ASDC journal of dentistry for children最新文献

Purpose: To report the incidence and severity of the oral and dental manifestations associated with congenital insensitivity to pain with anhidrosis (CIPA).

Methods: Young children with CIPA underwent orofacial examination. The tongue, lips, and buccal mucosa were examined for soft tissue disorder. Missing and luxated teeth were recorded.

Results: Twenty four patients (14 males and 10 females, mean age 60 months, range 9-144 months) with CIPA showed moderate to severe self-mutilation. Oral self-mutilation, such as biting injuries and scarring of soft tissues (tongue, lip, and buccal mucosa) were found in all patients. Fingertip biting was also found in most patients. Among infant patients, the mutilation was typically characterized by decubital ulcers of the tongue. Many edentulous areas due to previously extracted teeth were also found.

Conclusions: Early diagnosis and specific dental care for patients with CIPA can be helpful in prevention of the fingertip biting and orofacial manifestations seen in this disorder.

Unlabelled: The present study was undertaken to examine if daily anxiety-provoking situations can predict dental anxiety in a toddler. Parents of 73 toddlers were sent 2 questionnaires: 1) the Dental Subscale of the Children's Fear Survey Schedule (CFSS-DS), and 2) the Inventory of Stressful Situations (ISS), a list of 16 questions developed to assess anxiety in daily stressful situations. This investigation was repeated one year later. Forty-eight parents completed all questionnaires. Results show a clear correlation between daily stressful situations at the age of 3 and dental anxiety at the age of 3 (r = .62, p < 0.01, two-tailed) and at the age of 4 (r = .49, p < 0.01, two-tailed). Regression analyses revealed that the ISS at the age of 3 predicted dental anxiety at the age of four; however, it did not contribute additionally if the CFSS-DS score at the age of three was included.

Conclusion: Daily anxiety-provoking situations in 3-year-old children may be related to dental anxiety at the age of 4.

To determine the positions of teeth and the size and shape of the dental arches, 53 dental casts of children (29 boys and 24 girls) with their early permanent dentition and normal occlusions were examined. The coordinates of cusp tips and line angles of anterior teeth and cusp tips, contact points, and fossa of posterior teeth were digitized. Computer-generated curves were created for both arches using a polynomial model. There were 2 cusp-to-fossa relations and 4 cusp-to-marginal ridge relations for posterior segment intercuspation. Mean values of posterior arch lengths were statistically larger in boys than in girls. Mean curves of boys' dental arch forms were larger than those of girls and the ranges between the largest and smallest curves for both arches in boys were larger than those in girls. The boys' and girls' smallest curves for both arches were almost the same size.

The purpose of this study was to compare knowledge regarding preventive measures and reported dental fear, of children treated by certified pediatric dentists (CPDs) to those treated by general practitioners (GPs). A questionnaire was given to 300 children, 150 were treated by GPs and the others by CPDs. Children treated by CPDs provided more correct answers to questions about prevention of oral disease (p < 0.001). However, the percentage of children that showed good knowledge was small (14%-82%), and the differences between the two groups on the various questions was only 7%-20%. Children treated by CPDs reported more frequently that they were not afraid of dental treatments (75.3% vs. 39.3%), loved their dentists (50% vs. 31.5%) and received prizes (85.3% vs. 32.7%). These findings suggest that CPDs invest more effort in communication and education of their patients concerning preventive dentistry. There is a need to improve these skills of GPs and CPDs.

Purpose: The purpose of this study was to compare parents' acceptance of passive restraint with their personal perception of their own anxiety, their evaluation of their child's emotional state while being restrained and the treating dentist's perception of their levels of stress.

Methods: A convenience sample of 100 children who needed passive restraint in order to complete their restorative dental needs were included in the study. After the dental treatment was completed, surveys were mailed to the parents who were in the operatory during the restorative procedure, asking them to evaluate their level of stress, their view of how their child accepted the passive restraint device and their view of the success of the procedure. The treating dentist also evaluated their apparent levels of apprehension and the behavior of the children while being restrained, using the Sarnat Scale. There were 42 replies to the survey.

Results: The results showed that the difference between the percentage of parents that felt no anxiety vs. moderate to severe anxiety was not significant. Ten percent of the parents felt their child did not mind being restrained, while the balance was evenly split between feeling that their child was either unhappy but accepting or unhappy and not accepting of restraint.

Conclusions: For the population studied, the use of passive restraint was acceptable to most parents, as those in this study did not view it negatively. They were clam while observing their child being treated and happy with their decision for its use. The results suggest that most parents will accept this modality for behavior control.

The purpose of this study was to determine the amount of time Texas pediatric dentists spent, as both residents and in their professional position, in the treatment of special needs patients. In addition, an attempt was made to determine the dental services offered to these patients along with the barriers to obtaining care. A survey was mailed to the 334 members of the Texas Academy of Pediatric Dentistry. From the returned surveys (61.9% or 207/334) the following conclusions were drawn: 1) Most respondents had a significant portion of their training program devoted to special patient care, 2) Virtually all reported treating some special needs patients in their professional position, 3) Most provided conscious sedation and general anesthesia and adjuncts to behavior management for these patients, 4) Insufficient financial reimbursement was a major reason cited for not providing dental services to more of these patients.

The purpose of this report was to describe the radiographic findings of 6 uncommon situations of supernumerary teeth in a Brazilian pediatric dentistry and orthodontic clinic. Six cases of supernumerary teeth were diagnosed in association with other dental anomalies such as number, position, and form. The supernumeraries were asymptomatic and were detected through routine radiographic examination. The importance of routine radiographic examination is emphasized for the correct diagnosis of supernumerary teeth, and avoidance of associated complications.

It is well recognized that cervicofacial actinomycosis is rare in children, especially at maxilla. Actinomycosis involving the maxilla usually is seen as a localized intraoral infection in contrast to classical cervicofacial actinomycosis. In this article, we describe an 8-year-old patient who had actinomycosis involving the bone at the left maxillary lateral incisor region. The diagnosis was based on histologic report because of location and development of the lesion with unusual history. The treatment of choice was removal of the soft and hard tissues with concomitant prolonged penicillin administration. In cases of persistent oral infection the diagnosis of actinomycosis should be actively attempted through microbiologic and histologic examination.

The study investigated the clinical performance of 387 space maintainers fitted in 358 patients aged from 3 to 9 years in the Department of Pediatric Dentistry at the Faculty of Dentistry-University of Jordan from 1996 to 2000. Failure occurred in 119 appliances (30.7%), of which 49.6% were due to solder breakage, 32.8% from cement loss, 11% from soft tissue lesions, 4.2% from eruption interference, and 2.5% were completely lost. By using the Kaplan-Meier method, the estimated median survival time for space maintainers was 18 months. Lingual arches had the lowest median survival time of 14 months. Bands and loops, Nance appliances, and removable partial dentures had similar probability of survival. Fixed bilateral mandibular appliances recorded lower survival time than fixed bilateral maxillary appliances. Gender, age, type of dentition, fixed vs. removable, year of placement of the appliance and number of space maintainers fitted simultaneously in the same patient had no significant effect on survival of the appliances.

This report describes a rare case of a supplemental tooth with a morphology similar to a lateral incisor, found in the canine region of the mandible of a 6-year-old male. The purpose of this paper is to report the importance of early diagnosis and treatment during mixed dentition. The treatment was extraction of the primary mandibular left canine soon after the initial diagnosis of the condition to facilitate the spontaneous eruption of the supplemental tooth and his removal. Twenty-nine months after the removal of the supplemental tooth the mandibular left canine was fully erupted into normal position. No complication arose from the presence of this supernumerary and his early diagnosis has been very important for not disrupting the normal erupting or alignment of other teeth.