scholarly journals Knowledge and Awareness about Ketamine as Anaesthetic among Dental Students - A Survey

2020 ◽  
pp. 182-190
Author(s):  
Debarun David ◽  
Dhanraj Ganapathy
Keyword(s):  
Adverse Effects ◽  
General Anesthesia ◽  
Questionnaire Survey ◽  
Patient Management ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Dental Students ◽  
Adults And Children ◽  
Anxiety And Fear

Ketamine has been used as a safe and effective sedative to treat adults and children exhibiting high levels of anxiety or fear during dental treatment. Pediatric dentistry often involves patients with high levels of anxiety and fear and possibly a few positive dental experiences. Patient management can involve behavioral approaches, as well as the use of sedation or general anesthesia with a variety of agents, including ketamine. The aim of this study was to assess the knowledge and awareness of ketamine as an anesthetic among dental students. A questionnaire survey was carried out online containing 10 questions that were sent to 100 dental students through survey planet software and the data was collected and statistically analysed. 74% of the students were aware about the uses and adverse effects of ketamine .Within the limits of this study, it may be concluded that most of the students were aware of ketamine as an anesthetic.

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 Influence of Examiner Experience on Clinical Performance of Visual Inspection in Detecting and Assessing the Activity Status of Caries Lesions

2013 ◽  
Vol 38 (6) ◽  
pp. 583-590 ◽  
Author(s):  
T Gimenez ◽  
DG Bittar ◽  
C Piovesan ◽  
CAB Guglielmi ◽  
KY Fujimoto ◽  
...  
Keyword(s):  
Clinical Features ◽  
Visual Inspection ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Dental Students ◽  
Assessment System ◽  
Caries Detection ◽  
Caries Activity ◽  
Caries Lesions ◽  
Different Levels

SUMMARYOur hypothesis was that a method of caries activity evaluation based on the clinical features of the lesions would be less time consuming but more influenced by the examiner's experience than the scoring system used in association with the International Caries Detection and Assessment System (ICDAS). Thus, the aim of this study was to evaluate the performance of three groups of examiners with different levels of experience using two different methods to assess the activity status of caries lesions by visual inspection. A cross-sectional study in a dental office setting was performed selecting 18 children, aged three to eight years, who had sought dental treatment at a dental school. Examinations to detect caries lesions were performed using visual inspection by six examiners with different levels of experience: two undergraduate dental students, two specialists in pediatric dentistry, and two graduate students. The examiners used ICDAS and two different methods to assess caries activity: using an additional score system or considering the examination of clinical features. Two benchmark examiners examined the children in a joint session, and their consensus was considered to be the reference standard. The sensitivity, specificity, and reproducibility were calculated for different thresholds: all, cavitated, and active caries lesions. Multilevel analyses were performed to compare the different methods and examiners. No differences were observed among the examiners, either in detecting all lesions and cavitated lesions or regarding the activity assessment. The methods of assessing activity status performed similarly, but the time spent on examinations was shorter for the method evaluating clinical features. In conclusion, the experience of examiners does not significantly influence the performance of visual inspection, and both methods of assessing activity status result in similar diagnostic accuracy.

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.

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.

Characteristics and Associated Comorbidities of Pediatric Dental Patients Treated under General Anesthesia

2017 ◽  
Vol 41 (6) ◽  
pp. 482-485 ◽  
Author(s):  
Alexandra Delfiner ◽  
Aaron Myers ◽  
Christie Lumsden ◽  
Steve Chussid ◽  
Richard Yoon
Keyword(s):  
General Anesthesia ◽  
Medical History ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Dental Disease ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
And Behavior

Objective: To describe characteristics and identify common comorbidities of children receiving dental treatment under general anesthesia at Children's Hospital of New York-Presbyterian. Study design: Electronic medical records of all children that received dental treatment under general anesthesia through the Division of Pediatric Dentistry from 2012–2014 were reviewed. Data describing patient characteristics (age, sex, race/ethnicity, insurance carrier, and American Society of Anesthesiologists physical status classification system), medical history, and justification for treatment were collected. Descriptive statistics, including frequencies, percentages and t-tests, were calculated. Results: A total of 298 electronic medical records were reviewed, of which 50 records were excluded due to missing information. Of the 248 electronic medical records included, the average age was 5-years-old and 58% were male. The most common reason for dental treatment under general anesthesia was extent and severity of dental disease (53%), followed by significant medical history (47%) and behavior/pre-cooperative age (39%). Those who were ASA III or IV were older (6.6-years) (p<.001). Common medical comorbidities appear evenly distributed: autism (12%), cardiac anomalies (14%), developmental delay (14%), genetic syndromes/chromosomal disorders (13%), and neurological disorders (12%). Younger age groups (1 to 2 years and 3 to 5 years) had a high percentage of hospitalizations due to the extent and severity of the dental disease (83%) and behavior (77%) (p<0.001). Conclusions: No single comorbidity was seen more often than others in this patient population. The range of medical conditions in this population may be a reflection of the range of pediatric specialty services at Children's Hospital of NewYork-Presbyterian.

scholarly journals Educational and Professional Challenges of Dentistry During Covid-19 Pandemic; a Literature Review

2021 ◽  
Vol 11 (4) ◽  
pp. 413-419
Author(s):  
fatemeh Pournagi Azar ◽  
Mahdi Hadilou
Keyword(s):  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Dental Students ◽  
Controlled Vocabulary ◽  
Psychological Status ◽  
Geriatric Dentistry ◽  
Manual Search ◽  
Dental Clinics ◽  
Dental Profession ◽  
Practical Nature

In the year 2020 Covid-19 disease caused an extensive pandemic world-wide. It arose from Wuhan city in China and spread to whole world resulting in many deaths. Immediately, researchers conducted many studies to assess the etiology, epidemiology, ways of transmission and protective instructions and materials against Covid-19, but still there are not enough studies about challenges which dentists, dental students and patients referring to dental clinics encounter regarding their social, economic and psychological status. In this review, authors tried to focus on the literature regarding these problems. The literature search was conducted using natural language keywords and controlled vocabulary using MeSH through PubMed, Scopus and Google Scholar from 1st of January 2020 to 21st of November 2020. In addition, Gray literature and manual search of references were also performed. Articles with low quality methodology were excluded based on critical appraisal. The articles about the effects of Covid-19 on "dental education", "pediatric dentistry", "geriatric dentistry" and "dental professions and practice" were included in the study. The results showed that due to the practical nature of the dental profession and education and the importance of social distance during this pandemic (Covid-19), the dental community and even patients in need of dental treatment have been affected by this pandemic in different ways that should be considered by health officials for facilitating feedback to this pandemic.

scholarly journals Assessment of brushing techniques taught by dental students to children in mixed dentition stage - A retrospective study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 977-982
Author(s):  
Bharathi R ◽  
Vignesh Ravindran ◽  
Senthil Murugan P
Keyword(s):  
Risk Assessment ◽  
Patient Management ◽  
Age Distribution ◽  
Pediatric Dentistry ◽  
Dental Students ◽  
Mixed Dentition ◽  
Anticipatory Guidance ◽  
Statistical Software ◽  
Male Predominance ◽  
Dental Records

Dentists play an important role in the primary prevention of dental problems in young through preventive treatments, risk assessment and anticipatory guidance for parents regarding oval development, caries prevention and overall oral health, including brushing techniques, fluoride toothpaste, brushing twice a day. The aim of this study was to evaluate the commonly used brushing technique by dental students during the mixed dentition stage. Data were retrieved from the dental records. Data of brushing techniques used in pediatric dentistry was collected from the patient management records of the Department of Pediatric Dentistry. Patients of 6–12 years with mixed dentition were shortlisted. Data obtained was tabulated in excel and analyzed using statistical software. Age distribution of this study was 6 years (6.2%), 7 years (15%), 8 years (19%), 9 years(16.4%), 10 years(15.3%), 11 years(13.6%), 12 years (14.2%). Gender distribution of this study was males (57%) and females (43%). Most commonly taught brushing technique by dental students during the mixed dentition stage was Fones brushing technique (73.5%) followed by the Modified Bass technique (19.1%) (p<0.05- significant). We can conclude by saying that the Fones brushing technique was the most commonly taught brushing technique by dental students during the mixed dentition stage with male predominance, and it was statistically significant.

Levels of Stress among General Practitioners, Students and Specialists In Pediatric Dentistry during Dental Treatment

2015 ◽  
Vol 39 (5) ◽  
pp. 419-422 ◽  
Author(s):  
E Davidovich ◽  
Y Pessov ◽  
A Baniel ◽  
D Ram
Keyword(s):  
General Practitioners ◽  
Pediatric Patients ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Dental Students ◽  
Professional Experience ◽  
Anxious Child ◽  
Male And Female ◽  
Rubber Dam ◽  
Internet Link

Objective: To assess self-reported stress during the performance of different procedures in pediatric dentistry, according to the professional experience of the dentists. Study design: During the years 2010 to 2011, an anonymous survey was administered by means of an internet link, and by distribution at professional meetings of dentists . Results: No statistically significant differences in stress were reported for maxilla and mandibular procedures. Placement of a rubber dam was rated as the most stressful procedure among dental students. For general practitioners and specialists, injection of local anesthesia to an anxious child was the most stressful procedure, regardless of age, sex, or years of professional experience. A negative correlation was found between years of experience and level of stress for all the procedures surveyed, but not for the use of nitrous oxide. No differences were found between male and female dentists in stress scores for any of the procedures. Conclusion: Higher rates of stress during operative procedures were reported among dental students than among experienced dentists. Anxiety of the pediatric patients, but not the location of the procedure: maxillary or mandibular, affected the dentists' reported level of stress.

Oral Health Education in Children before Dental Treatment under General Anesthesia

2016 ◽  
Vol 40 (5) ◽  
pp. 417-421 ◽  
Author(s):  
Marie-Cécile Valéra ◽  
Isabelle Aragon ◽  
Paul Monsarrat ◽  
Fréderic Vaysse ◽  
Emmanuelle Noirrit-Esclassan
Keyword(s):  
Oral Health ◽  
General Anesthesia ◽  
Food Consumption ◽  
Oral Hygiene ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
University Hospital ◽  
Preventive Program ◽  
Oral Rehabilitation ◽  
Parents And Children

Objective: The aim of this study was to evaluate the attitude of parents towards the oral health of their children before oral rehabilitation under general anesthesia (GA).Study design: Children receiving dental treatment under GA between November 2013 and July 2014 in the Pediatric Dentistry Department (University Hospital Center, Toulouse, France) were enrolled in an oral health preventive program. An anonymous questionnaire was self-administered by the parents during the pre-operative session. Results: The sample comprised 67 children with a mean age of 4.8 years. 48 % of the parents had difficulties in maintaining the oral hygiene of their child. Two thirds of them reported a lack of cooperation. An adult cleaned the child's teeth in 43% of the cases. 14% of the study population brushed their teeth twice a day or more. In addition, half of the parents reported that they modified food consumption or teeth cleaning habits of their children since the initial consultation. Conclusions: This study suggests a low compliance of parents and children with the recommendations on oral hygiene and food consumption given at the initial visit and demonstrates the feasibility of a preventive program in this population.

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