scholarly journals Types of sedation used in pediatric dentistry

2021 ◽  
Author(s):  
Hanan Raja Aljohani ◽  
Rinad Abdulmonam Albalawi ◽  
Fajr Adel Orri ◽  
Khalid Mubarak Alshammari ◽  
Narmeen Abdulmannan Shikdar ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Pediatric Dentistry ◽  
Careful Monitoring ◽  
Routes Of Administration ◽  
Pediatric Dentist ◽  
Dental Procedures ◽  
Different Types ◽  
The Media ◽  
The Right

Childhood dental anxiety usually results from painful and frightening dental traumas. Accordingly, children might want to avoid dental treatment if not adequate precautions were not taken during these settings. Thus, sedation is being widely used in different dental settings with favorable outcomes. In the present literature review, we have discussed sedation's different types and approaches in pediatric dentistry settings. We also reviewed the main medications that can be administered in these settings, together with the potential routes of administration, safety and contraindications. As a result, the pediatric dentist should identify patients suitable for sedation, choose the right type of sedation, prepare the media for successful procedures, and select the proper medication. Careful monitoring and adequate preparation are also critical to enhance the prognosis and manage the potential complications. Eventually, sedation might improve the compliance of pediatric patients and reduce the dilemma of fear from painful dental procedures. This has been associated with favorable outcomes for the dentist, as well. Therefore, further research is needed for additional validation and innovation in this field.

scholarly journals Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis

2020 ◽  
Vol 9 (4) ◽  
pp. 1025 ◽  
Author(s):  
Nansi López-Valverde ◽  
Jorge Muriel Fernández ◽  
Antonio López-Valverde ◽  
Luis F. Valero Juan ◽  
Juan Manuel Ramírez ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Dental Treatment ◽  
Pediatric Population ◽  
Meta Analysis ◽  
Adult Population ◽  
Dental Anxiety ◽  
Three Dimensional ◽  
Dental Procedures ◽  
Reduction Of Pain ◽  
To Receive

Background: Dental treatments often cause pain and anxiety in patients. Virtual reality (VR) is a novel procedure that can provide distraction during dental procedures or prepare patients to receive such type of treatments. This meta-analysis is the first to gather evidence on the effectiveness of VR on the reduction of pain (P) and dental anxiety (DA) in patients undergoing dental treatment, regardless of age. Methods: MEDLINE, CENTRAL, PubMed, EMBASE, Wiley Library and Web of Science were searched for scientific articles in November 2019. The keywords used were: “virtual reality”, “distraction systems”, “dental anxiety” and “pain”. Studies where VR was used for children and adults as a measure against anxiety and pain during dental treatments were included. VR was defined as a three-dimensional environment that provides patients with a sense of immersion, transporting them to appealing and interactive settings. Anxiety and pain results were assessed during dental treatments where VR was used, and in standard care situations. Results: 31 studies were identified, of which 14 met the inclusion criteria. Pain levels were evaluated in four studies (n = 4), anxiety levels in three (n = 3) and anxiety and pain together in seven (n = 7). Our meta-analysis was based on ten studies (n = 10). The effect of VR was studied mainly in the pediatric population (for pain SMD = −0.82). In the adult population, only two studies (not significant) were considered. Conclusions: The findings of the meta-analysis show that VR is an effective distraction method to reduce pain and anxiety in patients undergoing a variety of dental treatments; however, further research on VR as a tool to prepare patients for dental treatment is required because of the scarcity of studies in this area.

scholarly journals Comparative Evaluation of Pain Related Behavior During Administration of Local Anesthesia Using the Conventional Syringe and the Computerized Controlled Local Anesthetic Device in Children Exhibiting Different Levels of Anxiety: In vivo Study

2021 ◽  
pp. 285-294
Author(s):  
Pooja G. Muzumdar ◽  
Vikas Bendgude ◽  
Aditi Mathur
Keyword(s):  
Local Anesthesia ◽  
Pain Perception ◽  
Dental Anxiety ◽  
Negative Attitude ◽  
Pediatric Dentistry ◽  
In Vivo Study ◽  
Dental Procedures ◽  
Group B ◽  
Conventional Systems

Background: Pain experienced during dental procedures evolves into negative attitude towards dentistry, which is projected as anxiety and fear of the child. Administration of local anesthesia (L.A) although an intervention to render painless procedures, in itself causes pain by its conveyance. Wand® (Milestone Scientific, Livingston, NJ, USA) is a system introduced to decrease soreness in the course of anesthetic conveyance. Owing to the sparse information comparing conventional systems with those of Wand, the present study evaluated pain related behavior in children exhibiting pre-assessed variant levels of anxiety midst administration of local anesthesia. Aim: To correlate pain related behavior amidst delivery of local anesthesia using conventional syringe and the Wand® STA system in children exhibiting variant anxiety levels. Methodology: The In vivo study embodied 32 children aged between 6 to 8 years. The volunteered participants were pre-categorized into low and high anxiety using the Modified Child Dental Anxiety Scale. They were further divided using the SNOSE technique – receiving L.A the conventional syringe (group A) and those receiving L.A using the C.C.L.A.D (group B). Pain reactions and perceptions to the two delivery methods were calculated using subjective scales and objective physiological parameters. Results: Comparing pain perception in pre-assessed anxiety categories affirmed a remarkable difference with the use of C.C.L.A.D and appeared to bestow effortless, pain-free delivery over the traditional cartridge delivery. Conclusion: C.C.L.A.D builds a refined acclivity for dispersal of the solution, ergo an utilitarian tool in pediatric dentistry.

Preliminary Validation and Reliability of the Modified Child Dental Anxiety Scale

1998 ◽  
Vol 83 (3_suppl) ◽  
pp. 1179-1186 ◽  
Author(s):  
G. M. Humphris ◽  
H-M. Wong ◽  
G. T. R. Lee
Keyword(s):  
General Anaesthesia ◽  
Internal Consistency ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Initial Study ◽  
Anxiety Scale ◽  
Dental Procedures ◽  
Preliminary Validation ◽  
Fear Survey Schedule ◽  
Test Retest Reliability

An 8-question Modified Child Dental Anxiety Scale was developed to assess children's concerns about specific dental procedures. These dental situations include examination, scale and polish, injection, filling, extraction, and relative and general anaesthesia. A question about how the child felt generally when visiting the dentist was also included. Children ( n = 314) from two schools in Liverpool, ages 8 to 15 years, completed a questionnaire including the modified scale, Corah's Dental Anxiety Scale, the Dental Fear Survey Schedule for Children, and background questions (age, sex and previous dental experience). The internal consistency was favourable (α = .84) and test-retest reliability acceptable. This initial study suggests that the scale may be useful in trials to assess the benefits of interventions to assist children receive dental treatment.

scholarly journals Motivation chart as a supporting tool in pediatric dentistry

2017 ◽  
Vol 65 (3) ◽  
pp. 276-281
Author(s):  
Carolina VASCONCELLOS ◽  
José Carlos Petorossi IMPARATO ◽  
Karla Mayra REZENDE
Keyword(s):  
Clinical Case ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Dental Clinics ◽  
Pediatric Dentist ◽  
Management Techniques ◽  
Supporting Tool ◽  
Fear And Anxiety ◽  
Anxiety And Fear ◽  
Additional Option

ABSTRACT Infant fear and anxiety are two feelings that cause stress in pediatric dental treatment. Many management techniques have been described in the literature, with the aim of controlling this anxiety and fear that are ultimately a big challenge for the dental surgeon. The aim of this study is to present a clinical case of a five-year-old child who would not cooperate with the dental treatment. To this end, an incentive chart was devised that is specific for treatment. The chart focuses on encouraging the child to comply with rules in the pediatric dentist office and, as the child completes his objectives, the chart is filled with happy faces and at the end of the appointment, depending on the outcome, the patient is rewarded with something. We concluded that the use of the incentive chart was particularly satisfactory in terms of the patient’s conduct and developing maturity over the course of his dental treatment and it may be an additional option to use as an adjunct in the approach to behavior in private or public dental clinics, and even in Universities.

Radiological Evaluation Key to Diagnosis of Idiopathic Solitary Cyst

2019 ◽  
Vol 43 (4) ◽  
pp. 281-287
Author(s):  
Katarzyna Emerich ◽  
Malgorzata Tomczak ◽  
Marcin Kozakiewicz
Keyword(s):  
Dental Treatment ◽  
Bone Cyst ◽  
Bone Lesion ◽  
Pediatric Dentistry ◽  
Mandibular Ramus ◽  
Careful Evaluation ◽  
Proper Diagnosis ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Medical University

Idiopathic solitary cysts have a predilection for long bones and the mandible. Although the origin of these cysts is unclear, the prognosis seems to be good, given proper diagnosis and surgical treatment. A 14-year-old female patient with a bone lesion in the right mandibular ramus was referred to the Department of Pediatric Dentistry at the Medical University of Gdansk, Poland. Due to severe headache lasting two days, the patient had previously undergone magnetic resonance imaging (MRI) examination of the head. A unilocular bone cyst in the mandible was discovered incidentally. Comparison with a previous orthopantomogram (OPG) taken two years earlier for routine dental treatment revealed a clearly visible but smaller bone lesion at the same location. Surgery was carried out in order to achieve bone regeneration. This report documents the importance of careful evaluation and assessment of all radiographs taken, as the lesion could have been diagnosed and treated much earlier, thus lowering the risk of complications.

Esthetic alternative for fluorosis blemishes with the usage of a dual bleaching system based on hydrogen peroxide at 35%

2005 ◽  
Vol 28 (2) ◽  
pp. 143-146 ◽  
Author(s):  
Sandra Kalil Bussadori ◽  
Marcos Augusto do Rego ◽  
Patrícia Eberson da Silva ◽  
Marcelo Mendes Pinto ◽  
Antonio Carlos Guedes Pinto
Keyword(s):  
Hydrogen Peroxide ◽  
Clinical Case ◽  
Pediatric Dentistry ◽  
Dual System ◽  
Psychological Problems ◽  
Dental Esthetics ◽  
Pediatric Dentist ◽  
Dental Procedures ◽  
Adolescent Patients

Esthetic dental procedures in pediatric dentistry represent sources of satisfaction and realization, as much for the patient as for the professional. Lack of dental esthetics may develop psychological problems in infant as well as in adolescent patients. Blemishes produced by fluorosis appear as a challenge to the pediatric dentist and alternatives for treatment are desired. The scope of this present paper is to relate a clinical case with esthetic solution for blemishes in teeth enamel due to fluorosis. A dual system of bleaching was used (photo/chemically activated) based on hydrogen peroxide at 35% (Hi-Lite-Shofu) in a male eight-year-old patient with white fluorosis blemishes on teeth 11 and 21.The bleaching system used was efficient in bleaching teeth with white blemishes due to fluorosis, thus masking the blemishes and providing a more uniform appearance.

scholarly journals Prevention of infective endocarditis in dental procedures for tetralogy of fallot patients

2021 ◽  
Vol 5 (2) ◽  
pp. 66
Author(s):  
Ari Rosita Irmawati ◽  
Ayulistya Paramita Sutarto
Keyword(s):  
Infective Endocarditis ◽  
Oral Cavity ◽  
Tetralogy Of Fallot ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Pediatric Dentistry ◽  
Prophylactic Antibiotics ◽  
Corrective Surgery ◽  
Pulp Chamber ◽  
Dental Procedures

Objectives: Tetralogy of Fallot (ToF) is a congenital heart defect that is often found in children. Complication that can occur is infective endocarditis caused by bacteria that are often found in the oral cavity. Children with ToF are in a high risk of caries, especially in primary dentition. Preparation of the oral cavity must be done before the cardiac surgery. A proper examination and diagnosis of caries is required in determining the dental treatment to reduce the risk of infective endocarditis. Case Report: A boy aged 4 years, weighing 20 kg came to the pediatric dentistry clinic in Surabaya on a referral from Kediri. The patient had ToF with high caries index and will undergo cardiac corrective surgery. Through a brief anamnesis, it was found that this patient's fingernails and lips easily turn blue (cyanosis) if the patient is in an anxious condition. The panoramic photo shows teeth 51, 52, 54, 61, 62, 74, 84 showing radiolucent images from the enamel to the pulp chamber. Conclusion: Prophylactic antibiotics should be given to ToF patients before procedures involving the gingiva and pulp. Radiographs are needed to help establish the diagnosis and plan treatment. Proper oral and dental care must be taken to prevent the occurrence of infective endocarditis. Errors in determining the diagnosis can lead to errors in the treatment plan and increase the risk of infective endocarditis.

scholarly journals O uso de desenhos como técnica projetiva em odontopediatria

2020 ◽  
Vol 61 (2) ◽  
pp. 103-112
Author(s):  
Larissa Moreira Pinto ◽  
Stéffani Serpa ◽  
Natália Baschirotto Custódio
Keyword(s):  
Clinical Practice ◽  
Dental Care ◽  
Preventive Measures ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Projective Techniques ◽  
Pediatric Dentist ◽  
Effective Instrument ◽  
Positive Return ◽  
Dental Environment

The dental environment can be considered a stressor for children, and can trigger unwanted behaviors. Pediatric Dentistry is a specialty that requires professionals to know preventive measures and restorative skills to perform dental treatment in children or adolescents. In addition, it is especially important that the professional is concerned with the child’s feelings and reactions, allowing the pediatric dentist to identify situations that may generate stress for the patient during the care, and manage the presented behaviors. Recent studies have measured children’s reactions and feelings during dental treatments using projective techniques. Given the importance of drawing to identify children’s emotions, the objective of this study was to search the literature about the use of drawings as a projective technique in Pediatric Dentistry. Therefore, projective techniques, with an emphasis on drawing, have proved to be an effective instrument to be used in clinical practice to better understand the reactions presented by children during dental care and their relationship with dentists. Thus, avoiding unexpected situations in the office and allowing greater chances of obtaining a positive return from the patient.

scholarly journals Tubuh Perempuan Dalam Layar Kaca: Perebutan Kuasa Terhadap Tubuh Perempuan Antara Negara, Media dan Pemiliknya

2007 ◽  
Vol 5 (4) ◽  
pp. 465
Author(s):  
Thoriq Nurmadiansyah
Keyword(s):  
Public Opinion ◽  
The State ◽  
Women's Bodies ◽  
Left Behind ◽  
Women's Voice ◽  
Different Types ◽  
The Media ◽  
The Right

This article highlights how the media, especially television, have per, ceived women's bodies. TV has proven itself to be a powerful medium to develop public opinion, including that with regard to women's bodies. TV has propagates many different types of women's bodies: beautiful women, ugly women, nice women with all their characteristics. The State is also interested in controlling women's bodies. This can be seen from the conceptualization of legal draft on pornography that targeted women. Thus media and the state have competed to rule women's bodies as though they are commodity object, whereas women themselves, the right owners of the bodies, are usually left behind in this discourse. The author suggests that women's voice should be listened and considered seriously in this matter, because women are the owners of their bodies.

scholarly journals Dental anxiety among migraine patients

2021 ◽  
Vol 14 (4) ◽  
pp. 498-503
Author(s):  
Yagoub Dhafer Alyami ◽  
◽  
Jana Khalid Farran ◽  
Jumanah Ateeq Alsubhi ◽  
Jehan Ahmed Omar ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Control Group ◽  
Cross Sectional ◽  
Dental Clinics ◽  
Validated Questionnaire ◽  
Dental Procedures ◽  
Patient Responses

In this study, we aimed to find a correlation between anxiety related to dental procedures and migraines. A cross-sectional study was performed on 171 patients who attended specific dental clinics. The patients were randomly categorized into a migraine group (83) and a control group. To determine the anxiety level, all the patients filled out a validated questionnaire (the Arabic version of the Modified Dental Anxiety Scale). All responses ranged from “not anxious” (scoring 1) to “extremely anxious” (scoring 5). Based on the patient responses, the total score was recorded and compared statistically between the two groups. The sound of drilling was one of the most vital factors causing anxiety and headaches in migraine patients. Comparing the presence or absence of headache and usage of analgesics between the two groups, migraine patients complained to have headaches during or after dental treatment more frequently than controls and used analgesics more than non-migraine controls. Migraine patients visiting dental clinics feel more anxious about the working environment and need certain modifications before, during, and after dental procedures.

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