Pediatric dentistry
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This study was performed to determine didactic and clinical curricular content about infant oral health in predoctoral pediatric dentistry programs. ⋯ The findings indicate varying degrees of acceptance about teaching infant oral health in our dental schools.
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Pediatric dentistry · Jul 2001
Comparative StudyOutcome of formocresol/ZOE sub-base pulpotomies utilizing alternative radiographic success criteria.
The purposes of this investigation were to 1) measure success of a primary tooth pulpotomy technique that applies formocresol in the sub-base without the common five-minute application of a formocresol impregnated cotton pellet; and 2) compare success rates of the pulpotomy procedure using traditional criteria found throughout the literature with new criteria recently established, excluding internal resorption as a radiographic failure. ⋯ The overall success rates in this study indicate that the formocresol pulpotomy technique incorporating formocresol in the zinc oxide-eugenol sub-base is a very successful treatment modality for primary molars requiring pulp therapy.
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Pediatric dentistry · Jul 2001
Comparative StudyConscious sedation experiences in graduate pediatric dentistry programs.
Conscious sedation is a behavior modification adjunct taught in all postgraduate pediatric dental residency programs. It has been a decade since the last survey was done specifically related to didactic and clinical aspects of conscious sedation in postgraduate pediatric dental programs. The aim of the study was to determine the clinical and didactic experiences associated with conscious sedation in these programs and to compare some of the findings to those collected a decade ago. ⋯ While many factors remained unchanged or slightly modified when compared to the survey done a decade ago, the results of this study suggest that there has been significant changes in several key factors including the most frequently used sedative (i.e., midazolam) and increased preparation in the area of emergency preparedness.
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Pediatric dentistry · May 2001
A survey of local and topical anesthesia use by pediatric dentists in the United States.
The purpose of this survey is to evaluate current usage of local and topical anesthesia by Pediatric Dentist to evaluate the current practices. ⋯ The findings of this study demonstrate that Pediatric Dentists are most commonly using Lidocaine as the preferred type of local anesthetic using 30 gauge short needle for infiltrations and 27 gauge short needle for blocks. Most were taking anywhere from 11-> 60 seconds to inject a cartridge. Topical anesthetic was used by most and the preferred brand was Hurricaine, however their perception of the effectiveness of topical anesthetics varied. There also appears to be a need to develop newer and better mode of topical anesthetic delivery system in the pediatric dental population.
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Pediatric dentistry · Jan 2001
Randomized Controlled Trial Comparative Study Clinical TrialComparison of topical EMLA 5% oral adhesive to benzocaine 20% on the pain experienced during palatal anesthetic infiltration in children.
The purpose of this investigation was to compare the pain responses of children during local anesthetic infiltration at bilateral palatal sites prepared with the topical application of benzocaine 20% oral adhesive (Orabase-B) versus benzocaine 20% gel (Hurricaine) or EMLA 5% oral adhesive (EMLA 5% cream in Orabase Plain). ⋯ The selection of EMLA 5% oral adhesive over other commercially available products containing benzocaine 20% is not recommended for palatal site preparation in children. The lack of demonstrated superiority in efficacy and subject preference, the necessity to custom mix the cream into an oral adhesive paste, the extended duration of time required for onset of action, the greater potential for complications associated with systemic absorption, and product cost preclude the use of EMLA 5% oral adhesive as an intraoral topical anesthetic agent.