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Pediatric Dentistry

Tracy Kim, Farhad Yeroshalmi, Keith S Margulis, Victor Badner, Kenneth Rivlin
Congenital hypofibrinogenemia is a rare coagulation disorder characterized by a deficiency in fibrinogen protein, which is critical to the normal coagulation process. This hematological disorder can go undiagnosed until an event leads to prolonged bleeding. The purposes of this report were to describe an incidental diagnosis of congenital hypofibrinogenemia after a dental procedure, discuss the importance of recognizing coagulopathies on the delivery of dental care, examine the multi-disciplinary clinical management of prolonged bleeding after a dental procedure, and evaluate the challenges health care practitioners may encounter when obtaining a thorough medical history...
January 1, 2018: Pediatric Dentistry
Brittany L Ko, John H Unkel
Moyamoya disease (MMD) is a rare cerebrovascular disorder involving progressive constriction of the internal carotid artery and its branches. The disease has a particularly aggressive course in very young patients, and early surgical intervention is often necessary to prevent permanent neurological damage. MMD patients have an increased risk of stroke development, which may be provoked by pain or anxiety. Currently, no reports of pediatric patients with MMD exist in the dental literature. The purpose of this paper was to discuss the dental management of a two-year-old with moyamoya disease who presented with early childhood caries and dental fear, offering recommendations for dental providers with emphasis on stroke prevention, collaboration with the medical team, anesthesia considerations for patients with increased stroke risk, and the challenges to maintain the oral health of a patient undergoing complex medical treatment...
January 1, 2018: Pediatric Dentistry
Halima Abukabbos, Scott Tomar, Marcio Guelmann
PURPOSE: To explore cost-effective options for pulpotomy, chamber fillings, and crowns in primary molars using bioactive cements. METHODS: Thirty extracted primary molars were divided into five groups, each having two sets of three teeth (one first molar and two second molars). Pulpotomy and restorative options were randomly assigned: Biodentine plus Ketac Molar; NuSmile NeoMTA plus Tempit LC; NeoMTA Plus plus Fuji IX; MTA Angelus plus IRM capsule; MTA Flow plus IRM powder and liquid...
January 1, 2018: Pediatric Dentistry
Norman Chen, Thomas Tanbonliong
PURPOSE: To investigate the effectiveness of oral morphine sulfate regimens in sedating pediatric dental patients and assess whether pre-sedation disposition and willingness to take the sedative were related to the outcome of the sedation. METHODS: The sedation records of 271 pediatric dental patients sedated with oral morphine were reviewed. Children were either sedated with regimen one (morphine plus midazolam plus hydroxyzine) or regimen two (morphine plus diazepam plus hydroxyzine)...
January 1, 2018: Pediatric Dentistry
Merve Mutluay, Volkan Arıkan, Saziye Sarı, Üçler Kısa
PURPOSE: The purpose of this study was to determine in primary molars with carious exposures whether hemostasis at the exposure site and pulp orifice reflected inflammatory status of the pulp at the canal orifice based on cytokine levels. METHODS: Forty mandibular primary molars with deep caries were included in the study. Teeth were divided into two groups: group A had teeth where hemostasis at the exposure site was achieved within five minutes, and group B had teeth where hemostasis at the exposure site could not be achieved within five minutes...
January 1, 2018: Pediatric Dentistry
Corissa P Chang, Judith C Barker, Kristin S Hoeft, Claudia Guerra, Lisa H Chung, Nancy J Burke
PURPOSE: This study's purpose was to explore how content and format of children's oral health instruction in the dental clinic is perceived by parents and might affect parents' knowledge and behaviors. METHODS: Thirty low-income Mexican immigrant parents of children age five years and under were recruited from dental clinics in 2015 to 2016. In-person qualitative interviews in Spanish about their children's and their own experiences of dental care and home oral hygiene practices were conducted, digitally recorded, translated, and transcribed...
January 1, 2018: Pediatric Dentistry
(no author information available yet)
No abstract text is available yet for this article.
January 1, 2018: Pediatric Dentistry
Maryam Elyasi, Lucas Guimarães Abreu, Cheyanne Olsen, Sarah R Baker, Hollis Lai, Paul W Major, Maryam Amin
PURPOSE: Parental capacity to face day-to-day stressors has a relevant role in recognizing and mobilizing resources to control children's oral health behaviors. This capacity has been explored by means of the sense of coherence. The purpose of this study was to explore the association between mothers' sense of coherence (SOC) and their preschool children's oral health-related behaviors. METHODS: Mothers and their pre-school children were recruited during immunization programs at community health centers in Edmonton, Canada...
January 1, 2018: Pediatric Dentistry
Adriana Gledys Zink, Eder Cassola Molina, Michele Baffi Diniz, Maria Teresa Botti Rodrigues Santos, Renata Oliveira Guaré
PURPOSE: The purpose of this study was to develop and evaluate an application (app) facilitating patient-professional communication among individuals with autism spectrum disorder (ASD) and compare it with the Picture Exchange Communication System (PECS). METHODS: Forty nine- to 15-year-olds were randomly divided into two groups: G1 (app; <small>N</small> equals 20) and G2 (PECS; <small>N</small> equals 20). Initially, the visual contact timing of the groups was measured...
January 1, 2018: Pediatric Dentistry
Ana Paula Dias Ribeiro, Raquel Francis Almeida, Jordana Guedes Amorim Medonca, Soraya Coelho Leal
PURPOSE: The purpose of this systematic review was to verify whether child and adolescent oral health affected academic performance. METHODS: A literature search conducted in March 2017 on PubMed, Lilacs, Web of Science, and Scopus databases identified 2,009 papers, six of which were included in the final review. Quality appraisal and risk of bias were evaluated using the quality assessment tool for observational cohort and cross-sectional studies. RESULTS: Two papers were classified as being of good quality, one as fair, and three as poor...
January 1, 2018: Pediatric Dentistry
Paul S Casamassimo
No abstract text is available yet for this article.
January 1, 2018: Pediatric Dentistry
(no author information available yet)
No abstract text is available yet for this article.
November 1, 2017: Pediatric Dentistry
(no author information available yet)
No abstract text is available yet for this article.
November 1, 2017: Pediatric Dentistry
William J Boggess, Jeanine Ronan, Neeraj Panchal
Subcutaneous emphysema is a rare possible complication of dental procedures. The majority of the dental literature describes cases of localized areas of subcutaneous emphysema following various dental procedures, with a large number of these cases seen following intraoral surgical procedures. Classically, subcutaneous emphysema occurs within minutes to hours after conclusion of dental procedures and is commonly misdiagnosed as either an allergic reaction or acute post-operative swelling. This case report describes a four-year-old male who underwent dental rehabilitation for routine restorative dentistry without extractions under general anesthesia...
November 1, 2017: Pediatric Dentistry
John M Kim, Michael J Ryhn, Thomas R Stark
Facial nerve paresis is an uncommon but concerning condition in the pediatric population. The function and anatomy of the facial nerve is complex, and injuries to this structure may be associated with devastating physiological and psychological implications for the affected child and family. The purpose of this paper was to report a case involving a six-year-old Caucasian female who suffered a blunt traumatic injury to the orofacial region resulting in partial paralysis of the seventh cranial nerve. Following the injury, the child was unable to fully elevate the corner of her mouth...
November 1, 2017: Pediatric Dentistry
Abdullah Abdulrahman Alshareef, Abdulaziz Alkhuriaf, Sharat Chandra Pani
PURPOSE: The purpose of this study was to examine the changes in bite characteristics of children before and after the placement of multiple stainless steel crowns (SSCs) under general anesthesia (GA). METHODS: Twenty children scheduled for treatment under general anesthesia who needed SSCs in three or more posterior quadrants were included in this study. The bite was digitally analyzed and recorded preoperatively and at one and four weeks postoperatively. The occlusion time, number of force outliers, and distribution of force at each visit was recorded and compared...
November 1, 2017: Pediatric Dentistry
Elizabeth J Berry, Tegwyn H Brickhouse, Amanda K Kerns, Katherine A Nordeen, Al M Best
PURPOSE: To test a more frequent preventive recall strategy following full-mouth dental rehabilitation (FMDR) in children with early childhood caries (ECC). METHODS: Patients were randomized into two groups: controls, who were scheduled to return at six-month intervals (6-MR); and the intervention group, who were scheduled to return at three-month intervals (3-MR and 6-MR). At baseline and at each recall, a caries risk assessment (CRA) and dental exam were completed...
November 1, 2017: Pediatric Dentistry
Maria Jose da Silva Figueiredo Sé, Ana Paula Dias Ribeiro, Lourdes Aparecida Martins Dos Santos-Pinto, Rita de Cassia Loiola Cordeiro, Renata Nunes Cabral, Soraya Coelho Leal
PURPOSE: The purpose of this study was to evaluate the prevalence of and relationship between hypomineralized second primary molars (HSPM) and hypomineralized primary canines (HPC) with molar-incisor hypomineralization (MIH) in 1,963 schoolchildren. METHODS: The European Academy of Paediatric Dentistry (EAPD) criterion was used for scoring HSPM/HPC and MIH. Only children with four permanent first molars and eight incisors were considered in calculating MIH prevalence (n equals 858); for HSPM/HPC prevalence, only children with four primary second molars (n equals 1,590) and four primary canines (<small>n</small> equals 1,442) were considered...
November 1, 2017: Pediatric Dentistry
Beau D Meyer, Jessica Y Lee, Mark W Casey
PURPOSE: Many studies reporting dental utilization under general anesthesia (GA) are dated. The purpose of this study was to provide contemporaneous data about children receiving dental GA by: (1) determining trends in utilization and associated expenditures; and (2) examining the effects of provider distribution. METHODS: This time series cross-sectional study of Medicaid-eligible children ages zero to eight years old in North Carolina used aggregate Medicaid claims from State Fiscal Years (SFY) 2011 to 2015 to collect demographic and dental treatment information...
November 1, 2017: Pediatric Dentistry
Sachin G Khatri, Srinivasan Raj Samuel, Shashidhar Acharya, Snehal T Patil
PURPOSE: Various candida species have been associated with poor oral hygiene and active carious lesions. The purpose of this study was to evaluate the effectiveness of aloe vera compared to triclosan toothpaste against total candida, C. albicans, C. tropicalis, Candida krusei, and plaque/gingivitis among intellectually disabled adolescents over 30 days. METHODS: A double-blind prospective randomized trial was conducted among 40 intellectually disabled adolescents randomly allocated into aloe vera/triclosan groups...
November 1, 2017: Pediatric Dentistry
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