Failure Rate of Pediatric Dental Treatment under General Anesthesi

Aim: To assess the failure rates of various pediatric dental treatments performed under general anesthesia (GA) after six months to five years of follow-up. Design: This multicenter retrospective cohort study was performed on patients treated by five pedodontists in two private hospitals located in northern Iran during 2010⁻2013 and comprised 155 patients. The patients were recalled and clinically examined. During the clinical examination of the primary teeth, oral hygiene, dmft index, and failure of previous treatments was evaluated. The data were analyzed using the Chi square and regression analyses with a significance level of 0.05. Results: 114 patients (74 males and 40 females, mean age: 37.17 ± 10.75 months) with 1155 primary teeth treated under GA participated in the follow-up. The overall failure rate was 6.59%. The failure rates of pulpectomy, pulopotomy, fissure sealant, stainless steel crown (SSC), amalgam, and composite fillings were 2.90%, 3.03%, 4.83%, 5.26%, 5.33%, and 9.63%, respectively. Among the confounding factors, only gender had a significant effect on the anterior composite failure rate (p = 0.029) and age had a significant effect on the failure rate of fissure sealant therapy (p = 0.015) and SSC (p = 0.018). Conclusion: The overall rate of treatment failure in pediatric patients, treated under GA, was 6.59%

The distribution of public services from the perspective of spatial equality

One of the most prominent consequences of rapid urbanization has recently been the disintegrated distribution of municipal services which predisposes inequality in citizens' benefiting from these services. Therefore, the city planners and managers' main goal must be to achieve the ideal of 'equality of opportunities' to help different groups of urban population have access to public services and eliminate conflicts in the provision of opportunities. In the present descriptive-analytical study, after specifying the indicators, ten regions of Tabriz are ranked in terms of the distribution of municipal services using three different methods (per capita land use, accessibility and residents' idea) and action priorities are presented for each region. The results of this study show that Tabriz has an inappropriate spatial distribution of public services and the population is incompatible with the distribution of services. Region 8 is in a good condition compared to the other while region 7 and 9 has a poor distribution of public services

In vitro evaluation of dentin tubule occlusion by three bioactive materials: A scanning electron microscopic study.

BACKGROUND: Dentin hypersensitivity (DH) is a common problem characterized by a short, sharp pain. Reduction of dentin permeability by occluding dentin tubules is considered as a method for treating DH. Many substances are available to decrease hypersensitivity. The aim of this study is to evaluate the ability of three different remineralizing agents for occluding dentinal tubules in comparison with positive and negative controls. MATERIALS AND METHODS: In this in vitro scanning electron microscopic (SEM) study, 75 extracted premolars were cut into crown and root fragments with a bur and divided into five groups: group 1: Sodium fluoride 5% varnish was applied (positive control), Group 2: No treatment (negative control), Group 3: Treated with Remin Pro (contains hydroxyapatite and fluoride), Group 4: Treated with MI paste (contains casein phosphopeptide-amorphous calcium phosphate [CPP-ACP]) and Group 5: Treated with GC tooth mousse (contains CPP-ACP). SEM images were obtained and mean tubular diameter was measured in each group. One-way ANOVA and Duncan's tests were used for statistical analysis. A significant level of α = 0.05 was set for comparison between the groups. RESULTS: Statistically significant difference was observed between Group 2 (negative control) and other four groups (P 0.05). CONCLUSION: Under the limitations of the present in vitro study, it can be concluded that the application of a CPP-ACP paste as well as a paste which contains fluoride is effective on reduction of dentin permeability. KEYWORDS: Bioactive; dentin permeability; scanning electron microscop

A zero-inflated geometric INAR(1) process with random coefficient

summary:Many real-life count data are frequently characterized by overdispersion, excess zeros and autocorrelation. Zero-inflated count time series models can provide a powerful procedure to model this type of data. In this paper, we introduce a new stationary first-order integer-valued autoregressive process with random coefficient and zero-inflated geometric marginal distribution, named ZIGINAR$_{\rm RC}(1)$ process, which contains some sub-models as special cases. Several properties of the process are established. Estimators of the model parameters are obtained and their performance is checked by a small Monte Carlo simulation. Also, the behavior of the inflation parameter of the model is justified. We investigate an application of the process using a real count climate data set with excessive zeros for the number of tornados deaths and illustrate the best performance of the proposed process as compared with a set of competitive INAR(1) models via some goodness-of-fit statistics. Consequently, forecasting for the data is discussed with estimation of the transition probability and expected run length at state zero. Moreover, for the considered data, a test of the random coefficient for the proposed process is investigated

A review of the systemic fluoride in preventive dentistry

Introduction: Fluoride is one of the most important materials in preventive dentistry. Although the prevalence of dental caries is inversely related to the concentration of fluoride in drinking water, there is a dose-dependent relationship between fluoride concentration in drinking water and the prevalence of dental fluorosis. Some studies have reported a possible association between fluoride and increased risk of bone fractures, decreased thyroid function, arthritis-like conditions, precocious puberty and osteosarcoma. The purpose of this review study was to evaluate the current status of systemic fluoride in dentistry by considering its advantages and potential side effects. Description: A search was run in PubMed, OVID Evidence-based Reviews, SCOPUS and Google Scholar from 1985 to May 2013 and available reference textbooks. Of all the papers, review articles and valid research papers on the systemic use of fluoride and its advantages and potential disadvantages were selected. Conclusion: It appears although the benefits of fluoride in combating dental caries are evident, the potential side effects of incorrect use of fluoride, especially its systemic use, should be taken into account. Incorporation of fluoride into drinking water might lead to complications. With recent advances in new methods for controlling dental caries it is advisable to more carefully evaluate the systemic use of fluoride

A comparative study of Candida albicans mean colony counts and blood group antigens in the saliva of healthy subjects

Background:: Candida albicans is the most common opportunistic fungal species in the oral cavity. Various factors associated with C. albicans infection have been evaluated so far. In some studies, the relationship between the blood group antigens and C. albicans has been discussed. The aim of this study was to assess mean C. albicans colony counts in the saliva of healthy subjects and its relationship with ABO blood groups. Materials and Methods:: This cross-sectional/analytical study was performed in the Oral Medicine Department, School of Dentistry, Isfahan University of Medical Sciences. Unstimulated whole saliva samples were obtained from 300 healthy subjects, including 100 individuals with blood group O, 100 with blood group A and 100 with blood group B. The samples were cultured on Sabouraud's dextrose agar media to determine the means of C. albicans colonies. Data were analyzed by Kruskal-Wallis and Mann-Whitney statistical tests and SPSS 16. Statistical significance was defined at P < 0.05. Results:: The samples included 156 males and 144 females with a mean age of 27.52 years. The mean colony counts in the saliva of individuals with blood groups O, A, and B were 26.4, 19.84, and 21.23, respectively. There were no significant differences between the three groups (P = 0.280). Conclusion:: Although the mean C. albicans colony counts in individuals with blood group O were more than those with other blood groups, the differences were not statistically significant. More research studies are needed in order to prove the role of blood groups in susceptibility to candidiasis

Failure Rate of Pediatric Dental Treatment under General Anesthesia

Aim: To assess the failure rates of various pediatric dental treatments performed under general anesthesia (GA) after six months to five years of follow-up. Design: This multicenter retrospective cohort study was performed on patients treated by five pedodontists in two private hospitals located in northern Iran during 2010&ndash;2013 and comprised 155 patients. The patients were recalled and clinically examined. During the clinical examination of the primary teeth, oral hygiene, dmft index, and failure of previous treatments was evaluated. The data were analyzed using the Chi square and regression analyses with a significance level of 0.05. Results: 114 patients (74 males and 40 females, mean age: 37.17 &plusmn; 10.75 months) with 1155 primary teeth treated under GA participated in the follow-up. The overall failure rate was 6.59%. The failure rates of pulpectomy, pulopotomy, fissure sealant, stainless steel crown (SSC), amalgam, and composite fillings were 2.90%, 3.03%, 4.83%, 5.26%, 5.33%, and 9.63%, respectively. Among the confounding factors, only gender had a significant effect on the anterior composite failure rate (p = 0.029) and age had a significant effect on the failure rate of fissure sealant therapy (p = 0.015) and SSC (p = 0.018). Conclusion: The overall rate of treatment failure in pediatric patients, treated under GA, was 6.59%

Comparative evaluation of bispectral index system after sedation with midazolam and propofol combined with remifentanil versus ketamine in uncooperative during dental procedures

Background: Proper analgesic agents should be used in combination with sedative agents. Remifentanil is a synthetic narcotic/analgesic agent with a short duration effect and decreases the risk of apnea during recovery. Bispectral index system (BIS) is a new noninvasive technique for the evaluation of the depth of sedation. The aim of present clinical trial was to evaluate and compare the efficacy of intravenous sedation with propofol/midazolam/remifentanil (PMR) in comparison to propofol/midazolam/ketamine (PMK) for dental procedures in children 3-7 years of age. Materials and Methods: In this clinical trial, 32 healthy uncooperative children who were candidates for dental treatments under sedation were randomly divided into two groups. Intravenous sedation was induced with PMR in one group and with PMK in the other group. After injection and during procedure BIS index, heart rate and respiratory rate, blood pressure, and oxygen saturation was evaluated every 5 min. After the procedure, recovery time was measured. Data were analyzed with ANOVA, Friedman, Wilcoxon, and t-test. Results: The BIS value was significantly low in ketamin group (P = 0.003) but respiratory rates and heart rates were same in both groups with no statistical difference (P = 0.884, P = 0.775). The recovery time was significantly shorter in remifentanil group (P = 0.008 and P = 0.003). Conclusion: It can be concluded that intravenous sedation technique with PMR combination induces effective and safe sedation, with less pain and more forgetfulness and a shorter recovery time for children 3-7 years of age during dental procedures. © 2015 Dental Research Journal | Published by Wolters Kluwer - Medknow

The association of pri-miRNA- 26a1 rs7372209 polymorphism and Preeclampsia susceptibility

MicroRNAs (miRNAs) are a class of noncoding small RNAs which regulate gene expression through post-transcriptional repression or degradation of messenger RNA. They play very important roles in various biological processes including growth, differentiation, and proliferation, as well as apoptosis, angiogenesis, and metabolism. Therefore, in the present study, we evaluated the possible effect of functional rs7372209C/T polymorphism in the 5ˊ- region of pri-miRNA- 26a1gene on preeclampsia(PE) susceptibility. This case-control study was conducted on 219 PE women and 204 unrelated healthy controls. The amplification refractory mutation system-polymerase chain reaction method was used for rs7372209C/T genotyping. The pri-miRNA- 26a1 rs7372209CT genotype was associated with decreased PE risk (OR, 0.5 [95% CI, 0.3–0.8], P = 0.001). The frequency of rs7372209TT genotype did not differ between two groups. In addition, the pri-miRNA- 26a1 rs7372209 polymorphism was associated with lower risk of PE in dominant model (CT+TT vs CC) (OR, 0.5 [95% CI, 0.4–0.8], P = 0.002). Although there was no significant difference between mild and severe PE women according to rs7372209CT genotype, the differences between mild and severe PE groups with controls remained significant. The frequency of pri-miRNA-26a1 rs7372209CT genotype was not different between late-onset PE and early onset PE groups. The present study showed for the first time that the pri-miRNA- 26a1 rs7372209 polymorphism was associated with lower risk of mild and severe PE in the dominant model and this polymorphism could be a protective factor for PE susceptibility

The placental vascular endothelial growth factor polymorphisms and preeclampsia/preeclampsia severity

Preeclampsia (PE) is a serious pregnancy-specific condition, which originates from placenta and finishes after delivery. The present study has investigated the association between placental VEGF I/D (rs35569394), −1154G/A (rs1570360), and −634G/C(rs2010963) polymorphisms and maternal VEGF −2549 I/D (rs35569394) polymorphism with PE and PE severity. In this case-control study, the maternal blood of 217 women with PE and 210 normotensive pregnant women and the placenta of 84 PE women and 103 normotensive women were collected after delivery. Genotyping was done by PCR or PCR-RFLP methods. The maternal VEGF-2549I/D genotypes were not associated with PE or PE severity. The placental VEGF −2549 I/D genotypes were not associated with PE too; however; the placental VEGF-2549 DD genotype was statistically different between women with severe PE and mild PE or the controls. The placental VEGF −634GC and CC genotypes were significantly higher in PE women and associated with 2.6 and 2-fold higher risk of PE, respectively. The VEGF −634GC and CC genotypes were associated with PE severity. No association was found between placental VEGF −1154G/A polymorphism and PE or PE severity. The placental DGC haplotype of VEGF −2549 I/D, −1154G/A, and −634G/C polymorphisms was associated with 2.9-fold higher risk of PE. However, the placental IAG haplotype was associated with 0.3-fold lower risk of PE. In conclusion, the placental VEGF −2549 DD genotype was associated with severe PE and the placental −634GC and CC genotypes were associated with PE and severe PE. No association was found between VEGF −1154G/A polymorphism and PE or PE severity