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Biomedical subjects

A P Mourino

Publications and source records attributed to A P Mourino.

At least 19 recordsLinked to original sources

Comparison of oral chloral hydrate with intramuscular ketamine, meperidine, and promethazine for pediatric sedation--preliminary report.

Fifteen consecutive pediatric patients ranging from 3 to 5 years old were selected to receive one of three sedative/hypnotic techniques. Group 1 received oral chloral hydrate 50 mg/kg, and groups 2 and 3 received intramuscular ketamine 2 mg/kg and 3 mg/kg, respectively. In addition to ketamine, patients in groups 2 and 3 received transmucosal intramuscular injections of meperidine and promethazine into the masseter muscle. Sedation for the satisfactory completion of restorative dentistry was obtained for over 40 min on average in the chloral hydrate group, but completion of dental surgery longer than 40 min was achieved in groups 2 and 3 only by intravenous supplements of ketamine.

Administration, Oral↗

Recall intervals: effect on treatment needs: a retrospective study.

The purpose of this retrospective study was to examine the effect of recall intervals on the incidence of dental caries. Data were collected from patient records of a private pediatric dental practice. Variables examined were time of the recall interval, age, race and sex of the patient, and whether the patient lived in a fluoridated area. There were 207 patients who qualified for the study. Of the 207 patients in the study, 173 did not have any teeth with dental caries at the recall visit. A significant difference between increased caries activity and recall interval was not found in this study. There was no significant difference found between the explanatory variables and caries activity.

Age Factors↗

Recall intervals: effect on treatment needs of the handicapped patient: a retrospective study.

The purpose of the retrospective study was to examine the effect of recall intervals on incidence of dental caries in handicapped patients. Data was collected from patient records of a private pediatric dental practice. Variables examined were time of the recall interval, age, race and sex of the patient, handicap, and whether the patient lived in a fluoridated area or not. Approximately six hundred charts were reviewed which resulted in 83 patients that qualified for the study. Of the 83 patients in the study, 57 did not have dental caries at the recall visit. The relationship between increased caries activity and recall interval was not significant. However, a trend indicating an increased chance of developing caries after a twelve month recall interval was detected.

Adolescent↗

Evaluation of the Eyberg Child Behavior Inventory as a predictor of disruptive behavior during an initial pediatric dental examination.

The purpose of this study was to investigate relationships between the Eyberg Child Behavior Inventory (ECBI), a parent rating scale of children's behaviors at home, and children's disruptive behaviors during an initial dental visit. Behaviors of 18 Headstart children, 40 to 55 months of age, undergoing an initial exam were observed. Four possible negative behaviors based upon the North Carolina Behavior Rating Scale (NCBRS), were recorded by two observers for each subject during five phases of an initial dental visit and statistically compared to the total ECBI score and individual answers within the ECBI questionnaire. Overall, the majority of subjects displayed clinically acceptable behavior. Four disruptive behaviors explained 92.9% of the variation in responses by the subjects to the initial visit. These were: high hand movement during the intraoral examination, crying or verbal protest during prophylaxis, oral physical resistance during prophylaxis, and oral-physical resistance during fluoride application. The following 6 questions explained 99.3% of the variation in ECBI responses by parents or guardians: (#9) refuses to obey until threatened with punishment, (#15) whines, (#18) hits parents, (#24) verbally fights with friends his own age, (#28) constantly seeks attention, and (#35) is overactive or restless. While the total number of subjects observed were too low to generate statistically significant results, the trends appear to indicate that a child's disruptive or nondisruptive behavior at home is not a reliable predictor of disruptive or nondisruptive behavior within the dental setting. These findings are independent of gender or race.

Analysis of Variance↗

Evaluation of occlusion, trauma, and dental anomalies in African-American children of metropolitan Headstart programs.

493 African-American children between the ages of three and four years were examined for evaluation of molar occlusion with frequency of anterior and posterior crossbite, fractured and/or darkened teeth from trauma and dental anomalies in the primary dentition. Overall results from both age groups revealed 90% had a mesial step, 8% a flush and 2% a distal step molar occlusion. Crossbite, either anterior or posterior, occurred in 12% of all children examined. Posterior crossbite was seen in 7% and anterior crossbite in 5%. Anterior openbite was seen in 8% of the children. Trauma to the primary dentition occurred in 23% of the children, 16% as fractured and 7% as discolored teeth. The most frequently involved teeth were the maxillary primary central incisors. Fused primary teeth were observed in two children. There were no congenitally missing primary teeth and only one supernumerary maxillary primary lateral incisor was observed.

Black or African American↗

Children's behavior in emergency and non-emergency dental situations.

This study evaluated children's behavior during emergency and non-emergency visits to the dentist. Three methods were used to evaluate behavior: 1) the Palmar Sweat Index, 2) the Taylor Manifest Anxiety Scale, and 3) the Frankl Behavior Scale. Forty children, 6-12 years of age, were seen in a pediatric dental clinic. All children had no previous dental experiences. Twenty patients were seen for new patient examinations and twenty patients had emergency examinations and treatment. This study showed that children exhibit equal levels of stress whether for a screening appointment or an emergency visit. The Palmar Sweat Index has the potential of being a viable evaluation for detecting non-verbally expressed anxiety.

Child↗

Psychomotor skills and incentive as predictors in a children's toothbrushing program.

Sixty-four children, four to twelve years of age, were seen in a pediatric dental clinic for routine dental examinations. Prior to dental treatment subjects were administered tests of visual-motor development and dental knowledge. Children were randomly assigned to a toothbrushing-instruction (individual training in horizontal scrubbing) or no-instruction group. Within each group, subjects were assigned to an incentive (promise of a special prize for brushing well) or no-incentive condition. Plaque score measurements and toothbrushing skills evaluations were performed at the initial appointment and at a one-week follow-up. Brushing skills were predicted by visual-motor skills and by dental knowledge. Level of visual-motor development predicted the likelihood of missing fewer oral areas, while brushing incentive was found to affect overall improvement in plaque removal regardless of instruction. Instruction affected improvements in brushing the more difficult molar teeth and lingual surfaces specifically.

Child↗

Multiple anomalies of a newborn: report of case.

Described are four oral anomalies--natal teeth, palatal cyst, bilateral lymphangiomas of the alveolar ridge, and median alveolar notch--found in a newborn. Immediate and long-term treatment considerations are outlined.

Abnormalities, Multiple↗

Fluoride therapy.

Explore the source record for details and available documents.

Dental Caries↗

Root-end induction.

A root-end induction procedure was used to treat a nonvital tooth with an open apex. This procedure was relatively fast and simple and did not require special instruments or medicaments. The procedure improved the prognosis of the involved tooth and reduced the trauma associated with surgical endodontic treatment.

Calcium Hydroxide↗