scholarly journals The attitude of polish dentists towards children treatment

New Medicine ◽  
2020 ◽  
Vol 24 (2) ◽  
Author(s):  
Maria Prokopczyk ◽  
Zuzanna Piotrkowicz ◽  
Anna Turska-Szybka
Keyword(s):  
General Anesthesia ◽  
Dental Treatment ◽  
Demographic Data ◽  
Glass Ionomer Cement ◽  
Young Patients ◽  
Preventive Treatment ◽  
Final Analysis ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Planned Adaptation

Introduction. The dentist’s attitude towards treating children influences the success of dental treatment and can be shaped by the healthcare system, appropriate preparation for treating young patients, and the use of various methods of cooperation. Aim. The aim of the study was to present the dentists’ approach to the treatment of juvenile patients and to discuss treatment procedures and factors, which have an influence on communication and treatment planning. Material and methods. The study included 736 dentists. The questionnaire consisted of 46 questions and covered topics related to socio-demographic data, number of treated children, pharmacological premedication, adaptation visits, treatment of deciduous and immature permanent teeth, behavioral methods of shaping the child’s attitude, non--cooperative patients as well as dentophobia. Results. Amount of 577 questionnaires were qualified for the final analysis, women: 85.4%, men: 14.6%. The mean age was 33 ± 8.2 years. Only 17.9% of the respondents had a specialization, including 24.3% in pedodontics. Among the respondents, 85.1% treated young children up to the age of 6. Treatment of deciduous teeth without local anesthesia was performed by 18.5% of dentists. According to 84.9% of the respondents, it was possible to overcome the child’s dentophobia thanks to adaptation visits. Prophylactic procedures were performed by 98.0% of physicians, while pharmacological premedication was used by 16.7%. As much as 93.5% of dentists used glass ionomer cement to restore deciduous teeth. Non-cooperative children were referred to treatment under general anesthesia by 71.5% of the respondents. Disabled patients were treated by 60.5%. Every fourth dentist used child immobilization and every sixth expressed an interest in pedodontics courses. Conclusions. The vast majority of dentists treat children, including the youngest up to 6 years old, as well as disabled children. Almost every dentist performs preventive treatment. There is a strong correlation between the age of the dentist and the type of treatment used. Uncooperative children are referred for treatment under general anesthesia. It is possible to overcome dentophobia in young patients thanks to properly planned adaptation visits.

scholarly journals Radiological Evaluation of Stainless Steel Crowns Placed on Permanent Teeth in Patients Treated under General Anaesthesia

2021 ◽  
Vol 18 (5) ◽  
pp. 2509
Author(s):  
Marie-Laure Munoz-Sanchez ◽  
Natacha Linas ◽  
Nicolas Decerle ◽  
Valérie Collado ◽  
Denise Faulks ◽  
...  
Keyword(s):  
Stainless Steel ◽  
General Anaesthesia ◽  
Alveolar Bone ◽  
Dental Treatment ◽  
Glass Ionomer Cement ◽  
Permanent Teeth ◽  
Marginal Adaptation ◽  
Permanent Molars ◽  
A Minor ◽  
Ionomer Cement

Evidence-based evaluations of dental treatment are needed to support the development of special care dentistry services. This retrospective study was designed to collect and analyse X-ray images of permanent teeth restored with stainless steel crowns (SSC) in patients treated under general anaesthesia. Between 2013 and 2019, 360 permanent molars were crowned with SSCs in 198 adult patients. One calibrated investigator used an original validated tool to evaluate four radiographic criteria for molars restored with SSCs: i) marginal adaptation; ii) interdental proximal contact; iii) the presence of glass ionomer cement overflow; and iv) the loss of alveolar bone. Overall, no defect or a minor defect was reported for the majority of SSCs for the criteria “Marginal adaptation” (62.5%, n = 320), “Proximal contact” (82.2%, n = 236) and “Cement overflow” (95.8%, n = 337). Alveolar bone resorption was reported in 8.3% of cases, n = 14, after a mean period of 8.9 ± 14.3 months. It was shown that the restoration of permanent teeth using SSCs placed under general anaesthesia presents a low risk of periodontal morbidity in the medium term when assessed radiographically.

scholarly journals Dental Prosthetic Treatments in Cleidocranial Dysplasia: Case Report and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Yosra Mabrouk ◽  
Sinda Ammar ◽  
Amel Labidi ◽  
Lamia Mansour ◽  
Sonia Ghoul
Keyword(s):  
Dental Treatment ◽  
Cone Beam ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Cleidocranial Dysplasia ◽  
Aged Patients ◽  
Long Term Follow Up ◽  
Prosthetic Implant

Cleidocranial dysplasia (CCD) is a rare inherited skeletal syndrome. There is no consensus regarding the dental treatment strategy. Objectives. To report a rare case of cleidocranial dysplasia and to summarize the current clinical and dental features and prosthetic treatment of similar CCD patients reported in the literature. Results. A 17-year-old girl was diagnosed with CCD. She had a short stature with the ability to bring the shoulders under the chest. All remaining teeth were deciduous except the four first molars were permanent. The maxilla was hypoplastic with a relative prognathism of the mandible. The cone-beam computed tomography examination showed a distorted and incomplete root formation of the permanent teeth. She was treated with both, complete and partial, removable overdentures. PubMed was used for the literature research using the following keys words “Cleidocranial Dysplasia”[Mesh], “Prosthodontics”[Mesh], “Dental Care”[Mesh], “cleidocranial dysostosis,” and “dental treatment.” The retention of deciduous teeth was described in the majority of cases. All the patients had supernumerary teeth. The most used treatments were dental prosthetics and orthodontics. The fixed prosthetic implant was the most used type of prosthetic treatment. Among the 15 cases who specified the type of prosthetic treatment, seven patients received removable dentures. Prosthetics was indicated especially for aged patients. Conclusion. Removable prostheses are a good solution that rapidly restores esthetics and functions. The use of implants for these patients needs to be validated by a long-term follow-up.

scholarly journals Behavior Management Techniques Adopted by Pediatric Dentists in Egypt

2019 ◽  
Author(s):  
Samah Kanzel ◽  
Fatma Abdelgawad ◽  
Kamal El Motayam
Keyword(s):  
General Anesthesia ◽  
Behavior Management ◽  
Dental Treatment ◽  
Young Patients ◽  
Parental Presence ◽  
Pediatric Dentist ◽  
Pediatric Dentists ◽  
Natural Response ◽  
Management Techniques ◽  
Behavior Management Techniques

Abstract Background: Dental treatment exposes the patients to an environment that may trigger natural response of fear, leading to difficulties in accepting treatment or even dental avoidance. The study aimed to identify the most common behavior management techniques (BMT) adopted by pediatric dentist in Egypt for managing uncooperative children. Methods: Questionnaires were hand delivered to pediatric dentists, which designed to record participants demographic and practice information, their current use of BMT, to determine the most common behavior management techniques used for each patient age; and their relationship to practitioner gender, total year in practice and position in the faculty. Results: Surveys were returned by 72 pediatric dentists (27.8% were males and 72.2% were females). Parental presence was practiced by all participants mainly for patients less than 2 years (93.1%). Tell-show-do was considered the most used technique (95.8%) for patients 3-5 years. Their employment of advanced techniques by respondents was less than basic techniques, being least for sedation and highest for general anesthesia mainly for the very young patients (73.2%). Conclusions: Presence of parents at the operatory became imperative for patients less than two years to gain their cooperation, unless general anesthesia will be used for them.

Extreme Tooth Abnormalities and Treatment under General Anesthesia in a Child with chronic GVHD Surviving Relapse of Acute Lymphoblastic Leukemia

2012 ◽  
Vol 37 (2) ◽  
pp. 199-201 ◽  
Author(s):  
S Maeda ◽  
M Suda ◽  
M Ishii ◽  
Y Tomoyasu ◽  
H Higuchi ◽  
...  
Keyword(s):  
Acute Lymphoblastic Leukemia ◽  
General Anesthesia ◽  
Dental Treatment ◽  
Lymphoblastic Leukemia ◽  
Chronic Gvhd ◽  
Term Treatment ◽  
Permanent Teeth ◽  
Dental Abnormalities ◽  
Long Term Treatment ◽  
One Year

Treatment for acute lymphoblastic leukemia (ALL) mainly consists of chemotherapy, irradiation and bone marrow transplantation. In terms of long-term treatment effects, dental abnormalities and chronic graft-versus host disease (GVHD) are problems. We present a patient surviving relapse of ALL at one year of age. He had extreme dental abnormalities and multiple caries. Most of his permanent teeth were abnormal, and multiple caries were observed. Since he had a strong vomiting reaction to dental treatment, general anesthesia was given. During the general anesthesia, much sputum was aspirated because of chronic GVHD. His dental condition was worse than other cases reported previously. Since the survival rate has increased recently, the dental effects of ALL treatment have become significant. Especially, in patients undergoing total body irradiation at under 2 years of age, it is highly likely that dental problems will occur in the future.

scholarly journals Treatment of a Patient with Oligodontia: A Case Report

2008 ◽  
Vol 9 (3) ◽  
pp. 121-127 ◽  
Author(s):  
Nursel Akkaya ◽  
Arlin Kiremitçi ◽  
Ŏzden Kansu
Keyword(s):  
Case Report ◽  
Dental Treatment ◽  
Treatment Options ◽  
Young Patients ◽  
Permanent Teeth ◽  
Missing Teeth ◽  
Conservative Care ◽  
Restorative Treatment ◽  
Dental Rehabilitation ◽  
Severity Of The Disease

Abstract Aim The aim of this report is to describe the management of a 16-year-old patient with oligodontia including six permanent teeth. Background Oligodontia is agenesis of six teeth or more, excluding third molars. The etiology of congenital absence of teeth is believed to be involved in heredity or developmental anomalies. It can be isolated or as part of a syndrome. There are a number of options available to restore space generated by missing teeth. Dental treatment can vary depending on the severity of the disease and generally requires a multidisciplinary approach. Treatment options include orthodontic therapy, implants, adhesive techniques, and removable prostheses. Report A 16-year-old male patient with oligodontia affecting six permanent teeth received conservative care that met his and his parent's expectations. The existing primary teeth were restored to resemble permanent teeth in order to achieve a favorable esthetic result using direct composite resin. The restorative treatment was provided for the psychosocial comfort of the young patient. The loss of teeth in young patients can cause esthetic, functional, and psychological problems particularly if the teeth of the anterior region are involved. Summary Adhesive techniques and new restorative materials represent current options in the management of the dental rehabilitation of young patients with oligodontia. Citation Akkaya N, Kiremitçi A, Kansu Ö. Treatment of a Patient with Oligodontia: A Case Report. J Contemp Dent Pract 2008 March; (9)3:121-127.

scholarly journals Multidisciplinary dental treatment for Papillon-Lefèvre syndrome: case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Paolla Leão MARTINS ◽  
Francine do Couto Lima MOREIRA ◽  
Cerise de Castro CAMPOS ◽  
Virgílio Moreira RORIZ
Keyword(s):  
Dental Treatment ◽  
Genetic Disorder ◽  
Genetic Defect ◽  
Dental Service ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Chromosome 11 ◽  
Oral Manifestation ◽  
Lysosomal Protease ◽  
Palmoplantar Hyperkeratosis

ABSTRACT Papillon-Lefèvre syndrome is a rare autosomal recessive genetic disorder with a prevalence of one to four cases per million. It is characterized by diffuse or localized palmoplantar hyperkeratosis. It has no gender or racial predilection. Etiology and pathogenesis of Papillon-Lefèvre syndrome are still obscure. However, Papillon-Lefèvre syndrome is believed to be caused by a genetic defect located on chromosome 11, which is responsible for coding cathepsin C, a lysosomal protease present mainly in the epithelial regions such as the palms, soles of feet, knees, and keratinized oral mucosa, which are the most commonly affected areas in Papillon-Lefèvre syndrome. Periodontitis is an oral manifestation of Papillon-Lefèvre syndrome that results in early loss of deciduous and permanent teeth. This report aims to describe a case of an 11-year-old male patient diagnosed with Papillon-Lefèvre syndrome at 4 years of age. After the diagnosis, the child lost all deciduous teeth and sought dental service at the Federal University of Goiás 2 years ago. He is being treated using a multidisciplinary approach involving the areas of periodontics, pathology, and orthodontics to avoid loss of permanent teeth and to provide conditions for preserving the health of remaining teeth while maintaining the function and the esthetics.

Effects of Video Information on Parental Preoperative Anxiety Level and Their Perception of Conscious Sedation vs. General Anesthesia for the Dental Treatment of Their Young Child

2007 ◽  
Vol 31 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Ari Kupietzky
Keyword(s):  
General Anesthesia ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Treatment Options ◽  
Young Patients ◽  
Anxiety Level ◽  
Preoperative Anxiety ◽  
Video Information ◽  
Significant Difference ◽  
The Impact

Aim. To investigate the impact of video information on parental preoperative anxiety and perception and their preference of conscious sedation versus general anesthesia for the dental treatment of young patients. Method/materials. Parents were given a verbal explanation regarding the two treatment options and were then asked to fill out a prescreening questionnaire. Their preference for mode of treatment was obtained and their preoperative anxiety level was measured on a visual analog scale (VAS). A video film depicting two children under going dental treatment with conscious sedation (CS) and a third child undergoing general anesthesia (GA) for dental treatment was shown to the parent. Following the viewing of the video film a post-screening questionnaire was given. Parents' post screening anxiety was measured and they were asked if their perception and preference of the two modes of treatment remained the same or changed. Results. 40 parents were included and completed the trial. The prescreening anxiety level of parents was 2.79 (± 1.05, SD) and was not significantly different than the post screening anxiety level of 2.91 (± .99 SD, paired t- test p=0.432). The majority of parents preferred CS to GA for the treatment of their child prior to screening of the video. Among the few who chose GA (n=5) all but one changed their choice after viewing the video to CS. However, this difference was not found to be statistically significant due to the small number of subjects in this group (McNemar test, p = 0.125). Most parents voiced the opinion that the video film contributed to their knowledge and also considered GA as having more risks than CS. An interesting finding was that a statistically significant difference was found regarding parent's perception of the two procedures and what they actually saw in the video. The majority of parents stated that their initial perception of GA was not similar to their viewing experience, conversely, CS matched their expectations. Conclusion. Parents' anxiety regarding their child's dental treatment under GA or CS is not affected by the viewing of a video film depicting either method. Parent's perception of GA is different than the actual procedure and may affect their choice of treatment.

scholarly journals Inhalation Conscious Sedation with Nitrous Oxide and Oxygen as Alternative to General Anesthesia in Precooperative, Fearful, and Disabled Pediatric Dental Patients: A Large Survey on 688 Working Sessions

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Angela Galeotti ◽  
Annelyse Garret Bernardin ◽  
Vincenzo D’Antò ◽  
Gianmaria Fabrizio Ferrazzano ◽  
Tina Gentile ◽  
...  
Keyword(s):  
Nitrous Oxide ◽  
Adverse Effects ◽  
General Anesthesia ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Young Patients ◽  
Dental Patients ◽  
Dental Procedures ◽  
Significant Difference ◽  
Disabled Patients

Aim. To evaluate the effectiveness and the tolerability of the nitrous oxide sedation for dental treatment on a large pediatric sample constituting precooperative, fearful, and disabled patients.Methods. 472 noncooperating patients (aged 4 to 17) were treated under conscious sedation. The following data were calculated: average age; gender distribution; success/failure; adverse effects; number of treatments; kind of dental procedure undertaken; number of dental procedures for each working session; number of working sessions for each patient; differences between males and females and between healthy and disabled patients in relation to success; success in relation to age; and level of cooperation using Venham score.Results. 688 conscious sedations were carried out. The success was 86.3%. Adverse effects occurred in 2.5%. 1317 dental procedures were performed. In relation to the success, there was a statistically significant difference between healthy and disabled patients. Sex and age were not significant factors for the success. Venham score was higher at the first contact with the dentist than during the treatment.Conclusions. Inhalation conscious sedation represented an effective and safe method to obtain cooperation, even in very young patients, and it could reduce the number of pediatric patients referred to hospitals for general anesthesia.

Comparing Dental Treatment between Children Receiving and not Receiving Silver Diamine Fluoride

2020 ◽  
Vol 44 (6) ◽  
pp. 400-406
Author(s):  
Michael R Davis ◽  
E LaRee Johnson ◽  
Beau D Meyer
Keyword(s):  
General Anesthesia ◽  
Nearest Neighbor ◽  
Dental Treatment ◽  
Demographic Data ◽  
Retrospective Chart Review ◽  
Average Treatment Effect ◽  
Complete Replacement ◽  
Silver Diamine Fluoride ◽  
Dental Visits ◽  
Average Treatment

Objectives: The objective was to compare dental visits, procedures, and expenditures in children with newly diagnosed caries. Study design: A retrospective chart review was conducted in a two dentist private practice in North Carolina. Demographic data, health status, and dental treatment data was collected. Analysis relied upon nearest neighbor matching to estimate the average treatment effects of silver diamine fluoride (SDF) by comparing children who received SDF to children who did not receive SDF (n=104 matches). Results: After matching on age, gender, race, insurance status, dental cooperation, and dmft, the SDF group had significantly more dental visits (average treatment effect on treated (ATET)=1.08), fewer restorations (ATET=2.37), and fewer restorative and overall treatment expenditures (ATET=$402 and $292, respectively) than the non-SDF group. The SDF group more frequently received treatment under general anesthesia (26% vs 7%), so this group was excluded in secondary analysis. Among children who did not receive general anesthesia, the SDF group had significantly more dental visits (ATET=.66), fewer restorations (ATET=2.74), and fewer restorative and overall treatment expenditures (ATET=$566 and $515, respectively) than the non-SDF group. Conclusion: SDF can offer cost savings when used as an adjunct to, rather than a complete replacement for, restorative treatment in young children.

scholarly journals Medical and economic efficiency of dental caries prevention through the use of fluoride sealant in schoolchildren

2021 ◽  
Vol 102 (3) ◽  
pp. 389-394
Author(s):  
N I Shaymieva ◽  
R Sh Khasanov ◽  
V N Olesova
Keyword(s):  
Dental Caries ◽  
Economic Efficiency ◽  
Dental Treatment ◽  
Statistical Processing ◽  
Test Group ◽  
World Health ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Control Group ◽  
Significant Difference

Aim. To study the medical and economic efficiency of the program for the prevention of dental caries using UltraSeal XT among schoolchildren of Kazan. Methods. In 2013, 200 schoolchildren from Kazan seen in the Republican Dental Clinic of the Ministry of Health of the Republic of Tatarstan (100 boys and girls aged 78) were selected. All patients were divided into two groups with similar distributions of sex and age: the test (main) group and control group. In the test group Sealants, the fissures of the first permanent molars were sealed with a composite fluorine-containing sealant according to the manufacturer's instructions. The control group was formed from children without dental sealants. The oral health assessment of children is reflected in the Examination Cards. Average indices of the severity of dental caries were determined (the number of decayed, filled and missing primary/permanent teeth dmft/DMFT). Re-examination of children was carried out in 2016 with the determination of the same indicators. The economic analysis was carried out using the method of mathematical modeling. Statistical processing was performed in Microsoft Office Excel 2017. Results. The use of sealants at the age of 78 years provided a lower level of caries severity in deciduous teeth (4.093.0; p 0.01). There was no statistically significant difference between the DMFT score of permanent teeth in children aged 78 years in the test group and the dmft score of deciduous teeth of children in the control group (p 0.05). The DMFT score in the permanent teeth of children in the test group of this age cohort (78 years old) was 0.660.95. The mean severity of dental caries DMFT index of 12-year-olds children with permanent dentition in the test group was 0.771.07, which is 1.52 more healthy teeth than in the control group DMFT score 2.291.59 (t=4.01; p 0.01). The medical and economic efficiency of the fluoride prevention of dental caries in 12-year-olds schoolchildren through the use of a composite fluorine-containing sealant is expressed in the eradication of caries (less than 1 affected tooth according to the World Health Organization classification) and amounts to 437.38 rubles of notional saved costs per child for sealing versus dental treatment. Conclusion. The use of a fluoride composite material reduces the severity of dental caries in children and the notional saved costs for sealing teeth.

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