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":"<p><p><b>Purpose:</b> To identify pandemic-related behavioral and attitudinal changes in caregivers. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusions:</b> 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.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 2","pages":"60-72"},"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}
Aadithya B Urs, Revathi Krishna, Rishabh Sachdeva, Sunita Gupta
{"title":"Angioleiomyomatous Hamartoma of Incisive Papilla in an Adolescent.","authors":"Aadithya B Urs, Revathi Krishna, Rishabh Sachdeva, Sunita Gupta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hamartomas, a focal excess of normal tissue usually presenting as isolated masses, are rarely found in the head and neck region. The purpose of this report is to discuss a rare case of an intra-oral angioleiomyomatous hamartoma in a 14-year-old male who presented with a congenital nodule over the anterior palatal mucosa. The confirmatory diagnosis was done based on histopathology and immunohistochemistry using various markers. A brief review of the literature and clinical differential diagnoses are discussed, along with the clinical significance of hamartomas associated with syndromes. Hence, the identification of such hamartomas may lead to early diagnosis of associated syndromes in pediatric patients.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 2","pages":"108-112"},"PeriodicalIF":0.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914541","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":"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":"<p><p><b>Purpose:</b> 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. <b>Methods:</b> 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. <b>Results:</b> 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). <b>Conclusion:</b> 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.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 2","pages":"99-103"},"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}
{"title":"Restoration of Complicated Crown-Root Fracture in a Primary Incisor with Fragment Reattachment.","authors":"Pooja Gupta, Vinay Kumar Srivastava, Sheetal Badnaware","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In traumatic dental injuries in children, due to a lack of maturity to cope with the situation, pain intolerance, amount of treatment procedure, and parental anxiety, simplified and non-invasive treatment procedures, such as biologic restorations, are useful. Using advanced adhesive material for fragment reattachment provides excellent esthetic results and a positive attitude from the patient and family. The purpose of this case report is to describe the biological restoration of a complicated crown-root fracture of a primary maxillary central incisor with the fragment reattachment technique.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 1","pages":"43-46"},"PeriodicalIF":0.8,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866081","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}
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":"<p><p><b>Purpose:</b> To assess oral sedation success using midazolam and hydroxyzine with and without meperidine, and to assess the relationship between child temperament and sedation outcomes. <b>Methods:</b> 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. <b>Results:</b> 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 (<i>P</i> <0.01). Children who displayed high soothability experienced higher rates of success (<i>P</i> =0.04), which was more pronounced in the non-opioid group (<i>P</i> <0.01). <b>Conclusion:</b> 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.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 1","pages":"18-24"},"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}
{"title":"Enamel Renal Gingival Syndrome in an Adolescent.","authors":"Rahul Koul, Dempsy Chengappa, Vijay Prakash Mathur, Thongam Ajitkumar Singh, Sukhbir Singh Chopra","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Enamel renal gingival syndrome is a rare clinical condition characterized by the presence of amelogenesis imperfecta hypoplastic type, gingival fibromatosis and delayed tooth eruption, in addition to nephrocalcinosis with normal blood calcium levels. It is inherited as an autosomal recessive trait caused by mutations in the FAM20A gene located on chromosome 17q24.2. The purpose of this report is to describe a case of enamel renal gingival syndrome and discuss its distinct features and management.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 1","pages":"38-42"},"PeriodicalIF":0.8,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853509","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":"Late Eruption of Mandibular Central Incisor in Small for-Gestational-Age Infants: A Cohort Study.","authors":"Bianca Spuri Tavares, Jhonathan Lopes-Silva, Saul Martins Paiva, Lucas Guimarães Abreu, Carolina Castro Martins-Pfeifer, Cristiane Baccin Bendo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the chronology of the eruption of primary mandibular central incisors in infants born preterm and with low weight (PLBW) and its association with weight/length ratio for gestational age (GA) at birth, individual characteristics and hospitalization at birth. <b>Methods:</b> A cohort of 46 infants was followed at a multidisciplinary reference center at a university hospital in Belo Horizonte, Brazil. The inclusion criteria were infants born preterm with low/very low/extreme low birth weight and at least four months of age. Oral clinical examinations were carried out by a calibrated dentist for a total of eight months, with a one-month interval between each examination, to verify the chrono- logy of eruption of the primary mandibular central incisors. Caregivers completed a sociodemographic and health questionnaire. Data on neonatal hospitalization were collected from medical records. Data were analyzed with the Kaplan-Meier method and log rank test, and bivariate analysis was done using the Mann-Whitney method and Kruskal-Wallis test (<i>P</i> <0.05). <b>Results:</b> The average age at eruption of primary lower central incisors was 11 months for both sexes. No association was found between tooth eruption and child hospitalization or individual characteristics (<i>P</i> >0.05). Infants large for gestational age had earlier tooth eruption (9.3±1.41 months) than infants small for gestational age (13.6±3.29 months; <i>P</i> <0.05).<b>Conclusion:</b> The most likely age for the eruption of the first primary teeth in infants born preterm and with low weight was 11 months, and there was no influence of individual characteristics and hospitalization at birth. Small-for-gestational age infants experienced delayed tooth eruption compared to large-for-GA infants.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 1","pages":"10-17"},"PeriodicalIF":0.8,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868697","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}
Mariah Rodrigues do Amaral, Juliana Juliana Freire-Maia, Jéssica Madeira Bittencourt, Letícia Pereira Martins, Cristiane Baccin Bendo, Saul Martins Paiva, Paulo Ant Ônio Martins-Júnior
{"title":"Early Childhood Caries and Its Consequences Impact Sleep in Preschool Children.","authors":"Mariah Rodrigues do Amaral, Juliana Juliana Freire-Maia, Jéssica Madeira Bittencourt, Letícia Pereira Martins, Cristiane Baccin Bendo, Saul Martins Paiva, Paulo Ant Ônio Martins-Júnior","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess the impact of early childhood caries (ECC) and its clinical conse- quences on preschool children's sleep, as reported by caregivers. <b>Methods:</b> A representative cross-sectional study was carried out with preschoolers aged four to six years in Brazil. Caregivers responded to the Brazilian version of the Early Childhood Oral Health Impact Scale and a specific question from this questionnaire was used to determine sleep-related quality of life: \"Has your child had trouble sleeping because of dental problems or dental treatments?\" Additionally, a self-administered questionnaire with socioeconomic questions was used. Clinical examinations were performed by two calibrated dentists to diagnose dental caries (International Caries Detection and Assessment System -epi) and its clinical consequences (pulpal involvement, tissue ulceration, fistula and abscesses [pufa] index). Adjusted and unadjusted Poisson regression was used for data analysis (<i>P</i><0.05). <b>Results:</b> The sample consisted of 533 preschoolers, with 259 girls (51.4 percent) (n=259). The mean age of preschoolers was 4.78±0.6 (standard deviation) years. One-third (n=176) exhibited extensive carious lesions, and 14.1 percent (n=75) had clinical consequences of ECC. <b>Conclusion:</b> Children with clinical consequences of ECC were approximately 3.04 times more likely to have difficulty sleeping than children without them (95 percent confidence interval=1.75 to 5.25). The clinical consequences of ECC were significantly associated with difficulty sleeping among preschool children.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 1","pages":"25-30"},"PeriodicalIF":0.8,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873439","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, Matina V Angelopoulou, Ioanna Arvanitopoulou, Katerina Georgiou
{"title":"Enamel Veneer Rehabilitation of a Premolar to an Incisor After Autotransplantation.","authors":"Georgios Maroulakos, Matina V Angelopoulou, Ioanna Arvanitopoulou, Katerina Georgiou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tooth autotransplantation is one of the methods used for tooth loss rehabilitation in children. Premolars are usually used as autotransplants requiring esthetic alterations. The purpose of this paper is to present an innovative, alternative and inexpensive way to restore auto-transplanted teeth using the crown of the tooth of the recipient site. A seven-year-old male with a non-contributory medical history presented with an intrusion of his permanent maxillary right central incisor. The tooth underwent orthodontic extrusion using fixed appliances but eventually showed signs of ankylosis. At 10 years old, autotransplantation of a premolar to substitute the ankylosed incisor was undertaken. Six weeks after the autotransplantation, the premolar was restored to an incisor by modifying the extracted ankylosed tooth to a veneer for the transplanted tooth, providing functional and esthetic restoration. The patient has been followed up for two years without any complications. This technique can help clinicians restore autotransplants in an easy and esthetic manner.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 1","pages":"47-52"},"PeriodicalIF":0.8,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867180","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}
Rekhalakshmi Kamatham, Karthik Anchala, Charani Kanagaluru, Dileep Nag Vinnakota
{"title":"Effectiveness of Animal-Assisted Activity on Pain Perception and Anxiety of Children Undergoing Intraoral Local Anesthetic Administration.","authors":"Rekhalakshmi Kamatham, Karthik Anchala, Charani Kanagaluru, Dileep Nag Vinnakota","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To investigate the impact of animal-assisted activity (AAA) involving a dog (play therapy) on reducing the pain experienced by children during the administration of local anesthetic (LA). <b>Methods:</b> Children between the ages of eight and 12 years who required LA administration were randomized into an AAA group and a control group. Baseline data for the simplified Modified Child Dental Anxiety Scale-Faces version (MCDAS[f]) was recorded, followed by the implementation of either AAA with standard care or standard care alone. The conventional protocol was followed for the administration of LA. Procedural pain was evaluated using both the Faces Pain Scale-Revised (FPS-R) and the Faces, Legs, Activity, Cry, and Consolability Scale (FLACC). All variations in pulse were also recorded. After the procedure, a simplified MCDAS(f) was recorded once again. The data were tabulated and statistically analyzed. <b>Results:</b> The children in the AAA group reported lower pain scores, as measured by FPS-R, compared to the control group (<i>P</i> =0.009). Pain, as observed in the FLACC scores, was also low in the experimental group (<i>P</i> <0.001). A notable reduction in anxiety scores (<i>P</i> <0.001) was observed among children assigned to the AAA group. <b>Conclusion:</b> AAA involving a dog led to a reduction in the pain experienced by children undergoing LA administration, subsequently decreasing anxiety.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 1","pages":"31-37"},"PeriodicalIF":0.8,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873393","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}