Mitchell E Westberg, Richard L Gregory, James E Jones, Juan F Yepes, George J Eckert, Allison C Scully
{"title":"Effect of Different Isolation Methods on Bioaerosol Distribution: An In Vitro Study.","authors":"Mitchell E Westberg, Richard L Gregory, James E Jones, Juan F Yepes, George J Eckert, Allison C Scully","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purposes of this in vitro study were to evaluate the effect of three isolation methods to mitigate bioaerosols during stainless steel crown (SSC) preparations and assess the distribution of Streptococcus mutans by aerosolization in closed-room operatories. <b>Methods:</b> Melamine teeth coated in laboratory-grown S. mutans biofilm were prepared for SSCs using three different isolation methods. Agar plates were placed in five locations throughout the operatory and opened during each preparation as well as for 10 minutes immediately following to collect aerosolized S. mutans. Bacterial colonies were counted after incubating plates for 48 hours. Data were analyzed for differences between the isolation method and plate locations. <b>Results:</b> Bacterial colony counts for teeth prepared using high-volume evacuation suction (HVE) with dental dam (DD) isolation were statistically significantly higher than for those prepared using HVE with a DryShield®(DS) and HVE with no isolation at the assistant (A) (P<0.001), operator face shield (FS) (P<0.001), and patient (Pt) (P=0.002) locations. No significant differences were found among isolation methods for parent (Pa) or rear delivery (RD) locations. The location that produced the most bacterial colony counts using HVE with DD isolation was FS (P<0.001), followed by A (P=0.04), Pt (P<0.001), and RD and Pa (P<0.001). Counts produced from teeth prepared with DS isolation were significantly higher at the Pt location than the A (P<0.001), FS (P=0.002), RD (P<0.001), and Pa (P=0.008) locations. <b>Conclusion:</b> The use of dental dam with high-volume evacuation suction during stainless steel crown preparations increased bioaerosols near the procedure, while dental evacuation systems (DryShield®) may effectively limit their spread.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 3","pages":"199-203"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187249","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}
Jordan Dunn Powell, Corey Acosta, Martha H Wells, Brian R Morrow, Craig V Vinall, Franklin Garcia-Godoy
{"title":"Microleakage of Silver-Modified Atraumatic Restorative Technique (SMART) Restorations Using Silver Diammine Fluoride and High-Viscosity Glass Ionomer.","authors":"Jordan Dunn Powell, Corey Acosta, Martha H Wells, Brian R Morrow, Craig V Vinall, Franklin Garcia-Godoy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this study was to investigate the microleakage of atraumatic glass ionomer restorations with and without silver diammine fluoride (SDF) application. Restorations with SDF are termed silver-modified atraumatic restorations (SMART). <b>Methods:</b> Sixty carious extracted permanent teeth were randomly allocated to two SMART groups and two control groups (n equals 15 per group) for a total of four groups. After selective caries removal, test specimens were treated with 38 percent SDF and polyacrylic acid conditioner was applied and rinsed; teeth were restored with Fuji IX GP® glass ionomer (n equals 15) or with SMART Advantage™ glass ionomer (SAGI; n equals 15). For control groups, specimens were restored with their respective GI material after selective caries removal, both without SDF. Restored teeth were placed in Dulbecco's Phosphate-Buffered Saline solution at 37 degrees Celsius for 24 hours. Teeth were thermocycled between five and 55 degrees Celsius for 1,000 cycles, stained with two percent basic fuchsin, sectioned, and visually inspected for microleakage utilizing stereomicroscopy on a four-point scale. Data were statistically analyzed using Kruskal-Wallis one-way analysis of variance on ranks using Dunn's method (P<0.05). <b>Results:</b> Microleakage between the two SMART restoration groups was insignificant. SAGI alone demonstrated significantly more microleakage than all other groups. There was no statistical significance between the Fuji IX GP® control group and the two SMART restoration groups. <b>Conclusions:</b> This in vitro study indicated that silver diammine fluoride placed before glass ionomer restoration does not increase microleakage. Polyacrylic acid may be used after SDF placement without increasing microleakage.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 3","pages":"204-208"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187255","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":"A transition model to adult care for special healthcare adolescents and young adults.","authors":"Kemar V Prussein","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 3","pages":"167"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187244","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}
Matthew D Waite, Barbara Sheller, Elizabeth K Velan, Anne Reeves, Yan Wang
{"title":"Association Between Social Determinants of Health and Receiving Timely Dental Treatment With General Anesthesia.","authors":"Matthew D Waite, Barbara Sheller, Elizabeth K Velan, Anne Reeves, Yan Wang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To describe social determinants of health (SDOH) in a group of children with special health care needs (CSHCN) planned for dental procedures with general anesthesia (GA) at a pediatric hospital and explore associations between SDOH and completing this treatment in the recommended timeframe. <b>Methods:</b> SDOH were recorded for all patients planned for dental treatment with GA in 2019. Outcomes were treatment completed in the recommended timeframe or treatment not completed within two years of planning. <b>Results:</b> Dental surgery plans were made for 390 CSHCN: 190 were completed in the recommended timeframe, and 119 were not completed within two years. The SDOH associated with completing/not completing surgery were parents (guardian/caregiver)/household, and documentation of social work involvement with the family. Patients receiving optimally timed surgery more frequently had two parents/one household and/or an active social work plan on the record. Those not receiving surgery frequently had two parents/two households, single parents, and/or had no social work plan. Ethnicity, payer, and the need for an interpreter were not associated with receiving timely surgery. <b>Conclusions:</b> Multiple studies have found that social determinants of health contribute to disparate health outcomes. In this study, children with two parents in one household appear to be advantaged in receiving care in the recommended timeframe. Families with SDOH challenges who had a social work plan were frequently able to overcome SDOH barriers and receive dental treatment with general anesthesia in the timeframe recommended.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 3","pages":"209-214"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187245","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}
Affan Ghaffari, Russell F Bradbury, Jeffrey Harman
{"title":"Provision of Pediatric Dental Services by Pediatric Dentists Versus General Dentists: Secondary Dental Analysis of Medical Expenditure Panel Surveys.","authors":"Affan Ghaffari, Russell F Bradbury, Jeffrey Harman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of the study was to determine whether visiting only a pediatric dentist (as opposed to visiting only a general dentist) was associated with the provision of preventive dental services for a U.S.-based pediatric population (those 18 years and younger). <b>Methods:</b> This study analyzed pooled Medical Expenditure Panel Survey data from 2018 and 2019 to compare the use of certain preventive dental services (i.e., examination, radiographs, prophylaxis, dental sealant, and fluoride treatment) among those who reported visiting a pediatric dentist versus those who visited a general dentist. Survey procedures were used in Stata 14.0 to perform multivariable logistic regression analyses. <b>Results:</b> Controlling for demographic and insurance variables, children who visited only pediatric dentists had statistically significantly greater odds of receiving radiographs (adjusted odds ratio [AOR] equals 1.22; 95 percent confidence interval [95% CI] equals 1.01 to 1.48; P=0.04), fluoride treatment (AOR equals 1.57; 95% CI equals 1.30 to 1.90; P≤0.001), and sealants (AOR equals 1.63; 95% CI equals 1.24 to 2.16; P=0.001) compared to children who visited only general dentists. There was no statistically significant difference in the provision of periodic examinations and prophylaxis services. <b>Conclusion:</b> Based on the nationally representative data evaluated, pediatric dentists are more likely to provide more optimal preventive services than general dentists (i.e., radiographs, fluoride treatments, and sealants) to children in the United States.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 3","pages":"179-185"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187259","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":"2024 GSRA Abstracts.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The American Academy of Pediatric Dentistry (AAPD) is dedicated to the advancement of research related to improving children's oral health and the specialty of pediatric dentistry. To fulfill part of this mission, AAPD supports many research awards, grants, and fellowships. The following research abstracts have been chosen by a subcommittee of the AAPD Council on Scientific Affairs.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 3","pages":"215-218"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187243","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}
Paulo Roberto Martins Maia, Tiago Fialho, Karina Maria Salvatore Freitas, Paula Cotrin, Fabrício Pinelli Valarelli, Rudys Rodolfo Jesus de Tavares, Júlio Araújo de Gurgel, Célia Regina Maio Pinzan-Vercelino
{"title":"Relationship Between Dentofacial Features and Bullying in School children.","authors":"Paulo Roberto Martins Maia, Tiago Fialho, Karina Maria Salvatore Freitas, Paula Cotrin, Fabrício Pinelli Valarelli, Rudys Rodolfo Jesus de Tavares, Júlio Araújo de Gurgel, Célia Regina Maio Pinzan-Vercelino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this cross-sectional study was to evaluate the association between clinician-assessed (actual) and self-assessed (perceived) dentofacial features and their association with bullying in schoolchildren. <b>Methods:</b> The sample comprised 519 schoolchildren aged 10 to 12 years old (235 boys and 284 girls) randomly selected from private and public schools. Clinical evaluations were performed to record dento- facial features, and the children were asked a self-reported questionnaire about their personal experience of bullying and perceived dentofacial features. Descriptive statistics (counts and percentages) as well as chi-square to analyze the association between variables were applied. <b>Results:</b> The results showed that 57.2 percent of the children reported being bullied, and the mainly perceived dentofacial features cited were: \"crooked teeth\" (46.3 percent), \"shape or color of teeth\" (45.5 percent), \"upper front teeth sticking out\" (43.8 percent), and \"having a gap between the teeth or having missing teeth\" (35.5 percent). Statistically significant associations between actual and perceived dentofacial features and involve- ment in bullying were observed for anterior crowding (P=0.01), anterior crossbite (P<0.001), lip competence (P=0.008), and anterior dental trauma (P=0.04). <b>Conclusion:</b> Some actual and perceived dentofacial traits are associated with bullying, so these features and the schoolchil- dren's compliances should be considered to determine the treatment need.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 2","pages":"99-107"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854625","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}
Damanjyot K Anand, Christine Chiao, Mike Jin, Keri E Discepolo
{"title":"Accuracy of Parent-Reported Allergies and Medications in Pediatric Dentistry.","authors":"Damanjyot K Anand, Christine Chiao, Mike Jin, Keri E Discepolo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To measure the accuracy of parent-reported allergies and medication usage by comparing parental reports during dental con- sultations to medical reports from their child's primary care physician. <b>Methods:</b> A retrospective chart review was performed for 862 eligible patients 17 years and younger seen in the Department of Pediatric Dentistry at Franciscan Children's, Boston, Mass., USA, and who were required to obtain medical clearance prior to initiating dental treatment with sedation or general anesthesia. Allergies were categorized into three groups: food, environmental, and drug allergies. Allergies in each category reported by the parents were compared to the physician-reported allergies to assess for accuracy. Medications reported by the parents were also compared to the total number of medications reported by the physician and categorized as a full, partial, or non-match. <b>Results:</b> The sensitivity of parental identification for drug, food, and environmental allergies was 50.9 percent, 48.1 percent, and 18.8 percent, respectively. Of the 245 patients taking prescription medications, 53.1 percent of parents were unable to identify any of their child's medications, 22.9 percent of parents were partially able to identify their child's medications, and only 24.1 percent of parents were able to identify their child's medications fully. Among parents of children who take one or more medications as reported by their physician, the average reporting accuracy was 34.7 percent. <b>Conclusion:</b> Utilizing interprofessional collaboration is warranted in identifying accurate reports of patient allergies and medication usage in the pediatric population to prevent adverse reactions and improve the overall quality of dental care.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 2","pages":"115-120"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868916","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":"Abstract of the Scientific Literature.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 2","pages":"89"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874200","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}