scholarly journals Parental issues and concerns for their children treated under general anaesthesia for early childhood caries: A qualitative research approach

2021 ◽  
Vol 32 (2) ◽  
pp. 158
Author(s):  
Rachana Srinivas ◽  
Latha Anandakrishna
Keyword(s):  
Qualitative Research ◽  
Early Childhood ◽  
General Anaesthesia ◽  
Early Childhood Caries ◽  
Research Approach ◽  
Childhood Caries

scholarly journals Minimally Invasive Dentistry: Parent/Carer Perspectives on Atraumatic Restorative Treatments and Dental General Anaesthesia to the Management of Early Childhood Caries

2021 ◽  
Vol 2 ◽  
Author(s):  
Peter Arrow ◽  
Helen Forrest ◽  
Susan Piggott
Keyword(s):  
Early Childhood ◽  
Minimally Invasive ◽  
General Anaesthesia ◽  
Early Childhood Caries ◽  
Cost Of Care ◽  
Atraumatic Restorative Treatment ◽  
Treatment Needs ◽  
Minimally Invasive Dentistry ◽  
Dental General Anaesthesia ◽  
Childhood Caries

Introduction: Parents of children treated under dental general anaesthesia (DGA) have reported feelings of concern and anxiety. This study elicited the views of parents/carers (P/C) of children with early childhood caries (ECC) who participated in a randomised trial (core study) which tested the effectiveness of care under DGA or care using alternative minimally invasive Atraumatic Restorative Treatment and the Hall Technique approaches (ART/HT).Methods: P/C of children treated using the ART/HT (test) approach or care under a DGA (control) were interviewed. Focus group semi-structured interviews with P/C were undertaken in community facilities. The transcripts were read and inductively coded into domains to identify emergent themes. The codes were entered into NVivo software to assist data management and were further refined into broad themes.Results: Seven grouped interviews with 14 participants were conducted and one test participant provided a written response. Four groups with eight test participants; two groups with four control participants; and one combined group with one test and one control participant were interviewed. Five broad themes emerged after thematic analysis: (1) Impacts on the child and the family; (2) Child-/family-centred care; (3) Timeliness of care; (4) Affordable care; (5) Accessible care. Impacts were related to that of the effects of the disease, and of the care for the disease. Child-centred/family-centred care (CCC) was a source of appreciation by P/C of both groups when it was experienced. Frustration at the lack of timely care of their child's treatment needs, coupled with the perceived expensiveness of care and difficulties in physically getting to the location for a specialist consultation was expressed by P/Cs in the study.Discussion: The use of the ART/HT enabled the establishment of a relationship between the clinical team and the child and P/C which was central to the delivery of CCC. P/Cs in the DGA arm of the study expressed dissatisfaction more often with the issues of timely care, cost of care and accessibility of care. P/C of both groups were equally satisfied with the treatment, where treatment had been received in a timely, child-centred manner.Conclusion: The findings suggest that minimally invasive approaches which facilitated CCC are acceptable alternative options to the DGA and should be considered for the management of ECC.Australian New Zealand Clinical Trials Registry: ACTRN12616001124426.

scholarly journals Correlation between dental caries and hormonal, biochemical parameters in children with early childhood caries

2020 ◽  
Vol 10 (1) ◽  
pp. 1-5
Author(s):  
Ahmet Aras ◽  
Mehmet Sinan Doğan
Keyword(s):  
Early Childhood ◽  
Uric Acid ◽  
Statistical Analysis ◽  
Dental Caries ◽  
General Anaesthesia ◽  
Biochemical Parameters ◽  
Early Childhood Caries ◽  
Pediatric Patients ◽  
Radiographic Examination ◽  
Childhood Caries

Aim: The aim of this study was to analyze the relationship between dental caries and hormonal, biochemical parameters in pediatric patients with early childhood caries (ECC). Methodology: This study was conducted on fifty pediatric patients who presented with complaints of pain and caries and underwent dental treatment under general anaesthesia. In this study, the hormonal, biochemical parameters (glucose, urea, uric acid, creatinine, AST, ALT, GGT, CRP, Sodium, Potassium, Calcium, Glucose, Iron, TSH, FT3 and FT4) which were routinely taken from patients before general anaesthesia and the number of decayed, extracted and filled teeth (DMFT) obtained as a result of clinical and radiographic examination were evaluated statistically in patients aged 2-6 years.  Statistical analysis was performed using Independent Samples T-Test and Spearman correlation coefficient at a 0.05% significance level. Results: According to the data obtained, DMFT average of fifty children (male: 35; female: 15) included in the study was found to be 8.26. The mean DMFT was 7.93 in females and 8.40 in males. No statistical relationship was found between DMFT and gender in statistical analysis. (p>0.05). Uric acid and GGT values, which are among the hormonal and biochemical parameters, were found to be outside the normal range in 61.22% of the patients. However, statistical analysis revealed that there was no significant relationship between DMFT and hormonal, biochemical parameters. (p>0.05). Conclusions: In this study, it was concluded that dental caries did not cause a significant change in hormonal and biochemical blood parameters in pediatric patients with ECC.   How to cite this article: Aras A, Doğan MS. Correlation between dental caries and hormonal, biochemical parameters in children with early childhood caries. Int Dent Res 2020;10(1):1-5. https://doi.org/10.5577/intdentres.2020.vol10.no1.1   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals How to Intervene in the Caries Process: Early Childhood Caries – A Systematic Review

2020 ◽  
Vol 54 (2) ◽  
pp. 102-112 ◽  
Author(s):  
Julian Schmoeckel ◽  
Kristina Gorseta ◽  
Christian H. Splieth ◽  
Hrvoje Juric
Keyword(s):  
Systematic Review ◽  
Early Childhood ◽  
General Anaesthesia ◽  
Systematic Reviews ◽  
Early Childhood Caries ◽  
Randomized Clinical Trials ◽  
Level Of Evidence ◽  
Low Level ◽  
Anterior Teeth ◽  
Childhood Caries

For an Organisation for Caries Research/European Federation of Conservative Dentistry consensus, this systematic review is aimed to assess the question of how to manage the caries process in the case of early childhood caries (ECC). Medline via PubMed was searched systematically regarding management of ECC. First priority was existing systematic reviews or randomized clinical trials otherwise cohort studies dealing with management of ECC, primarily with carious anterior teeth. After data extraction, the potential risk of bias was estimated depending on the study types, and the level of evidence was evaluated. Regarding management of ECC, results are presented for silver diamine fluoride (SDF, n = 5), nonoperative caries management (NOCM, n = 10), and restorative approaches (RA, n = 8) separately, as different kinds of studies with different levels of evidence were found for the different aspects in the management of ECC. The 5 systematic reviews on SDF showed a high potential for arrest of ECC on a high level of evidence. In NOCM, a low level of evidence for a moderate effect of fluoride varnish in arresting or remineralizing, especially non-cavitated lesions, was assessed. For RA in carious anterior upper primary teeth, a low level of evidence was found for higher failure rates of glass ionomer cement and composite fillings than composite strip crowns even if placed under general anaesthesia and especially compared to other crowns (stainless steel and zirconia). In conclusions, ECC may be managed successfully with nonoperative (SDF, regular fluoride application) and moderately well with operative approaches, but the decision is affected by many other variables such as pulpal involvement, the child’s cooperation, or a general anaesthesia setting.

Prevention and Treatment of Early Childhood Caries (ECC)

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Jeffrey .
Keyword(s):  
Early Childhood ◽  
Health Problem ◽  
Early Childhood Caries ◽  
Health Providers ◽  
Missing Teeth ◽  
Optimal Basis ◽  
Major Health Problem ◽  
Major Health ◽  
Childhood Caries

Early Childhood Caries (ECC) is a chronic disease that can be prevented. It commonlyaffects children involving in one or more decayed (with lesions or not) teeth, missing teeth (dueto caries), or teeth with fillings in children aged under 71 months. The disease is sometimesoverlooked, but this condition usually affects the general health of children. Early detection ofEarly Childhood Caries (ECC) can prevent problems which are harmful to children. Therefore,the ECC must be prevented and for teeth that have had dental caries they should be givenproper treatment so as not to worsen and affect the quality of life in children. Prevention of thisdisease is a significant component in any health program to prepare for the optimal basis forthe oral health of children. This condition will become a serious health problem if not handledproperly, and it is a major health problem for health providers throughout the world.Primarypreventive must be initiated since a woman getting pregnant.Keywords: Early Childhood Caries (ECC), prevention, treatment

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