International journal of paediatric dentistry最新文献

{"title":"Principles and care pathways for caries management in children: IAPD Rome forum","authors":"Norman Tinanoff, Avijit Banerjee, Marilia Afonso Rabelo Buzalaf, Jung-Wei Chen, Vineets Dhar, Kim R. Ekstrand, Margherita Fontana, Nicola Innes, Hyun Koo, Stefan Listl, Edward Chin Man Lo, Nicoline Potgieter, Falk Schwendicke, Nikolai Sharkov, Svante Twetman, Kaaren Vargas","doi":"10.1111/ipd.13192","DOIUrl":"10.1111/ipd.13192","url":null,"abstract":"<p>The traditional approaches to the treatment of dental caries have focused on repairing the consequences of the caries process, the lesions, rather than addressing the disease process itself. Advances in the understanding of caries microbiology, de-/remineralization cycling, risk/susceptibility assessment, staging of lesion activity/severity, non-surgical/micro-/minimally invasive procedures and public health interventions are fundamentally changing the landscape of caries management. To facilitate the global adoption of contemporary caries management for children, international experts were convened as part of an International Association of Paediatric Dentistry (IAPD) forum in Rome, in November 2022. This expert panel met for a one-day pre-conference workshop to discuss and consider principles of cariology and care pathways to improve oral health for individuals and healthcare systems. The topics discussed included advances in the science of cariology, advances in caries management, improving oral healthcare systems and teaching caries management. Such advances are especially important for children's oral health because of the value of establishing early preventive behaviours (including caregivers), difficulties of performing procedures in young children and inequalities/inequities in children's oral health care. The topics were presented over the two-and-a-half-day congress, and the feedback was collected. This position paper presents the summarized evidence collated by the expert panel and the IAPD Board of Directors.</p><p>The concept of ‘caries management pathways’ in contrast to ‘dental treatment plans’ is critical to the contemporary person-focused management of dental caries, since clinical pathways yield a greater probability of success, fewer complications and more efficient use of resources.<span><sup>18</sup></span> An example of clinical caries management was suggested by Ismail and others in 2015 that emphasized the following: (1) staging lesion severity and activity; (2) assessing patient's caries risk/susceptibility status; (3) synthesizing data leading to diagnosis; (4) comprehensive caries care planning including prevention, non-operative management and tooth-preserving operative management; and (5) evaluating outcomes including further management and recall frequency.<span><sup>19</sup></span></p><p>Primary caries management/prevention for children should begin before the initiation of disease. The evidence-based pillars for primary prevention are twice-daily toothbrushing using a fluoride-containing toothpaste, limited intake of free sugars<span><sup>20, 21</sup></span> and dental sealants where necessary.<span><sup>22</sup></span> If primary prevention fails, secondary prevention needs to target early carious lesions with advances in minimally invasive strategies, such as professionally applied fluoride and high-fluoride (1.1% NaF) toothpaste for children over age six.<span><sup>23</sup></span> Advanced cavitated lesions m","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 5","pages":"692-699"},"PeriodicalIF":2.3,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinary dentistry for complex paediatric dentalcases","authors":"Travis Nelson, Roozbeh Khosravi, Van Ramos, Sul K. Hong, Daniel Cook","doi":"10.1111/ipd.13194","DOIUrl":"10.1111/ipd.13194","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 6","pages":"701-709"},"PeriodicalIF":2.3,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnographic perspectives of mothers and professionals on including children with disabilities in oral health in the Kingdom of Saudi Arabia","authors":"Maram Ali M. Alwadi,&nbsp;Sarah R. Baker,&nbsp;Janine Owens","doi":"10.1111/ipd.13184","DOIUrl":"10.1111/ipd.13184","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with disabilities generally face poorer oral health outcomes compared with their non-disabled peers due to a range of factors including inadequate oral hygiene, infrequent dental visits and systemic barriers in accessing care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This ethnographic study explored the perspectives of caregivers and professionals to identify the ways that children with disabilities are included in oral health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A purposive sample of 10 caregivers, all mothers with disabled children aged 9–15 years, five healthcare providers and five educators in Saudi Arabia, participated. Data collection used participant observation and semi-structured in-depth interviews. Data were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings suggest that mothers lacked a supportive environment to develop their skills and knowledge about oral health care, preventing them from including their children in oral health. Inaccessible services added to the exclusion of both mothers and children. Some dental professionals exhibited poor communication skills and discriminatory attitudes towards the children and problematising mothers. Educators tended to discuss disabled children in terms of inability, displaying a deficit approach to impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The evidence suggests the exclusion of mothers from oral health. This has an impact on how they enable their children. Recommendations include adopting a social model of disability in dental education and policies in Saudi Arabia to address inequalities. Provision of support, education and focusing on societal barriers moves towards inclusion rather than conceptualising disability as an individual problem.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 6","pages":"832-842"},"PeriodicalIF":2.3,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140676255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain during primary molar local anaesthesia with SleeperOne5 computerized device versus conventional syringe: A randomized, split-mouth, crossover, controlled trial","authors":"Michèle Muller-Bolla,&nbsp;Elody Aïem,&nbsp;Clara Joseph,&nbsp;Tiphaine Davit-Béal,&nbsp;Thomas Marquillier,&nbsp;Emmanuelle Esclassan,&nbsp;Caroline Delfosse,&nbsp;Serena Lopez,&nbsp;Ana Miriam Velly","doi":"10.1111/ipd.13189","DOIUrl":"10.1111/ipd.13189","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Because of controversial results from clinical studies comparing different dental local anesthesia methods in children, the primary objective of this randomized, split-mouth, crossover, controlled trial was to compare pain intensity during local anaesthesia (LA) performed with a computer-controlled LA delivery system (C-CLADS) versus a conventional syringe (CONV). Secondary objectives included comparisons during dental treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants (4–8 years) with tooth pair requiring similar treatment were recruited from five French hospitals. The right primary molar, which was treated at the first visit, was randomly allocated to one of the anaesthesia groups (either intraosseous with C-CLADS or infiltration with CONV), whereas the contralateral molar (treated at the second visit) was assigned to the other group. Pain intensity and behaviour outcomes, assessed with the Faces Pain and Venham revised scales, respectively, were compared between groups using Proc mixed. Stratified analyses were performed on dentition and location.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 107 participants, the analysis revealed reduced pain perception during LA in the C-CLADS group compared with the CONV group (−0.72, 95% CI: −1.43, −0.006), but not during dental treatment. Stratified analyses showed that this effect was observed only in primary dentition (<i>p</i> = .006) and mandibular molars (<i>p</i> = .005). Behavioural issues were fewer in the C-CLADS group than in the CONV group (<i>p</i> = .05) only during injection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>C-CLADS emerged as the preferable system in primary dentition.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 6","pages":"891-905"},"PeriodicalIF":2.3,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140610351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of administering a sugar-free flavor before dental injections on pain perception in children: A split-mouth randomized crossover clinical trial","authors":"Ola B. Al-Batayneh,&nbsp;Razan Abu-Abbas,&nbsp;Majd Al-Saleh","doi":"10.1111/ipd.13191","DOIUrl":"10.1111/ipd.13191","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Sweet taste administration before dental injections helps to control associated pain in children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the efficacy of using a sugar-free flavor on pain perception during dental injections.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Children (<i>n</i> = 84) aged 4–9 (mean 6.71 ± 1.55) years who required buccal infiltration bilaterally participated in this split-mouth randomized crossover study. On the test side (flavor visit), infiltration injections were applied after receiving a sugar-free flavor. On the control side (no flavor visit), sterile water was administered. Demographic characteristics, body mass index (BMI), and sweet taste preference (STP) were recorded. Pain perception during injection was measured using heart rate (HR), sound, eyes, and motor (SEM) scale, and Wong–Baker Faces pain scale (WBFPS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most children had healthy weight (72.6%) and equal STP (32.1%). In the test side, mean HR during injection, HR differences before and during injection, and SEM scores were significantly lower (<i>p</i> &lt; .001, for all). There was no significant difference in the WBFPS between both visits. Flavor had a significant effect on pain reduction (<i>p</i> = .001 for HR, <i>p =</i> .000 for SEM), whereas age, gender, BMI, STP, and treatment side did not. Treatment sequence had a significant effect on total SEM scores (<i>p</i> = .021); children who received the flavor during their first visit had lower SEM scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Using a sugar-free flavor before dental injections helps in reducing associated pain in children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 6","pages":"915-924"},"PeriodicalIF":2.3,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140610227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adhesive restorations in primary dentition: A retrospective analysis of survival rate and associated factors","authors":"Ana Clara Souza-Oliveira,&nbsp;Marco Aurélio Benini Paschoal,&nbsp;Thiago Rezende,&nbsp;Rachel Alvarenga-Brant,&nbsp;Mauro Henrique Nogueira Abreu,&nbsp;Carolina Castro Martins-Pfeifer","doi":"10.1111/ipd.13190","DOIUrl":"10.1111/ipd.13190","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Several clinical and individual factors may play a role in the survival rate of dental restorations, such as characteristics related to the child’s age and oral hygiene, and factors associated with the tooth, such as the type of material and number of surfaces to be restored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To analyse the survival rate of adhesive restorations on primary teeth and factors associated with restoration survival.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The study included dental records of children aged 3–12 years having received adhesive restorations on primary teeth at a Brazilian dental school between 2009 and 2019. A Kaplan–Meier survival curve was used to plot survival rates using the log-rank test. A multivariate Cox regression model was run to identify individual and dental factors associated with restoration failure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result<b>s</b></h3>\u0000 \u0000 <p>The sample comprised 269 restored teeth in 111 children. Survival curves were similar for all materials (<i>p</i> = .20) and types of isolation (<i>p</i> = .05). The annual failure rate was 3.60% for glass ionomer cement, 1.23% for resin-modified glass ionomer cement and 0.40% for composite resin. The following variables were associated with more failures: Class II restoration compared with Class I (HR = 1.96; 95%CI: 1.28–2.99, <i>p</i> &lt; .001), proportion of decayed teeth (HR = 11.89; 95%CI: 2.80–50.57, <i>p</i> &lt; .001) and child's age (HR = 1.17; 95%CI: 1.06–1.29, <i>p</i> &lt; .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The different materials and types of isolation had similar survival rates. Children with more decayed teeth have an increased risk of restoration failure.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 6","pages":"906-914"},"PeriodicalIF":2.3,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140610353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and initial management of children presenting with premature loss of primary teeth associated with a systemic condition: A scoping review and development of clinical aid","authors":"Claudia Heggie,&nbsp;Hiba Al-Diwani,&nbsp;Paul Arundel,&nbsp;Richard Balmer","doi":"10.1111/ipd.13188","DOIUrl":"10.1111/ipd.13188","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Premature loss of primary teeth (PLPT) can be a rare presentation of systemic medical conditions. Premature loss of primary teeth may present a diagnostic dilemma to paediatric dentists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To identify systemic conditions associated with PLPT and develop a clinical aid.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>OVID Medline, Embase and Web of Science were searched up to March 2023. Citation searching of review publications occurred. Exclusion occurred for conference abstracts, absence of PLPT and absence of English-language full text.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven hundred and ninety-one publications were identified via databases and 476 by citation searching of review articles. Removal of 390 duplicates occurred. Following the exclusion of 466 records on abstract review, 411 publications were sought for retrieval, of which 142 met inclusion criteria. Thirty-one systemic conditions were identified. For 19 conditions, only one publication was identified. The majority of publications, 91% (<i>n</i> = 129), were case reports or series. Most publications, 44% (<i>n</i> = 62), were related to hypophosphatasia, and 25% (<i>n</i> = 35) were related to Papillon–Lefèvre. Diagnostic features were synthesised, and a clinical aid was produced by an iterative consensus approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A diverse range of systemic diseases are associated with PLPT. Evidence quality, however, is low, with most diseases having a low number of supporting cases. This clinical aid supports paediatric dentists in differential diagnosis and onward referral.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 6","pages":"871-890"},"PeriodicalIF":2.3,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13188","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140572382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antibacterial, biocompatible, and mineralization-inducing properties of calcium silicate-based cements","authors":"Taimy Cruz Hondares,&nbsp;Xiaoxiao Hao,&nbsp;Yanfang Zhao,&nbsp;Yuyin Lin,&nbsp;Dobrawa Napierala,&nbsp;Janice G. Jackson,&nbsp;Ping Zhang","doi":"10.1111/ipd.13185","DOIUrl":"10.1111/ipd.13185","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Different pulp capping materials have different origins and compositions, require different preparations, and may vary in their bioactive properties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The purpose of this study was to evaluate the antibacterial activity, biocompatibility, and mineralization-inducing potential of calcium silicate-based pulp capping materials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Six contemporary calcium silicate-based cements, ProRoot MTA, MTA Angelus, Biodentine, EndoSequence, NeoMTA 2, and NeoPutty, were evaluated. The antibacterial effects of these materials against <i>Streptococcus mutans</i> UA159 and <i>Enterococcus faecalis</i> ATCC 29212 were determined by the agar diffusion assay and the direct culture test. The biocompatibility and mineralization-inducing potential of these materials in preodontoblastic 17IIA11 cells were evaluated by the MTT assay and by Alizarin Red S staining, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results and Conclusion</h3>\u0000 \u0000 <p>In agar diffusion test, only Biodentine showed distinct antibacterial effects against <i>S. mutans</i>. All the tested materials, however, showed antibacterial effects against <i>S. mutans</i> and <i>E. faecalis</i> in the direct culture test, with Biodentine showing the strongest growth inhibition against both <i>S. mutans</i> and <i>E. faecalis</i>. All the tested materials showed acceptable biocompatibility and mineralization-supporting potential in our experimental conditions. In summary, ProRoot MTA, MTA Angelus, Biodentine, EndoSequence, NeoMTA 2, and NeoPutty demonstrated acceptable in vitro antimicrobial, biocompatible, and mineralization-supporting properties.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 6","pages":"843-852"},"PeriodicalIF":2.3,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13185","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140572209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traditional versus virtual interviews: A perspective of paediatric dentistry program directors and residents","authors":"Farhad Yeroshalmi,&nbsp;Aaron Steinberg,&nbsp;Keith S. Margulis,&nbsp;Victor Badner","doi":"10.1111/ipd.13187","DOIUrl":"10.1111/ipd.13187","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>COVID-19 pandemic restrictions necessitated changes in conduct of the interview process for the selection of candidates in paediatric dentistry residency programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To examine the experiences and attitudes of paediatric dentistry program directors and residents regarding the virtual interview process during the 2020/2021 application cycle.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A survey was sent to 82 directors and 416 postdoctoral members of the American Academy of Pediatric Dentistry with data collected from individuals interviewed during the 2020/2021 cycle.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Response rates for directors and residents were 27% (<i>N</i> = 22/82) and 17% (<i>N</i> = 72/416), respectively. Seventy-three percent of directors (<i>N</i> = 16) believed that virtual interviews were not an adequate substitute for in-person interviews and made it difficult to present facilities, observe applicant interactions, and assess personality. Fifty-nine percent of the directors (<i>N</i> = 13) were not interested in using virtual interviews if restrictions were lifted. Residents reported that virtual interviews were accommodating but were unable to observe interpersonal interactions, assess the location and facilities, and understand the program culture. Sixty-one percent of residents (<i>N</i> = 44) prefer to interview in-person.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The majority of program directors (73%) felt that virtual interviews could not substitute for in-person interviews and 59% would not be interested in using virtual interviews in the future. Residents (94%) reported inability to evaluate the location and facilities, and 61% prefer to interview in-person for future interviews.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 6","pages":"862-870"},"PeriodicalIF":2.3,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140572309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dental treatment of children with special healthcare needs: A retrospective study of 10 years of treatment","authors":"Hanna Hieronymus,&nbsp;Selin Aydin,&nbsp;Cornelia Frese,&nbsp;Matthias Huck,&nbsp;Diana Wolff,&nbsp;Caroline Sekundo","doi":"10.1111/ipd.13186","DOIUrl":"10.1111/ipd.13186","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Children with special healthcare needs (CSHCN) often face oral health challenges. This retrospective cross-sectional study at a university hospital aimed to determine CSHCN's medical spectrum, dental treatment needs, and mode of treatment: general anesthesia (GA) or outpatient dental care (ODC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Data from the Department of Conservative Dentistry, Heidelberg University Hospital, 2012–2022, were reviewed, considering age, gender, International Classification of Diseases-10 diagnoses, caries experience (dmft/DMFT), restorative parameters, and treatment under GA/ODC. For patients under GA, their American Society of Anesthesiologists (ASA) classification was considered. Descriptive statistics, Kruskal–Wallis test, Mann–Whitney <i>U</i>-test and logistic regression were utilized.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 669 patients, congenital and chromosomal malformations (34.7%), diseases of the nervous system (19.1%), and mental and behavioral disorders (16.0%) were mainly diagnosed. Dentin caries prevalence was high at 79.1%, with treatments performed mainly under GA (51.4%). The odds of receiving treatment under GA decreased with patient age and increased with higher dmft/DMFT scores. Most under GA were classified as ASA 3 (51.7%), indicating high anesthesia risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Children with special healthcare needs often have diseases that can lead to higher challenges related to cooperation. The high prevalence of dentin caries underscores the substantial need for dental treatments, which were consequently often performed under GA, despite the associated risks. These findings stress the need for trained dental professionals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 6","pages":"853-861"},"PeriodicalIF":2.3,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140572205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}