Conocimiento de pediatras y padres andaluces sobre caries de aparición temprana / Knowledge of andalusian pediatricians and parents about early-onset tooth decay

OBJETIVOS: Investigar el conocimiento de pediatras y padres andaluces sobre las caries de aparición temprana y valorar si los pediatras proporcionan información a los padres sobre salud oral infantil y visitas al odontopediatra. Material y método Una muestra aleatoria de 113 pediatras y 112 padres con ni˜nos menores de 3 a˜nos recibieron un cuestionario anónimo compuesto por 14 ítems para pediatras y 16 ítems para padres. Las preguntas se agruparon en 5 bloques: visitas al dentista, higiene oral, caries, hábitos nutricionales y tratamiento de caries. Las diferencias entre los 2 grupos se establecieron mediante la prueba chi-cuadrado. RESULTADOS: Los pediatras mostraron escasos conocimientos con respecto a las visitas al dentista y al tratamiento de las caries; sin embargo, su nivel de conocimientos sobre higiene oral, caries y hábitos nutricionales era adecuado. Los padres tenían bajos conocimientos en todos los aspectos del estudio, especialmente sobre el tratamiento de las caries. No hubo diferencias significativas en el conocimiento sobre visitas al dentista entre pediatras y padres, sin embargo, los pediatras tenían un mayor conocimiento sobre higiene, caries, hábitos nutricionales y tratamiento (p < 0,001). La mayoría de los padres indicaron que los pediatras no les informaban detalladamente sobre cuidados orales ni sobre la posibilidad de visitar al odontopediatra. CONCLUSIONES: Los pediatras andaluces deberían mejorar sus conocimientos sobre las caries de aparición temprana e informar más a los padres sobre cuidados orales y sobre la posibilidad de visitar al odontopediatra. Los padres tienen unos conocimientos muy escasos sobre caries de aparición temprana, especialmente sobre tratamiento

OBJECTIVES: To determine the level of knowledge of pediatricians and parents from Andalucía (southern Spain) about early-onset tooth decay, and to assess if pediatricians provide information to parents about pediatric oral care and visits to the pediatric de Material and method A random sample of 113 pediatricians and 112 parents with children under 3 years of age received an anonymous questionnaire comprising 14 items for pediatricians and 16 items for parents, grouped into five blocks: visits to the dentist, oral hygiene, caries, nutritional habits, and treatment of caries. The chi-squared test was used to assess differences between groups. RESULTS: Pediatricians showed deficiencies in their knowledge about visits to the dentist and treatment of caries, however their level of knowledge on oral hygiene, tooth decay and nutritional habits were adequate. Parents showed a low level of knowledge in all aspects of the study, mainly about the treatment of tooth decay. There were no significant differences between pediatricians and parents in the knowledge about visits to the dentist, however pediatricians had more knowledge than the parents about hygiene, tooth decay, nutritional habits and treatment (P<0.001). Most of the parents indicated that pediatricians did not provide them detailed information on oral care, and about the possibility of visiting a pediatric dentist. CONCLUSIONS: Andalusian pediatricians should improve their knowledge about early-onset tooth decay, and provide more information to parents about the oral care and the possibility of visiting a pediatric dentist. Parents have a very low level of knowledge about early-onset tooth decay, and particularly about treatmen

[Knowledge of Andalusian pediatricians and parents about early-onset tooth decay]. / Conocimiento de pediatras y padres andaluces sobre caries de aparición temprana.

OBJECTIVES: To determine the level of knowledge of pediatricians and parents from Andalucía (southern Spain) about early-onset tooth decay, and to assess if pediatricians provide information to parents about pediatric oral care and visits to the pediatric dentist. MATERIAL AND METHOD: A random sample of 113 pediatricians and 112 parents with children under 3 years of age received an anonymous questionnaire comprising 14 items for pediatricians and 16 items for parents, grouped into five blocks: visits to the dentist, oral hygiene, caries, nutritional habits, and treatment of caries. The chi-squared test was used to assess differences between groups. RESULTS: Pediatricians showed deficiencies in their knowledge about visits to the dentist and treatment of caries, however their level of knowledge on oral hygiene, tooth decay and nutritional habits were adequate. Parents showed a low level of knowledge in all aspects of the study, mainly about the treatment of tooth decay. There were no significant differences between pediatricians and parents in the knowledge about visits to the dentist, however pediatricians had more knowledge than the parents about hygiene, tooth decay, nutritional habits and treatment (P<0.001). Most of the parents indicated that pediatricians did not provide them detailed information on oral care, and about the possibility of visiting a pediatric dentist. CONCLUSIONS: Andalusian pediatricians should improve their knowledge about early-onset tooth decay, and provide more information to parents about the oral care and the possibility of visiting a pediatric dentist. Parents have a very low level of knowledge about early-onset tooth decay, and particularly about treatment.

Two-dimensional echo Doppler findings in juvenile and adult onset ankylosing spondylitis with long-term disease.

The authors' objective was to determine by 2-dimensional echo Doppler (2DECHO) the cardiac abnormalities in juvenile onset ankylosing spondylitis (JOAS) and adult onset ankylosing spondylitis (AOAS) in male patients with long-term disease. Twenty patients with JOAS, 31 with AOAS, and 20 healthy controls of the same age and gender without cardiopulmonary symptoms were studied. Using 2DECHO, the heart dimensions were determined according to American Society of Echocardiography guidelines. The left ventricle ejection fraction (LVEF) was calculated by Teichholz's formula. Cardiomyopathy was established when 2DECHO had diminished LVEF. Statistics used were the Student t and Fisher test, chi2, and ANOVA. Ninety percent of JOAS and 51% of AOAS patients were B27+ (p=0.005). The disease duration was 19.3 +/- 8.8 years in JOAS and 14.8 +/- 12.8 years in AOAS (p=NS). Age at the time of the study was 30.7 +/- 9.9 years in JOAS vs 40.3 +/- 12.7 in AOAS (p=0.003), and vs 40.2 +/- 17 years in controls (p=NS). There was a higher frequency of cardiomyopathy in AOAS (32.2%) than in JOAS (25%) and the controls (0%) (p=0.01). Patients with JOAS had a higher mitral valve gradient (25%) than AOAS patients (19%, p=NS) and controls (0%, p=0.04). Abnormal aortic ring reflectance was shown in 19% of AOAS vs 0% abnormalities in JOAS and controls (p=0.01). The aortic root diameter was increased in 58% of AOAS, 30% of JOAS, and 0% of controls (p=0.001). The frequency of 2DECHO abnormalities was increased in cardiopulmonary asymptomatic spondylitis patients. Despite the high frequency of B27+, JOAS had a lower frequency of aortic abnormalities than AOAS. Mitral valve gradient was found in JOAS and in AOAS that could contribute to a decreased ejection fraction and to left ventricular dysfunction.