Dental management for pediatric patients under general anesthesia at Queen Rania Al-Abdullah hospital for children in Jordan

To determine the characteristics of patients, indications, and the types of dental treatment, that was carried out for children under general anesthesia at Queen Rania AL Abdullah hospital for children in Amman-Jordan. A retrospective, descriptive and comparative study was designed. Data were collected from records of patients who required full mouth rehabilitation under general anesthesia over a one year period [13 February 2010 to l3 February 2011], at Queen Rania Al Abdullah children hospital in Jordan. Information collected from the records included date of birth, gender, medical condition, indications for general anesthesia, type of procedure, treatment provided including the number of primary and permanent teeth extracted and restored, and the type of restoration was also recorded. A total of 163 patients, 80[49.1%] males and 83 [50.9%] females received full mouth rehabilitation under general anesthesia at Queen Rania Al Abdullah children hospital in Jordan. The age of the patients ranged from 1 to 16 years old with mean age of 6.17 +/- 1.49 years. The mean age of females was 6.55 +/- 3.19 and of males was 5.76 +/- 3.02. The main indications for general anesthesia were young children with extensive caries [45.4%] special health care needs patients [33.1%], and behavior management problem [13.5%]. Complete oral rehabilitation including restorations [fissure sealants, composite filling, amalgam restorations and stainless steel crowns], dental extraction of deciduous and permanent teeth and surgical procedures were performed under general anesthesia in a single visit. Dental management for pediatric patients who are very young and those with special health care needs can effectively be carried out under general anesthesia in a single visit

Who accompanies paediatric dental patients and the types of dental treatment provided at Queen Alia Military Hospital?

To evaluate who accompanied children to their appointments at the paediatric dental clinic, number of accompanying persons and the types of dental treatments provided at Queen Alia Military Hospital in Amman Jordan. A prospective study was designed. Data were collected from children who visited the paediatric dental clinic for dental treatment over a six month period [1[st]-August-2008 to 31 January-2009], at Queen Alia Military Hospital in Amman Jordan. Data collected from the patients included: the age of patients, gender, accompanying person and number/s of accompanying adults and children and their relationship to the patient; the appointment time [morning or afternoon] and the types of dental treatment [emergency visit, routine work, a new patient assessment and follow up dental treatment]. A total of 430 paediatric dental visits were recorded. The age of the patients ranged from 1 to 14 years old with a mean of 8.83 +/- 2.91 years. Of the total 430 dental visits 242 [56.3%] male and 188 [43.7%] were female. In all appointment types the father was the most frequently accompanying person: 57.7% for new patient assessments, 53.6% with follow up cases, 47.6% for routine cases and 38.2% for emergency cases. In emergency cases, 86.6% of child patients were accompanied by the father or the mother or both of them. While in 13.4% of cases the children were accompanied by other relative [older siblings, grandfather, grandmother and uncle] or were unaccompanied. The majority of patients 244 [56.7%] were accompanied by one person while 10 [2.3%] patients were unaccompanied. The maximum number of accompanying persons was 6. There were 385 dental visits [89.5%] in the morning session and 45 [10.5%] in the afternoon session. It was concluded that in all appointment types and time of dental visits the father was the most frequently accompanying person. The majority of paediatric dental visits were for routine dental treatments, while the minority of visits was for follow up cases

Dentofacial changes and oral health status in individuals with Down syndrome in Jordan - cross sectional study

The purpose of this study was to investigate the various dentofacial anomalies and oral health status associated with Down Syndrome patients in Jordan. The study was carried out on 53 individuals with Down Syndrome from private institute of rehabilitation for disabled children in Amman, Jordan. There were 15[28.3%] females and 38[71.7%] males. The age of the patients ranged from 7-16 years with meanage of 11.09+2.74 years. Medical history and relevant information were obtained from individual's file. Clinical levels of oral hygiene status were assessed using simplified oral hygiene index and caries detection was according to WHO caries recording criteria and compared to historic caries incidence in normal children with similar age group in Jordan. The prevalence of dentofacial anomalies [hypertelorism, flat nasal bridge, macroglossia, fissured tongue, high arched palate, and malocclusion] was recorded. A total of 60.4% of the DownSyndrome patients practiced good oral hygiene, 56.6% were affected with dental caries. The mean caries experience indices were [1.84]. All Down Syndrome patients had one or more form of dentofacial abnormality; 94.3% had flat nasal bridge, 90.6% showed hypertelorism, 75.5% had high arched palate, 69.8% showed fissured tongue, 62.3% had macroglossia, 18.9% showed delayed eruption and 45.3% showed malocclusion. DMFT and dmft in Down syndrome patients were significantly lower compared to those in normal children in Jordan. Individuals with Down syndrome in Jordan showed better oral health in younger age group but as they became older, dental caries and poor oral hygiene became more prevalent

Fluoride release from glass ionomer cements and compomers in vitro

To measure the fluoride released from a group of glass ionomer cements and compomers, in vitro using the fluoride ion specific electrode over a period of four months. The daily fluoride release of three conventional glass-ionomer cements [Ketac-Fil, Fuji IX GP and Fuji VII], two light cured glass-ionomer cements [Fuji II LC and Vitremer] and two compomers [Dyract AP and F-2000] was measured over a period of four months. Ten cylindrical specimens [surface area = 1.996 cm[2]] were made of each of the materials, 10 mm in diameter and 1.5 mm in thickness using the same mould. Measurements of the fluoride release in 5 ml of deionized water [25°C] were performed at intervals of one day, weekly for the rest of the first month, and monthly for the remaining three months. A burst effect of fluoride release was observed initially with at least a ten-fold decrease occuring for all the materials by the end of the first week. Compomers were found to release significantly less fluoride than the glass-ionomer cements during the first four months. The [mean +/- SD] daily fluoride release for the materials at four months was: Fuji VII [0.31 +/- 0.06 ppmF], Ketac-Fil [0.31 +/- 0.08 ppmF], Vitremer [0.27 +/- 0.05 ppmF], Fuji II [0.12 +/- 0.03 ppmF], FujilX [0.09 +/- 0.05 ppmF], F2000 [0.07 +/- 0.05 ppmF] and Dyract [0.06 +/- 0.01 ppmF]. The most fluoride was released by Fuji VII and Ketac-Fil. Dyract released the least fluoride of all the materials