Home About us Contact
|
Home About us Contact | ||
|
|
||
Paediatric Dentists (paediatric + dentist)
Selected AbstractsChildhood leukaemia: experiences of children and attitudes of parents on dental careEUROPEAN JOURNAL OF CANCER CARE, Issue 3 2008Ç.E. ÇUBUKÇU phd Parental perceptions in the importance of dental care and preferences with regard to its provision while profiling the level of dental health knowledge of parents of leukaemic children were elicited. The setting was the Paediatric Dental Care Unit located in Medical Faculty. Data were collected by means of a structured interview, employing a questionnaire. Level of knowledge on both dental facts and preventive dentistry of the participants was insufficient. Major source of dental care was the resident paediatric dentist both in prior to (78.2%) and following (100%) diagnosis. Tooth extraction (17.6%) was the only treatment provided prior to diagnosis. Following diagnosis, 60 (69%) of these children had received operative dental treatment. The source of preventive advice was inconsistent. Parents appeared to place a high level of importance on their children's dental care and the preference for this to be provided within the hospitals in which the child has been treated. There is clearly a need to establish dental care units in hospitals in which treatment of childhood malignancy is provided. The provision for the future should be the continuous education of dentists, physicians and nurses who work in hospitals and public health services. [source] R3 Increasing the awareness of the role of the dental team in child protectionINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 2006A. M. CAIRNS Aims:, Construction and delivery of a multiagency child protection (CP) course for the dental team in five health board areas; increase knowledge of the signs of physical child abuse (CA); increase likelihood of referral when concerned; aid development of individual practice protocols; increase familiarity with local referral protocols and procedures. Method:, A 3-hour course was designed and delivered in five health board areas by two paediatric dentists and a member of the local CP team. The course content included: orofacial signs of CA; role of the dental team in CP; and local referral procedures and protocols. Questionnaires concerning the above topics were distributed to the course participants immediately prior to the start, and 1 month after the course. Results:, A total of 117 members of the dental team completed the first questionnaire and 65 the second. Knowledge of the signs and symptoms of CA improved from 68.5% to 81%. Prior to and following the course: 58.9% and 40.6% reported that a fear of consequences to the child would influence the decision to report (P = 0.019); 79.5% and 38.5% were concerned that their lack of knowledge would negatively influence the decision to report (P < 0.001); 19.4% and 38.9% had a practice protocol (P < 0.001); 17.3% and 48.4% had seen their local guidelines (P < 0.001). Conclusions:, The course achieved increased: knowledge of the signs of CA; likelihood to refer due to reduction in fear of consequences to child and increased knowledge of both indicators of CA and referral procedures; dental practice protocols; familiarity with local procedures and protocols. [source] A survey of specialist paediatric dental services in Sweden: results from 2003, and trends since 1983INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 2 2006G. KLINGBERG Summary. The child population in Sweden has changed dramatically during the last 20 years. Changes have also occurred within the Public Dental Service (PDS), regarding the provision of dental care to children and adolescents. All these changes may affect the referral pattern and provision of specialist dental care for children and adolescents. Objectives., The primary aim of this study was to survey the services provided by specialists in paediatric dentistry in Sweden during 2003. A secondary aim was to compare the results with previous surveys. Methods., A Web-based survey was sent to all 34 specialist paediatric dentistry clinics and was answered by all clinics. Data were compared with results from the surveys performed in 1983, 1989, and 1996. Results., The number of paediatric dentists had been relatively constant over the last 20 years, whereas the number of children referred to paediatric dentists had increased by 28% since 1983. It was estimated that 1·3% of all children in Sweden are treated at a specialist paediatric dental clinic in 2003. Dental treatment need in combination with behaviour management problems (BMP) was the main reason for referral and occurred in 37% of all referrals. The proportion of medically compromised children/children with disabilities had increased from 6% in 1983 to 22% in 2003. The number of patients treated using sedation and general anaesthesia had increased since 1983, and particularly since 1996. Conclusions., Despite improvements in dental health among children and adolescents in Sweden during the last 20 years, an increasing number of children are referred for specialist paediatric dental treatment. There is an urgent need to increase the number of specialist paediatric dentists in Sweden in order to ensure the continuation of high quality of dental care for children and adolescents. [source] Clinicians choices of restorative materials for childrenAUSTRALIAN DENTAL JOURNAL, Issue 4 2003LA Tran Abstract Background: Recently, there has been an expansion in the range of tooth-coloured restorative materials available. In 1999, the National Health and Medical Research Council recommended clinicians use alternatives to amalgam in children ,where appropriate'. Methods: A three-part 29-item questionnaire was developed, tested in a focus group, and distributed to members of the Australasian Academy of Paediatric Dentistry (AA; paediatric dentists and paediatric dentistry postgraduate students; n=55), and the Australian and New Zealand Society of Paediatric Dentistry, Victorian Branch (SPD; general dentists and dental therapists; n=50). Participant information, material choices, and six hypothetical clinical scenarios were addressed. Results: The overall response rate was 74 per cent. For both groups, the first ranked factor influencing choice of restorative material for vital primary teeth was child age, and caries experience for vital first permanent molars. For moderate-sized Class I and II restorations in primary molars, a tooth-coloured material was chosen by 92 and 84 per cent respondents respectively. For restoring two separate proximal lesions in a primary molar, 65 per cent chose a tooth-coloured material followed by a stainless steel crown (27 per cent; all AA members), then amalgam (8 per cent). The SPD respondents were significantly more likely to choose glass ionomer cement for Class I and II restorations and for restoring two proximal lesions (all p=0.000) in primary molars than AA respondents, who were more likely to choose composite resins/compomers or amalgam/stainless steel crowns for these restorations. Younger respondents (21,40 years) were significantly more likely to choose composite resins/compomers or amalgam/stainless steel crowns (p=0.048) than older respondents (41,65 years), who were likely to choose glass ionomer cement. Conclusions: For Class I and II restorations in primary molars, glass ionomer cement was the material chosen most frequently (SPD respondents); preference for amalgam or stainless steel crowns was low (both SPD and AA groups). The wide range of materials chosen for the hypothetical clinical scenarios suggests the need for guidelines on selection of restorative materials, and the need for longitudinal studies to follow actual clinical outcomes of the materials chosen. [source] | ||||||||||