The Value of Clinical Photographs in the Management of Traumatic Dental Injuries.

The purpose of this study was to explore the perceived value of clinical photographs for traumatic dental injuries (TDIs). A survey was sent to members of the American Academy of Pediatric Dentistry (AAPD). The survey collected respondents' responses to case-based questions with and without photographs, and opinions about the value of photography for TDI.

Associations between child abuse and neglect, and dento-alveolar injuries in a Children's hospital population.

Background/aim: The purpose of this study was to identify social variables common to children with dento-alveolar trauma (DAT) and child abuse and neglect (CAN) in a large children's hospital population.

Methods: Emergency department data from an urban trauma Level 1 children's hospital were queried between December 02, 2017 and September 30, 2022 to identify children with both DAT and CAN. Patients with DAT and CAN were compared to DAT-only children in a case-control study design.

Risk of concomitant traumatic brain injuries in children with traumatic dental injuries in a pediatric emergency department: A case-control study.

Background: Children with traumatic dental injuries (TDIs) may simultaneously sustain a traumatic brain injury (TBI). The aim of this study was to investigate the risk of concomitant TBI in children with TDIs.

Methods: Children (≤ 18 years) who sought treatment at the emergency department of a major children's hospital for TDIs from 2010 through 2019 were identified.

Comparison of Spanish-Speaking Parental Understanding Using Two Alternative Consent Pathways.

The purpose of this study was to assess the understanding of Spanish-speaking caregivers consenting to dental care using general anesthesia (GA) utilizing two consent-delivery pathways. Seventy-eight parents of children who never had GA were randomly assigned to one of two groups: (1) interpreter; or (2) video; they completed a survey to evaluate comfort level with GA and comprehension of areas of informed consent. Most parents in both groups understood the risks associated with GA (89 percent in the interpreter group and 90 percent in the video group).

Characteristics, treatment outcomes and direct costs of tooth avulsion in children treated at a major hospital.

Background/aims: Avulsion of a permanent tooth is one of the most severe traumatic dental injuries, comprising an estimated 0.5%-16% of all dental injuries. The aim of this study was to estimate the direct financial costs of tooth avulsion in children based on stage of root maturity and the occurrence of ankylosis and to report patients' characteristics and outcomes of treatment.

A 3-Year retrospective study of traumatic dental Injuries to the primary dentition.

Background/aims: Traumatic dental injuries (TDIs) in the primary dentition are a significant public health problem, which has been neglected worldwide. Despite its high prevalence, limited studies address this injury. The aim of this study was to determine the characteristics and treatment modalities of TDIs affecting primary teeth, along with accompanying medical co-morbidities and attendance at follow-up appointments.

The Effects of Primary Canine Loss on Permanent Lower Dental Midline Stability.

The purpose of this study was to compare changes in the lower dental midline position after premature unilateral loss of a primary mandibular canine with dental midline position after normal primary mandibular canine exfoliation. Dental casts were identified from growth studies at the University of Iowa and the University of Toronto. Two groups of dental casts were identified: (1) premature unilateral loss; and (2) normal asymmetric exfoliation of a single primary mandibular canine.

Parental Attitudes Toward Advanced Behavior Guidance Techniques Used in Pediatric Dentistry.

Purpose: To re-examine parental attitudes toward advanced behavior management techniques in pediatric dentistry and determine whether cost, urgency, and amount of treatment influence parental preferences.

Methods: Parents viewed previously validated videotaped clinical vignettes of four advanced behavior guidance techniques: (1) passive immobilization; (2) active immobilization; (3) general anesthesia; and (4) oral sedation. The study was conducted in a children's hospital dental clinic and a suburban private pediatric dentistry office.

Correlating parenting styles with child behavior and caries.

Purpose: This study evaluated the relationship between parenting style, sociodemographic data, caries status, and child's behavior during the first dental visit.

Methods: Parents/legal guardians of new patients aged three to six years presenting to Nationwide Children's Hospital dental clinic for an initial examination/hygiene appointment completed the Parenting Styles and Dimensions Questionnaire (PSDQ) to assess parenting style and a 15-question demographic survey. Blinded and calibrated expanded function dental auxiliaries or dental hygienists (EFDA/DH) performed a prophylaxis and assessed child behavior using the Frankl scale (inter-rater reliability was 92 percent).

Gender shifts and effects on behavior guidance.

Unlabelled: Women's presence in pediatric dentistry has dramatically increased over the past several decades. Women now comprise almost 50 percent of AAPD membership and almost 75 percent of new members.

Purpose: The purpose of this investigation was to determine differences between male and female pediatric dentists relative to practice patterns and use of behavior guidance techniques (BGTs).

Diagnosis of an unusual finding in the primary dentition: a case report.

Patients may present to the dental office with unusual findings that have no obvious etiology. The purpose of this paper is to report the case of a two-year old female patient who presented with a foreign body mimicking pathosis. Diagnosis and treatment are discussed.

Case series: management of immature permanent teeth with pulpal necrosis: a case series.

The management of immature permanent teeth with necrotic pulps has changed in recent years from apexification techniques to regenerative endodontic procedures, which enable apexogenesis with physiologic maturation of the roots. This regenerative technique lies squarely in the endodontist's scope of practice, but children presenting with necrotic immature incisors may pose behavior management problems that endodontists are untrained and unwilling to handle. Treatment of these immature permanent teeth provides an excellent opportunity for collaboration and shared patient management between pediatric dentists and endodontists that can yield optimal clinical outcomes.

Overview of trauma management for primary and young permanent teeth.

This overview covers diagnosis and management of the most common dental injuries in children and identifies those children at greatest risk. Crown fractures and luxation injuries in both the primary and permanent dentition are discussed and treatment options based on current international guidelines are detailed.

Children presenting with dental trauma are more hyperactive than controls as measured by the ADHD rating scale IV.

Purpose: Previous studies in the dental traumatology literature have proposed an association between incidence of dental trauma and attention deficit/hyperactivity disorder (ADHD). The purpose of this study was to evaluate the incidence of comorbid dental trauma and ADHD in children presenting for both trauma-related and routine dental care.

Methods: An Institutional Review Board-approved case group series study examined both populations using the attention deficit hyperactivity disorder rating scale IV (ARS).

Pulpotomy to stainless steel crown ratio in children with early childhood caries: a cross-sectional analysis.

Purpose: This study's purpose was to determine the pulpotomy-to-crown ratio (PCR) in a high-early childhood caries patient population and factors associated with choice of pulpotomy and crown treatments.

Methods: This was a retrospective quality assurance chart review. Five calibrated examiners (kappa=0.

Continued care of children seen in an emergency department for dental trauma.

Purpose: The purpose of this retrospective study was to determine the rate of continuing care for dental trauma patients seen after-hours in a hospital emergency department (ED) and identify predictors for and barriers to seeking continuing care.

Methods: Records of 856 patients treated at Nationwide Children's Hospital (NCH) ED for dental trauma between September 2003 and December 2007, were screened for avulsion, luxation, and intrusion injuries. A qualifying cohort (QC) of 175 patients was included based on injury and root development.

Managing injuries to the primary dentition.

This article overviews the diagnosis and management of traumatic injuries to primary teeth. The child's age, ability to cooperate for treatment, and the potential for collateral damage to developing permanent teeth can complicate the management of these injuries. The etiology of these injuries is reviewed including the disturbing role of child abuse.

Local anesthesia affects physiologic parameters and reduces anesthesiologist intervention in children undergoing general anesthesia for dental rehabilitation.

Purpose: The purpose of this study was to evaluate the use of intraoperative local anesthetics in pediatric outpatient dental surgery. This study assessed physiologic stability, as defined by fluctuations in end-tidol carbon dioxide, heart rate, and respiratory rate, as well as subsequent anesthesiologist intervention.

Methods: Forty-eight children (mean age = 3.

Educational issues workshop report.

This panel addressed issues affecting the education of dentists, dental hygienists, and nondental health care providers regarding oral health of persons with special health care needs (PSHCN). The panel was composed of individuals representing: (1) dental education; (2) medicine; and (3) parents of special-needs patients. They were charged with: (1) identifying problems related to the education of dentists and nondental health care providers that influence access to oral health care for PSHCN; (2) developing recommendations for action by the American Academy of Pediatric Dentistry; and (3) prioritizing the problems and recommendations.

Dental education and special-needs patients: challenges and opportunities.

Pediatric dentists have, by tradition and default, provided care for persons with special health care needs (PSHCN), regardless of age. Deinstitutionalization of PSHCN in the 1960s, however, overwhelmed the dental care system, and oral health care became one of the greatest unmet needs of this population. This presentation follows the history of training for dentists in this aspect of care, from the first demonstration programs in the 1970s to the current educational programs in U.