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At least 865 records · Page 48Linked to original sources

Determining toothache severity in pediatric patients: A study.

To correlate sodium-potassium levels in saliva of pediatric patients having different intensities of toothache assessed by Visual Analogue Scale (VAS) in age group 3-14 yrs. A prospective study of 50 children having different intensities of pain was carried out in the Dept. of Pedodontics, Sareetha Dental College and Hospital. 50 children (aged 3-14 yrs) having different intensities of toothache including normal children (control) were included in the study. Saliva samples were collected and Na+, K+ levels in saliva were measured by using Na+, k+ colorimeter kit. Photographs were taken using Digital camera and VAS was prepared accordingly. Sodium levels decreased with increasing pain intensity and potassium levels increased, facial expressions correlated with Na+, K+ levels. Correlation between Na+, K+ levels and pain intensity exists. Also, VAS is a valid measure for pain.

Adolescent↗

Evaluation of physiological and behavioral measures in relation to dental anxiety during sequential dental visits in children.

Anxiety is a special variety of fear, experienced in anticipation of threatening stimuli. While some research workers have said that the response of a child improves with the number of visits, many have felt otherwise. The present study is yet another effort to find the patterns of anxiety in children during sequential dental visits. The main aim was to determine the physiological and behavioral variations during sequential dental visits and its impact on age and sex. The study was conducted at the outpatient Department of Pedodontics and preventive dentistry, Meenakshi Ammal Dental College and Hospital, Chennai to evaluate the physiological and behavioural measures of stress and anxiety in children. One hundred and fifteen children, between four and eleven years of age who reported for dental treatment were selected for the study.

Age Factors↗

[The time periods for the formation of the permanent occlusion in children born and permanently living in a region close to a former nuclear test range].

The terms of eruption of permanent teeth were analyzed in 2000 subjects aged 3-19 years born and permanently living in a region adjacent to a former nuclear testing field in Kazakhstan. All groups of permanent teeth erupted sooner, and the rate of eruption was higher in girls than in boys. Except the 4th and 5th teeth, all groups of permanent teeth erupted sooner on the mandible than in the maxilla. The formation of occlusion was delayed in children born and living in the studied region in comparison with the children in central Russia and in the Extreme North. Eruption of some groups of teeth was delayed in older age groups. These data may be used at all pedodontics departments in organization of sanitation of children and in evaluation of the physical development and formation of orthodontic status of children.

Adolescent↗

Bite mark analysis in child abuse.

The science of bite mark analysis is relatively new and potentially valuable. This science has been greatly used in identifying the suspects involved in crimes related to sex, child abuse, and altercations of various types. Child abuse is presenting a serious social problem with global dimensions, which is increasing at an alarming rate in all socioeconomic strata and all ethnic or racial communities. The aim of the present study was to assess these bite marks and analyze the effectiveness of a simple technique used in the department of pedodontics and preventive dentistry, College of Dental Surgery, Manipal.

Bites, Human↗

Compound composite odontoma in primary dentition--a case report.

Compound composite odontoma, is a tumor formed by the overgrowth of transitory or complete dental tissue, made up of one or more rudimentary teeth. Although odontomes are considered to be quite common of odontogenic tumors, these rarely occur solely in primary dentition. This paper is a report of case of a compound composite odontoma, five year old child who presented to the Department of Pedodontics and preventive Dentistry, College of Dental Surgery, Manipal.

Child, Preschool↗

Foreign body in a mandibular permanent molar--a case report.

A thirteen-year-old boy was examined in the Department of Pedodontics during a school-screening programme. On examination the left mandibular first permanent molar was found to be grossly destroyed. On radiographic evaluation a radio opaque screw shaped foreign object was seen in the pulp chamber of the said tooth. Retrieval of the foreign object was tried but the attempt was unsuccessful and an extraction was planned. A case of a unique foreign object in the pulp chamber of the tooth is reported.

Adolescent↗

Severe hypodontia: diversities in manifestations.

The material comprises 33 cases, 12 boys and 21 girls with 4 or more lacking teeth in the permanent dentition, randomly collected among patients referred to the Department of Pedodontics, University of Bergen. The total number of lacking teeth were 332, mean number in boys was 11.4, in girls 9.3, ranging from 4 to 24 (third molars excluded). The most prevalently lacking teeth were second premolars in both jaws, maxillary lateral incisors, mandibular central incisors and maxillary first premolars. The maxillary central incisors were the most stable teeth, lacking in only one patient. The female group was closest to this "classical" scheme by lacking teeth mostly in posterior segments. In males the anterior segments were most often afflicted. There was no significant difference between right and left sides in both sexes, but in girls the maxillary jaw was more afflicted than the mandibular jaw. The individual analyses of cases showed great diversities in the manifestation of hypodontia. Eighteen of them behaved fairly "balanced" with respect to lack of teeth in the different quadrants. Six cases were lacking most of the teeth in the maxillary jaw (total 34 maxillary teeth versus 11 mandibular). Five cases were lacking most of the teeth in the mandibular jaw (total 30 mandibular teeth versus 14 maxillary). One patient was lacking 10 of his 12 front teeth, but only 4 of his 20 posterior teeth, and one patient was lacking 12 of his 16 posterior teeth, but none of his front teeth. The author cannot offer any explanation for these strange and varying patterns of manifestations.

Anodontia↗

Mandibular border positions in eugnathic subjects during the second bite lifting.

This research was aimed at performing a clinical functional analysis during the second bite lifting, in order to define mandibular border positions and possible differences by sex and/or age. Out of a total of 9680 examined children from the region of Medimurje, Croatia, 103 were found to be eugnathic, with dentition in occlusion during the phase of the second bite lifting. All the eugnathic patients belonged to the class I by Angle, without any caries, fillings or extracted teeth. They were divided into three predefined groups for the sake of comparison. The obtained values of mandibular border positions in eugnathic subjects during the second bite-lifting phase vary with age and with the number of present permanent teeth in occlusion. Generally, all the values are higher in girls than in boys, which speaks in favour of the assumption that mandibular border positions are determined by sex, hormonal activity, growth and intercuspidation. Also, girls show a higher TMJ flexibility as well as a higher mandibular mobility. The knowledge of these facts will contribute to a more precise treatment in child prosthetics and pedodontics.

Age Factors↗

A study of three preoperative sedative combinations.

The use of drugs as premedication for child patients to be treated in the office may provide the dentist with an adequate means of controlling the patient otherwise incapable of cooperation. Drug dosages for children cannot be determined alone on the basis of weight and age, especially when dental treatment is to be provided. Alphaprodine and promethazine; chloral hydrate and hydroxyzine pamoate; pentobarbital, meperidine, and scopolamine are three groups of balanced medication that fulfill the needs in pedodontic office procedures. The Pedi-Wrap is an important factor in treatment and control of movements unknowingly exhibited by the patient from one to six years of age. Its use should be required for the very young child patient, to prevent falls and bodily injury and to allow the doctor to execute his treatment effectively.

Adolescent↗

Salivary Streptococcus mutans, Lactobacilli levels and buffer capacity in children with esophageal burns.

Children with esophageal burns due to toxic ingestion are medically compromised in many ways. They have problems like strictures in esophagus, dysphagia, gastroesophageal reflux and necessity to be fed with a special soft diet. Taking these distinctive features into consideration, we aimed to study these children with special focus on the dental caries risk. The experimental group consisted of 33 children between 2 and 14 years old (mean age 6.42 +/- 0.56) who had received stricture treatment in the Pediatric Surgery Department of our university. The control group consisted of 20 healthy children aged between 3 and 14 (mean age 7.25 +/- 0.7) who applied to the Pedodontics department for dental treatment. While mean dfs (+/- SE) was 11.13 +/- 2.30 and mean DMFs (+/- SE) was 9.79 +/- 4.76 in the experimental group, mean dfs (+/- SE) was found as 11.53 +/- 2.16 and mean DMFS (+/- SE) was 1.90 +/- 0.56 in control group. For the determination of Streptococcus mutans (SM), Lactobacilli (LB) and Buffer capacity (BC), salivary tests of Dentocult SM (Vivacult SM Vivadent-Liechtenstein), Dentocult LB (Vivacult LB-Vivadent-Liechtenstein) and Dentobuff (Vivacult BC-Vivadent-Liechtenstein) were applied to both groups. Our findings were evaluated statistically and compared by the Mann Whitney Confidence Test. The amount of Streptococcus mutans, Lactobacilli and the level of buffering capacity in the children with esophageal burns showed a high caries risk. Positive correlations were found between SM and LB, SM and dfs, LB and dfs levels and DMFs and duration of stricture treatment (p < 0.05). However, negative correlations were found between BC and DMFs, DMFs and tooth brushing habit, dental visit and DMFs (p < 0.05). The mean DMFs, LB and SM levels were lower and BC levels were higher in the control group. Although a significant difference was found between DMFs scores (p < 0.05), no significant difference was found between LB, BC, SM and dfs levels (p > 0.05). It could be concluded that children with esophageal burns have high dental caries risk and for this reason parental counseling about oral hygiene, diet, dental plaque controlling and preventive dental regimens have an importance in these medically compromised children.

Adolescent↗

An inverted supernumerary tooth: report of case.

A nine-year old male child presented in the Department of Pedodontics with the chief complaint of pain and swelling int the mid-palatal region during mastication. Clinical examination revealed a hard swelling in the palate. Radiographic examination disclosed the presence of an inverted "mesiodens like" supernumerary tooth. Surgical extraction was planned.

Child↗

[Pleomorphic adenoma of the parotid gland in childhood].

BACKGROUND: The authors report the results of ten years' activity at the Pedodontic Surgery Unit in the Institute of Maxillofacial Surgery at the Second University of Naples and analyse the possibility of conservative treatment of pleomorphic adenoma in childhood. METHODS: The study includes 614 cases of salivary gland pathology. The authors illustrate the epidemiological, clinical and therapeutic characteristics of this type of lesion in childhood, emphasising that the data emerging from this study do not differ from the clinical and therapeutic management of pleomorphic adenoma in young patients reported in the literature. RESULTS: In particular, they emphasise that satisfactory therapeutic results can be achieved using conservative techniques, like conservative superficial parotidectomy. CONCLUSIONS: Conservative superficial parotidectomy has the advantage of being less radical and traumatic for a young patient, without provoking a significant increase in recidivation.

Adenoma, Pleomorphic↗

Factitial (self-induced) gingival disease: four case reports.

Bizarre-appearing gingival recessions that do not correspond to any known gingival disease or oral manifestation of any known systemic disease are called factitial (self-induced) gingival disease. Psychological factors are very important in their etiology. Generally, the lesions occur during the time the child is experiencing stress associated with the frustration of his or her dependency needs. Four cases of self-induced gingival recessions involving children aged 4 to 6 years are presented and investigated from the pedodontic, periodontologic, and psychiatric viewpoints.

Child↗

[Resin-modified glass-ionomers in dentistry].

The resin-modified glass-ionomers contain the essential components of both a conventional glass-ionomer and a visible light-cured resin. They have several advantages like longer working time, shorter setting time, bonding to tooth structure, fluoride-release, better aesthetics than conventional glass-ionomers and ease in use. As disadvantages can be mentioned the polymerisation shrinkage, trapping of air-bubbles, difficulties in colour choice and contouring. A physical and mechanical characterisation was necessary to define the possibilities and limits of these materials. It can be stated that the strength and aesthetic appearance of resin-modified glass-ionomers are less than that of composites, but better than that of conventional glass-ionomers. Clinically, this is expressed in a rough and dull surface compared to a composite restoration. They are not indicated in stress bearing areas. Consequently, they are mainly indicated in cervical class V-restorations in the postcanine region, and probably restorations in pedodontics, geriatric dentistry and for patients with a high caries activity.

Compomers↗

Comparative evaluation of Midazolam and Propofol as intravenous sedative agents in the management of unco-operative children.

Dental treatment of very young children (toddlers) as well as children with highly negative behaviour is known to be difficult. Management of these children requires special skill and at times the support of pharmacological means. A study was planned and carried out to evaluate and compare the efficacy and safety of Propofol and Midazolam as Intravenous sedative agents in the management of uncooperative children belonging to age group 2-5 years, ASA I Category and Frankl's behaviour rating 1 and 2. The results showed both agents to be effective sedative agents, for short pedodontic procedures with minimal side effects.

Anesthesia, Dental↗

[Alternative methods for prevention and treatment of dental caries using laser and magnetic laser exposure].

Alternative methods for prevention and treatment of dental caries are presented, based on the use of laser and magnetic laser exposure (patent No. 2053818, in Russia) with a new generation laser device with Optodan microprocessor monitoring (patent No. 2014107, Russia). The methods are intended for wide clinical application in children and adolescents in pedodontic departments and outpatient centers and particularly for group and individual use in dental rooms at school.

Contraindications↗

[Clinical observation of dental pulp and root changes of juvenile anterior permanent teeth after concussion and luxation].

OBJECTIVE: To observe the incidence of pulp necrosis and root resorption of the juvenile anterior permanent teeth with concussion and luxation injuries and analyze the relationship between the type of injury and form of root resorption. METHODS: 157 teeth of 79 patients were chosen from 201 patients with concussion and luxation treated with functional-bite-plate at the Department of Pedodontics, School of Stomatology, Beijing Medical University from 1984 to 1996. RESULTS: High occurrence of pulp necrosis and root resorption were found in teeth with intrusion, and pulp necrosis occurred most within 3 months after the injury, while root resorption occurred during 3 weeks to 2 years. At the same time, surface resorption occurred mainly in the teeth with intrusion, extrusion and lateral luxation, and replacement resorption occurred only in intrusive teeth, however inflammatory resorption occurred in extrusive teeth whose pulp was infected. CONCLUSION: Intrusion is the most severe type of tooth trauma.

Adolescent↗

[Clinical evaluation of gingival tissue restored with stainless steel crown].

The use of stainless steel crown for the restoration of primary molars is widely accepted in pediatric dentistry. There has been a concern regarding their effect on the health of the gingival tissue. It is a possibility that the preformed crown may be a contributing cause of gingivitis. This study evaluated one hundred and thirty-seven crowns in forty-five patients who had received pedodontic treatment at Chang Gung Memorial Hospital. The results indicated that the majority of stainless steel crowns had one or more defects, with crown crimping being the most common error. According to what the paired t-test showed, non-ideal crowns indicated that the gingival index was significantly higher than the entire mouth and control teeth. However the supragingival plaque accumulation of these teeth was significant lower than the entire mouth and control teeth. There was only a moderate positive correlation between supragingival plaque and gingivitis. The operator is necessary to adapt the stainless steel crown margin as closely as possible to the tooth and to avoid the mechanical defect of a crown. It minimizes the irritation of gingival tissue and diminishes the bacterial adherence of subgingival plaque, therefore preserving the health of gingival tissue.

Child↗