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Staines, Cole A. DDS. "Perception of Patient Cooperation Among Dentist, Guardian, and Child." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5783.
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Purpose: Evaluate behavior assessment and agreement among dentist, guardian, and child. Evaluate child behavior by appointment type.
Methods: Patients recruited from the pediatric dental department at Virginia Commonwealth University for this convenience sample. Inclusion criteria: patients presenting for clinical exams and/or restorative treatment without the use of advanced behavior guidance between August 29, 2018, and March 7, 2019; ages 4-12-years-old; and scheduled with a single clinician. Appointments were stratified by difficulty. Behavior was assessed by dentist and caregiver using the Frankl Scale. Patient self-assessed cooperation using an age-appropriate modified Frankl Scale, developed for this study. Agreement assessed among the 3 scores at each appointment using descriptive statistics and Cohen’s Kappa. Behavior trends across appointment type assessed using Kruskal-Wallis test. SAS software (2013, Cary, NC). P-value < 0.05.
Results: Forty-one patient-guardian dyads enrolled in the study. Five dyads experienced multiple encounters. Demographics for the patients enrolled: 59% male; 44% Caucasian, 29% African American, 5% Asian, 2% Hispanic, 20% other/multiracial. Average patient age: 7.6 (range: 4- 12). Most patients had 1 encounter (n=36, 88%). Frankl Score agreement for provider/guardian was 79% (k=0.335), provider/child was 70% (k=0.248), and guardian/child was 81% (k=0.314). In disagreements, guardians rated behavior better than provider. Disagreement was split for provider/child and guardian/child, with the child tending to rate themselves higher, and the guardian tending to rate the child higher respectively. Marginal evidence that hard appointments resulted in poorer behaviors.
Conclusion: There is fair agreement between child, guardian, and provider. In disagreements, guardians tend to rate the child’s behavior better compared to the provider and child self-assessment. Dental providers tend to be more critical of patient behavior. Marginal evidence to support harder appointments result in poorer behaviors.
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Foster, Latrice. "ORAL HEALTH STATUS OF CHILDREN IN THE CHILD HEALTH INVESTMENT PARTNERSHIP (CHIP) PROGRAM." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2144.
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Purpose: The purpose of this study is to describe children’s dental disease status and functional health literacy of families enrolled in the Child Health Investment Partnership program in Roanoke Valley. Methods: This was a prospective cohort study of children (n=166) enrolled in the Child Health Investment Partnership of Roanoke Valley, Virginia (CHIP). The parents of the 166 children completed the Life Skills Progression (LSP) survey at enrollment between September 2004 and September 2008 to assess their functional health literacy levels. Their LSP scores were used to determine their subsequent health care literacy (HCL), personal health literacy (PHL), and dental-child utilization (LSP22) scores. Descriptive statistics were recorded and a paired t-test was used to determine a relationship between the three measures of functional health literacy at baseline and at their most recent literacy assessment. Dental disease status was determined by an epidemiological dental exam and evaluated using d1d2-3f criteria. This was a visual exam that measured the presence of frank (d2-3) and non-cavitated carious lesions (d1), as well as filled teeth. Results: Descriptive analysis of the cohort reveals: 58% of the children enrolled had no carious teeth at the dental screening exam. The average mean of LSP scores for all three scales: HCL, PHL, and LSP22 were significantly different from baseline: p<.0001, p<.0009, and p<.0001, respectively. Conclusion: An improvement of parental functional health literacy has been documented in a low-income pediatric dental population when preventative efforts and education is delivered within the context of a home-visitation health program. The population of high-risk children had low levels of dental disease.
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Howenstein, Jeffrey L. "Correlating Parenting Styles with Child Behavior and Caries." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1401205814.
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Do, Kim. "Dental Health of Physically Abused Children Ages 2-6 Years Old." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1561979023201129.
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Drugowick, Rayen Millanao. "Comportamentos do dentista e da criança durante o atendimento odontológico com uso de contenção física." [s.n.], 2011. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308408.
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Orientador: Antonio Bento Alves de MoraesTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: O objetivo deste estudo foi avaliar o comportamento do dentista e da criança em sessões seqüenciais de atendimento odontológico com utiliza¿.o de contenção física (CF). Participaram um dentista e seis crianças, que apresentavam comportamentos n.o-colaborativos, com 4 a 5 anos de idade. Estas foram distribuídas aleatoriamente nas condições; A, B e C; que tinham seis, sete e oito sessões, respectivamente. A dentista podia utilizar qualquer estratégia de manejo do comportamento. Era permitido ao dentista utilizar CF na 3ª e 5ª sessão na condição A; na 4ª e 6ª na Condição B e na 5ª e 7ª na Condição C. As 42 sessões foram filmadas e as respostas dos participantes categorizadas em intervalos de 15 segundos. Os dados foram apresentados em taxas de respostas por minuto por sessão (Capítulo 1) e taxa de respostas por minuto acumulada por rotina (Capítulo 2). No Capítulo 1, participaram um dentista e três crianças e teve o objetivo de identificar os efeitos da CF sobre o comportamento do dentista e da criança. Pode-se observar que a Recusa das três crianças diminuíram e que Choro e Reclamação aumentaram no decorrer das sessões. O dentista empregou CF em todas as sessões, de todas as crianças, em que esta era permitida, at. mesmo em sessões em que as taxas de recusa da criança eram menores em relação ao choro. Concluiu-se que a CF foi uma estratégia aversiva para o dentista e para as crianças. No Capítulo 2, que participaram um dentista e outras três crianças e objetivou analisar funcionalmente os comportamentos do dentista frente aos comportamentos de não colaboração da criança durante o atendimento odontológico, com ou sem o uso de contenção física, observou-se que a estratégia mais utilizada pelo dentista foi explicação (em todas as sessões) e CF (nas sessões com permissão de CF). Após o uso de CF, as respostas de choro iniciaram. O profissional não conseguiu discriminar os comportamentos de recusa e choro e utilizou CF até mesmo nos momentos em que as taxas de recusa, mais prováveis de impedir a execução do tratamento, eram menores do que as de choro. Pode se concluir que a estratégia de instrução não foi eficaz na produção de comportamentos de colaboração nas crianças e que a CF foi aversiva, já que reduziu os comportamentos que impediam a realização do tratamento e produziu reações emocionais e de protesto. No geral, pode se concluir que a estratégia utilizada pelo dentista para modificar o comportamento da criança foi a CF. Para todas as crianças, a contenção física mostrou-se ser uma estratégia aversiva que ocasionou respostas emocionais e não permitiu a aquisição de comportamentos de colaboração com o tratamento. Para o dentista, a contenção física também foi aversiva e não permitiu que este emitisse comportamentos que poderiam favorecer a colaboração da criança. A estratégia mais utilizada pelo dentista nas sessões em que estava, ou não, impedido de empregar a contenção física, não foi eficaz na produção de comportamentos que permitissem a realização do tratamento
Abstract: The aim of this study was to evaluate the dentist's and the child's behavior in dental care sessions utilizing physical restraint (PR). One dentist and three children (P1, P2 and P3) who presented non-cooperative behavior, aged 4 and 5 years old, participated in this study. They were randomly assigned in the conditions A, B and C, which contained 6, 7 and 8 sessions, respectively. PR (condition A) could occur in the 3rd and 5th session, in the 4th and 6th session (B) and 5th and 7th session (C). The sessions were filmed and the participant's responses were categorized in every 15 seconds. The data was presented in response rate per minute. In Chapter 1, one dentist and three children participated and the aim was to identify the effects of PR on dentist's and child's behavior. It was possible to observe that the children's refusal to cooperate decreased, and that crying and complaining increased throughout the sessions. The dentist used PR in all the session in which it was allowed, even in sessions where the refusal rate of the child was lower than the crying rate. PR proved to be aversive and its use is not recommended as a psychological strategy. In Chapter 2, one dentist and three children participated and the purpose was to functionally describe the dentist's behaviors based on the child's non-cooperation conduct during dental treatment, with or without the use of PR. It was observed that the strategy used by the dentist was more explanation and PR. After the use of PR, the children started to cry. The professional failed to discriminate the behaviors of refusal and cry and used PR even at situations in which the rates of refusal, most likely to preclude the treatment, were lower than those of crying. It can be concluded that the strategy instruction was not effective and that the PR was aversive, since it reduced the behaviors that precluded the treatment and produced emotional reactions and protest. In general, it can be concluded that the strategy used by the dentist to modify the child's behavior was PR. For all children, PR proved to be an aversive strategy and did not allow the acquisition of compliance behaviors with treatment. For the dentist, PR was also aversive and did not allow the acquisition of behaviors that could facilitate child's cooperation. The most common strategy used by the dentist in the sessions with and without PR was instruction. This was not effective in producing behaviors that allow treatment accomplishment
Doutorado
Saude da Criança e do Adolescente
Doutor em Ciências
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Weathersby, Michael Grey. "Dental Maturation in Children Treated for Acute Lymphocytic Leukemia." View the abstract Download the full-text PDF version, 2006. http://etd.utmem.edu/ABSTRACTS/2006-003-weathersby-index.htm.
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Thesis (M.S. )--University of Tennessee Health Science Center, 2006.Title from title page screen (viewed on October 17, 2008). Research advisor: Edward Harris, Ph.D. Document formatted into pages (xxvii, 301 p. : ill.). Vita. Abstract. Includes bibliographical references (p. 133-153).
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Katya, Vanesa Pabón López. "Influencia de la música en la reducción del miedo en pacientes de 6 a 10 años durante su primera cita odontológica en el Centro Universitario de Salud UPC." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2019. http://hdl.handle.net/10757/625858.
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Objetivo: El objetivo de este estudio fue determinar la influencia de la música en la reducción del miedo en pacientes de 6 a 10 años durante su primera cita odontológica en el Centro universitario de salud de la Universidad Peruana de Ciencias Aplicadas (UPC).
Materiales y métodos: El presente estudio es de tipo ensayo clínico aleatorizado y ciego simple. La muestra se constituyó por 24 pacientes pediátricos, entre 6 y 10 años que sea su primera atención dental y visita al Centro universitario de salud UPC. El número de participantes se determinó mediante el programa estadístico OpenEpi versión 3, utilizando la fórmula de comparación de medias, para lo cual se tomaron los datos de medias y desviación estándar de una investigación previa. Se utilizó la Escala de evaluación del miedo dental en niños (CFSS-DF) antes y después de la atención de cada paciente. Se dividió la muestra en 2 grupos, un grupo con intervención música y el otro fue un grupo control. Ambos fueron evaluados en una sola cita.
Resultados: Se encontró diferencia significativa en la reducción del miedo, según la escala utilizada, entre el grupo experimental y el grupo control.
Conclusión: La música utilizada tiene influencia en la reducción del miedo y contribuye a mejorar el manejo de conducta del paciente durante la cita odontológica.Tesis
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Zaze, Ana Carolina Soares Fraga [UNESP]. "Análise do comportamento de pacientes atendidos na Bebê Clínica da Disciplina de Odontopediatria da Faculdade de Odontologia de Araçatuba-UNESP: estudo longitudinal." Universidade Estadual Paulista (UNESP), 2005. http://hdl.handle.net/11449/95455.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
O propósito do presente estudo longitudinal foi avaliar a manifestação comportamental frente a estímulos odontológicos em crianças atendidas na Bebê Clínica da Disciplina de Odontopediatria da F.O.A.-UNESP considerando-se a idade da mãe no momento do parto, o número de irmãos que o bebê possui, os diferentes tipos de estímulos odontológicos realizados nos bebês e a faixa etária no momento do atendimento. Foram incluídos na amostra deste estudo os prontuários que preencheram os seguintes requisitos: ficha clínica preenchida integralmente, crianças que entraram no programa de prevenção precoce ainda no primeiro ano de vida e crianças que apresentavam no mínimo 36 meses de idade completos no momento da avaliação de seu prontuário. Dos 1.103 prontuários avaliados, apenas 169 preencheram os requisitos de seleção para o estudo, onde obteve-se informações como: data de nascimento, gênero, idade da mãe, número de irmãos, número de consultas odontológicas e suas respectivas datas, estímulos oferecidos à criança e o comportamento apresentado perante os mesmos. Os prontuários selecionados foram divididos em 5 grupos, de acordo com os estímulos oferecidos às crianças sendo eles: grupo controle, falta, verniz fluoretado, restauração e traumatismo dentário. As informações obtidas foram classificadas de acordo com a faixa etária na qual as crianças encontravam-se no momento do atendimento. Os dados foram analisados descritiva e inferencialmente, por meio da aplicação do teste Qui-Quadrado ao nível de 5% . Segundo os resultados encontrados, a idade da mãe e o número de irmãos que o bebê possui não influenciam sua resposta comportamental frente a estímulos odontológicos. Os diferentes tipos de estímulos odontológicos provocaram alterações na resposta comportamental dos pacientes em determinadas faixas etárias....
The purpose of the present longitudinal study is to evaluate behavior manifestation in front of dental incentives in children assisted in Baby's Clinical of Pediatric Dentistry at Araçatuba Dentistry School - São Paulo State University being considered the mother's age in the moment of the childbirth, the number of baby's sibling, the different types of dental incentives accomplished in the babies and the age group in the moment of the service. It was included in the sample of this study handbooks that filled out the following requirements: clinic record filled out integrally, children that entered in the program of prevention still in the first year of life and children that presented at least 36 complete months of age in the moment of the evaluation of the handbook. Of the 1.103 appraised handbooks, only 169 filled out the selection requirements for the study, where it was obtained information as: date of birth, gender, mother's age, number of siblings, number of dental visits and their respective dates, incentives offered to the child and the behavior presented after the same ones. The selected handbooks were divided in 5 groups, in agreement with the incentives offered to the children as: group control, lacks, fluoride varnish, restoration and dental traumatism. The obtained information were classified in agreement with the age group in the which the children presented in the moment of the service. The data were analyzed descriptive through the application of the Qui-square test at the level of 5%. According to the findings, mother's age and the number of baby's siblings don't influence on behavior front to dental incentives. The different kinds of odontologic incentives provoked alterations in patients' behavior in certain age groups and this behavior presented during the appointments was influenced by the child's age in the moment of the service.
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Zaze, Ana Carolina Soares Fraga. "Análise do comportamento de pacientes atendidos na Bebê Clínica da Disciplina de Odontopediatria da Faculdade de Odontologia de Araçatuba-UNESP : estudo longitudinal /." Araçatuba : [s.n.], 2005. http://hdl.handle.net/11449/95455.
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Orientador: Robson Frederico CunhaBanca: Fabíola Lemos Melhado
Banca: Silvio Issáo Myaki
Resumo: O propósito do presente estudo longitudinal foi avaliar a manifestação comportamental frente a estímulos odontológicos em crianças atendidas na Bebê Clínica da Disciplina de Odontopediatria da F.O.A.-UNESP considerando-se a idade da mãe no momento do parto, o número de irmãos que o bebê possui, os diferentes tipos de estímulos odontológicos realizados nos bebês e a faixa etária no momento do atendimento. Foram incluídos na amostra deste estudo os prontuários que preencheram os seguintes requisitos: ficha clínica preenchida integralmente, crianças que entraram no programa de prevenção precoce ainda no primeiro ano de vida e crianças que apresentavam no mínimo 36 meses de idade completos no momento da avaliação de seu prontuário. Dos 1.103 prontuários avaliados, apenas 169 preencheram os requisitos de seleção para o estudo, onde obteve-se informações como: data de nascimento, gênero, idade da mãe, número de irmãos, número de consultas odontológicas e suas respectivas datas, estímulos oferecidos à criança e o comportamento apresentado perante os mesmos. Os prontuários selecionados foram divididos em 5 grupos, de acordo com os estímulos oferecidos às crianças sendo eles: grupo controle, falta, verniz fluoretado, restauração e traumatismo dentário. As informações obtidas foram classificadas de acordo com a faixa etária na qual as crianças encontravam-se no momento do atendimento. Os dados foram analisados descritiva e inferencialmente, por meio da aplicação do teste Qui-Quadrado ao nível de 5% . Segundo os resultados encontrados, a idade da mãe e o número de irmãos que o bebê possui não influenciam sua resposta comportamental frente a estímulos odontológicos. Os diferentes tipos de estímulos odontológicos provocaram alterações na resposta comportamental dos pacientes em determinadas faixas etárias ...(Resumo completo, clicar acesso eletrônico abaixo).
Abstract: The purpose of the present longitudinal study is to evaluate behavior manifestation in front of dental incentives in children assisted in Baby's Clinical of Pediatric Dentistry at Araçatuba Dentistry School - São Paulo State University being considered the mother's age in the moment of the childbirth, the number of baby's sibling, the different types of dental incentives accomplished in the babies and the age group in the moment of the service. It was included in the sample of this study handbooks that filled out the following requirements: clinic record filled out integrally, children that entered in the program of prevention still in the first year of life and children that presented at least 36 complete months of age in the moment of the evaluation of the handbook. Of the 1.103 appraised handbooks, only 169 filled out the selection requirements for the study, where it was obtained information as: date of birth, gender, mother's age, number of siblings, number of dental visits and their respective dates, incentives offered to the child and the behavior presented after the same ones. The selected handbooks were divided in 5 groups, in agreement with the incentives offered to the children as: group control, lacks, fluoride varnish, restoration and dental traumatism. The obtained information were classified in agreement with the age group in the which the children presented in the moment of the service. The data were analyzed descriptive through the application of the Qui-square test at the level of 5%. According to the findings, mother's age and the number of baby's siblings don't influence on behavior front to dental incentives. The different kinds of odontologic incentives provoked alterations in patients' behavior in certain age groups and this behavior presented during the appointments was influenced by the child's age in the moment of the service.
Mestre
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Holt, Nicole, Arsham Alamian, Deborah L. Slawson, and Shimin Zheng. "Child, Family, and Community Factors and the Utilization of Oral Health Services in Early Childhood." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/119.
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Access to dental care is the leading unmet health need among American children. Early access to oral health care is critical in the prevention and treatment of early childhood caries, and any barriers perceived by parents can cause delay in seeking treatment. The purpose of this study was to examine child, family, and community factors associated with the utilization of oral health services among U.S. and HRSA region IV children aged 1-5 years. The data were obtained from the 2011/2012 National Survey of Children’s Health. Descriptive statistical summaries were calculated for all independent variables grouped by child, family, and community. A caregiver was asked whether the child received dental care in the past 12 months. Multiple logistic regression analysis using an investigator driven stepwise selection methodology was conducted. Nearly half (46.7%) of caregivers in the national sample reported that their child had visited a dentist in the past 12 months, slightly fewer (46.0%; p
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Young, Mairi Anne. "Optimising the role of the dental health support worker in Childsmile Practice : a comparative Realist approach." Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/8111/.
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Background: Childsmile, the national oral health improvement programme for children in Scotland, aims to reduce oral health inequalities and improve access to dental services. Childsmile is delivered, in part, by a new category of lay or community-based worker known as a Dental Health Support Worker (DHSW) who supports families to improve oral health behaviours and attend a dental practice. Findings from Childsmile’s national process evaluation indicated there was widespread variation in delivery of the DHSW role and additional research was required to further understand and develop programme theory for the DHSW role; and clarify areas of variation which were adaptive and which were a risk to the programme meeting its desired objectives. Aims: The overarching aim was to gain further understanding of which factors and variants (contextual and those associated with programme delivery) impact on effectiveness of the DHSW role within Childsmile Practice. This research is a component study of the national Childsmile evaluation strategy. Findings will be fed back to the Childsmile programme to optimise delivery of the role and to enable future evaluation of the role’s impact. Methods: Learning and evidence generation was triangulated from two phases of research, comprising three component studies. Phase 1 comprised the sensitising study and comparative case studies: both provided learning from within Childsmile. The sensitising study was designed as a scoping exercise using qualitative data collection methods. The aim was to establish existing programme theory and explicate delivery of the DHSW role, while uncovering deviation (from programme theory) and variation within and between NHS boards. Findings were used to design three comparative case studies, comprising one DHSW and key stakeholders involved in delivery of the role from three NHS boards. The comparative case studies employed qualitative data collection methods; and were designed to address the overarching aim, and explore the casual links between context, delivery, and outcomes in delivery of the role using Realist-inspired analysis. Phase 2 comprised a Realist Review to provide learning from out with Childsmile. The aim was to gain an understanding of which components of child health interventions, delivered by lay health workers to parents, could influence ‘child health parenting behaviours’. Findings and Conclusions: Findings indicated that in terms of motivational readiness to engage with positive oral health parenting behaviours (POHPBs) there were three types of families referred to the DHSW for support: low, moderate, and high-risk. It was established that to address programme aims DHSWs ought to support moderate-high risk families, yet DHSWs only had capacity to support low-moderate risk families. Findings demonstrated that the Public Health Nurses/Health Visitors were best placed to triage families according to their needs and motivational readiness. The peer-ness of the DHSW role was found to positively influence parental engagement with the programme and facilitate person-centred support. However, an embedded ‘sweetie culture’ and health damaging environments were found to negatively impact on parents’ self-efficacy and perceived locus of control to engage with POHPBs. Learning indicated that: delivery over a prolonged period of time; incorporation of the programme into the Early Years Pathway and GIRFEC policy; and recent changes to the Children and Young Person (Scotland) Act (2014), served to embed Childsmile within the NHS boards and facilitated stakeholder buy-in, which positively impacted on delivery of the role. From the learning derived within and out with Childsmile the recommendations for the DHSW role included: (1) DHSW support should move away from a primarily information provision and facilitation of families into dental practice role, and incorporate socio-emotional and person-centred support; (2) The DHSW role should be redefined to support moderate-high risk families; and interpretation and application of referral criteria should be addressed to ensure continuity with who is referred for support; and (3) Programme theory for the DHSW role should be refined and future evaluative effort should concentrate on assessing impact.
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Al, Darwish Mohammed S. "Dental caries, oral health and life style variables among school children in Qatar." Thesis, University of Gloucestershire, 2014. http://eprints.glos.ac.uk/940/.
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Background: Effective delivery of dental services must be based on reliable information regarding the prevalence and severity of disease in the target population. Evaluation of the various factors known to influence the severity and progression of disease is essential for health policy makers to promote oral health resources and address oral health needs. Objective: The overall aim of this research is to describe the situation of dental caries and investigate the associations of level of oral health knowledge, teeth irregularity, BMI and other life style variables (TV viewing, internet use, passive smoking and dietary habits) with dental caries, including the impact of socio-demographic factors amongst school children in Qatar. Materials and methods: A cross-sectional study was conducted in Qatar from October 2011 to March 2012. A total of 2,113 children aged 12-14 years were randomly selected from 16 schools from different areas. Clinical examination was conducted by three calibrated examiners using World Health Organization criteria for diagnosing dental caries. Teeth irregularity was determined clinically according to a method described by Björk et al (1964). A pre-tested and structured questionnaire was used to assess oral health knowledge and life style data. Data analyses were performed. Results: The mean decayed, missing and filled teeth index values was 4.62 (±3.2), 4.79 (±3.5), and 5.5 (±3.7), respectively, for the 12, 13 and 14 year old children. The caries prevalence was 85%. The mandibular incisors and canines were least likely to be affected by dental caries, while maxillary and mandibular molars were the most frequently attacked by dental caries. Of the total sample, only one quarter reported a high level of oral health knowledge. There were more incidences of teeth crowding (44.1%) than teeth spacing (9.5%). The overall prevalence of underweight, overweight, and obesity was 5%, 10%, and 5% respectively. Almost half of the children spent > two hours watching television and 46% spent > two hours using internet. Approximately 35.8% of children had exposure to passive smoking. Concerning dietary habits, 99.4% of children consumed sugar containing snacks in between meals. Approximately 65% consumed sugar containing snacks within one hour of bed time. Almost 49.1% skipped eating breakfast regularly and 22.7% skipped eating lunch regularly. Around 83.8% consumed diary snacks in between meals. Overall, 74.2% drank tea in-between meals and 80.1% chewed gum in-between meals. All variables were affected by socio-demographic factors, but significant differences were found in female children in that they were more at risk to dental caries than male children. Also, children who resided in semi-urban areas were more at risk to dental caries than children who resided in urban areas. The occurrence of dental caries is significantly associated with the level of oral health knowledge, teeth irregularity, and other life style variables. Conclusion: The need to reduce sedentary behaviors and to promote a more active and healthy lifestyle is becoming increasingly essential in Qatar. Implementation of a community-based preventive oral health programs on a healthy diet and practices of adequate oral hygiene should be promoted in schools through integration into the school curriculum and services to combat the growing problem of dental caries.
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Betancourt, Romeu Aramis. "En jämförelse av olika mätmetoder för positionsbestämning av ej erupterade överkäkshörntänder med hjälp av panoramabilden - validerat med CBCT." Thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-59402.
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Syftet med studien är att undersöka fem olika mätmetoders noggrannhet för bestämning av positionen hos en ej erupterad överkäkshörntand på panoramabilder. Då allt fler panoramabilder exponeras på barn och ungdomar kan dessa användas för positionsbestämning av överkäkens hörntänder. Materialet omfattar panoramaröntgenbilder på 70 överkäkshörntänder på 47 barn och ungdomar, 9-19 år gamla. Fem mätmetoder för positionsbestämning av hörntanden med panoramabilden jämförs samt valideras med CBCT "Gold standard". 1. Vinkelmetod (Ang1); 2. Vinkelmetod (Ang2); 3. Canine Incisive Index (CII); 4. Sektormetod; 5. Vertikalmetod. Studien visade att de bästa metoderna för positionsbestämning av hörntanden är Ang1 och Ang2, samt CII, med en accuracy på 74 % -72 %, medan sektormetoden hade en accuracy på 64 %. Ingen statistiskt signifikant skillnad förelåg mellan Ang1, Ang2, CII och sektormetoden. Panoramabilden kan användas för bedömning av hörntandens position innan vidare utredning med CBCT görs.
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Gannam, Camille Vera. "Social Determinants and Behavior Characteristics of Families Seeking Emergency Dental Care for Child Dental Pain." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1467852992.
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Dawson, Gabriel M. "Relationship Between Factors Associated with Toxic Stress and Child Behavior in the Dental Office." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1469537364.
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Tambellini, Marcela Maia. "Elaboração e padronização de escala avaliativa do comportamento de crianças em sua primeira consulta odontológica." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/59/59137/tde-20072005-162110/.
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A Odontopediatria e a Psicologia se inter-relacionam e completam, principalmente quando existe necessidade de atendimento odontopediátrico. Quando o paciente é criança em idade pré-escolar, torna-se imperioso uma interação entre estas áreas, para que o resultado final traga benefícios para o paciente. A observação do comportamento das crianças em Odontopediatria é ferramenta importante para a elaboração do plano de tratamento. Levantamento bibliográfico sobre instrumentos para avaliação do comportamento de crianças em ambiente odontológico, mostrou que escalas eram o instrumento mais utilizado, porém, não se encontrou escalas aplicáveis às faixas etárias abaixo de 36 meses. Predominantemente, escalas para avaliação de comportamento estavam direcionadas a medir medo e ansiedade, pressupondo sua existência. Nesta pesquisa buscou-se elaborar e aplicar uma escala observacional para avaliação do comportamento, em primeira consulta odontológica, em crianças entre um e três anos de idade. A escala foi denominada EOCI Escala de Observação do Comportamento Infantil. A finalidade era avaliar o comportamento em todas as etapas do primeiro atendimento, identificando o grau de cooperação e participação, e não quantificar ou classificar a presença de medo ou ansiedade. A escala foi aplicada em 398 sujeitos de ambos os sexos, oriundos de classes sociais e estruturas familiares diversas, freqüentando creches, pré-escolas ou no próprio lar. Os materiais utilizados foram: vestimenta seguindo as normas para profissionais de saúde; o ambiente foi sempre um consultório odontológico com o equipamento mínimo necessário para atendimento sem procedimento; como instrumental foi utilizado um espelho clínico e o material impresso constou de: convite aos pais, questionário de dados demográficos e sociais do paciente, termo de consentimento informado para pais ou responsáveis e folheto de orientação aos pais sobre como se comportar durante o atendimento. O procedimento consistiu em uma seqüência de atendimento simples, desde a entrada da criança na sala, apresentação aos equipamentos básicos, exame clínico e saída da criança, sempre acompanhada por um dos pais. A EOCI Escala de Observação do Comportamento Infantil foi desenvolvida seguindo critérios de padronização e normatização. Consta de dez itens, com cinco possíveis respostas para cada um, relacionados ao ambiente, equipamentos, instrumentais e à própria pessoa do Odontopediatra e as respostas estão relacionadas a tipos de comportamentos que as crianças podem apresentar durante este primeiro contato. Após a avaliação da criança somaram-se as pontuações, obtendo-se um escore final. Com a análise estatística dos dados em quartis, chegou-se a uma classificação dividida em quatro níveis, correspondentes a quatro padrões de comportamentos de cooperação / não cooperação. Estes padrões são também apresentados em tabelas divididas por idade, sexo e comportamento, onde é possível localizar o escore individual e comparar com a classificação da amostra. Observou-se que a maioria das crianças sem experiência prévia com situação odontológica não apresenta medo. Também se pode afirmar que a maioria das crianças apresenta um comportamento cooperativo com o dentista durante seu atendimento, quando este é realizado nestas circunstâncias. Concluiu-se que a escala pode ser uma ferramenta útil para auxiliar o odontopediatra na realização de um exame clínico completo e como preditor do comportamento de cooperação futura.Pedodontology and the Psychology are interrelated and complementary areas, mainly when the need of interventionist treatment exists. When the patient is a preschool age child, an interaction among these areas becomes imperious so that the final result brings benefits to the patient. The observation of the children's behavior in Pedodontics is an important tool for the elaboration of the treatment plan. Gathering of bibliographical data showed that the scales were the most commonly used instrument to evaluate children's behavior. However, it was not found any that could be applicable in the age groups below 36 months. Predominantly, the behavior evaluating scales were focused on measuring fear and anxiety, presupposing their existence. In this research, we elaborated and applied an observacional scale for evaluation of the behavior, in a first attendance, in children between one and three years. The scale was denominated CBOS Childrens Behavior Observation Scale. The purpose was to evaluate the behavior in all the stages of the first attendance, identifying the cooperation degree and participation, and not to quantify or classify the presence of fear or anxiety. The scale was applied in 398 subjects of both sexes, with all sort of social and family backgrounds, frequenting day cares, pre-schools or at their own home. The materials used were: clothes following the rules for health professionals; the environment was always an odontological clinic with the minimum equipment necessary for the attendance without procedure; as the instrumental a clinical mirror was used and the printed paper material consisted of: invitation to the parents, questionnaire of the patient's demographic and social data, term of informed consent for the parents or the person responsible for the child and orientation pamphlet to the parents on how they should behave during the attendance. The procedure consisted of a sequence of simple attendance, from the child's entrance in the room, presentation to the basic equipments, clinical exam and the child's exit always together with one of the parents. The CBOS Childrens Behavior Observation Scale was developed following criteria of standardization and normatization. It consists of ten items, with five possible answers for each one, related to the atmosphere, equipment, instrumental and to the own person of Pediatric Dentistry and the answers are related to types of behaviors that the children could present during this first contact. After the child's evaluation the obtained punctuations were added being obtained a final score. With the statistical analysis of the data in quartis, we came to a classification divided in four levels corresponding to four patterns of cooperation behaviors / no cooperation. These patterns are also presented in tables divided by age, sex and behavior, where it is possible to locate the individual score and to compare with the classification of the sample. It was observed that most of the children inexperienced with odontological situation don't present fear. We can also affirm that most of the children present a cooperative behavior with the dentist during his attendance, when this is done under these circumstances. As a conclusion it was observed that the scale can be a useful tool to aid pediatric dentistry to perform a complete clinical exam and as a predictor of the future cooperation behavior.
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Jacobsson, Brittmarie. "On Oral Health in Young Individuals with a Focus on Sweden and Vietnam : A Cultural Perspective." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för naturvetenskap och biomedicin, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-22550.
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AIM: The overall aim of this thesis was to study culture as an oral health determinant for dental caries and gingivitis in children living in Jönköping, Sweden, in relation to children living in Da Nang, Vietnam. MATERIALS AND METHODS: In 1993 and 2003, cross-sectional studies with clinical examinations and questionnaires were performed in Jönköping, Sweden, with a random sample of 130 children from each of four age groups; 3, 5, 10 and 15 years. The final study sample comprised 739 children, 154 (21%) with two foreign-born parents and 585 (79%) with two Swedish-born parents (Paper I). In 2000, all 15-year-olds (n=143) at one school in Jönköping, Sweden, were asked to participate in a questionnaire study connected to clinical data. The final sample comprised 117 individuals, 51 (44%) with foreign-born parents and 66 (56%) with Swedish-born parents (Paper II). In 2008, a cross-sectional study with clinical examinations and questionnaires was performed in Da Nang, Vietnam with 840 randomly selected children, 210 in each of four age groups; 3, 5, 10 and 15 years. The final sample comprised 745 individuals (Papers III and IV). RESULTS: In 2003, the mean number of decayed (initial and manifest) and filled tooth surfaces was significantly higher in all age groups in children with foreign-born parents compared with children with Swedish-born parents. The gap between children with foreign-born parents and Swedish-born parents increased over the ten-year period from 1993 to 2003. The odds ratio of dental caries development among 10- and 15-year-old children with foreign-born-parents was more than six times higher than for their counterparts with Swedish-born parents (Paper I). Fifteen-year-olds born in Sweden of foreignborn parents and those who had immigrated before one year of age had a caries prevalence similar to 15-year-olds with Swedish-born parents, whereas the caries prevalence in children who had immigrated to Sweden after 7 years of age was 2-3 times higher (Paper II). Among the 3- and 5-year-olds in Vietnam, 98% suffered from dental caries, compared with 91% of 10- and 15-year-olds (Paper IV). The distribution of the most frequent values of decayed and filled primary tooth surfaces (dfs) in 5-year-olds was 16–20, and of decayed and filled permanent tooth surfaces (DFS) in 15-year-olds was 1–5. The maximum dfs was 76–80, and significant numbers of children had dfs between 20 and 50. The percentage of tooth sites with plaque and gingivitis was higher for children in all age groups with foreign-born parents compared with children with Swedish-born parents, except among the 15-year-olds in 2003. In Vietnam, the prevalence of plaque and gingivitis was high in all age groups, especially in 10- and 15-year-olds. Fifteen-yearolds in Sweden with foreign-born parents had a higher intake of snack products between principal meals compared with 15-year-olds with Swedish-born parents (Paper II). In Sweden, most children in all age groups brushed their teeth themselves or with help from their parents twice or more than twice a day (Paper I). Among 3- and 5-year-olds in Vietnam, about half of the parents reported that their children brushed their teeth themselves or with help from parents twice or more than twice a day (Paper III). All 3-year-olds and 99% of 5-year-olds in Sweden brushed their teeth with fluoride toothpaste (Paper I). Among 15-year-olds in Sweden with foreign-born parents, 88% reported that they brushed their teeth with fluoride toothpaste at least twice a day compared with 98% of 15-year-olds with Swedish-born parents (Paper II). In Vietnam, 44–78% of the children used fluoride toothpaste for toothbrushing and 51% consumed sweets between principal meals at least once a day (Paper III). Sweetened milk was the most common source of this sugar intake for the 3- and 5-year-olds (Paper III). CONCLUSIONS: Culture is an important oral health determinant for dental caries and gingivitis in children. There is an urgent need to improve oral health care promotion and preventive programmes for children with foreign-born parents in Sweden, but also a great need for such programmes for children in Vietnam.SYFTE: Det övergripande syftet med denna avhandling var att studera kultur som en oral bestämningsfaktor för karies och gingivit hos barn boende i Jönköping, Sverige, i relation till barn boende i Da Nang, Vietnam. MATERIAL OCH METOD: Under 1993 och 2003 utfördes två epidemiologiska tvärsnittsstudier i Jönköping med ett slumpmässigt urval av individer i åldersgrupperna 3, 5, 10 och 15 år. Samtliga individers orala hälsa undersöktes kliniskt och röntgenologiskt. Barnen, eller deras föräldrar, svarade även på ett frågeformulär avseende sociodemografi, attityder till och kunskaper om tänder samt munhälsovanor. Totalt omfattade studien 739 barn och ungdomar, 154 med två utrikes födda föräldrar och 585 med två svenskfödda föräldrar (Paper I). I en annan studie inbjöds 143 15-åringar på en kommunal skola i Jönköping att delta (Paper II). Av dessa deltog 117 personer; 51 med två utrikes födda föräldrar och 66 med två svenskfödda föräldrar. Alla ungdomar intervjuades med hjälp av ett strukturerat frågeformulär där kostfrågor förtydligades med visualisering, dvs exempel på förpackningar och varor. Information om karies (DFS) samlades in från journaler från Folktandvården, Landstinget i Jönköpings län. Under 2008 genomfördes en epidemiologisk tvärsnittsstudie i Da Nang, Vietnam med 840 slumpmässigt utvalda barn, 210 individer i åldersgrupperna 3, 5, 10 och 15 år, där det slutliga urvalet omfattade 745 individer. Samtliga individers orala hälsa undersöktes kliniskt. Barnen, eller deras föräldrar, svarade även på ett frågeformulär avseende sociodemografi, attityder till och kunskaper om tänder samt munhälsovanor (Papers III och IV) RESULTAT: År 2003 var antalet karierade och fyllda tandytor (dfs/DFS) statistiskt signifikant högre i alla åldersgrupper hos svenska barn med två utrikes födda föräldrar jämfört med barn med två svenskfödda föräldrar och klyftan mellan barn med utländsk bakgrund och barn med svensk bakgrund ökade under tioårsperioden 1993-2003. Risken för att utsättas för karies bland 10- och 15-åringar med utländsk bakgrund var mer än sex gånger högre jämfört med 15-åringar med svensk bakgrund (Paper I). Femtonåringar födda i Sverige med två utrikes födda föräldrar som hade kommit till Sverige före ett års ålder, hade en kariesprevalens som liknade den hos 15-åringar med svenskfödda föräldrar, medan barn som hade invandrat till Sverige efter sju år ålder hade en 2-3 gånger högre kariesprevalens (Paper II). Bland 3- och 5-åringar i Vietnam hade 98 % karies, hos 10- och 15-åringar var motsvarande siffra 91 % (Paper IV). De mest frekventa värdena av antalet kariesskadade och fyllda tandytor på primära tänder hos barn i 5-års-ålder var 16-20, och de mest frekventa värdena av kariesskadade och fyllda tandytor på permanenta tänder hos barn i åldern 15 år var 1-5. De maximala värdena av kariesskadade och fyllda primära tandytor var 76-80, och det fanns ett stort antal barn med mellan 20 och 50 skadade och fyllda primära tandytor. Procentandelen tandytor med plack och gingivit var numeriskt högre i alla åldersgrupper i Sverige hos barn med utländsk bakgrund jämfört med barn med svensk bakgrund, utom mellan 15-åringar år 2003. I Vietnam var förekomsten av plack och gingivit mycket hög i alla åldersgrupper och i synnerhet hos 10- och 15-åringar. I Sverige borstade de flesta av barnen i alla åldersgrupper sina tänder själva eller med hjälp av sina föräldrar två eller mer än två gånger per dag (Paper I). Bland 3- och 5-åringar i Vietnam rapporterade ungefär hälften av föräldrarna att barnen borstade tänderna själva eller med hjälp av föräldrar två eller mer än två gånger per dag (Paper III). Alla 3-åringar och 99 % av 5-åringar i Sverige borstade tänderna med fluortandkräm (Paper I). Bland 15-åringar med utländsk bakgrund uppgav 88 % att de borstade tänderna med fluortandkräm minst två gånger om dagen jämfört med 98 % av 15-åringarna med svensk bakgrund (Paper II). I Vietnam borstade 44 %-78 % av barnen tänderna med fluortandkräm (Paper III). Femtonåringar i Sverige med utländsk bakgrund hade ett högre intag av sötsaker mellan huvudmåltider jämfört med ungdomar med svensk bakgrund (Paper II). I Vietnam konsumerade 51 % av barnen sötsaker mellan huvudmåltiderna minst en gång om dagen. Sötad mjölk var den vanligaste källan till detta sockerintag för 3- och 5-åringar (Paper III). SLUTSATSER: Kultur är en viktig bestämningsfaktor för karies och gingivit hos barn. Det finns ett överhängande behov av att förbättra promotion och preventionsprogram avseende oral hälsa bland barn i Sverige med utrikes födda föräldrar men också ett stort behov för barnen i Vietnam.
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Boro, André Antunes. "Desenvolvimento de ferramenta áudio-visual para condicionamento de comportamento positivo de crianças ao atendimento odontológico." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/25/25145/tde-05092016-154728/.
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Uma das questões relevantes para a prática da Odontopediatria, e aqui abordada, se refere à indução e controle do comportamento da criança antes e durante o procedimento clínico. Os chamados comportamentos não-colaborativos da criança apresentam-se como um dos principais desafios que o profissional, odontopediatra, enfrenta em seu dia-a-dia. Espera-se que ele conheça a criança em seu contexto, inserida no seu ambiente social e familiar, de modo a exercer a Odontopediatria de forma humanizada como uma abordagem holística da criança para levar não só ela, como também seus acompanhantes a uma condição de bem estar. Uma das formas de favorecer a colaboração da criança é, o uso de ferramentas alternativas, como por exemplo, oferecer informações sobre os procedimentos que serão realizados de forma lúdica e de fácil compreensão para ela. O presente trabalho teve como objetivo apresentar a proposta da elaboração de uma ferramenta audiovisual para a introdução da criança ao ambiente odontopediátrico, dentro da proposta de condicionamento FALAR -MOSTRAR FAZER. A ferramenta audiovisual é o centro deste estudo, sendo que poderá ser utilizada em diversas situações no consultório odontopediátrico: em sala de espera, antecedendo o atendimento, ou até durante o mesmo, distraindo a criança e tentando diminuir a ansiedade e o medo com a probabilidade de incentivar comportamentos colaborativos. Pensando em ferramentas para a distração e condicionamento positivo do comportamento de crianças em consultório odontológico, o audiovisual passou a ser mais presente em ambientes clínicos, ainda na primeira década do século XXI. Sendo assim, este trabalho consistiu na elaboração e construção de um seriado denominado Wesley vai ao Dentista, composto por 4 vídeos educativos que são eles: 1- Bem-vindo ao Dentista Wesley; 2- Levanta a mão Wesley; 3- Vamos limpar os dentes Wesley e 4- Final feliz no Dentista Wesley. Nos vídeos o personagem Wesley é um boneco e o Doutor Sorriso, um menino, isto com a finalidade de criar maior identificação pelas crianças e dar uma linguagem lúdica à ferramenta.One of the relevant questions to the practice of Pediatric Dentistry is related to the induction and control of child positive behavior before and during the clinical procedure. The so-called \"non-collaborative behavior\" of the child is presented as one of the main challenges to the pediatric dentist in the daily practice. It is expected that the pediatric dentist knows the child in full psychological and social context, inserted in the childs family and social environment in order to practice more humanized treatment, thus offering physical and emotional comfort to the child and parents before, during and after treatment. One way to improve the child\'s collaboration is through the use of alternative tools, such as providing information on the procedures to be performed using ludic tools that are easily understood by the child. This study aimed to present the proposal of an audiovisual tool for introducing children to the dental environment by using the strategy: To TALK - To SHOW - To DO. The audiovisual tool is the main purpose of this study, and may be used in different situations in the pediatric dental office: waiting room, prior dental care or even during it, distracting the child and trying to decrease anxiety and fear and increase the probability to encourage collaborative behavior. Considering tools for distraction and positive behavior conditioning of children in the dental office, audiovisual aids have become more present in clinical settings in the first decade of the twenty-first century. Therefore, this work aimed to develop and create a series called \"Wesley Goes to the Dentist\", which consists of four educational videos to show the child that going to the pediatric dentist is not a bad thing. The videos are: 1- Welcome to the Dentist, Wesley; 2- Raise your hand, Wesley; 3- We will clean your teeth, Wesley 4- Happy End in the dentist, Wesley. In these videos, the character Wesley is a puppet while Doctor Smile is a boy for the purpose of creating greater identification with children and giving a playful language to the tool.
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Moura, Larissa da Silva. "Análise de três escalas observacionais utilizadas para avaliação do comportamento de crianças durante tratamento odontológico sob sedação." Universidade Federal de Goiás, 2015. http://repositorio.bc.ufg.br/tede/handle/tede/6781.
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The effectiveness of a sedative for pediatric dental treatment is commonly assessed through observational scales that assess the children behaviour. There is little information about the ability of a variety of scales in properly evaluate this behavior. The aim of this study was to analyze the characteristics of three scales,e,g,. Houpt Scale, Ohio State University Behavioral Rating Scale (OSUBRS) and Venham Behavior Rating Scale, to measure the behavior of preschool children during dental procedures under sedation. This study was an observational study nested to a randomized clinical trial (NCT02284204), which included 27 children between 4 and 6 years of age with early childhood caries and negative behavior in previous consultation. Participants underwent dental treatment under moderate sedation with midazolam and ketamine with or without addition of sevoflurane. The sessions were videotaped and five trained and calibrated observers watched the movies to record the behavior of children according to each scale. The data showed non-normal distribution (Shapiro-Wilk, P> 0.05); descriptive and correlation analyses were made (Spearman test). A total of 1,209 minutes of videos were observed and analyzed. Global scales (Houpt overall behavior and Venham) had closer scores of good behavior. The most frequent scores for Houpt were “no crying” and “no movement”, and for OSUBRS, “quiet”. Statistically significant correlations (P <0.05) occurred between Houpt overall behavior and Venham; Houpt overall behavior with Houpt categories movement (scores 2 and 4) and cry (scores 1, 2 and 4); Venham with Houpt movement (score 4) and cry (scores 2 and 4). OSUBRS scores 1 and 4 had high correlation coefficients with Houpt overall behavior and Venham. The Houpt overall behavior and the Venham Behavior Scale were highly correlated to measure behavior of children in dental treatment under sedation. OSUBRS showed better correlation with global scales compared to the categories of crying and movement of Houpt scale.
Para a avaliação da eficácia de um agente sedativo para tratamento odontológico de crianças, uma das medidas utilizadas é o comportamento, e isso é feito através de escalas observacionais. No entanto, há poucas informações sobre a capacidade de avaliar corretamente esse comportamento. O objetivo deste estudo foi analisar as características de três escalas - Escala comportamental de Houpt, Ohio State University Behavioral Rating Scale (OSUBRS) e Escala comportamental de Venham - em mensurar o comportamento de crianças pré-escolares durante procedimento odontológico sob sedação. Esse trabalho foi um estudo observacional aninhado a um ensaio clínico randomizado (NCT02284204) que incluiu 27 crianças entre 4 e 6 anos de idade com cárie dentária e comportamento resistente ao tratamento odontológico. Os participantes foram submetidos a tratamento odontológico sob sedação moderada com uso de midazolam e cetamina com adição ou não de sevoflurano. Os atendimentos foram gravados em vídeo e cinco observadores treinados e calibrados assistiram para registrar o comportamento das crianças segundo cada escala. Os dados apresentaram distribuição não-normal (Shapiro-Wilk, P>0,05); foram feitas análises descritivas e de correlação (teste de Spearman). Um total de 1.209 minutos de vídeos foram observados e analisados. Escalas globais (Houpt comportamento geral e Venham) apresentaram escores mais próximos de bom comportamento. Os escores mais frequentes para Houpt foram de pouco choro e movimento e, para OSUBRS, comportamento quieto. Correlações estatisticamente significantes (P<0,05) ocorreram entre Houpt comportamento geral e Venham (rho= -,87); Houpt comportamento geral com Houpt categorias movimento (escore 2 e 4) e choro (escores 1, 2 e 4); Venham com Houpt movimento (escore 4) e choro (escores 2 e 4). OSUBRS escores 1 e 4 tiveram altos coeficientes de correlação com Houpt comportamento geral e Venham. Concluiu-se que a escala de Comportamento Geral de Houpt e a Escala Comportamental de Venham foram altamente correlacionadas para aferir comportamento de crianças em tratamento odontológico sob sedação. OSUBRS apresentou melhor correlação com as escalas globais, se comparado com as categorias de choro e movimento de Houpt.
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Cademartori, Mariana Gonzalez. "Comportamento infantil durante consultas odontológicas sequenciais : influência de características clínicas, psicossociais e maternas." Universidade Federal de Pelotas, 2014. http://repositorio.ufpel.edu.br/handle/ri/2305.
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Previous issue date: 2014-04-29One of the most challenging aspects faced by pediatric dentists is behavior management. Child behavior in the dental setting is a multifactorial phenomenon and studies have suggested that some factors may predict children s behavior in dental settings. Thus, this dissertation aimed to assess the behavior of children during sequential dental visits according to the treatment the child received, as well as to investigate the factors that can influence the behavior of children during dental treatment. A convenience sample of children aged from 7-to-13 years old attending a Pediatric Dentistry Clinic was accompanied during 4 sequential visits. Behavior was classified according to Frankl s scale. Mothers and children were interviewed previously to the 1st visit to collect information on demographic, socioeconomic and psychosocial characteristics. The complexity of treatment in each visit was classified as minimally invasive, invasive or very invasive. Behavior trajectory following the visits was assessed. To test the association of the independent variables and behavior Chi-squared and Fisher s exact tests were used. To determine the effect of the variables on the outcome behavior, crude and adjusted Poisson regression analyses were used (Relative Risk; 95% Confidence Interval). The level of significance was set at 5%. A total of 111 mother-child dyads were included. The behavior at the first visit was 100% positive for all children. In the trajectory of behavior during the sequential visits, the majority of children (over 55%) showed positive behavior. Negative behavior was influenced by complexity of treatment, dental pain, dental fear and maternal education, after adjustments. Anesthesia, extraction of primary teeth, use of rubber dam and endodontics were the procedures associated with negative behavior. Dental fear may be considered a predictor of child behavior, evidencing that besides the treatment procedure, maternal and children characteristics should also be considered by the dentist to predict and better manage behavior
Um dos aspectos mais desafiadores na Odontopediatria é o manejo do comportamento infantil. O comportamento infantil no consultório odontológico é um fenômeno multifatorial e estudos têm sugerido que alguns fatores podem predizer o comportamento da criança durante uma consulta odontológica. Assim, esta dissertação teve por objetivo avaliar o comportamento de crianças durante consultas odontológicas sequenciais, bem como investigar os fatores que podem influenciar o comportamento durante o tratamento odontológico. Uma amostra de conveniência com crianças de 7 a 13 anos de idade, atendidas na Clínica de Odontopediatria da Faculdade de Odontologia da Universidade Federal de Pelotas foi acompanhada durante quatro consultas sequenciais. O comportamento foi classificado conforme a Escala de Frankl por avaliadores calibrados. Mães e crianças foram entrevistadas na primeira consulta. A complexidade do tratamento realizado em cada visita foi classificada como: Minimamente invasivo, Invasivo ou Muito invasivo. As mudanças na trajetória do comportamento a cada consulta foram incluídas. Para determinar a associação entre as variáveis independentes e o comportamento, os testes Qui Quadrado e Exato de Fisher foram usados. Para determinar o efeito das variáveis no desfecho comportamento, as análises de Regressão de Poisson bruta e ajustada foram realizadas (Risco Relativo; Intervalo de confiança 95%). O nível de significância adotado foi 5%. Um total de 111 díades mãe-criança foi incluído. O comportamento na primeira visita foi 100% positivo para todas as crianças. Na trajetória do comportamento ao longo das visitas sequenciais, a maioria das crianças (acima de 55%) apresentou comportamento positivo. A anestesia, a extração de dente decíduo, o uso de isolamento absoluto e a endodontia foram os procedimentos associados com comportamento negativo. Na análise ajustada, a presença de comportamento negativo foi influenciada pela complexidade do tratamento, dor dentária prévia, medo odontológico e baixa educação materna. Medo odontológico pode ser considerado um preditor do comportamento infantil, evidenciando que além do tipo de procedimento, as características da criança e maternas deveriam ser consideradas pelo dentista para predizer e manejar da melhor maneira o comportamento
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Cerrón, Vásquez Andrea Milagros, and Pucuhuayla Adamary Iriana Meza. "Association between preference of pediatric dentistry behavior management technique and parenting styles of parents of children aged 5 to 13 years cared for in a university health center of a private university in Lima, Peru." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2021. http://hdl.handle.net/10757/656447.
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Aim: To assess the association between preference of pediatric management techniques and parenting styles of parents of children aged 5-13 years cared for in a university health center in Lima, Peru.
Materials and methods: The total of the respondents were 160 parents (77 % are female and 78 % belong to the age range of 30 years and over). Parenting styles are assessed using the self-paced questionnaire Parenting Style Dimension Questionnaire (PSDQ). The preference of the behavior management techniques was evaluated by means of an informative sheet of own elaboration where six techniques are included according to the American Academy of Pediatric Dentistry (AAPD) of 2015. As father's age in intervals of years, sex of the father, educational level, number of children, sex of the children, age of the child in years and order of birth of the children. Chi Square and Fisher's Exact Test were analyzed for bivariate analysis and for the numerical variable used Kruskal Wallis.
Results: There is no association between preference of behavior management technique and parenting styles. The prevalence of authoritative parenting style and a greater preference for communication techniques were determined, the latter regardless of the parenting style he manages at home.
Conclusions: The preference of the behavior management technique is not associated with the parenting styles. However, the prevalence of communication techniques leads us to conclude that more studies should be carried out around it.Objetivo: Evaluar la asociación que existe entre la preferencia de las técnicas de manejo en Odontopediatría y los estilos de crianza de los padres de niños con edades entre los 5 y 13 años que son atendidos en un Centro Universitario de Salud de la ciudad de Lima, Perú. Materiales y métodos: Se encuestó a un total de 160 padres de familia, de los cuales el 77 % era de sexo femenino y el 78 % pertenecía al grupo etario de 30 años a más. Los estilos de crianza se evaluaron por medio del cuestionario autoaplicado Parenting Style and Dimension Questionary (PSDQ); y la preferencia de las técnicas de manejo de conducta se evaluó por medio de una ficha informativa de elaboración propia, en la cual se incluyeron 6 de las 13 técnicas que se emplean de acuerdo con Behavior Guidance for the Pediatric Dental Patient de la American Academy of Pediatric Dentistry (AAPD) que fue publicada en el 2015. Las variables registradas fueron: edad del padre en intervalos de años, sexo del padre, nivel educativo, número de hijos, sexo de los hijos, edad del niño en años y orden de nacimiento de los hijos. Luego se utilizó la prueba Chi-cuadrado y la prueba exacta de Fisher para realizar el análisis bivariado, y se aplicó la prueba de Kruskal Wallis para la variable numérica. Resultados: No existe asociación entre la preferencia por una técnica de manejo de conducta y los estilos de crianza, puesto que en la investigación se observó una prevalencia del estilo de crianza autoritativo y una mayor preferencia por las técnicas de comunicación, indistintamente del estilo de crianza que se manejaba en las casas. Conclusiones: La preferencia de la técnica de manejo de conducta no está asociada a los estilos de crianza. Sin embargo, la prevalencia de las técnicas comunicativas permite concluir que deben realizarse más estudios en torno a esta.
Tesis
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Curcio, Wanessa Botega. "Níveis de cortisol salivar de crianças em tratamento odontológico." Universidade Federal de Juiz de Fora, 2012. https://repositorio.ufjf.br/jspui/handle/ufjf/1780.
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A avaliação do nível de cortisol na saliva pode fornecer meios para o odontopediatra personalizar o atendimento, de forma a reduzir e/ou modular a ansiedade e o estresse induzidos pelo tratamento odontológico. Desta forma, o presente estudo teve como objetivo avaliar os níveis de cortisol salivar de crianças submetidas a uma consulta odontológica para exame e diagnóstico e comparar estes níveis com as variáveis comportamento, sexo, experiência odontológica e necessidade de tratamento. Quatro amostras de saliva foram coletadas de 43 crianças voluntárias, 29 meninos e 14 meninas, com idade entre 7 e 10 anos. Duas amostras foram coletadas em um dia de consulta odontológica para exame e diagnóstico (antes da realização do exame físico e após o término da consulta); duas amostras foram coletadas em dia habitual sem consulta, uma 30 minutos após o despertar e outra no período da tarde. Os participantes foram divididos em dois grupos de acordo com o comportamento exibido durante a consulta (Grupo I: colaborador; Grupo II: não colaborador). As amostras de saliva foram coletadas através do kit Salivettes® e analisadas por meio de ensaio de quimioluminescência. Os resultados obtidos foram expressos em μg/dl. A análise estatística foi realizada através do teste U de Mann-Whitney, teste de Friedman e teste de Wilcoxon para comparar os níveis de cortisol salivar nos diferentes momentos de avaliação entre grupos diferentes de crianças e nas crianças de um mesmo grupo. Adotou-se o nível de significância de 5%. Na amostra total foram observados valores médios de cortisol pré-consulta próximos aos obtidos na ACR, diferentemente de valores obtidos em dia sem intervenção odontológica. Observou-se redução significativa do cortisol salivar após o término da consulta odontológica entre as crianças do Grupo II e entre as crianças do sexo masculino. Os resultados obtidos demonstraram que o período de antecipação de uma consulta odontológica pode gerar maior ansiedade/estresse do que a própria consulta para crianças com comportamento não colaborador e para meninos.
The evaluation of salivary cortisol levels may provide a means for the dentist to customize the service so as to reduce and/or modulate anxiety and stress induced by dental treatment. Therefore, this study aimed to assess the levels of cortisol in saliva in children undergoing a dental appointment for examination, diagnosis and to compare those levels with the variables behavior, gender, previous dental experience and treatment needs. Four saliva samples were collected from 43 volunteer children, 29 boys and 14 girls aged between 7 and 10 years. Two samples were collected in one day for a dental visit for examination and diagnosis (one prior and one after the dental examination); two samples were collected on a routine day without dental visit (one 30 minutes after awakening and another in the afternoon period). Participants were divided into two groups according to the behavior exhibited during the appointment (Group I: cooperative behavior, Group II: uncooperative behavior). Saliva samples were collected with Salivettes® and analyzed by chemiluminescence assay. The results were expressed as μg/dl. The Mann-Whitney U test, Friedman’s test and Wilcoxon test were used to compare salivary cortisol levels in different moments in different groups of children and in children of a same group. The significance level adopted was 5%. In the total sample were observed mean values of prior consultation cortisol close of that observed on ACR, differently of values obtained on a day without consultation. There was significant reduction in salivary cortisol level after the dental visit among children in Group II and among male children. The results showed that the period of anticipation of a dental visit can generate greater anxiety/stress than the appointment itself for children with uncooperative behavior and boys.
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Machado, Geovanna de Castro Morais. "Associação de fatores individuais e familiares com o comportamento da criança na sedação odontopediátrica." Universidade Federal de Goiás, 2016. http://repositorio.bc.ufg.br/tede/handle/tede/8713.
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Objectives: Moderate sedation is indicated to control children’s behavior during dental care, reducing anxiety and maintaining the child's well-being. However, some sedated children do not present good behavior making it difficult to perform dental procedures. This study investigated the association of possible individual factors (temperament) and family (parents’ dental anxiety, parents’ pain catastrophizing and coping strategies adopted by parents) with the children’s behavior during dental treatment under moderate sedation. Methods: A total of 110 children/parents (<7 years), referred to sedation at Dental Sedation Center (NESO) of the Faculty of Dentistry of the Federal University of Goiás, for not have cooperated during dental care, and their parents, participated of this observational study of data from two clinical trials. Children had two appointments: clinical examination and tooth restoration, with local anesthesia and rubber dam, under moderate sedation. The restorative session was filmed for further evaluation of the children's behavior by trained and calibrated observers. The behavior was assessed using the Ohio State University Behavioral Rating Scale OSUBRS. Positive behavior was considered when the children presented 80% or more of the sum of the scores 1 and 2 (quiet or crying) during the entire session. The children’s stress was evaluated through the increased cortisol levels present in the saliva, collected in three moments: arrival, 25 min after local anesthesia, and 25 min after the end of the procedure. Children’s temperament was assessed through the Children’s Behavior Questionnaire (CBQ) answered by parents. Factors related to parents’ anxiety were thus evaluated: dental anxiety using Corah Dental Anxiety Scale; level of pain catastrophizing through the Pain-Catastrophizing Scale-parents; coping strategies through Brief COPE. Data were analyzed using descriptive statistics and the Chi-square test, Friedman, Wilcoxon, Mann-Whitney, Kruskal Wallis or t-test for independent samples. Results: More than half of the children displayed negative behavior (n = 60 54.5%). Temperament did not associate with the negative behavior of children. Extroversion/surgency (P = 0.03) and the subscales ‘activity level’ (P = 0.04), ‘impulsivity’ (P = 0.04) and ‘smiling/laughter’ (P = 0.01) differed between behavior groups, where children with positive behavior had higher scores than those who had negative behavior. In a sample of 42 children, 31 (73.8%) were reactive to stress during local anesthesia and temperament was not associated with increased levels of children’s stress. Dental anxiety and pain catastrophizing were not associated with negative children’s behavior. Parents of children with negative behavior had higher scores in maladaptive coping and Venting subscale, and lower scores in the Acceptance subscale. Conclusion: Coping strategies adopted by the parents explained, in part, negative or positive children´s behavior. These results have shown that parental coping strategies may have protective or destructive effects on children's behavior. Temperament was not associated with negative behavior and did not influence the children´s stress during the injection of local anesthesia. However, many children were stressed during this procedure, a fact that should be always considered by the professional who assist children under moderate sedation.
Objetivos: Sedação moderada é recomendada para o controle do comportamento infantil durante o atendimento odontológico. Ainda assim, algumas crianças sedadas não colaboram dificultando o tratamento. Esse estudo investigou a associação de possíveis fatores individuais (temperamento) e familiares (ansiedade odontológica dos pais, nível de catastrofização da dor pelos pais e estratégias de coping adotadas pelos pais) com o comportamento da criança durante sedação odontopediátrica. Métodos: Um total de 110 crianças/110 acompanhantes, (< 7 anos) encaminhadas para sedação no Núcleo de Estudos em Sedação Odontológica (NESO) da Faculdade de Odontologia da Universidade Federal de Goiás, por não colaborarem durante atendimento odontológico, fizeram parte deste estudo observacional que usou dados de dois ensaios clínicos. As crianças foram atendidas em duas sessões: exame clínico e restauração de um dente, com anestesia local e isolamento absoluto, sob sedação moderada. A sessão do atendimento restaurador foi filmada para posterior avaliação do comportamento da criança por observadores treinados e calibrados. O comportamento foi avaliado por meio da Ohio State University Behavioral Rating Scale OSUBRS. Comportamento positivo foi considerado quando a criança apresentou 80% ou mais da soma dos escores 1 e 2 (quieto ou com choro) durante toda a sessão de atendimento. O estresse da criança foi avaliado através do aumento dos níveis de cortisol presentes na saliva coletada em três momentos: chegada, 25 minutos após anestesia local e 25 minutos após o final do procedimento. O temperamento foi avaliado usando o Children’s Behavior Questionnaire (CBQ) respondido pelos pais. Fatores relacionados à ansiedade dos pais foram assim avaliados: ansiedade odontológica usando a Escala de Ansiedade Odontológica de Corah; nível de catastrofização da dor através da Escala de Catastrofização da Dor-Pais; estratégias de coping por meio do COPE Breve. Os dados foram analisados por meio de estatística descritiva e dos testes qui-quadrado, Friedman, Wilcoxon, Mann-Whitney, Kruskal Wallis ou teste t para amostras independentes. Resultados: O temperamento não se associou ao comportamento negativo das crianças. Extroversão (P=0.03) e as subescalas ‘nível de atividade’(P=0.04), ‘impulsividade’ (P=0.04) e ‘riso/sorriso’ (P=0.01) diferiram entre os grupos de comportamento, onde as crianças com comportamento positivo tiveram escores mais altos que as que tiveram comportamento negativo. Entre 42 crianças, 31 mostraram-se reativas ao estresse durante a anestesia local e o temperamento não se associou ao aumento no nível de estresse das crianças. Ansiedade odontológica e catastrofização da dor pelos pais não se associaram ao comportamento negativo das crianças. Pais de crianças com comportamento negativo apresentaram escores mais altos no coping mal-adaptativo e na subescala Desabafo e escores mais baixos na subescala de Aceitação do COPE Breve. Conclusão: Estratégias de coping adotadas pelos pais explicaram, em parte, o comportamento negativo ou positivo das crianças. Estes resultados mostraram que estratégias de enfrentamento dos pais podem ter efeitos protetores ou destrutivos sobre o comportamento das crianças. O temperamento não se associou ao comportamento negativo e nem influenciou no estresse das crianças durante a aplicação da anestesia local. No entanto, muitas crianças mostraram-se estressadas durante esse procedimento, fato que deve ser sempre considerado pelo profissional que atende crianças sob sedação moderada.
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Berlt, Maiara. "SAÚDE BUCAL E GESTAÇÃO EM UM CONTEXTO EDUCACIONAL: DIRETRIZES PARA AÇÕES EDUCATIVAS Santa Maria 2017." Centro Universitário Franciscano, 2017. http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/647.
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take into account that the poor state of oral health of the mother can interfere in the health of the babies, already in the intrauterine condition. This can occur due to caries contamination and periodontal diseases during pregnancy. Nursing care is surrounded by beliefs, many of them advocating inappropriate behaviors for women, or stimulating their removal from dental offices and, therefore, from the examinations common to prenatal dentistry, which consists of caring for and educating pregnant women, so that she has her baby in general and oral health. This work consists of two articles and an end product, the first one entitled "Education and autonomy in self-promotion of oral health of pregnant women", and it is a review of non-systematic literature that evaluated the evidence of the importance of education and of autonomy in self-promotion of oral health of women, demonstrating that education should be used as a health strategy. The second article entitled "Oral care in gestation: perspectives of student mothers: preliminary note is a quantitative exploratory study and sought to investigate the level of information on oral health in gestation of mothers who study in a federal institution of high school, technical and superior in the interior of Rio Grande do Sul, concluding that a high percentage of women did not even hear about prenatal dentistry, even though they had already undergone maternity experience. Finally, we present a set of guidelines for an educational strategy aimed at developing the self-promotion capacity of oral health of pregnant women, which is the final product of this dissertation. The authors suggest that the practice of education in oral health results in the formation of critical awareness, and induces the materialization of actions and oral health care, by pregnant women. With the development of their autonomy mediated, they enjoy the freedom and the ability to choose care and seek care, a decision that influences their quality of life and the healthy development of their babies.
A saúde bucal é parte importante e indissociável da saúde geral, e é necessário levar em consideração que o mal estado de saúde bucal da mãe pode interferir no quadro de saúde dos bebês, já na condição intrautero. Isso pode ocorrer por conta da contaminação por cárie e doenças periodontais na gestação. Os cuidados com a gestante são cercados de crenças, muitas delas preconizando comportamentos inadequados para as mulheres, ou estimulando seu afastamento dos consultórios odontológicos e, por conseguinte, dos exames comuns ao pré-natal odontológico, que consiste em cuidar e educar a mulher gestante, para que esta tenha seu bebê em condições de saúde geral e bucal. Este trabalho é constituído por dois artigos e um produto final, sendo o primeiro deles intitulado e trata-se de uma revisão de literatura não sistemática que avaliou as evidências da importância da educação e da autonomia na autopromoção da saúde bucal de mulheres, demonstrando que a educação deve ser utilizada como estratégia de saúde. O segundo prévia trata-se de um estudo quantitativo exploratório e buscou investigar o nível de informação sobre saúde bucal na gestação, de mães que estudam em uma instituição federal de ensino médio, técnico e superior do interior do Rio Grande do Sul, concluindo que um elevado percentual de mulheres sequer ouviu falar em pré-natal odontológico, mesmo já tendo passado pela experiência da maternidade. E por fim, apresenta-se um conjunto de diretrizes de uma estratégia educacional visando o desenvolvimento da capacidade de autopromoção da saúde bucal de mulheres gestantes, sendo este o produto final desta dissertação. Os autores sugerem que a prática da educação em saúde bucal resulta na formação de consciência crítica, e induz à materialização de ações e de cuidados em saúde bucal, por parte das mulheres gestantes. Tendo o desenvolvimento de sua autonomia mediada, elas passam a desfrutar da liberdade e da capacidade de escolher cuidarem-se e buscar os cuidados, decisão que influencia sua qualidade de vida e o desenvolvimento saudável de seus bebês.
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Reis, Larissa de Oliveira. "Associação entre bruxismo e disfunção temporomandibular em crianças: uma revisão sistemática e meta-análise." Universidade Federal de Juiz de Fora (UFJF), 2018. https://repositorio.ufjf.br/jspui/handle/ufjf/7813.
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CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
O bruxismo em crianças e sua relação com o desenvolvimento das disfunções temporomandibulares (DTM) ainda não foram claramente definidos. O objetivo desta revisão sistemática foi avaliar a possível associação entre bruxismo e DTM em crianças. Sete bases de dados foram pesquisadas e 497 artigos foram avaliados. A qualidade metodológica foi avaliada através da Escala de Newcastle-Ottawa. A meta-análise foi realizada com os artigos em que a extração de dados foi possível e o efeito sumário foi medido por meio do odds ratio (OR) e respectivos intervalos de confiança de 95% (IC). A classificação de recomendações, avaliação, desenvolvimento e avaliação (GRADE) foi usada para avaliar a certeza da evidência. Dez estudos transversais foram incluídos na revisão sistemática. Destes, 8 apresentaram associação estatisticamente significante entre bruxismo e DTM. No entanto, 7 apresentaram alto risco de viés. A meta-análise foi realizada com 3 artigos e obteve OR de 2,97 (IC 95% variando de 1,72 a 5,15), indicando que crianças com bruxismo têm 2,97 vezes mais chances de apresentar DTM, com nível de certeza muito baixo definido pelo GRADE. Embora os estudos mostrem alto risco de viés, a análise qualitativa de estudos individuais mostrou que as crianças com bruxismo têm maior chance de desenvolver DTM.
Bruxism in children and its relation to the development of temporomandibular disorders (TMD) has not been clearly determined yet. The objective of this systematic review was to evaluate the possible association between bruxism and TMD in children. Seven databases were searched and 497 articles were assessed. Methodological quality was assessed through Newcastle-Ottawa Scale. The meta analysis was performed with the articles in which extraction of data was possible and the summary effect measure through odds ratio (OR) and respective 95% confidence intervals (CI). Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) was used to assess the certainty of evidence. Ten cross sectional studies were included in the systematic review. Of these, 8 showed a statistically significant association between bruxism and TMD. However, 7 presented a high risk of bias. The meta-analysis was performed with 3 articles and obtained an OR of 2.97 (95% CI ranging from 1.72 - 5.15), indicating that children with bruxism are 2.97 times more likely to present TMD, with very low level of certainty defined by GRADE. Although the studies showed high risk of bias, the qualitative analysis of individual studies showed that the children with bruxism have greater chance of developing TMD.
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Rivadeneyra, Perla Jennyfer Johanna. "Asociación del nivel de ansiedad estado de los estudiantes de pregrado de los cursos clínicos de odontopediatría con los grados de comportamiento de los pacientes de 5 a 10 años en un centro de salud de una universidad privada de Lima - Perú." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/654655.
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Objetivo: Asociar la ansiedad estado del estudiante de pregrado de los cursos clínicos de odontopediatría con los grados de comportamiento de los pacientes de 5 a 10 años en un centro universitario de salud.
Materiales y métodos: El diseño del estudio fue transversal. Se evaluaron a 110 participantes, 55 estudiantes de odontología y 55 pacientes de 5 a 10 años. El nivel de ansiedad estado fue medido mediante el cuestionario IDARE, versión en español del State Trait Anxiety Inventary. Así mismo, para el grado de comportamiento se utilizó la escala de FRANKL. Además, se consideraron las variables sexo, edad, nivel curso clínico, entre otras. Se utilizó la prueba de regresión de Poisson para la asociación de las variables. El nivel de significancia se estableció como p < 0.05 y un intervalo de confianza al 95%.
Resultados: Los resultados obtenidos mostraron un alto nivel de ansiedad estado del 50.91%. No se encontró una asociación estadísticamente significativa con el grado de comportamiento de los pacientes (p = 0.502) con una RP = 2.68 y un intervalo de confianza [0.85 - 8.46].
Conclusiones: Al asociar las variables ansiedad estado y comportamiento del paciente, no se encontró una asociación estadísticamente significativa. Sin embargo, se evidenció la presencia elevada de ansiedad estado por parte de los estudiantes universitarios de odontología.Objective: To associate the anxiety state level of undergraduate students in Pediatric Dentistry clinical courses with the behavioral levels of patients aged from 5 to 10 years in a private university medical center. Materials and methods: It was a cross-sectional study. One hundred and ten participants were evaluated, fifty-five dental students and fifty-five patients aged 5 to 10 years. The level of anxiety was measured using the IDARE questionnaire, the Spanish version of The State-Trait Anxiety Inventory (STAI), which divides anxiety into two fields: state and trait anxiety. The FRANKL scale was used to assess behavioral levels. In addition, variables such as gender, age and clinical course level, amongst others were considered. The Multiple Poisson regression was used for the association of the variables. The significance level was set at p<0.05 and the confidence interval at 95%. Results: The results obtained showed a high level of anxiety state with 50.91%. No statistically significant association with the behavioral levels (p=0.502) was found, with PR =2.68 and confidence interval [0.85 - 8.46]. Conclusions: No statistically significant association was found between anxiety state and the patient's behavior. However, a high level of anxiety state of dental undergraduate students was evident.
Tesis
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FRANÇA, Cristiana Marinho de Jesus. "MIDAZOLAM ORAL NA SEDAÇÃO MODERADA DE CRIANÇAS DE UM A TRÊS ANOS DURANTE O TRATAMENTO ODONTOLÓGICO." Universidade Federal de Goiás, 2009. http://repositorio.bc.ufg.br/tede/handle/tde/1559.
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Previous issue date: 2009-05-15Little is known about the sedatives effectiveness for dental treatment in children under 3 years. The efficacy of oral midazolam sedation associated with protective stabilization was evaluated. In this randomized clinical trial, healthy children younger than 36 months were randomly allocated in groups: 1- protective stabilization; 2-protective stabilization associated with midazolam 1.0 mg/kg. The treatment was performed by an operator in a total of 55 sessions. A total of 26 children, 15 boys and 11 girls, were analysed: Group 1 (n = 12) - age (mean ± standard deviation) 27.50 ± 6.87, Group 2 (n = 14) - age (mean ± standard deviation) 26.86 ± 5.32. Child´s behavior was assessed using the Ohio State University Behavior Rating Scale (OSUBRS) and the heart rate record. A trained dentist recorded both behavior and physiological parameters. No difference in behaviors was found between groups on child initial examination carried out without sedation. In treatment sessions, only group 2 showed negative correlation between performance and the number of invasive Abstract procedures (Spearman rho = 0.469, P = 0.049). No significant differences between groups 1 and 2 OSUBRS scores were found in treatment sessions. The boys (77.50 ± 16.69) in group 2 showed higher percentage of negative scores (OSUBRS) than girls (26.67 ± 27.33). Statistically significant differences (Mann Whitney U test) between groups 1 and 2 were observed in heart rate during the forceps or low / high rotation use (1 = 139.67 ± 29.37 beats per minute, 2 = 164.97 ± 25.84; P = 0.003) and when the suture or rubber dam was placed (1=142,94 ± 23,19; 2=164,18 ± 23,69; P=0.005). A global analysis of children behavior during dental care was made overlooking the intervention groups (Friedman test). No associations were observed between the percentage of negative scores (OSUBRS) and several treatment sessions sequences. The percentage of negative scores (OSUBRS) was correlated with child's age (Spearman s rho =- 0.522, P = 0.006) and the percentage of negative scores in treatment the sessions (Spearman s rho = 0.405, P = 0.040). It was concluded that oral midazolam was not effective for sedation in up to 3 years old children for dental treatment purposes, and that this group of children did not change their negative behavior in the next sessions required for finishing the dental treatment planned
Pouco se sabe sobre a eficácia de sedativos em crianças menores de 3 anos, visando o tratamento odontológico. Verificou-se a eficácia, nessa população, do midazolam oral associado à estabilização protetora. Neste ensaio clínico randomizado, crianças saudáveis menores de 36 meses foram aleatoriamente alocadas nos grupos: 1-Estabilização protetora (controle); 2-Estabilização protetora associada ao midazolam oral 1,0 mg/kg. O tratamento foi realizado por um operador e um observador avaliou o comportamento por meio da Escala de Classificação Comportamental da Universidade do Estado de Ohio (OSUBRS) e do registro da frequência cardíaca. Foram analisadas informações do comportamento de 26 crianças, 15 meninos e 11 meninas, atendidas em 55 sessões: Grupo 1 (n=12) idade (média ± desvio padrão) 27,50 ± 6,87 ; Grupo 2 (n=14) idade (média ± desvio padrão) 26,86 ± 5,32. Não houve diferenças estatisticamente significantes entre os grupos na consulta inicial, realizada sem sedação. Nas sessões de tratamento, apenas o grupo 2 evidenciou correlação entre comportamento mais negativo e número de procedimentos invasivos (Spearman rho=0,469, P=0,049). Não houve diferenças estatisticamente significantes entre os grupos 1 e 2 nos escores OSUBRS nas sessões de tratamento. Os meninos (77,50 ± 16,69), no grupo 2, apresentaram maior porcentagem de escores negativos (OSUBRS) do que as meninas (26,67 ± 27,33). Diferenças estatisticamente significantes (teste U de Mann Whitney), Resumo entre os grupos 1 e 2, foram observadas na frequência cardíaca durante o uso de motor ou fórceps (1=139,67 ± 29,37 batimentos por minuto; 2=164.97 ± 25,84; P=0,003) e de isolamento absoluto ou sutura (1=142,94 ± 23,19; 2=164,18 ± 23,69; P=0,005). Desconsiderando os grupos de intervenção, verificou-se (teste de Friedman) que o comportamento das crianças durante o atendimento odontológico não diferia da primeira para a última sessão de tratamento, uma vez que não foram observadas associações entre a porcentagem dos escores negativos da escala OSUBRS e a sequência de várias sessões de tratamento. Observou-se, no entanto que a porcentagem dos escores mais negativos da escala OSUBRS durante o exame odontológico inicial correlacionou-se com a idade da criança (Spearman rho=-0,522, P=0,006) e com a porcentagem de escores negativos nas sessões de tratamento (Spearman rho=0,405, P=0,040). Nas condições deste ensaio clínico, concluiu-se que o midazolam oral não foi eficaz em crianças menores de 3 anos e que o comportamento negativo dessas crianças não modificou com o transcorrer das sessões de tratamento
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Ara?jo, Iara Medeiros de. "Influ?ncia de fatores de risco na preval?ncia de h?bitos bucais delet?rios em crian?as de 0 a 5 anos na cidade do Natal-RN." Universidade Federal do Rio Grande do Norte, 2007. http://repositorio.ufrn.br:8080/jspui/handle/123456789/17091.
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Previous issue date: 2007-03-28Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico
Literature has demonstrated to the narrow relation between deleterious habits and the occurrence of malocclusion in minors of 5 years. The existence of these habits, however, already considered as risk factors, having also, its determinative ones, which present cultural dimensions and economic social, many of them related to the parents of the child, having in account that such habits if develop in phases in which the child establish a narrow relation of dependence. This study it had an objective to investigate the prevalence of deleterious buccal habits in children and its relation with the economic social and characteristics of the parents. It was developed an epidemiologist study of transversal character with interview, through daily pay-tested form, with 218 parents in the day of the National Campaign of Vaccination. In the cast of the variable that had composed the study, they had been used, as changeable dependents, the use of the baby's bottle, bottle and the digital suction, being considered as outcomes of the research. Amongst the independent variable, the economic social factors (type of occupation, number of children, civil state, sort, schooling and age) and staffs of the parents (self perception in oral health) had entered as the variable to be analyzed in the problems of the infantile odontology. The collected data had been submitted to the analysis descriptive and inferential statistics, being used the test qui-square and the analysis of the possibility reasons. As main results, it was found that breast feeding before the six months if presents as one of the main factors of risk for the use of baby's bottle (p< 0.001, OR= 2.8, I.C= 1.589 4.906), bottle (p< 0.001, OR= 3.7, I.C.= 2.076 6.624) and digital suction (p< 0.014, OR= 3.5, I.C.= 1.225 10.181). From the data found, one concludes that breast-feeding is considered a primordial factor for not the installation of deleterious oral habits and that the economic social and cultural factors can reflect in central way in the performance of this act
A literatura tem demonstrado a estreita rela??o entre h?bitos orais delet?rios e a ocorr?ncia de maloclus?o em menores de 5 anos. A exist?ncia desses h?bitos, entretanto, j? considerados como fatores de risco, possui, tamb?m, seus determinantes, os quais apresentam dimens?es culturais e socioecon?micas muitas delas relacionadas ao cuidador da crian?a, tendo em conta que tais h?bitos se desenvolvem em fases nas quais a crian?a estabelece uma estreita rela??o de depend?ncia. Este estudo teve como objetivo investigar a preval?ncia de h?bitos bucais delet?rios em crian?as e sua rela??o com as caracter?sticas socioecon?micas e comportamentais dos cuidadores. Desenvolveu-se um estudo epidemiol?gico de car?ter transversal com entrevista, atrav?s de formul?rio pr?-testado, com 218 cuidadores no dia da Campanha Nacional de Vacina??o. No elenco das vari?veis que compuseram o estudo, utilizaram-se, como vari?veis dependentes, o uso da mamadeira, chupeta e a suc??o digital, sendo consideradas como desfechos da pesquisa. Dentre as vari?veis independentes, os fatores socioecon?micos (tipo de ocupa??o, n?mero de filhos, estado civil, g?nero, escolaridade e idade) e pessoais do cuidador (autopercep??o em sa?de bucal) entraram como as vari?veis a serem analisadas nos problemas da odontologia infantil. Os dados coletados foram submetidos ? an?lise estat?stica descritiva e inferencial, sendo utilizado o teste qui-quadrado e a an?lise das raz?es de chance. O aleitamento materno inferior a seis meses apresenta como um dos principais fatores de risco para o uso da mamadeira (p< 0,001, OR= 2,8, I.C= 1,589 4,906), chupeta (p< 0,001, OR= 3,7, I.C.= 2,076 - 6,624) e a suc??o digital (p< 0,014, OR= 3,5, I.C.= 1,225 - 10,181). A partir dos dados encontrados, conclui-se que a amamenta??o materna ? considerada um fator primordial para a n?o instala??o de h?bitos orais delet?rios e que os fatores econ?micos e culturais podem refletir de maneira decisiva no desempenho deste ato
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Schütz-Fransson, Ulrike. "Fixed mandibular retainers : a controlled 12-year follow-up." Licentiate thesis, Malmö universitet, Odontologiska fakulteten (OD), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-7756.
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Fixed retainer after orthodontic treatment is an increasing retention appliance. For the mandibular incisors there are two different fixed retainers that are commonly used, either a canine-to-canine retainer bonded only to the canines or a twistflex retainer bonded to each of the mandibular incisors and canines. Increased mandibular incisor irregularity seems to be a continuous process throughout life even in untreated patients. The natural physiological changes during aging causes changes like those that occur after orthodontic treatment and the removal of retainers. There are few long-term studies that have compared patients who have had a mandibular fixed retainer with patients without retention appliance after treatment, and then compared the treated patients with untreated subjects.The overall aim of this thesis was to compare and evaluate two different mandibular fixed retainers and also to compare orthodontically treated cases with untreated long-term. This thesis is based on two studies and a PAR Index evaluation was presented in the frame story:Paper I is a retrospective longitudinal study done on dental casts and lateral head radiographs from patients who had received either a canine-to-canine retainer or a twistflex retainer after treatment. Different variables were measured, were Little’s Irregularity Index was the main outcome measure. The measurements were done at four different occasions, were the last registration was 12 years after treatment, i.e. 9 years after removal of retainer. Paper II is also a retrospective longitudinal study with three different groups, one group received a fixed mandibular retainer, one group did not receive any retention appliance after treatment and the third group was untreated subjects. Measurements were done on dental casts and lateral head radiographs at four different occasions to analyze dental and skeletal changes 12 years after treatment. Also here Little’s Irregularity Index was the main outcome measure. PAR Index evaluation is done to evaluate the stability of orthodontic treatment outcome after treatment and long-term for two different retainer groups and one non-retention group. The following conclusions were drawn: Paper I•Both the canine-to-canine retainer and the twistflex retainer can be recommended since both are equally effective during retention period.•None of the retention types prevent long-term changes of mandibular incisor irregularity or available space for the mandibular incisors after removal of the retainers.•No differences in bonding failures between the two retainers were found. Paper II•There were no differences found 12 years after treatment in Little’s Irregularity Index for the mandibular incisors between the group that had a retainer and the group that had no retainer after treatment•In the untreated group, Little’s Irregularity Index was increased over time but not to the same extent as in the treated groups. •The crowding before treatment did not explain the crowding at the last registration.•The use of mandibular retainers for two to three years does not appear to prevent long-term relapse. •If the patient wants to constrain the changes that come with natural development, then lifelong retention is needed.•The overjet and overbite were stable long-term.PAR Index evaluation•Twelve years after treatment the mean reduction in PAR score was over 70 per cent only for the groups who had a mandibular retainer after treatment. However, the non-retention group had a PAR score of 66 per cent.•There were more cases in the retention groups that were ”greatly improved and/or improved” 12 years after treatment compared to the non-retention group. After treatment between 16 and 23.3 per cent of all the cases were ”worse or not improved”. Twelve years after treatment between 36 and 43.6 per cent of the total cases were ”worse or not improved”.
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Souza, Eduardo Antonio de. "Avaliação do conhecimento e conduta de médicos e cirurgiões-dentistas sobre maus-tratos e violência contra a criança e o adolescente /." Araçatuba, 2002. http://hdl.handle.net/11449/95480.
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Orientador: Sandra Maria Herondina Coelho Ávila de AguiarResumo: A Violência contra a criança vem se alastrando por todo o mundo, não respeitando raça, idade, classe social, gênero ou cor. Oculta pelo baixo nível da sociedade em conhecimento sobre o tema, pela falta de denúncias, estatísticas e o silêncio da população, a violência que se manifesta pelos maus-tratos passando pela negligência e o abuso sexual, podendo levar à morte, atinge um patamar de descaso pelos profissionais da área de saúde que este estudo ressalta. Ao avaliar o conhecimento de médicos e cirurgiões-dentistas, através de questionários, sobre maustratos o autor conclui que estes apresentam conhecimentos a respeito do tema, reconhecem os sinais e sintomas característicos da criança maltratada e do perpetrador assim como os órgãos de proteção à criança, porém não sabem como documentar as evidências e quando suspeitam do fato não denunciam, simplesmente se omitem. Salienta ainda que os cursos de graduação não estão dando o devido valor ao assunto.
Abstract: The violence against children is spreading all over the world, regardless of race, age, social class, gender or color. Hidden by society's low level of knowledge, by the lack of denounces, statistics and the silence of the population, the violence that is shown by mistratment passing by neglect and sexual abuse, that might kill, reaches a level of no concerne by the health area professionals that is highlighted by this study. On evaluating the knowledge of physicians' and dentists', by questionaries, about mistreatment the author concludes that these people show knowledge about the theme, recognize the carachteristics signals and simptoms of the abused child and of the person who caused it, such as the child protection organizations, however they don't know how to document the evidences and when they have a suspect of the fact, they don't make denounces, they just don't care. The autor also emphasises that the under-graduate courses are not covering the subject.
Mestre
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Donoso, Ríos Guillermo Esteban. "Desigualdades sociodemográficas en las consultas al dentista, según sexo, en la población de 60 años y más en Chile, 2015." Tesis, Universidad de Chile, 2017. http://repositorio.uchile.cl/handle/2250/147954.
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Trabajo de Investigación Requisito para optar al Título de Cirujano DentistaIntroducción: Chile está experimentando una etapa avanzada de transición demográfica. Se proyecta que para el año 2025 el índice de vejez sea de un adulto mayor por cada cinco personas residentes en el país. Los adultos mayores constituyen la población con peores indicadores de salud oral, sin embargo, consultan al dentista en menor proporción que la población general. Las diferencias entre hombres y mujeres que consultan al dentista no han sido suficientemente analizadas. El objetivo de este estudio es analizar las desigualdades sociodemográficas en las consultas al dentista, según sexo, en la población adulta mayor de Chile, en el año 2015. Materiales y métodos: Se realizó un estudio transversal, analítico, en base a datos secundarios de la Encuesta de Caracterización Socioeconómica Nacional del año 2015. La población en estudio fueron las personas de 60 y más años (n=49.534). Las variables analizadas fueron sexo, edad, nivel de ingresos, nivel educacional, lugar de residencia rural/urbano, tipo de seguro de salud y consulta al dentista en los últimos 3 meses. Se determinaron las diferencias en la proporción de consultas al dentista, según sexo, para cada una de estas variables mediante análisis bivariado, usando la prueba de Chi cuadrado con un p valor de 0,05. Se utilizó el programa estadístico STATA 14.0. Resultados: De la muestra en estudio, el 5,88% de los adultos mayores consultaron al dentista en los últimos 3 meses, siendo éste mayor en mujeres que en hombres (6,46% y 5,16%, respectivamente). Se observa que las personas de 60 a 64 años (7,15%), que pertenecían al quinto quintil de ingresos (10,69%), que cursaron educación superior (12,33%), que vivían en zonas urbanas (75,08%) y que estaban adscritas a algún seguro privado de salud (10,73%) consultaron en mayor proporción al dentista (p<0,001). Se registraron diferencias estadísticamente significativa, según sexo, en la mayoría de las categorías, excepto: primer quintil de ingresos, sin educación formal, educación superior, zona rural y seguro de salud de las Fuerzas Armadas (p=0,05). Conclusiones: La muestra de adultos mayores analizada evidencia desigualdades sociodemográficas, según sexo, en las consultas al dentista en Chile, el año 2015.
Adscrito a proyecto PRIO-ODO 17/004: "Desigualdades Sociales en el Uso de Servicios Odontológicos en Chile"
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Ferro, Renata da Luz. "Medo de dentista na infância: prevalência e fatores associados em uma coorte de nascimentos no sul do Brasil." Universidade Federal de Pelotas, 2011. http://repositorio.ufpel.edu.br/handle/ri/2282.
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Previous issue date: 2011-05-20Dental fear is considered a barrier for the achievement of dental treatments and it can effect negatively in the oral health of children. It is important to investigate the most associated factors to this condition. Objective: Describe the prevalence of dental fear in 5-year-old children and to explore its association with directly related factors to the child and the indirect variables, which are especially related to the mother. Methods: A crosssectional study in a birth cohort initiated in 2004 in Pelotas, Brazil. In the fifth year of life, a sample (n = 1129) on dental fear was investigated and measured through the use of the Dental Anxiety Question (DAQ). Socioeconomic, demographic and behavioral characteristics and dental service use of the mother were investigated as well as the dental experience and oral conditions of the children were assessed. Results: The prevalence of dental fear in children was 16.8%. In the final model, the following variables associated with the outcome were included: maternal education, family income, child gender, past dental experience, the presence of caries and pain, and reasons, location and the age of the child during the first dental visit, After the adjustment, the outcome was associated with the following conditions: the presence of caries, female gender and low family income. Maternal conditions, such as oral health, dental experiences and dental fear were not associated with the feeling of the child. Conclusion: the dental fear at the age of 5 was more associated with conditions directly related to the child itself. Among the indirect variables which are related to the mother, only the household income seems to be associated with the dental fear at the age of 5
Devido o medo ao tratamento odontológico ser considerado uma barreira para a realização de tratamentos dentários e influenciar negativamente a saúde bucal das crianças, é importante investigar quais os fatores estão mais associados a esta condição. Objetivo: Descrever a prevalência do medo de dentista em crianças de 5 anos de idade e explorar sua associação com os fatores relacionados diretamente à criança e com as varáveis indiretas, especialmente relacionadas à mãe. Métodos: Realizou-se um estudo transversal, aninhado em uma coorte de nascimentos iniciada em 2004 em Pelotas, RS, Brasil. No quinto ano de vida uma amostra (n=1129) foi investigada sobre medo ao tratamento odontológico mensurado através do instrumento Dental Anxiety Question (DAQ). Investigou-se as características socioeconômicas, demográficas, comportamentais e uso do serviço odontológico da mãe, além das variáveis demográficas, experiências odontológicas e condições bucais da criança. Resultados: A prevalência do medo de dentista da criança foi de 16,8%. No modelo final foram incluídas as seguintes variáveis, associadas ao desfecho: escolaridade materna e renda familiar, sexo da criança, motivo, local e idade da criança durante a primeira consulta com o dentista, ter tido alguma experiência odontológica, além da presença de cárie e dor. Após análise ajustada, mostraram-se associadas ao desfecho as seguintes condições: a presença de cárie, o sexo feminino e a baixa renda familiar. As condições maternas, como a saúde bucal, as experiências odontológicas e o medo de dentista não estiveram associados a este sentimento da criança. Conclusão: o medo de dentista aos 5 anos de idade esteve mais associado às condições diretamente relacionadas à própria criança. Entre as variáveis indiretas, relacionadas à mãe, apenas a renda familiar parece influenciar o medo de dentista aos 5 anos de idade
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Eráns, Richarte Óscar. "Evolución del Programa de Salud Bucodental Infantil en la Comunidad Autónoma de Murcia tras 8 años desde su implantación." Doctoral thesis, Universidad de Murcia, 2011. http://hdl.handle.net/10803/48614.
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El presente trabajo ha estudiado el periodo incremental del Programa de Asistencia Bucodental Infantil (PADI), implantado en la Comunidad Autónoma de la Región de Murcia en el año 2003, hasta el año 2010, donde terminó su etapa incremental (BORN nº 13, 2003).
Sus principales características son:
Se realizará de forma incremental a partir del 1 de enero de 2003 con los menores de 6 y 7, que continuarán integrados en el PADI hasta alcanzar los 15 años. A partir del año 2004 se incluiría una nueva una cohorte de edad cada año.
Este modelo PADI la financiación es pública, pero la provisión es mixta (pública y privada).
El pago a los dentistas privados es por capitación para los tratamientos básicos y por acto médico para los tratamientos especiales.
El objetivo principal del Programa es el disminuir la incidencia de caries y enfermedad periodontal de los niños residentes en la Región de Murcia.The present work has studied the incremental period of the Program of Oral Infantile Assistance (PADI), implanted in the Autonomous Community of the Region of Murcia in the year 2003, until the year 2010, where it finished his incremental stage (BORN n º 13, 2003). His principal characteristics are: There will be realized of incremental form from January 1, 2003 by the child of 6 and 7, that they will continue integrated the PADI up to reaching 15 years. From the year 2004 the new one would include a cohort of age every year. This model PADI the financing is public, but the provision is mixed (public and private). The payment to the private dentists is for capitation for the basic treatments and for medical act for the special treatments. The principal aim of the Program is to reduce the incident of caries and disease periodontal of the resident children in the Region of Murcia.
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Bezerra, Fernanda Barros. "Anorexia e bulimia em odontopediatria." Master's thesis, [s.n.], 2015. http://hdl.handle.net/10284/5277.
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Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina DentáriaIntrodução: A procura de um ideal de beleza e a obsessão pela estética imposta pela sociedade moderna em que se vive têm promovido o aumento do número de pessoas com transtornos alimentares, como por exemplo, a anorexia nervosa e a bulimia nervosa. Esses transtornos contribuem para o aumento de pacientes com prejuízos, diretos e indiretos, na saúde oral. Objetivos: Esta tese tem como objetivo a revisão da literatura sobre “anorexia” e “bulimia” nas crianças e adolescentes, correlacionando estas patologias com complicações na cavidade oral, nomeadamente, a erosão dentária, a xerostomia, as cáries, a hipertrofia das glândulas salivares, as restaurações proeminentes, o bruxismo, entre outras. Metodologia: Foi realizada uma revisão bibliográfica com base em artigos publicados em revistas, nos últimos dez anos, disponíveis em bases de dados on line. As palavras-chaves usadas foram, assim como a conjugação entre elas: crianças e adolescentes; anorexia; bulimia, transtornos alimentares; médico dentista. Conclusão: Preconiza-se que haja uma maior atenção e conhecimento por parte do médico dentista sobre estes transtornos alimentares, bem como das complicações associadas, uma vez que é um dos primeiros profissionais de saúde a ter o contacto e a oportunidade de detetar a doença. Com o diagnóstico precoce, pode-se evitar o desenvolvimento da doença.
Introduction: The search for an ideal of beauty and obsession with aesthetics imposed by modern society in which we live have promoted the increase in the number of people with eating disorders , such as anorexia nervosa and bulimia nervosa. These disorders contribute to the increase of patients with damage, direct and indirect, in oral health. Objective: This study aims to review the literature on "anorexia" and "bulimia" in children and adolescents, correlating these conditions complications in the oral cavity, for example, tooth erosion, dry mouth, cavities, hypertrophy of the salivary glands, prominent restorations and bruxism. Methodology: This literature review from the last ten years was on the basic of articles published in journals available on line database. The keywords and conjugation used was: child and adolescents; anorexia; bulemia; eating disorders and health. Conclusion: It is envisioned to be greater attention and knowlwdge of the dentist these eating disorder, as well as the associated complications, a time that is hum of first health profissionals have the contact and opportunity detectig a disease. With early diagnosis can prevent the development of disease.
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Christiano, Beth Alexis. "Children's coping and distress during invasive dental procedures the effects of matching coping interventions to coping styles /." 1996. http://catalog.hathitrust.org/api/volumes/oclc/47802115.html.
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Port, Suzanne Kristen. "Educating parents about their child's first dental visit an intervention study : a thesis submitted in the partial fulfillment ... for the degree of Master of Science in Pediatric Dentistry ... /." 2004. http://catalog.hathitrust.org/api/volumes/oclc/68962659.html.
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Dublé, Marion. "How dentists ‘students involve the child in medical decision-making." Master's thesis, 2018. http://hdl.handle.net/10284/7274.
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Objetivos: Descrever as práticas dos alunos do 4º e 5º ano da medicina dentária na
Universidade Fernando Pessoa, Porto, quanto ao envolvimento da criança na decisão
médica e definir quais são as limitações éticas e deontológicas ao envolvimento no
processo terapêutico da criança e do adolescente.
Material e métodos: Este estudo transversal foi realizado por meio de um questionário
anônimo para alunos do 4º e 5º anos de medicina dentária, entre o 15 de maio e o 15 de
Junho. Os participantes eram estudantes de Odontopediatria ou da clínica integrada de
crianças do FCS-UFP. Foram distribuídos 171 questionários. Os dados foram coletados
através do sistema de computador Logiciel Excel® 16.14.1. As análises estatísticas foram
realizadas nas livrarias Python® 3.6 e Pandas e Numpy. A análise descritiva foi realizada
em primeiro lugar, seguida do Teste Cochrane e Teste Qui-Quadrado para destacar a
relação entre os Estágios de Piaget e as limitações com base da distribuição das respostas
obtidas nos questionários.
Resultados: O resultado o mais importante é a "falta de competência" identificada pelos
participantes que se destaca muito significativamente (p <0,001), é o principal obstáculo
na participação da criança.
Conclusão: A envolvimento da criança aumenta com a idade. Quanto mais velha é a
criança, mais os estudantes fazem dele parte da decisão médica. No pensamento geral, a
criança continua sendo uma pessoa com habilidades intelectuais e cognitivas limitadas, o
que a exonera, principalmente na primeira infância, na tomada de decisão e até na
transmissão de informações sobre seu diagnóstico e tratamento.Objectives: To describe the practice of students of the 4th and 5th year of the dental medicine at the Fernando Pessoa University, Porto, regarding the involvement of the child in the medical decision and to define what are the ethical and deontological limitations of the involvement in the therapeutic process of the child and adolescent. Material and methods: This cross-sectional study was carried out through an anonymous questionnaire for students of the 4th and 5th year of dental medicine, between May 15th and June 15th. Participants were students attending the Pediatric Dentistry clinic or the integrated child clinic of the FCS-UFP. A total of 171 questionnaires were distributed. The data were collected through the Logiciel Excel® 16.14.1 computer system. Statistical analyses were performed with Python® 3.6 and Pandas and Numpy bookstores. A descriptive analysis was performed, followed by Cochrane Test and Chisquare Test to highlight the relationship between Piaget’s Stages and the limitations based on the distribution of the answers obtained in the questionnaires. Results: The most important result is the "lack of competence" that stands out very significantly (p < 0,001), it is the principal obstacle at the child’s participation. Conclusion: The child’s implication increases with the age. Older is the child, more the students imply him part of the medical decision. In general thinking, the child remains a person with limited intellectual and cognitive abilities, which exonerates him/her, particularly in early childhood, in decision-making and even in the transmission of informations concerning his/her diagnosis and treatment.
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Boynton, James R. "Design and evaluation of a computer-simulated child patient submitted in partial fulfillment ... for the degree of Master of Science ... /." 2004. http://catalog.hathitrust.org/api/volumes/oclc/68962639.html.
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Conner, Virginia S. "Parent - child communication its relationship with the pediatric patient's dental fear and behavior in the dental chair : a thesis submitted in partial fulfillment ... for the degree of Master of Science in Pediatric Dentistry ... /." 2003. http://catalog.hathitrust.org/api/volumes/oclc/68962487.html.
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Guthrie, Andrew C. (Andrew Cleveland) 1969. "Conscious Sedation of the pediatric dental patient: a comparison of meperidine versus butorphanol." Thesis, 2001. http://hdl.handle.net/1805/4139.
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Indiana University-Purdue University Indianapolis (IUPUI)Treating pediatric dental patients four years old and younger can be difficult at times due to patient behavior. Conscious sedation has been employed as a means to control pediatric dental patients for several years. Butorphanol tartrate has been used safely for pain control in pediatric patients for several years, but has never been used for sedating pediatric dental patients. The purpose of this study is to compare the behavioral and physiologic effects of conscious sedation on pediatric dental patients using intramuscular meperidine and an equipotent dosage of intramuscular butorphanol. Forty conscious sedations of ASA I pediatric dental patients between the ages of 13 and 60 months were accomplished using either 2.0 mg/kg of intramuscular meperidine or 0.03 mg/kg of intramuscular butorphanol. Each sedation was videotaped and three viewers viewed the videotapes rating them with a computer program (ACS) involving a four-code behavior rating scale. The tlrree viewers rated patient behavior for each sedation also with a form with global rating, categorical, and dichotomous scales. Physiologic signs of oxygen saturation, blood pressure, heart rate, and respiration rate were monitored at baseline and every 5 minutes during treatment. The operator also rated the sedation patient behavior with a form that had pre-treatment Frankl, post-treatment Frankl, global rating categorical, dichotomous, and sedation success rating scales. The two groups demographic data, physiologic data, ACS data, the three viewer's behavior rating form, and the operator's behavior rating form were analyzed for any statistically significant differences between the groups. The statistical analysis of the demographic data revealed a statistically significant trend in the butorphanol group toward extractions. The meperidine group had a statistically significant higher mean oxygen saturation during treatment (99.63 percent) than the butorphanol group (99.20 percent). The butorphanol group spent significantly more time in the annoyed ACS behavior rating code and showed a trend toward less time spent in the quiet ACS behavior rating code. There were no statistically significant differences in the three viewers ratings of global rating, categorical, and dichotomous scales. The operators' ratings showed the meperidine group had a statistically significant better global rating than the butorphanol group. Overall butorphanol appears to be equal clinically to meperidine in physiologic effects and patient behavior effects. No adverse effects occurred with either medication. Butorphanol may be offered as an alternative sedative agent to other narcotic sedative agents with more side effects.
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Pather, Kumendran. "Quality assurance in orthodontics assessment of child/parent perceptions and recognition of need for treatment : a thesis submitted in partial fulfillment ... for the degree of Master of Science (Orthodontics) /." 1999. http://catalog.hathitrust.org/api/volumes/oclc/68891798.html.
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Ling, Catherine Hong Hsu. "Caries prevalence & associated risk factors in 2-4 year old children in Singapore a thesis submitted in partial fulfillment ... for the degree of Master of Science in Pediatric Dentistry ... /." 2003. http://catalog.hathitrust.org/api/volumes/oclc/68962680.html.
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Alrqiq, Hosam M. "Use of an Animated Video for Child Oral Health Education as a Brief Online Intervention Designed for Parent-child Dyads: Predictors of Parental Self-efficacy to Engage in Recommended Behaviors." Thesis, 2020. https://doi.org/10.7916/d8-4a7f-sp80.
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Since dental caries in children remains a significant public health problem, this study developed a brief cartoon video e-health intervention focused on parents’ ensuring their children’s engagement in three key oral health behaviors: brushing twice a day with fluoridated toothpaste, avoiding the consumption of large quantities of sugar-containing foods and beverages, and visiting the dentist every six months. The purpose of the study was to evaluate the cartoon video as a brief e-health intervention, and to identify significant predictors of parental self-efficacy to ensure their children’s engagement in recommended oral health behaviors after viewing an animated video with their child.
The sample included 75 parents with a child aged six to eight years. Parents were mostly female (85%, n = 63), white (84.0%, n = 63), with a mean age of 35.2 years (SD = 5.5), mean educational level between a two- and four-years of college, and mean household income of $20,000 to $39,000 per year. Parents had one or two children (51.8%, n = 39) with a mean age of 6.72 years who were mostly boys (65.3%, n = 49) in public school (80.0%, n = 60).
Findings indicated the brief e-health cartoon was an effective intervention, given significant changes from pre-video to post-video in mean scores for: parent oral health knowledge (t = –5.437, df = 74, p = 0.000); global stage of change for performing all three key oral health behaviors (t = –1.804, df = 74, p = 0.000); and, global self-efficacy for performing all three key oral health behaviors (t = –3.838, df = 74, p = 0.000). Further, most parents rated the cartoon highly and indicated they would recommend it to other parents and children.
Backwards stepwise regression, controlling for social desirability, indicated higher post-video parental self-efficacy for the three recommended oral health behaviors post-video was significantly predicted by: parent female gender (B = 1.072, p = 0.000); parent was not born in the U.S. (B = –0.544, p = 0.028); parent had a partner (yes) (B = 0.707, p = 0.000); parent was a student (yes) (B = 0.933, p = 0.001); lower parent education level (B = –0.142, p = 0.021); child was not in public school (B = –0.427, p = 0.028); higher Parental Intention Scale (PI-S-3) score (B = 0.302, p = 0.011); and higher parent pre-video oral health knowledge (B = 0.313, p = 0.000)—with 55.2% of variance predicted (R2 = 0.608, adjusted R2 = 0.552) by the model.
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Borges, Alexandra Nunes. "Prevalência de dentes supranumerários na consulta de Odontopediatria." Master's thesis, 2017. http://hdl.handle.net/10316/81982.
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Trabalho de Projeto do Mestrado Integrado em Medicina Dentária apresentado à Faculdade de MedicinaRESUMOIntrodução: Os supranumerários definem-se como dentes adicionais à dentição decídua ou definitiva. Têm uma prevalência bastante rara, entre 0.1% a 3.8% na população mundial, sendo mais frequentes em dentição definitiva e no género masculino. Podem ser unitários ou múltiplos e localizam-se preferencialmente na região anterior da maxila. A classificação é feita de acordo com a sua localização, forma e estado de erupção. É muito importante o diagnóstico precoce, podendo ser clínico e radiológico, para evitar tratamentos mais invasivos ou complexos.Objetivos: Estudar a prevalência de dentes supranumerários na população com idade pediátrica, da consulta de Odontopediatria do Mestrado Integrado em Medicina Dentária da Faculdade de Medicina da Universidade de Coimbra, na Área de Medicina de Dentária, Estomatologia e Cirurgia Maxilo-Facial do Centro Hospitalar e Universitário de Coimbra.Metodologia: A pesquisa bibliográfica realizou-se na base de dados PubMed/MEDLINE com as palavras-chave: “pediatric dentistry”, “child*”, “supernumerary teeth”, “hyperdontia”, conjugadas com os conectores booleanos “AND” e “OR”, complementada com pesquisa manual. Os artigos foram selecionados de acordo com os critérios de inclusão: estudos clínicos com todo o tipo de desenho experimental, metanálises, revisões de literatura e sistemáticas, desde 2007 até 2017, redigidos em português ou inglês, com resumo disponível online e com os critérios de exclusão: artigos relacionados com síndromes e/ou mutações genéticas. Foram analisadas as ortopantomografias para o estudo de prevalência e caracterização de dentes supranumerários na população da Consulta de Odontopediatria. Perante a análise mais detalhada das ortopantomografias procedeu-se ao preenchimento de uma tabela de dados, considerados relevantes para a sua caraterização.Resultados: Na população de estudo de 1827 elementos obtiveram-se 10 crianças com dentes supranumerários existindo no total 15 dentes supranumerários. Desta amostra 5 eram rapazes e 5 eram raparigas e a média das idades era de 12 anos. Na caracterização dos dentes supranumerários, de acordo com o estado de erupção encontraram-se 11 dentes não erupcionados e 4 erupcionados, quanto à posição a mais frequente foi na zona dos prémolares e o mesiodente, quanto à forma a mais frequente foi a suplementar. De acordo com a orientação verificou-se que 13 dentes supranumerários tinham uma posição normal e 2 invertida, conforme a angulação 8 tinham angulação vertical, 6 angulados e 1 horizontal. Considerando a impactação foram encontrados 12 não impactados e 3 impactados, relativamente à erupção dos dentes adjacentes verificou-se que 14 dentes tinham uma erupção normal e apenas 1 erupção ectópica. Por último, quanto ao desenvolvimento dos dentes adjacentes, nesta amostra, encontraram-se 13 dentes com desenvolvimento normal e 2 dentes com desenvolvimento alteradoConclusões: Os dentes supranumerários são uma alteração muito pouco frequente na população sendo importante o correto diagnóstico clínico e radiográfico. Embora não exista uma altura ideal para atuar, a intervenção deve ser ponderada de modo a evitar complicações posteriores. O Médico Dentista deve estar alerta para a possível ocorrência de supranumerários de modo a estabelecer um diagnóstico o mais precocemente possível.
ABSTRACTIntroduction: Supernumerary teeth are defined by additional teeth to the deciduous dentition or definitive dentition. They have a very rare prevalence, such as 0.1% to 3.8% in the population worldwide and are more frequent in definitive dentition and in the male gender. They can be unitary or multiple and are located more frequently in the anterior region of the maxilla. The classification is made according to its location, shape and state of eruption. It is very important the early diagnosis, clinical and radiological, to avoid more invasive and complex treatments.Objectives: To study the prevalence of supernumerary teeth in the pediatric population of the Pediatric Dentistry discipline of the Integrated Master Degree in Dentistry of the Faculty of Medicine of the University of Coimbra in the Dental Medicine, Stomatology and Maxillofacial Surgery area of the Hospital and University Center of Coimbra.Methodology: The literature search was carried out in the Pubmed/MEDLINE database with the keywords "pediatric dentistry", "child *", "supernumerary teeth", "hyperdontia", conjugated with boolean connectors "AND" and "OR ", complemented with manual research. As inclusion criteria were considered: clinical studies with all type of experimental design, meta-analyzes, literature reviews and systematic, from 2007 to 2017, written in Portuguese or English, with abstract available online; as exclusion criteria: articles related to syndromes and/or genetic mutations. Orthopantomographies were analyzed for the study of the prevalence and characterization of supernumerary teeth in the pediatric dentistry population. For a more detailed analysis of orthopantomographies, a table was completed with information considered relevant for its characterization.Results: In the study population of 1827 elements, 10 subjects with supernumerary teeth were obtained, with a total of 15 supernumerary teeth. Of this sample 5 were boys and 5 were girls with a mean age of 12 year-old. In the characterization of the supernumerary teeth, according to the eruption state, 11 unerupted and 4 erupted teeth were found, with the most frequent position being the mesiodent and the premolar area, the most frequent form was the supplementary. According to the orientation were verified 13 supernumerary teeth with normal position and 2 inverted and according to the angulation 8 had vertical angulation, 6 angulated and 1 horizontal. According to the impaction were found 12 non-impacted and 3 impacted, in relation to the eruption of adjacent teeth there were 14 teeth with normal eruption and only 1 with ectopic eruption. Lastly as to the development of the adjacent teeth in this sample were 13 teeth with normal and 2 teeth with altered development.Conclusions: Supernumerary teeth are a very rare alteration in the population and the correct clinical and radiographic diagnosis is very important. Although there is no ideal time to act, the intervention should be weighted in order to avoid later complications. The Dentist should be alert to the possible occurrence of supernumerary in order to establish a diagnosis as early as possible.
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Seif, R. Tomás J. "Dental caries prevalence and mutans streptococci in schoolchildren from Caracas, Venezuela a thesis submitted in partial fulfillment ... Masters of Science in Restorative Dentistry (Operative) /." 1992. http://catalog.hathitrust.org/api/volumes/oclc/68795184.html.
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Rosenbom, Karoline Pires. "Identificação de maus tratos em crianças e jovens: relevância da consulta de medicina dentária." Master's thesis, 2020. http://hdl.handle.net/10284/9532.
Full textAbstract:
O tema dos maus tratos infantis tem ganho um crescente interesse na sociedade, uma vez
que inclui atos de violência perturbadores, que podem ter consequências de extrema
gravidade tanto para as vítimas, como para as suas famílias.
Estudos demonstram que a maioria das lesões consistentes com abusos físicos,
nomeadamente hematomas, queimaduras, mordeduras e traumatismos dentários, se
localizam na zona do crânio, pescoço e região orofacial, o que coloca o médico dentista
numa posição privilegiada para a deteção deste tipo de abuso.
Também a relação de proximidade com o paciente, faz com que este profissional tenha
uma posição de destaque, sendo seu dever reportar quaisquer indícios encontrados na
vítima, por escrito, às entidades competentes como o Ministério Público, a Comissão de
Proteção de Crianças e Jovens, entre outras.
Embora o valor deste profissional já tenha sido reconhecido na deteção dos maus tratos,
a lacuna entre a suspeita e o seu encaminhamento às entidades competentes, parece não
ter sofrido alterações ao longo dos anos.
A presente revisão bibliográfica tem como objetivos criar um guia que ajude o médico
dentista na identificação de maus tratos infantis e juvenis durante a sua consulta, assim
como dar a conhecer sinais e sintomas de alerta para este tipo de abuso, a relevância que
este profissional apresenta na deteção e sinalização dos mesmos, bem como as suas
implicações médico legais.The theme of child abuse is gaining increasing interest throughout society, as it involves disturbing acts of violence of extreme severity for both victims and their families. Studies show that most injuries consistent with physical abuse, namely bruises, burns, bites and dental trauma, are located in the skull, neck and orofacial region, which places the dentist in a privileged position for detecting this type of abuse. Also, the close relationship with the patient makes this professional stand out, and it is his duty to report any evidence found in the victim, in written, to competent entities such as the Public Ministry, the Children and Youth Protection Services, among others. Although the value of this professional has already been recognized in detecting maltreatment, the gap between suspicion and referral to competent authorities, seems to have not changed over the years. This bibliographic review aims to create a guide to help the dentist in the identification of child and juvenile maltreatment during his consultation, as well as to make known warning signs and symptoms for this type of abuse, the relevance that this professional presents in their detection and signaling, as well as their medical legal implications.
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Achong, Roger Anthony. "Effect of chlorhexidine mouthguards on the levels of selected oral microorganisms in pediatric patients a dissertation submitted in partial fulfillment ... for the degree of Master of Science (Pediatric Dentistry) ... /." 1996. http://catalog.hathitrust.org/api/volumes/oclc/68799708.html.
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Barber, Maria Rosa Watson. "Evaluation of the BANA assay as a screening test for the detection of periodontopathic organisms in children (Treponema denticola, Bacteroides gingivalis, Bacteroides forsythus) a thesis submitted in partial fulfillment ... in pediatric dentistry ... /." 1989. http://books.google.com/books?id=KEo_AAAAMAAJ.
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Silva, Daniela Rodrigues Pereira da. "Indirect pulp treatment in young permanent molars with deep caries lesions a clinical study : a thesis submitted in partial fulfillment ... for the degree of Master of Science in Pediatric Dentistry ... /." 2003. http://catalog.hathitrust.org/api/volumes/oclc/68962682.html.
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Flamenbaum, Michael Hal. "Chemomechanical vs. traditional caries removal in children operator and child perspective : a thesis submitted in the partial fulfillment ... for the degree of Master of Science in Pediatric Dentistry ... /." 2002. http://catalog.hathitrust.org/api/volumes/oclc/68962492.html.
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