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[PMID]:29185315
[Au] Autor:Kisby L
[Ti] Título:The Future of Pediatric Dentistry.
[So] Source:Dent Today;35(10):8, 10, 2016 Oct.
[Is] ISSN:8750-2186
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Odontopediatria/tendências
[Mh] Termos MeSH secundário: Criança
Assistência Odontológica para Crianças
Previsões
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


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[PMID]:29267989
[Au] Autor:Arora A; Khattri S; Ismail NM; Kumbargere Nagraj S; Prashanti E
[Ad] Endereço:Department of Pedodontics and Preventive Dentistry, Faculty of Dentistry, Melaka-Manipal Medical College, Jalan Batu Hampar, Bukit Baru, Melaka, Melaka, Malaysia, 751501.
[Ti] Título:School dental screening programmes for oral health.
[So] Source:Cochrane Database Syst Rev;12:CD012595, 2017 12 21.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: School dental screening refers to visual inspection of children's oral cavity in a school setting followed by making parents aware of their child's current oral health status and treatment needs. Screening at school intends to identify children at an earlier stage than symptomatic disease presentation, hence prompting preventive and therapeutic oral health care for the children. This review evaluates the effectiveness of school dental screening in improving oral health status. OBJECTIVES: To assess the effectiveness of school dental screening programmes on overall oral health status and use of dental services. SEARCH METHODS: Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 15 March 2017), the Cochrane Central Register of Controlled Trials (CENTRAL, the Cochrane Register of Studies, to 15 March 2017), MEDLINE Ovid (1946 to 15 March 2017), and Embase Ovid (15 September 2016 to 15 March 2017). The US National Institutes of Health Trials Registry (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform were searched for ongoing trials. No restrictions were placed on language or publication status when searching the electronic databases; however, the search of Embase was restricted to the last six months due to the Cochrane Centralised Search Project to identify all clinical trials and add them to CENTRAL. SELECTION CRITERIA: We included randomised controlled trials (RCTs) (cluster or parallel) that evaluated school dental screening compared with no intervention or with one type of screening compared with another. DATA COLLECTION AND ANALYSIS: We used standard methodological procedures expected by Cochrane. MAIN RESULTS: We included six trials (four were cluster-RCTs) with 19,498 children who were 4 to 15 years of age. Four trials were conducted in the UK and two were based in India. We assessed two trials to be at low risk of bias, one trial to be at high risk of bias and three trials to be at unclear risk of bias.None of the six trials reported the proportion of children with untreated caries or other oral diseases.Four trials evaluated traditional screening versus no screening. We performed a meta-analysis for the outcome 'dental attendance' and found an inconclusive result with high heterogeneity. The heterogeneity was found it to be, in part, due to study design (three cluster-RCTs and one individual-level RCT). Due to the inconsistency, we downgraded the evidence to 'very low certainty' and are unable to draw conclusions about this comparison.Two cluster-RCTs (both four-arm trials) evaluated criteria-based screening versus no screening and showed a pooled effect estimate of RR 1.07 (95% CI 0.99 to 1.16), suggesting a possible benefit for screening (low-certainty evidence). There was no evidence of a difference when criteria-based screening was compared to traditional screening (RR 1.01, 95% CI 0.94 to 1.08) (very low-certainty evidence).In one trial, a specific (personalised) referral letter was compared to a non-specific one. Results favoured the specific referral letter with an effect estimate of RR 1.39 (95% CI 1.09 to 1.77) for attendance at general dentist services and effect estimate of RR 1.90 (95% CI 1.18 to 3.06) for attendance at specialist orthodontist services (low-certainty evidence).One trial compared screening supplemented with motivation to screening alone. Dental attendance was more likely after screening supplemented with motivation, with an effect estimate of RR 3.08 (95% CI 2.57 to 3.71) (low-certainty evidence).None of the trials had long-term follow-up to ascertain the lasting effects of school dental screening.None of the trials reported cost-effectiveness and adverse events. AUTHORS' CONCLUSIONS: The trials included in this review evaluated short-term effects of screening, assessing follow-up periods of three to eight months. We found very low certainty evidence that was insufficient to allow us to draw conclusions about whether there is a role for traditional school dental screening in improving dental attendance. For criteria-based screening, we found low-certainty evidence that it may improve dental attendance when compared to no screening. However, when compared to traditional screening there was no evidence of a difference in dental attendance (very low-certainty evidence).We found low-certainty evidence to conclude that personalised or specific referral letters improve dental attendance when compared to non-specific counterparts. We also found low-certainty evidence that screening supplemented with motivation (oral health education and offer of free treatment) improves dental attendance in comparison to screening alone.We did not find any trials addressing cost-effectiveness and adverse effects of school dental screening.
[Mh] Termos MeSH primário: Saúde Bucal
Serviços de Odontologia Escolar
Odontopatias/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Assistência Odontológica para Crianças/estatística & dados numéricos
Seres Humanos
Ensaios Clínicos Controlados Aleatórios como Assunto
Serviços de Odontologia Escolar/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD012595.pub2


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[PMID]:29172310
[Au] Autor:Casaus A; Patel B; Brown L; Coomaraswamy K
[Ti] Título:Could Video Glasses Contribute to Behaviour Management in the 21st Century?
[So] Source:Dent Update;44(1):45-8, 51, 2017 Jan.
[Is] ISSN:0305-5000
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Dental fear in the paediatric population can be a significant barrier to providing optimal dental care. Pharmacological management techniques utilized to manage anxiety, such as conscious sedation and general anaesthesia, are expensive and require specialized equipment with additional staff training. With recent advances in technology, video glasses are an economic and novel distraction technique that may aid in improving behaviour management and facilitate dental treatment. Clinical relevance: Nervous children may find difficulty in accessing care owing to their inability to co-operate and accept dental treatment. This paper describes an innovative technique that may aid the clinician in overcoming this barrier.
[Mh] Termos MeSH primário: Ansiedade ao Tratamento Odontológico/prevenção & controle
Assistência Odontológica para Crianças/métodos
Óculos
Gravação em Vídeo
[Mh] Termos MeSH secundário: Criança
Comportamento Infantil
Assistência Odontológica para Crianças/tendências
Previsões
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:28817337
[Au] Autor:Sengupta N; Nanavati S; Cericola M; Simon L
[Ad] Endereço:Nandini Sengupta, Sonal Nanavati, and Maria Cericola are with The Dimock Center, Roxbury, MA. Lisa Simon is with the Harvard School of Dental Medicine and Harvard Medical School, Boston, MA.
[Ti] Título:Oral Health Integration Into a Pediatric Practice and Coordination of Referrals to a Colocated Dental Home at a Federally Qualified Health Center.
[So] Source:Am J Public Health;107(10):1627-1629, 2017 Oct.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We have integrated preventive oral health measures into preventive care visits for children at a federally qualified health center in Boston, Massachusetts. The program, started in 2015, covers 3400 children and has increased universal caries risk screening in primary care to 85%, fluoride varnish application rates to 80%, and referrals to a dental home to 35%. We accomplished this by minimizing pressures on providers' workflow, empowering medical assistants to lead the initiative, and utilizing data-driven improvement strategies, alongside colocated coordinated care.
[Mh] Termos MeSH primário: Assistência Odontológica para Crianças/organização & administração
Saúde Bucal
Assistência Centrada no Paciente/organização & administração
Pediatria/organização & administração
Provedores de Redes de Segurança/organização & administração
[Mh] Termos MeSH secundário: Boston
Criança
Pré-Escolar
Cárie Dentária/prevenção & controle
Seres Humanos
Lactente
Medicaid
Satisfação do Paciente
Atenção Primária à Saúde/organização & administração
Encaminhamento e Consulta/organização & administração
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303984


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[PMID]:28817336
[Au] Autor:Chalmers NI; Compton RD
[Ad] Endereço:Both authors are with DentaQuest Institute, Columbia, MD.
[Ti] Título:Children's Access to Dental Care Affected by Reimbursement Rates, Dentist Density, and Dentist Participation in Medicaid.
[So] Source:Am J Public Health;107(10):1612-1614, 2017 Oct.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To assess the relation between Medicaid reimbursement rates and access to dental care services in the context of dentist density and dentist participation in Medicaid in each state. METHODS: Data were from Early and Periodic Screening, Diagnostic, and Treatment reports for 2014, Medicaid reimbursement rate in 2013, dentist density in 2014, and dentist participation in Medicaid in 2014. We assessed patterns of mediation or moderation. RESULTS: Reimbursement rates and access to dental care were directly related at the state level, but no evidence indicated that higher reimbursement rates resulted in overuse of dental services for those who had access. The relation between reimbursement rates and access to care was moderated by dentist density and dentist participation in Medicaid. We estimate that more than 1.8 million additional children would have had access to dental care if reimbursement rates were higher in states with low rates. CONCLUSIONS: Children who access the dental care system receive care, but reimbursement may significantly affect access. States with low dentist density and low dentist participation in Medicaid may be able to improve access to dental services significantly by increasing reimbursement rates.
[Mh] Termos MeSH primário: Assistência Odontológica para Crianças/estatística & dados numéricos
Odontólogos/estatística & dados numéricos
Acesso aos Serviços de Saúde/estatística & dados numéricos
Reembolso de Seguro de Saúde/estatística & dados numéricos
Medicaid/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Odontólogos/provisão & distribuição
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303962


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[PMID]:28668099
[Au] Autor:Mccann CT; Welbury RR
[Ti] Título:The Emergency Treatment of Traumatised Permanent Anterior Teeth in Children and Adolescents.
[So] Source:Prim Dent J;6(2):36-45, 2017 May 01.
[Is] ISSN:2050-1684
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This article aims to provide a practical clinician's guide to assessing and diagnosing dental trauma involving permanent teeth in children and young people, and for carrying out appropriate, guideline supported acute management. Timely referral to specialist paediatric dental services is crucial in more complex trauma presentations and will lead to improved outcomes for the dentition. Appropriate acute management by the primary clinician optimises the prognosis of any traumatised tooth and this article will focus on the emergency treatment of the traumatised permanent tooth.
[Mh] Termos MeSH primário: Traumatismos Craniocerebrais/terapia
Assistência Odontológica para Crianças/métodos
Tratamento de Emergência
Traumatismos Dentários/terapia
[Mh] Termos MeSH secundário: Adolescente
Criança
Dentição Permanente
Feminino
Guias como Assunto
Seres Humanos
Masculino
Planejamento de Assistência ao Paciente
Prognóstico
Encaminhamento e Consulta
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170703
[St] Status:MEDLINE
[do] DOI:10.1308/205016817821281765


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[PMID]:28661808
[Au] Autor:Simmer-Beck M; Wellever A; Kelly P
[Ad] Endereço:Melanie Simmer-Beck and Anthony Wellever are with the School of Dentistry, University of Missouri-Kansas City. Patricia J. Kelly is with the School of Nursing and Health Studies, University of Missouri-Kansas City.
[Ti] Título:Using Registered Dental Hygienists to Promote a School-Based Approach to Dental Public Health.
[So] Source:Am J Public Health;107(S1):S56-S60, 2017 May.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We examine a strategy for improving oral health in the United States by focusing on low-income children in school-based settings. Vulnerable children often experience cultural, social, economic, structural, and geographic barriers when trying to access dental services in traditional dental office settings. These disparities have been discussed for more than a decade in multiple US Department of Health and Human Services publications. One solution is to revise dental practice acts to allow registered dental hygienists increased scope of services, expanded public health delivery opportunities, and decreased dentist supervision. We provide examples of how federally qualified health centers have implemented successful school-based dental models within the parameters of two state policies that allow registered dental hygienists varying levels of dentist supervision. Changes to dental practice acts at the state level allowing registered dental hygienists to practice with limited supervision in community settings, such as schools, may provide vulnerable populations greater access to screening and preventive services. We derive our recommendations from expert opinion.
[Mh] Termos MeSH primário: Assistência Odontológica para Crianças/legislação & jurisprudência
Higienistas Dentários/legislação & jurisprudência
Odontologia em Saúde Pública/organização & administração
Serviços de Odontologia Escolar
[Mh] Termos MeSH secundário: Criança
Delegação Vertical de Responsabilidades Profissionais/legislação & jurisprudência
Assistência Odontológica para Crianças/economia
Higienistas Dentários/provisão & distribuição
Acesso aos Serviços de Saúde/economia
Acesso aos Serviços de Saúde/legislação & jurisprudência
Seres Humanos
Área Carente de Assistência Médica
Grupos Minoritários
Saúde Bucal
Pobreza
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303662


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[PMID]:28650790
[Au] Autor:Mudunuri S; Sharma A; Subramaniam P
[Ti] Título:Perception of Complete Visually Impaired Children to Three Different Oral Health Education Methods: A Preliminary Study.
[So] Source:J Clin Pediatr Dent;41(4):271-274, 2017.
[Is] ISSN:1053-4628
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: To evaluate the perception of visually impaired children to three different methods of oral health education. STUDY DESIGN: Sixty total visually impaired children were divided into three groups of 20 children each. Children in group-I received oral health education through a lecture. Children in group II received Demonstration on a Model by Tell and Touch method (DMTT) and children in group III were self trained on oral hygiene skills. All children received written instructions in Braille. Their knowledge and practice of oral hygiene methods were recorded by a questionnaire and their method of brushing and rinsing was assessed during a personal interview. Data obtained was subjected to statistical analysis. RESULTS: Children in group II were able to brush and rinse significantly better (p <0.05) as compared to the other groups. Demonstration on a Model by Tell and Touch method was found to be the most preferred method of oral health education. CONCLUSION: Oral health education given through DMTT method was perceived well by the visually impaired children.
[Mh] Termos MeSH primário: Assistência Odontológica para Crianças/métodos
Educação de Pessoas com Deficiência Visual/métodos
Educação em Saúde Bucal/métodos
Higiene Bucal/educação
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Seres Humanos
Masculino
Auxiliares Sensoriais
Inquéritos e Questionários
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE
[do] DOI:10.17796/1053-4628-41.4.271


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[PMID]:28650778
[Au] Autor:Blumer S; Costa L; Peretz B
[Ti] Título:Success of Dental Treatments under Behavior Management, Sedation and General Anesthesia.
[So] Source:J Clin Pediatr Dent;41(4):308-311, 2017.
[Is] ISSN:1053-4628
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To present comparative study aims to assist the practitioner to choose between behavior modification (BM) techniques, pharmacologic sedation (N O-O alone or combined with midazolam 0.5 mg/ kg) or routine general anesthesia (GA) for the most successful approach in enabling pediatric dental care. STUDY DESIGN: Dental records of 56 children treated in a university dental clinic between 2006-2016 were reviewed, and data on age, gender, required treatment (amalgam restorations, composite restorations, pulpotomy, and stainless steel crowns [SSC]), treatment approaches and therapeutic success at final follow-up were retrieved. RESULTS: Treatment under GA had the best success rates compared to both BM and pharmacologic sedation. N O-O alone had a 6.1-fold greater risk of failure compared to N O-O +midazolam (p- <0.008). Amalgam restorations had a 2.61-fold greater risk of failure than SSC (p- <0.008). CONCLUSIONS: The GA mode yielded significantly greater success than the N O-O mode alone. There were no significant differences in success rates between GA and combined midazolam 0.5 mg/kg+N O-O . When choosing restoration material, it is important to remember the high success rate of SSC compared to amalgam restoration.
[Mh] Termos MeSH primário: Anestesia Geral/métodos
Terapia Comportamental/métodos
Sedação Consciente
Assistência Odontológica para Crianças/métodos
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Coroas
Restauração Dentária Temporária/métodos
Feminino
Seres Humanos
Masculino
Pulpotomia/métodos
Aço Inoxidável
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
12597-68-1 (Stainless Steel)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE
[do] DOI:10.17796/1053-4628-41.4.308


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[PMID]:28571506
[Au] Autor:Hall-Scullin E; Whitehead H; Milsom K; Tickle M; Su TL; Walsh T
[Ad] Endereço:1 Public Health Department, NHS Ayrshire & Arran, Afton House, UK.
[Ti] Título:Longitudinal Study of Caries Development from Childhood to Adolescence.
[So] Source:J Dent Res;96(7):762-767, 2017 Jul.
[Is] ISSN:1544-0591
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The World Health Organization (WHO) stated that globally, dental caries is the most important oral condition. To develop effective prevention strategies requires an understanding of how this condition develops and progresses over time, but there are few longitudinal studies of caries onset and progression in children. The aim of the study was to establish the pattern of caries development from childhood into adolescence and to explore the role of potential risk factors (age, sex, ethnicity, and social deprivation). Of particular interest was the disease trajectory of dentinal caries in the permanent teeth in groups defined by the presence or absence of dentinal caries in the primary teeth. Intraoral examinations to assess oral health were performed at 4 time points by trained and calibrated dentist examiners using a standardized, national diagnostic protocol. Clinical data were available from 6,651 children. Mean caries prevalence (% D MFT > 0) was 16.7% at the first clinical examination (ages 7-9 y), increasing to 31.0%, 42.2%, and 45.7% at subsequent examinations. A population-averaged model (generalized estimating equations) was used to model the longitudinal data. Estimated mean values indicated a rising D MFT count as pupils aged (consistent with new teeth emerging), which was significantly higher (4.49 times; 95% confidence interval, 3.90-5.16) in those pupils with caries in their primary dentition than in those without. This study is one of the few large longitudinal studies to report the development of dental caries from childhood into adolescence. Children who developed caries in their primary dentition had a very different caries trajectory in their permanent dentition compared to their caries-free contemporaries. In light of these results, caries-free and caries-active children should be considered as 2 separate populations, suggesting different prevention strategies are required to address their different risk profiles.
[Mh] Termos MeSH primário: Assistência Odontológica para Crianças/organização & administração
Cárie Dentária/epidemiologia
Serviços de Saúde Escolar/organização & administração
[Mh] Termos MeSH secundário: Adolescente
Criança
Índice CPO
Dentição Permanente
Progressão da Doença
Inglaterra/epidemiologia
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Prevalência
Fatores de Risco
Dente Decíduo
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE
[do] DOI:10.1177/0022034517696457



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