Behaviour Guidance Techniques in Dentistry to prevent the need of General Anesthesia

In this thesis we wanted to find out; "Are there guidelines on the use of behaviour guidance techniques in dentistry to prevent the need of General Anesthesia"

A Retrospective Study of Operating Room Utilization and Efficiency in a Pediatric Dental Residency Program

Purpose: The purpose was to assess and understand operating room (OR) utilization and efficiency in a pediatric dental residency program. Methods: A retrospective study was performed using chart extraction from 778 patients completed by both pediatric dentistry faculty (n=7) and residents (n=17) in an ambulatory care setting over a 32 month period (between July 2010 and March 2013). Patterns in OR usage time were determined by documenting various timing metrics (start and stop times for anesthesia, start and stop times for the dental procedure, times for throat pack in and out), noting patient information (age and ASA patient classification status), and creating variables by grouping data by clinical provider type and dental procedure. OR usage time was analyzed using multiple regression to estimate the per-tooth or per-mouth time for each type of procedure. Results: The median procedure time was 75 minutes (range= 1 to 517 minutes). Multiple regression indicated that for the average patient, a faculty member took 63.8 minutes (95% CI = 60.8 to 66.7 minutes) and a resident took 81.9 minutes (95% CI = 78.7 to 85.0 minutes, P\u3c.0001).These results demonstrate that the appropriate scheduling of operating room should be based on the proficiency level of provider as well as the complexity of the dental procedure. Conclusion: This study concludes that pediatric dental operating room planning and scheduling in teaching hospitals should take into account real constraints such as residents’ level of training and skill

Süt dişlerinde restoratif materyal seçimi ve etkileyen faktörler

Son yıllarda, çürüklü süt dişlerinin restorasyonunda kullanılan materyallerde yeni gelişmeler elde edilmiştir. Süt ve karışık dişlenme döneminde estetik özellikleri nedeniyle sıklıkla tercih edilen cam iyonomer siman, rezin modifiye cam iyonomer, poliasit modifiye kompozit rezin (kompomer) ve kompozit rezin gibi materyaller günden güne geliştirilmektedir. Süt dişlenmede diş renginde restoratif materyallerin kullanımı, düşük başarısızlık oranlarıyla birlikte konservatif kavite preperasyonları için oldukça avantajlıdır. Ancak, yüksek çürük riskli hastaların ve pulpa tedavili dişlerin restorasyonunda estetik olmayan preforme metal kronlar tercih edilmelidir. Bu derlemede amacımız; süt dişi restorasyonlarında kullanılan restoratif materyaller hakkında bilgilerimizin güncellenmesi ve bu materyallerin avantaj ve dezavantajlarının tartışılmasıdır

Эффективность применения одонтотропной пасты «biodentine tm» при лечении обратимых форм пульпита у детей

Kovach I., Bunyatyan K. The effectiveness of the use of odontotropic paste "biodentine tm" in the treatment of reversible forms of pulpitis in children. Annotation. Conduct basic and additional research methods in 38 children with reversible forms of pulpitis temporary and permanent teeth with unformed roots. Conduct a pulpotomy along the Cvek, followed by coating the pulp with the "Biodentine" material. And also to assess the degree of action of the paste on the processes of apexogenesis and apexification. The patients were divided into 2 groups. Among them, 19 children with permanent teeth at the stage of unformed root, whose age ranged from 8 to 9 years. And also 19 children with temporary teeth at the stage of unformed and unclosed apex of the root, whose age was from 2 to 4 years. When treating the pathology of tooth pulp with incomplete root formation, it is necessary to take into account that dental interventions are performed on the developing structures of the tooth, characterized by functional immaturity and the possibility of inadequate pulp reaction to various stimuli not formed by the apical region. Preserving the viability of the whole pulp or its root part is a necessary condition for root growth in length and thickening of its walls, which ensures the functional value of the tooth. Now more attention is paid to the regeneration of pulp tissues. In connection with this, many studies of trioxide silicate compounds are carried out. It is the most biocompatible with soft tooth tissues, and it also has a good effect on the physiological processes of apexogenesis and apexifications for the shortest time. Keywords

Management of a complex dentoalveolar trauma: a case report

This paper describes the case of a 12-year-old male patient who presented a severe lateral luxation of the maxillary central incisors due to a bicycle fall. Treatment involved suture of the soft tissues lacerations, and repositioning and splinting of the injured teeth, followed by endodontic treatment and periodontal surgery. After a 2-year follow-up, clinical and radiographic evaluation revealed that the incisors presented satisfactory esthetic and functional demands.Este artigo apresenta o caso de um paciente de 12 anos de idade que apresentou uma luxação lateral severa dos incisivos centrais superiores decorrente de uma queda de bicicleta. O tratamento envolveu a sutura dos tecidos moles dilacerados e reposicionamento e fixação dos dentes traumatizados, seguidos por tratamento endodôntico e cirurgia periodontal. Após um acompanhamento de 2 anos, a avaliação clinica e radiográfica revelou que os incisivos apresentavam exigências estéticas e funcionais satisfatórias

Особенности антисептической обработки при лечении острого травматического пульпита в постоянных зубах с несформированными корнями

Цель: изучить и оценить антибактериальное и цитотоксическое действие антисептических препаратов при лечении острого травматического пульпита путем применения трикальцийсиликата. Пациенты и методы. Были обследованы 24 ребенка в возрасте от 7 до 9-ти лет. Проведено лечение острого травматического пульпита биологическим методом на этапе несформированного корня. Обследованные пациенты были разделены на две группы. В первой группе были 14 детей, у которых в качестве галогенсодержащего препарата для антисептической обработки рога пульпы был использован 0,05 % хлоргексидин с дальнейшим покрытием пульпы материалом на основе трикальцийсиликата. Во второй группе 10 детей, у которых в качестве галогенсодержащего препарата для антисептической обработки рога пульпы был использован 0,5 % натрий гипохлорита с дальнейшим покрытием пульпы материалом на основе трикальцийсиликата. Результаты. В результате исследования и применения разных антисептических препаратов для обработки пульпы была установлена разная степень активности одонтотропного действия материала на основе трикальцийсиликата. Установлено, что жалобы детей, находящихся на лечении по поводу острого травматического пульпита, напрямую зависели от выбора антисептического препарата, который использовался для медикаментозной обработки. Выводы. Трикальцийсиликат не разрушает клетки пульпы, стимулирует формирование третичного дентина и может использоваться для защиты пульпы в постоянных зубах с несформированными корнями после антисептической обработки хлоргексидином. При этом гипохлорит натрия влечет за собой необратимые процессы в незрелой пульпе, тем самым угнетая процесс ее регенерации

Dentists and dietitians: recommendations of snacks and dental caries experience among kindergarteners”

Parents receive diet recommendations for their children from dentists and dietitians, but a conflict of diet suggestions has been reported. This research was conducted to investigate dental caries experiences in children consuming snacks that were recommended by dentists and/or dietitians. A total of 442 kindergarteners under went dental examinations, and their caregivers filled out questionnaires. Snacks were sorted by name. Three dentists and three dietitians determined whether they would recommend these snacks. The snacks were divided into four categories: snacks recommended by both groups, snacks recommended by neither, snacks recommended only by dentists, and snacks recommend only by dieticians. Children were assigned to particular groups based on their primary snack consumption. The children’s caries experiences (dft) were compared among the four groups. The agreement level on the recommended snacks between dietitians and dentists was moderate (Kappa=0.43). Thirty-nine snacks were identified; 13 recommended by neither, 4 recommended by dietitians, 7 were recommended only by dentists, and 15 were recommended by both. The mean (standard deviation) of dft amongthe children was 4.66 (3.81), 2.66 (3.17), 3.21 (3.37), and 4.02 (4.02), and respectively. The ANOVA and Tukey post-hoc tests indicated that children who consumed snacks recommended only by one professional, dietitian or dentist, have significantly fewer dental caries than children who consumed snacks recommended by neither professional. (ANOVA: F=4.494, p=0.004, Tukey post-hoc test: p=0.007 and p=0.046, respectively). Dentists can recommend snacks that are nutrient dense, even though it contains sucrose

Применение трикальцийсиликатного цемента при лечении обратимых форм пульпита в постоянных зубах с несформированными корнями

Цель. Оценить степень действия трикальцийсиликатного цемента на регенеративные процессы пульпы постоянных зубов на разных этапах формирования корней. Пациенты и методы. Нами было обследовано 32 ребенка с обратимыми формами пульпитов, которые были разделены на 2 группы исследования. В первую группу входили 18 детей, первые постоянные моляры которых находились на этапе роста корня зуба в длину. Возраст детей этой группы составлял 6-7лет. Во второй группе наблюдалось 14 детей. Возраст детей этой группы составлял 8-9 лет, у которых первые постоянные моляры находились на этапе несформированной верхушки корня зуба. Провести прямое покрытие пульпы с последующим покрытием трикальцийсиликатным цементом. Результаты. В результате исследования и применения трикальцийсиликатного цемента, нами было установлено, что данный цемент не разрушает клетки пульпы, стимулирует формирование твердотканного барьера и может использоваться для защиты пульпы в постоянных зубах с несформированными корнями. Регенеративные свойства пульпы постоянных зубов с несформированными корнями подтверждены рентгенологическими исследованиями в виде дентинного мостика, который определялся на 8-й день после проведенного лечения. Выводы. 1. При лечении патологии пульпы постоянных зубов с несформированными корнями применяется трикальцийсиликат, который оказывает выраженное влияние на физиологические процессы апексогенеза и апексофикации за достаточно короткий срок-8-10 дней. 2. Метод прямой пульпотерапии позволяет сохранить жизнеспособность обнаженной пульпы за счет создания обызвествленного барьера (дентинного мостика) в зоне вскрытия полости зуба. 3. Нами установлено, что прямое покрытие незрелой пульпы трикальцийсиликатным цементом обеспечивает высокий уровень антисептики (асептическое воспаление), в результате чего происходит дифференцировка фибробластов и клеток мезенхимы в одонтобласты. В дальнейшем образуются коллагеновые волокна, которые в последствие минерализуются в фибродентин

Motivational Factors for Treating Patients with Special Health Care Needs

Purpose: The purpose of this study is to assess what training and motivational factors dental providers report in providing dental care to PSHCN (patients with special healthcare needs. Materials and Methods: An electronic questionnaire was sent to n=104 fourth year dental students, n=147 general dentists with a specific continuing education course pertaining to PSCHN, and n=140 pediatric dentists in Virginia. The questionnaire consisted of four sections including Demographics, Professional Attitudes, Special Needs Patients and Motivational Factors, and PSCHN Cases. Results: The overall response rate for our study was 21%. The response rates of dental students, general dentists, and pediatric dentists were 30%, 10%, and 25%, respectively. A statistically significant difference was found for 10 out 12 motivational factors. Conclusions: There is a difference in motivational factors among the three different types of dental providers