ASDC journal of dentistry for children
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The purposes of this study were: (1) To present parents' attitudes toward their child's crying in the dental environment. (2) To suggest a classification of crying children, and discuss its management implications. One hundred and four parents accompanying their children to dental treatment completed a questionnaire assessing the following: the tendency of the child to cry, the preferred approach of the operator to the crying child, and how the parents perceive their own role in such a case. Also the operator's assessment of the child's cooperation and of the child's tendency to cry were recorded. ⋯ The successful completion of dental treatment of a crying child is viewed as a partnership of the dentist and the parent. It is important that the dentist informs the parent about the method to be used, and have their consent. A new classification of the crying child is suggested.
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Oral burns in children, whether electrical or thermal, can result in severe local and systemic complications. Use of an oral burn splint following perioral electrical burns in children is a widely accepted treatment. It is felt that these appliances reduce oral scarring and, in some cases, may eliminate the need for future surgical procedures. These appliances, however, can also be beneficial in case of thermal burns in children.
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In 1997, Congress enacted the State Children's Health Insurance Program to extend health insurance coverage to low-income children who are ineligible for other insurance, including Medicaid. The program is reviewed and considered in terms of children's access to health care and their health status.
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Comparative Study
Comparing the behavior of children treated using general anesthesia with those treated using conscious sedation.
This study compared the dental behavior of young children previously treated using general anesthesia (GA) with those treated with conscious sedation (CS). The sample included healthy children, two to four years of age, treated in private practice. The general anesthesia group included twenty-four children (mean age at time of treatment = 31 months) who were evaluated twelve to thirty-six months later (mean = 25 months). ⋯ Seventeen percent of the children reported being afraid of the dentist in the general anesthesia group and 20 percent in the conscious sedation group. In both groups, fewer than 10 percent of the parents reported that they felt their child was traumatized by the initial dental treatment. The results support the hypothesis that there is no difference in the expected future dental behavior or anxiety of children who experience conscious sedation compared with general anesthesia for dental treatment at a young age.
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Comparative Study
In vitro susceptibility of Staphylococcus aureus including MRSA to four disinfectants.
The spread of nosocomial infections caused by pathogenic organisms such as methicillin-resistant S. aureus (MRSA) has prompted the dental community to focus more attention on certain control strategies. In the present study, we tested the abilities of the four skin disinfectants (povidone iodine, benzalkonium chloride, chlorhexidine gluconate, and ethanol) to prevent horizontal transmission of MRSA in the dental office. ⋯ The 0.1 percent chlorhexidine gluconate proved the least effective of four disinfectants. More than 10(2) bacteria survived despite exposure to it for thirty minutes.