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At least 19 recordsLinked to original sources

Lasers in pediatric dentistry.

Pediatric dentistry's mission in delivering care to our young patients is simple: provide optimal preventive, interceptive, and restorative dental care in a stress-free environment. Lasers such as argon, diode, Nd:YAG, CO2, and now the erbium family enable minimally invasive dentistry for hard- and soft-tissue procedures. This article offers an understanding of treatment planning in the pediatric practice and demonstrates the procedures that dental lasers can perform on younger patients.

Child↗

A preliminary report: YAG laser treatment in pediatric dentistry.

Pediatric dentistry offers many opportunities to employ lasers. Observations of laser uses with the primary dentition and evaluation of laser anesthesia for permanent premolars are presented in this preliminary report. Soft tissue surgery with children and adolescents is described. Dentin became desensitized with normal pulp test readings and histology when premolars were given laser exposure. Patient acceptance was high. Enamel conditioning for bonding, decay removal, root canal cleansing and exposing unerupted teeth are the most common procedures.

Anesthesia, Dental↗

The current status of dentistry, particularly pediatric dentistry, among the countries and territories of Asia.

The number of dentists in Japan may be too high. The ratio of dentists/population, in China, Indonesia, Thailand, and Malaysia, is less than 1 dentist for every 10,000 people. From this data, it can be seen that there is a shortage of dentists in China, Indonesia, Thailand, and Malaysia. The shortage of pediatric dentists in these Asian countries is serious, particularly in the Philippines where the number of children with dental caries is increasing. There is an urgent need to increase the number of pediatric dentists in these countries. However, one problem is that dental schools in the Philippines and Singapore, do not have a department of pediatric dentistry.

Asia↗

15 internal marketing tools that will improve your practice of pediatric dentistry.

Pediatric dentists can use these 15 specific internal marketing tools to target distinct markets and accomplish practice benefits, such as higher patient retention, lower staff turn-over, higher fee-for-service dentistry, and a better developed recare system. By making a commitment to an internal marketing program that projects a positive image to patients and parents, the pediatric dentist has greater potential for profit and total job satisfaction.

Adolescent↗

Pediatric dentistry workforce issues: a task force white paper. American Academy of Pediatric Dentistry Task Force on Work Force Issues.

The number of current practitioners, academicians, and researchers in Pediatric Dentistry is clearly not adequate to meet the need and demand. The shortage in academia is dire. Simply put, not enough pediatric dentists are being trained. The rate limiting factor is the number of training positions. The American Academy of Pediatric Dentistry established a "Task Force on Work Force Issues" approximately 18 months ago and charged that group to seek methods for creating more training positions. This paper reflects the Task Force deliberations, documents the shortage of pediatric dental specialists, and recommends tactics for amelioration.

Child↗

Effects of changing U.S. parenting styles on dental practice: perceptions of diplomates of the American Board of Pediatric Dentistry presented to the College of Diplomates of the American Board of Pediatric Dentistry 16th Annual Session, Atlanta, Ga, Saturday, May 26, 2001.

PURPOSE: This study surveyed board-certified pediatric dentists on their opinions about changes in U.S. parenting styles and the effects on the practice of pediatric dentistry. METHODS: A questionnaire was developed, piloted, and mailed to 1,129 members of the College of Diplomates of the American Board of Pediatric Dentistry during the summer of 2000. RESULTS: A total of 577 respondents (51%) returned questionnaires, equally distributed across AAPD districts, with male:female ratio of 4:1 and 90% married. A majority perceived parenting styles had changed during their practice lifetime (88% "absolutely or probably changed"), with older practitioners significantly more likely to say so. Ninety-two percent felt changes were "probably or definitely bad" and 85% felt that these changes had resulted in "somewhat or much worse" patient behavior. Practitioners report performing less assertive behavior management techniques than in the past due to these changes. CONCLUSIONS: Diplomates report that parenting changes have occurred and they believe these are negative (bad) and have adversely influenced behavior and caused changes in pediatric dentists' behavior management.

Adult↗

Antibiotic prophylaxis for children with sickle cell disease: a survey of pediatric dentistry residency program directors and pediatric hematologists.

PURPOSES: The purposes of this study were to: (1) investigate the current clinical practice regarding the use of antibiotic prophylaxis by pediatric dentistry residency program directors and pediatric hematologists for children with sickle cell disease (SCD) requiring dental treatment; and (2) evaluate the perceived relative risk of bacteremia following specific dental procedures, as defined by pediatric dentistry residency program directors and pediatric hematologists. METHODS: A written survey depicting various clinical scenarios of SCD children requiring common dental procedures was mailed to directors of pediatric dental advanced education programs and distributed to pediatric hematologists attending the 2003 Annual Sickle Cell Disease Association of America conference in Washington, DC. RESULTS: Surveys were returned by 60% (N=34/57) of the pediatric dentistry residency program directors. The surveys were obtained from 51% of pediatric hematologists at the meeting (N=72/140). At least 50% of all respondents recommended prophylaxis for the following clinical situations: dental extractions, treatment under general anesthesia, and status post splenectomy. The perceived risk of infectious complication was highest for extractions, followed by restorative treatment and tooth polishing. Dental residency program directors were more likely (71%, N=24/34) to recommend additional antibiotic therapy for patients taking penicillin prophylaxis if they required an invasive oral surgical procedure. Conversely, only 38% (N=25/66) of pediatric hematologists recommended additional antibiotic therapy (P=.001). Eighty-six percent of dental residency program directors (N=25/29) chose amoxicillin for prophylaxis whereas only 62% of pediatric hematologists (N=36/58) recommended amoxicillin. (P<.05). CONCLUSIONS: There is a lack of consensus on the appropriate use of antibiotic prophylaxis in SCD children undergoing dental treatments. Further research and risk/benefit assessment is needed to create a unified approach.

Anemia, Sickle Cell↗

Collaboration Between Dietetics and Dentistry: Dietetic Internship in Pediatric Dentistry.

The American Dietetic Association and the American Dental Association share a common interest in improving the health and quality of life of the population. Dental visits present an opportunity to identify nutrition-related issues for both the pediatric and adult population. Traditionally, dental and nutrition students have had little opportunity to learn and work together since little time was spent on nutrition in the dental curriculum. The purpose of this article is to describe the development of a new collaborative training experience for dietetic interns and pediatric dentistry residents. The oral health rotation for dietetic interns also has several objectives, including experience interacting with a culturally diverse population and participating in community nutrition education (Head Start). In its first 18 months, the collaborative program has been viewed as a success by the pediatric dentistry faculty and residents and the nutrition faculty and interns.

Journal Article↗

Profile of Journal of Dentistry for Children and Pediatric Dentistry journal articles by evidence typology: thirty-year time trends (1969-1998) and implications.

PURPOSE: This study was performed to assess the profile of Journal of Dentistry for Children and Pediatric Dentistry journal articles by evidence typology and measure their changes over a thirty-year period (1969-1998). METHODS: All issues of both journals during the study period (1969-98) were manually reviewed. The publications were ranked by the quality of the evidence. Editorials, letters to the editor, abstracts, and organization-related communications were excluded from consideration. The publications were analyzed by journal and also by decade of publication, i.e., 1969-78, 1979-88 or 1989-98. RESULTS: There were 2848 publications included in the data set with descriptive studies, case reports, etc. comprising the majority (71%). No distinctive trends in the evidence typology were detected over the decades in either journal. CONCLUSION: There is a need to improve the quality of the evidence in the two pediatric dental journals reviewed.

Case-Control Studies↗

Update in pediatric dentistry.

The pediatric nurse practitioner advises families in proper oral hygiene, fluoride supplementation, prevention of damaging oral habits and tooth decay, and the need for children to see a pediatric dentist. This article presents the issues of oral health for children from infancy through adolescence. Common pathologic conditions, oral trauma, and the use of sealants in children are also described.

Adolescent↗

Cardiopulmonary parameters during meperidine, promethazine, and chlorpromazine sedation for pediatric dentistry.

Twenty pediatric patients were sedated with a meperidine, Promethazine and chlorpromazine drug combination prior to dental rehabilitation. Heart rate, blood pressure, and oxygen saturation were recorded throughout the procedures, as well as level of patient cooperation. There were no statistically significant changes in either heart rate or blood pressure. Forty-seven percent of subjects treated experienced a decline in oxygen hemoglobin saturation. Fifty percent of the patients were well sedated and cooperative, with another forty-five precent exhibiting moderate sedation but an increased incidence of behavioral management difficulties. All procedures were completed on 95% of patients. One case (5%) was aborted because of uncontrollable patient behavior following initiation of dental procedures.

Child↗