Pediatric dentistry
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Pediatric dentistry · May 2021
National Trends and Characteristics in Emergency Department Visits for Nontraumatic Dental Conditions Among Pediatric Patients.
Purpose: The purpose of this study was to examine trends and characteristics of pediatric nontraumatic dental condition (NTDC) visits to emergency departments (EDs) in the United States from 2010 to 2017. Methods: The 2010 to 2017 Nationwide Emergency Department Sample (NEDS) was analyzed for NTDC visits to EDs for children (zero to 20 years old). NTDC visits were identified based on ICD-9 and ICD-10 codes. ⋯ The odds of NTDC visits to EDs were higher among Medicaid enrollees, 15- to 20-year-olds, and the uninsured but were lower among those in wealthier zip codes. Conclusions: Emergency department visits for nontraumatic dental condition visits by pediatric patients decreased over time following the implementation of the Affordable Care Act. Despite this decrease, low socioeconomic status children continue to utilize emergency departments for dental conditions at higher rates than their peers.
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Pediatric dentistry · Mar 2020
Review Meta AnalysisEffectiveness of Virtual Reality Glasses as a Distraction for Children During Dental Care.
Purpose: The purpose of this review was to investigate the effect of virtual reality (VR) glasses as an audiovisual distraction technique on dental anxiety, pain perception, and behavior triggered during dental treatment in children up to 12 years old. The research question asked was: Can improvement be seen in the child's behavior, pain perception or anxiety when VR eyeglasses are used during dental treatment? Methods: Five databases were searched for studies published until September 2018. Studies were selected by titles and abstracts, followed by full-texts reading. Results: Meta-analysis was performed and combined results were presented as a pooled mean difference for each procedure, using random-effect models. ⋯ No differences were observed in anxiety levels during local anesthesia, use of rubber dam, removal of caries and restorative procedures. Similar results were observed in children's behavior when local anesthesia and rubber dam were used. Conclusions: The use of virtual reality glasses is an effective tool for improving behavior and reducing pain perception during the dental treatment of children. Children who used VR eye-glasses behaved better during removal of caries and showed lower pain perception during restoration.
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Purpose: The purposes of this paper were to: (1) assess the current status of the pediatric dentistry academic workforce; (2) compare current findings with a similar survey completed in 2006; and (3) explore factors influencing the faculty workforce in pediatric dentistry. Methods: In 2016, 144 pediatric dentistry faculty members completed a web-based survey regarding workforce issues. Questions were asked regarding: (1) faculty demographics; (2) academic job history; (3) academic career longevity and possible change motivators; and (4) private practice participation. ⋯ However, a concerning number of faculty vacancies remain unfilled. Conclusions: Survey results indicate that pediatric dentistry's academic workforce challenges are consistent with the well-documented national shortage of dental faculty members. The most notable changes since the 2006 survey are the slight increase in female faculty members and a possible trend toward slightly younger faculty members and slightly longer faculty retention.
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Pediatric dentistry · Nov 2017
Review Case ReportsOrbital, Mediastinal and Cervicofacial Subcutaneous Emphysema after Dental Rehabilitation in a Pediatric Patient.
Subcutaneous emphysema is a rare possible complication of dental procedures. The majority of the dental literature describes cases of localized areas of subcutaneous emphysema following various dental procedures, with a large number of these cases seen following intraoral surgical procedures. ⋯ He subsequently developed extensive subcutaneous emphysema involving the right periorbital region, cervicofacial spaces, and caudal extension to include the superior aspect of the mediastinum. The purpose of this report was to provide a brief review of the prior literature on the subject, report on the case, and review the management for patients with subcutaneous emphysema.
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Pediatric dentistry · Mar 2017
A Nomogram for Calculation of Maximum Recommended Dose by Volume of Local Anesthetic in Pediatric Dentistry.
Calculation of maximum recommended doses for local anesthetic agents and added vasopressors is complex and error-prone with potentially fatal consequences. The purpose of this investigation was to develop a nomogram to calculate the maximum recommended doses, expressed as volumes (number of cartridges or ml) of local anesthetic for healthy U.S. pediatric dental patients based on body weight, and test its accuracy and reproducibility. ⋯ Our nomogram rapidly calculated the maximum recommended doses by volume of local anesthetic agents in common use to a high degree of accuracy and repeatability.