JOURNAL OF DENTISTRY FOR CHILDREN最新文献

Caregivers' Perceptions of Dental Therapists. 护理人员对牙科治疗师的看法。

IF 0.4

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2024-05-15

Vy Vy Vu, Robert McDonough, Neeta Chandwani, Keri Discepolo

{"title":"Caregivers' Perceptions of Dental Therapists.","authors":"Vy Vy Vu, Robert McDonough, Neeta Chandwani, Keri Discepolo","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To investigate caretakers' understanding of midlevel providers and determine if there is theoretical acceptance of midlevel dental therapist (DT) integration into the dental workforce. Methods: Validated DT integration surveys were disseminated to caregivers of pediatric medical patients in an urban teaching hospital. Subjects completed a questionnaire regarding previous care received by a midlevel medical provider and were questioned on the acceptance of a midlevel dental provider (i.e., DTs) into the dental workforce. Results: Two hundred two questionnaires were evaluated for recalled previous medical midlevel care (ML; 71.2 percent) and those who were unaware of ML care being provided to their child (UML; 28.7 percent). MLs were significantly in agreement with DTs performing primary tooth restorations (P<0.001), permanent tooth restorations (P=0.001), primary tooth extractions (P=0.022), and emergency treatment (P<0.001). UMLs and MLs significantly agreed that procedures be completed with the supervision of a dentist (P<0.001). Conclusions: Caregivers of pediatric medical patients are receptive to the concept of DTs and largely agree with them performing dental procedures. However, the dissemination of information on DTs to the public is necessary to increase awareness of their education, scope of practice and integration into the dental field.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914542","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}

引用次数: 0

Clinical Implications of Temporomandibular Condyle Agenesis in a Toddler. 幼儿颞下颌髁状突缺失的临床意义。

IF 0.4

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2024-05-15

Sandra Benavides Chaverri, Cristina Perez

引用次数: 0

Filled Opioid Prescriptions Following Pediatric Dental Procedures Among Medicaid-Insured Children in Ohio. 俄亥俄州医疗补助计划（Medicaid）保险儿童接受小儿牙科手术后的阿片类药物处方。

IF 0.4

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2024-05-15

Enrique Ramirez, Yuri Sebastião, Jennifer Cooper, Homa Amini, Janice A Townsend

{"title":"Filled Opioid Prescriptions Following Pediatric Dental Procedures Among Medicaid-Insured Children in Ohio.","authors":"Enrique Ramirez, Yuri Sebastião, Jennifer Cooper, Homa Amini, Janice A Townsend","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To investigate opioid prescription fills following pediatric/adolescent dental procedures in central/southeastern Ohio. Methods: This population-based, retrospective cohort study utilized health insurance claims from a pediatric public accountable care organization (???Medicaid???) in central/southeastern Ohio. Patients aged 18 years and younger who had a dental procedure between January 2012 and February 2019 were identified, and claims were searched for opioid prescription fills within 14 days post-procedure. Trends in prescription fill percentages, types of opioid, procedure classification and patient characteristics were examined. Results: A total of 512,922 encounters among 212,813 patients were included. The overall opioid prescription fill was 4.9 percent. Percentages decreased throughout the study period from 6.1 percent (95 percent confidence interval [95% CI]=5.9 to 6.3) in 2012 to 3.4 percent (95% CI=3.1 to 3.8) in early 2019. When limited to extractions and endodontic procedures, the overall prescription fill percentage fell from 15.7 percent (95% CI=15.2 to 16.1) in 2012 to 9.5 percent (95% CI=8.5 to 10.4) in early 2019. The most common opioids were hydrocodone (68.6 percent) and codeine (24.7 percent), with marked annual reductions in codeine prescription fills among children younger than 14 years. From 2017 to 2018, surgical extractions compared to endodontics-only procedures (risk difference [RD]=40.7; 95% CI=38.6 to 42.9) and older patient age (RD for 18-year-olds versus 13-year-olds=21.9; 95% CI=19.8 to 24.0) were strong risk factors for filling an opioid prescription. Conclusion: Post-procedure opioid prescription fill percentages have decreased since 2012 among pediatric/adolescent Medicaid enrollees undergoing dental procedures in central/southeastern Ohio. Substantial differences in the likelihood of filling a prescription remained by procedural and demographic variables. There were marked trends in the types of opioid for which prescriptions were filled, which varied by patient age.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914546","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}

引用次数: 0

Grade C Periodontitis in a Young Patient. 年轻患者的 C 级牙周炎

IF 0.4

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2024-05-15

Kelly Fernanda Molena, Ana Aparecida Perucio Camargo Morschel, Shira Bor, Alexandra Mussolino de Queiroz, Luciana Macchion Shaddox, Leda Regina Fernandes Mugayar

引用次数: 0

Efficacy of American Academy of Pediatric Dentistry Best Practice Recommendations for Diagnosis and Management of Deep Caries in Primary Teeth. 美国儿童牙科学会关于诊断和管理初级牙齿深龋的最佳实践建议的有效性。

IF 0.4

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2024-05-15

Rathika Asaithambi, Morankar Rahul, Vijay Mathur, Nitesh Tewari, Kalpana Bansal, Shivam Pandey

{"title":"Efficacy of American Academy of Pediatric Dentistry Best Practice Recommendations for Diagnosis and Management of Deep Caries in Primary Teeth.","authors":"Rathika Asaithambi, Morankar Rahul, Vijay Mathur, Nitesh Tewari, Kalpana Bansal, Shivam Pandey","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To evaluate the efficacy of the American Academy of Pediatric Dentistry (AAPD) best practice recommendations for the diagnosis and management of deep carious lesions in primary teeth. Methods: Primary molars from four to eight-year-old children were selected for diagnosis and treatment planning independently by a pediatric dental resident using the AAPD recommendations and a pediatric dentist using his clinical expertise and experience. The analysis of the two evaluators was performed for sensitivity, specificity, positive predictive value, negative predictive values, and agreement scores. Results: A total of 365 primary molars from 185 children were used. Diagnosis and treatment planning by the resident demonstrated a higher sensitivity score of 92.7 percent (95 percent confidence interval [95% CI]=80.1 to 98.5) and specificity score of 96.6 percent (95% CI=94 to 98.3) for treatment planning compared to a diagnosis having sensitivity and specificity scores of 74 percent (95% CI=59.7 to 85.4) and 89.8 percent (95% CI=86 to 92.9), respectively. Lower agreement scores between the resident and the pediatric dentist were found for the diagnosis of asymptomatic irreversible pulpitis and the use of lesion sterilization and tissue repair as a treatment modality. Conclusions: The AAPD best practice recommendations showed a better consistency for treatment planning than the diagnosis of carious primary molars.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914545","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}

引用次数: 0

Acceptance of Behavior Guidance Techniques in Pediatric Dentistry Between American and Colombian Parents. 美国和哥伦比亚父母对儿童牙科行为指导技术的接受程度。

IF 0.4

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2024-05-15

Laura Marcela Gómez, Adrien Theriot, Juan Manuel Cárdenas, Diego Fernando Rojas-Gualdrón, Brett T Chiquet, Antonio Dario Cárdenas, Aline Leite de Farias, Manuel Restrepo

{"title":"Acceptance of Behavior Guidance Techniques in Pediatric Dentistry Between American and Colombian Parents.","authors":"Laura Marcela Gómez, Adrien Theriot, Juan Manuel Cárdenas, Diego Fernando Rojas-Gualdrón, Brett T Chiquet, Antonio Dario Cárdenas, Aline Leite de Farias, Manuel Restrepo","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To compare the degree of acceptance of behavior guidance techniques (BGT) in pediatric dentistry between American and Colombian parents. Methods: American parents (n=150) and Colombian parents (n=150) of children between three and 12 years of age undergoing pediatric dental treatment participated in this multicenter cross-sectional study. Parents viewed a video depicting 10 BGTs approved by the American Academy of Pediatric Dentistry and rated their acceptance on a visual analog scale. Differences in the degree of acceptance were analyzed using quantile regression analysis. The level of significance was set at five percent. Results: American parents generally demonstrated higher median acceptance scores across various BGTs compared to Colombian parents (P<0.05). American parents exhibited higher acceptance levels of tell-show-do, voice control, non-verbal communication, positive reinforcement, distraction, presence/absence of parents and nitrous oxide, with statistically significant differences noted. American parents also displayed higher acceptance scores for advanced techniques such as protective stabilization, conscious sedation and general anesthesia. Conclusion: American parents consistently exhibited higher acceptance BGTs, suggesting variations in cultural attitudes toward pediatric dental care between the two groups.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914540","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}

引用次数: 0

COVID-19 Pandemic-Related Behavioral and Attitudinal Changes in Caregivers. COVID-19 护理人员与大流行相关的行为和态度变化。

IF 0.4

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2024-05-15

Bradley A Bennett, Kimberly J Hammersmith, Jin Peng, Clare Conte, Paul S Casamassimo

{"title":"COVID-19 Pandemic-Related Behavioral and Attitudinal Changes in Caregivers.","authors":"Bradley A Bennett, Kimberly J Hammersmith, Jin Peng, Clare Conte, Paul S Casamassimo","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To identify pandemic-related behavioral and attitudinal changes in caregivers. Methods: A 38-question cross-sectional survey was developed and distributed to English-speaking caregivers accompanying children for dental care in a hospital dental clinic. The questionnaire surveyed caregiver beliefs and behaviors regarding COVID19, whether the pandemic altered their use of medical and dental care or at-home health habits, as well as their attitudes toward medical and dental teams. Results: The 594 respondents varied in age, marital status, education and income level. Trust was high regarding medical and dental teams, government public health management and mask policies for children. However, those respondents who did not think children should be required to wear masks at school if the health department recommended it and respondents who did not think that government agencies would protect them if another pandemic happened were less likely to change perceptions on dental care, preventive dentistry, sugar intake and toothbrushing (P<0.05). No other strong and consistent relationships were found. Conclusions: In a safety-net dental clinic population, over half of caregivers changed dental behaviors and attitudes following the pandemic. Caregivers cynical of mask mandates and governmental pandemic management were not in the group to change their dental attitudes and behaviors. No other consistent pattern of demographic variables offered a clear profile of group beliefs and behaviors, suggesting the necessity of inquiring individuals and families about their oral health perceptions and behaviors.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914544","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}

引用次数: 0

Angioleiomyomatous Hamartoma of Incisive Papilla in an Adolescent. 一名青少年的乳头切迹血管瘤。

IF 0.4

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2024-05-15

Aadithya B Urs, Revathi Krishna, Rishabh Sachdeva, Sunita Gupta

引用次数: 0

In-Office Pediatric Emergency Dental Visits During and After the COVID Pandemic. COVID 大流行期间和之后的儿童牙科门诊急诊。

IF 0.4

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2024-05-15

Halima Abukabbos, Beth Rosenberg, Tarik Shounia, Salwa Atwan

{"title":"In-Office Pediatric Emergency Dental Visits During and After the COVID Pandemic.","authors":"Halima Abukabbos, Beth Rosenberg, Tarik Shounia, Salwa Atwan","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To describe the demographics of patients younger than 18 years of age who sought dental emergency visits during the COVID-19 pandemic, the treatment provided, the patients' payment sources and the impact of the pandemic on oral health. Methods: A retrospective electronic chart review was conducted for dental emergency visits between 2020 and 2023 at the University of Detroit Mercy School of Dentistry, Detroit, Mich., USA. The data set included the patients' demographics, insurance type, reason(s) for the dental emergency visit and the provider's diagnosis and treatment provided. Results: Six- to 10-year-old children were the most frequently seen group for an emergency dental visit (40 percent). The majority had public insurance. Delta Dental was the most common payment source (47 percent). Diseases of pulp and periapical tissues accounted for the highest proportion of emergency visits (55 percent) and extractions were the most common treatment performed (54 percent). Conclusion: During the COVID-19 pandemic, children may not have received optimum dental care and lacked regular dental visits and preventive treatment, which probably led to an increase in the severity of dental conditions.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914548","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}

引用次数: 0

The Effect of Temperament on Outcomes of Opioid and Non-Opioid Pediatric Dental Sedation. 气质对阿片类和非阿片类儿童牙科镇静剂疗效的影响。

IF 0.8

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2024-01-15

Raymond Lee, Kathie Wang, Anna Forsyth, Mariella Garcia, Joanna Scott, Travis Nelson

{"title":"The Effect of Temperament on Outcomes of Opioid and Non-Opioid Pediatric Dental Sedation.","authors":"Raymond Lee, Kathie Wang, Anna Forsyth, Mariella Garcia, Joanna Scott, Travis Nelson","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To assess oral sedation success using midazolam and hydroxyzine with and without meperidine, and to assess the relationship between child temperament and sedation outcomes. Methods: This study recruited children between the ages of 36 and 95 months who were randomly assigned to receive dental treatment with an oral sedation regimen of midazolam (0.5 mg/kg) and hydroxyzine (1.0 mg/kg) with or without meperidine (1.5 mg/kg). Data were collected from the treatment log and electronic health records. Parents completed the Child Behavior Questionnaire Short Form (CBQ-SF) to assess temperament. Results: The study included 37 participants. The overall treatment success rate was 54 percent. There were no significant differences in sedation outcome with age, sex, insurance status, sedation regimen, isolation method or duration of procedure. Children with high pre-operative Frankl behavioral ratings were more likely to have a successful sedation outcome (P <0.01). Children who displayed high soothability experienced higher rates of success (P =0.04), which was more pronounced in the non-opioid group (P <0.01). Conclusion: The study showed low rates of success for a relatively small sample size. There was no difference in sedation success between the opioid group and non-opioid group. However, pre-procedure behavior and temperament characteristic of sooth- ability may warrant more exploration as predictors of sedation success.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867181","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}

引用次数: 0