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R J Pruhs

Publications and source records attributed to R J Pruhs.

24 records · Page 2Linked to original sources
PubMedDate not supplied

Hand-over-mouth behavior management technique in a solo pedodontic practice: a study.

The hand-over-the-mouth technique (HOM) was studied in a single-dentist pedodontic practice. The study included the frequency of its use relative to the patient's age, sex, previous dental experience and history of a significant medical experience. Observations were also made of the nature of subsequent appointments. HOM was used for almost 10 percent of the patients studied in less than 2 percent of the total number of dental appointments. It was used most often for three-year-old patients, especially female. In the majority of cases (89 percent), it was used on a single occasion and that incident was followed by appointments of a positive nature.

Adolescent↗
PubMedDate not supplied

Combination effects of chloral hydrate and nitrous oxide/oxygen in the mouse staircase test.

The effects of chloral hydrate and/or nitrous oxide were assessed in the mouse staircase test. In this paradigm, the number of steps ascended is thought to reflect locomotor activity, whereas the number of rears is an index of anxiety. Chloral hydrate alone produced a dose-dependent decrease in the number of rears but no change in the number of steps ascended except at the highest dose. Nitrous oxide alone produced a concentration-related increase in the number of steps ascended but no change in rearing. When the two drugs were combined, nitrous oxide appeared to potentiate the rearing suppressant activity of chloral hydrate. Analysis of our experimental findings suggests that chloral hydrate exerts a specific anxiolytic drug effect that can be potentiated by concurrent treatment with nitrous oxide.

Animals↗
PubMedDate not supplied

A psychological rationale for the use of nitrous oxide psychosedation for children.

N2O is, perhaps, the best adjunct, available today, in the management of emotional factors which influence problem behavior. It is not panacea, however, and should be used only in conjunction with sound psychological methods. The use of N2O must not be thought of as a method by which dentists can elude their responsibility to deal logically with the fears and anxieties of the patient. The fears and anxieties are frequently the result of rational mental functions flowing logically from the individual's previous dental history and learning experience. Viewed thusly, patients can be assisted to overcome the problems at a logical level, and N2O or other sedatives may be mere tools to assist the patient in overcoming the emotional elements of the situation. The real worth of N2O can only be evaluated intelligently by those who learn to "demand and to expect rational explanation in addition to empirical discovery".

Anesthesia, Dental↗
PubMedDate not supplied

Sealant status and factors associated with sealant presence among children in Milwaukee, WI.

To determine the percent of school-children aged 6-14 years with sealants placed in their permanent molars in the City of Milwaukee. 2) To describe factors associated with sealant presence among these children. 3) To describe differences, if any, among ethnic majority and minority groups. Twelve public schools agreed to participate in this project. After consent forms were obtained, 1,234 dental exams were performed. A 15-item pretested questionnaire was given to each child to take home for the parent(s) to complete. Response rate was 60 percent (N = 742). Data were analyzed using frequencies and Chi-Square tests (P-value < 0.05). Only 9.6 percent of the sample had sealants on their permanent molars. Variables that were found associated with children more likely to have sealants included: gender (female children more likely than males); children with a recent dental exam; children having a regular dentist; parents having heard about sealants before this study; parents' correct knowledge regarding the purpose of sealants; higher level of parents' education; higher parents' total annual income; ethnicity (Caucasian children more likely than Hispanic, African American, American Indian, or Asian children); and age (children in the older group, 10-14 years, more likely than children in the younger group, 6-9 years). Percent of school-children with sealants on their permanent molars in the city of Milwaukee is low. Efforts are needed to increase the knowledge of sealants by the general public as well as to promote sealant use by dentists in both private practice and public health programs, especially for minority children.

Adolescent↗