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Jurado CA, Tsujimoto A, Villalobos-Tinoco J, Watanabe H, Takamizawa T, Miyazaki M. Minimally invasive technique for non-vital tooth bleaching using traditional Japanese paper. J Oral Sci 2020; 62:458-460. [PMID: 32863316 DOI: 10.2334/josnusd.19-0416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
The purpose of this case report is to describe a minimally invasive technique for non-vital tooth bleaching using traditional Japanese paper, known as washi. Non-vital tooth bleaching with a mixture of sodium perborate and 30% hydrogen peroxide rolled in Japanese paper for a traumatically injured tooth, and in-office vital-tooth bleaching for the upper front six teeth and first premolars, were performed. Five-year follow-up showed satisfactory stability in the bleaching effects and did not show any problems in the traumatically injured tooth. The use of Japanese paper for non-vital tooth bleaching may minimize damage to discolored non-vital teeth.
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Affiliation(s)
- Carlos A Jurado
- Clinical Digital Dentistry, A.T. Still University Arizona School of Dentistry & Oral Health
| | - Akimasa Tsujimoto
- Department of Operative Dentistry, Nihon University School of Dentistry
| | - Jose Villalobos-Tinoco
- Department of Oral Rehabilitation, Autonomous University of Queretaro School of Dentistry
| | - Hidehiko Watanabe
- Department of Restorative Dentistry, Oregon Health and Science University School of Dentistry
| | | | - Masashi Miyazaki
- Department of Operative Dentistry, Nihon University School of Dentistry
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Costa LR, Bendo CB, Daher A, Heidari E, Rocha RS, Moreira APDSC, Moura LS, Banerjee A, Newton JT, Hosey MT. A curriculum for behaviour and oral healthcare management for dentally anxious children-Recommendations from the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE). Int J Paediatr Dent 2020; 30:556-569. [PMID: 32112461 DOI: 10.1111/ipd.12635] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Revised: 02/11/2020] [Accepted: 02/23/2020] [Indexed: 12/17/2022]
Abstract
BACKGROUND Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. AIM To report dentists' opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP. DESIGN A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face-to-face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses. RESULTS Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%-30.0% have training in pharmacological techniques. The four-domain framework supporting the proposed curriculum is as follows: DA/DF/DBMP assessment, non-pharmacological and pharmacological approaches, and decision-making. CONCLUSION Dental curricula should be customised to solve the misconceptions and promote a comprehensive and positive attitude to DA/DF/DBMP by paediatric oral healthcare practitioners.
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Affiliation(s)
- Luciane R Costa
- Paediatric Dentistry, Universidade Federal de Goiás, Goiânia, Brazil
| | - Cristiane B Bendo
- Department of Children's and Adolescents' Oral Health, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Anelise Daher
- Paediatric Dentist, Brazilian Dental Association - Goiás section, Goiânia, Brazil
| | - Ellie Heidari
- Department of Sedation and Special Care Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Guy's Dental Hospital, London, UK
| | - Renata Sá Rocha
- Faculty of Dentistry, Universidade Federal de Campina Grande, Patos, Brazil
| | | | | | - Avijit Banerjee
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Guy's Dental Hospital, London, UK
| | - J Tim Newton
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| | - Marie T Hosey
- Paediatric Dentistry Centre of Oral Clinical and Translational Science, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
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Bendoraitiene EA, Andruskeviciene V, Kscenaviciute G, Srebaliene E, Maciulaityte I. Peculiarities of Dental Treatment among Paediatric Oncological Patients: a Case Report. J Oral Maxillofac Res 2020; 11:e5. [PMID: 33262884 PMCID: PMC7644269 DOI: 10.5037/jomr.2020.11305] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Accepted: 09/10/2020] [Indexed: 11/21/2022]
Abstract
Objectives According to the National Cancer Institute of Lithuania, cancer is diagnosed for almost 100 children each year. Oncological patients suffer from complications during and after treatment. Radiation therapy also affects dental hard tissues. Many oncological patients lose motivation to take care of their oral hygiene because they are focused on cancer diagnosis. This case report discusses prevention and dental treatment severity after radiation therapy treatment. Material and Methods A 9-year-old boy with cancer diagnosis visited a dentist in 2017. The patient was complaining about poor aesthetic quality of the teeth, but there were no complaints about teeth sensitivity or pain. Different stages of active caries, poor oral hygiene, visible abundant plaque, swollen, red and bleeding gums were observed during appointment. A motivational interview explaining the importance of oral hygiene was conducted. Non-surgical caries treatment was prescribed during the first visit. Restorative treatment was performed after 1 month. Results The motivational interview explaining the importance of oral hygiene was conducted during every appointment per 3-year period. Unfortunately, oral hygiene is still poor due to the lack of motivation. Active-cavitated caries lesions were restored with glass ionomer cement and composite resin. The aesthetics of teeth was improved. Conclusions Oncological and recovered patients after radiation therapy should be assigned to a high risk of caries. These patients should be treated individually by the algorithm. Psychological or psychotherapeutic assistance is necessary for patients due to motivation for treatment and oral care.
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Affiliation(s)
- Egle Aida Bendoraitiene
- Department of Preventive and Paediatric Dentistry, Lithuanian University of Health Sciences, KaunasLithuania
| | - Vilija Andruskeviciene
- Department of Preventive and Paediatric Dentistry, Lithuanian University of Health Sciences, KaunasLithuania
| | - Gabriele Kscenaviciute
- Department of Preventive and Paediatric Dentistry, Lithuanian University of Health Sciences, KaunasLithuania
| | - Evelina Srebaliene
- Department of Preventive and Paediatric Dentistry, Lithuanian University of Health Sciences, KaunasLithuania
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Bassi JC, Tedesco TK, Raggio DP, Santos AMA, Bianchi RM, de Sant'Anna GR. Is it necessary to pre-treat Dentine before GIC Restorations? Evidence from an in Vitro Study. Acta Odontol Latinoam 2020; 33:27-32. [PMID: 32621596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/01/2019] [Accepted: 03/01/2020] [Indexed: 06/11/2023]
Abstract
The aim of this study was to assess the influence of different pre-treatment approaches on glass ionomer cement (GIC) bond strength (BS) to dentine. Sixty bovine incisors were allocated into six groups according to substrate - sound or caries-affected dentine; and substrate pre-treatment approach - no conditioning (control), polyacrylic acid for 10 s and phosphoric acid for 7 s. Teeth in the caries-affected dentine group were previously submitted to cariogenic pH-cycling challenge. After dentine pre-treatment, according to experimental groups, polyethylene tubes were placed on flat dentine surfaces and filled with GIC. Teeth were stored in distilled water for 24 h at 37 °C and then submitted to microshear test (0.5 mm/min). Failure pattern analysis was performed under stereomicroscope (400x). Data were analysed using two-way ANOVA and Tukey's test (α=5%). Statistically significant differences were found for the pre-treatment approach, regardless of substrate (p<0.001). The polyacrylic acid group and control group had similar BS values, and were both better than the phosphoric acid group. In general, GIC had better bonding performance in sound dentine than in caries-affected dentine. In conclusion, dentine pre-treatment with polyacrylic acid did not improve the performance of GIC restoration on clinically relevant substrates.
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Affiliation(s)
- Julio C Bassi
- Universidade Santa Cecília, Faculdade de Odontologia, Disciplina de Odontopediatria, Santos, Brazil
| | - Tamara K Tedesco
- Universidade Ibirapuera, Faculdade de Odontologia, Programa de Pós-graduação em Odontologia, São Paulo, Brazil.
| | - Daniela P Raggio
- Universidade de São Paulo, Faculdade de Odontologia, Departamento de Ortodontia e Odontopediatria, São Paulo, Brazi
| | - Ana Maria A Santos
- Universidade Santa Cecília, Faculdade de Odontologia, Disciplina de Dentística, Santos, Brazil
| | - Renata Md Bianchi
- Universidade Santa Cecília, Faculdade de Odontologia, Disciplina de Odontopediatria, Santos, Brazil
- Universidade Ibirapuera, Faculdade de Odontologia, Programa de Pós-graduação em Odontologia, São Paulo, Brazil
| | - Giselle R de Sant'Anna
- Centro de Pesquisas Odontológicas São Leopoldo Mandic, Faculdade São Leopoldo Mandic, Programa de Pós-graduação em Odontopediatria, Campinas, Brazil
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Moimaz SAS, Okamura AQC, Lima DC, Saliba TA, Saliba NA. Clinical and Microbiological Analysis of Mechanical and Chemomechanical Methods of Caries Removal in Deciduous Teeth. Oral Health Prev Dent 2019; 17:283-288. [PMID: 31209448 DOI: 10.3290/j.ohpd.a42659] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE This study evaluated carious tissue removal by mechanical and chemomechanical methods (Carisolv and Papacárie) through colony-forming unit (CFU) counts of Streptococcus mutans and Lactobacillus sp. Treatment acceptability, presence and level of pain, use of anesthesia, time required for caries removal and pain 24 h after treatment were also compared. MATERIALS AND METHODS A clinical trial with 32 individuals who had at least two deciduous molars with active occlusal caries lesions were selected and randomly divided into two groups (I and II). One lesion in each individual was excavated with hand excavator only. The remaining lesions were excavated using modified hand excavation and Carisolv in group 1 or modified hand-excavation and Papacárie in group 2. Bacterial samples were taken from each caries lesion before and after treatment. RESULTS All the methods reduced the amount of cultivable Streptococcus mutans and Lactobacillus sp. after treatment (p < 0.05) and no statistically significant difference was found between the groups (p > 0.05). There was 97% acceptability of treatments, and anesthesia was used in 14% of teeth. Pain was present 24 h after treatment in 6% of teeth. The mean times for caries removal by the mechanical and chemomechanical treatments were not statistically significantly different (p > 0.05). CONCLUSIONS All treatments were found to effectively reduce bacterial counts (p < 0.05). There were no statistically significant differences (p > 0.05) among treatments or between clinical variables (p > 0.05).
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Garcia IM, Leitune VCB, Balbinot GDS, Samuel SMW, Collares FM. Influence of niobium pentoxide addition on the properties of glass ionomer cements. Acta Biomater Odontol Scand 2016. [PMID: 28642924 PMCID: PMC5433193 DOI: 10.1080/23337931.2016.1239182] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Objective: To determine the influence of niobium pentoxide (Nb2O5) addition on the physical and chemical properties of glass ionomer cements (GICs). Materials and methods: Five, 10 or 20 wt.% of Nb2O5 were incorporated into commercial GICs (Maxxion R, Vitro Molar, Vitro Fil R) and one group of each GIC remained without Nb2O5 (control groups). The GICs were evaluated by Knoop hardness, compressive strength, acid erosion, particle size and radiopacity. Data were analyzed by two-way ANOVA followed by Tukey's test. Results: The addition of 10% and 20% reduced the microhardness of two GICs (p < .05). Compressive strength showed no difference among groups (p > .05). Nb2O5 did not influence Maxxion R and Vitro Fil R regarding the acid erosion test (p > .05). Vitro Molar increased its acid erosion with 10% of Nb2O5 (p < .05). Maxxion R presented 15.78 μm, while Vitro Molar and Vitro Fil R showed 5.14 μm and 6.18 μm, respectively. As the Nb2O5 concentration increased, the radiopacity increased for all groups. Vitro Molar and Vitro Fil R did not present significant difference to at least 1 mm aluminum (p > .05). Conclusion: The addition of 5 wt.% Nb2O5 did not affect the tested physical and chemical properties of the GICs and improved the radiopacity of one of the cements. These materials are therefore suitable for further testing of biomimetic remineralization properties.
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Affiliation(s)
- Isadora Martini Garcia
- Dental Materials Laboratory, Department of Conservative Dentistry, Federal University of Rio Grande do SulPorto AlegreBrazil
| | - Vicente Castelo Branco Leitune
- Dental Materials Laboratory, Department of Conservative Dentistry, Federal University of Rio Grande do SulPorto AlegreBrazil
| | - Gabriela De Souza Balbinot
- Dental Materials Laboratory, Department of Conservative Dentistry, Federal University of Rio Grande do SulPorto AlegreBrazil
| | - Susana Maria Werner Samuel
- Dental Materials Laboratory, Department of Conservative Dentistry, Federal University of Rio Grande do SulPorto AlegreBrazil
| | - Fabrício Mezzomo Collares
- Dental Materials Laboratory, Department of Conservative Dentistry, Federal University of Rio Grande do SulPorto AlegreBrazil
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Kateeb ET, Warren JJ, Gaeth GJ, Momany ET, Damiano PC. Understanding Pediatric Dentists' Dental Caries Management Treatment Decisions: A Conjoint Experiment. JDR Clin Trans Res 2016; 1:86-94. [PMID: 28879239 DOI: 10.1177/2380084416636589] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
When traditional ranking and rating surveys are used to assess dentists' treatment decisions, the patient's source of payment appears to be of little importance. Therefore, this study used the marketing research tool conjoint analysis to investigate the relative impact of source of payment along with the child's age and cooperativeness on pediatric dentists' willingness to use Atraumatic Restorative Treatment (ART) to restore posterior primary teeth. A conjoint survey was completed by 707 pediatric dentists. Three factors (age of the child, cooperativeness, type of insurance) were varied across 3 levels to create 9 patient scenarios. The relative weights that dentists placed on these factors in the restorative treatment decision process were determined by conjoint analysis. "Cooperativeness" (52%) was the most important factor, "age of the child" (26%) the second-most important factor, followed by "insurance status of the child" (22%). For the third factor, insurance, pediatric dentists were least willing to use ART with publicly insured children (-0.082), and this was significantly different from their willingness to use ART with uninsured children (0.010) but not significantly different than their willingness to use ART for children with private insurance (0.073). Unlike traditional ranking and rating tools, conjoint analysis found that the insurance status of the patient appeared to be an important factor in dentists' decisions about different restorative treatment options. When pediatric dentists were forced to make tradeoffs among different patients' factors, they were most willing to use ART technique with young, uncooperative patients when they had no insurance. Knowledge Transfer Statement: The present study suggests the feasibility of using techniques borrowed from marketing research, such as conjoint analysis, to understand dentists' restorative treatment decisions. Results of this study demonstrate pediatric dentists' willingness to use a particular restorative treatment option (Atraumatic Restorative Treatment in this application) when forced to make tradeoffs in a "conjoined," or holistic, context among different factors presented in real-life patient scenarios. A deeper understanding of dentists' treatment decisions is vital to develop valid practice guidelines and interventions that encourage the use of appropriate restorative treatment modalities.
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Affiliation(s)
- E T Kateeb
- Al Quds University, Oral Health Research and Promotion Unit, Jerusalem, Palestine.,University of Iowa Public Policy Center, Iowa City, IA, USA
| | - J J Warren
- University of Iowa College of Dentistry, Iowa City, IA, USA
| | - G J Gaeth
- University of Iowa Tippie College of Business, Iowa City, IA, USA
| | - E T Momany
- University of Iowa Public Policy Center, Iowa City, IA, USA
| | - P C Damiano
- University of Iowa Public Policy Center, Iowa City, IA, USA.,University of Iowa College of Dentistry, Iowa City, IA, USA
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Singhal DK, Acharya S, Thakur AS. Microbiological analysis after complete or partial removal of carious dentin using two different techniques in primary teeth: A randomized clinical trial. Dent Res J (Isfahan) 2016; 13:30-7. [PMID: 26962313 PMCID: PMC4770467 DOI: 10.4103/1735-3327.174695] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Background: The management of deep carious lesions can be done by various techniques but residual caries dilemma still persists and bacterial reduction in cavities treated by either partial or complete caries removal techniques is debatable. So the objective of the present randomized clinical trial was to compare microbial counts in cavities submitted to complete caries removal and partial caries removal using either hand instruments or burs before and after 3 weeks of restoration. Materials and Methods: Primary molars with acute carious lesions in inner half of dentine and vital pulp were randomly divided into three groups of 14 each: Group A: Partial caries removal using hand instruments atraumatic restorative treatment (ART) only; Group B: Partial caries removal using bur; Group C: Complete caries removal using bur and caries detector dye. Dentine sample obtained after caries removal and 3 weeks after restoration, were subjected to microbial culture and counting (colony-forming units [CFU]/mg of dentine) for total viable bacterial count, Streptococcus spp., mutans streptococci, Lactobacillus spp. Results: Three techniques of caries removal showed significant (P < 0.05) reduction in all microorganisms studied after 3 weeks of evaluation, but there was no statistically significant difference in percentage reduction of microbial count among three groups. Conclusion: Results suggest the use of partial caries removal in a single session as compared to complete caries removal as a part of treatment of deep lesions in deciduous teeth in order to reduce the risk of pulp exposure. Partial caries removal using ART can be preferred for community settings as public health procedure for caries management.
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Affiliation(s)
- Deepak Kumar Singhal
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal University, Karnataka, India
| | - Shashidhar Acharya
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal University, Karnataka, India
| | - Arun Singh Thakur
- Department of Public Health Dentistry, Government Dental College, Shimla, Himachal Pradesh, India
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Kateeb ET, Warren J, Gaeth G, Damiano P, Momany E, Kanellis MJ, Weber-Gasparoni K, Ansley T. The willingness of US pediatric dentists to use atraumatic restorative treatment (ART) with their patients: a conjoint analysis. J Public Health Dent 2014; 74:234-40. [PMID: 24635596 DOI: 10.1111/jphd.12052] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2013] [Accepted: 01/10/2014] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The atraumatic restorative treatment (ART) was developed as an affordable, patient-friendly dental caries management procedure that does not need extensive operator training or special skills. The aim of this study was to determine factors that influence the decision to use ART using an innovative marketing research technique known as conjoint analysis. METHODS A conjoint survey was completed by 723 members of the American Academy of Pediatric Dentistry. Three factors (age of the child, level of cooperation, type of insurance) were varied across three levels to create nine patient scenarios. The weights that practitioners placed on these factors in decisions to use ART in treating carious lesions were determined by conjoint analysis. Factors such as lesion location, depth, and extension were fixed in the nine clinical scenarios. RESULTS Seven-hundred twenty-three pediatric dentists completed the survey (32 percent). Age of the child was the most important factor in pediatric dentists' decisions to use ART (46 percent) compared with level of cooperation (41 percent) and type of insurance coverage (11 percent). For the age factor, the age of 2 years had the greatest utility (0.55) compared with age 4 (-0.09) and age 6 (-0.46). For types of insurance coverage, having no insurance (0.124) had the greatest utility compared with having public insurance (-0.119). CONCLUSIONS Although insurance coverage was the least important among the factors, being without insurance, being very young, and being uncooperative was the scenario where pediatric dentists most favored ART when making trade offs between different factors using the conjoint design.
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Affiliation(s)
- Elham Talib Kateeb
- Oral Health Research and Promotion, Al Quds University, Jerusalem, Palestine; Public Policy Center, University of Iowa, Iowa City, IA, USA
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