Background: Management of children with attention-deficit hyperactivity disorder (ADHD) can be challenging due to their disruptive behaviour. Basic behaviour management techniques (BMTs) may not be sufficient, and adjunctive strategies such as virtual reality (VR) glasses or white noise can be employed.
Aim: To assess and compare the effectiveness of VR, white noise and basic BMTs on dental anxiety and behaviour of children with ADHD.
Design: Forty-eight children with ADHD were recruited for this parallel, three-armed randomised controlled clinical trial, which involved three visits at one-week intervals, including examination, preventive measures and restorations. Children were randomly divided into three groups: VR, white noise and basic BMTs. Outcome measures were Faces Image Scale (FIS), Heart Rate (HR) and Venham's Behaviour Rating Scale (VBRS).
Results: No significant difference was found between the groups in FIS scores. White noise group had a significantly lower mean HR than control group in all visits. Scores of VBRS in VR and white noise groups were significantly lower than those in the control group during the restorative visit.
Conclusions: VR and white noise could be beneficial in managing dental anxiety and improving behaviour in children with ADHD and could be used as adjunctive strategies to basic BMTs.
Background: Regenerative endodontic procedures (REPs) is effective for treating young permanent teeth with pulp necrosis. However, its efficacy on delayed replanted avulsed teeth is unclear.
Aim: This retrospective study aimed to assess the efficacy of REPs in treating delayed replanted immature permanent teeth with apical periodontitis.
Design: Avulsed teeth receiving REPs were systematically screened based on predetermined criteria. This study assessed the REP outcomes, postoperative periodontal healing, and overall treatment efficacy. Samples were grouped by REP outcomes and root development stage, with Fisher's exact tests used to compare outcomes among different groups.
Results: Among the included 17 teeth, 47.1% exhibited successful REPs and periodontal healing. Another 47.1%, due to replacement resorption or REP failure, were categorized as tooth survival. Healing of periapical lesions was observed in 88.2% of the cases, but only 41.2% demonstrated continued root development. Although differences were not significant (p = 0.05), teeth with continued root development had a higher rate of functional healing (85.7%) compared to those without (30%).
Conclusion: Within the limitations of this study, REPs presented reliable outcomes for treating delayed replanted immature permanent teeth with apical periodontitis mainly in periapical lesion healing. Teeth with continued root development after REPs exhibited a higher rate of functional healing. Further investigation is required to explore potential synergies between REP outcomes and periodontal healing.
Background: Weighted blankets are one method to provide deep pressure touch sensations, which are associated with a calming effect on the nervous system. Weighted blankets have been reported to elicit a calming effect during stressful dental encounters and routine prophylactic visits in older adolescents and adults. Preliminary research suggests that weighted blankets are safe and feasible for children in both hospital and home settings; this, however, has not yet been examined in a paediatric dental environment.
Aim: To examine the feasibility, acceptability, and perceived effectiveness of a weighted blanket during paediatric dental care.
Design: This cross-sectional study examined child, caregiver, and dentist-reported responses to survey questions asking about their experience with the weighted blanket during care (n = 20 each per child and caregiver group, n = 9 dentists).
Results: The use of a weighted blanket is feasible, acceptable, and appropriate as reported by caregivers and dentists (means ≥ 4.70 on the Feasibility of Intervention, Acceptability of Intervention, and Intervention Appropriateness Measures). Few problems were described, and all groups overwhelmingly responded with enthusiasm, noted the blanket's potential for future use, and perceived that a weighted blanket improved care (means ≥ 4.10).
Conclusions: Study findings support the feasibility and acceptability of using a weighted blanket during a routine, noninvasive paediatric dental care.
It is a pleasure once again to introduce our BSPD supplement. As ever, the 2024 supplement includes our annual conference abstracts and the Quality Improvement Bulletin. Our conference this year will be hosted by the South Wales Branch in Cardiff where the presidency will transfer from Prof Paula Waterhouse to Dr Shannu Bhatia. The conference has been organised under the local chair, Dr Rohini Mohan, and I am looking forward to an excellent programme, the usual networking opportunities as well as seeing the abstracts presented.
Reviewing the abstracts has provided an excellent insight into the breadth and quality of work going on in the speciality, and it is encouraging to see new innovations, new applications of methods and work putting children at the heart of what we do. I would especially like to thank members of the Conference Abstracts and Prizes Committee for their very hard work in reviewing the abstracts and in advance for their judging of the prize competitions.
Our Quality Improvement Briefing editor Dr Cheryl Somani has created an informative and interesting set of articles with a thought-provoking invited feature on virtual clinics from Lexy Lyne and Joe Noar. I must extend a warm congratulations to Cheryl and the rest of the QIB team, Armaana Ahmad and Claudia Heggie, for this important aspect of BSPD's work.
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