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pediatric medically compromised dental care

Saleha Shah
Pediatric dentistry provides primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, together with special health care needs. This specialty encompasses a variety of skills, disciplines, procedures and techniques that share a common origin with other dental specialties however these have been modified and reformed to the distinctive requirements of infants, children, adolescents and special health care needs. Disciplines comprise of behavior guidance, care of the medically and developmentally compromised and disabled patient, supervision of orofacial growth and development, caries prevention, sedation, pharmacological management, and hospital dentistry including other traditional fields of dentistry...
January 2018: Annals of Medicine and Surgery
Alejandro Escanilla-Casal, Martina Ausucua-Ibáñez, Mireia Aznar-Gómez, José M Viaño-García, Joan Sentís-Vilalta, Alejandro Rivera-Baró
OBJECTIVES: To identify and quantify the variables and their influence on postoperative morbidity in dental treatment under general anesthesia (GA) in pediatric patients with and without an underlying disease. METHODS: A prospective, descriptive, and comparative analysis was conducted of healthy (n = 49) and disabled/medically compromised (n = 81) children treated under GA. Intra-/post-surgical, clinical epidemiology, technical, care-related, and pharmacologic data were gathered, as were postoperative complications...
March 2016: International Journal of Paediatric Dentistry
Nidhi Sehrawat, Mohita Marwaha, Kalpana Bansal, Radhika Chopra
Special and medically compromised patients present a unique population that challenges the dentist's skill and knowledge. Providing oral care to people with cerebral palsy (CP) requires adaptation of the skills we use everyday. In fact, most people with mild or moderate forms of CP can be treated successfully in the general practice setting. This article is to review various dental considerations and management of a CP patient. How to cite this article: Sehrawat N, Marwaha M, Bansal K, Chopra R. Cerebral Palsy: A Dental Update...
May 2014: International Journal of Clinical Pediatric Dentistry
I Elango, D K Baweja, P K Shivaprakash
OBJECTIVES: To evaluate and compare the attitude toward behavior techniques among parents of healthy and special children in Indian subpopulation. MATERIALS AND METHODS: Parents of healthy (Group A) and special children (Group B) watched videotape vignette of 10 behavior management techniques (BMTs) in groups and rated them using Visual Analog Scale (VAS). Group B parents were subgrouped as: Group B 1 (34 parents of medically compromised children), Group B 2 (34 parents of physically compromised children), and Group B 3 (34 parents of children with neuropathological disorders)...
July 2012: Journal of the Indian Society of Pedodontics and Preventive Dentistry
Arun M Xavier, Amitha M Hegde
The leukemias are the most common form of childhood malignancy. The pediatric dental professional plays a major role in the prevention, stabilization and treatment of the oral and dental problems that can compromise the child's health and quality of life before, during and after the cancer treatment. This manuscript highlights the incidence of oral complications in leukemic children receiving oncology treatment and the systematic preventive protocol followed during different phases of medical treatment.
2010: Asian Pacific Journal of Cancer Prevention: APJCP
G Klingberg, G Dahllöf, A-L Erlandsson, M Grindefjord, U Hallström-Stalin, G Koch, S-A Lundin
UNLABELLED: The child population in Sweden has changed dramatically during the last 20 years. Changes have also occurred within the Public Dental Service (PDS), regarding the provision of dental care to children and adolescents. All these changes may affect the referral pattern and provision of specialist dental care for children and adolescents. OBJECTIVES: The primary aim of this study was to survey the services provided by specialists in paediatric dentistry in Sweden during 2003...
March 2006: International Journal of Paediatric Dentistry
Jessie Naomi Schwarz, Amy Monti, Ilse Savelli-Castillo, Linda P Nelson
PURPOSE: Accurate reporting of medical history information is essential to provide safe and successful dental treatment to children. The purpose of this study was to evaluate the accuracy of health histories reported by parents/guardians of pediatric patients presenting for dental treatment by comparing them to the histories provided in the child's medical chart. METHODS: Data collection from the dental record was performed using the medical history questionnaire from the child's first visit as the data source...
September 2004: Pediatric Dentistry
Morton B Rosenberg
Fortunately, the incidence of pediatric respiratory emergencies is extremely low during pediatric dental treatment. As most cardiopulmonary arrests in children result from a progressive deterioration in respiratory function, outcome is critically dependent on rapid diagnosis and evaluation of the adequacy of ventilation in the pediatric airway. Medically compromised children are best treated in facilities equipped for their care and staffed by personnel trained in emergency treatment. Iatrogenic complications can be reduced by strict adherence to recommended pediatric drug and local anesthesia dosages with a critical eye regarding drug interactions and the additive effects of central nervous system depressants...
2004: Journal of the Massachusetts Dental Society
Paul S Casamassimo, N Sue Seale, Kelley Ruehs
This study analyzed a data subset of a national survey of general dentists conducted in 2001 to determine their overall care of children with special health care needs (CSHCN). In the survey, dentists were asked to respond to questions in the following areas: did they provide care for CSHCN (children with cerebral palsy, mental retardation, and those who are medically compromised); what were their perceptions of the training they received in dental school related to CSHCN; what was their interest in additional training for CSHCN; and what factors influenced their willingness to provide care for CSHCN? Only about 10 percent see CSHCN often or very often, and only one in four respondents had hands-on experience with these patients in dental school...
January 2004: Journal of Dental Education
E Amir, S Sapir, Y Shapira
Metabolic and hormonal disorders can compromise the safety of child undergoing dental treatment. This article focuses on type I Diabetes mellitus and adrenal cortex disorders, which are more common in children. The pediatric dentist should be fully aware of the child's medical status and modify the treatment plane accordingly. Special attention should be made to the management of the anxious child with or without the need for pharmacological management. This article presents schematic flow chart for treatment emergencies in the diabetic patient and also protocols of treating the child who suffers from primary or secondary adrenal insufficiency...
September 2003: Journal of the Israel Dental Association
Burton L Edelstein
Although the majority of America's children enjoy remarkably good oral health, a significant subset of low-income, minority, medically and developmentally compromised, and socially vulnerable children continue to suffer significant and consequential dental and oral disease. Most of this inequitably distributed disease burden is preventable through early and individualized preventive care. Yet the primary-care medical and dental workforce is ill-prepared to manage the oral health needs of young children. Demographic trends suggest that the problem of disparities in both oral health status and access to competent dental services will continue to worsen for young children...
2002: Special Care in Dentistry
S Wilson
Sedatives are an important and necessary management technique for some children during dental procedures. Sedation can be administered safely and efficiently by competent practitioners who have special training in the use of the technique in children and who adhere to sedation guidelines. Nonetheless, some children present with special needs, such as medically compromising conditions, or multiple carious teeth in a child who is fearful or whose family must travel a long distance for care. Sedation cannot always safely and adequately meet the needs of these children...
October 2000: Pediatric Clinics of North America
S V Seybold, C M Flaitz
No abstract text is available yet for this article.
January 1997: Texas Dental Journal
T M Warner
In the last 5 years, the number of nonoperating room procedures performed on the pediatric population requiring sedation has skyrocketed. Some of these procedures, such as bone marrow aspiration or dental restorations, may be painful, whereas others, such as magnetic resonance imaging, are not painful but require a motionless patient. Anesthesia departments are being tasked more and more frequently to provide the sedation and monitoring for these procedures. The pediatric patient offers unique challenges in attaining the desired level of sedation for the optimal duration of time, without compromising protective reflexes, a patent airway, or cardiopulmonary stability...
November 1997: CRNA: the Clinical Forum for Nurse Anesthetists
K V Rankin, N S Seale, D L Jones, T D Rees
A number of intraoperative anaphylactic reactions to latex occur in pediatric patients. To determine the frequency and characteristics of latex reactions in pediatric dental patients, a 32-item survey was completed by consenting parental interview at three pediatric dental clinics. Two were hospital-based, specializing in dental care for chronically ill or disabled children. The other was a dental school clinic. A total of 290 surveys were completed, in approximately equal numbers from each of the three clinics...
March 1994: Pediatric Dentistry
S K Brandt, J L Bugg
During the course of dental treatment, when it is necessary to prescribe pharmacologic agents for the pediatric patient, a drug should be selected that is not only effective but also available in a readily acceptable form. Dosages should be considered carefully. Rather than attempting to adjust adult recommendations, established guidelines for children should be utilized. Manufacturer's doses should be followed when available. If a child frustrates efforts toward treatment and does not respond to nonpharmacotherapeutic management approaches, premedication should be considered...
July 1984: Dental Clinics of North America
D J Enger, A P Mourino
In this article, the authors analyze 200 patients who were hospitalized because of extensive dental caries, management problems, or because they were medically compromised.
January 1985: ASDC Journal of Dentistry for Children
P J Leggott
A number of acute oral complications may be associated with cancer therapy in children, but the extent and duration of these complications, and the most effective management techniques. have not been well described. The few studies differ in design, making comparisons difficult. Well-controlled, prospective clinical studies are needed to define the most effective strategies for the management of acute oral complications in children. However, it is clear that dental intervention prior to cancer therapy is an important factor in the optimal preparation of the patient...
1990: NCI Monographs: a Publication of the National Cancer Institute
M M Nazif, J B Sarner
High frequency jet ventilation (HFJV) has been used recently as an alternative to conventional endotracheal intubation in bronchoscopy and laryngoscopy procedure. The objective of this study was to define the applicability of the system to dental procedures performed on healthy and medically compromised patients. A total of seventeen pediatric patients ranging in age from twenty-eight months to fourteen years were included. The results of this study indicate that this technique is most beneficial for non-extraction cases, especially those with coagulation disorders or significant airway abnormalities...
May 1991: ASDC Journal of Dentistry for Children
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