International journal of paediatric dentistry
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Int J Paediatr Dent · May 2001
Case ReportsFacial features of widespread neuroblastoma: a case report.
A case report of stage IV neuroblastoma which presented with periorbital swelling and ecchymosis originally misdiagnosed as facial trauma. The child soon developed a sinister pancytopenia, which following extensive investigations was revealed to be due to an underlying neuroblastoma. Periorbital ecchymosis associated with neuroblastoma is termed 'raccoon eyes' and is a diagnostic trap for the unwary.
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Int J Paediatr Dent · Jan 2001
Randomized Controlled Trial Clinical TrialIntra-nasal midazolam in conscious sedation of young paediatric dental patients.
To compare the effects of 3 different doses of intra-nasal midazolam in the conscious sedation of young paediatric dental patients and to compare the effectiveness of the sedation in the fasting and non-fasting child. ⋯ All 3 doses of intranasal midazolam were effective in modifying the behaviour of the uncooperative child patient to accept dental treatment. This was irrespective of fasting.
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Int J Paediatr Dent · Jan 2001
Clinical Trial Controlled Clinical TrialChildren choosing between general anaesthesia or inhalation sedation for dental extractions: the effect on dental anxiety.
To compare the levels of dental anxiety experienced by children having dental extractions using general anaesthesia (GA) with those having extractions using local anaesthesia and inhalation sedation (IHS) when offered a programmed choice between the two techniques prior to treatment. ⋯ Children and their parents who select IHS as opposed to GA to assist in extractions demonstrate less psychological distress.
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Int J Paediatr Dent · Dec 2000
Randomized Controlled Trial Comparative Study Clinical TrialPrimary molar pulp therapy--histological evaluation of failure.
Qualitative comparison of the clinical, radiographic and histological outcomes in a small sample of cariously exposed primary molars, extracted after unsuccessful pulp treatment by two vital pulpotomy methods. ⋯ The clinical and radiographic outcomes for the five teeth correlate well with the reported findings from decalcified histological section. Although numbers are small, the histological findings may indicate possible reasons for treatment failure. There are few reports of this sort in the literature of this under-researched treatment modality.
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Int J Paediatr Dent · Sep 2000
A retrospective study of treatment provided in the primary and secondary care services for children attending a dental hospital following complicated crown fracture in the permanent dentition.
To investigate treatment provision in primary and secondary dental care following complicated crown fracture of permanent teeth. ⋯ Emergency treatment of complicated crown fractures, particularly in primary care services is often inappropriate or inadequate with regard to emergency management of the exposed pulp and provision of a hermetic coronal seal.