Pediatric dentistry
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Pediatric dentistry · May 2012
Impact of office-based intravenous deep sedation providers upon traditional sedation practices employed in pediatric dentistry.
This survey intended to determine how the implementation of office-based IV deep sedation by a third party provider (OIVSED) impacted the traditional sedation practices employed in pediatric dentistry private practice settings. ⋯ OIVSED users reported both a reduction in the use of traditional sedation modalities in their offices and use of hospital-based GA services in exchange for perceived improvements in efficiency, safety and quality of care delivered. Patient costs, in the absence of available health insurance coverage, inhibited accessing this service by some parents.
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Pediatric dentistry · May 2012
ReviewAdverse events during pediatric dental anesthesia and sedation: a review of closed malpractice insurance claims.
The purpose of this study of closed malpractice insurance claims was to provide descriptive data of adverse events related to child sedation and anesthesia in the dental office. ⋯ Very young patients (≤ 3-years-old) are at greatest risk during administration of sedative and/or local anesthetic agents. Some practitioners are inadequately monitoring patients during sedation procedures. Adverse events have a high chance of occurring at the dental office where care is being provided.
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Pediatric dentistry · Mar 2012
Randomized Controlled TrialEffectiveness of new distraction technique on pain associated with injection of local anesthesia for children.
Distraction is one of the most commonly used techniques for control of pain associated with injection procedures. This study's purpose was to evaluate the effect of a distraction technique using audiovisual (A/V) glasses on pain perception during administration of local anesthesia for children. ⋯ Distraction induced by audiovisual glasses was an effective way to reduce the pain associated with injection of local anesthesia.
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The purpose of this report was to describe a case of methemoglobinemia involving different systemic complications as a result of local anesthetic injection with lidocaine in a 2-day-old female patient. Acquired methemoglobinemia is considered a major, potentially life-threatening complication. There are several reports of this complication related to anesthetic agents, most commonly prilocaine and benzocaine. ⋯ Widely used in dental practices for pain management, lidocaine is considered to be one of the safest anesthetic agents. Although rare, complications of lidocaine administration need to be addressed properly, and adequate training in diagnosis and management of these complications should be provided. Providers should weigh the risk and benefit of using these agents.
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Pediatric dentistry · May 2011
Validation of a child dental pain questionnaire instrument for the self-reporting of toothache in Children.
The purpose of the present study was to test the reliability and validity of a novel child dental pain questionnaire (child-DPQ). ⋯ The present study provides evidence for the reliability and validity of the child dental pain questionnaire in assessing the impact of toothache on the daily life of children.