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 STUDY OF HEALTH INSURANCE COSTS IN COMPARISON OF INCOME AND EXPENSES OF DENTAL PRACTICE BY TYPE OF TREATMENT

2021 ◽  
Vol 10 (34) ◽  
Author(s):  
V.S SERIKOV ◽  
Keyword(s):  
Health Insurance ◽  
Dental Care ◽  
Preventive Measures ◽  
Dental Treatment ◽  
Dental Materials ◽  
Medical Insurance ◽  
Dental Practice ◽  
Dental Services ◽  
Economic Significance ◽  
Dental Clinics

Currently, the number of private dental clinics is growing. However, there is also mandatory medical insurance for free dental care. The purpose of this study is to study the costs of health insurance in comparison of income and expenses of dental practice by type of treatment. The study examined all medical expenses for dental care, purchase of dental materials, depending on the type of dental treatment. The economic significance of expenses and revenues for dental materials was calculated depending on the type of treatment, as well as the optimal amount of remuneration for employees. In our study, regular dental examinations are covered by insurance, since patients who visit dental clinics for regular dental examinations carry out preventive measures at the expense of mandatory medical insurance. In the course of the study, we calculated the economic significance of preventive measures and the cost-effectiveness of dental care. Thus, early diagnostics of dental pathology and high-quality provision of dental services at the early stages under the mandatory medical insurance policy are effective for improving the entire management balance of dental clinics.

scholarly journals Niños con hemofilia y su atención odontológica por estomatología pediátrica. Revisión de la literatura / Children with Hemophilia and their Dental Care by Pediatric Stomatology. Review of Literature

2016 ◽  
Vol 35 (74) ◽  
Author(s):  
Ángela Liliana Grandas Ramírez
Keyword(s):  
Factor Viii ◽  
Dental Care ◽  
Hemophilia A ◽  
Dental Treatment ◽  
Coagulation Factor ◽  
Coagulation Factors ◽  
Pediatric Dentistry ◽  
Review Of Literature ◽  
National University ◽  
Treatment Considerations

<strong>ABSTRACT. </strong><strong><em>Purpose</em></strong>: To carry out systematic review of literature about diagnostics, severity, and dental treatment considerations of children with Hemophilia A. <strong><em>Methods</em></strong>: The search for articles and other document was conducted through the databases available at the National Library System of the National University of Colombia. The English and Spanish terms used in the search were “pediatric dentistry,” “hemophilia A,” dental care,” “coagulation factors,” and/or “coagulation disorders.” <strong><em>Results</em></strong>: The sample consisted of 29 articles that met the inclusion criteria. Hemophilia A is a congenital disorder caused by a deficiency of coagulation factor VIII. Treatment of hemophilia depends on its severity and focuses on avoiding risking life of children due to preventable bleeding by timely applying local therapies such as tranexamic acid or factor VIII, depending on dental needs. Dental treatment of hemophilia A should be interdisciplinary and must emphasize primary health care, health promotion, and prevention in order to avoid invasive dental treatments that could cause bleeding. In addition, treatments seek to maintain oral health and to provide quality of life to children living with hemophilia A.

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.

scholarly journals Pediatric Dentists’ Service Provisions in South-East Europe during the First Wave of COVID-19 Epidemic: Lessons Learned about Preventive Measures and Personal Protective Equipment Use

2021 ◽  
Vol 18 (22) ◽  
pp. 11795
Author(s):  
Ana Vuković ◽  
Stefan Mandić-Rajčević ◽  
Ruxandra Sava-Rosianu ◽  
Marcela D Betancourt ◽  
Edit Xhajanka ◽  
...  
Keyword(s):  
Preventive Measures ◽  
Dental Treatment ◽  
Mother Tongue ◽  
Pediatric Dentistry ◽  
Lessons Learned ◽  
National Language ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pediatric Dentists ◽  
The Impact

Introduction: Having in mind the importance of providing continuous pediatric dental services during the COVID-19 pandemic and the fact that children have similar viral loads to adults, the potential to spread the virus to others, and with variable clinical presentation of COVID-19 infection, this study aimed to analyze the impact of COVID-19 outbreak on pediatric dentistry service provision, risks, and preventive measures before and during dental treatment. Method: Structured and closed epidemiological cross-sectional survey involved seven Southeastern European countries. The questionnaire was developed using the modified Delphi method, pretested, and tested in North Italy during April 2020. The sample consisted of licensed dental professionals reached via national dental chambers and social media using the best strategies according to the national setting. Results: A total of 3227 dentists participated in the survey, and we included 643 specialists in this study—among them, 164 were pediatric dentists. Most pediatric dentists worked in the public sector (61.0%) and provided emergency (64.6%) and routine dental treatment (18.3%) during the outbreak. One-third of pediatric dentists were COVID-19 tested, statistically significantly more than other specialties, and 3.0% tested COVID-19 positive. In addition, significantly more pediatric dentists (13.4%) reported the presence of at least one symptom related to COVID-19 compared to other specialists (6.1%). None of the pediatric dentists reported PPE shortage. However, 26.2% of all specialists stated that they lacked clear step by step professional guidance in a national language. Similarly, in both groups, around 10% of specialists attended education on coronavirus. Conclusions: Considering that most pediatric dentists provided dental treatment during lockdown in their countries in public health centers and that they will continue to work during pandemic, our results suggest that pediatric dentists might be at higher risk of COVID-19 infection. Further research should focus on finding better ways to promote and adapt preventive, protective measures and PPE in the pediatric dental setting to be behaviorally acceptable. Moreover, additional efforts should be invested in dental education regarding COVID-19 in the mother tongue.

scholarly journals Behavior and reaction of children to dental care, when submitted to play workshops before and after treatment

2020 ◽  
Vol 68 ◽  
Author(s):  
Laura SOUZA ◽  
Filipe NOGUEIRA ◽  
Laíza MARTINS ◽  
Danielly FERREIRA ◽  
Fabiana OLIVEIRA ◽  
...  
Keyword(s):  
Child Behavior ◽  
Dental Care ◽  
Positive Emotions ◽  
Dental Treatment ◽  
Cooperative Behavior ◽  
Negative Emotions ◽  
Pediatric Dentistry ◽  
Before And After ◽  
Three Stages ◽  
The One

ABSTRACT Objective Strategies to prepare the child with play activities in order to establish an initial friendly relationship between patient and dentist are widely used as a means to soften the inconsistent behaviors and negative emotions during dental treatment. Thus, the objectives of this study were to evaluate the emotions of children before and after performing play activities and at the end of dental treatment, as well as assessing child behavior. Methods A total of 74 children, both boys and girls, aged 4 to 10 years old, participated in this study and attended the Pediatric Dentistry Clinic for two consecutive semesters. The children responded as they felt through the Emotions Deck during the three stages. In addition, data on behavior and procedures were also collected. Results A total of 468 emotions were evaluated, of which 69 (14.75%) were negative and 399 (85.25%) were positive; the joy was the one of greater frequency in the three evaluated moments. A total of 128 (82.05%) positive emotions were observed before, 133 (85.25%) after the play activities and 136 (87.18%) of the positive emotions were after the dental treatment. As for negative emotions, 28 (17.94%) were before, 23 (14.74%) after play activities and 20 (12.82%) after treatment. Regarding behavior, only 9 (5.77%) were not registered as cooperative, while 147 collaborated (94.23%). Conclusion Therefore, it was possible to conclude that the majority of the patients presented positive emotions at the different moments evaluated and the negative emotions were observed mainly before the ludic activities, having a reduction after the dental care. Most patients demonstrated cooperative behavior.

scholarly journals Post-sedation Events in Children Sedated for Dental Care

2013 ◽  
Vol 60 (2) ◽  
pp. 54-59 ◽  
Author(s):  
Priyanshi Ritwik ◽  
Linda T. Cao ◽  
Ronald Curran ◽  
Robert J. Musselman
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Fisher Exact Test ◽  
Healthy Children ◽  
Treatment Needs ◽  
Convenience Sample ◽  
Exact Test ◽  
Safe Delivery ◽  
Dental Patients

Abstract Moderate oral sedation is used in pediatric dentistry for safe delivery of dental care to children. However, there is a paucity of data on the effects of pediatric dental sedations after discharge of children from the dental office. The purpose of this study was to evaluate and compare the incidence of adverse events occurring with meperidine and hydroxyzine versus midazolam alone 8 and 24 hours after sedation in pediatric dental patients. In this prospective study, a convenience sample of 46 healthy children presenting to a private pediatric dental practice for dental treatment needs was selected. A telephone survey of the parents of children sedated with either meperidine and hydroxyzine or midazolam alone was conducted 8 and 24 hours after the administration of sedation medications. Data analysis included descriptive statistics, frequency and proportion analysis, and Fisher exact test. Forty children were sedated with meperidine and hydroxyzine, and 6 who were sedated with midazolam. In both groups, 50% of the children slept in the car on the way home. Three children in the meperidine and hydroxyzine group vomited in the car. A significantly larger proportion of children in the meperidine and hydroxyzine group experienced prolonged sleep at home (P = .015). More children in the midazolam group exhibited irritability in the first 8 hours (P = .07). There were no statistical differences between the 2 groups with respect to incidence of pain, fever, vomiting, sleeping in the car, snoring, and difficulty in waking up. The lingering effects of orally administered sedation medications can lead to prolonged sleep, irritability, and vomiting in children after they have been discharged from the dental clinic. Most of these events occurred within the first 8 hours, but in some children the effects were seen up to 24 hours later.

scholarly journals USING 4% ARTICAINE COMBINED WITH EPINEPHRINE (1: 100,000 AND 1: 200,000) IN THE PRACTICE OF PEDIATRIC DENTISTRY: CLINICAL CASES DESCRIPTION

2014 ◽  
Vol 10 (6) ◽  
pp. 48-51
Author(s):  
Е. Иощенко ◽  
E. Ioschenko ◽  
Е. Брусницына ◽  
E. Brusnitsyna ◽  
Н. Ожгихина ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Dental Care ◽  
Local Anesthetics ◽  
High Performance ◽  
Pediatric Dentistry ◽  
Dental Care For Children ◽  
High Quality ◽  
Dental Services ◽  
The Moment ◽  
Clinical Cases

<p> Dental care for children at the moment is an important task. A high-quality dental care is impossible without the use of safe and effective anesthesia. One of the main local anesthetics of high-performance dental services is the amide anesthetic articaine. This article discusses two clinical cases using in clinical practice of pediatric dentistry of articaine-containing drug Ultracaine®. </p>

scholarly journals Assessment of Parent's Preference to General or Local Anesthesia for Children undergoing Dental Treatment

2015 ◽  
Vol 6 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Sutharshana Vellingiri
Keyword(s):  
Patient Satisfaction ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Dental Care ◽  
Dental Treatment ◽  
Well Being ◽  
Healthcare Services ◽  
Pediatric Dentistry ◽  
Parental Satisfaction ◽  
Dental Practitioners

ABSTRACT Background Investigators have begun to address the relationship of parental satisfaction with dental care for children since the dentist/physician and the patient are all aware of the services being provided. These determining characters are essential for compliance of the patient, as patient satisfaction is directly related to health-related issues, needs, and practice. Patient satisfaction has an important role in determining the utilization of the healthcare services and the compliance behavior of the patients. Factors which can influence the patients’ decision to seek care and follow through to the completion of the treatment process can affect the physiologic and functional outcomes of the treatment. Hence, this survey was done to evaluate parent's preference to general or local anesthesia in their children's dental treatments. Materials and methods In this survey, a modified and adapted questionnaire from a previously tested survey that was used to assess parental satisfaction with dental treatments under general anesthesia in pediatric dentistry, was used to assess parents’ preference to general or local anesthesia. Parents whose children were going to undergo treatments in Department of Pedodontics, Saveetha Dental College, was issued with this questionnaire and clinical examination of teeth present and treatment to be done was examined. Results Ninety-seven percent of the parents preferred local anesthesia to general anesthesia. Parents preferred general anesthesia most only in case child below the age of 3 and when multiple settings are required of and their knowledge about anesthesia and its side effects was found to low and preferred local anesthesia in most cases. Conclusion Parents play a unique role in dental care and over all well being of the child. Some parents and dental practitioners prefer the presence of a parent with their child during the delivery of in-office dental care. Parents are aware of their child's previous dental experiences and are also aware of the child's interest and fear. Most of the parent's preference was to local anesthesia (97%) and preferred general anesthesia under given circumstances. How to cite this article Vellingiri S, Gurunathan D. Assessment of Parent's Preference to General or Local Anesthesia for Children undergoing Dental Treatment. World J Dent 2015;6(3):154-160.

scholarly journals Assessment of the Correlation between Appointment Scheduling and Patient Satisfaction in a Pediatric Dental Setup

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Amar N. Katre
Keyword(s):  
Patient Satisfaction ◽  
Time Management ◽  
Rating Scale ◽  
Dental Treatment ◽  
Quality Care ◽  
Pediatric Dentistry ◽  
Appointment Scheduling ◽  
Scheduling System ◽  
Pediatric Dentist ◽  
Appointment Schedule

Introduction. The practice of modern pediatric dentistry requires delivery of quality care in combination with adherence to excellent business as well as time management principles. A definite appointment schedule should be presented to the parents on the first or second appointment. More importantly, the prescribed schedule should be followed to the best of the professional abilities of the pediatric dentist.Aims. The aim of the study was to assess the co-relation between appointment scheduling and patient satisfaction in a pediatric dental setup with the objective of understanding the parameters related to appointment scheduling to increase patient satisfaction.Method. A total of 40 patients, who visited the Department of Pediatric and Preventive Dentistry, YMT Dental College & Hospital, for dental treatment were selected on a random basis. A questionnaire with a set of 6 questions with a rating scale of 1–5 to assess the patient satisfaction related to appointment scheduling was prepared.Results. A significant number of the patients were happy with the existing appointment scheduling system barring a few exceptions.

scholarly journals Sedation versus protective stabilization for dental treatment of children with caries and challenging behavior at the dentist (CHOOSE): a study protocol for a non-randomized clinical trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gabriela Seabra da Silva ◽  
◽  
Anna Alice Anabuki ◽  
Karolline Alves Viana ◽  
Patricia Corrêa-Faria ◽  
...  
Keyword(s):  
Early Childhood ◽  
Dental Care ◽  
Challenging Behavior ◽  
Behavior Management ◽  
Rating Scale ◽  
Dental Treatment ◽  
Physiological Stress ◽  
Pediatric Dentistry ◽  
Moderate Sedation ◽  
Unified Health System

Abstract Background There is a lack of evidence on the effectiveness of moderate sedation in pediatric dentistry, compared to protective stabilization, which remains routinely used in Brazil despite moral questions. This prospective non-randomized clinical trial's objective is to evaluate the effectiveness of moderate sedation, compared to the protective stabilization, in the dental care of children with dental behavior management problems. Methods Participants will be 152 children under seven years of age with early childhood caries (ECC) who need specialized dental treatment due to a history of challenging behavior during dental care. The interventions to be compared are moderate sedation with oral administration of ketamine and midazolam and protective stabilization. The primary endpoint will be the child's behavior during treatment assessed using the Ohio State University Behavioral Rating Scale (OSUBRS). The secondary outcomes are (A) child's – behavior according to the visual analogue scale, anxiety, pain, and physiological stress; (B) parent's – satisfaction and anxiety; (C) family and child – impact on oral health-related quality of life (OHRQoL); (D) dentist's – satisfaction and stress; (E) procedure – adverse events of the intervention and dental treatment longevity. A cost-effectiveness analysis will be performed from the perspective of the Brazilian Unified Health System (SUS). Discussion Considering the primary outcome, this study hypothesis is that sedated children have better behavior during dental treatment than children whose behavior was managed by protective stabilization without sedation. Additionally, at the end of 12 months, we expect to identify participants' reported outcomes and objective measures related to dental behavior in early childhood. Trial registration Clinicaltrials.gov registration NCT04119180 on October 8th, 2019. https://clinicaltrials.gov/ct2/show/NCT04119180

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