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At least 37 records · Page 2Linked to original sources
PubMed2005

Presenting chief complaints and clinical characteristics among patients attending the Department of Paediatric Dentistry Clinic at the University of Nairobi Dental Hospital.

OBJECTIVES: To evaluate the chief complaints and clinical presentation among patients attending the Department of Paediatric Dentistry clinic at the University of Nairobi Dental Hospital (UONDH). DESIGN: A retrospective survey of hospital records. SETTING: The University of Nairobi Dental Hospital. SUBJECTS: Patients who attended the Department of Paediatric Dentistry clinic during a three year period. MAIN OUTCOME MEASURES: Chief complaint, dental caries, gingivitis, traumatic injuries, treatment at first visit. RESULTS: The records of 800 patients were examined, including 391 male and 400 female. The average age of the patients was 9.0 years. The presenting complaint for most patients was dental pain (31.5%), orthodontic related complaints (25.4%) and dental decay (19.7%). Very few children attended for dental check-up (3.9%). Five hundred ninety (73.8%) children suffered from dental caries, while 275 (34.4%) children manifested gingivitis. The average number of teeth decay was 3.71 (SD+/-3.76). Only 51 (6.4%) children attended with traumatic injuries to the dentition. Treatment performed at the first visit mainly consisted of dental extractions (21.8%), oral prophylaxis and dental health education (20.5%) and restorative treatment (20.0%). CONCLUSIONS: The presenting complaint for most patients was pain. However, there was an almost equal demand for orthodontic treatment. Dental caries was the most prevalent dental disease. Oral prophylaxis and dental health education (DHE) constituted a significant component of treatment offered at first visit.

Child↗
PubMed1997

Acceptance of psychology teaching in paediatric dentistry by undergraduate dental students.

By means of a questionnaire, 4 cohorts of undergraduate students (n = 144) were asked before and after the clinical course in paediatric dentistry about their acceptance of the teaching of psychological aspects in dentistry. A generally very high interest was found for psychology as well as for child-related psychology. The teaching of this topic by means of lectures was thought to be useful, but other didactic means were demanded to supplement teaching. For many of the aspects taught, more information was requested. Moreover, teaching of aspects not taught in the lectures was also requested. The more obvious the practical relevance of each topic appeared, the greater was the students' interest. Psychology was thought to be useful as an aid to paediatric treatment. However, interest dropped after the completion of the paediatric dentistry course. It is concluded that undergraduate dental students have no particular inclination towards the treatment of children but rather a need for guidelines to avoid potential problems in dealing with this demanding group of patients.

Attitude↗
PubMed2001

Undergraduate orthodontic & paediatric dentistry education in Europe--the DentEd project.

As a result of a European Union funded project (DentEd), a programme of visits to dental schools throughout Europe has been underway since 1998. This report describes the philosophy behind DentEd, gives a brief description of the features of a visitation, and covers the orthodontic and paediatric dentistry teaching as reported in 26 different dental schools in 16 different countries. It is based on a report submitted to DentEd from a small working group that looked at various aspects of educational provision within the two disciplines across Europe. The value of this information to teachers within the two disciplines and to the wider dental community is briefly discussed. The report recommends the adoption of an integrated course for orthodontics and paediatric dentistry. The main objectives are that the student should be able to understand orofacial and psychosocial growth and development of the child, recognize aberrant growth and development, and manage the behaviour of the child, their straightforward preventive, restorative and occlusal needs, and to make appropriate and timely referral.

Curriculum↗
PubMed1989

Total child patient care--aspects of paediatric dentistry and orthodontics.

Various factors have combined to create a situation in which paediatric dentistry is undergoing considerable change. These include the declining prevalence of caries, the refinement of preventive measures and the rapid development of new materials and techniques. The result is a shift in emphasis away from a purely conservative, restorative approach towards a concept of total child care. This requires the practitioner to consider total treatment planning in which there will be phases of preventive, restorative and orthodontic treatment appropriate to each child patient. Correct application of these skills, modified by the application of advancing technology, will ensure that children so treated will grow to value and appreciate good dental health.

Child↗
PubMed2002

Advances in paediatric dentistry.

The problems facing paediatric dentists have not changed over the years, management of caries and orodental trauma still takes up the greatest proportion of their time. What has changed are the treatments available and in this paper some of the more interesting recent developments in this field are summarised.

Behavior Therapy↗
PubMed2005

Self-reported changes in clinical behaviour by undergraduate dental students after video-based teaching in paediatric dentistry.

Four cohorts of undergraduate students (n = 113) were filmed on video tapes whilst performing paediatric treatments. Selected parts of these tapes were shown the day after. Thus, within one term each student was able to view his performance on a videotape as well as those of fellow students. After completion of the clinical course in paediatric dentistry students were asked by means of a questionnaire about behavioural changes in their clinical work regarding different topics. Considerable changes in behaviour were reported for various topics. Most of the students emphasised the viable role of the video for changing their behaviour. This was especially true for aspects of verbal and non-verbal communication where mainly female students benefited. Moreover, video was thought to have been useful for improving capacities to deal with patients in fear or pain and for ergonomics. About two-thirds of the students (64.6%) thought that watching the video had made it easier for them to put theoretical knowledge into action. Video does not seem to play an important role for confirmation and maintenance of behaviour patterns. In conclusion however, it can be stated that video has a high impact on the modification of behaviour patterns of undergraduate students for many aspects of clinical work. The use of video can thus attribute to dental education in an effective way.

Adolescent↗
PubMed2003

Paediatric dentistry in the new millennium: I. Quality care for children.

This is the first in a series of articles on paediatric dentistry in the new millennium. The aim of the series is to present a structured approach to the management of children and the common dental problems that are encountered in paediatric patients. Starting with the philosophy of 'quality care', as presented in this article, the series is intended to update readers on modern approaches to both pharmacological and non-pharmacological behaviour management, restorative techniques and the management of common developmental defects that present in both primary and young permanent teeth. Finally, preventive approaches that are easy to administer in a general dental practice will be discussed.

Behavior Therapy↗
PubMed1996

A computer software package to facilitate clinical audit of outpatient paediatric dentistry.

This paper reports the development and function of a computer program for clinical audit of outpatients in hospital paediatric dentistry in the United Kingdom. The project was one of several national audit projects supported by the Faculty of Dental Surgery, Royal College of Surgeons of England, and funded by the Department of Health. The software is designed to record data utilizing a nationally-agreed minimum set of codes for dental diagnosis, treatment and medical complications, together with patient demographic details pertaining to source of referral, age and sex of patient, and area of residence. A significant component of the software is a flexible report generator which allows data to be analysed using any combination of the above criteria. Audit of activity in hospital dentistry is desirable to enable comparisons to be made between groups of patients and treatments related to diagnosis. This provides the information necessary to enable improvements in clinical practice whilst also assisting the development of both local and national clinical guidelines. Use of this software package will enable such comparisons to be made not only within one hospital but also between different hospital and regions in the United Kingdom.

Ambulatory Care↗
PubMed1996

An audit of anterior periapical radiographs taken in a paediatric dentistry unit.

The aim of this study was to audit the use of periapical radiographs taken during the endodontic treatment of traumatized incisor teeth in a Paediatric Dentistry Unit. Fifty consecutive radiographs and their accompanying written records were evaluated, using methods which were developed and applied by ten staff and postgraduate students working in the Unit. Less than half of the films and their accompanying records were considered to be completely satisfactory and the performance of permanent staff was no better than that of junior staff and postgraduate students. The audit suggested methods for improving the quality of this service, which were subsequently implemented.

Child↗
PubMed2002

The British Society of Paediatric Dentistry: 50 years of achievement.

This paper describes the origins of organizations for children's dentists in the UK, starting 50 years ago and culminating in the foundation of the British Society of Paediatric Dentistry. It focuses on some of the people who were instrumental in these developments and their relations with children's dentists worldwide.

Child↗
PubMed1997

Planning future general anaesthetic services in paediatric dentistry on the basis of evidence: an analysis of children treated in the Day Stay Centre at the Royal Hospitals NHS Trust, London, between 1985-95.

This study aimed to provide evidence for future planning of general anaesthetic services in Paediatric Dentistry. An audit was carried out on children (< or = 17 years) with special needs who were treated under general anaesthesia in the Day Stay Centre at The Royal Hospitals NHS Trust, London, between 1985-95. During these years, 586 child patients were treated, of which 350 had medical complications and/or mental disabilities. Although the number of peri-operative admissions were low (11 planned and 9 emergency), it highlighted the necessity for these patients to be treated in a hospital. Comprehensive dental treatments were carried out which included 1630 deciduous and 596 permanent tooth restorations, and 1382 deciduous and 261 permanent tooth extractions. These patients had follow-up preventive support in the Dental Institute and the readmission rate for further dental treatment under general anaesthesia was low (14 per cent). Comparing the results between 1985-87, 1988-91 and 1992-95 periods, there was a trend for more patients, travelling longer distances, to be treated in the latter periods. It is suggested that more centres with appropriate equipment and trained staff need to be established to meet the increased demand.

Adolescent↗
PubMed1993

Radiovisiography--a preliminary subjective assessment in a hospital paediatric dentistry department.

Recent reports on radiovisiography (RVG) have concentrated mainly on the physical characteristics of this relatively new, digital imaging dental radiographic technique. This paper reports a preliminary assessment of the Mark 2 mobile system in routine use in a hospital paediatric dentistry department. The evaluation encompassed patient acceptability, ease of operation and the clinicians' subjective assessments of the images obtained. It was concluded that RVG is, in general, an acceptable alternative to conventional intra-oral radiography.

Adolescent↗
PubMed2006

[Prevalence of hypodontia in 4-18-year-old children in Department of Paediatric Dentistry, Faculty of Dentistry, University of Debrecen from 1999 to 2003].

Hypodontia is one of the most common human dental anomalies. Its management is often complicated. This survey was carried out to study the prevalence, localisation and combination of congenital aplasia in Department of Paediatric Dentistry, Faculty of Dentistry, University of Debrecen. The study group consisted of 669 children, 283 boys and 386 girls, aged 4-18 years. Orthopantomograms and clinical examinations were used for the retrospective study. The prevalence of hypodontia was found to be 7.76 percent, excluding the third molars. Most of the congenitally absent teeth were the upper lateral incisors and the lower second premolars. The most frequent combinations were the 12-22 and the 35-45 ones. We found that our data were very similar to the different international results.

Adolescent↗
PubMed2004

A logbook for continuous self-assessment during 1 year in paediatric dentistry.

AIM: The present study was designed to investigate whether a logbook helps undergraduate students to develop the ability to self-reflect and to increase their self-awareness. METHODS: A logbook was introduced to 54 dental students in their fourth year of education at the beginning of the paediatric dentistry course. The students filled in a questionnaire on learning styles at the start of the course and after 12 months. RESULTS: The results showed that at the end of the course significantly fewer students wished to be given detailed instructions to solve problems. Significantly more students felt able to expose both their weaknesses and strengths in clinical competence in the presence of their teachers. Students who reported a good knowledge of their own clinical skills found feedback from instructors more constructive compared with those who reported less good knowledge. CONCLUSION: For a large group of students, the logbook stimulated self-reflection, learning from personal clinical experience, and an increase in knowledge about their weaknesses and strengths in clinical competence.

Adult↗
PubMed2003

Molar incisor hypomineralization: a questionnaire inventory of its occurrence in member countries of the European Academy of Paediatric Dentistry (EAPD).

OBJECTIVES: The objectives were to find out whether hypomineralized permanent first molars and incisors, known as Molar Incisor Hypomineralization (MIH), occurs all over Europe, whether its prevalence in each country is known and whether or not it is considered to be a clinical problem. SAMPLE AND METHODS: Clinical photos of MIH and a five-item questionnaire were sent to members of the European Academy of Paediatric Dentistry (EAPD). A total of 59 questionnaires were sent to members in 31 countries. After one month a reminder was sent to non-responders. RESULTS: Fifty-four dentists (92%) in 30 countries (97%) returned the questionnaire. MIH was stated to occur in all but one country (the Czech Republic). Nearly all the responders (97%) stated that they were familiar with the clinical appearance of MIH and a majority saw it as a clinical problem. Furthermore, a large majority of the responders (90%) considered it important to map the prevalence of MIH in European countries as such data are available to only a limited extent. CONCLUSION: Paediatric dentists in Europe are aware of MIH and the majority consider it to be a clinical problem. Only limited data are available on the prevalence of MIH. Comparable and representative prevalence studies are therefore urgently needed to gain more knowledge about the magnitude of MIH and related clinical problems.

Child↗
PubMed1994

A review of dentine-bonding agents and an account of clinical applications in paediatric dentistry.

The need for dental materials which bond to all hard tissues of the tooth is an obvious one. The technique of enamel acid etching has made adhesion to enamel possible. In addition, extensive research has allowed the development of dentine-bonding agents, materials that are claimed to bond to dentine. The first and second generation of these products, despite their early success and popularity, pose several problems, including a weak and unstable bond in the oral environment. During the last decade, a number of systems, known as the third generation of dentine-bonding agents, have been marketed. They base their bonding ability on the utilization of the organic part of a pre-treated dentine. In vitro studies have reported significantly higher bond strength, and reduced microleakage and marginal gap formation. Biocompatibility and toxicity studies have demonstrated no direct harmful effect on the pulp. Clinical trials have shown promising clinical performance. These products can offer treatment alternatives in paediatric dentistry; for example, for teeth affected by amelogenesis imperfecta or local hypoplasia, for anterior teeth extensively damaged by decay or trauma, and for teeth with hypersensitive dentine. However, the dentist should be cautious using these systems because, for most of the products, the permanence of the bond in the oral environment has not been extensively studied.

Amelogenesis Imperfecta↗