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PubMed1994

The preschool child: practical treatment planning.

The preschool years extend from birth up to the age of 4 years and represent the time of most rapid growth and development. During this period the child progresses from the edentulous state to having a fully erupted and functional primary dentition. Also during the preschool years important stages in development of underlying permanent teeth occur. Good management of the preschool child is an excellent practice builder: it leads to a motivated patient, happy to undergo any treatment necessary, and encourages confidence and improves the attitudes to oral health of other members of the family.

Child, Preschool↗
PubMed2006

Effectiveness of oral midazolam for paediatric dental care: a retrospective study in two specialist centres.

AIM: To analyse retrospectively the outcomes for children undergoing oral care under conscious sedation with oral midazolam and local analgesia at Leeds dental Institute, England and Westmead Dental Hospital, Sydney, Australia. Secondly, the study assessed the suitability of oral midazolam for paediatric dental treatment. STUDY DESIGN: Retrospective study of clinical outcomes based on dental records. METHODS: All children included in the study had been treated between September 2000 to August 2004 and full dental records were available. The dental records were examined using a standard pro forma sheet and data collected for: age, previous behaviour using the Frankl [1962] scale, units of work planned and achieved using the modified index of O'Sullivan and Curzon [1991], midazolam dosage and treatment outcome. RESULTS: The study population consisted of 101 children aged 1-11 years in both Leeds (57 children) and Westmead (44 children). There were significant differences between Leeds and Westmead with respect to age (mean +/-SD) in years 5.0+/-1.0 versus 2.9+/-1.6; number of treatment visits 1.7 versus 1.1; sedation dose used 0.5-0.7 mg/kg versus 02.-0.3; type and amount of treatment planned 8.3 units versus 3.3 and achieved 7.5 versus 2.2, for both centres respectively. There was also a difference in overall success rates of rendering the children dentally fit of 65% v. 91%, respectively. CONCLUSION: Oral midazolam was found to be a useful drug for the management of young children with behaviour problems. It was found, however, not to be effective in all cases and for the provision of all types of paediatric dentistry. The results indicate that, when using oral midazolam in children, the treatment should be restricted to simple restorations and extractions over a maximum of two visits.

Administration, Oral↗
PubMed2003

Human enamel veneer restoration in a deciduous tooth: clinical case.

Trauma to deciduous anterior teeth, frequently occur in children, and the treatment is a big challenge for the pediatric dentistry. In these cases, besides the pain and discomfort provoked by the injury, both child and parents/persons responsible were eager to reconstruct the damage, as soon as possible. In modern operative restorative dentistry, no restorative material is able to substitute for the human dental enamel in quality, color and resistance. The aim of this paper is to relate the treatment of esthetic veneer (facet) of human dental enamel in a three-year-old child after trauma that caused concussion and accentuated color alteration. Clinical results showed an efficient esthetical resolution, revealing it to be a good alternative for treatment of traumatized anterior deciduous teeth.

Child, Preschool↗
PubMed2004

Oral health in Syria.

The aim of this paper is to describe and analyse the oral health situation in Syria in the last two decades and to propose recommendations for improvement of the current situation. The epidemiological data on caries of the last two decades did not indicate a decrease in the DMFT value of various age groups, nor was a decrease in the percentage of untreated caries apparent. The unequal distribution of oral health care continued to exist throughout the country, despite an enormous increase in the number of dentists from about 2,000 in 1985 to about 14,500 in 2002. The affluent part of the population is served with technically oriented expensive dental services. The public sector suffers from limited finance, the absence of appropriate technology in restorative dentistry and the lack of a community and preventive oriented approach. It is recommended to utilise dental hygienists in the public sector, since these auxiliaries if appropriately trained can offer the preventive and curative oral care wanted and demanded by the poor and that the government and the people can afford.

Adolescent↗
PubMed2001

Magnification and the alternatives for microdentistry.

The evolution of microdental treatments has necessitated that dentists improve the visual acuity of the operating field in an effort to diagnose disease earlier and to treat those areas with greater precision. Alternatives in magnification exist for all practitioners from introductory magnification systems, such as single-lens loupes, to high-powered dental operating microscopes. An opportunity exists for every practitioner to enhance their vision through magnification and illumination.

Dental Equipment↗
PubMedDate not supplied

[Use of transcutaneous electroneurostimulation for enhancing the effectiveness of conduction anesthesia in dental polyclinic practice].

The efficiency of mandibular conduction anesthesia was assessed in patients with inflammatory disorders in the area innervated by the mandibular nerve. In patients with conduction anesthesia induced after an electroneurostimulation session, the efficiency of anesthesia was considerably higher than in those operated on under mandibular anesthesia only.

Adolescent↗
PubMed2004

Taxonomy for competency-based dental curricula.

The objective of this article is to propose a classification of dental competencies. Interest in dental competencies has grown consistently during the last three decades. However, the dental education literature suggests that the term "competency" is understood and used differently by dental schools around the world. The taxonomic classification of dental competencies we propose follows a systematic approach starting at the highest level of complexity, i.e., the professional profile the teaching institution envisions for its graduates, and following in a decreasing degree of complexity to competency function, task, step, movement, and moment. This taxonomy has proved to be useful for more than thirty years in the Dental School of the Peruvian University Cayetano Heredia. Graduates of this school are successful practitioners, teachers, and researchers in Peru and other countries. The classification proposed here should clarify terms, facilitate curriculum design and learning assessment, stimulate further discussion on the matter, and facilitate communication among the dental education establishment.

Clinical Competence↗