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Johnson, Christian Marie. "Quality and Performance Measures in Pediatric Dentistry." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1371821581.
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Vincent, Aviva. "Feasibility of Canine Support in Pediatric Dentistry." Case Western Reserve University School of Graduate Studies / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1554476390381119.
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Reynolds, Alexander Garber Liu Tsai Lu. "The research and design of pediatric dental handpieces that offer reduced apprehension for pediatric patients and enhanced ergonomics for dentists." Auburn, Ala, 2008. http://repo.lib.auburn.edu/EtdRoot/2008/SPRING/Industrial_Design/Thesis/Reynolds_Alexander_42.pdf.
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Alkafaji, Zina. "Review of pediatric dentistry oral sedation outcomes and influences." Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/59960.
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Objectives: The UBC Graduate Pediatric Dentistry Program’s oral sedation clinic has evolved since it began in 2011. The study aimed to evaluate the effectiveness and safety of the various sedation regimens used, and to assess how regimens were influenced by the experience and opinions of clinical instructors.
Methods: A retrospective chart review of all oral sedation appointments that took place between March 2011 and May 2014 was completed. The outcome variables of interest were effectiveness and safety. Descriptive and comparative statistics were applied to analyze quantitative data. Six UBC Pediatric Dentistry clinical instructors were invited for interviews through a purposive sampling technique to further understand both their views toward sedation regimens and teaching sedation to graduate students. Thematic analysis was applied to code interview transcripts.
Results: There were 195 oral sedation appointments during the study period. The three most commonly used regimens were: midazolam and hydroxyzine (MZH) (45%); midazolam (MZ) (24%); and meperidine, chloral hydrate, hydroxyzine, and dimenhydrinate (MCHHD) (17%). With respect to safety, vital signs and level of sedation were examined. Children undergoing MZH sedations were rated to be in “deep” sedation 1.4% of the time, compared to 12.5% in the MCHHD group. MZH sedations were rated “effective/very effective” 90% of the time, compared with 88% for MCHHD sedations. Data for sedation level and effectiveness of the MZ group was limited. Domains that emerged from the interviews were safety, effectiveness, preparation, and preferences; with risk tolerance as the overarching theme. Conclusion: MZH and MCHHD have similar effectiveness however MZH has a better safety profile. Clinicians with higher risk tolerance tended to practice sedation more frequently than those with low risk tolerance. Accordingly, high risk tolerance clinicians felt students should learn sedation more extensively than did those with low risk tolerance. Two main recommendations emerged from the study: (1) complete and inclusive sedation records are critical to fully understanding the effectiveness and safety of sedation regimens; 2) clinicians may desire to have self-awareness regarding their risk tolerances in the context of both practicing and teaching oral sedation in pediatric dentistry.Dentistry, Faculty of
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Zafar, Sobia. "A comparative study of the Oral health Status of Cardiac and Non-Cardiac paediatric patients at Tygerberg Hospital." Thesis, University of the Western Cape, 2008. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5405_1258107551.
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The aim of the study was to determine the oral and debntal health status of pediatric cardiac patients, 12 years of age and younger, and compare them with non-cardiac patients. A total of 150 children, 75 with known cardiac condition (study group) and 75 no-cardiac (control group) were examined. No statistically significant differences were established in the study between the caries experience score for the cardiac and control groups. The study concludes that the cardiac group generally has a higher decay component and a lower missing component which may be an indication of the lack of dental intervention. The gingival inflammation was significantly higher in the cardiac group although the plaque scores were similar in the two groups.
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Razdan, Shinjni. "General Dentists' Role in providing care to very young children:Pediatric Dentists' Perspective." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3717.
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To examine the pediatric dentists’ perspective on level of care to children 0-3 years old by general dentists, an electronic survey was sent out to 5185 AAPD members and 769 responded (response rate: 14.8%). Forty-six percent agreed with a general dentist providing a dental home to children 0-3 years old. Only 24% agreed that general dentists could perform complex restorative and behavior management procedures for 0-3 years old. Younger respondents, pediatric dentists who practice in rural areas or teaching pediatric dentistry, and those who perceived adequate exposure during dental school were more likely to agree on general dentists proving a dental home (p values ranged from <0.0001 to 0.022). This study finding can help guide what level of care general dentists may provide and when a referral to a pediatric dentist is recommended and the appropriate competency level of entry-level general dentists to care for 0-3 years old.
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Kateeb, Elham Talib. "Factors related to the use of atraumatic restorative treatment (ART) in pre and post-pediatric dentistry programs and in pediatric dentistry practices in the US." Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/2912.
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Dental Caries is still considered one of the most prevalent chronic diseases that affect children in the US. Access to oral care problems could be due to the limited availability of services or unwillingness of people to seek services. As a proposed solution to those challenges, Atraumatic Restorative Technique (ART) was developed in the 1980s as an affordable, patient friendly caries management procedure that does not need extensive operator training or special skills. ART was originally developed to be conducted in field settings; however, after initial evidence of effectiveness, the World Health Organization (WHO) and the International Dental Federation (FDI) promoted the use of ART in modern clinical settings worldwide. In the US, the practice of ART is not believed to be widely used. This may be a result of little attention given to (ART) in dental education and advanced training.
This dissertation is comprised of three separate studies that investigated the extent and the factors related to the didactic and clinical instruction on ART in US pre- and post-doctoral pediatric dentistry programs and the factors related to the willingness of pediatric dentists to use ART with their child patients. survey post-doctoral pediatric dentistry program directors and pre-doctoral pediatric dentistry program directors. In study III a different instrument was used to survey pediatric dentists in the US. The survey instruments were tested for content and face validity by cognitive analysis interviews and pilot testing. Using web-based survey methodology, two questionnaires were sent out in May 2010 to investigate self-reported use of ART in educational training institutes (study I and II) and in April 2011, a third questionnaire was sent to a random national sample of pediatric dentists (study III). Using a conjoint design, the third questionnaire asked pediatric dentists to rate their willingness to use ART for 9 patients' scenarios. Eighty eight percent of Pediatric Dentistry Residency programs and 66 % of pre-doctoral pediatric dentistry programs in the US provided clinical training on ART; however only 30% of post-doctoral programs and 14 % of pre-doctoral programs used ART "Very Often/ Often" as a caries management technique for their pediatric patients. Pediatric Dentistry residency programs and pre-doctoral pediatric dentistry programs used ART mainly in primary, anterior, single surface cavities and as an interim treatment. Attitudes toward ART alone and after controlling for other variables explained 35% of the level of training on ART in post- doctoral program and 23% in pre-doctoral pediatric dentistry programs. For study III, conjoint analysis showed that being very young and/or uncooperative were the most important reasons practitioners reported a higher likelihood of using ART. Although insurance coverage was the least important factor overall, not having any insurance was identified as an additional important factor in decisions to use ART. Collectively, our results suggest that that the use of ART is not widespread in the US. In addition, ART is viewed by some as a sub optimum treatment and needs to be modified to conform to the US standards of care. On the other hand, educators and pediatric dentists who had positive views of ART thought it could be a valuable treatment for very young, uncooperative children and children with no insurance.
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Onesty, Victoria M. "Assessment of Pediatric-Focused Brief Motivational Interviewing Training of Dental Students and Pediatric Dental Residents." VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5309.
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Purpose: To assess dental students and pediatric dental residents’ knowledge and attitudes towards motivational interviewing and evaluate the efficacy of a pediatric-focused brief motivational interviewing training program.
Methods: A total of 66 participants were enrolled; 35% were third year dental students, 46% were fourth year dental students and 18% were pediatric dental residents. Participants completed three questionnaires: the first before the training, the second immediately after the training and the third approximately 3.5 months after the training.
Results: A significant increase in correct responses was found for 4 of the 5 questions assessing participants’ knowledge. Participants were satisfied with the training (94%) and were interested in further training (89%). Participants believed patients and their parents would benefit from the intervention (97%).
Conclusions: The pediatric-focused BMI training program is a valuable addition to pre-doctoral and residency curricula by preparing students and residents to employ this beneficial technique.
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Gentz, Rachel C. "Effectiveness and Complications of Sedation Regimens Used for Pediatric Dental Patients." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1434537097.
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Thenard, Sharine Valentine. "The gender shift in pediatric dentistry : women and their leadership role." Connect to resource, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1229705330.
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Wong, Tracy Jean. "Assessment and evaluation practices in a pediatric dentistry clinical education setting." Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/42778.
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In clinical teaching and learning settings, there is a need for assessment and evaluation practices to be focused on students' overall performance during patient care, not just technical skills in Dentistry. Competency-based education is intended to provide the framework for dental education at The University of British Columbia (UBC) in terms of curriculum content and assessment of student learning outcomes. Clinical instruction in disciplines such as Pediatric Dentistry depends on clinical practitioner-instructors who have potential to make important contributions to student development. Although they bring strengths as disciplinary experts immersed in the realities of dental practice, most are not well versed in research-based instructional strategies to engage students in critical thinking and self-directed learning for the rigours of independent practice.
In a qualitative study, data were collected by the author (resident Program Coordinator of the UBC Children's Dental Program) through interviews, observation in teaching clinics, and review of documentation to inform the scope and nature of assessment and evaluation practices in the clinical educational settings of Pediatric Dentistry at UBC. Interview data also provided reflections about how clinical practitioner-instructors understand their practice. Data collected were analyzed using principles of grounded theory and merged into themes drawn from the conceptual framework of Hubball and Burt (2004) as well as the use of the UBC Faculty of Dentistry patient care performance criteria and standards for student learning.
Assessment and evaluation practices in clinical settings typically ranged from predominantly directive methods (e.g. traditional teacher-driven and skills-based) that clinical practitioner-instructors experienced themselves as students, to occasional learning-centred methods (e.g. instructor questioning, self-analysis, and reflection) supported by current literature. While clinical practitioner-instructors recognized the importance of student confidence and safety of patient care, most were unfamiliar with authentic methods of assessment and evaluation for competency-based dental education. Further, there was little reflection or collaboration within the community of practitioners about the effectiveness of assessment methods.
These results and a research-informed approach will guide planning of faculty development initiatives (e.g., learning communities focused on learning-centred assessment and evaluation strategies) for clinical practitioner-instructors.
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Patel, Monica Rajiv. "Parental Attitudes Toward Advanced Behavior Guidance Techniques used in Pediatric Dentistry." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1337600857.
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Davis, Rhea DelCastillo. "Infant Oral Health: A Survey of General Dentists, Pediatric Dentists, and Pediatricians in Virginia." VCU Scholars Compass, 2005. http://scholarscompass.vcu.edu/etd/1332.
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Purpose: The purpose of this study was to examine the knowledge, attitudes, and experiences related to infant oral health for both dental and medical providers.Methods: A survey of infant oral health care was sent to 300 randomly selected general dentists, 300 randomly selected pediatricians, and all pediatric dentists in Virginia. The survey contained questions regarding the providers' routine infant oral health care regimen. In addition demographic data from the provider was collected. Responses to the questionnaire were tabulated and percent frequency distributions for responses to each item computed. Percents for all items were based on the total number of respondents in each of the three practitioner groups.Results: The response rate of the survey was 48%. While 100% of pediatricians treat the infant population, only 5% refer for the first dental visit by age one. In addition compared to dentists fewer pediatricians examine for dental decay or give oral hygiene instructions. Less than half of general dentists surveyed treat the infant population and only 12% refer for the first dental visit by age one. Compared to pediatricians and pediatric dentists general dentists were less likely to discuss the first dental visit or nutritional counseling. Amongst the three practitioner types, pediatric dentists provide the most thorough dental exam, however only 25% actually treat infants by one year of age. Access to dental care remains a significant factor in early childhood caries.Conclusion: Results from this research suggest that the majority of pediatricians and general dentists are not advising patients to see the dentist by one year of age. Concurrently the majority of dentists are not treating patients at one year of age, resulting in a critical problem with access to care. There is a need for increased infant oral health care education in the medical and dental communities to appropriately handle this infant population.
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Ramirez, Enrique. "Opioid Prescribing Practices Following Pediatric Dental Procedures in Ohio." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1593441575248724.
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Gosnell, Elizabeth Sutton. "Criteria for Treatment of Children Under General Anesthesia by Pediatric Dentists and Parents." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1307403525.
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Chahine, Carol Judith. "Extraction socket healing in pediatric patients treated with intravenous pamidronate." Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=106270.
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Background: Bisphosphonate use in adult patients has been linked to osteonecrosis of the jaw (ONJ). This complication has not been systematically assessed in a pediatric population receiving bisphosphonates. Objective: To assess the occurrence rate of bisphosphonate-related osteonecrosis of the jaw (BRONJ) following dental extractions in young patients receiving cyclical pamidronate.Methods: 278 patients with a median age of 14.7 years received cyclical pamidronate therapy for treatment of osteogenesis imperfecta and other bone metabolic diseases. The total annual pamidronate dose was 9 mg/kg in all children. 113 of these patients had a dental extraction while on pamidronate treatment or thereafter.Results: There were no cases of BRONJ in the 278 pediatric patients who had received intravenous pamidronate. Conclusion: BRONJ has not been demonstrated in this patient group. Dental extractions should not be withheld because of previous pamidronate treatment in this population.Introduction : L'administration de biphosphonates chez l'adulte est liée au développement de l'ostéonécrose au niveau des maxillaires. Cet effet secondaire du médicament n'a pas été systématiquement vérifié chez la population pédiatrique. Objectif : Déterminer la fréquence de l'ostéonécrose associée aux biphosphonates (ONAB) suite à des extractions dentaires chez de jeunes patients recevant du pamidronate en intervalles réguliers. Méthode : 278 patients, avec un âge médian de 14,7 ans, ont reçu du pamidronate de façon cyclique pour le traitement de l'ostéogénèse imparfaite et d'autres maladies métaboliques osseuses. La dose total annuelle de pamidronate était de 9mg/kg chez tous ces patients. 113 de ces enfants ont subi une extraction dentaire après avoir reçu ou lorsqu'ils recevaient un traitement avec du pamidronate.Résultats : Il n'y a eu aucun cas d'ONAB chez les 278 patients pédiatriques qui ont reçu du pamidronate intra-veineux.Conclusion : Dans ce groupe de patients, il y été impossible de démontrer la présence d'ONAB. Les extractions dentaires ne devraient pas être retardées s'il y a eu un traitement avec du pamidronate chez cette population.
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Hollowell, Robert Louis III. "A Survey on the Usage of Articaine Among General and Pediatric Dentists." VCU Scholars Compass, 2007. http://scholarscompass.vcu.edu/etd/951.
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Purpose: The purpose of this study is to determine the impact that the introduction of articaine has had on local anesthetic selection by general and pediatric dentists for use in three different age groups of children.Methods: Using a cross sectional survey design, a questionnaire regarding the use of local anesthetics in children was mailed to a random sample of 500 general dentists from North Carolina, 500 general dentists from Virginia, and all 230 pediatric dentists from North Carolina and Virginia. The 16-item questionnaire included questions regarding the preferred local anesthetic to use in three different age groups, 2-3 years of age, 4-6 years of age, and 7-10 years of age. Furthermore, the questionnaire also included questions specifically on articaine use in the three different age groups and any related side effects. The association between dental practitioner type and anesthetic use was tested using chi-square or Fisher's exact test.Results: A sample of 337 dentists completed the questionnaire. There was no significant difference in preference of articaine except in older patients aged 7-10 years old where general dentists prefer articaine significantly more than do pediatric dentists (28.1% versus 15.9%). Lidocaine with epinephrine was the local anesthetic that was most preferred in all age groups by all practitioners. Pediatric dentists preferred lidocaine more often than general dentists and general dentists preferred lidocaine without epinephrine more often than pediatric dentists. Twenty-one percent of all dentists surveyed have used articaine in children under 4 years of age and 13% list articaine as the preferred local anesthetic for children under 4 years of age.Conclusion: While lidocaine with epinephrine is still the preferred local anesthetic for use in children, the use of articaine in children is very prevalent among general and pediatric dentists. Articaine use becomes more prevalent as the age of the patient increases and many pediatric and general dentists are using articaine in children under four years of age.
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Judd, Marlina. "A Survey on Contemporary Dental Office Safety: Comparing Knowledge of Pediatric and General Dentists." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1405634732.
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Cronly, Jo. "Development of a Simplified Pediatric Obstructive Sleep Apnea (OSA) Screening Tool." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3337.
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Background: Obstructive sleep apnea has become recognized as one of the most common, under-diagnosed chronic diseases. Recently studies have shown increased numbers among the pediatric and adolescent population. OSA in children is associated with behavioral problems, poor school achievements, and in severe cases, pulmonary hypertension. OSA is often the Achilles heel of pediatric sedation and analgesic programs; during sedation, children with OSA have an increased vulnerability of their airway undergoing pharyngeal collapse and of having upper airway obstruction. Consequently, pediatric dentists who practice sedation dentistry should exercise extra precautions when treating patients with risk of sleep apnea. Currently there is no screening tool used in pediatric dentistry for diagnosing OSA during the pre-operative appointment or consultation for patients undergoing minimal and moderate oral conscious sedation. The purpose of this study was to develop and test a concise and easy-to-use questionnaire as a screening tool to aid in the diagnosis of OSA in pediatric patients. Materials and Methods: A retrospective chart review of 180 patients under the age of 18, who completed a polysomnogram at the VCU Center for Sleep Medicine between February 2011 and February 2013. A validated adult questionnaire, STOPBANG, was modified using more typical pediatric risk factors for OSA: presence of snoring (S), tonsillar hypertrophy (T1), tiredness; pESS>10 (T2), observed obstruction (O), neuroPsych-behavioral symptoms such as ADHD or daytime irritability (P), BMI percentile for age (B), age at diagnostic screening (A), presence of neuromuscular disorder (N), and presence of genetic/congenital disorder (G). A positive scoring from these variables was measured against the standard OSA measure, Apnea-Hypopnea Index. A multiple logistic regression analysis tested for relationships. Results: There was a statistically significant relationship P= .0007 for the S(T1)OPBANG scale, with a minimum of 4 variables needed to have a sensitivity of 57% and a specificity of 78%. There was also a statistically significant relationship P= .0040 for the S(T2)OPBANG, the cutoff>5 yielding sensitivity=36%, and specificity=90%. Only obstruction, BMI, and age showed a strong significant relationship to OSA. The presence of an obstruction was positively related to apnea (P = 0.0010). Most of the other components had an odds-ratio larger than one (indicating a nominally positive relationship). Conclusions: While both STOPBANG screening tools showed a statistically significant relationship, only obstruction, BMI, and age showed a predictive relationship to OSA. Consequently, consideration of other risk factors may be beneficial for future studies.
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Basri, Etidal. "Development of a pediatric oral health-related quality-of-life questionnaire." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=30808.
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Oral and dental health illness among children is prevalent, and associated impairments are common. However, the impact of these conditions on the lives of children has yet to be determined. The objective of this study was to carry out the initial development phase for an oral health-related quality of life instrument to assess the impact of oral and dental conditions on children aged 3--5 years. Items were generated through literature review, the use of a conceptual model, and by interviewing parents and health professionals. The most frequent and important items were retained to comprise the Pediatric Oral Health Questionnaire, evaluating five dimensions: physical, functional, emotional, and social status, and impact on the family. This preliminary questionnaire is the first to be developed for the measurement of oral health-related quality of life (QoL) in children.
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Westphal, Joshua. "Provider Appearance: a survey of guardian and patient preference." VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4732.
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Purpose: To understand guardian and child preferences for the appearance of their pediatric dentist. This was a cross-sectional descriptive study using survey methodology with patients and parents that attended the VCU Pediatric Dental clinic.
Methods: A total sample of 100 guardians and 97 pediatric patient participants completed the computer-based questionnaire. Four subjects were asked to pose for photographs wearing various combinations of attire (professional, casual, white coat, scrubs).
Results: Among guardians, 56% reported preferring a provider in scrubs, with white coat the second most preferred attire (39%) for their children. For pediatric patients, scrubs were still most often selected, but at a lower rate (43%). White coat remained the second most preferred option at 37%.
Conclusions: Children and parents have strong perceptions and preferences regarding their dentists’ attire. The results of this study can be used, by providers, to improve the comfort, and acceptance of care by patients and guardians.
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Henderson, Brett H. "Comparison of Triple Combination Oral Sedation Regimens for Pediatric Dental Treatment." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5785.
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Purpose: Compare the efficacy of two benzodiazepines (diazepam or midazolam) in combination with meperidine and hydroxyzine for pediatric dental sedation. Methods: A randomized, double blind observation study of behaviors and outcomes related to two sedation groups. Frankl and Houpt behavior scores were recorded at three time points: injection time, initiation of treatment and at the end of treatment. Postoperative phone call surveys were conducted within eight hours of discharge to assess sleep, activity, and behavior. Results: A total of 40 sedation subjects were included in the study, of which 20 were treated with diazepam triple Combination (Di+M+H) and 20 with midazolam triple regime (Mi+M+H). Treatment was successful for 45% of cases with midazolam and 70% with diazepam (P value=.20). Houpt sleep scores were significantly higher for diazepam than midazolam at injection (P-value=.0043) and during treatment (P-value=.0152). Although Frankl scores, Houpt move and Houpt cry scores tended to favor diazepam, none were statistically significantly different. More abnormal behavior was reported with midazolam, though not statistically significant (35% vs 6%, P-value=.0854). Postoperative sleep time was longer for midazolam, but not significantly different (median sleep time: 61 vs 45 minutes, P-value=.2071). Conclusion: The diazepam, meperidine, hydroxyzine triple combination sedation regimen shows promising results as a successful alternative to midazolam triple combination. Longer postoperative monitoring may be required with diazepam, but this study has shown postoperative sleep times to be less than previously reported. Larger sample size is needed to determine if the current trend will be maintained.
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Patel, Priya Jitendraprasad. "Educational Survey on Eating Disorders in Post-Graduate Pediatric Curriculum." VCU Scholars Compass, 2005. http://scholarscompass.vcu.edu/etd/1025.
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Purpose: The purpose of this study was to assess if the topic of eating disorders is a part of post-graduate pediatric dental residency training curriculum. This study examined if there is a need for increased training of pediatric dental residents regarding the oral manifestations and treatment of patients with eating disorders.Methods: A cross-sectional online survey was used to compare data from all 66 post-graduate pediatric dental residency program directors. After thirty days a second emailing was conducted, with an additional thirty days to reply. Univariate distributions were obtained and percents for all items were based on the total number of respondents. The university-based programs and the hospital-based programs were compared and analyzed using chi-square analysis based on their percentages. Results: University-based programs were significantly less likely to offer curriculum on anorexia nervosa than hospital-based programs (13% versus 50%, pConclusion: An increase of clinically applicable eating disorder curriculum in post-graduate pediatric training is needed to enable residents to be more knowledgeable and effective practitioners.
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Qu, Wenyu. "Effectiveness of oral health prevention programs in school age children." Thesis, Boston University, 2013. https://hdl.handle.net/2144/21240.
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(Thesis: M.A.)In 2000, US Surgeon General David Satcher released a report on the severity of oral health disease in the high risk demographic. His grave report ushered in an era of oral health prevention programs utilizing a combination of education, mouth rinses, fluoride varnishes, dental sealants, and more invasive procedures. Given this wide range of acceptable treatment interventions available, the aim of this paper is to evaluate the effectiveness of certain treatments both by themselves and in tandem with one another on target high risk school age children. The first program we analyzed was a fluoride mouth rinse program based in North Carolina. While we found that although this program may have positive impacts on school age children in the future, it did not currently provide statistically significant benefits to these children. Access to Baby and Child Dentistry, a program in Washington State that used a multi-pronged prevention program involving education, fluoride varnishes, and glass ionomer sealants provided a much clearer benefit to reducing the overall dental caries experience in target school age children. Lastly, the ForsythKids Program, based in Massachusetts which utilized a comprehensive care model of caries prevention was shown to be effective in reducing the number of new caries in school age children. Their comprehensive care model consisted of providing the children with fluoride toothpaste, applying fluoride varnish, fitting glass ionomer sealants and temporary restorations. Armed with this information and based on a model involving four steps and two factors crucial in the successful implementation of an oral health prevention program, we hope to offer a foundation for future forays into both installing and maintaining an oral health prevention program.
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Pizano, Jessica M. "Opinions and Current Practices of General Dentists, Pediatric Dentists, and Pediatricians of Ohio Regarding Silver Diamine Fluoride." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1499878834976596.
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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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Mujica, Marcela. "Comparing tooth enamel disturbances in a pediatric population that had received prior chemotherapy treatment to age-matched controls from the Virginia Commonwealth University Pediatric Dentistry Clinic." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3353.
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Purpose: The purpose of this study was to test whether children who have undergone cancer chemotherapy have a higher prevalence of enamel abnormalities of the second mandibular premolars than age matched controls. Methods: This study was a case-control design where the case group involved 26 subjects that had received chemotherapy treatment between the ages of 2 to 6 and at the time of the study were between the ages of 9 to 18. The control group consisted of 26 subjects matched for age and sex to the case group that had not received chemotherapy. The second mandibular premolars were assessed based on the types of defects, their number and location according to a modified DDE index. A secondary examiner, blinded to the results of the primary, analyzed photographs taken at examination and provided their own assessment in order to calibrate results. Result: Nominally there were more normal surfaces in the case group than in the control group (81% vs 70%) and fewer hypoplasias in the case group (5% vs 13%). There was no statistical difference between the buccal and occlusal surfaces. For the buccal surfaces, the cases were nominally lower but not statistically significant (P=0.0680) and there is no evidence for a case-control difference on the lingual surfaces (P>0.9). Conclusions: In this study developmental defects of the enamel organ were not observed to be statistically different between the case and control groups, although previous studies have shown otherwise.
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Bhatti, Bushra. "Service-Learning Programs Impact on Dental Students' Confidence in Treating Pediatric Population." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/3041.
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Purpose: In 2011, Clinical Service-Learning (DENS 762) became a formal university-designated course required to all senior dental students at VCU School of Dentistry. The interest of this study was to measure students' experience in treating pediatric patients and to determine the effect the course had on students' self-perceived confidence in treating the pediatric population. Methods: This was an observational study of the VCU class of 2012 who were enrolled in the clinical service-learning class. Following their service-learning rotations, fourth-year dental students were surveyed about their experiences on their service-learning rotation. Out of 105 students, 76 completed the survey. Results: The majority of students (55%) who completed the survey felt more confident in treating the pediatric dental population. Increase in confidence was not associated with demographic factors of the students. Placement of sealants (p-value = 0.0022) and experience in local anesthesia (p-value = 0.0008) were the two factors most strongly associated with students’ increase in confidence. Compared to their school-based pediatric rotation, students received more experience in pulp therapy, extractions and treating children 0-3 years old during service-learning rotation. Conclusion: This study concludes that greater exposure to pediatric dental experiences during a service-learning rotation increased students’ confidence in treating the pediatric population at VCU School of Dentistry. Service-learning rotation can be a good supplement for the school’s pediatric dental rotation and has the potential to increase dental students' willingness to treat the pediatric population once they graduate.
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Burns, Emily Rose. "A Survey of Pediatric Dentists and Dental Residents: Does educational debt burden impact quality of life?" The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1434665283.
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Merrell, David. "COMPARISON OF ORAL KETAMINE-MIDAZOLAM AND CHLORAL HYDRATE-MEPERIDINE-HYDROXYZINE SEDATION REGIMENS IN PEDIATRIC DENTISTRY." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/3115.
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Purpose: The purpose of this study was to create an experimental design to compare the regimen of ketamine-midazolam to chloral hydrate-meperidine-hydroxyzine for moderate oral conscious sedation. Methods: Patients between 36 and 83 months of age have been randomly assigned to receive 1 of the 2 regimens. Dosages, times, and vital signs will be recorded. Procedures will be recorded on video for assessment of sedation level and behavior. Patients will be contacted to evaluate postoperative sleeping, discomfort, and amnesia. Data will be analyzed using two-group t-tests (TOST) of equivalence in means to compare the two groups across the study period. Results: Patient enrollment of the study has begun. In order not to break the blind randomized code, future data analysis is pending final data collection. Conclusions: This study will assist clinicians by establishing if a regimen of ketamine-midazolam is a comparable alternative to a regimen of chloral hydrate-meperidine-hydroxyzine for sedations.
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Patel, Arpi. "Motivational Factors for Treating Patients with Special Health Care Needs." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3716.
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Purpose: The purpose of this study is to assess what training and motivational factors dental providers report in providing dental care to PSHCN (patients with special healthcare needs. Materials and Methods: An electronic questionnaire was sent to n=104 fourth year dental students, n=147 general dentists with a specific continuing education course pertaining to PSCHN, and n=140 pediatric dentists in Virginia. The questionnaire consisted of four sections including Demographics, Professional Attitudes, Special Needs Patients and Motivational Factors, and PSCHN Cases. Results: The overall response rate for our study was 21%. The response rates of dental students, general dentists, and pediatric dentists were 30%, 10%, and 25%, respectively. A statistically significant difference was found for 10 out 12 motivational factors. Conclusions: There is a difference in motivational factors among the three different types of dental providers.
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Edmonds, Brandy N. "Prevalence and factors of sibling-recurrent dental treatment under general anesthesia." VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5300.
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Objective/Aims: Assess the prevalence of sibling recurrent dental general anesthesia (DGA) at VCU Pediatric Dentistry. Assess factors that contribute to sibling recurrent dental general anesthesia. Methods: The guardian of patients with siblings were provided a questionnaire to assess the prevalence and factors associated with recurrent DGA. Results: A total of 40 families with a child presenting for GA and at least one sibling were included in the study. Of these, 45% had sibling-recurrent GA treatment (20% in one sibling; 25% in 2 or more siblings). Additionally, 13% of the children currently presenting for GA had already been treated under GA, and 15% of the siblings previously treated with GA had recurrent caries after GA. Conclusion: Sibling-recurrent general anesthesia is high at VCU Pediatric Dentistry Clinic. This increased prevalence could be due to parental acceptance and positive experiences with DGA. Dental providers should be pro-active with prevention methods.
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Hastings, Corey D. "Pediatric Dentists’ Experience with Early Childhood Caries and Family Dysfunction." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1530203467670262.
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Parikh, Ojas A. "A Comparison of Moderate Oral Sedation Drug Regimens for Pediatric Dental Treatment: A Pilot Study." VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4786.
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Purpose: Compare moderate oral sedation of pediatric patients using Hydroxyzine and Meperidine with either Diazepam or Midazolam in management of pediatric dental patients.
Methods: Randomized, double-blind, crossover pilot study of patients 3 to 7 years of age requiring two sedation visits. Frankl and Houpt behavior scores recorded at injection time, initiation of treatment and 100% oxygen at end of treatment. Postoperative phone call surveys conducted within eight hours and within 24 hours of discharge. Wilcoxon Signed-Rank tests, Fisher’s Exact Chi-squared test and 0.10 significance level.
Results: 25 subjects completed 35 sedations. Eight participants completed both treatments and demonstrated significantly higher total Houpt Scores with Diazepam at all treatment stages. Frankl scores favored Diazepam at injection time. More abnormal behavior was found with Midazolam, less memory of the visit with Diazepam, but longer sleep time with Diazepam.
Conclusions: Sedation with the Hydroxyzine, Meperidine and Diazepam regimen may allow for a better overall sedation experience. Postoperative monitoring is essential. The results are promising and demonstrate the value of a larger study on sedation with Diazepam.
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Patel, Ajit A. "PCR Detection of Streptococcus Mutans and Streptococcus Sobrinus in Dental Plaque Samples from Low, Moderate, and High Caries Risk Children." VCU Scholars Compass, 2004. http://hdl.handle.net/10156/1668.
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Holland, Martha M. "A Comparison of Treatment Planning Modalities for the Pediatric Dental Patient." VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4750.
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Purpose: To assess the treatment modalities of pediatric dentists for restoring Class II lesions in primary molars.
Methods: A survey of eight cases was emailed to AAPD members, who were asked to choose a stainless steel crown (SSC) or composite resin. Treatment choice was associated with provider type, years in practice, behavior management, lesion detection, and patient age.
Results: Clinically detectable caries restored under general anesthesia were treated more often with a SSC. Faculty and residents chose a SSC at a greater rate. Providers with 10 or more years experience chose a SSC more often.
Conclusions: The scope of treatment planning encompasses numerous factors. Because of the multifactorial nature of treatment planning for the pediatric dental patient, it would be beneficial for the AAPD to produce a treatment planning decision tree in order to better direct practitioners in their development of patient-centered treatment plans.
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Pettinato, Frank Carmen. "A Rural vs. Urban Analysis of Procedures Provided to Medicaid Recipients by Pediatric, General, and Public Health Dentists in the Commonwealth of Virginia: Fiscal Years 1994-1995." VCU Scholars Compass, 2003. http://scholarscompass.vcu.edu/etd/764.
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Purpose: The purpose of this study was to report the distribution of procedures provided to Virginia Medicaid children by three types of dental providers in rural and urban areas. Methods: Medicaid claims filed for dental patients younger than 21 were obtained and analyzed for fiscal years 1994 and 1995. Dental providers were categorized according to their practice type: general practice (GP), pediatric (PD) and public health (PH) dentists. Each type of practice was categorized as practicing in a Metropolitan, Urban, Rural or Completely Rural location and evaluated for percentages of preventive, diagnostic, and corrective services provided.Results: The number of procedures was shown to differ depending upon: year, practice type, location, significant provider status, and the type of procedure.Conclusion: General, pediatric and public health dentists in Metropolitan and Urban areas perform slightly more diagnostic services and much less corrective services than practitioners in more rural areas.
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Kerns, Nicholas Matthew. "Pediatric Anatomical Variations and their Implication on the Difficulty of Nasotracheal Intubation." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1408994437.
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Lentini, Erika. "Endodontic Radiolucency on a Mature Permanent Tooth in the Pediatric Population: Can the Tooth be Vital?" VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3329.
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The objective was to determine the prevalence of vital teeth requiring non-surgical root canal therapy (NSRCT) that present with radiolucencies in mature permanent teeth in a pediatric population. A retrospective electronic dental chart review of children treated with NSRCT at VCU’s School of Dentistry between November 30, 2009 and March 1, 2013 was conducted. The presence or absence of a periapical radiolucency was determined from digital radiographs by three calibrated dentists. Specific characteristics of each tooth were collected. Statistical analysis using logistic regression was completed on all teeth with radiolucencies and vital teeth with radiolucencies. NSRCT was completed on 551 teeth. Radiolucencies were present in 246 teeth. Vitality data on access was only available in 184 teeth. In these, the prevalence of vital teeth with radiolucencies was 45.1% (n=83). Significant differences were noted for tooth type, gender, and puberty. Post-pubertal subjects had more vital teeth with radiolucencies than pubertal subjects.
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Burke, Brian. "A Retrospective Study of Operating Room Utilization and Efficiency in a Pediatric Dental Residency Program." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3367.
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Purpose: The purpose was to assess and understand operating room (OR) utilization and efficiency in a pediatric dental residency program. Methods: A retrospective study was performed using chart extraction from 778 patients completed by both pediatric dentistry faculty (n=7) and residents (n=17) in an ambulatory care setting over a 32 month period (between July 2010 and March 2013). Patterns in OR usage time were determined by documenting various timing metrics (start and stop times for anesthesia, start and stop times for the dental procedure, times for throat pack in and out), noting patient information (age and ASA patient classification status), and creating variables by grouping data by clinical provider type and dental procedure. OR usage time was analyzed using multiple regression to estimate the per-tooth or per-mouth time for each type of procedure. Results: The median procedure time was 75 minutes (range= 1 to 517 minutes). Multiple regression indicated that for the average patient, a faculty member took 63.8 minutes (95% CI = 60.8 to 66.7 minutes) and a resident took 81.9 minutes (95% CI = 78.7 to 85.0 minutes, P<.0001).These results demonstrate that the appropriate scheduling of operating room should be based on the proficiency level of provider as well as the complexity of the dental procedure. Conclusion: This study concludes that pediatric dental operating room planning and scheduling in teaching hospitals should take into account real constraints such as residents’ level of training and skill.
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LaLande, Carla. "Comparison of Emergence Behavior in Pediatric Dental Patients Undergoing General Anesthesia with Sevoflurane versus Desflurane." VCU Scholars Compass, 2008. http://scholarscompass.vcu.edu/etd/940.
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Purpose: To determine which maintenance gas (sevoflurane versus desflurane) resulted in a faster emergence from general anesthesia and investigate the patient's emergence agitation. Methods: One group was maintained during general anesthesia with sevoflurane and the other with desflurane. Upon emergence the patient's behavior was evaluated.Results: The average emergence time for desflurane was 9.8; while the average for sevoflurane was 13.98 minutes. Patients who received premedication had an emergence time of 15.43 minutes, while patients who received no premedication emerged after 8.34 minutes.Zofran® was a significant predictor of purposeful actions. Patients were more aware of their surroundings when they received Zofran® compared to patients who did not receive Zofran®.Conclusion: Maintaining with desflurane and not premedicating patients allowed for a faster emergence from general anesthesia. Patients given Zofran® in their IV during the surgery had less emergence agitation then their counterparts.
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Richardson, J. Neill. "The efficacy of auditory distraction in reducing disturbed behaviour with children undergoing dental treatment." Thesis, Bangor University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.318610.
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Lima, Ramille AraÃjo. "âO uso da clorexidina intracanal em molares decÃduos com necrose pulpar â estudo clÃnico e microbiolÃgicoâ." Universidade Federal do CearÃ, 2009. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4008.
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FundaÃÃo de Amparo à Pesquisa do Estado do CearÃO sucesso do tratamento endodÃntico depende de muitos fatores, sendo a reduÃÃo ou eliminaÃÃo da infecÃÃo bacteriana o mais importante desses fatores. Portanto, o uso de substÃncias capazes de agir nesses microorganismos e em seus subprodutos torna-se uma etapa importantÃssima no tratamento. O objetivo deste ensaio clÃnico âsplit-mouthâ foi comparar a eficÃcia da clorexidina gel 1% e do hidrÃxido de cÃlcio associado ao paramonoclorofenol canforado (Callen PMCCÂ), como medicaÃÃo intracanal, e do tratamento executado em sessÃo Ãnica (grupo controle), contra Estreptococos do grupo mutans (EGM) e bactÃrias anaerÃbias presentes no interior dos canais radiculares de molares decÃduos com necrose pulpar. Um total de 21 crianÃas (37 dentes) participou do estudo. Amostras iniciais (prÃ-tratamento) e finais (apÃs a permanÃncia das substÃncias por 14 dias no interior dos canais) foram coletadas para anÃlise microbiolÃgica e incubadas em placas de Mitis Salivarius Bacitracina, em aerofilia, para a observaÃÃo dos nÃveis de EGM, assim como em placas de Brucella Ãgar, em anaerobiose, para verificaÃÃo de bactÃrias anaerÃbias. Os nÃveis de sucesso da pulpectomia apÃs um perÃodo de acompanhamento de atà 12 meses foram analisados baseados em parÃmetros clÃnicos e radiogrÃficos. A clorexidina gel a 1% reduziu significantemente os nÃveis de EGM (p= 0,010, teste de Wilcoxon) e o Callen PMCC reduziu significantemente os nÃveis de bactÃrias anaerÃbias (p=0,002, teste de Wilcoxon). Observou-se diferenÃa significativa na comparaÃÃo da reduÃÃo dos nÃveis de EGM obtidos pelo grupo da clorexidina e pelo controle (p=0,032, Mann-Whitney). A taxa de sucesso do tratamento foi de 81,71% no grupo do Callen PMCCÂ, 78,57% para o grupo da clorexidina gel 1% e 77,77% no grupo controle. Concluiu-se que a clorexidina gel a 1%, assim como o hidrÃxido de cÃlcio associado ao paramonoclorofenol canforado, possui eficÃcia limitada na reduÃÃo de bactÃrias dos canais radiculares decÃduos infectados. Os presentes resultados sugerem que uma possÃvel associaÃÃo entre as medicaÃÃes testadas em estudos futuros pode eliminar de maneira mais eficaz estas bactÃrias.
The success of endodontic treatment depends on many factors, and the reduction or elimination of bacterial infection is the most important one. Therefore, the use of substances that act against these microorganisms and their products becomes an important stage in treatment. The aim of this in vivo split-mouth study was to compare the efficacy of a 1% chlorhexidine gel, calcium hydroxide/camphorated paramonochlorophenol (Callen PMCCÂ) as intracanal medications, and a Control group (1-visit endodontic treatment) against mutans streptococci (EGM) and anaerobic bacteria found in primary molars with necrotic pulps. A total of 21 children (37 teeth) participated in this study. Initial (pre-treatment) and final (14 days post-treatment) intra-canal samples were collected for microbiological analysis and were incubated in Mitis Salivarius Bacitracin plates under microaerophilic conditions for EGM counting; as well as in Brucella-agar plates, anaerobically, to allow growth of anaerobic bacteria. The success rate of the pulpectomies after a 12 months follow-up were also evaluated based on clinical and radiographic parameters. Chlorhexidine gel significantly reduced EGM levels (p=0,010, Wilcoxon test), whereas Callen PMCCÂ significantly reduced anaerobic bacteria levels (p=0,002). Significant difference was observed when comparing EGM reduction levels between the Chlorhexidine and Control groups (p=0,032, Mann-Whitney test). The success rate was 81,71% in the Callen PMCCÂ group, 78.57% in the Chlorhexidine group and 77.77% in the control group. We concluded that 1% chlorhexidine gel, as well as calcium hydroxide/camphorated paramonochlorophenol, has limited efficacy in the reduction of bacteria from deciduous infected root canals. The present results suggest that a possible association between these two medications in future studies may eliminate more efficiently these bacteria.
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Carlotto, Alan Gabriele. "Comparison of Two Survey Instruments Measuring Quality of Life in Pediatric Dentofacial Patients." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1489662161586063.
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Noronha, Crystal. "Impact on quality of life due to therapy-related oral complications in pediatric cancer patients: a scoping review." Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=110749.
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Objectives: To systematically review the research literature on the relationship between Quality of Life (QoL) and cancer therapy-related oral side-effects in a pediatric population. Methods: A scoping review was conducted using 16 databases (research and grey literature), websites, reference lists, and key journals. Inclusion criteria included studies pertaining to children 0-20 years, in English or French, published from 2000 to 2011. Exclusion criteria included mixed population of adults and children and non-discrete disease categories. Data was independently charted by two reviewers. Results: A total of 1270 articles were identified through the initial search. A rigorous review of abstracts and full text reduced the sample to 82 articles, all of which were categorized through a data extraction process. Data analysis resulted in the following findings: Leukemia studies were predominant. The most common side-effect was mucositis; however, side-effects mostly co-occurred. Twenty-one articles dealt directly with the effect on QoL, citing impacts such as changes in taste, eating, drinking, sleep habits, voice and weight loss. Twenty-five articles examined the long-term effect of treatment on pediatric dentition, showing that resultant caries and malformed teeth can affect eating and speech. Conclusions: Preventive oral care before, during and after cancer therapy can decrease the oral side-effects and improve the QoL of the pediatric patient; however, few studies to date advance recommendations for QoL improvement. This study underscores the need for a dental oncology program in pediatric hospitals.Objectifs : Examiner systématiquement la littérature en recherche sur les liens entre la Qualité de vie (QV) et les effets secondaires des approches thérapeutiques pour traiter le cancer buccal chez une population pédiatrique. Méthodes: Un survol de la littérature été réalisé en utilisant 16 bases de données (recherche et littérature grise), des sites web, des listes de référence et des revues-clés. Critères d'inclusion : études portant sur une population âgée de 0 à 20 ans, publiées en anglais ou en français entre 2000 et 2011 inclusivement. Critères d'exclusion : études concernant une population mixte d'enfants et d'adultes et études d'enfants ayant plus d'un diagnostique. Les données ont été recueillies indépendamment par deux chercheurs; 1270 articles ont été repérés dans un premier survol. Un examen rigoureux des résumés et textes intégraux permit de réduire l'échantillon à 82 articles, par la suite classés à travers un processus d'extraction des données. Résultats d'analyse: Les études sur la leucémie étaient prédominantes. Le plus commun des effets secondaires était la mucosité, mais la plupart des effets secondaires survenaient en cooccurrence. Vingt-et-un articles traitent directement des effets sur la qualité de vie, citant des impacts tels une modification du sens du goût, des changements dans les habitudes alimentaires (e.g. boire et manger) et dans celles du sommeil, des pertes de poids ainsi qu'une modification de la voix. Vingt-cinq articles examinaient l'effet à long terme des traitements sur la dentition pédiatrique et démontrent que la carie et les malformations dentaires qui en résultent peuvent affecter l'alimentation et la parole. Conclusions : Des soins préventifs oraux avant, pendant et après le traitement pour le cancer peuvent diminuer les effets secondaires oraux et améliorer la qualité de vie. Cette étude souligne la nécessité d'un programme d'oncologie dentaire dans les hôpitaux pédiatriques.
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Colven, William Preston DDS. "A Pilot Study of Kovanaze Anesthetic In Children Age 6-8." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1560425557327697.
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Whitfield, Heath. "GENETIC VARIATIONS OF CYP2B6 ENZYME AND THE RESPONSE TO MEPERIDINE IN ORAL SEDATION." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2045.
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Purpose: The purpose of this study was to determine the relationship of the CYP2B6 genotype to the clinical response to meperidine in pediatric dental patients. Methods: Forty-nine patients, ASA I/ II, 41–101 months old, received an oral sedative regimen containing meperidine for dental treatment. The North Carolina Behavior Rating Scale (NCBRS) and Overall Effectiveness of Sedation Scale (OESS) were used to assess their behavior and sedation outcome. Saliva DNA samples were genotyped by PCR-RFLP. Results: We found the following genotype distributions: homozygous wild-type 1*1 (n = 19, 39%), heterozygous 1*6 (n = 25, 51%), and homozygous variant 6*6 (n = 5, 10%). The genotypes showed a significant difference in the North Carolina Behavior Rating Scores and a trend towards significance of the Overall Effectiveness of Sedation Scale during meperidine oral sedations. Conclusion: This research concludes that variations of the CYP2B6 enzyme can be used in the prediction of successful behaviors for oral sedations that include meperidine in the drug regimen. Future research regarding the enzyme kinetics of meperidine is needed to determine the exact enzymatic function of CYP2B6 and its variants.
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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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Oliveira, Deise Cruz. "Comparison of the University of Iowa's community-based and University-based pediatric dental clinics." Thesis, University of Iowa, 2011. https://ir.uiowa.edu/etd/1252.
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The Muscatine Pediatric Dentistry Clinic (MPDC) at the Muscatine Center for Social Action (MCSA) was established January 4th, 2005. It is a partnership between the MCSA and The University of Iowa's Department of Pediatric Dentistry. MPDC operates Tuesdays (care provided by senior dental students) and Thursdays (care provided by pediatric dentistry residents). Students and residents are supervised by a pediatric dentistry faculty member. MPDC's mission is to provide dental care to low income children residing in Muscatine and Louisa counties, in Iowa. Care includes diagnostic, preventive, restorative, and emergency services. MPDC targets a population that has been traditionally underserved by local dentists including Medicaid-enrolled children and low income children without dental insurance. MPDC offers dental students the opportunity to gain experience treating children with the ultimate goal of increasing the number of practicing general dentists who serve pediatric populations. MPDC completed 6 years of operation on January 4th, 2010. The main goals of this study were to describe patient characteristics, clinical activities and parental satisfaction at the Muscatine clinic and to compare characteristics of the Muscatine clinic to those of the University of Iowa's pediatric dentistry clinic at the College of Dentistry. Clinical activities and patient profile variables for MPDC were reported for the entire fiscal year 2009-10 year. Variables include patient age, gender, type of insurance, number of dental procedures completed, type of treatment received, and number of visits per patient.
A satisfaction survey was given to the parent of each patient presenting to the MPDC clinic between November 16th, 2009 and January 17th, 2010. Two broad research questions were addressed in this study: 1) Are parents satisfied with MPDC and the treatment provided to their children? 2) Are there are differences in the population served and treatment provided at the Muscatine clinic and the University of Iowa pediatric dentistry clinic at the College of Dentistry? The results of this study provide information that contributes to a fuller understanding about the population served by MPDC, the treatment received, and parental satisfaction with the clinic. It also compares characteristics of the Muscatine clinic to the University of Iowa's pediatric dentistry clinic at the College of Dentistry. The results of this study may help guide MPDC staff and the University of Iowa's Department of Pediatric Dentistry in future decision-making regarding clinic activities and dental school curriculum.
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Al, Zoubi Lana [Verfasser], and Christian [Gutachter] Splieth. "Parental acceptance of advanced behavior management techniques in pediatric dentistry / Lana Al Zoubi ; Gutachter: Christian Splieth." Greifswald : Universität Greifswald, 2018. http://d-nb.info/119028538X/34.
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