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Acta Medica (Hradec Kralove) 1997This research work was done on the set of 69 children and adolescents 6-14 years old at the children's department of the dental clinic, university hospital in Hradec...
This research work was done on the set of 69 children and adolescents 6-14 years old at the children's department of the dental clinic, university hospital in Hradec Králové. We found their expectancy of dental pain inadequate to reality: 67% children overestimated expected pain, 12% underestimated it. It does not see that children feelings prior to very performance would signalize in advance how much unpleasant or painful the dental procedure is going to be. We have not found any significant difference in either understanding the instruction or sticking to them, or general cooperation of children. The average time interval of dental procedures fluctuated between 18 and 40 minutes, children were not given any anesthetics (with exception of two cases of extractions) which could be one of the causes of distress. From all the children 35% experienced pain in the dental chair and were able to assess it by VAS and verbally characterize its quality. According to the view of children assessing the subjectively experienced pain intensity there exist two types of dental procedures: the first type being represented by painless but demanding patience procedures, the second group of painful treatment (making fillings or extractions). There were no statistical difference between girls and boys in their experiencing pain but there was some difference between girls and boys as went for an approach of health workers: these much more often tried to support girls.
Topics: Adolescent; Child; Dental Care; Female; Humans; Male; Pain; Pain Measurement
PubMed: 9481884
DOI: No ID Found -
Special Care in Dentistry : Official... 2009This article discusses the issues of morbidity and mortality associated with deep sedation and general anesthesia specifically in the dental office-based setting for... (Review)
Review
This article discusses the issues of morbidity and mortality associated with deep sedation and general anesthesia specifically in the dental office-based setting for patients with special needs (PSN). A focused review of a particular environment and patient population was challenging as it was difficult to identify articles that discuss the unique scope of this subject. During the review of the literature, no article was identified that discussed this exact topic. There were articles that discussed the delivery of general anesthesia for PSN in an outpatient setting and associated issues of morbidity and mortality. There were also articles and sources of information that discussed the delivery of general anesthesia for other patient populations in the office-based setting. In an effort to support the scope of this article, some of these articles are discussed as they pertain to the subject of this article. In addition, an analysis of the author's practice over a 4-year period is discussed in an effort to present relevant data per the scope of this article. After reviewing the literature and the author's clinical practice, it appears that the incidence of mortality for PSN in the dental office-based setting is minimal and the incidence of morbidity for this same population is limited to relatively minor events. Ultimately, it was concluded that the delivery of general anesthesia for PSN in the dental office-based setting can be considered a very safe and successful procedure.
Topics: Ambulatory Care; Anesthesia, Dental; Anesthesia, General; Deep Sedation; Dental Care for Chronically Ill; Dental Care for Disabled; Dental Offices; Humans; Safety
PubMed: 19152565
DOI: 10.1111/j.1754-4505.2008.00059.x -
Nigerian Journal of Clinical Practice Jun 2022This study assessed the demographic, treatment, and patient characteristics relating to 2-year postoperative failure and success rate of 2 to 12-years-old healthy...
BACKGROUND AND AIM
This study assessed the demographic, treatment, and patient characteristics relating to 2-year postoperative failure and success rate of 2 to 12-years-old healthy children that underwent various dental procedures during comprehensive dental treatment under general anesthesia (GA).
MATERIALS AND METHODS
A retrospective study was conducted after the completion of a 2-year postoperative follow-up examination. The hospital records of all the children were reviewed by an experienced examiner. In the follow-up appointment, the clinical and radiographic evaluations of the treatments, oral hygiene, and oral hygiene practices were recorded. A P value of <0.05 was set as statistically significant.
RESULTS
Around 221 healthy children were included in the study, with a mean (SD) age of 4.92 (1.37). The most common type of failure detected 2 years postoperatively were recurrent decay (mean = 2.68, SD = 2.50), followed by stainless steel crown (SSC) open margin (mean = 0.69, SD = 1.02). Children with good oral hygiene involved the highest number of successful procedures (mean = 5.28, SD = 1.99) (P = 0.032). Children with poor oral hygiene was the factor that involved the highest number of procedure failures (mean = 8.28, SD = 3.38) (P < 0.001). The Pearson correlation coefficient showed that the younger the mean age of children during treatment under GA, the higher the rate of dental procedure failure (r = -0.202, n = 221, P < 0.01).
CONCLUSION
The failure rate of dental procedures performed during treatment under GA was highest among younger children and children with poor oral hygiene at the time of treatment. SSC crown restoration was the most common type of dental procedure received, and recurrent decay and SSC open margin were the most common types of failure detected.
Topics: Anesthesia, General; Child; Child, Preschool; Dental Care; Dental Caries; Dental Restoration, Permanent; Humans; Retrospective Studies
PubMed: 35708425
DOI: 10.4103/njcp.njcp_1807_21 -
Dental Update Dec 2007
Topics: Adult; Crowns; Dental Care; Female; Humans; Internationality; Male; Quality of Health Care; Travel
PubMed: 18196824
DOI: No ID Found -
Primary Dental Journal May 2019This study was carried out to evaluate the difference in prices for dental treatments carried out privately in general dental practice within the Birmingham area. Ten...
This study was carried out to evaluate the difference in prices for dental treatments carried out privately in general dental practice within the Birmingham area. Ten different practices were chosen at random, which were spread across Birmingham, in order to get a better insight into the differences across the districts. Their prices for pre-determined dental procedures were procured off the practices' respective websites or through telephoning. The findings of this study have shown a wide variation in prices for each dental procedure, with the greatest variation in prices between practices being ?850 for dental implants. The procedures with the lowest average cost were fissure sealants at ?23.14. The procedure with the highest average cost was dental implants at ?2,261.11. This study also showed that as more dental treatment was required, the mean cost for the dental intervention increased, regardless of the tooth being treated.
Topics: Costs and Cost Analysis; Dental Care; Dental Caries; General Practice, Dental; Humans; Pit and Fissure Sealants; Private Practice
PubMed: 31122329
DOI: 10.1308/205016819826439547 -
Community Dentistry and Oral... Aug 2012The objective of the study was to investigate factors that influence pain intensities associated with routine dental procedures.
OBJECTIVES
The objective of the study was to investigate factors that influence pain intensities associated with routine dental procedures.
METHOD
Four hundred and fifty-one dental patients self-reported pain experienced during the procedure immediately after undergoing a variety of common dental interventions and 1 day after the completion of the procedure. Pain character was measured using the McGill short-form pain questionnaire and intensity using a numerical rating (NRS) scale. Information was collected on a number of factors that could influence pain: dental anxiety was measured using the Corah Dental Anxiety Scale to categorize patients into four domains (fearless, some unease, nervous and very anxious). Dentists provided information regarding the type(s) of procedure and use of local anaesthetic (LA).
RESULTS
Seventy-five percent of patients (339/451) reported no pain during their procedure when the data were collected immediately postoperatively (NRS score = 0). Univariate analyses showed that dental anxiety, LA use and type of procedure (extractions) were significant (P < 0.05) predictors of reported intra-operative pain. However, when these factors were combined in a multivariate model, the strongest predictor of pain was dental anxiety [odds ratio (OR) = 4.98 (95% CI 1.42-17.44)] and LA use [OR = 2.79 (95% CI 1.39-5.61)]. Although the strongest predictor of postoperative pain on the next day was pain reported during the procedure [OR = 5.85 (95% CI 2.71-12.64)], LA remained a significant predictor of pain the day after the procedure [OR = 3.16 (95% CI 1.02-9.81)].
CONCLUSIONS
Dentists need to assess their patients both preoperatively for dental anxiety and intra-operatively for signs of suboptimal local anaesthesia so as to effectively align patient management and clinical techniques to control dental anxiety and produce adequate anaesthesia.
Topics: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Anesthesia, Dental; Dental Anxiety; Dental Care; Female; Humans; Male; Middle Aged; Pain; Pain Measurement; Sex Factors; Surveys and Questionnaires; Tooth Extraction
PubMed: 22316006
DOI: 10.1111/j.1600-0528.2012.00673.x -
Journal of Public Health Dentistry 2007Most of the available information on racial/ethnic disparities in oral health is based on differences in sociodemographic variables related to dental disease burden,...
OBJECTIVES
Most of the available information on racial/ethnic disparities in oral health is based on differences in sociodemographic variables related to dental disease burden, dental visits, and access to care. However, very little is known regarding racial/ethnic variation in the provision of dental procedures. This study examined trends in the provision of dental procedures and sought to determine whether there are racial/ethnic differences in the provision of dental procedures.
METHODS
This is a retrospective observational study of patients treated at a dental training institution. Data for all patients 18 to 60 years of age in axiUm (electronic database) for 2001 to 2003 were analyzed. Data include demographic information, poverty status, insurance coverage, dental procedure, and race/ethnicity. Separate logistic regression models (by dental procedure category and year) were fitted while considering race/ethnicity, insurance coverage, poverty status, marital status, and age as possible covariates.
RESULTS
The total number of dental procedures completed by providers increased by 14,000 between 2001 and 2003. African-Americans were significantly less likely to have restorative procedures [odds ratio (OR): 0.60, 95 percent confidence interval (CI): 0.42 to 0.86], (OR: 0.52, 95 percent CI: 0.38 to 0.73), (OR: 0.46, 95 percent CI: 0.36 to 0.58) in 2001, 2002, and 2003, respectively, than the White population. Significant differences in the use of other dental procedures (prosthodontics--removable) and oral surgery procedures by race/ethnicity were observed.
CONCLUSIONS
Substantial racial/ethnic variation in the provision of dental procedures exists. This study presents findings beyond anecdotal information on racial/ethnic variation in the provision of dental procedures and requires further research to compile more detailed data.
Topics: Adolescent; Adult; Black or African American; Age Factors; Dental Care; Dental Clinics; Ethnicity; Female; Hispanic or Latino; Humans; Insurance, Dental; Logistic Models; Male; Marital Status; Middle Aged; Odds Ratio; Poverty; Retrospective Studies; White People; Wisconsin
PubMed: 17436975
DOI: 10.1111/j.1752-7325.2007.00004.x -
The Journal of the American Academy of... Jul 2017The American Academy of Orthopaedic Surgeons, in collaboration with the American Dental Association, has developed Appropriate Use Criteria (AUC) for the Management of...
The American Academy of Orthopaedic Surgeons, in collaboration with the American Dental Association, has developed Appropriate Use Criteria (AUC) for the Management of Patients with Orthopaedic Implants Undergoing Dental Procedures. Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain best outcomes while considering the subtleties and distinctions necessary in making clinical decisions. The Management of Patients with Orthopaedic Implants Undergoing Dental Procedures AUC clinical patient scenarios were derived from indications of patients with orthopaedic implants presenting for dental procedures, as well as from current evidence-based clinical practice guidelines and supporting literature to identify the appropriateness of the use of prophylactic antibiotics. The 64 patient scenarios and 1 treatment were developed by the writing panel, a group of clinicians who are specialists in this AUC topic. Next, a separate, multidisciplinary, voting panel (made up of specialists and nonspecialists) rated the appropriateness of treatment of each patient scenario using a 9-point scale to designate a treatment as Appropriate (median rating, 7 to 9), May Be Appropriate (median rating, 4 to 6), or Rarely Appropriate (median rating, 1 to 3).
Topics: Dental Care; Humans; Orthopedics; Prostheses and Implants; United States
PubMed: 28582338
DOI: 10.5435/JAAOS-D-17-00006 -
Special Care in Dentistry : Official... 1992The purpose of this study was to determine if treatment of medically compromised patients requires more time than that of healthy patients. The time taken to complete...
The purpose of this study was to determine if treatment of medically compromised patients requires more time than that of healthy patients. The time taken to complete diagnostic and manipulative procedures was studied and compared for both groups. After an evaluation of 160 procedures on 108 patients, it was determined that no differences existed in the time taken to complete technical procedures between the two groups. However, the diagnostic and evaluation phase for moderately to severely compromised patients required twice as much time as that of healthy individuals.
Topics: Analysis of Variance; Dental Care for Disabled; Episode of Care; Humans; Time Factors
PubMed: 1440121
DOI: 10.1111/j.1754-4505.1992.tb00414.x -
The Journal of Clinical Pediatric... Jul 2023It is imperative to manage children with empathy and concern for their well-being in order to carry out any dental procedure smoothly. Owing to the inherent fear of...
It is imperative to manage children with empathy and concern for their well-being in order to carry out any dental procedure smoothly. Owing to the inherent fear of dental operatory, behaviour management of children is an important aspect of pediatric dental care. Many techniques are available to help manage the behaviour of children. It is, however important to educate parents about these techniques and to get their cooperation for these techniques to be used on their children.This study aimed to familiarize the parents with non-pharmacological behavior management techniques and to determine the parental acceptance of such techniques in children seeking dental treatment in specialty care dental units. A total of 303 parents were evaluated through online questionnaires in this research. They were shown videos of randomly selected non-pharmacologic behaviour management techniques including tell-show-do, positive reinforcement, modelling and voice control. Parents were asked to watch the videos and give their response on seven-items inquiring about their acceptance levels regarding the respective techniques. The responses were recorded on a Likert scales ranging from strongly disagree to strongly agree. According to parental acceptance score (PAS), positive reinforcement was the most accepted technique whereas voice control was the least acceptable technique. Majority of the parents were more receptive towards those techniques that involved a healthy and friendly communication between a dentist and the pediatric patient such as, positive reinforcement, tell show do and modelling. Most significantly the people having low socio-economic status (SES) in Pakistan were more acceptable of voice control than people with high SES.
Topics: Child; Humans; Cross-Sectional Studies; Restraint, Physical; Child Behavior; Parents; Dental Care
PubMed: 37408344
DOI: 10.22514/jocpd.2023.033