Pediatric dentistry最新文献

{"title":"A Critical Analysis of \"Two-Year Outcomes of Coronal Pulpotomy in Young Permanent Molars with Clinical Signs Indicative of Irreversible Pulpitis <i>\"</i>.","authors":"Rathika Asaithambi, Pavithra Devi, Dammuilung Pamei, Morankar Rahul, Nitesh Tewari, Kalpana Bansal, Vijay Prakash Mathur","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"45 5","pages":"374-375"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71416510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Dentists' Use of Nonpharmacological Behavior Guidance Techniques and Experiences with Parent / Caregiver Acceptance: A National Survey.","authors":"Cameron L Randall, Vineet Dhar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To determine: (1) which nonpharmacological behavior guidance techniques recommended in the American Academy of Pediatric Dentistry's (AAPD) best practice statement are currently routinely used by pediatric dentists; and (2) their perception of parent/ caregiver acceptance of the techniques. <b>Methods:</b> All active AAPD dentist members were invited to participate in this cross-sectional study. Participants (n equals 518) completed an online questionnaire that queried the use of each nonpharmacological behavior guidance technique outlined in the AAPD best practice statement, the frequency with which parent / caregiver hesitancy/refusal is encountered for each, and practice characteristics and demo- graphics. Data were analyzed using descriptive statistics and tests of group differences. <b>Results:</b> Nearly all participants endorsed routine use of the foundational techniques tell-show-do (98.6 percent), counseling skills to build rapport (97.7 percent), and positive reinforcement (95.6 percent). Fewer endorsed using more complex techniques like desensitization (75.3 percent), memory restructuring (22.6 percent), and cognitive behavioral therapy (4.4 percent). There were significant differences in mean years of clinical experience between those who used and did not use some of the more complex techniques. Of the 26 techniques queried, parent / caregiver hesitancy/refusal was encountered most frequently for parental absence, physical restraints, and voice control, and never to rarely for the others. <b>Conclusions:</b> This first-ever study of all nonpharmacological behavior gui- dance techniques outlined in the AAPD's best practice statement suggests that pediatric dentists routinely use foundational techniques but less frequently use more resource-intensive or complex techniques. With few exceptions, these techniques are well accepted by parents / caregivers.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"45 5","pages":"418-424"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10619962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71416516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shear Bond Strength and Microleakage of Fissure Sealant to Contaminated and Non-Contaminated Enamel: A Systematic Review and Meta-Analysis of <i>In Vitro</i> Studies.","authors":"Mahtab Memarpour,&nbsp;Neda Afzali Baghdadabadi,&nbsp;Erfan Bardideh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this study was to review the in vitro literature on shear bond strength (SBS) and microleakage of pit and fissure sealant materials in contaminated (water, human, or artificial saliva) and non-contaminated conditions. <b>Methods:</b> PubMed^®, Web of Science™, Scopus^®, Embase™, and Cochrane Library databases were used as data sources. Of the 974 studies identified, 56 were considered eligible for full-text screening and 32 were selected for data extraction. <b>Results:</b> The meta-analysis demonstrated that contaminated conditions decreased the SBS of the sealants by 4.33 MPa. In the contaminated subgroup analysis, both unfilled (Clinpro™, 3M™) and filled (FluroShield^®, Dentsply) resin-based sealants achieved a similar SBS (P=0.82). Regarding the outcome measurements, extensive methodological heterogeneity was found among the studies for SBS measurements (I 2 equals greater than or equal to 84 percent; P<0.001), whereas homogeneity was found for microleakage (I 2 equals 84 percent; P=0.85). When evaluating resin-based sealants, the level of microleakage in the contaminated and non- contaminated groups was not significantly different (P=0.1). <b>Conclusion:</b> Surface contamination decreases the bond strength between contaminated enamel and both unfilled and filled resin-based sealants, which affects the clinical effectiveness of sealants.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"45 5","pages":"30E-47E"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71416518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Lead Exposure Associated with Molar Hypomineralization.","authors":"Azza Tagelsir Ahmed, Emily C Hector, Jose Luis Urena-Cirett, Adriana Mercado-Garcia, Alejandra Cantoral, Howard Hu, Karen E Peterson, Martha M Tellez-Rojo, Esperanza A Martinez-Mier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this study was to determine the association between prenatal and early life exposure to lead and the presence of molar hypomineralization (MH) in a group of Mexican children. <b>Methods:</b> A subset of participants of the Early Life Exposure in Mexico to Environmental Toxicants (ELEMENTS) cohort study was examined for the presence of molar hypomineralization using European Academy of Pedi- atric Dentistry (EAPD) criteria. Prenatal lead exposure was assessed by K-ray fluorescence measurements of patella and tibia lead and by maternal blood lead levels by trimester and averaged over trimesters. Postnatal exposure was assessed by levels of maternal blood lead at delivery and child blood lead at 12 and 24 months. <b>Results:</b> A subset of 506 subjects from the ELEMENT cohorts (nine to 18 years old) were examined for MH; 87 subjects (17.2 percent) had MH. Maternal blood lead levels in the third trimester (odds ratio [OR] equals 1.08; 95 percent confidence interval [95% CI] equals 1.02 to 1.15) and averaged over three trimesters (OR equals 1.10; 95% CI equals 1.02 to 1.19) were significantly associated with MH status. None of the maternal bone lead or the child's blood lead parameters was significantly associated with the presence of MH (P>0.05). <b>Conclusions:</b> This study documents a significant association between prenatal lead exposure especially in late pregnancy and the odds of molar hypomineralization.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"45 5","pages":"427-433"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10936227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71416514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nonpharmacological Behavior Guidance for the Pediatric Dental Patient.","authors":"Vineet Dhar,&nbsp;Elizabeth Gosnell,&nbsp;Jayakumar Jayaraman,&nbsp;Clarice Law,&nbsp;Martina Majstorović,&nbsp;Abdullah A Marghalani,&nbsp;Cameron L Randall,&nbsp;Janice Townsend,&nbsp;Martha Wells,&nbsp;Chia-Yu Chen,&nbsp;Rachel Wedeward","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To present evidence-based recommendations on nonpharmacological behavior guidance for the pediatric dental patient. <b>Methods:</b> The work group assessed eight systematic reviews for effectiveness of nonpharmacological behavior guidance techniques in children undergoing preventive care or a dental treatment visit. The key outcomes assessed included cooperative behavior, anxiety, and procedural pain. To formulate the recommendations, the work group used the GRADE framework to obtain consensus on domains such as priority of the problem, certainty of the evidence, balance between desirable and undesirable consequences, patients' values and preferences, acceptability, and feasibility. <b>Results:</b> Overall, the use of basic nonpharmacological behavior guidance techniques resulted in trivial-to-small effect on improvement in behavior or reduction in anxiety. However, for children and adolescents undergoing preventive care, mobile applications and modeling showed large effects in reduction of anxiety. For those undergoing dental treatment, strategies such as modeling, positive reinforcement, biofeedback relaxation, breathing relaxation, animal-assisted therapy, combined tell-show-do, audiovisual distraction, and cognitive behavior therapy showed large reduction in anxiety. For children and adolescents with special health care needs, audiovisual distraction and sensory-adapted dental environment showed large reduction of anxiety. <b>Conclusions:</b> All the formulated recommendations were conditional and were mostly based on very low certainty of evidence. Conditional recommendations imply that different choices or combinations of behavior guidance techniques may be most appropriate for different patients. Clinicians should use techniques consistent with the parent/patient values and preferences. These recommendations are based on the best available evidence to-date and are intended to aid clinical decision making.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"45 5","pages":"385-410"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71416515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Pediatric Dental Resident Sedation Skills and Confidence with Simulation: A Pilot Study.","authors":"Marlee G Hansen,&nbsp;Janice A Townsend,&nbsp;Kimberly J Hammersmith,&nbsp;Stephen Wilson,&nbsp;Beau D Meyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To conduct a pilot study assessing resident performance and self-efficacy during sedation-related simulations. <b>Methods:</b> Residents completed one informed consent and two sedation-related emergency simulations. Performance was measured for each simulation. Self- efficacy (i. e., confidence) was measured via pre- and post-simulation questionnaires. Descriptive and nonparametric statistics were calculated. <b>Results:</b> Twenty-five residents completed the simulations. Second-year residents performed better than first-year residents in both informed consent and emergency simulations; however, only the informed consent simulation was significant (P<0.02). Self-efficacy significantly increased after completing the simulations (18 percent pre-simulation versus 42.7 percent post-simulation, P<0.001). Residents identified communication skills as an area of improvement after the simulations. For the emergency vignettes, residents expressed feeling inadequate knowledge, problem-solving skills, and teamwork during the simulation. <b>Conclusions:</b> Simulations improved resident confidence in obtaining informed consent and managing certain sedation-related emergencies, but residents felt ill-prepared to manage an emergency. Further study is warranted to understand the best-practice frequency of sedation-related emergency simulation to promote skill retention.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"45 5","pages":"380-389"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71416512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the Letter to the Editor.","authors":"Mesut E Odaba","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"45 5","pages":"375-376"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71416517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the Letter to the Editor.","authors":"Ehsan N Azadani","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"44 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71416509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Child Toothbrushing Behavior Changes Associated with a Mobile Game App: A Single Arm Pre<i>/</i>Post Pilot Study.","authors":"Dov Jacobson, Jesse Jacobson, Traci Leong, Stella Lourenco, Lloyd Mancl, Donald L Chi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this pilot study was to evaluate changes in toothbrushing behaviors associated with a mobile game app. <b>Methods:</b> Thirty-four five- to six-year-olds were taught to use the Brush Up^TM game app and played it once per day at home for seven days. The primary outcome was toothbrushing quality measured as duration and distribution. The paired t test was used to assess pre/post changes and Holm's method adjusted for multiple testing (α equals 0.05). <b>Results:</b> The mean age was 73.7±6.6 months; 29.4 percent were female, and 47.1 percent were Caucasian. After seven days, toothbrushing duration increased significantly (P<0.001). Toothbrushing distribution improved with increased brushing of the lingual, maxillary occlusal, and posterior buccal surfaces. For 15 children who played the game for 14 days, even greater improvements in quality and distribution were observed. Improvements in toothbrushing did not persist one year later without further app use but there were noted changes that could be clinically meaningful. <b>Conclusions:</b> Mobile health game apps can potentially improve toothbrushing quality in children. Additional trials are needed to assess mobile toothbrushing game apps.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"41 4","pages":"299-303"},"PeriodicalIF":0.0,"publicationDate":"2019-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation and Impact of Caregivers' Oral Health Knowledge and Behavior on Children's Oral Health Status.","authors":"Anne R Wilson, Angela G Brega, Elizabeth J Campagna, Patricia A Braun, William G Henderson, Lucinda L Bryant, Terrence S Batliner, David O Quissell, Judith Albino","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To validate oral health knowledge and behavior measures from the Basic Research Factors Questionnaire, developed to capture specific themes contributing to children's oral health outcomes and the influence of caregivers.</p><p><strong>Methods: </strong>Data were collected as part of a randomized clinical trial (n equals 992) aimed at reducing dental caries in young children. Participants were American Indian/Alaska Native caregivers with a three- to five-year-old child enrolled in a Navajo Nation Head Start Center. Caregivers completed the questionnaire at enrollment with concomitant evaluation of children for decayed, missing, and filled tooth surfaces (dmfs). Oral health knowledge and behavior outcomes were compared with convergent measures (participant sociodemographic characteristics, oral health attitudes, and indicators of oral health status).</p><p><strong>Results: </strong>Caregiver oral health knowledge was significantly associated with education, income, oral health behavior, and all but one of the oral health attitude measures. Behavior was significantly associated with several measures of oral health attitudes and all but one measure of oral health status. As the behavior score improved, dmfs scores declined, child/caregiver overall oral health status improved, and pediatric oral health quality of life improved.</p><p><strong>Conclusions: </strong>Questionnaire measures were valid for predicting specific caregiver factors potentially contributing to children's oral health status.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"38 1","pages":"47-54"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140195397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}