{"title":"Adolescents' and Parents' Perspective on Impact of Dental Caries and Malocclusion on Quality of Life.","authors":"Marina Line Lourdes-Ribeiro, Letícia Pereira Martins, Jéssica Madeira Bittencourt, Saul Martins Paiva, Miriam Pimenta Vale, Cristiane Baccin Bendo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the impact of malocclusion and dental caries on oral health- related quality of life (OHRQoL) in adolescents and the differences between adoles- cents' self-reports and caregiver's proxy reports. <b>Methods:</b> A population-based cross-sectional study was conducted with 1,612 Brazil- ian adolescents and 1,168 caregivers. Adolescents completed the Child Perceptions Questionnaire and caregivers completed the Parental-Caregiver Perceptions Question- naire. Malocclusion (dental esthetic index) and dental caries (DMFT) were documented. Multiple Poisson regression was conducted. <b>Results:</b> A self-reported model demonstrated that adolescents with malocclusion had an impact on emotional (PR=1.14; 95 percent confidence interval [95% CI=1.03 to 1.26) and social domains (PR=1.35; 95% CI=1.20 to 1.50). Dental caries had an impact on the emotional domain (prevalence ratio [PR]=1.34; 95% CI=1.21 to 1.48). The caregiver model showed that malocclusion had an impact on oral symptoms (PR=1.12; 95% CI=1.03 to 1.21), functional limitations (PR=1.18; 95% CI= 1.05 to 1.33), and emotional (PR=1.23; 95% CI=1.10 to 1.54) and social domains (PR=1.22; 95% CI=1.02 to 1.45). Those with dental caries felt an impact on oral symptoms (PR=1.09; 95% CI=1.01 to 1.19), functional limitations (PR=1.18; 95% CI=1.05 to 1.33) and social domains (PR=1.24; 95% CI=1.04 to 1.45). <b>Conclusions:</b> Adolescents reported a negative impact on OHRQoL both in relation to dental caries and malocclusion. Caregivers observed the impact of oral conditions on more domains than the adolescents reported.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9422499","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 S Leary, Sofia Iribarren, Julie Reynolds, David C Johnsen
{"title":"Teaching Tool for Teledentistry Modeled with Pediatric Dentistry Residents.","authors":"Kecia S Leary, Sofia Iribarren, Julie Reynolds, David C Johnsen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To present a patient interaction teaching tool for synchronous teledentistry visits following concepts in critical thinking and report on the viability, assessment and implementation of the tool in an academic pediatric dentistry clinic.<br/><b>Methods:</b> A teaching tool was derived from interviews with pediatric dental residents and clinicians. The tool contained six main sections and 26 steps. The main sections included: greeting, medical, dental and behavioral histories; airway assessment; treatment recommendations; behavioral modalities of treatment; and follow-up. A faculty member assigned each interviewer dichotomous values of yes and no for implementation of each step of the teaching tool.<br/><b>Results:</b> Six pediatric dentistry residents participated in a tool use demonstration with 21 patients. The purpose of each interview was to gain information for procedural treatment at the first onsite visit. All pediatric dental residents completed over 90 percent of the steps in each section. The interview duration ranged from eight to 29 minutes (median: equals 18 minutes). Eighteen of the 21 patients were scheduled for follow-up visits.<br/><b>Conclusions:</b> The emulation model for provisional treatment planning is viable for teledentistry. Pilot results showed students consistently completed over 90 percent of skillset steps and that this teaching tool serves as a framework for teledentistry appointments.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9422500","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}
Eduarda Cristina Hinnah, Gabriel Ferreira Nicoloso, Andressa da Silva Arduim, Paola Arosi Bottezini, Tathiane Larissa Lenzi, Luciano Casagrande
{"title":"Factors Associated with Longitudinal Changes in the Caries Activity Profile of Children.","authors":"Eduarda Cristina Hinnah, Gabriel Ferreira Nicoloso, Andressa da Silva Arduim, Paola Arosi Bottezini, Tathiane Larissa Lenzi, Luciano Casagrande","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the factors associated with longitudinal changes in the caries activity profile of high caries risk children.<br/> <b>Methods:</b> The sample consisted of clinical records of children who had undergone dental care in a public setting during a one-year period. Patients with active carious lesions (non-cavitated and/or cavitated) at the initial examination and who completed treatment were considered for the analysis. A caries-controlled profile was set as the main outcome based on arresting active carious lesions. Poisson regression was used to evaluate the association of patient- and treatment-related factors with the outcome ( <i>P</i> <0.05).<br/> <b>Results:</b> The analysis included 130 caries-active children (7.8±2.4 [standard deviation - SD] years), with a mean missing and filled teeth index score of 8.3±4.4 SD. Patients with lower caries experience (prevalence ratio [PR]=0.93; 95 percent confidence interval [95% CI]=0.87 to 0.99) who received more appointments focused on oral health promotion based on dietary and oral hygiene instructions (PR=1.28; 95% CI= 1.03 to 1.58) had a greater rate of moving to caries-controlled status. The number of invasive treatments was not associated with a shift from caries-active to caries-controlled status (PR=0.98; 95% CI=0.87 to 1.11).<br/> <b>Conclusion:</b> A preventive regimen focused on dental and diet guidance may play an important role in arresting active carious lesions in high caries risk children.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9422505","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}
Abeer Abdullah, Matthew Finkelman, Yoon Kang, Cheen Y Loo
{"title":"Shear Bond Strength of Different Restorative Materials to Primary Tooth Dentin Treated with Silver Diamine Fluoride.","authors":"Abeer Abdullah, Matthew Finkelman, Yoon Kang, Cheen Y Loo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To investigate shear bond strength (SBS) of three restorative materials on primary dentin after silver diamine fluoride (SDF) application.<br/><b>Methods:</b> Thirty primary teeth were randomized into three groups of 10 teeth. Each tooth was split mesiodistally and randomized into experimental (artificial caries plus SDF) and control (sound dentine without SDF) groups. Glass ionomer cement (GIC), resin-modified bioactive resin (ACTIVA), and composite resin (CR) restorations were tested for SBS and mode of failure (MF).<br/> <b>Results:</b> All SDF groups exhibited significantly lower SBS compared to the control (CR: <i>P</i> =0.001; ACTIVA: <i>P</i> =0.001; GIC: <i>P</i> =0.004). For the SDF group, the compa- rison of materials was statistically significant (<i>P</i> =0.006); posthoc tests showed significance only between CR and ACTIVA (<i>P</i> =0.009) and between ACTIVA and GIC (<i>P</i> =0.020). The lowest mean value was obtained for ACTIVA (1.4 MPa) and the highest mean value was obtained for CR (3.3 MPa). For the control group, Welch's F test was statistically significant (<i>P</i> =0.044), but all posthoc tests were not. For MF, SDF exhibited a significantly greater percentage of adhesive failures with ACTIVA and CR than with GIC. In the control group, a mixed MF was more dominant with no significant differences.<br/><b>Conclusion :</b> The SDF group had significantly lower SBS.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40722123","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}
Kimberly J Hammersmith, David M Avenetti, Vineet Dhar, Mitali Y Patel, Jeffrey M Karp, AnnMarie Matusak, Kecia S Leary, Jodee C McDaniel, Jin Peng
{"title":"The Impact of the Covid-19 Pandemic on Applicants to Advanced Education in Pediatric Dentistry Programs and Recommendations for Virtual Interviews.","authors":"Kimberly J Hammersmith, David M Avenetti, Vineet Dhar, Mitali Y Patel, Jeffrey M Karp, AnnMarie Matusak, Kecia S Leary, Jodee C McDaniel, Jin Peng","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b>To assess the impact of the Covid-19 pandemic on applicants for advanced education programs in pediatric dentistry in the United States and provide recom- mendations for virtual interviews (VI).<br/> <b>Methods:</b>A cross-sectional survey was emailed to pediatric dentistry applicants in the 2020-2021 cycle.<br/> <b>Results:</b>One hundred seventy-five applicants responded. Virtual interviews were the universal format during this timeframe. Forty-four percent admitted to applying to programs they were not initially strongly considering and 42 percent accepted inter- views they would have declined if they had to travel. Applicants found social events with residents only (80 percent), a program overview presentation (86 percent), a virtual tour (77 percent) and a question-and-answer session with residents (85 percent) to be helpful. One-on-one or paired faculty interviews were the most preferred inter- view method. More than half (55 percent) thought programs were not able to learn about them as effectively through virtual compared to an in-person format.<br/> <b>Conclusions:</b> VI caused different applicant behavior due to the low time and financial investment. Applicants valued their time with residents to learn about programs, but were split in their preferences for virtual, in-person or hybrid interviews. Programs can use findings from this study to plan future recruitment cycles.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40640174","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}
Ricardo Barbosa Lima, Taíssa Cássia de Souza Furtado, Paulo Nelson-Filho, Raquel Assed Bezerra da Silva, Francisco Wanderley Garcia Paula-Silva, Fabrício Kitazono de Carvalho, Alexandra Mussolino de Queiroz
{"title":"RUNX2 Nonsense Mutation Associated with Cleidocranial Dysplasia with Unusual Dental Features.","authors":"Ricardo Barbosa Lima, Taíssa Cássia de Souza Furtado, Paulo Nelson-Filho, Raquel Assed Bezerra da Silva, Francisco Wanderley Garcia Paula-Silva, Fabrício Kitazono de Carvalho, Alexandra Mussolino de Queiroz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this case report is to describe a RUNX2 nonsense mutation associated with cleidocranial dysplasia (CCD) with unusual dental features. The patient was a 12-year-old Brazilian girl who sought dental care due to over-retention of primary teeth and absence of erupted permanent teeth. Clinical and radiographic examinations revealed multiple impacted permanent teeth, a prominent cingulum of the permanent impacted maxillary incisors and enamel defects (hypoplasia and hypomineralization) in addition to skeletal abnormalities. No supernumerary teeth were present. The diagnostic hypothesis of CCD was raised and the patient was refer- red to the genetic medical service, where the diagnosis was cofirmed. After RUNX2 genetic screening, including polymerase chain reaction and sequencing of both DNA strands, a heterozygous nonsense mutation was identified in exon 2 (c.193 C>T [Q65X]). This article reports unusual dental features in a patient with CCD.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40722124","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}
J Luke Current, John H Unkel, Elizabeth J Berry, Judy Reinhartz, Dennis Reinhartz
{"title":"Comparing Behavior Outcomes with Rubber Dam or IsoVac Isolation in Patients Undergoing Moderate Sedation.","authors":"J Luke Current, John H Unkel, Elizabeth J Berry, Judy Reinhartz, Dennis Reinhartz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the behavior of moderately sedated pediatric patients treated using rubber dam (RD) or IsoVac isolation.<br/><b>Methods:</b> A retrospective chart review was completed for patients who underwent restorative procedures under moderate sedation. Behavioral and Frankl scores were evaluated to determine which isolation technique (RD or IsoVac) resulted in better behavior outcomes.<br/><b>Results:</b> A total of 112 charts were reviewed from October 2019 to May 2021. Fifty- one patients were treated with RD isolation and 61 with IsoVac. Behavioral and Frankl scores were analyzed and showed that RD isolation was associated with better behavior at the time of placement as well as a better overall sedation Frankl score in comparison to IsoVac (<i>P</i> <0.05).<br/><b>Conclusions:</b> This study showed an association between RD isolation and better behavior during moderate sedation when compared to the IsoVac.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40722121","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}
Hazha Ibrahim, Travis Nelson, Sarat Thikkurissy, Zheng Xu, JoAnna Scott
{"title":"Comparison of Procedures, Time and Fees Associated with Procedural Sedation and General Anesthesia in a Pediatric Dentistry Residency Program.","authors":"Hazha Ibrahim, Travis Nelson, Sarat Thikkurissy, Zheng Xu, JoAnna Scott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To compare dental procedures, time, success rates and fees associated with pediatric dental treatment using oral moderate sedation (SED) and general anesthesia (GA) in a pediatric dentistry residency program. <b>Methods:</b> This retrospective chart review included a convenience sample of 50 patients between 2016 and 2017 who received SED and 50 patients who received GA for dental treatment. Healthy 24- to 71-month old Medicaid-insured patients who received restorative dental treatment were included. Treatment time and procedure codes were abstracted from the dental record. Fees were calculated based upon the pharmacologic modality utilized to complete each patient's treatment plan. <b>Results:</b> On average, GA patients were younger (<i>P</i> <0.001) and received a greater number (12.8 versus 5.6; <i>P</i> <0.001) and complexity of dental procedures than those in the SED group ( <i>P</i> <0.001). Pharmacologic fees associated with GA were higher ($653 for GA, $137 for SED, <i>P</i> <0.001). The overall SED success rate was 66 percent and significantly differed by the number of visits required, with the highest success rate (74 percent) at the second visit (<i>P</i> =0.011). <b>Conclusions:</b> Procedures performed, time, success rates and associated fees differed significantly between SED and GA. These characteristics should be considered when planning treatment for pediatric patients.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40640172","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}
Renata Matos Lamenha-Lins, Saul Martins Paiva, Ivana Meyer Prado, Andrea Caroline Assis Vieira, Matheus Melo Pithon, Lucianne Cople Maia, Junia Maria Serra-Negra
{"title":"Facial Type, Sex and Skin Color of Pediatric Patients Are Associated with Dental Students' Empathy and Self-Confidence During Dental Care.","authors":"Renata Matos Lamenha-Lins, Saul Martins Paiva, Ivana Meyer Prado, Andrea Caroline Assis Vieira, Matheus Melo Pithon, Lucianne Cople Maia, Junia Maria Serra-Negra","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess the levels of empathy and self-confidence of pre- and post-doctoral dental students during the dental care of children of different facial types, sex and skin color.<br/> <b>Methods:</b> A cross-sectional survey was conducted with 170 Brazilian dental students. Photos of four mesofacial pediatric patients of different sex (male, female) and skin color (white, black) were digitally altered to dolichofacial and brachyfacial facial types. The 12 photos obtained (four originals and eight digitally altered) were projected during lectures and students reported their level of empathy (scores from zero to 10) and self-confidence (not confident/confident) using a structured questionnaire, based exclusively on children's appearance. Bivariate analysis and Poisson robust regression were performed (<i>P</i> <0.05).<br/> <b>Results:</b> Students' lower empathy was observed among brachyfacial children (preva- lence ratio [PR] = 0.940; 95 percent confidence interval [95 percent CI] = 0.904 to 0.978). Female (PR=1.202; 95 percent CI=1.162 to 1.243) and black children (PR=1.068; 95 percent CI=1.035 to 1.103) received students' higher empathy scores. Higher percentages of self-confidence were associated with mesofacial (<i>P</i> =0.049), female (<i>P</i> <0.001), and black (<i>P</i> =0.001) children. Students' lower self-confidence was associated with brachyfacial (PR=1.106; 95 percent CI=1.066 to 1.147), male (PR=1.202; 95 percent CI=1.165 to 1.239) and white (PR=1.056; 95 percent CI =1.025 to 1.088) pediatric patients.<br/> <b>Conclusions:</b> Brachyfacial children were associated with dental students' lower levels of empathy and self-confidence while female and black children received higher levels of empathy and self-confidence. However, dental students felt less confident regarding the dental care of white children.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40722119","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}
Afnan Saber, Omar El Meligy, Sumer Alaki, Osama Felemban
{"title":"Clinical and Radiographic Success of 2% Chlorhexidine Gluconate with Mineral Trioxide Aggregate in Indirect Pulp Treatment of Primary Molars.","authors":"Afnan Saber, Omar El Meligy, Sumer Alaki, Osama Felemban","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To compare the clinical and radiographic success rates of indirect pulp treatment (IPT) in primary molars using mineral trioxide aggregate (MTA) with and without two percent chlorhexidine gluconate (CHX).<br/><b>Methods:</b> A blinded, randomized, controlled clinical trial was performed in a split-mouth desi gn. Eighty primary molars in 40 subjects from four to eight years of age were randomly allocated so that each subject had one tooth treated with MTA and CHX and the other tooth treated with MTA alone. Study teeth had deep caries without signs and symptoms of pulpal inflammation or necrosis. All teeth were restored with stainless steel crowns. Follow-up was done at 12 months to evaluate the teeth clinically and radiographically.<br/><b>Results:</b> At the follow-up, one tooth from each group had failed. Upon the clinical and radiographic evaluations, the overall success rate for both groups was 97 percent. No statistically significant difference was found in the success rate between the two groups.<br/><b>Conclusions:</b> IPT in primary molars using MTA with or without CHX demonstrated satisfactory clinical and radiographic outcomes in a period of 12 months.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10455374","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}