Sahar Alrayyes, Allison Horn, Evelina Kratunova, Anne Koerber
{"title":"Evaluation of a Near-Infrared Light Transillumination Device for Caries Detection in Interproximal Primary Molar Surfaces.","authors":"Sahar Alrayyes, Allison Horn, Evelina Kratunova, Anne Koerber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the sensitivity and specificity of the near-infrared light transillumination caries detection method by using DEXIS CariVu (DCV) for imaging of interproximal primary molar surfaces (IPMS).<br/><b>Methods:</b> A retrospective evaluation of patient records at a university pediatric dentistry (PD) clinic identified 22 patients with unrestored IPMS, which had images of both bitewing radiography (BW) and DCV. A scoring system (no caries, incipient caries, dentinal caries) was developed for the study. Two investigators (pediatric dental faculty) identically scored 90 IPMS in both BW and DCV images, establishing benchmark IPMS scores. The 180 images were then compiled in a randomized order in a questionnaire, which was answered by 24 raters (PD residents and faculty) using the study caries scoring system. Data analysis included raters and experts' percent agreement, Vassar Stats for sensitivity and specificity, and Kendall's correlation coefficient for interrater reliability.<br/><b>Results:</b> The overall agreement between raters and experts for DCV images was 48 percent (54 percent for no caries, 23 percent for incipient caries, and 68 percent for dentinal caries). The DCV's sensitivity and specificity to detect any caries were, respectively, 0.72 and 0.54, 0.60 and 0.53 for incipient caries, and 0.82 and 0.53 for dentinal caries. The BW's sensitivity and specificity to detect any caries were respectively, 0.82 and 0.87, 0.98 and 0.86 for incipient caries, and 0.99 and 0.87 for dentinal caries. The overall interrater reliability was 0.48 (95 percent confidence interval equals 0.46 to 0.50).<br/><b>Conclusion:</b> The use of DCV as a stand-alone caries detection method for IPMS is limited.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39749569","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}
Victoria Nguyen Tran, Janice A Townsend, Jin Peng, Homa Amini, Mary Kay Irwin, Jodee McDaniel, Paul Casamassimo
{"title":"Ohio Dentists' Perceptions on Children School Absenteeism for Dental Care Appointments.","authors":"Victoria Nguyen Tran, Janice A Townsend, Jin Peng, Homa Amini, Mary Kay Irwin, Jodee McDaniel, Paul Casamassimo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> This cross-sectional study evaluated knowledge, practices, and beliefs of Ohio dentists treating school-aged children regarding school absenteeism in relation to compliance with dental appointments.<br/><b>Methods:</b> A 26-item questionnaire was distributed to 7,274 dentists licensed in the state of Ohio in 2019. Eligible participants were pediatric dentists (PDs) and general dentists (GDs) who treated individuals younger than 16 years of age.<br/><b>Results:</b> A return rate of 13.5 percent (958 total participants) provided a sample consisting of approximately 90 percent of GDs, a mean age of 48.5 years and primarily practicing in suburban locations. Respondents felt parental attitudes had changed over the past five years, with a significantly higher proportion of PDs reporting increased parental concerns about school absences than GDs (59.5 percent versus 31.5 percent; <i>P</i> <0.001). Length of excused absence increased with treatment complexity. PDs were more likely to permit longer absences than GDs and to allow parents to decide the length of absence, particularly for children with special health care needs. PDs were 6.6 times more likely to report that concerns about school absences often negatively affected oral health (<i>P</i> <0.001).<br/><b>Conclusion:</b> Dentists acknowledged that school absences and school policy affected parental choices regarding dental visits, with PDs consistently stating a greater effect than GDs.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39749567","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}
Meera D Rathi, Ramin Kashani, Courtney H Chinn, Sheena S Nandi
{"title":"Compliance of Special Health Care Needs and Healthy Pediatric Patients with Preventive Visits after Dental Treatment under General Anesthesia.","authors":"Meera D Rathi, Ramin Kashani, Courtney H Chinn, Sheena S Nandi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To identify compliance of special health care needs and healthy pediatric patients with preventive dental appointments after treatment under general anesthesia (GA).<br/><b>Methods:</b> Records of special health care needs (SHCN) patients treated under GA in 2015 and 2016 were reviewed. The control group consisted of randomly selected healthy patients also treated under GA in the same time period and hospital. Patient demographics were compared, and the number of preventive visits was recorded for 24 months after GA.<br/><b>Results:</b> The sample consisted of 141 SHCN patients and 142 healthy children. The average number of preventive visits post-GA appointment was 2.74 out of a recommended nine visits over two years for the study population. There was a statistically significant difference in the level of compliance based on age and referral source, but there was no difference based on health status.<br/><b>Conclusion:</b> Compliance with preventive dental visits after treatment under GA among all pediatric patients, regardless of health status, must be improved. Caregivers must be further educated to implement change and barriers to care must be explored.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39254206","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}
Monalisa Cesarino Gomes, Matheus França Perazzo, Érick Tássio Barbosa Neves, Ramon Targino Firmino, Roanny Torres Lopes, Cristiane Meira Assunção, Fernanda Morais Ferreira, Saul Martins Paiva, Ana Flávia Granville-Garcia
{"title":"The Impact of Dental Pain due to Caries in the Oral Health-Related Quality of Life of Children.","authors":"Monalisa Cesarino Gomes, Matheus França Perazzo, Érick Tássio Barbosa Neves, Ramon Targino Firmino, Roanny Torres Lopes, Cristiane Meira Assunção, Fernanda Morais Ferreira, Saul Martins Paiva, Ana Flávia Granville-Garcia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To determine the extent to which history of dental pain explains the impact of dental caries on oral health-related quality of life (OHRQoL) among pre-schoolers.<br/><b>Methods:</b> A population-based study was conducted with a random sample of 769 five-year-old children. Preschoolers self-completed the Brazilian version of the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO-5), and caregivers completed a questionnaire addressing sociodemographic characteristics. Children had a dental/oral examination done by dentists. The effect of cavitated caries lesions on OHRQoL explained by pain was estimated by the percentage variation of the prevalence ratio (PR) for the impact of cavitated lesions on OHRQoL (PRc), and this measure was adjusted by dental pain (PRct). PR was determined through multiple Poisson regression (<i>P</i> <0.05).<br/><b>Results:</b> The prevalence of cavitated lesions was 58.8 percent; among this cohort, 23.8 percent reported dental pain. The PRc was 1.063 and PRct was 1.039. Thirty-eight percent of the impact of dental caries on OHRQoL was due to dental pain.<br/><b>Conclusion:</b> History of dental pain explains 38 percent of the impact of dental caries on the OHRQoL of preschoolers.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39254207","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":"Geographic Distribution of Pediatric Dentists and Community Characteristics of Their Locations in Florida.","authors":"Nazish Khan, Scott L Tomar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To describe the geographic distribution of pediatric dentists (PDs) in Florida and the sociodemographic characteristics of communities in which they are located compared with communities without a PD.<br/><b>Methods:</b> The ratio of PDs to children for each county in Florida and the distribution of PDs in Florida counties at the census tract (CT) level were calculated. Each CT was categorized as having or not having PDs to examine the geographic distribution of PDs, and the sociodemographic differences between CTs with and without a PD were tested by using <i>t</i>-tests. PDs' participation in Medicaid and acceptance of new patients were also investigated.<br/><b>Results:</b> Of the 67 counties in Florida, 31 had no PD. There were 4,181,677 children younger than 18 years served by 388 PDs, for a statewide ratio of 9.2 PDs per 100,000 population (range 0 to 34.9). Median household income, family income, and education were higher in CTs with PDs, and poverty level, unemployment rate, and percentage of African American population were higher in CTs with fewer PDs. Although 49 percent of PDs accepted Medicaid, only 32 percent accepted new patients.<br/><b>Conclusion:</b> There are regional and sociodemographic disparities in the distribution of PDs in Florida.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39254210","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}
Sheeba Kurian, Gopi Surti, Stuart L Segelnick, Mithya Nemakal, Vito A Cardo
{"title":"Atypical Myofibroblastic Tumor of the Oral Cavity in a Child.","authors":"Sheeba Kurian, Gopi Surti, Stuart L Segelnick, Mithya Nemakal, Vito A Cardo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A myofibroma is a relatively rare neoplasm characterized by its spindle cell proliferation. This lesion can present as a unifocal mass (myofibroma) or multifocal growths (myofibromatosis) in the skin, soft tissue, bone, or internal organs. In the oral cavity, the tumor is commonly identified on the tongue, mucosa, lips, and mandible. Myofibroma classically occurs in infants and young children. Its fast-growing nature often mimics a sarcoma; however, it is a benign tumor. The purpose of this article is to report the case of an eight-year-old boy who presented with a localized, painless, nodular mass in the palate and gingiva. Through clinical, radiological, and immunohistochemical evaluation, the diagnosis of an atypical myofibroblastic tumor was made after resection of the mass. With interprofessional team management, the patient's quality of life was improved.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39253634","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}
Georgios Maroulakos, Michael P Maroulakos, Efthymia Tsoukala, Matina V Angelopoulou
{"title":"Dental Reshaping Using the Composite Resin Injection Technique After Dental Trauma and Orthodontic Treatment.","authors":"Georgios Maroulakos, Michael P Maroulakos, Efthymia Tsoukala, Matina V Angelopoulou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Severe dental trauma can often result in tooth loss at an early age. Orthodontic space closure and reshaping of the teeth are a conservative treatment approach. The purpose of this paper is to present a fast and predictable way to reshape teeth using the composite resin injection technique. A 10-year-old female presented for orthodontic treatment with a Class II malocclusion, lateral open bite and loss of the permanent maxillary left central incisor due to trauma. The treatment plan involved mesialization of the maxillary left teeth and reshaping of the maxillary left canine and lateral incisor to the shape of the lateral and the central incisor, respectively. At the end of the orthodontic treatment, an impression was made and a transparent silicone index was fabricated based on the diagnostic wax-up. Through the index, flow composite resin was injected at the site to form the direct composite resin restorations.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39253637","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}
Cesar Gonzalez, Brian Hodgson, Maharaj Singh, Christopher Okunseri
{"title":"Hall Technique: Knowledge and Attitudes of Pediatric Dentists in the United States.","authors":"Cesar Gonzalez, Brian Hodgson, Maharaj Singh, Christopher Okunseri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess pediatric dentists' knowledge, attitudes, and factors associated with the use of the Hall technique (HT) in the United States.<br/><b>Methods:</b> An electronic questionnaire with a cover letter and consent form was sent to 6,277 active members of the American Academy of Pediatric Dentistry (AAPD) between April 15 and June 1, 2019. Descriptive and multivariate analyses were calculated.<br/><b>Results:</b> The response rate was 9.4 percent; 52 percent were males, 76 percent were white non-Hispanic, and 83 percent were in private practice. Ninety-seven percent were familiar with HT, and 39 percent had used it. Factors significantly associated with the use of HT were female dentists (<i>P</i> =0.01), patients with Medicaid insurance (<i>P</i> <0.001), rural locations (<i>P</i> =0.02), academic and community/public health clinics (<i>P</i> =0.004). Compared with AAPD members in the Western region, pediatric dentists in the North-Central region were more likely to use HT (odds ratio [OR] =2.50, 1.22 to 5.13, <i>P</i> =0.01) but pediatric dental residents in the North-Central region were less likely to use it (OR= 0.39,0.18 to 0.84, <i>P</i> =0.02).<br/> <b>Conclusion:</b> Use of HT was considered a viable alternative in the management of dental caries. Despite the limitations of the technique, pediatric dentists' practice location and place of residency were significantly associated with its use.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39254208","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}
Jhonathan Lopes-Silva, Saul Martins Paiva, Lucas Guimarães Abreu, Carolina Castro Martins, Daniela Rabelo-Costa, Maria Cândida Ferrarez Bouzada, Cristiane Baccin Bendo
{"title":"Signs and Symptoms of Primary Tooth Eruption in Preterm and Low Birth Weight Children.","authors":"Jhonathan Lopes-Silva, Saul Martins Paiva, Lucas Guimarães Abreu, Carolina Castro Martins, Daniela Rabelo-Costa, Maria Cândida Ferrarez Bouzada, Cristiane Baccin Bendo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate signs and symptoms associated with the eruption of the primary mandibular central incisors in preterm and low birth weight (PLBW) children.<br/><b>Methods:</b> A prospective longitudinal study was performed with 46 PLBW Brazilian children in a university hospital with a 10-month follow-up. Signs and symptoms of tooth eruption were recorded monthly by clinical examination and caregivers' report. Tooth eruption was categorized into \"preeruption\" (T0-no erupted crown/month before the eruption), \"eruption\" (T1-eruption of the tooth up to one-third of the crown/month of eruption), and \"posteruption\" (T2-from one-third of the erupted crown to completely erupted crown/month after the eruption). Bivariate statistics were performed (<i>P</i> <0.05).<br/><b>Results:</b> The mean age in T1 was 11 months (±2.50 standard deviation). The symptoms most frequently reported in T1 were increased salivation and finger suction (44.2 percent). The mean number of symptoms in T1 was higher than in T2 (<i>P</i> <0.001). There was a higher frequency of irritability (<i>P</i> =0.022) and itching of the gingiva (<i>P</i> =0.004) in T1 than in T2.<br/> <b>Conclusion:</b> PLBW children presented signs and symptoms mainly in the initial phase of tooth eruption. Increased salivation and digital suction were the most common symptoms.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39254209","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}
Kecia Leary, Elizabeth Hechler, Fang Qian, Karin Weber-Gasparoni
{"title":"Management of Head Lice in Dental Offices: A Call for Updated Policies.","authors":"Kecia Leary, Elizabeth Hechler, Fang Qian, Karin Weber-Gasparoni","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To compare knowledge, policy, and management regarding patients with suspected head lice between general dentists (GPs) working at Federally Qualified Health Centers (FQHCs) and pediatric dentists (PDs).<br/><b>Methods:</b> A 14-item survey was emailed to 340 active dentists in Iowa, Missouri, and Kansas. Statistical analysis consisted of bivariate and multiple logistical regression analysis (alpha = 0.05).<br/><b>Results:</b> The response rate was 20.0 percent, comprising 27 GPs, 39 PDs, and one other specialist. Among the respondents, 23.9 percent were familiar with the American Academy of Pediatrics guidelines on head lice and 27.0 percent had a policy about patients with head lice in their practice. PDs were more likely to be familiar with the AAP guidelines on head lice (<i>P</i> =0.001), have received training on head lice (<i>P</i> =0.032), and feel comfortable identifying head lice in patients (<i>P</i> =0.015). PDs were also more likely to proceed with dental treatment if suspecting a patient had active head lice (odds ratio 4.27; 95 percent confidence interval = 1.19 to 84.59; <i>P</i> =0.002).<br/><b>Conclusion:</b> PDs are more willing to treat patients with suspected head lice and to personally discuss the topic with parents. Neither group universally followed current guidelines in working with children with head lice.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39254211","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}