Dental Care For Children Research Articles

Unmet needs for dental care in children with special health care needs.

Objective: The unmet need for dental care is one of the greatest public health problems facing U.S. children. This issue is particularly concerning for children with special health care needs (CSHCN), who experience higher prevalence of unmet dental care needs. The primary purpose of this study was to investigate regional differences in unmet dental care needs for CSHCN. Using the Social Ecological Model as a framework, additional variables were analyzed for regional differences. It was hypothesized that (H1) unmet dental care needs would be high in the CSHCN population, (H2) there would be regional differences in unmet dental care needs in CSHCN, and (H3) there would be differences in specific individual, interpersonal (family), community (state), and policy level factors by region. Methods: Data were obtained from the 2009–2010 National Survey of CSHCN. SPSS was used for data management and analysis. Results: Each of the study hypotheses was supported for the sample of 40,242 CSHCN. The West region was more likely to have more unmet needs for preventive and specialized dental care in CSHCN than the reference region (Northeast). The South region followed the West region in unmet dental care needs. Statistically significant differences in individual, interpersonal (family), community (state) and policy factors were found by region. Conclusion: Further research is recommended. Effective strategies that include policy to address unmet dental care needs at multiple levels of intervention are suggested.

Cooperation "child-dentist-parents" - the key of successful treatment

The maintenance of the health of the young generation as significant component of economic and social well-being of the nation is one of the main problems of health. An important component of this problem is high-effective dental care for children's population (Akhmetova G. M., 2001). The task of the children's doctor-dentist is to improve the dental status of the little patient, as well as in establishing positive attitudes to dentistry in the future (Gerald Z.; Wright, 1991). It is the results of cooperation with doctor depends not only on the dental status of the child, but also the formation of a healthy lifestyle and the preservation of the psychological sphere for the period of a lifetime. The child's doctor- dentist needs to know psychophysiological features of children of different ages, to be able to identify a rate of anxiety, to form individual psychological approach to each child. The individual characteristics of the child mentality have a great importance in predicting its behavior in dental reception, as a success of productive cooperation is the ability of the dentist to lead of the child behavior during treatment and to avoid conflict with his parents. The result of the absence of psychological contact a dentist and little patient is unfounded expansion indications for the use of general anesthesia when carrying out sanitation of the oral cavity in children of different ages.

Parents's Anxiety on Children Cooperation at Dental Visit

Background and ObjectiveTodays, dental care is an essential need to maintenance of children's health. One of the blocker of providing a good dental care not only is the children's anxiety, but also the parents's anxiety. So the aim of this study was to comparison of the impact of mother or father anxiety also presence on children cooperation at dental care unit. Materials and MethodsThis cross-sectional study was performed among 55 mothers and 53fathers with their 4 to 10 year old children in 2012 and 2013 in city of Zanjan / Iran. The anxiety was measured by dental fear survey and DASS-21questionnaire. The chi-squared test was used to compare data from the stress scales (p ≤0.05). linear regression analyses were used for best predict the value of the study variable. ResultsProximately half of mothers and about ¾ of fathers had no anxiety in their children dental care. There was relationship between the gender of children, the education of mothers and fathers and the number of children, with children's dental care cooperation. There was difference between mother or father accompanying on children cooperation (P<0.0001). Conclusionwe must reduce mother's anxiety for providing the sufficient children dental care. Father makes more children cooperation so fathers accompany is more effective on children well behavior at dental care. We suggest father accompanying would be a solution in child dehtal caring.

The effect of narrative therapy on anxiety, pain and anger dentists in dental care for children 8-4 years under the city of Neka and Sari

The effect of narrative therapy on anxiety, pain and anger dentists in dental care for children 8-4 years under the city of Neka and Sari

Resources

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How Well Is CHIP Addressing Oral Health Care Needs and Access for Children?

ObjectiveWe examine how access to and use of oral and dental care under the Children's Health Insurance Program (CHIP) compared to private coverage and being uninsured in 10 states. MethodsWe report on findings drawn from a 2012 survey of CHIP enrollees in 10 states. We examined a range of parent-reported dental care access and use measures among CHIP enrollees. Comparisons of the experiences of established CHIP enrollees to the experiences of newly enrolling children who had been uninsured or privately insured were used to estimate the impacts of CHIP on children's oral health and dental care. ResultsMost children enrolled in CHIP had a usual source of dental care and had received a dental checkup or cleaning in the past year, and most over age 6 had had sealants placed on their molars. In addition, parents of most CHIP enrollees were aware that CHIP covered dental benefits, and most reported not having trouble finding a dentist to see their child. Even so, 12% of CHIP enrollees had unmet dental care needs. Compared to being uninsured, CHIP enrollees did better across nearly all oral health measures. Compared to being privately insured, CHIP enrollees were more likely to have dental benefits, to have a usual source of dental care, and to have had a dental checkup/cleaning, but they were more likely to have trouble finding a dentist and less likely to say that their child's teeth were in excellent/very good condition. ConclusionsEnrolling eligible uninsured children in CHIP led to improvements in their access to preventive dental care, as well as reductions in their unmet dental care needs, yet the CHIP program has more work to do to address the oral health problems of children.

Assessment of Parent's Preference to General or Local Anesthesia for Children undergoing Dental Treatment

ABSTRACT Background Investigators have begun to address the relationship of parental satisfaction with dental care for children since the dentist/physician and the patient are all aware of the services being provided. These determining characters are essential for compliance of the patient, as patient satisfaction is directly related to health-related issues, needs, and practice. Patient satisfaction has an important role in determining the utilization of the healthcare services and the compliance behavior of the patients. Factors which can influence the patients’ decision to seek care and follow through to the completion of the treatment process can affect the physiologic and functional outcomes of the treatment. Hence, this survey was done to evaluate parent's preference to general or local anesthesia in their children's dental treatments. Materials and methods In this survey, a modified and adapted questionnaire from a previously tested survey that was used to assess parental satisfaction with dental treatments under general anesthesia in pediatric dentistry, was used to assess parents’ preference to general or local anesthesia. Parents whose children were going to undergo treatments in Department of Pedodontics, Saveetha Dental College, was issued with this questionnaire and clinical examination of teeth present and treatment to be done was examined. Results Ninety-seven percent of the parents preferred local anesthesia to general anesthesia. Parents preferred general anesthesia most only in case child below the age of 3 and when multiple settings are required of and their knowledge about anesthesia and its side effects was found to low and preferred local anesthesia in most cases. Conclusion Parents play a unique role in dental care and over all well being of the child. Some parents and dental practitioners prefer the presence of a parent with their child during the delivery of in-office dental care. Parents are aware of their child's previous dental experiences and are also aware of the child's interest and fear. Most of the parent's preference was to local anesthesia (97%) and preferred general anesthesia under given circumstances. How to cite this article Vellingiri S, Gurunathan D. Assessment of Parent's Preference to General or Local Anesthesia for Children undergoing Dental Treatment. World J Dent 2015;6(3):154-160.

Использование 4% артикаина в сочетании с эпинефрином (1 : 100 000 И 1 : 200 000) в практике детского стоматолога

&lt;p&gt; Dental care for children at the moment is an important task. A high-quality dental care is impossible without the use of safe and effective anesthesia. One of the main local anesthetics of high-performance dental services is the amide anesthetic articaine. This article discusses two clinical cases using in clinical practice of pediatric dentistry of articaine-containing drug Ultracaine®. &lt;/p&gt;

The Impact of Medicaid Reform on Children's Dental Care Utilization in Connecticut, Maryland, and Texas.

ObjectiveTo measure the impact of Medicaid reforms, in particular increases in Medicaid dental fees in Connecticut, Maryland, and Texas, on access to dental care among Medicaid-eligible children.Data2007 and 2011–2012 National Survey of Children’s Health.Study DesignDifference-in-differences and triple differences models were used to measure the impact of reforms.Principal FindingsRelative to Medicaid-ineligible children and all children from a group of control states, preventive dental care utilization increased among Medicaid-eligible children in Connecticut and Texas. Unmet dental need declined among Medicaid-eligible children in Texas.ConclusionsIncreasing Medicaid dental fees closer to private insurance fee levels has a significant impact on dental care utilization and unmet dental need among Medicaid-eligible children.

Educational and therapeutic behavioral approaches to providing dental care for patients with Autism Spectrum Disorder.

Autism Spectrum Disorder (ASD) is a condition which most dentists will encounter in their practices. Contemporary educational and behavioral approaches may facilitate successful dental care. A literature review was conducted for relevant information on dental care for children with ASD. Educational principles used for children with ASD can be applied in the dental setting. Examples include: parent involvement in identifying strengths, sensitivities, and goal setting; using stories or video modeling in advance of the appointment; dividing dental treatment into sequential components; and modification of the environment to minimize sensory triggers. Patients with ASD are more capable of tolerating procedures that they are familiar with, and therefore should be exposed to new environments and stimuli in small incremental steps. By taking time to understand children with ASD as individuals and employing principles of learning, clinicians can provide high quality dental care for the majority of patients with ASD.

Medical providers and dental care for children

Medical providers and dental care for children

Childhood dental injuries: a resiliency model of adaptation.

There is a paucity of research examining how children and their families adapt to traumatic dental injuries. This study examined how clinical and psychosocial factors influence adaptation to this oral stressor using a theoretical framework of resiliency and adaptation. Children with traumatised permanent teeth, who were attending a UK dental hospital, completed questionnaires at baseline and at a 6 month follow-up. Child questionnaires assessed coping styles, social support, and quality of life outcomes. Parents were also asked to complete questionnaires, which assessed previous stressors/strains on the family, social support, healthcare satisfaction, and family impacts. Data related to the child's dental injury were collected from clinical notes. Structural equation modelling and regression analyses were employed to analyse data. One hundred and eight children and 113 parents participated at baseline. Children's gender, coping style, social support, and family functioning significantly predicted children's oral health-related quality of life. Parents' satisfaction with their children's dental care significantly predicted parental quality of life outcomes. Children's close friend support and healthcare satisfaction remained significant predictors of positive outcomes at follow-up. The findings revealed important psychosocial factors that influence child and family adaptation to childhood dental trauma.

Oral complications and dental care in children with acute lymphoblastic leukaemia.

Acute leukaemia is the most common type of childhood cancer, the acute lymphoblastic type accounting for the majority of cases. Children affected by leukaemia receive various forms of treatments including chemotherapeutic agents and stem cell transplants. Leukaemia and its treatment can directly or indirectly affect oral health and further dental treatments. The oral complications include mucositis, opportunistic infections, gingival inflammation and bleeding, xerostomia and carious lesions. An additional consideration in children is the impact of the treatments on the developing dentition and on orofacial growth. The aim of this review is to describe the oral complications in children with acute lymphoblastic leukaemia and the methods of prevention and management before, during and after the cancer treatment.

Оценка качества лечения осложненных форм кариеса временных зубов у детей в ближайшие и отдаленные сроки

Despite the high level of modern dentistry, caries and its complications are a leading place in the structure of dental pathology in children. Much of the scientific research of the last five years dedicated to errors in endodontic practice dentist therapist providing dental services to the adult population. However, the latest treatment technologies, used in adult dentistry, may not always apply in the child. The above confirms the need for further study of the treatment of complications of primary teeth caries in children, search for methods to improve its effectiveness. The groups of a clinical study consisted of children aged 4 to 9 years without severe somatic pathology, with temporary teeth at the stage of formation, formed of root resorption of the roots, which allowed to obtaining comparable results. After the necessary diagnostic methods, the treatment of chronic pulpitis was selected (K04.0, K04.3); the methods devital amputation, non-vital extirpation, removing vital were used. Biological method didn’t use. Chronic apical periodontitis (K04.5), treatment was to be temporary teeth in the absence of resorption of the roots (both physiological and pathological), and in the absence of evidence of exacerbation of the inflammatory process, assessed the degree of destruction of the temporary tooth crown (no more than 1/2). Treatment of periodontitis temporary teeth was performed in 2-3 visits. Control examination was conducted in the next (after 7 - 10 days) and long-term period (one year). Assessment of the quality of treatment in short-and long-term was carried out in the points. The results of the research quality of dental care in children allow to develop phased system of control with regard to ball assess the quality of treatment of complicated forms of dentition caries in children in the immediate and long terms. The obtained data will allow to developing a computer-based monitoring program for the state of dental health of children, and will allow the dentist to perform the correction of therapeutic and preventive measures at the individual level.

Innovations in Interprofessional Education: Building Collaborative Practice Skills

The Institute of Medicine advocates redesigning the health care system through interprofessional education (IPE) and collaborative practice. These strategies are game changers. Western University embraces this paradigm shift with an IPE curriculum for all students in 13 health care disciplines. Further, the College of Dental Medicine's innovations in community-based dental education and local programs such as the Children's Dental Care Project are preparing students as future interdisciplinary teams to improve patient care.

Scalable, sustainable cost-effective surgical care: a model for safety and quality in the developing world, part II: program development and quality care.

The Guwahati Comprehensive Cleft Care Center (GCCCC) is committed to free medical and surgical care to patients afflicted with facial deformities in Assam, India. A needs-based approach was utilized to assemble numerous teams, processes of care, and systems aimed at providing world-class care to the most needy of patients, and to assist them with breaking through the barriers that prohibit them from obtaining services. A team of international professionals from various disciplines served in Guwahati full time to implement and oversee patient care and training of local counterparts. Recruitment of local professionals in all disciplines began early in the scheme of the program and led to gradual expansion of all medical teams. Emphasis was placed on achieving optimal outcome for each patient treated, as opposed to treating the maximum number of patients. The center is open year round to offer full-time services and follow-up care. Along with surgery, GCCCC provides speech therapy, child life counseling, dental care, otolaryngology, orthodontics, and nutrition services for the cleft patients under one roof. Local medical providers participated in a model of graded responsibility commiserate with individualized skill and progress, and gradually assumed all leadership positions and now account for 92% of the workforce. Institutional infrastructure improvements positioned and empowered teams of skilled local providers while implementing systemized perioperative processes. This needs-based approach to program development in Guwahati was successful in optimization of quality and safety in all clinical divisions.

On the history of pediatric stomatology in Russia

Pediatric stomatology became an independent discipline after being a part of general dentistry, so the history of their development are closely linked. The first descriptions of dental diseases in children in the domestic literature refer to the XVIII century. In the late XIX-early XX century a specialized dental care for children was established. AK Limberg should be considered a pioneer of pediatric stomatology in Russia. The article shows the role of pediatric stomatology departments (currently there are 27 of them in Russia) in the development of the specialty. Targeted reduction of dental morbidity of the child population is possible through implementing of a complex program, including the organization of dentist care, prevention and treatment of main dental diseases: dental caries and its complications, inflammatory periodontal diseases, dentoalveolar malformations. Implementation of these measures includes the cooperation of the health system, public education and public catering.

Representation of dental care and oral health in children's drawings

Paediatric dentistry requires knowledge of preventive measures, restorative skills and an understanding of child development. This exploratory, descriptive and qualitative study has analysed children's drawings regarding their perception of dental treatment and oral health. Children aged from six to ten years attending a dental school for treatment were randomly invited to create a drawing about 'dental treatment' and 'oral health'. Verbal expressions made by the children whilst drawing were also recorded and attached to the drawings. These representations were analysed and categorised using Vygotsky postulations for context reading. During the drawing analysis different themes emerged. Five categories regarding perceptions of dental treatment were identified: personal relationship; power relation; trauma; childhood resistance; and contextualisation of dental care in the child's life. Three categories relating to oral health were determined: dichotomy of health/sickness; ludic representation of health; and sickness seen as a process. Drawing can be used to understand children's emotions and expectations about dental treatment. Besides possessing technical skills and scientific knowledge, dentists have an obligation to pay attention to children's feelings.

Use of three-dimensional computed tomography images in dental care of children and adolescents in Korea

Advances in computed tomography (CT) technology - from traditional CT to cone beam (CB) CT - have benefitted both the dentists and their young patients. We therefore wanted to determine the prevalence of CBCT use in pediatric dentistry in Korea. Our first approach was to conduct an institutional survey to evaluate the use of CBCT for diagnosing and evaluating dental problems in pediatric patients. Our second approach was to review any articles published during 2002-2011 in the Journal of the Korean Academy of Pediatric Dentistry that described clinical use of CBCT. The journal articles surveyed indicated that there were three areas in which CBCT was most useful. The most prevalent use was for diagnosis and monitoring of the growth of cystomas and other tumors in the mouth. The second most common use of CBCT was localization of impacted teeth and evaluation of their relations with adjacent teeth. The third use was to observe supernumerary teeth and evaluate their relations with the roots of adjacent teeth. Compared with traditional CT, CBCT has shorter acquisition times and causes less radiation exposure to the patient. There are fewer side effects with CBCT because its accuracy allows minimally invasive treatment for such problems as impacted and supernumerary teeth.

Caregivers who refuse preventive care for their children: the relationship between immunization and topical fluoride refusal.

The aim of this study was to examine caregivers' refusal of preventive medical and dental care for children. Prevalence rates of topical fluoride refusal based on dental records and caregiver self-reports were estimated for children treated in 3 dental clinics in Washington State. A 60-item survey was administered to 1024 caregivers to evaluate the association between immunization and topical fluoride refusal. Modified Poisson regression models were used to estimate prevalence rate ratios (PRRs). The prevalence of topical fluoride refusal was 4.9% according to dental records and 12.7% according to caregiver self-reports. The rate of immunization refusal was 27.4%. In the regression models, immunization refusal was significantly associated with topical fluoride refusal (dental record PRR = 1.61; 95% confidence interval [CI] = 1.32, 1.96; P < .001; caregiver self-report PRR = 6.20; 95% CI = 3.21, 11.98; P < .001). Caregivers younger than 35 years were significantly more likely than older caregivers to refuse both immunizations and topical fluoride (P < .05). Caregiver refusal of immunizations is associated with topical fluoride refusal. Future research should identify the behavioral and social factors related to caregiver refusal of preventive care with the goal of developing multidisciplinary strategies to help caregivers make optimal preventive care decisions for children.