A national in-service training examination in pediatric dentistry (PEDSITE): a challenge to academicians.
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Biomedical subjects
Publications and source records attributed to R E Primosch.
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The purpose of this study was to relate several variables (age, sex, race, number of extractions performed, dental arch, tooth position, mobility, root length, osseous resorptive defects, soft tissue inflammation, and history of preexisting pain) to the prevalence of parental report of pain in their children between forty-eight hours before (preexisting pain) and seven hours after extraction of their primary teeth (postextraction pain). Sixty-two children, ages two to ten years, were studied. The results indicated that there was no relationship between preexisting pain and the report of postextraction pain. There was a trend for females, primary molars, and presence of osseous resorptive defects to be associated with preexisting dental pain Root length (complete root formation) and presence of adjacent soft tissue inflammation were statistically significant for preexisting pain. Chronologic age was the only variable studied that was associated with postextraction pain in these children. Although the existence of pain is difficult to assess in children, the results of this study may be useful in a clinician's decision-making process as to the need for prescribed analgesics following extraction of primary teeth.
A survey of all predoctoral pediatric dental programs in the United States was conducted to ascertain the contemporary teaching philosophies and techniques for pulp therapy in primary teeth. All 53 predoctoral programs responded to a two-part survey consisting of multiple choice questions regarding which pulp therapies and specific techniques were taught and which pulp therapies would be employed under certain hypothetical clinical scenarios. The results of the survey confirmed some lack of consensus on the selection and application of certain treatment modalities and techniques taught for primary tooth pulp therapy in predoctoral dental programs in the United States.