ABSTRACT
PURPOSE: To evaluate the caries relapse rate for a cohort of 2- to 4-year-old children at high risk of early childhood caries when treated with an intensive fluoride varnish (FV) regimen. METHODS: Eighty paediatric patients were recruited. Forty of these patients were high risk and received the FV treatment (three applications within 2 weeks and additional applications at 1 and 3 months) during 2009-2010. Mutans streptococci (MS) levels in the saliva were evaluated during the treatment period. A comparative group of 40 children, selected from an electronic record search at the New York University College of Dentistry to be of similar age, gender, and ethnicity, but not at elevated risk for ECC, received the standard of care (semi-annual FV treatment). Detailed caries examination and treatment records were obtained for all patients from 2009 to 2014. RESULTS: A significant reduction (P < 0.001) in MS levels was observed in the intensive FV treatment group at the 3-month visit compared with baseline. There was no effect of the intensive FV treatment on caries outcome in the anterior teeth, and the overall caries scores were significantly increased on the posterior teeth. CONCLUSION: The intensive FV regimen appears insufficient to prevent caries relapse in children at high risk for caries.
Subject(s)
Cariostatic Agents/administration & dosage , Dental Caries/prevention & control , Fluorides, Topical/administration & dosage , Streptococcus mutans/drug effects , Child, Preschool , Female , Humans , Male , Retrospective Studies , Risk Factors , Saliva/microbiology , Streptococcus mutans/isolation & purification , Treatment FailureSubject(s)
Adoption/psychology , Calcium, Dietary/therapeutic use , Dental Caries/diagnosis , Dental Enamel Hypoplasia/diagnosis , Fetal Alcohol Spectrum Disorders/diagnosis , Reactive Attachment Disorder/diagnosis , Rickets/diagnosis , Vitamin D/therapeutic use , Adolescent , Crowns , Dental Caries/therapy , Dental Enamel Hypoplasia/etiology , Dental Enamel Hypoplasia/therapy , Dietary Supplements , Directive Counseling , Evidence-Based Practice , Female , Fetal Alcohol Spectrum Disorders/therapy , Humans , Intersectoral Collaboration , Oral Hygiene , Pediatric Nursing , Reactive Attachment Disorder/etiology , Reactive Attachment Disorder/therapy , Rickets/complications , Rickets/therapy , Self CareABSTRACT
A comprehensive oral health care program for Head Start children in New York City is described. Head Start is a federally funded pre-school program for low-income families and their children. It provides activities that help children grow mentally, socially, emotionally and physically. In 1994, a public-private partnership was created between New York Administration for Children's Services and New York University College of Dentistry. The program consists of periodic visits to different Head Start centers by a dental team composed of pediatric dentists, residents, hygienists and students. At the center, the team provides diagnostic and preventive services to children and oral health education to children, parents and staff. Referrals are then made to the College of Dentistry or to a community provider for treatment and follow-up. Free transportation is provided between Head Start centers and the college clinic. Over 13 years, 25,000 children have received diagnostic, preventive and treatment services.
Subject(s)
Dental Care for Children/organization & administration , Early Intervention, Educational , Public-Private Sector Partnerships , Child, Preschool , Humans , New York CityABSTRACT
The purpose of this project was to define education and training requirements for hospital-based dentists to efficiently and meaningfully participate in a hospital disaster response. Eight dental faculty with hospital-based training and/or military command and CBRNE (chemical, biological, radiological, nuclear, and explosive) expertise were recruited as an expert panel. A consensus set of recommended educational objectives for hospital-based dentists was established using the following process: 1) identify assumptions supported by all expert panelists, 2) determine current advanced dental educational training requirements, and 3) conduct additional training and literature review by various panelists and discussions with other content and systems experts. Using this three-step process, educational objectives that the development group believed necessary for hospital-based dentists to be effective in treatment or management roles in times of a catastrophic event were established. These educational objectives are categorized into five thematic areas: 1) disaster systems, 2) triage/medical assessment, 3) blast and burn injuries, 4) chemical agents, and 5) biological agents. Creation of training programs to help dentists acquire these educational objectives would benefit hospital-based dental training programs and strengthen hospital surge manpower needs. The proposed educational objectives are designed to stimulate discussion and debate among dental, medical, and public health professionals about the roles of dentists in meeting hospital surge manpower needs.
Subject(s)
Dental Staff, Hospital/education , Disaster Planning , Emergency Medicine/education , Bioterrorism , Decontamination , Humans , New York , Traumatology/education , Triage , United StatesABSTRACT
The author describes two examples of a "smiley-face tooth."
Subject(s)
Dental Pulp Calcification/diagnostic imaging , Child , Female , Humans , RadiographyABSTRACT
The purpose of this study was to evaluate the integrity and longevity of restorative and pulpal procedures performed on primary teeth under general anesthesia (GA). Fifty-four children, who received comprehensive dental treatment under general anesthesia between 1993 and 1995, were included. The postoperative examination period ranged from 6 to 27 months. Children were examined and the quality of the restorations were recorded and evaluated. Behavior problems and inability to cooperate were the main reasons for treatment under GA. Results showed that restoration of posterior teeth with stainless steel crowns (SSC) were more successful (95.5%) when compared to amalgam or composite restorations (50%). In the anterior teeth, strip crowns had a success rate similar to that of Class III, IV and V composite resin materials. Pulpotomies showed an extremely high rate of success (97.1%), while sealants were retained 68.3% of the time. In conclusion, SSC are more likely to be successful and last longer than multisurface amalgam or composite restorations in children treated under general anesthesia. Definitive treatment is more likely to ensure a more positive outcome for children treated under general anesthesia due to less frequent complications from failed restorations or pulpal procedures.
