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Prado IM, Paiva SM, Fonseca-Gonçalves A, Maia LC, Tavares-Silva C, Fraiz FC, Ferreira FM, Duarte J, Granville-Garcia AF, Costa EMMB, Gomes MC, Ferreira MC, Fagundes DM, Alves CL, Dutra ALT, Sarmento N, Silva MB, Mohn Neto CR, Sacono NT, Estrêla RP, Serra-Negra JM. Knowledge of parents/caregivers about the sleep bruxism of their children from all five Brazilian regions: A multicenter study. Int J Paediatr Dent 2019; 29:507-523. [PMID: 30805966 DOI: 10.1111/ipd.12486] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Revised: 02/06/2019] [Accepted: 02/20/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND Sleep bruxism (SB) is a masticatory muscle activity that affects children. Parents' knowledge is important for its identification and report to dentists. AIM To investigate parents' knowledge about SB among their children. DESIGN A cross-sectional study included 1325 parents of children from dental clinics of seven institutions from all regions of Brazil. Parents answered questions about child's sleep, knowledge about SB and its occurrence among children and parents. SB definition given by parents was dichotomized as "correct"/"incorrect", based on the American Academy of Sleep Medicine definition. Descriptive, bivariate and multivariate analyses were performed (P < 0.05). RESULTS Most parents (57.3%) did not know what SB is and 88.9% would like to receive more information. SB prevalence among parents was 15.4% and 24.0% among children. Between parents who correctly defined SB, its prevalence increased to 27.5% among parents and 40.6% among children. Parents whose children had/have SB, who would like to receive more information about SB and were from the North, Central-West, Southeast, and South regions were more likely to define SB correctly (P > 0.05). CONCLUSION There is a lack of knowledge of parents about SB. SB among children, parents' interest in receiving more information and their location were factors associated to their knowledge.
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Affiliation(s)
- Ivana Meyer Prado
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Andrea Fonseca-Gonçalves
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Claudia Tavares-Silva
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Fabian Calixto Fraiz
- Department of Stomatology, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | | | - Joyce Duarte
- Department of Stomatology, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | | | | | | | | | | | | | | | - Naelka Sarmento
- Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil
| | | | | | | | | | - Junia Maria Serra-Negra
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Abstract
This article explores trends in 3 areas of dental services use for children less than 21 years of age. First, it examines the change in access to prevention, diagnostic, and treatment services over time among Medicaid-enrolled children and how access to care is affected by state-level factors. Second, it evaluates trends and health care costs associated with the treatment of oral health conditions in the operating room of pediatric hospitals. Third, it examines the trends in use of emergency departments for dental needs among children in the United States.
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Affiliation(s)
- Natalia I Chalmers
- Analytics and Publication, DentaQuest Institute, 10320 Little Patuxent Parkway, Suite 214, Columbia, MD 21044, USA.
| | - Joseph S Wislar
- Analytics and Publication, DentaQuest Institute, 10320 Little Patuxent Parkway, Suite 214, Columbia, MD 21044, USA
| | - Matt Hall
- Children's Hospital Association, 600 13th Street NW, Washington, DC 20005, USA
| | - Cary Thurm
- Children's Hospital Association, 600 13th Street NW, Washington, DC 20005, USA
| | - Man Wai Ng
- Department of Pediatric Dentistry, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA
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Early childhood caries and the impact of current u.s. Medicaid program: an overview. Int J Dent 2012; 2012:348237. [PMID: 22496690 PMCID: PMC3312229 DOI: 10.1155/2012/348237] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2011] [Accepted: 12/25/2011] [Indexed: 11/17/2022] Open
Abstract
Pediatric dental caries is the most common chronic disease among children. Above 40% of the U.S. children aged 2-11 years have dental caries; more than 50% of them come from low-income families. Under dental services of the Medicaid program, children enrolled in Medicaid must receive preventive dental services. However, only 1/5 of them utilize preventive dental services. The purpose of this overview is to measure the impact of Medicaid dental benefits on reducing oral health disparities among Medicaid-eligible children. This paper explains the importance of preventive dental care, children at high risk of dental caries, Medicaid dental benefits, utilization of dental preventive services by Medicaid-eligible children, dental utilization influencing factors, and outcome evaluation of Medicaid in preventing dental caries among children. In conclusion, despite the recent increase of children enrolled in Medicaid, utilizing preventive dental care is still a real challenge that faces Medicaid.
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Chi D, Milgrom P. Preventive dental service utilization for Medicaid-enrolled children in New Hampshire: a comparison of care provided by pediatric dentists and general dentists. J Health Care Poor Underserved 2009; 20:458-72. [PMID: 19395842 DOI: 10.1353/hpu.0.0139] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
In this study, we compared preventive dental utilization through visits to a pediatric dentist (PD) vs. visits to a general dentist (GD) among Medicaid-enrolled children in New Hampshire (n = 12,964). Dental claims were analyzed using conditional logistic regression models. After adjusting for covariates, children seen by a PD were 51% more likely to have received fluoride treatment, 26% more likely to have had at least two dental examinations, and 19% more likely to have received a sealant than children seen by a GD. Overall, our results suggest that children seen by a PD were more likely to have received preventive services than those seen by a GD. Because Medicaid-enrolled children are at increased risk for poor oral health, policies should be enacted to ensure that high-risk children receive appropriate and regular prevention-oriented dental care.
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Affiliation(s)
- Donald Chi
- University of Iowa, College of Dentistry, Department of Pediatric Dentistry, Iowa City, USA
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