Factors affecting efficacy of oral trimeprazine sedation for dental procedures in children: a retrospective study

To investigate the influence of factors such as age, gender and pre-operative behavior rating on the outcome of sedation using oral trimeprazine during dental treatment of children. Records of children who received dental treatment under sedation with oral trimeprazine between 2000 and 2007 were reviewed and the following data were obtained: age and weight of patient at the time of treatment, gender, behavior classification prior to sedation, dose of medication used, efficacy of sedation and treatment accomplished. Descriptive statistics, cross-tabulations and Chi[2] analysis were done. Forty-eight sedation sessions met the inclusive criteria for children whose mean age was 4.92 [SD 1.65, range 3.0-8.0] years and mean weight was 18.23 [SD 4.82, range: 12.0-31.0] kg. Overall, 54.2% [26/48] of the sedations were rated successful, 20.8% [10/48] were partially successful and 25.0% [12/48] not successful. Younger children 3-5 years, and those with only negative pre-operative behavior rating had more successful sedation sessions than older, 6-8 years or children with definitely negative pre-operative behavior rating [X[2] =8.165, p= .017] and [X[2] = 17.258, P= .001], respectively. Variables such as patient's age and pre-operative behavior but not gender and type of treatment could predict outcome of dental sedation using trimeprazine in children

Oral health care of infants and young children by a group of Saudi mothers

This study was undertaken to investigate oral health measures rendered to infants and young children by a group of Saudi mothers and also to determine their knowledge of the time of a child's first dental visit. Cross-sectional questionnaire survey was carried out on mothers whose children, aged 5 to 40 months, participated in the study of eruption times of primary dentition in Saudi children. Methods and frequency of cleaning the child's teeth at three age-groups corresponding to mean number of erupted teeth were determined and related to mothers' educational level and family size. Chi-square test was used in statistical analysis. Results show that of 446 children, 49.8% never had their teeth cleaned at all, particularly at age 5-15 months, while 39.9% of the children brushed their teeth or had them brushed by their mothers. Fluoride toothpaste was used by 31.4% of the children. Method and frequency of cleaning the child's dentition was related to maternal education and family size with educated mothers using more appropriate techniques. Almost 90% of the mothers were ignorant of the 12 months recommended time of a child's first dental visit. It can be concluded that: one in two children never had their teeth cleaned at all especially before the full complement of the primary dentition. Tooth brushing habit with rluoride toothpaste was very low among the age group studied There was lack of knowledge among this group of mothers regarding the recommended time of 12 months for a child's first dental visit

Intracoronal resorption of mandibular permanent second molar: case report and treatment strategies

Intracoronal radiolucency in an unerupted mandibular second molar was detected accidnetally on a panoramic radiograph taken for orthodontic evaluation. The lesion was kept under observation until eruption of the tooth. Operative therapy was initiated when symptoms began to manifest. Strategies for successful management are discussed. It is important that dentists are aware of this condition and scrutinize crowns of unerupted teeth whenever radiographs are taken so that the lesion can be monitored and managed as appropriate

retrospective study of pediatric dental patients treated under general anesthesia

The objective of this study was to review all child dental patients who received comprehensive dental treatment under general anesthesia [GA] at the College of Dentistry, King Saud University. between 1982 and 1990. The characteristics of the patients, indication for treatment under GA. types of treatment carried out and subsequent dental care received were analyzed in order to assess the efficacy of this type of care. All relevant data were obtained from the patients' dental records. The sample consisted of 119 patients who were followed up for a minimum of 2 years after the GA. There were 54 males and 65 females. Their ages ranged from 3 to 15 years with a median age of 5 years. Over 61% of them were 5 years or under. Most of the patients were healthy and only 31.1% had medical or developmental disability. Extensive caries coupled with behavior management was the major indication for using this regimen. Only 16.8% were admitted for surgical procedures. Treatment rendered included extractions, amalgam and composite/glass ionomer restorations, stainless steel and strip crown restorations, pulp therapy and placement of fissure sealants. Stainless steel and strip crown restorations were significantly more successful than amalgam or composite/glass lonomer restorations. Total oral rehabilitation was provided at a single operative visit and subsequent dental care devoted to prevention and behavior modification. All patients who needed further treatment during the follow-up visit accepted treatment under sedation and local anesthetic rather than under general anesthetic