{"title":"Retrospective Evaluation of Moderate Sedation Visits That Used Oral Meperidine and Hydroxyzine With Oral or Intranasal Midazolam.","authors":"Gaurav Jain, Ronald Curran, Robert S Jones","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To examine the influence of substituting intranasal (IN) midazolam (MID) for oral (PO) MID, within the three-drug combination of meperidine (MEP), hydroxyzine (H) and MID, on sedation treatment outcomes. <b>Methods:</b> A retrospective, cross-sectional analysis examined patient variables and sedation outcomes in 508 pediatric dental patients sedated by single- and multi-drug sedation regimens (MEP-H; MEP-H-(PO)-MID; MEP-H-(IN)-MID; single-agent MID). The outcome assessment examined sedation visit effectiveness, sedation treatment completion, treatment time and medication administration to discharge time. Multivariable logistic regression analyses assessed predictive variables associated with sedation visit effectiveness. <b>Results:</b> Both three-drug combinations (MEP-H-(PO)-MID; MEP-H-(IN)-MID) were used for behavior guidance in children of a similar age (median age=7.1 and 6.5 years, respectively, for the two drug combinations) and weight (median weight = 23.7 and 23.5 kg, respectively, for the two drug combinations). These three-drug combinations had a higher likelihood of sedation effectiveness over the reference sedation regimen of single-agent midazolam (MEP-H-(PO)-MID adjusted odds ratio [OR] = 2.65; 95 percent confidence interval [95% CI]=1.09 to 6.45; <i>P</i>=0.032; and MEP-H-(IN)-MID OR=2.08; 95% CI=1.03 to 4.18; <i>P</i>=0.039). MEP-H-(IN)MID was associated with a shorter medication administration to discharge time for patients by 23 minutes (interquartile range [IQR]=9.5 to 34 minutes) compared to MEP-H-(PO) MID (<i>P</i><0.05) while providing a comparable number of teeth treated (median=five). All sedation drug regimens, including MEP-H-(IN)MID, had high levels of oxygen saturation during all sedation appointments. <b>Conclusion:</b> Substituting IN for PO MID in MEP-H-MID was associated with a shorter total time to discharge while demonstrating comparable efficacy during sedation.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"90 3","pages":"139-146"},"PeriodicalIF":0.8,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832870","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":"Thank You to Our Reviewers.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"90 3","pages":"179"},"PeriodicalIF":0.8,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832872","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":"Author Index.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"90 3","pages":"178-183"},"PeriodicalIF":0.8,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139473087","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":"Thank You to Our Reviewers.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"90 3","pages":"179"},"PeriodicalIF":0.8,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503222","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":"Thank You to Our Reviewers.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"90 3","pages":"179"},"PeriodicalIF":0.8,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139111347","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":"Anatomical and Histological Characteristics of Prematurely Erupted Teeth in Newborns.","authors":"Amolkumar Lokade, Morankar Rahul, Deepika Mishra, Kiran Jot, Nikhil Shrivastava, Nitesh Tewari, Kalpana Bansal, Vijay P Mathur","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess the characteristics of dental hard and soft tissue structures of prematurely erupted teeth in newborns. <b>Methods:</b> Extracted natal and neonatal teeth were assessed in ground sections for evaluation of enamel, dentin, dentino-enamel junction and cementoenamel junction. Soft tissue harvested was histologically analyzed for cellularity, vascularity and other characteristics of the dental pulp. Results: This study included 15 teeth from nine neonates, of which seven erupted at birth, eight erupted within the first month of birth. All erupted in the mandibular anterior region. The demineralized ground section revealed enamel cracks, a straight dentinoenamel junction, and S-shaped dentinal tubules along with the enamel lamellae, and enamel spindle. None of the samples showed enamel tuft or cementum. Histology of soft tissue revealed enhanced cellularity, vascularity without any fibrosis, calcification and inflammation when compared with the young healthy pulp in permanent teeth. Conclusion: The prematurely erupted teeth in newborns were almost exclusively rootless and exhibited the characteristic anatomical findings pertaining to enamel, dentin, dentinoenamel junction and cementoenamel junction. The histology of their dental pulp was characterized by increased cellularity and vascularity compared.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"90 3","pages":"147-151"},"PeriodicalIF":0.8,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832953","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":"Thank You to Our Reviewers.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"90 3","pages":"179"},"PeriodicalIF":0.8,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425986","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":"Parents' Knowledge and Attitudes Regarding Teething Signs and Symptoms.","authors":"Erenay Alpayçetin, Büş Karaduran, Caner Baysan, Mine Koruyucu, Elif Bahar Tuna Nce","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:></b> To determine the level of knowledge and attitudes of parents regarding teething signs and symptom. <b>Methods:</b> A 55-question survey was administered to 120 parents of children aged six to 36 months who sought care from April 2021 to April 2022 at the Department of Pedodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey. The questionnaire investigated parents' sociodemographic characteristics, their knowledge about the teething process, which signs and symptoms they observed and their approaches toward them. <b>Results:</b> The mean duration of teething was 7.5±1.9 (standard deviation) months (minimum=four months; maximum=15 months). The most common sign or symptom observed during teething was restlessness (87.5 percent). There was no significant relationship between the level of teething knowledge and the socioeconomic status of the families. <b>Conclusion:</b> Parents' knowledge levels about teething process could be increased.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"90 3","pages":"164-167"},"PeriodicalIF":0.8,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832868","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":"Author Index.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"90 3","pages":"178-183"},"PeriodicalIF":0.8,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425985","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}
Áyla Natalia Ferezin, Bianca Caroline Gomes, Maria Lívia Rodrigues de Oliveira, Vicente Silva Mattos, Francisco José de Queiroz Thomé, Alexandra Mussolino de Queiroz, Francisco Wanderley Garcia de Paula-Silva, Fabrício Kitazono de Carvalho
{"title":"Use of Optical Coherence Tomography for Differential Diagnosis of Severity of Molar Incisor Hypomineralization (MIH).","authors":"Áyla Natalia Ferezin, Bianca Caroline Gomes, Maria Lívia Rodrigues de Oliveira, Vicente Silva Mattos, Francisco José de Queiroz Thomé, Alexandra Mussolino de Queiroz, Francisco Wanderley Garcia de Paula-Silva, Fabrício Kitazono de Carvalho","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate descriptively and quantitatively teeth affected by enamel hypomineralization (EH) using optical coherence microtomography (OCT). <b>Methods:</b> Twenty teeth were classified according to the European Academy of Pediatric Dentistry's molar incisor hypomineralization (MIH) index and separated into groups according to the degree of EH severity. For each tooth, scans were performed on both the affected and the non-affected areas, and their corresponding optical images were captured. <b>Results:</b> In the qualitative analyses, in most of the images bright lines were observed in relation to the enamel surface and a high level of photon scattering immediately below the enamel surface. This showed that the shading distribution can be identified as hypomineralized areas in which the scattering signal can be used as a diagnostic criterion. In the quantitative analyses, Tukey's test was performed to evaluate the means of the optical attenuation coefficient, which did not present significant differences. However, considering the correlation, homogeneity and contrast analyses, a statistically significant difference was observed between the groups. The group with severe MIH showed greater homogeneity and correlation, but less contrast. <b>Conclusion:</b> Currently, MIH has its severity measured by essentially clinical means. OCT processing techniques reveal advances in the diagnostic imaging of MIH, showing that image texture analysis can be a promising and useful method to aid in its diagnosis.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"90 3","pages":"130-138"},"PeriodicalIF":0.8,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832874","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}