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Pelkonen AM, Rajavaara P, Vähänikkilä H, Anttonen V, Laitala ML. Family-related risk indicators and dental attendance in association with dental caries in preschool children. BMC Oral Health 2024; 24:1088. [PMID: 39277753 PMCID: PMC11401361 DOI: 10.1186/s12903-024-04870-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2024] [Accepted: 09/05/2024] [Indexed: 09/17/2024] Open
Abstract
BACKGROUND Determining risk indicators behind dental caries is important for identifying children in need of enhanced dental care. The aim of this register-based study was to investigate the association of family-related risk indicators and dental attendance in the development of dental caries in preschool children. METHODS The data for this study were collected from the medical records of 206 randomly chosen preschool children who lived in the city of Oulu, Finland, during 2014-2020. Data on challenges in family life, missing appointments and utilization of oral health care were collected. Sum functions were formed of risk indicators. Analyses were carried out for three age groups (1- to 2-, 3- to 4- and 5- to 6-year-olds) born between 2014 and 2018. RESULTS There was a significant association between the number of family-related risk indicators and the prevalence of manifested caries lesions in the age group of 5- to 6-year-olds. All family-related risk indicators and information about health care utilization were associated with dental caries risk. Challenges in a child's family life were present among 20.3% of the 5- to 6-year-olds. In all age groups, the most common challenges in family life were parental exhaustion and problems in the parents' relationship or divorce. CONCLUSION Family-related risk indicators and dental attendance should be considered when determining caries risk. The caries risk indicators investigated here are associated with each other.
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Affiliation(s)
- Anna-Maria Pelkonen
- Research Unit of Population Health, University of Oulu, Oulu, Finland.
- The Wellbeing Services County of North Ostrobothnia, Pohde, Finland.
| | - Päivi Rajavaara
- Research Unit of Population Health, University of Oulu, Oulu, Finland
- The Wellbeing Services County of North Ostrobothnia, Pohde, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Hannu Vähänikkilä
- Arctic Biobank, Infrastructure for Population Studies, Faculty of Medicine, Northern Finland Birth Cohorts, University of Oulu, Oulu, Finland
| | - Vuokko Anttonen
- Research Unit of Population Health, University of Oulu, Oulu, Finland
| | - Marja-Liisa Laitala
- Research Unit of Population Health, University of Oulu, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
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Kämppi A, Tanner T, Viitanen O, Pohjola V, Päkkilä J, Tjäderhane L, Anttonen V, Patinen P. Association of Dental Fear with Caries Status and Self-Reported Dentition-Related Well-Being in Finnish Conscripts. Dent J (Basel) 2022; 10:dj10030045. [PMID: 35323247 PMCID: PMC8947707 DOI: 10.3390/dj10030045] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 03/06/2022] [Accepted: 03/08/2022] [Indexed: 02/04/2023] Open
Abstract
The main aim of this cross-sectional study was to examine the prevalence of dental fear among Finnish conscripts. Other aims were to study the association between dental fear and cariological status as well as their self-reported, dentition-related well-being. The study material consisted of 13,564 men and 255 women conscripts who underwent oral examinations. Of those, 8713 responded to a computer-based questionnaire. The mean number of decayed teeth (DT) was used in analyses for cariological status. Self-reported dental fear, dentition-related well-being and regular check-ups were analysed. Data were analysed with cross tables, Pearson Chi-Square tests, Fisher’s exact test and binary logistic regressive analysis. High dental fear or finding dental visits very scary was associated with DT > 2 both among women (14.6%, when DT = 0; 33.3%, when DT > 2) and men conscripts (2.3% and 10.8%, respectively). In addition, those reporting that dental health had a negative impact on their well-being and had no regular check-ups were more likely to need cariological treatment than the rest. A high education level, both one’s own and parental, was a protective factor for restorative treatment need in male conscripts. The findings of this study support the concept of a vicious cycle of dental fear and dental caries. A preventive, interactive way of work by dental teams would most likely be beneficial for dental health, avoiding the development of dental fear, and dentition-related well-being.
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Affiliation(s)
- Antti Kämppi
- Department of Oral and Maxillofacial Diseases, University of Helsinki, 00100 Helsinki, Finland;
- Correspondence: ; Tel.: +358-2941911
| | - Tarja Tanner
- Department of Cariology, Endodontology and Paediatric Dentistry, University of Oulu, 90570 Oulu, Finland; (T.T.); (O.V.); (V.P.); (V.A.); (P.P.)
- MRC, Oulu University Hospital, University of Oulu, 90570 Oulu, Finland
| | - Olavi Viitanen
- Department of Cariology, Endodontology and Paediatric Dentistry, University of Oulu, 90570 Oulu, Finland; (T.T.); (O.V.); (V.P.); (V.A.); (P.P.)
| | - Vesa Pohjola
- Department of Cariology, Endodontology and Paediatric Dentistry, University of Oulu, 90570 Oulu, Finland; (T.T.); (O.V.); (V.P.); (V.A.); (P.P.)
- MRC, Oulu University Hospital, University of Oulu, 90570 Oulu, Finland
| | - Jari Päkkilä
- Department of Mathematical Sciences, University of Oulu, 90570 Oulu, Finland;
| | - Leo Tjäderhane
- Department of Oral and Maxillofacial Diseases, University of Helsinki, 00100 Helsinki, Finland;
- Helsinki University Hospital, 00029 Helsinki, Finland
| | - Vuokko Anttonen
- Department of Cariology, Endodontology and Paediatric Dentistry, University of Oulu, 90570 Oulu, Finland; (T.T.); (O.V.); (V.P.); (V.A.); (P.P.)
- MRC, Oulu University Hospital, University of Oulu, 90570 Oulu, Finland
| | - Pertti Patinen
- Department of Cariology, Endodontology and Paediatric Dentistry, University of Oulu, 90570 Oulu, Finland; (T.T.); (O.V.); (V.P.); (V.A.); (P.P.)
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Stein Duker LI, Grager M, Giffin W, Hikita N, Polido JC. The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042380. [PMID: 35206566 PMCID: PMC8872083 DOI: 10.3390/ijerph19042380] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 02/11/2022] [Accepted: 02/15/2022] [Indexed: 01/28/2023]
Abstract
Dental fear and anxiety (DFA) is common across the lifespan and represents a barrier to proper oral health behaviors and outcomes. The aim of this study is to present a conceptual model of the relationships between DFA, general anxiety/fear, sensory over-responsivity (SOR), and/or oral health behaviors and outcomes. Two rounds of literature searches were performed using the PubMed database. Included articles examined DFA, general anxiety/fear, SOR, catastrophizing, and/or oral health behaviors and outcomes in typically developing populations across the lifespan. The relationships between the constructs were recorded and organized into a conceptual model. A total of 188 articles were included. The results provided supporting evidence for relationships between DFA and all other constructs included in the model (general anxiety/fear, SOR, poor oral health, irregular dental attendance, dental behavior management problems [DBMP], and need for treatment with pharmacological methods). Additionally, SOR was associated with general anxiety/fear and DBMP; general anxiety/fear was linked to poor oral health, irregular attendance, and DBMP. This model provides a comprehensive view of the relationships between person factors (e.g., general anxiety/fear, SOR, and DFA) and oral health behaviors and outcomes. This is valuable in order to highlight connections between constructs that may be targeted in the development of new interventions to improve oral health behaviors and outcomes as well as the experience of DFA.
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Affiliation(s)
- Leah I. Stein Duker
- Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA; (W.G.); (N.H.)
- Correspondence:
| | | | - Willa Giffin
- Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA; (W.G.); (N.H.)
| | - Natasha Hikita
- Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA; (W.G.); (N.H.)
| | - José C. Polido
- Children’s Hospital Los Angeles, Los Angeles, CA 90027, USA;
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Abed H, Aloufi A, Alatawi F, Hakeem F. Factors determining the need for general anesthesia to deliver dental treatment for adults with intellectual and developmental disabilities. Saudi J Anaesth 2022; 16:24-28. [PMID: 35261584 PMCID: PMC8846256 DOI: 10.4103/sja.sja_296_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Revised: 05/20/2021] [Accepted: 05/28/2021] [Indexed: 11/15/2022] Open
Abstract
Aim: To investigate factors determining the need for general anesthesia (GA) to deliver dental treatment for adult people with intellectual and developmental disabilities (IDD). Methods: This study involved a retrospective review of medical records of adult patients with IDD who received dental treatment under GA at Tabuk Specialist Dental Center, Saudi Arabia, between 2018 and 2020. Demographic characteristics and dental-related details, level of cooperation, and methods of delivering dental treatment were collected. Results: A total of 86 adult patients with IDD were included. The mean age of the study participants was 34.8 years (standard deviation [SD] 6.5), and the majority were males (n = 47, 54.7%). Eighteen patients had aphasia (20.9%), 16 had epilepsy (18.6%), and 10 had cerebral palsy (11.6%). Most dental treatments delivered were complex dental treatments (n = 39, 45.3%) followed by dental extraction (n = 25, 29.1%), and non-surgical periodontal therapy (n = 22, 25.5%). Females had higher odds of undergoing GA compared to males (Odds ratio (OR) =6.79, 95% Confidence intervals (CI): 1.62–28.41). Furthermore, patients who had aphasia had higher odds of undergoing GA compared to patients who had no medical conditions (OR = 14.03, 95% CI: 1.05–186.7). Conclusion: Being female or having aphasia are independent factors related to the need for GA to deliver dental treatment for Saudi adults with IDD.
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Vainionpää R, Pesonen P, Laitala ML, Pohjola V, Anttonen V. Dental Fear and Dental Health and Attendance among Finnish Male Prisoners. EJOURNAL OF ORAL MAXILLOFACIAL RESEARCH 2020; 10:e4. [PMID: 32158528 PMCID: PMC7012615 DOI: 10.5037/jomr.2019.10404] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Accepted: 12/23/2019] [Indexed: 11/16/2022]
Abstract
Objectives The aim of the present study was to evaluate the prevalence of dental fear and the associations between dental fear and dental health and dental attendance among Finnish prisoners. Material and Methods Eighty-nine voluntary male prisoners from the Pelso Prison participated in this cross-sectional clinical study between September 2014 and February 2015. Forty-six (51.7%) of them were also interviewed for their background factors, dental fear and dental attendance. To evaluate the prisoners’ level of dental fear, the Modified Dental Anxiety Scale and Dental Visual Analogue Scale were used. The numbers of decayed, missing, filled and remaining teeth reported dental health. For analyses Pearson’s Chi-square test, Fisher’s exact test, logistic regression analyses and the independent samples Kruskall-Wallis test were conducted. Results Among male prisoners four out of 46 (8.7%) reported severe and fourteen out of 46 (30.4%) moderate dental fear, 60.9% had mild or no dental fear. Those with no dental fear visited a dentist regularly more often than those with dental fear. The use of snuff and number of medications were positively associated with severe dental fear. Conclusions Dental fear is common among Finnish male prisoners. High number of prescribed medications, use of snuff and irregular dental attendance may indicate severe dental fear among Finnish male prisoners.
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Affiliation(s)
- Raija Vainionpää
- Research Unit of Oral Health Sciences, Department of Cariology, Endodontology and Paediatric Dentistry, University of OuluFinland.,Research Unit of Oral Health Sciences, University of OuluFinland
| | - Paula Pesonen
- Research Unit of Oral Health Sciences, University of OuluFinland
| | - Marja-Liisa Laitala
- Research Unit of Oral Health Sciences, Department of Cariology, Endodontology and Paediatric Dentistry, University of OuluFinland
| | - Vesa Pohjola
- Research Unit of Oral Health Sciences, University of OuluFinland.,Medical Research Centre, Oulu University Hospital and University of OuluFinland
| | - Vuokko Anttonen
- Research Unit of Oral Health Sciences, Department of Cariology, Endodontology and Paediatric Dentistry, University of OuluFinland.,Medical Research Centre, Oulu University Hospital and University of OuluFinland
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Outcome of Chair-Side Dental Fear Treatment: Long-Term Follow-Up in Public Health Setting. Int J Dent 2019; 2019:5825067. [PMID: 31281361 PMCID: PMC6589249 DOI: 10.1155/2019/5825067] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 05/07/2019] [Accepted: 05/20/2019] [Indexed: 11/17/2022] Open
Abstract
Aim Purpose of this practice and data-based study was to evaluate the outcome of dental fear treatment of patients referred to the Clinic for Fearful Dental Patients (CFDP) in the primary oral health care, City of Oulu, Finland, during period 2000–2005. Methods A psychological approach including behavioral interventions and cognitive behavioral therapy (BT/CBT) was used for all participants combined with conscious sedation or dental general anesthesia (DGA), if needed. The outcome was considered successful if later dental visits were carried out without any notifications in the patient records of behavioral problems or sedation. Data collection was made in 2006; the average length of the observation period from the last visit in the CFPD to data collection was 2 y 3 m (SD 1 y 5 m). All information was available for 163 patients (mean age 8.9 y at referral). Study population was dominated by males (58.0%). Cause for referrals was mostly dental fear (81.0%) or lack of cooperation. Results The success rate was 69.6% among females and 68.1% among males. Success seemed to be (p=0.053) higher for those treated in ≤12 years compared with the older ones. The participants, without need for dental general anesthesia (DGA) in the CFDP, had significantly a higher success rate (81.4%) compared with those who did (54.8%, p < 0.001). Use of conscious oral sedation (p=0.300) or N2O (p=0.585) was not associated with the future success. Conclusions A chair-side approach seems successful in a primary health care setting for treating dental fear, especially in early childhood. Use of sedation seems not to improve the success rate.
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Dental attendance after treatment under dental general analgesia (DGA): a data-based follow-up study. Eur Arch Paediatr Dent 2018; 20:27-32. [PMID: 30382523 DOI: 10.1007/s40368-018-0381-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Accepted: 10/15/2018] [Indexed: 12/12/2022]
Abstract
AIMS To investigate dental attendance of patients in different age groups after dental general analgesia (DGA) and procedures performed on these patients during the DGA and in dental care after the DGA during the follow-up period of almost 3 years. METHODS The study population consisted of 66 patients who were treated under DGA at a municipal health centre in Oulu, Finland between September 2010 and June 2011. The electronic patient files of the DGA patients were accessible for data collection for the follow-up period of nearly 3 years. The statistical analyses included Chi square tests and logistic regression modelling. RESULTS Approximately every sixth (14.9%) dental visit was missed or cancelled and nearly half (43.9%) of the studied subjects had at least one missed or cancelled appointment. The factors increasing the risk of missed or cancelled appointments and dental avoidance were endodontic treatment (OR 3.62), need of more than five dental restorations (OR 3.47), tooth extractions due to caries (OR 2.22), and male gender (OR 1.80). A total of 45.5% of the patients received non-invasive procedures. CONCLUSIONS Patients who need DGA are evidently risk patients considering dental attendance. Nearly half of the patients in this study had non-attended or cancelled appointments. DGA patients' need of treatment after DGA is extensive, even comparable to the amount of procedures generally performed under DGA. The quality or amount of preventive procedures do not appear to be at the required level to reduce the number of non-attended appointments.
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Ferreira Gonçalves C, Mundim AP, Martins RFS, Gagliardi RM, Santos PSS, Ayrton de Toledo O. Hereditary Gingival Fibromatosis: a Case Report with Seven-Year Follow-up. Acta Stomatol Croat 2018; 52:254-258. [PMID: 30510301 PMCID: PMC6238873 DOI: 10.15644/asc52/3/9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
Introduction Hereditary gingival fibromatosis (HGF) is a rare disease characterized by gingival enlargement, normal color with benign and firm consistency. This growth may be exacerbated by use of drugs and plaque build-up. The treatment for this clinical condition is surgical excision of the enlarged gingival tissue or the extraction of all teeth. Case Report A 20-year-old Brazilian female handicapped patient with a chief complaint of exaggerated gingival enlargement who had been prescribed Carbamazepine and Gardenal was referred to our center. According to the clinical presentation and family history, the final diagnosis of gingival enlargement was HGF. Full dental treatment was performed, including basic periodontal treatment, restorations, sealants, and gingivoplasty with internal bevel. Special care was taken to ensure that there was no change in patient’s anticonvulsant medication. The patient has been monitored for seven years without signs of recurrence of gingival hyperplasia due to constant professional and home control of plaque.
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Affiliation(s)
- Cíntia Ferreira Gonçalves
- Department of Pediatric Dentistry, School of Dentistry, Instituto Tocantinense Presidente Antônio Carlos - Porto Nacional, Porto Nacional, TO, Brazil
| | - Ana Paula Mundim
- Department of Pediatric Dentistry, School of Dentistry, Instituto Tocantinense Presidente Antônio Carlos - Porto Nacional, Porto Nacional, TO, Brazil
| | | | | | | | - Orlando Ayrton de Toledo
- Department of Pediatric Dentistry, School of Dentistry, University of Brasília, Brasília, DF, Brazil
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Gomes HS, Viana KA, Batista AC, Costa LR, Hosey MT, Newton T. Cognitive behaviour therapy for anxious paediatric dental patients: a systematic review. Int J Paediatr Dent 2018; 28:422-431. [PMID: 29984460 DOI: 10.1111/ipd.12405] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND There is a paucity of evidence about cognitive behaviour therapy in the management of dentally anxious children. AIM To systematically review evidence of the effectiveness of cognitive behaviour therapy for children with dental anxiety or dental phobia. DESIGN Clinical trial registries, grey literature, and electronic databases, including The Cochrane Library, EMBASE, PubMed, Scopus, Web of Science, LILACS/BBO, and PsycINFO, were searched (April 2018). The reference lists of relevant studies were hand-searched. Randomised controlled trials that evaluated the effects of cognitive behaviour therapy on dental anxiety or on acceptance of dental treatment in dental patients up to 18 years were included. Two trained and calibrated reviewers performed the study selection and risk of bias assessment. The quality of the evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE). RESULTS Six studies with a total of 269 patients, aged 41 months to 18 years, were included. Cognitive behaviour therapy decreased level of anxiety compared to control groups and improved cooperation/behaviour, although the quality of the evidence was low. CONCLUSIONS Cognitive behaviour therapy produces better anxiety reduction than diverse behavioural management techniques but the evidence was of low quality and further studies in children are needed.
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Affiliation(s)
| | | | - Aline Carvalho Batista
- Departamento de Estomatologia (Patologia Oral), Faculdade de Odontologia, Universidade Federal de Goiás, Goiânia, Brazil
| | - Luciane Rezende Costa
- Departamento de Saúde Oral, Faculdade de Odontologia, Universidade Federal de Goiás, Goiânia, Brazil
| | - Marie Therese Hosey
- Paediatric Dentistry, Division of Population and Patient Health, King's College London Dental institute, London, UK
| | - Tim Newton
- Psychology, Division of Population and Patient Health, King's College London Dental institute, London, UK
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Comparing the profile of child patients attending dental general anaesthesia and conscious sedation services. Br Dent J 2017; 222:683-687. [DOI: 10.1038/sj.bdj.2017.406] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/30/2017] [Indexed: 12/15/2022]
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Gomes HS, Miranda AR, Viana KA, Batista AC, Costa PS, Daher A, Machado GDCM, Sado-Filho J, Vieira LAC, Corrêa-Faria P, Hosey MT, Costa LR. Intranasal sedation using ketamine and midazolam for pediatric dental treatment (NASO): study protocol for a randomized controlled trial. Trials 2017; 18:172. [PMID: 28399933 PMCID: PMC5387269 DOI: 10.1186/s13063-017-1919-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2016] [Accepted: 03/29/2017] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Uncooperative children may need to receive dental treatment under sedation, which is indicated when nonpharmacological behavior guidance is unsuccessful. There are randomized controlled trials (RCTs) comparing different sedative protocols for dental procedures; however, the evidence for superiority of one form over another is weak. The primary aim of this study is to investigate the efficacy of intranasally administered ketamine plus midazolam for the dental treatment of children. METHODS We have designed a three-armed, parallel RCT to assess intranasal sedation using ketamine/midazolam in terms of the following measures: efficacy, safety, and cost-effectiveness. Two- to 6-year-old healthy children, referred for dental treatment in a dental sedation center in Brazil due to uncooperative behavior and requiring restorative dental procedures, will be recruited. Each child will be randomly assigned to one of the three groups: A - Intranasal administration of ketamine (4.0 mg/kg, maximum 100 mg) and midazolam (0.2 mg/kg, maximum 5.0 mg); B - Oral administration of ketamine (4.0 mg/kg, maximum 100 mg) and midazolam (0.5 mg/kg, maximum 20 mg); and C - Oral administration of midazolam (1.0 mg/kg, maximum 20 mg). The primary outcome is the child's behavior assessed through an observational scale using digital videos of the restorative dental treatment under sedation. The secondary outcomes are as follows: acceptance of sedative administration; memory of intraoperative events; the child's stress; adverse events; the child's pain during the procedure; the parent's, dentists', and child's perceptions of sedation; and economic analysis. Measures will be taken at baseline and drug administration and during and after the dental procedure. The necessary sample size was estimated to be 84 children after a blinded interim analysis of the first 30 cases. DISCUSSION This study will provide data that can substantially add to science and pediatric dentistry as it examines the effect of sedative regimes from different perspectives (outcomes). TRIAL REGISTRATION ClinicalTrials.gov, identifier: NCT02447289 . Registered on 11 May 2015, named "Midazolam and Ketamine Effect Administered Through the Nose for Sedation of Children for Dental Treatment (NASO)."
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Affiliation(s)
- Heloisa Sousa Gomes
- Dentistry Graduate Program, Faculdade de Odontologia (FO), Universidade Federal de Goiás (UFG), Goiânia, GO 74605-220 Brazil
| | - Analya Rodrigues Miranda
- Dentistry Graduate Program, Faculdade de Odontologia (FO), Universidade Federal de Goiás (UFG), Goiânia, GO 74605-220 Brazil
| | - Karolline Alves Viana
- Dentistry Graduate Program, Faculdade de Odontologia (FO), Universidade Federal de Goiás (UFG), Goiânia, GO 74605-220 Brazil
| | | | - Paulo Sucasas Costa
- Department of Pediatrics, Faculdade de Medicina (FM), UFG, Goiânia, GO 74605-020 Brazil
| | - Anelise Daher
- Dentistry Graduate Program, Faculdade de Odontologia (FO), Universidade Federal de Goiás (UFG), Goiânia, GO 74605-220 Brazil
| | | | - Joji Sado-Filho
- Health Sciences Graduate Program, FM/UFG, Goiânia, GO 74605-020 Brazil
| | | | - Patrícia Corrêa-Faria
- Dentistry Graduate Program, Faculdade de Odontologia (FO), Universidade Federal de Goiás (UFG), Goiânia, GO 74605-220 Brazil
| | - Marie Therese Hosey
- Pediatric Dentistry, Division of Population and Patient Health, King’s College London Dental Institute, Bessemer Road, London, SE5 9RS UK
| | - Luciane Rezende Costa
- Department of Oral Health, FO/UFG, Goiânia, GO 74605-220 Brazil
- Faculdade de Odontologia, Universidade Federal de Goiás, Primeira Avenida, Setor Universitário, CEP: 74605-220 Goiânia, Goiás Brazil
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Caries recurrence after treatment under general anaesthesia for early childhood caries: a retrospective cohort study. Eur Arch Paediatr Dent 2015; 16:325-31. [DOI: 10.1007/s40368-014-0166-4] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Accepted: 12/01/2014] [Indexed: 12/19/2022]
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