Biomedical subjects

S M Nainar

Publications and source records attributed to S M Nainar.

21 records · Page 2Linked to original sources

PubMedDate not supplied

Profile of primary teeth with pulpal involvement secondary to caries.

The objective of this retrospective study was to determine the profile of primary teeth with pulpal involvement secondary to caries that required pulp therapy or extractions. Three hundred and ninety teeth were selected in 215 children (twelve years old and under) at an inner-city clinic in the United States over an eighteen-month period. An analysis of frequency distribution was done. Molar teeth were most affected by this stage of caries with morbidity increasing with age. In the under-six-year-olds, however, maxillary incisors were most affected. Extraction was the predominant treatment selected for the incisors with this degree of caries. Pulp therapy was the treatment of choice for molar teeth in the under-six-year-olds, but this trend was reversed with the number of extractions increasing in the six-to-twelve-year-old children.

Age Factors↗

PubMedDate not supplied

Longitudinal analysis of dental services provided to urban low-income (Medicaid) preschool children seeking initial dental care.

This retrospective longitudinal study analyzed profile and cost of dental services provided to urban low-income (Medicaid) preschool children seeking initial dental care. Clinical and sociodemographic data for Medicaid children, ages five years and under at the time of their first dental visit, were obtained from the dental records of an urban community health center clinic located in a fluoridated area. The sample consisted predominantly of minority children (males = 54; females = 43) who were initially seen during a continuous six-month period in 1991. The children were then observed for a period of one year from the date of first service. At the initial dental visit, the children had a mean age of 3.7 years and dmft of 4.4 with two-thirds of them exhibiting dental caries. The children made an average of 2.3 visits with more than two-fifths of them receiving at least one treatment service during the year. Children four years of age and older at the initial visit, had greater caries prevalence, higher mean dmft, made more dental visits and incurred greater annual expenditure. Greater proportion of females and older children (> or = 4 years) received restorations and extractions. It is concluded that treatment for dental caries is a significant dental service provided to urban low-income (Medicaid) preschool children seeking initial dental care. The results of this study suggest that preschool programs should target these children and promote an initial dental visit before four years of age particularly among females.

Age Factors↗

PubMedDate not supplied

Evidence-based dental care--a concept review.

Evidence-based (science-based) care is the prevailing paradigm in the health sciences. This paper briefly reviews the basic concepts of evidence-based care. Assessment of scientific evidence including information retrieval, evaluation of the quality of evidence, and finally the synthesis of collected evidence is described. Practitioner approach to evidence-based care through the twin modalities of literature reviews and clinical practice guidelines is outlined. It is concluded that the promotion of outcomes research and the adoption of evidence-based practice is likely to improve the delivery of a high standard of quality dental care.

Delivery of Health Care↗