Cariogenic potential of liquid medications in rats.
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Animals↗
Biomedical subjects
R Feigal
Publications and source records attributed to R Feigal.
Bilateral versus unilateral mandibular block anesthesia in a pediatric population.
PURPOSE: This prospective study aimed to evaluate unilateral versus bilateral mandibular nerve block anesthesia with regard to post-operative soft tissue trauma and other complications in a pediatric population. METHODS: A total of 320 patients age 2 to 18 years were appointed for routine operative treatment. There were no age, gender, behavior, or general health exclusions. Oral and written post-operative instructions were given to parents, as well as a survey preview. A phone survey was conducted after treatment to determine a number of variables, including soft tissue trauma. RESULTS: A total of 13% of all patients experienced post-operative soft tissue trauma. By age group, trauma frequency was 18% (< 4 yrs.), 16% (4-7 yrs.), 13% (8-11 yrs.) and 7% (> 12 yrs.). Comparing unilateral versus bilateral subjects as to trauma revealed that in the < 4 age group trauma was higher for the unilateral subjects (35% vs. 5%, P < .02). Non-significant trends showed increased trauma in unilateral groups at ages 8-11 and > 12 years. CONCLUSION: This study represents the first documentation of post-anesthetic soft tissue trauma prevalence in a pediatric population. The results reveal no contraindication to the use of bilateral mandibular block anesthesia.
Adolescent↗
Pediatric behavior management through nonpharmacologic methods.
All professionals who treat children must develop philosophies of care. Pediatric behavior management deserves significant attention by dentists in the development of such a philosophy. Different strategies are available to manage the variety of pediatric patients' challenges that dentists face. Yet, achieving familiarity and comfort with all of these strategies is a difficult if not impossible task. Therefore, dentists must assess which methods they can be use effectively and safely. Dentists must communicate with parents so that their informed consent is obtained for any of the strategies chosen. Knowledge of the society or community in which one works is essential in deciding which technique will be acceptable. Furthermore, methods of pediatric management are most effective if they are honest extensions of one's personality. Thus, developing a management philosophy demands that one be true to oneself. Behavior-management methods used should be based on careful assessment of one's training and experience with the methods, and evaluation of one's personal philosophy of practice. In addition, the environment in which one practices must be considered in choosing the optimum mix of management strategies with which to fill one's practice "bag of tricks".
Anesthesia, Dental↗