Pediatric dentistry
-
The aim of this review of clinical decision making for caries management in children is to integrate current knowledge in the field of cariology into clinically usable concepts and procedures. Current evidence regarding the carious process and caries risk assessment allows the practitioner to go beyond traditional surgical management of dental caries. ⋯ The type and intensity of these therapies should be determined utilizing clinical data as well as knowledge of the caries process for that child. Changes in the management of dental caries will require health organizations and dental schools to educate students, practitioners, and patients in evidence- and risk-based care.
-
Pediatric dentistry · Jul 2002
Project USAP 2000--use of sedative agents by pediatric dentists: a 15-year follow-up survey.
A national survey of members of the American Academy of Pediatric Dentistry was conducted to provide a 15-year update of information regarding the use of sedative agents by pediatric dentists. ⋯ In comparison with previous surveys in 1985, 1991 and 1995, these results demonstrate an overall increased use of sedation by pediatric dentists. However, the increased use is due primarily to an increase in the numbers of practitioners who are heavier users of sedation (once or greater each day).
-
Pediatric dentistry · May 2002
Clinical TrialAssociation between bispectral analysis and level of conscious sedation of pediatric dental patients.
This preliminary investigation evaluated the associations among multiple factors designed to measure depth of sedation, such as changes in the patient's electroencephalogram (EEG) via a bispectral analysis (BIS), other physiological variables, observed behaviors and clinical assessment of sedation levels consistent with the American Academy of Pediatric Dentistry (AAPD) sedation guidelines. ⋯ There appears to be a significant association between observed patient behaviors during sedation and levels of sedation as measured by BIS and AAPD sedation guidelines. The study also showed that, under treatment conditions used in this study, BIS does not appear to be a more valid means of monitoring sedation depth than the current commonly accepted methods.
-
Pediatric dentistry · Mar 2002
Clinical Trial Controlled Clinical TrialThe effect of music distraction on pain, anxiety and behavior in pediatric dental patients.
The purpose of this study was to determine if audio distraction could decrease patient anxiety, pain and disruptive behavior during pediatric dental procedures. ⋯ Audio distraction was not an effective means of reducing anxiety, pain or uncooperative behavior during pediatric restorative dental procedures. However, patients did enjoy listening to the music during their visits.
-
Pediatric dentistry · Mar 2002
Oral midazolam with and without meperidine for management of the difficult young pediatric dental patient: a retrospective study.
The purpose of this retrospective study was to examine different dosages of midazolam used alone or in combination with different dosages of meperidine for managing difficult young pediatric dental patients. ⋯ The addition of meperidine appears to enhance the effectiveness and duration of action of midazolam for managing difficult young pediatric patients.