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ABSTRACT: Oral and dental health are vital parts of general baby health, and early dental visits provide significant prevention-focused intervention and parental counseling regarding oral health. Evaluating the age and main complaints of children is therefore important during their first dental visit (FDV). The purposes of this study were to determine the age, reason for the visit, behavioral response, and caries status at the FDV and to evaluate the factors affecting these parameters. Parents of 325 pediatric patients (159 males; 166 females; mean age 7.20±2.78 years) at their FDV were asked to fill out a questionnaire requesting sociodemographic information and their child's medical history, brushing habits, and reasons for attending dental consultation. The decayed-missing-filled-teeth (dmft/DMFT) scores were also recorded. The child's behavioral responses during the FDV were evaluated according to Frankl's Behavior Rating Scale (FBRS). Higher maternal education level and dmft/DMFT score were associated with earlier FDV age. The most common reason for the FDV was dental caries in 33.5% of patients, followed by toothache (29.5%). Most of the children showed positive behavior (46.7%), with positive behavior affected by age and negative behavior affected by the dmft/DMFT score and distance from home. The mean dmft/ DMFT score was 8.1±4.4 and was negatively affected by toothbrushing frequency and family income. These study results indicate that Turkish children living in Edirne present at a late age for the FDV. Raising awareness in terms of dental health care among parents is important to ensure that children attend their FDV at an early age.
RESUMEN: La salud oral y dental son partes vitales de la salud general del bebé, y las visitas dentales tempranas brindan una importante intervención centrada en la prevención y asesoramiento a los padres sobre la salud bucal. Por lo tanto, evaluar la edad y las principales quejas de los niños es importante durante su primera visita al dentista (FDV por sus siglas en inglés). El propósito de este estudio fue determinar la edad, motivo de visita, respuesta conductual y estado de caries en la FDV y evaluar los factores que afectan estos parámetros. A los padres de 325 pacientes pediátricos (159 hombres; 166 mujeres; edad media 7,20±2,78 años) en su FDV se les pidió que llenaran un cuestionario solicitando información sociodemográfica y el historial médico de su hijo, hábitos de cepillado y motivos de presentación a la consulta dental. También se registraron las puntuaciones de dientes cariados-faltantes-obturados (dmft/DMFT). Las respuestas conductuales del niño durante la FDV se evaluaron de acuerdo con la escala de calificación de conducta de Frankl (FBRS). Un mayor nivel de educación materna y una puntuación de dmft/DMFT se asociaron con una edad más temprana de la FDV. La causa más común de la FDV fue la caries dental en el 33,5% de los pacientes, seguida del dolor de muelas (29,5%). La mayoría de los niños mostró un comportamiento positivo (46,7%), con un comportamiento positivo afectado por la edad y un comportamiento negativo afectado por el puntaje dmft/DMFT y la distancia del hogar. La puntuación media de dmft/DMFT fue de 8,1±4,4 y se vio afectada negativamente por la frecuencia de cepillado de dientes y los ingresos familiares. Los resultados de este estudio indican que los niños turcos que viven en Edirne se presentan a una edad avanzada para la FDV. Es importante concienciar a los padres sobre el cuidado de la salud dental para garantizar que los niños asistan a su FDV a una edad temprana.
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Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Higiene Bucal , Dente Decíduo/crescimento & desenvolvimento , Cárie Dentária , Turquia , OdontólogosRESUMO
The objective of this study was to describe the timing of the first dental visit and investigate the association of socioeconomic and behavioral factors with dental visit delay among 10/11-year-old children from two live-birth population cohorts with extremely contrasting socioeconomic profiles. Follow-up data (2004-2005) from cohorts of Ribeirão Preto (RP) (n=790) and São Luís (SL) (n=673) were evaluated. Delay in dental visit was defined as not visiting a dentist before the age of 7. Covariates included family socioeconomic characteristics, mother-related health behavior, and child-related characteristics. Prevalence ratios with robust standard errors were estimated. In both cohorts, less than 5% of children had visited a dentist before the age of two and about 35% of them had not visited a dentist before the age of seven. Lower mother's schooling and lack of private health insurance were associated with the delay in first dental visit for both cohorts. A small number of mother's prenatal care visits and being from a single-father family or a family without parents were only associated in the RP cohort, while having ≥4 siblings and lifetime dental pain were associated in the SL cohort. The association with dental pain probably reveals a preventive care-seeking behavior. Therefore, the percentage of delayed first dental visit of children was very high even among those with the most educated mothers. Further studies are necessary to analyze recent changes and underlying factors related to access to first dental visit after the implementation of the National Oral Health Policy in 2006.
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Humanos , Masculino , Feminino , Criança , Fatores Socioeconômicos , Assistência Odontológica para Crianças/tendências , Brasil/epidemiologia , Prevalência , Estudos de Coortes , EscolaridadeRESUMO
Limb elongation surgeries have been described as an important modality for the management of proximal focal femoral deficiencies. Limb reconstruction systems are available to perform these limb lengthening procedures.Congenital focal femoral deficiency is a clinical condition that was first described by Aitken. They are congenital disfigurements of the lower extremities, mostly involving proximal femur. However, they are clearly distinguishable from isolated coxa vara1. It has clinical presentations varying from short femur in mild cases to coxa-vara deformity seen in extreme cases. Other presentations include pseudoarthrosis in the proximal femur, hypoplasia of the lateral femoral condyle, absent cruciate ligaments of knees, muscle hypoplasia, and sponge like network of vessels in the proximal femoral plate.1,2Limb lengthening is performed in patients with Paley’s type 1a and 1b congenital femoral deficiency. In cases with Paley Type 2a congenital femoral deficiency, treatment options include knee arthrodesis along with extension prosthesis fitting. Van des rotationplasty, Symes amputation or ablative techniques are the other surgical modalities available.3,4Current literature does not provide us with just a single treatment of choice which is completely safe and successful for limb lengthening procedure in congenital proximal focal femoral deficiency patients. Limb reconstruction system is an excellent method for femoral lengthening by external fixation technique.5 Here we present a case of a female child, aged seven with unilateral proximal femoral focal deficiency managed with LRS technique.
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BACKGROUND: Behavior guidance is a technique used to subdue inappropriate behavior by establishing communication that meets the needs of a child. This study aimed to measure the effectiveness of a mobile app (Little Lovely Dentist) compared to the tell-show-do (TSD) technique in managing anxious children during their first dental visit.METHODS: Fifty children (30 boys and 20 girls) without any past dental experience, aged from 7 to 11 years, were randomly allocated into either the dental app group or the TSD group. The pre- and post-operative anxiety of children who underwent prophylactic cleaning was assessed both physiologically and subjectively using a heart rate measurement and the RMS pictorial scale, respectively.RESULTS: The intragroup comparison of heart rate and RMS scores for children allocated to the dental app group was statistically significant (P value ≤ 0.001). However, a significant reduction only occurred in the RMS scores, but not the heart rate measurements, in the TSD group. Conversely, there was an increase in heart rates in the TSD group.CONCLUSION: Educating the child prior to a dental procedure using a smartphone application such as Little Lovely Dentist can significantly alleviate the anticipatory anxiety and engage children in dental treatment during their first visit.
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Criança , Humanos , Ansiedade , Ansiedade ao Tratamento Odontológico , Odontólogos , Frequência Cardíaca , Amor , Aplicativos Móveis , SmartphoneRESUMO
Background: Early assessment of the oral health status of children has the potential to reduce or even eliminate oral diseases. Paediatricians are considered a perfect and reliable source for oral health control and prevention. In dentistry, clinical practice is directed towards attitudes that promote oral health and the paediatricians occupy a privileged position in this process. The purpose of this study was to evaluate the knowledge, attitude and awareness of paediatricians in the prevention of dental caries in 3 district quarters, India. Methods: A cross-sectional survey was undertaken among 123 registered paediatricians in Indian Academy of Paediatrics (IAP) Karnataka directory and digest 2011-2013, Karnataka society. Out of which, 42 did not participate as their email address were not available. 29 sets of questions were mailed to all 81 paediatricians. Results: The response rate of the survey was 90% (70 out of 81), a total of 59% felt that the frequency of Early Childhood Caries (ECC) in their O.P.D was at least once a week. 51% responded that bacteria causing dental caries cannot be transmitted between mother and child. 53% felt that 1 year would be ideal for first dental visit. 64% of pediatricians were not aware that fluoride dentifrices and dental sealants will prevent dental caries. Conclusions: In general, pediatricians’ knowledge, attitudes and awareness regarding oral health and prevention of dental caries was not satisfactory. It is essential to develop oral health information programs to pediatricians.
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An ounce of prevention is worth a pound of cure. Gentle introduction to the dental environment is an excellent way to learn proper oral hygiene at an early age. A retrospective study from the year 2009-08/2012 and prospective study from the year 09/2012-08/2013 was carried out using the records of children who have reported to OPD of Pediatric Dentistry, CKS Dental College at Tirupathi. The age group of the children were0-3years, 3-6years and above 6years. The various chief complaints were categorized as pain, cavities, stains, bad breath, un-erupted tooth, fractures, irregular teeth and others. The average age group and most common complaint at first dental visit was assessed. The maximum number of children who reported for the first time was above 6years and most common complaint was dental caries and second most common complaint being pain.
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Oral examination of an infant forms an important first step toward a lifetime of excellent oral health. Examining an infant during the first visit and the subsequent preventive examination visits may be challenging to dentists and pediatric dentists. There are few concerns regarding the effective oral examination using the traditional “knee-to-knee” position. This paper presents a new, simple infant examination table (INFANTT) to facilitate this examination. This table has many advantages, which includes its stability and simplicity. It is non-threatening and resembles common household furniture. Various modifications of the basic design are also possible to suit the individual dentist’s preferences and dental office needs. Additionally, it is possible to use this INFANTT for performing fluoride varnish applications, taking radiographs of the anterior teeth and extraction of natal, neonatal teeth and traumatized teeth.