Reasons for Tooth Extraction Among Children Aged 5-12 Years in Tetovo.

Objective: To evaluate the prophylactic analgesic effect of paracetamol and ibuprofen administered before the extraction of deciduous teeth in children. Materials and methods: Sixty children of 6 to 8 years of age were evaluated and attended the Dental Center of the Faculty of Dentistry of the University of San Martin de Porres, which were distributed in three groups, each of 20 children: group paracetamol, ibuprofen group and the control group. In the first two, the corresponding drug was administered orally 30 minutes before surgery (paracetamol 15 mg / kg or Ibuprofen 10 mg / kg). The following variables were evaluated: presence of pain, time of presence of pain, intensity of pain, and time elapsed for rescue analgesia. Results: Significant differences were found in the presence of pain variable and in the time of presence of pain among the 3 groups. There was no significance between the variables studied between the two groups with drugs . Conclusions: Analgesic prophylaxis is an effective alternative to conventional post-surgical pharmacological treatment. Ibuprofen and Paracetamol are drugs with similar efficacy for this purpose, despite presenting different pharmacological action.

ABSTRACTIntroduction:Preservation of primary teeth is essential for optimal oral health in children; however, there is limited research on primary tooth extraction patterns in India. This study aimed to investigate the reasons for and patterns of primary tooth extraction in children in an Indian tertiary care dental setting.Methodology:This retrospective cross-sectional study analyzed dental records of children aged up to 14 years who underwent tooth extraction under local anesthesia from January to December 2023. Demographic data, reasons for extraction, and tooth types extracted were collected and analyzed using descriptive statistics and the Chi-square test.Results:Among the 261 subjects studied, there were 132 males and 129 females. Dental caries was the leading cause of extraction (42.6%), followed by mobility (20.8%) and over-retention (17.3%). Maxillary teeth were extracted more frequently than mandibular teeth, with central incisors being the most commonly extracted.Conclusion:This study highlights the prevalence of dental caries as the primary reason for primary tooth extraction in Indian children. Gender-specific differences were observed in extraction reasons, and maxillary teeth were more frequently extracted than mandibular teeth. These findings emphasize the importance of targeted preventive strategies to address dental caries and promote optimal oral health in children in India.

The management of palatally displaced maxillary canines: Considerations and challenges

Background: Tooth extraction is an important measure in determining oral health status because it generally reflects untreated periodontal tissue disease and caries. Tooth extraction can also be used as a measure of people's knowledge and motivation in maintaining their teeth. The higher the revocation rate, the lower the community's knowledge and motivation. Purpose: The aim of this study is to see the main reasons for tooth extraction in children who are in the pedodontics of the RSGM Baiturrahmah. Material and Methods: This type of research is quantitative with analytic descriptive methods. The target population of this study were students of coass Lab Paedodonti RSGM Baiturrahmah in October-December 2019, with a sample of 76 people. The research was conducted at the Paedodonti Lab RSGM Baiturrahmah in October-December 2019 using a questionnaire. Data analysis using SPSS program with chi square analysis. Results: The distribution of reasons for deciduous tooth extraction is presented, it is found that most of the reasons for extracting deciduous teeth in primary school children are physiological mobility, as many as 53 people (69.7%). In addition, there were 19 people (25%) of the reasons for removal because of excessive retention of 1 person (1.3%), and because of the request of patients / parents as many as 3 people (3.9%). Conclusion: The main reason for the extraction of deciduous teeth in elementary school children at the Lab Paedodonti RSGM Baiturrahmah, was physiological mobility, with the teeth that were often extracted were the mandibular incisors in the 7 year age group.

The authors examined the association of patterns of soft drink consumption and primary tooth extractions in Queensland children aged 12 years or less. Data were gathered through the Child Health Surveys conducted by Queensland Health in 2003 and 2008. The analysis allowed for various demographic characteristics using logistic regression analysis. The data in both surveys showed an increased risk of tooth extraction in children who had a greater frequency and amount of soft drink consumption, and those that consumed soft drink between meals. In 2008, the percentage of children that had soft drink daily or several times a week had decreased, with an increase in those that never had soft drink. To reduce the risk of primary tooth extraction due to decay, this paper recommends the continuing moderation of soft drink consumption frequency and the consumption of soft drinks with, rather than between, meals.

Following publication of the Poswillo report, the continued use of general anaesthesia in dentistry became the subject of a major debate. In particular, the provision of general anaesthetic services by general dental practitioners in order to carry out simple extractions for child patients has been called into question. Other authors have strongly supported the continued need for general anaesthesia and insist that for some patients it remains the technique of choice. There is, however, little evidence of current patterns of attendance from which argument may be advanced to support or refute the differing views. In this study data was drawn from three London dental teaching hospitals providing out-patient general anaesthesia for extractions. During the 12-month period investigated 7852 general anaesthetics had been administered for child patients. There was evidence of an increase in numbers at one centre when results were compared to those of a previous study and some evidence of a change in pattern of referral with time at the same centre, with an increase in the numbers of patients referred by general dental practitioners. Eighty-three per cent of the anaesthetics had been given for the extraction of carious primary teeth, with an average of 3.3 being extracted per child. Nearly one-third of the anaesthetics were for children under the age of 5 years.

OBJETIVO: verificar o percentual de pacientes que necessitaram extração de dentes permanentes, pré-molares, dentre aqueles tratados com extração de dentes decíduos para correção do apinhamento primário na dentição mista, bem como analisar as possíveis variáveis relacionadas. MÉTODOS: a amostra foi composta por documentações ortodônticas de 70 pacientes na dentição permanente, cujo tratamento iniciou-se na dentição mista com planejamento de um programa de extrações seriadas (PES). Todos os prontuários foram analisados por um único examinador, no intuito de verificar se o PES havia sido cumprido com a extração de dentes permanentes ou se havia sido realizada apenas extração de dentes decíduos. Verificou-se a associação entre a extração de dentes permanentes e as variáveis padrão facial; relação sagital entre as arcadas dentárias; IMPA; proporção tamanho do segundo molar permanente inferior/espaço retromolar; mecânica de controle de espaço e discrepância de modelo (teste exato de Fisher para as variáveis categóricas e modelo de regressão logística para as variáveis numéricas). Os resultados foram considerados para p<0,05. RESULTADOS: dos pacientes que haviam sido tratados com extração de dentes decíduos para a correção do apinhamento na dentição mista, 70% necessitaram de extração de dentes permanentes. A análise estatística não mostrou associação significativa entre as variáveis estudadas e a necessidade de extração de dentes permanentes, com exceção da variável discrepância de modelo. CONCLUSÃO: a discrepância de modelo representou a principal determinante de extração de pré-molares no PES.

Extraction chez l'enfant

To evaluate the effect of sevoflurane general anesthesia with laryngeal mask airway in the extraction of teeth. A retrospective analysis was performed on 88 children who underwent extraction of teeth in the Department of Anesthesiology of our hospital from June 2022 to April 2023, including 44 patients who received traditional anesthesia as the control group and 44 patients who received laryngeal mask airway sevoflurane general anesthesia as the observation group. Anesthesia and operation records of patients in the two groups were analyzed, including intraoperative vital signs, anesthesia induction time, recovery time of spontaneous breathing, first feeding time within 24 h after surgery, postoperative pain score, incidence of adverse reactions, Ramsay score and wake agitation, and other indicators were collected, and statistical analysis was conducted. The recovery time of the observation group was 7.88 ± 4.95 min, and the recovery time of spontaneous respiration was 10.58 ± 3.64 min, which were significantly shorter than 15.23 ± 5.12 min and 14.41 ± 3.56 min of the control group (P < 0.001). There were no significant differences between the two groups in anesthesia induction, operation duration and first feeding time within 24 h after operation (P > 0.05). There was no significant difference in postoperative pain scores between the two groups (P > 0.05). The overall incidence of adverse reactions was 6.82% in the observation group compared with 22.73% in the control group (χ² = 4.423, P = 0.035). In addition, the Ramsay score of the observation group was significantly improved compared with the control group (P < 0.05), and the incidence of agitation during the recovery period was also significantly decreased (P < 0.05). Laryngeal mask airway sevoflurane anesthesia can significantly accelerate the recovery process of children after extraction of teeth, and reduce the occurrence of adverse reactions, providing a safer and more efficient choice than traditional anesthesia.

Von Willebrand disease is a lifelong bleeding disorder in which your blood doesn't clot well. Some people may suspect they have a bleeding disorder when they have heavy bleeding after a dental procedure. Mutations in the von Willebrand disease gene cause von Willebrand disease. The von Willebrand factor as a blood clotting protein was provided by the VWF gene and is essential for the formation of blood clots. Methods: Ten year old boy come with his mother to the Department for preventive and pediatric dentistry, University Dental Clinic Centar St Pantelejmon- Skopje. During a visit to the pediatric dental clinic, the need for extraction of several primary teeth was detected with a clinical and rtg examination. The child has already made blood test and results showed a borderline of vWF Ris Co and vWF Ag and hypoagreligidity of the Tr. Timely boy complains of chest pain and also has a chronic eczema. The child is monitored in a hematologic ambulance due to the vWF Ag boundary level and hypoaggregability of Tr. For haemostasis after the extraction of a primary tooth, local application of amp.Tranexamic acid and fibrin foam is recommended by his heamatologist. Conclusion: For successful extraction of the primary teeth in patient with von Willebrand disease consultation with a haematologist is necessary.

BackgroundThis study aimed to determine the efficacy of Physics Forceps in pediatric dental extractions.MethodsThis was a double-blind, randomized controlled trial with a parallel-arm design and identical allocation ratio (1:1). Children (n=104) were randomly divided into two groups for extraction of mandibular primary teeth (group I: Physics Forceps; group II: conventional forceps). The outcome variables assessed in the study were the time taken for extraction, pre- and postoperative anxiety (using RMS pictorial scale), incidence of fractured teeth, and postoperative pain on the first and third days (using the Wong-Baker faces pain scale).ResultsA significant reduction (P < 0.001) in intraoperative time, anxiety, and incidence of tooth fracture was confined to group I. The pain significantly reduced from the first to the third postoperative day in both groups, but the mean reduction in RMS scores in the physics forceps group was far better than that in the conventional forceps group.ConclusionPhysics Forceps aid in extraction of primary teeth with minimal trauma to supporting structures, as well as reducing anxiety in the pediatric population.

The aim of the this study was to evaluate the effect of honey on the healing of tooth extraction wounds in children 4‒9 years of age. In the present randomized clinical trial, 51 patients, 4‒9 years of age were selected randomly. All the subjects required extraction of one deciduous molar tooth. The subjects were randomly assigned to two groups. In group 1, after extraction of the tooth, the dentist used a cotton swab applicator to place a layer of honey on a piece of gauze moistened with normal saline solution (NSS) and placed it on the socket. In group 2, honey was not used; rather, NSS was applied. On days 3 and 7 after tooth extraction, the wound sizes were measured. In both groups, the wound sizes decreased significantly on the third day compared with baseline and on the seventh day compared with the third day (P < 0.05). On the third and seventh days after tooth extraction, wound sizes in the honey group were significantly lower than those in the NSS group (P < 0.05). Honey resulted in a decrease in wound sizes and faster healing after extraction of teeth in children. Therefore, use of honey can be recommended after minor surgeries in the oral cavity.

Anxiety in the action of tooth extraction is often caused by the use of sharp objects that are carried out gradually into the oral cavity. Anxiety of dental medical personnel can be the main cause decline dental and oral health. The problem in this study is dental anxiety about tooth extraction in children at SDN Pekarungan Kec. Sukodono, from the results of initial data collection, it was found that 40% had low and moderate anxiety. This study aims to determine the effect of factors for determining dental anxiety in elementary school children with tooth extraction. Methods: The type of research used is analytic cross sectional with purposive sampling technique, the total population is 416 students and the sample obtained is 87 respondents using the cross-sectional formula. Data analysis using chi-square test and ordinal regression analysis. The result of the study there are two factors that influence dental anxiety on tooth extraction using chi-square test, namely gender (p=0.035) and parents education (p=0.001) and there is the most influential factor using logistic regression analysis test, namely parents education ( p=0.001) with an odds ratio value (9.31). In conclusion, most of the respondents experienced moderate anxiety and the influencing factors were gender and parent’s education. The benefit of this research is to provide input for health workers, especially dentists and dental nurses, in providing good dental and oral health care efforts by paying attention to the level of anxiety in pediatric patients who will have their teeth extracted.

Amaç: Çocuk diş hekimleri, dental tedaviler sırasında hastalarının ağrı ve anksiyetesini kontrol altına almak için pek çok yöntem kullanmaktadır. Dikkat dağıtma yöntemi, çocuk hastalarda bu amaçla sık kullanılan davranış yönlendirme tekniklerinden biridir. Bu çalışmanın amacı, görsel ve işitsel dikkat dağıtma sağlayan 3D video gözlüğün 6-10 yaş arası çocuklarda süt molar dişlerin çekimi sırasında kullanımının anksiyete ve ağrı üzerine olan etkinliğinin değerlendirilmesidir. Gereç ve Yöntem: 6-10 yaş aralığındaki 60 çocuk, her grupta 15 kız, 15 erkek olacak şekilde rastgele 2 gruba ayrıldı. 1. grupta bulunan 30 hastaya “Anlat-göster-uygula” yöntemi uygulanarak; 2. grupta bulunan 30 hastaya ise 3D video gözlük ile çizgi film izletilerek diş çekimi yapıldı. Çocukların anksiyete değerlendirmeleri tedaviye başlamadan önce, lokal anestezi sırasında ve lokal anestezi yapıldıktan sonra nabız ve oksijen saturasyon ölçümleri ve MCDAS (Modified Child Dental Anxiety Scale) skorları ile yapıldı. Ağrı algısı, hem lokal anestezi sonrası hem de diş çekimi sonrasında Wong-Baker (W-B) skalası ile kaydedildi. Bulgular: “Anlat-göster-uygula” ve “3D video gözlük” grupları karşılaştırıldığında nabız ve MCDAS skala değerleri bakımından aralarında anlamlı farklılık bulunmadı. Tüm zamanlarda yapılan ölçümlerde “3D video gözlük” grubunun saturasyon değerleri, “Anlat-göster-uygula” grubuna göre anlamlı derecede daha düşük bulundu. “3D video gözlük” grubunda diş çekimden sonra kaydedilen W-B değerlerinin “Anlat-göster-uygula” grubuna göre anlamlı derecede düşük olduğu görüldü. “3D video gözlük” grubunda diş çekiminden sonra ölçülen W-B değerinin lokal anestezi sonrasındaki değere göre düşük olduğu gözlendi. Sonuç: Çocuklarda diş çekimi sırasında “3D video gözlük” kullanımının anksiyete değerlerinde beklenen azalmayı sağlamadığı; ağrı algısını ise başarılı bir biçimde azalttığı görülmüştür.

This study investigates preliminary investigations that a pre-emptive analgesia administration may reduce post-extraction pain. This prospective, placebo-controlled, randomized, double-blind trial was planned to compare the efficacy of the pre-emptive administration of ibuprofen, paracetamol, and placebo in reducing post-extraction pain in children. Forty-five children, ages 6-12, who needed primary mandibular molar tooth extraction were treated in paediatric dental clinics, with treatment preceded by local anaesthesia and analgesic drugs during the preoperative period. A five-face scale was used to evaluate pain reaction during the injection, extraction, and post-operative period. Self-report scores were recorded when the local anaesthesia had been administered in soft tissues and both before and after the extraction was completed. The Kruskal-Wallis and Mann-Whitney U tests (with Bonferroni correction paired t-test as the post hoc test) were used at a confidence level of 95%. The use of pre-emptive analgesics showed lower scores compared to the placebo, irrespective of the age, weight, gender of the child, and the number of teeth extracted during the study period. Additionally, ibuprofen exhibited lower pain scores (P < 0.05) compared to paracetamol at the 15-min (P < 0.001) and 4-h (P < 0.009) periods. Preoperative use of ibuprofen and paracetamol may provide a pre-emptive analgesic effect in paediatric patients who receive adequate analgesia during mandibular primary tooth extraction.