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1.
Psychol Sci ; : 9567976241256617, 2024 Aug 07.
Artículo en Inglés | MEDLINE | ID: mdl-39110746

RESUMEN

Many experiences unfold predictably over time. Memory for these temporal regularities enables anticipation of events multiple steps into the future. Because temporally predictable events repeat over days, weeks, and years, we must maintain-and potentially transform-memories of temporal structure to support adaptive behavior. We explored how individuals build durable models of temporal regularities to guide multistep anticipation. Healthy young adults (Experiment 1: N = 99, age range = 18-40 years; Experiment 2: N = 204, age range = 19-40 years) learned sequences of scene images that were predictable at the category level and contained incidental perceptual details. Individuals then anticipated upcoming scene categories multiple steps into the future, immediately and at a delay. Consolidation increased the efficiency of anticipation, particularly for events further in the future, but diminished access to perceptual features. Further, maintaining a link-based model of the sequence after consolidation improved anticipation accuracy. Consolidation may therefore promote efficient and durable models of temporal structure, thus facilitating anticipation of future events.

2.
J Neurosci ; 44(33)2024 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-38969505

RESUMEN

Humans are immensely curious and motivated to reduce uncertainty, but little is known about the neural mechanisms that generate curiosity. Curiosity is inversely associated with confidence, suggesting that it is triggered by states of low confidence (subjective uncertainty), but the neural mechanisms of this link, have been little investigated. Inspired by studies of sensory uncertainty, we hypothesized that visual areas provide multivariate representations of uncertainty, which are read out by higher-order structures to generate signals of confidence and, ultimately, curiosity. We scanned participants (17 female, 15 male) using fMRI while they performed a new task in which they rated their confidence in identifying distorted images of animals and objects and their curiosity to see the clear image. We measured the activity evoked by each image in the occipitotemporal cortex (OTC) and devised a new metric of "OTC Certainty" indicating the strength of evidence this activity conveys about the animal versus object categories. We show that, perceptual curiosity peaked at low confidence and OTC Certainty negatively correlated with curiosity, establishing a link between curiosity and a multivariate representation of sensory uncertainty. Moreover, univariate (average) activity in two frontal areas-vmPFC and ACC-correlated positively with confidence and negatively with curiosity, and the vmPFC mediated the relationship between OTC Certainty and curiosity. The results reveal novel mechanisms through which uncertainty about an event generates curiosity about that event.


Asunto(s)
Conducta Exploratoria , Imagen por Resonancia Magnética , Humanos , Masculino , Femenino , Incertidumbre , Conducta Exploratoria/fisiología , Adulto , Adulto Joven , Mapeo Encefálico , Estimulación Luminosa/métodos , Percepción Visual/fisiología
4.
Psychon Bull Rev ; 31(4): 1867-1879, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38347367

RESUMEN

Some people exhibit impressive memory for a wide array of semantic knowledge. What makes these trivia experts better able to learn and retain novel facts? We hypothesized that new semantic knowledge may be more strongly linked to its episodic context in trivia experts. We designed a novel online task in which 132 participants varying in trivia expertise encoded "exhibits" of naturalistic facts with related photos in one of two "museums." Afterward, participants were tested on cued recall of facts and recognition of the associated photo and museum. Greater trivia expertise predicted higher cued recall for novel facts. Critically, trivia experts but not non-experts showed superior fact recall when they remembered both features (photo and museum) of the encoding context. These findings illustrate enhanced links between episodic memory and new semantic learning in trivia experts, and show the value of studying trivia experts as a special population that can shed light on the mechanisms of memory.


Asunto(s)
Memoria Episódica , Recuerdo Mental , Semántica , Humanos , Recuerdo Mental/fisiología , Adulto , Femenino , Masculino , Adulto Joven , Señales (Psicología) , Reconocimiento en Psicología/fisiología , Persona de Mediana Edad
5.
Neuropsychologia ; 193: 108777, 2024 01 29.
Artículo en Inglés | MEDLINE | ID: mdl-38141964

RESUMEN

The hippocampus plays an essential role in long-term episodic memory by supporting the recollection of contextual details, whereas surrounding regions such as the perirhinal cortex support familiarity-based recognition discriminations. Working memory - the ability to maintain information over very brief periods of time - is traditionally thought to rely heavily on frontoparietal attention networks, but recent work has shown that it can also rely on the hippocampus. However, the conditions in which the hippocampus becomes involved in working memory tasks are unclear and whether it contributes to recollection or familiarity-based responses in working memory is only beginning to be explored. In the current paper, we first review and contrast the existing amnesia literature examining recollection and familiarity in episodic and working memory. The results indicate that recollection and familiarity contribute to both episodic and working memory. However, in contrast to episodic memory, in working memory the hippocampus is particularly critical for familiarity-based rather than recollection-based discrimination. Moreover, the results indicate that the role of the hippocampus in working memory can be obscured due to 'criterion-induced process-masking' because it primarily supports intermediate-confidence recognition decisions. We then report results from a new working memory study examining the ability of amnesics to detect global and local changes in novel complex objects (i.e., fribbles), which indicates that the hippocampus plays an especially critical role in working memory when the task requires the detection of global rather than discrete changes. We conclude by considering the results in light of neurocomputational models and proposing a general framework for understanding the relationship between episodic and working memory.


Asunto(s)
Memoria Episódica , Recuerdo Mental , Humanos , Recuerdo Mental/fisiología , Memoria a Corto Plazo , Reconocimiento en Psicología/fisiología , Hipocampo/fisiología , Amnesia
6.
bioRxiv ; 2023 Nov 03.
Artículo en Inglés | MEDLINE | ID: mdl-37873400

RESUMEN

Behaving adaptively requires selection of relevant memories and sensations and suppression of competing ones. We hypothesized that these mechanisms are linked, such that hippocampal computations that resolve competition in memory also shape the precision of sensory representations to guide selective attention. We leveraged f MRI-based pattern similarity, receptive field modeling, and eye tracking to test this hypothesis in humans performing a memory-dependent visual search task. In the hippocampus, differentiation of competing memories predicted the precision of memory-guided eye movements. In visual cortex, preparatory coding of remembered target locations predicted search successes, whereas preparatory coding of competing locations predicted search failures due to interference. These effects were linked: stronger hippocampal memory differentiation was associated with lower competitor activation in visual cortex, yielding more precise preparatory representations. These results demonstrate a role for memory differentiation in shaping the precision of sensory representations, highlighting links between mechanisms that overcome competition in memory and perception.

7.
J Exp Psychol Gen ; 152(12): 3546-3565, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37676130

RESUMEN

Peer review is a core component of scientific practice. Although peer review ideally improves research and promotes rigor, it also has consequences for what types of research are published and cited and who wants to (and is able to) advance in research-focused careers. Despite these consequences, few reviewers or editors receive training or oversight to ensure their feedback is helpful, professional, and culturally sensitive. Here, we critically examine the peer-review system in psychology and neuroscience at multiple levels, from ideas to institutions, interactions, and individuals. We highlight initiatives that aim to change the normative negativity of peer review and provide authors with constructive, actionable feedback that is sensitive to diverse identities, methods, topics, and environments. We conclude with a call to action for how individuals, groups, and organizations can improve the culture of peer review. We provide examples of how changes in the peer-review system can be made with an eye to diversity (increasing the range of identities and experiences constituting the field), equity (fair processes and outcomes across groups), and inclusion (experiences that promote belonging across groups). These changes can improve scientists' experience of peer review, promote diverse perspectives and identities, and enhance the quality and impact of science. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Asunto(s)
Revisión por Pares , Psicología
8.
bioRxiv ; 2023 Jul 26.
Artículo en Inglés | MEDLINE | ID: mdl-37546761

RESUMEN

Memory for temporal structure enables both planning of future events and retrospection of past events. We investigated how the brain flexibly represents extended temporal sequences into the past and future during anticipation. Participants learned sequences of environments in immersive virtual reality. Pairs of sequences had the same environments in a different order, enabling context-specific learning. During fMRI, participants anticipated upcoming environments multiple steps into the future in a given sequence. Temporal structure was represented in the hippocampus and across visual regions (1) bidirectionally, with graded representations into the past and future and (2) hierarchically, with further events into the past and future represented in successively more anterior brain regions. Further, context-specific predictions were prioritized in the forward but not backward direction. Together, this work sheds light on how we flexibly represent sequential structure to enable planning over multiple timescales.

9.
J Neurosci ; 43(38): 6538-6552, 2023 09 20.
Artículo en Inglés | MEDLINE | ID: mdl-37607818

RESUMEN

Everyday experience requires processing external signals from the world around us and internal information retrieved from memory. To do both, the brain must fluctuate between states that are optimized for external versus internal attention. Here, we focus on the hippocampus as a region that may serve at the interface between these forms of attention and ask how it switches between prioritizing sensory signals from the external world versus internal signals related to memories and thoughts. Pharmacological, computational, and animal studies have identified input from the cholinergic basal forebrain as important for biasing the hippocampus toward processing external information, whereas complementary research suggests the dorsal attention network (DAN) may aid in allocating attentional resources toward accessing internal information. We therefore tested the hypothesis that the basal forebrain and DAN drive the hippocampus toward external and internal attention, respectively. We used data from 29 human participants (17 female) who completed two attention tasks during fMRI. One task (memory-guided) required proportionally more internal attention, and proportionally less external attention, than the other (explicitly instructed). We discovered that background functional connectivity between the basal forebrain and hippocampus was stronger during the explicitly instructed versus memory-guided task. In contrast, DAN-hippocampus background connectivity was stronger during the memory-guided versus explicitly instructed task. Finally, the strength of DAN-hippocampus background connectivity was correlated with performance on the memory-guided but not explicitly instructed task. Together, these results provide evidence that the basal forebrain and DAN may modulate the hippocampus to switch between external and internal attention.SIGNIFICANCE STATEMENT How does the brain balance the need to pay attention to internal thoughts and external sensations? We focused on the human hippocampus, a region that may serve at the interface between internal and external attention, and asked how its functional connectivity varies based on attentional states. The hippocampus was more strongly coupled with the cholinergic basal forebrain when attentional states were guided by the external world rather than retrieved memories. This pattern flipped for functional connectivity between the hippocampus and dorsal attention network, which was higher for attention tasks that were guided by memory rather than external cues. Together, these findings show that distinct networks in the brain may modulate the hippocampus to switch between external and internal attention.


Asunto(s)
Acceso a la Información , Prosencéfalo Basal , Animales , Humanos , Femenino , Señales (Psicología) , Hipocampo , Sensación
10.
Br Dent J ; 2023 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-37474579

RESUMEN

Aim The current study assessed the efficiency of buccal infiltration (BI) and inferior alveolar nerve block (IANB) during the extraction of deciduous mandibular molars.Subjects and method A total of 112 children aged between 5-8 years with mandibular molar indicated for extraction were divided into two groups at random. The BI group was injected with 4% articaine using BI, while the IANB group was injected with 2% lidocaine using IANB. The effectiveness of both techniques was examined using the Wong-Baker FACES Pain Rating Scale (W-BFPRS); Faces, Legs, Activity, Cry, and Consolability (FLACC) scale; and pulse oximetry.Results Using the W-BFPRS scale, success rates were 83.9% and 75.0% for the BI group and 82.1% and 71.4% for the IANB group during the injection and extraction, respectively, while using the FLACC scale, success rates were 83.9% and 92.9% for the BI group and 78.6% and 89.3% for the IANB group. In terms of pulse rate and oxygen saturation, there was no significant difference between the two groups.Conclusions BI with articaine is as efficient as IANB with lidocaine in the extraction of deciduous mandibular molars.

11.
Cogn Affect Behav Neurosci ; 23(3): 645-665, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-37316611

RESUMEN

Expectations can inform fast, accurate decisions. But what informs expectations? Here we test the hypothesis that expectations are set by dynamic inference from memory. Participants performed a cue-guided perceptual decision task with independently-varying memory and sensory evidence. Cues established expectations by reminding participants of past stimulus-stimulus pairings, which predicted the likely target in a subsequent noisy image stream. Participant's responses used both memory and sensory information, in accordance to their relative reliability. Formal model comparison showed that the sensory inference was best explained when its parameters were set dynamically at each trial by evidence sampled from memory. Supporting this model, neural pattern analysis revealed that responses to the probe were modulated by the specific content and fidelity of memory reinstatement that occurred before the probe appeared. Together, these results suggest that perceptual decisions arise from the continuous sampling of memory and sensory evidence.


Asunto(s)
Señales (Psicología) , Memoria , Humanos , Reproducibilidad de los Resultados
12.
Cognition ; 235: 105408, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-36893523

RESUMEN

Event boundaries and temporal context shape the organization of episodic memories. We hypothesized that attentional fluctuations during encoding serve as "events" that affect temporal context representations and recall organization. Individuals encoded trial-unique objects during a modified sustained attention task. Memory was tested with free recall. Response time variability during the encoding tasks was used to characterize "in the zone" and "out of the zone" attentional states. We predicted that: 1) "in the zone", vs. "out of the zone", attentional states should be more conducive to maintaining temporal context representations that can cue temporally organized recall; and 2) temporally distant "in the zone" states may enable more recall "leaps" across intervening items. We replicated several important findings in the sustained attention and memory fields, including more online errors during "out of the zone" vs. "in the zone" attentional states and recall that was temporally structured. Yet, across four studies, we found no evidence for either of our main hypotheses. Recall was robustly temporally organized, and there was no difference in recall organization for items encoded "in the zone" vs. "out of the zone". We conclude that temporal context serves as a strong scaffold for episodic memory, one that can support organized recall even for items encoded during relatively poor attentional states. We also highlight the numerous challenges in striking a balance between sustained attention tasks (long blocks of a repetitive task) and memory recall tasks (short lists of unique items) and describe strategies for researchers interested in uniting these two fields.


Asunto(s)
Memoria Episódica , Recuerdo Mental , Humanos , Recuerdo Mental/fisiología , Atención/fisiología , Tiempo de Reacción
13.
Memory ; 31(3): 428-456, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-36651851

RESUMEN

Familiar music facilitates memory retrieval in adults with dementia. However, mechanisms behind this effect, and its generality, are unclear because of a lack of parallel work in healthy aging. Exposure to familiar music enhances spontaneous recall of memories directly cued by the music, but it is unknown whether such effects extend to deliberate recall more generally - e.g., to memories not directly linked to the music being played. It is also unclear whether familiar music boosts recall of specific episodes versus more generalised semantic memories, or whether effects are driven by domain-general mechanisms (e.g., improved mood). In a registered report study, we examined effects of familiar music on deliberate recall in healthy adults ages 65-80 years (N = 75) by presenting familiar music from earlier in life, unfamiliar music, and non-musical audio clips across three sessions. After each clip, we assessed free recall of remote memories for pre-selected events. Contrary to our hypotheses, we found no effects of music exposure on recall of prompted events, though familiar music evoked spontaneous memories most often. These results suggest that effects of familiar music on recall may be limited to memories specifically evoked in response to the music (Preprint and registered report protocol at https://osf.io/kjnwd/).


Asunto(s)
Envejecimiento Saludable , Memoria Episódica , Humanos , Adulto , Anciano , Anciano de 80 o más Años , Semántica , Recuerdo Mental/fisiología , Señales (Psicología)
14.
Atten Percept Psychophys ; 85(5): 1517-1549, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-36303020

RESUMEN

Multiple types of memory guide attention: Both long-term memory (LTM) and working memory (WM) effectively guide visual search. Furthermore, both types of memories can capture attention automatically, even when detrimental to performance. It is less clear, however, how LTM and WM cooperate or compete to guide attention in the same task. In a series of behavioral experiments, we show that LTM and WM reliably cooperate to guide attention: Visual search is faster when both memories cue attention to the same spatial location (relative to when only one memory can guide attention). LTM and WM competed to guide attention in more limited circumstances: Competition only occurred when these memories were in different dimensions - particularly when participants searched for a shape and held an accessory color in mind. Finally, we found no evidence for asymmetry in either cooperation or competition: There was no evidence that WM helped (or hindered) LTM-guided search more than the other way around. This lack of asymmetry was found despite differences in LTM-guided and WM-guided search overall, and differences in how two LTMs and two WMs compete or cooperate with each other to guide attention. This work suggests that, even if only one memory is currently task-relevant, WM and LTM can cooperate to guide attention; they can also compete when distracting features are salient enough. This work elucidates interactions between WM and LTM during attentional guidance, adding to the literature on costs and benefits to attention from multiple active memories.


Asunto(s)
Memoria a Largo Plazo , Memoria a Corto Plazo , Humanos
15.
Br Dent J ; 2022 Dec 06.
Artículo en Inglés | MEDLINE | ID: mdl-36473976

RESUMEN

Aim This study aimed to evaluate the potential discolouration and carious lesion arresting effect of silver diamine fluoride (SDF) and silver diamine fluoride/potassium iodide (SDF/KI) in the treatment of carious primary teeth.Materials and method A total of 30 carious primary canines were randomly assigned to treatment groups where Group I was treated with SDF while Group II was treated with SDF/KI. Caries arrest was assessed based on consistency and stability of lesion size while the discolouration of treated lesions was assessed digitally using a VITA Easyshade spectrophotometer.Results Both treatments demonstrated 100% efficacy in arresting active caries lesions. Regarding discolouration, the total colour difference represented by delta E (ΔE) was 16.45 ± 5.69 for Group I compared to 9.54 ± 3.09 for Group II immediately post-operative, with a statistically significant difference (p = 0.003). Both groups showed similar values at 1, 3, 6 and 12 months after the treatment, with no statistically significant difference. No incidence of serious adverse effects related to either treatment and the majority of parents/guardians were satisfied with both treatments compromising their child's aesthetic appearance.Conclusions Both SDF and SDF/KI are effective in arresting carious lesions in primary teeth but in terms of the discolouration potential, the use of KI significantly reduced the discolouration caused by SDF immediately post-operatively. Unfortunately, marked discolouration was recorded in the subsequent follow-up visits, compromising the aesthetic outcome.

16.
Hum Brain Mapp ; 43(10): 3221-3244, 2022 07.
Artículo en Inglés | MEDLINE | ID: mdl-35393752

RESUMEN

The amygdala and its connections with medial prefrontal cortex (mPFC) play central roles in the development of emotional processes. While several studies have suggested that this circuitry exhibits functional changes across the first two decades of life, findings have been mixed - perhaps resulting from differences in analytic choices across studies. Here we used multiverse analyses to examine the robustness of task-based amygdala-mPFC function findings to analytic choices within the context of an accelerated longitudinal design (4-22 years-old; N = 98; 183 scans; 1-3 scans/participant). Participants recruited from the greater Los Angeles area completed an event-related emotional face (fear, neutral) task. Parallel analyses varying in preprocessing and modeling choices found that age-related change estimates for amygdala reactivity were more robust than task-evoked amygdala-mPFC functional connectivity to varied analytical choices. Specification curves indicated evidence for age-related decreases in amygdala reactivity to faces, though within-participant changes in amygdala reactivity could not be differentiated from between-participant differences. In contrast, amygdala-mPFC functional connectivity results varied across methods much more, and evidence for age-related change in amygdala-mPFC connectivity was not consistent. Generalized psychophysiological interaction (gPPI) measurements of connectivity were especially sensitive to whether a deconvolution step was applied. Our findings demonstrate the importance of assessing the robustness of findings to analysis choices, although the age-related changes in our current work cannot be overinterpreted given low test-retest reliability. Together, these findings highlight both the challenges in estimating developmental change in longitudinal cohorts and the value of multiverse approaches in developmental neuroimaging for assessing robustness of results.


Asunto(s)
Amígdala del Cerebelo , Imagen por Resonancia Magnética , Adolescente , Adulto , Amígdala del Cerebelo/fisiología , Niño , Preescolar , Emociones/fisiología , Humanos , Vías Nerviosas/fisiología , Corteza Prefrontal/fisiología , Reproducibilidad de los Resultados , Adulto Joven
17.
BDJ Open ; 8(1): 10, 2022 Apr 08.
Artículo en Inglés | MEDLINE | ID: mdl-35396548

RESUMEN

INTRODUCTION: Predicting child behavior before the first dental visit is considered an effective approach that enables the dentist to guide child behavior during the dental treatment. AIM: The present study aimed to detect psychological attributes of children seeking dental treatment for the first time using the strength and difficulties questionnaire (SDQ), evaluate actual child behavior during the dental treatment using Frankl Behavior Rating Scale, and test the association between these attributes and child behavior. MATERIAL AND METHOD: The study was conducted on 128 children aged between 4 and 7 years attending the outpatient Pediatric Dentistry clinic for the first time. Parents were asked to answer the SDQ, then a simple restorative treatment under local anesthesia was performed for children to evaluate their behavior using Frankl Behavior Rating Scale. RESULTS: About 19.5% of the study sample were categorized as psychologically abnormal, where emotional and conduct problems were the most prevalent psychological attributes by a percentage of 22.7% and 20% respectively. A strong correlation was detected between the total difficulty score and child behavior. CONCLUSIONS: Psychological problems are common among children aged from 4 to 7 years and they also affect their dental behavior.

18.
BMC Oral Health ; 22(1): 2, 2022 01 07.
Artículo en Inglés | MEDLINE | ID: mdl-34996437

RESUMEN

OBJECTIVES: The goal of the current study was to evaluate the relative frequency of oral and maxillofacial pathological lesions among Egyptian children. MATERIALS AND METHODS: Records of biopsies submitted to the department of oral and maxillofacial pathology from the year 1999 to 2019 were retrieved and reassessed for all cases under the age of 18 years. Information on age, sex, location of the lesion, and the histopathologic diagnosis was analyzed. RESULTS: Over the course of twenty-one years, 1108 specimens were analyzed where reactive soft tissue lesions, which accounted for 397 (35.8%) of all cases ranked the highest presented category, followed by inflammatory odontogenic cysts, which accounted for 213 cases (19.2%). With 208 cases, the inflammatory radicular cyst was on the top of the most common 20 lesions, followed by pyogenic granuloma (160 cases). Malignancy was found in 19 cases, with soft tissue tumors (10 cases) being the most common, followed by salivary gland (5 cases) and bone pathologies (4 cases). CONCLUSIONS: The frequency of oral and maxillofacial pathological lesions among Egyptian children increased over the years but remained consistent with global trends. CLINICAL RELEVANCE: This is the first study evaluating the relative frequency of oral and maxillofacial pathological lesions among Egyptian children and provides an insight into the most commonly encountered pediatric pathologies. This may aid in the understanding of the most prevalent oral lesions that impact the pediatric population, as well as providing the key to early detection of lesions.


Asunto(s)
Enfermedades de la Boca , Quistes Odontogénicos , Adolescente , Biopsia , Niño , Egipto/epidemiología , Humanos , Enfermedades de la Boca/epidemiología , Patología Bucal , Estudios Retrospectivos
19.
J Oral Biosci ; 64(1): 114-119, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-35091066

RESUMEN

OBJECTIVE: The objective of this study was to estimate the antibacterial activity of three different herbal extracts against oral bacteria and their bioactive composition. METHODS: Using the disk diffusion technique, the antibacterial activities of three different extracts (lemongrass, sage, and guava leaf) were evaluated against oral bacteria (Streptococcus mutans, Staphylococcus aureus, and Enterococcus faecalis). Additionally, the bioactive components of the herbal extracts were assessed by employing the gas chromatography-mass spectrometry technique. RESULTS: The sage, lemongrass, and guava leaf extracts suppressed the proliferation of all three tested bacterial strains at different rates. The phytochemical analysis revealed that sage extract possessed the highest content of antioxidants, phenols, and flavonoid compounds. The gas chromatography-mass spectrometry analysis of the tested plants revealed the presence of vital bioactive compounds. CONCLUSIONS: Lemongrass, sage, and guava leaf extracts have potent antibacterial activities, are rich in bioactive compounds, and could be utilized as natural remedies for the prevention of oral diseases.


Asunto(s)
Cymbopogon , Psidium , Antibacterianos/farmacología , Bacterias , Pruebas de Sensibilidad Microbiana , Extractos Vegetales/farmacología , Psidium/química
20.
BMC Oral Health ; 21(1): 322, 2021 06 26.
Artículo en Inglés | MEDLINE | ID: mdl-34174857

RESUMEN

BACKGROUND: The use of antibiotics in dentistry as prophylaxis and treatment is frequent. Their misuse has led to a major public health problem globally known as antibiotic resistance. This study aimed to assess the pattern of antibiotic prescription and its prophylactic use for systemic conditions. Besides, this study evaluated the awareness and adherence to antibiotic prescription guidelines and antibiotic prophylaxis guidelines along with awareness of antibiotic resistance across pediatric and general dentists. METHODS: An overall of 378 pediatric and general dentists meeting the required eligibility criteria, fulfilled a pre-designed validated questionnaire. Data were collected, tabulated, and statistically analyzed. RESULTS: A significant statistical difference was found among the pediatric and general dentists regarding antibiotics prescription for most of the oral conditions where Amoxicillin with clavulanic acid was the most frequently prescribed antibiotic among the two groups (53% pediatric dentist and 52% general dentist). The majority of pediatric and general dentists, on the other hand, were aware of antibiotic resistance and prescribing recommendations. CONCLUSIONS: The present study showed a tendency to overprescribe and overuse antibiotics in certain dental conditions among the participants. The vast majority of dentists, especially general dentists do not have adherence to professional guidelines for antibiotics prescription in children despite their awareness of antibiotic resistance and prescription guidelines.


Asunto(s)
Profilaxis Antibiótica , Pautas de la Práctica en Odontología , Antibacterianos/uso terapéutico , Niño , Estudios Transversales , Odontólogos , Egipto , Humanos , Prescripciones
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