Pediatric Dentistry

PURPOSE: The purpose of this study was to evaluate practice patterns among dentist anesthesiologists for pediatric patients with autism spectrum disorders (ASD) undergoing sedation for dental procedures. METHODS: An electronic nationwide survey was delivered to all members of the American Society of Dentist Anesthesiologists. The survey assessed provider training and comfort in treating pediatric patients with ASD, perioperative procedures for children with and without ASD, and preferred educational resources for the perioperative management of pediatric patients with ASD...

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PURPOSE: The purpose of this study was to assess the outcome of coronal pulpotomy using mineral trioxide aggregate (MTA) in mature and immature teeth with symptoms indicative of irreversible pulpitis. METHODS: Fifty permanent molars with symptomatic irreversible pulpitis were divided into two groups according to complete or incomplete radicular growth (25 teeth in each group). Coronal pulpotomy was performed with MTA. Clinical follow-up evaluations were scheduled at the third, sixth, ninth, 12th, 18th, and 24th months...

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PURPOSE: The purpose of this retrospective study was to assess how procedural code trends reflect the adoption of evidence-based best-clinical-practice guidelines in a hospital-based pediatric dental residency program. METHODS: Data on frequency of indirect pulp therapy (IPT) and primary pulpotomy (P) utilization were assessed from 2008 to 2020. RESULTS: The rate of procedural change between IPT and P significantly differed (P<0.001) over 12 years...

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PURPOSE: The purpose of this study was to compare the wear resistance of stainless steel crowns, (SSCs), zirconia crowns (ZRCs), and nanohybrid crowns (NHCs) using a 3D tomography method. METHODS: Prefabricated SSCs, ZRCs, and NHCs (n equals 80) were worn for 400,000 cycles, equivalent to three years of simulated clinical wear, at 50 N and 1.2 Hz using the Leinfelder-Suzuki wear tester. Wear volume, maximum wear depth, and wear surface area were computed using a 3D superimposition method and 2D imaging software...

PURPOSE: The purpose of this study was to quantify the impact of the COVID-19 pandemic on private dental insurance claims for pediatric dental care. METHODS: Commercial dental insurance claims for patients in the United States ages 18 and younger were obtained and analyzed. The claims dates ranged from January 1, 2019, to August 31, 2020. Total claims paid, average paid amount per visit, and the number of visits were compared between provider specialties and patient age groups from 2019 to 2020...

PURPOSE: To evaluate whether the postponement of dental elective procedures at the start of the COVID-19 pandemic was associated with an increased number of simple dental extractions, and/or decreased restorative procedures by analyzing data obtained from state-funded insurance dental claims. METHODS: Paid dental claims collected from March 2019 to December 2019 and from March 2020 to December 2020 for children ages two to 13 years old were analyzed. Dental procedures were selected based on Current Dental Terminology (CDT) codes for simple dental extractions and restorative procedures...

PURPOSE: The purpose of this study was to identify barriers to oral health services experienced by children and evaluate variation across demographic and socioeconomic population groups. METHODS: The data were collected from 1,745 parents/legal guardians who responded to a web-based survey regarding their children's access to health services in 2019. Descriptive statistics and binary and multinomial logistic models were used to examine barriers to needed dental care and factors contributing to differential experiences with those barriers...

PURPOSE: The purpose of this cross-sectional observational investigation was to explore associations of site-specific tooth absences (SSTA, edentate sites resulting from dental agenesis where no primary or permanent teeth exist at the sites of permanent tooth agenesis) with the severity of oral health-related quality of life (OHRQoL) impacts in girls having nonsyndromic oligodontia. METHODS: Data collected from 22 girls (mean aged 12.0±2.9, standard deviation years) having nonsyndromic oligodontia (mean permanent tooth agenesis equals 11...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

Purpose: The purpose of this study was to identify and analyze reports and testimonies from the U.S. Government Accountability Office (GAO) relevant to children's oral health and dental care during the calendar years 1990 through 2021. Methods: The GAO database was searched for reports and testimonies that directly or tangentially addressed children's oral health and dental care. Titles, abstracts, and texts were reviewed to determine what Congress asked of GAO and how GAO responded. Results: Among nearly 30,000 health- and health care-related GAO releases over 31 years, 35 were focused on children's oral health and/or dental care...

Purpose: The purpose of this study was to evaluate the clinical performance of composite strip crowns (SCs) and zirconia crowns (ZCs) on primary maxillary incisors affected by early childhood caries over 18 months. Methods: A total of 111 primary maxillary anterior teeth were included in 25 three-to five-year-old children. In each patient, the teeth were randomized to the SC and ZC groups (n equals 43 teeth/group) and sound teeth as the control group (n equals 25) in a split-mouth design. Patients' oral hygiene and clinical variables, including gingival health, plaque accumulation, pulpal health, secondary caries, retention, color match, and material loss, were assessed at baseline and at one, six, 12, and 18 months...

Purpose: The purpose of this study was to assess the understanding of Spanish-speaking caregivers consenting to dental care using general anesthesia (GA) utilizing two consent-delivery pathways. Methods: Seventy-eight parents of children who never had GA were randomly assigned to one of two groups: (1) interpreter; or (2) video; they completed a survey to evaluate comfort level with GA and comprehension of areas of informed consent. Results: Most parents in both groups understood the risks associated with GA (89 percent in the interpreter group and 90 percent in the video group)...

Purpose: The purpose of this study was to evaluate the cytotoxicity of silver diamine fluoride (SDF) to human dental pulp stem cells (hDPSC). Methods: hDPSC were exposed to dilutions of 38 percent SDF ( 10-3, 10-4, and 10-5) and incubated for 24 hours. Cell viability was assessed with colorimetric detection assay at 24 hours. Fresh media was used as a negative control, and 0.1% sodium dodecyl sulfate was used as a positive control. Three independent experiments were performed in triplicate. Cell viability data were analyzed using analysis of variance and Tukey's multiple comparison test...

Purpose: The purpose of this study was to evaluate the clinical and radiographic outcomes of direct pulp capping (DPC) using calcium hydroxide (CH), mineral trioxide aggregate (MTA), and premedicated DPC with formocresol (FC) in primary teeth. Methods: Sixty primary mandibular second molars with pulp exposures in children aged four to eight years old were treated using DPC. The molars were randomly divided into three groups (n equals 20 per group). Pulp exposures in the CH and MTA groups were capped directly using CH and MTA pastes, respectively, while those in the FC group were premedicated with FC and then capped with zinc oxide eugenol (ZOE) cement...

Purpose: To evaluate early preventive dental services (PDS) provided by primary care providers (PCPs) in reducing future caries treatments among Alabama Medicaid recipients. Methods: Data from 2009 to 2019 Alabama Medicaid were used to evaluate effectiveness of 1st Look Program on PDS before age three years and incidence of caries treatments after age three years. PDS groups consisted of 1st Look-involved (PDS claims from PCPs), dentist-only (PDS claims from dental providers), and no early fluoride treatment participants (no PDS claims before age three years)...