pediatric dentistry

Pediatric Dentists Can Benefit from Improving their Image Interpretation Skills

by

An interesting study titled “Does clinical experience with dental traumatology impact 2D and 3D radiodiagnostic performance in paediatric dentists? An exploratory study” appears in the BMC Oral Health written by Gertrude Van Gorp and et al. (vol. 22, no. 245, 2022). The article seeks to explore the performance of pediatric dentists when identifying and detecting traumatic dental injuries on both 2D and 3D images. In the study the authors analyzed data from nine pediatric dentists (six female and three male) who had used structured scoring sheets to randomly assess 2D and 3D images of anterior permanent teeth with dental trauma. The researchers analyzed the level of experience with traumatic dental injuries on imaging, identification, and interpretation of lesions. The authors compared these results to benchmark data from expert consensus of an experienced dentomaxillofacial radiologist and pediatric endodontist. Six of of … Read more

Computer controlled anesthesia for extraction of teeth

by

An interesting article titled “Computer-controlled Intraligamentary local anaesthesia in extraction of mandibular primary molars: randomised controlled clinical trial,” appears in the 2022 edition of BMC Oral Health written by Rodaina H. Helmy and et. al. (vol 22, no. 194, pp. 1-10). The article seeks to explore the pain experience when using a computer controlled anethesia injection while extracting lower primary molars in children. To explore the pain experiences of children, 50 healthy children between the ages of 5 and 7, with 29 females, and 21 males, who needed a lower primary molar extractioned were included in the trial. The parents of the children had to consent to inclusion in the trial. Any child who had teeth that showed signs of mobility, acute pathosis, ankylosis, or root resorption affecting more than a third of the root were excluded from the study. … Read more

Reducing Anxiety among Pediatric Dental Patients

by

An interesting article titled “an Anxiety Reduction Program as an Alternative to General Anesthesia for the Anxious Pediatric Dental Patient” was presented on July 23, 2021, at the virtual session of the 2021 International Association for Dental Research (IADR)/AADR/CADR General Session written by Suher Baker and et al. The research set to investigate the efficacy of a systematic Anxiety Reduction Program (ARP) using progressive desensitization to reduce anxiety in children to a level that would allow dental treatment to be performed in-office without the use of general anesthesia. Dental anxiety has been covered on this site before see for example the post Dental Anxiety and Fear: Impact on Oral Health. Children are more likely to experience an unfavorable and unforeseen incident caused by an error or omission during dental treatment that has negative health consequencies. This is because children do … Read more

Pediatric Dental Patients Regularly have Adverse Events

by

An interesting article titled “Children Experience Notable Number of Adverse Events During Dental Care” was presented on July 23, 2021, at the virtual session of the 2021  International Association for Dental Research (IADR)/AADR/CADR General Session written by William Nicola and et al. The research set to investigate how common adverse events are for children who receive dental care in the United States. An adverse event is an unfavorable and generally unforeseen incident caused by an error or omission during treatment that has negative consequences for health. Children are believed to suffer more commonly from adverse events than adults because they do not alwasy cooperate and they often can not sit still. The authors had sent out an online anonymous survey to 6,327 active members of the American Academy of Pediatric Dentistry (AAPD) in late 2019. The survey consisted of 13 … Read more

Has the FDA Warning for Children Under Three Affected General Anesthesia Use in Dentistry?

by

An interesting article titled “Prolonged General Anesthesia in a Pediatric Population” was presented on July 21, 2021, at the virtual session of the 2021 International Association for Dental Research (IADR)/AADR/CADR General Session written by Mary Younan and et al. The research sets to investigate if use of prolonged general anesthesia amongst pediatric dental patients has changed since 2016 when the Food and Drug Administration (FDA) came out with guidance that said 3 or more hours of anesthetic exposure, may be a risk factor for cognitive defects, particularly for pediatric patients under 3 years of age. The researchers attempeted to see if a difference exists in the proportion of pediatric dental cases with general anesthesia time 180 minutes pre-FDA to post-FDA warning and to use a root cause analysis to identify factors that contribute to prolonged general anestehsia exposure of children … Read more