexual Discourse ◽  
Cultural Taboos ◽  
Internet Sex ◽  
And Behavior ◽  
Depth Interviews ◽  
Two Age Groups

BACKGROUND Due to the religious proscription, it was found that Arab youths acquire information and view pornography secretly. The internet exposes them to contents that contradict religious and cultural taboos. There are few studies about viewing habits of sexual contents among Arab adolescents and about the way they discuss sexuality. OBJECTIVE to characterize the barriers and difficulties that prevent sexual discourse in Arab society and enable pornography viewing, according to the perceptions of adolescents and mothers. METHODS phenomological qualitative research methods, in-depth interviews with 40 participants. 20 Arab adolescents, sampled by two age groups: 14-16 and 16-18. In addition, 20 mothers of adolescents from both sexes were interviewed. RESULTS The findings indicate that mothers “turn a blind eye” to porn viewing and sexual activity by boys, versus a sweeping prohibition and denial of such behavior by girls. The boys reported viewing porn routinely, whereas girls denied doing so, but admitted that their girlfriends watched porn. The study also found that the boys have guilt feelings during and after the viewing as a result of the clash between modernity and traditional values. CONCLUSIONS It is necessary to find a way to encourage a significant sexual discourse to prevent the violent consequences of its absence in Arab society. A controlled, transparent and critical sexual discourse could help youth make more informed decisions concerning the search for sexual contents, porn viewing and sexual behavior.

scholarly journals A Reduced Dose Whole Virion Aluminum Adjuvanted Seasonal Influenza Vaccine Is Immunogenic, Safe, and Well Tolerated in Pediatric Patients

Viruses ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 500
Author(s):  
Zoltan Vajo ◽  
Gergely Balaton ◽  
Peter Vajo ◽  
Peter Torzsa
Keyword(s):  
Pediatric Patients ◽  
Geometric Mean ◽  
Age Groups ◽  
Aluminum Phosphate ◽  
Vaccine Virus ◽  
Serious Adverse Events ◽  
Reduced Dose ◽  
Viral Hemagglutinin ◽  
Virus Strains ◽  
Two Age Groups

Background: Data suggest that pediatric patients might react differently to influenza vaccination, both in terms of immunity and side effects. We have recently shown that using a whole virion vaccine with aluminum phosphate adjuvants, reduced dose vaccines containing 6 µg of viral hemagglutinin (HA) per strain are immunogenic, and well tolerated in adult and elderly patients. Here we show the results of a multicenter clinical trial of pediatric patients, using reduced doses of a new, whole virion, aluminum phosphate adjuvanted vaccine (FluArt, Budapest, Hungary). Methods: A total of 120 healthy volunteers were included in two age groups (3–11 years, receiving 3 µg of HA per strain, and 12–18 years, receiving 6 µg of HA per strain). We used hemagglutination inhibition testing to assess immunogenicity, based on EMA and FDA licensing criteria, including post/pre-vaccination geometric mean titer ratios, seroconversion and seropositivity rates. Safety and tolerability were assessed using CHMP guidelines. Results: All subjects entered the study and were vaccinated (ITT population). All 120 subjects attended the control visit on Day 21 (PP population). All immunogenicity licensing criteria were met in both age groups for all three vaccine virus strains. No serious adverse events were detected and the vaccine was well tolerated by both age groups. Discussion: Using a whole virion vaccine and aluminum phosphate adjuvants, a reduction in the amount of the viral hemmaglutinin is possible while maintaining immunogenicity, safety and tolerability in pediatric and adolescent patients.

scholarly journals How (not) to cross a boundary: Crosslinguistic influence in simultaneous bilingual children's event construal

2021 ◽  
pp. 1-13
Author(s):  
Helen Engemann
Keyword(s):  
Production Process ◽  
Age Groups ◽  
Boundary Crossing ◽  
Bilingual Children ◽  
Activation Patterns ◽  
Motion Event ◽  
Co Activation ◽  
Crosslinguistic Influence ◽  
Event Construal ◽  
Two Age Groups

Abstract Simultaneous bilingual children sometimes display crosslinguistic influence (CLI), widely attested in the domain of morphosyntax. It remains less clear whether CLI affects bilinguals’ event construal, what motivates its occurrence and directionality, and how developmentally persistent it is. The present study tested predictions generated by the structural overlap hypothesis and the co-activation account in the motion event domain. 96 English–French bilingual children of two age groups and 96 age-matched monolingual English and French controls were asked to describe animated videos displaying voluntary motion events. Semantic encoding in main verbs showed bidirectional CLI. Unidirectional CLI affected French path encoding in the verbal periphery and was predicted by the presence of boundary-crossing, despite the absence of structural overlap. Furthermore, CLI increased developmentally in the French data. It is argued that these findings reflect highly dynamic co-activation patterns sensitive to the requirements of the task and to language-specific challenges in the online production process.

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