Association Between a Child’s Caries Experience and the Mother’s Perception of Her Child’s Oral Health Status

Objectives. Mothers play a primary role in the health of their children. This role may be of particular importance for children in Appalachia who have increased caries relative to children in other regions of the United States. The authors examined the degree to which a child’s caries experience was in concordance with mother’s perception of the health of her child’s teeth, and how concordance varied by sociodemographic factors. Methods. The authors obtained cross-sectional data on mother-child dyads with children younger than 6 years through the Center for Oral Health Research in Appalachia study. They interviewed and clinically examined a community-based sample of 815 mother-child dyads in Pennsylvania and West Virginia. They used an unadjusted zero-inflated negative binomial model to estimate the association between a mother’s perception of her child’s oral health status and her child’s caries. The authors compared sociodemographic factors between concordant and non-concordant mother-child dyads using χ2 tests. Results. The mother’s perception of child oral health status was associated with child’s caries experience (P<.001). Two-thirds of mother-child dyads showed concordance between the mother’s perception of her child’s oral health status and the child’s dental caries experience (n=522, 64%). Concordance was associated with younger child age and child dental insurance (P<.01). Conclusions. On average, mothers accurately perceived their child’s caries experience. This accuracy was higher for younger children and children with dental insurance. Practical Implications. The mother’s awareness of her child’s oral health status has public health significance, as it could be used to develop effective prevention and treatment strategies, particularly for young children vulnerable to dental caries

C.E. Credit. Management of Severe Intrusive Injury in an Immature Permanent Incisor with Revascularization

ABSTRACTBackground Traumatic intrusion is considered one of the most severe dentoalveolar injuries; however, there is limited research detailing the management and treatment of these injuries, particularly in immature permanent teeth.Case Description This case report describes the management of a severe traumatic intrusion presenting with an uncomplicated crown fracture, pulp necrosis and external root resorption in a 7-year-old African American female. The left maxillary central incisor (tooth No. 9) was intruded approximately 10 mm and inaccessible. The tooth was orthodontically extruded over the course of five months. Once exposed, a regenerative endodontic procedure under oral sedation was completed. Clinical and radiographic examinations during the follow-up period showed cessation of the resorption process and discontinuation of signs and symptoms.Practical Implications This case demonstrates that severe intrusive injuries in immature permanent teeth can be effectively managed with revascularization even when initiation of revascularization must be delayed due to extended time needed for orthodontic repositioning.Continuing Education Credit Available: The practice worksheet is available as supplemental material for this article: https://doi.org/10.1080/19424396.2023.2176580.A CDA Continuing Education quiz is online for this article: https://www.cdapresents360.com/learn/catalog/view/2