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Comorbidities in Children with Autism Spectrum Disorder Undergoing Oral Rehabilitation Under General Anesthesia. 全麻下接受口腔康复治疗的自闭症谱系障碍儿童的合并症
IF 0.8
JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-05-15
Nathan Blair, Jennifer Feingold, Fang Qian, Karin Weber-Gasparoni
{"title":"Comorbidities in Children with Autism Spectrum Disorder Undergoing Oral Rehabilitation Under General Anesthesia.","authors":"Nathan Blair,&nbsp;Jennifer Feingold,&nbsp;Fang Qian,&nbsp;Karin Weber-Gasparoni","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b>To investigate the oral health needs and comorbidities among patients with autism spectrum disorder (ASD) undergoing oral rehabilitation under general anesthesia (GA) at a university hospital.<br/> <b>Methods:</b> Records of patients with ASD who underwent oral rehabilitation under GA between January 2016 and May 2019 were reviewed to identify comorbid conditions and oral health needs. Statistical analysis consisted of descriptive and bivariate analyses (alpha = 0.05).<br/> <b>Results:</b>A total of 160 patients from three to 18 years of age fulfilled the inclusion criteria. Seventy-eight percent were male and 69 percent had public insurance. Be- havioral issues, such as anxiety, aggression and nonverbal status, were observed more frequently than reported in the ASD literature. Dental caries, poor oral hygiene and gingivitis were the most common dental conditions observed. Radiographs, sealants, stainless steel crowns and extractions were the most common treatments rendered. Bivariate analysis revealed that subjects who had eight to 15 comorbidities were likely to be older.<br/> <b>Conclusions:</b> Patients with ASD have many dental needs and may have comorbid medical conditions that directly affect the safe delivery of GA and dental treatments. As patients with ASD age, the number of comorbidities increases.</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":"40640173","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
Reducing Pediatric Intraoral Radiography Radiation Dose Using Reduced-Power Dental X-Ray Units: A Randomized Trial. 使用低功率牙科x射线装置减少儿童口内放射照相辐射剂量:一项随机试验。
IF 0.8
JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-05-15
Jennifer L Cully, Elanchezhian Somasundaram, Richard Campbell, Samuel L Brady, Elizabeth S Gosnell, Sarah Specht, Lisa Atlas Candon, Keith J Strauss
{"title":"Reducing Pediatric Intraoral Radiography Radiation Dose Using Reduced-Power Dental X-Ray Units: A Randomized Trial.","authors":"Jennifer L Cully,&nbsp;Elanchezhian Somasundaram,&nbsp;Richard Campbell,&nbsp;Samuel L Brady,&nbsp;Elizabeth S Gosnell,&nbsp;Sarah Specht,&nbsp;Lisa Atlas Candon,&nbsp;Keith J Strauss","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess the diagnostic confidence of intraoral radiographic image quality while reducing the pediatric patient's radiation exposure using a longer position indicating device (PID), additional X-ray beam filtration and rectangular collimation while using modern, lower-power intraoral dental X-ray units.<br/><b>Methods:</b> A randomized prospective study scored bitewing intraoral dental images based on relevant clinical features. Observer studies with pediatric dentists and dental residents were conducted to verify whether diagnostic confidence remained unchanged after dose reduction modifications. The study involved a two-phase investigation to determine: (1) the best thickness of aluminum (Al) 2024-T3 alloy filter and (2) required increased exposure time to maintain intraoral radiographic image quality. A 30 cm PID with a rectangular collimator was used to further manage patient dose. For each phase, images from 125 patients were collected from February 2017 to September 2018 and analyzed.<br/><b>Results:</b> The results from the observer study using a 30 cm PID, 1.02 mm thick Al alloy filter, and a rectangular collimator resulted in a patient dose reduction between 64 percent (exposure time of 400 msec) to 77 percent (250 msec), without any statis- tically significant effect to the diagnostic confidence of the observers in evaluating the reduced radiation images.<br/><b>Conclusion:</b> Long recognized dose reduction methods, when implemented on a modern, low-power intraoral dental X-ray unit, do not impact confidence in bite- wing diagnostic images, but substantially reduce patient dose and should be adopted to increase patient safety, especially for 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":"40722120","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
Kawasaki Disease Associated with Covid-19 in a Pediatric Patient. 儿科患者与Covid-19相关的川崎病
IF 0.8
JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-05-15
Andressa da Silva Coelho, Júlia Braga da Silva, Carolina Carvalho Ferreira Pires, Raquel Fernanda de Andrade Caseira, Mônica Simões Israel
{"title":"Kawasaki Disease Associated with Covid-19 in a Pediatric Patient.","authors":"Andressa da Silva Coelho,&nbsp;Júlia Braga da Silva,&nbsp;Carolina Carvalho Ferreira Pires,&nbsp;Raquel Fernanda de Andrade Caseira,&nbsp;Mônica Simões Israel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Kawasaki disease (KD) is a multisystemic vasculitis of small and medium-size vessels that mainly affects children under five years of age. The etiology of KD is still uncertain; however, evidence suggests that infectious agents and genetic susceptibility act as a trigger for its development, which could explain the increase in cases of children with COVID-19 who developed a classic or incomplete form of KD. The aim of this report is to discuss a case of a five-year-old boy diagnosed with incomplete KD associated with COVID-19.</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":"40722122","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
Guidance for Permanent First Molar Extraction in Molar-Incisor Malformation: Report of Two Cases. 磨牙-门牙畸形的第一磨牙永久拔牙指南:附2例报告。
IF 0.8
JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-01-15
Alexandra Korte, Matina V Angelopoulou, Konstantina Yfanti
{"title":"Guidance for Permanent First Molar Extraction in Molar-Incisor Malformation: Report of Two Cases.","authors":"Alexandra Korte,&nbsp;Matina V Angelopoulou,&nbsp;Konstantina Yfanti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Molar-incisor malformation (MIM) is a newly described dental developmental anomaly that predominantly affects primary second molars, permanent first molars, and, in some cases, permanent central incisors. Diagnosis is usually made upon radiographic examination. The molars usually present with significant cervical constriction, flattened pulp chambers, and absent or thin, short, and narrow roots, whereas the incisors usually exhibit coronal dilaceration. Loss of these compromised teeth in the long term may be inevitable. Thus, clinicians should be aware of this condition and the factors to consider to advise their patients as early as possible. The purpose of this paper is to present two cases of MIM and discuss the factors clinicians should take into consideration to make a care plan in these cases.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40330777","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 Effectiveness of Lingual Frenectomy and Myofunctional Therapy for Children: A Randomized Controlled Clinical Trial. 舌系带切除术和肌功能治疗对儿童的有效性:一项随机对照临床试验。
IF 0.8
JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-01-15
MÔnica Carminatti, Gabriel Ferreira Nicoloso, Priscilla Polinesi Miranda, Erissandra Gomes, Fernando Borba de Araujo
{"title":"The Effectiveness of Lingual Frenectomy and Myofunctional Therapy for Children: A Randomized Controlled Clinical Trial.","authors":"MÔnica Carminatti,&nbsp;Gabriel Ferreira Nicoloso,&nbsp;Priscilla Polinesi Miranda,&nbsp;Erissandra Gomes,&nbsp;Fernando Borba de Araujo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the effectiveness of lingual frenectomy, as a standalone treatment or in association with myofunctional therapy, on the general and functional aspects of six- to 12-year-old children with anomalies in the lingual frenulum.<br/> <b>Methods:</b> This randomized controlled clinical trial involved 40 children diagnosed with altered lingual frenulum. Children who received a frenectomy were evaluated 15 and 30 days after the procedure. After 15 days, the children were randomized into two groups: a group that received isotonic tongue exercises (Study Group [SG]) and a group that did not receive isotonic tongue exercises (Control Group [CG]). The outcome evaluator was blinded to group assignment. Statistical tests were used to compare between and within groups (<i>P</i> <0.05).<br/> <b>Results:</b> There were 20 children in each group. SG children improved significantly when compared to CG subjects regarding tongue mobility (<i>P</i> =0.016), maximum mouth opening (MMO; <i>P</i> =0.024), and MMO with the tip of the tongue touching the incisive papilla (<i>P</i> =0.026).<br/> <b>Conclusion:</b> Frenectomy associated with myofunctional therapy benefitted tongue mobility.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40330773","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
Idiopathic Gingival Fibromatosis in a Pediatric Patient. 特发性牙龈纤维瘤病的儿科患者。
IF 0.8
JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-01-15
K Korath Abraham, Majo Ambooken, Arun George Mangalathu, Sherin C Jose, Sneha Elizabeth Mathews
{"title":"Idiopathic Gingival Fibromatosis in a Pediatric Patient.","authors":"K Korath Abraham,&nbsp;Majo Ambooken,&nbsp;Arun George Mangalathu,&nbsp;Sherin C Jose,&nbsp;Sneha Elizabeth Mathews","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Idiopathic gingival fibromatosis (IGF) is a rare, benign, slow-growing proliferation of the gingival tissues involving both maxillary and mandibular gingiva. It is exacerbated during the eruptive phase of both primary and permanent dentitions. The purpose of this article is to report the case of a 10-year-old boy who presented with IGF whose gingival enlargement covered the occlusal surfaces of many teeth and displaced the erupting dentition, compromising the patient's cosmetics, function, speech and development. The treatment involved gingivectomy and gingivoplasty, combining both surgical and laser methods. The case showed remarkable esthetic and functional im provement, without signs of recurrence one year post-treatment.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40331191","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
Linear Scleroderma Causing Arrest of Root Development in a Pediatric Patient. 线状硬皮病引起小儿患者牙根发育停止。
IF 0.8
JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-01-15
Jeannette M C Chua, Jin Fei Yeo, Raymond C W Wong, Catherine H L Hong
{"title":"Linear Scleroderma Causing Arrest of Root Development in a Pediatric Patient.","authors":"Jeannette M C Chua,&nbsp;Jin Fei Yeo,&nbsp;Raymond C W Wong,&nbsp;Catherine H L Hong","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Localized scleroderma (LoS) or morphea is a rare group of inflammatory disorders resulting in excessive collagen deposition and subsequent sclerosis of the skin and subdermal tissues. Linear scleroderma (LiS) or linear morphea is the most common subtype of LoS in children and primarily affects the face and extremities. This case report details the three-year follow-up of a five-year-old girl with LiS of the left upper lip and adjacent oral mucosal tissue. She also presented with a concurrent developmental root defect of the permanent maxillary left central incisor. Intralesional corticosteroids were considered as a first-line treatment; however, parents declined it. Decision was made to biopsy when the lesion showed signs of progression. At subsequent reviews, the affected mucosal surface appeared to have stabilized but progressive notching of the upper lip was noted. In the long term, after cessation of disease activity, the patient will require aesthetic intervention to surgically correct her upper lip.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40330776","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
Impact of Pulp Necrosis on Oral Health-Related Quality of Life of Children with Early Childhood Caries. 牙髓坏死对早期儿童龋齿口腔健康相关生活质量的影响
IF 0.8
JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-01-15
Natálla Gonçalves Nogueira, Marina de Deus Moura Lima, Joyce Samandra Silva Moura, Cacilda Castelo Branco Lima, Marcoeli Silva de Moura, Marcus Victor Vaz Soares Castro, Lucia de Fátima Almeida de Deus Moura
{"title":"Impact of Pulp Necrosis on Oral Health-Related Quality of Life of Children with Early Childhood Caries.","authors":"Natálla Gonçalves Nogueira,&nbsp;Marina de Deus Moura Lima,&nbsp;Joyce Samandra Silva Moura,&nbsp;Cacilda Castelo Branco Lima,&nbsp;Marcoeli Silva de Moura,&nbsp;Marcus Victor Vaz Soares Castro,&nbsp;Lucia de Fátima Almeida de Deus Moura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess the impact of pulp necrosis on the oral health-related quality of life (OHRQoL) of children with early childhood caries and their caregivers.<br/><b>Methods:</b> A cross-sectional study was performed with a consecutive sample of children who were divided into three groups: (1) caries-free children; (2) with untreated carious lesions and without pulp necrosis; and (3) with untreated carious lesions and at least one tooth with pulp necrosis. Data were collected using a sociodemographic questionnaire, the Early Childhood Oral Health Impact Scale (ECOHIS) and a dental clinical examination using the International Caries Detection and Assessment System index. Descriptive statistics, Kruskal-Wallis tests, Mann-Whitney tests and Poisson regression were performed (<i>P</i> <0.05).<br/><b>Results:</b> A total of 532 children and their legal guardians participated in the study. Children with pulp necrosis had a greater negative impact on the OHRQoL versus those with untreated carious lesions without pulp necrosis (ratio of unadjusted and adjusted rates [RR] = 1.59; 95 percent confidence interval [95% CI] = 1.36 to 1.86; <i>P</i> <0.001), as measured by the total ECOHIS score. in Group 3, four- and five-year-old children had a greater negative impact on the OHRQoL than two- and three-year-old peers (RR = 1.36; 95% CI = 1.08 to 1.72; <i>P</i> <0,001).<br/><b>Conclusion:</b> The presence of pulp necrosis increased the negative impact on OHRQoL of children with untreated carious lesions and their guardians.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40330774","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
Dental Management in Juvenile Idiopathic Arthritis. 青少年特发性关节炎的牙科治疗。
IF 0.8
JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-01-15
Jasjot Sahni, Flavia Lamberghini
{"title":"Dental Management in Juvenile Idiopathic Arthritis.","authors":"Jasjot Sahni,&nbsp;Flavia Lamberghini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Juvenile idiopathic arthritis (JIA) is the most common childhood rheumatic disease. It can involve the temporomandibular joint (TMJ) at onset; however, this is frequently overlooked until later stages when pain and dysfunction occur. The purpose of this paper is to discuss the case of a 14-year-old female with malocclusion and TMJ pain who presented for orthodontic treatment. The orthodontist referred her to the orofacial pain specialist to rule out TMJ dysfunction before starting care. After a comprehensive evaluation, the patient was diagnosed with JIA. Dentists can play a key role in the initial detection of systemic diseases causing TMJ pathology. This case report outlines the main orofacial signs and symptoms a dentist needs to be familiar with for the prompt identification of JIA, further reiterating the importance of an early diagnosis for a better prognosis and quality of life of a young patient with JIA.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40330775","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
Considerations for Transgender Patients Requiring Dental Rehabilitation. 需要牙科康复的变性患者的考虑。
IF 0.8
JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-01-15
Keri Discepolo, Nelson Aquino
{"title":"Considerations for Transgender Patients Requiring Dental Rehabilitation.","authors":"Keri Discepolo,&nbsp;Nelson Aquino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Transgender youth are at risk for poorer oral health and may have a more difficult time accessing health care. Pediatric dentists should be aware of risk factors that impact care in the dental office and operating room settings. Medical care avoidance is common and can be reinforced when patients feel unsupported or misunderstood when receiving care. Intentional or unintentional environmental indignities, which communicate negative attitudes toward transgender patients, may occur from unknowing providers. Identified here are best practices and opportunities for improvement when providing care for these patients. Dental care for the transgender patient requires a welcoming and inclusive environment that encourages continuous comprehensive care for these individuals.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40331192","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
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