Biodentine as a pulpotomy medicament for primary molars: a retrospective chart review.

This retrospective chart review study investigates the long-term clinical outcome of Biodentine® (Tricalcium silicate) as a medicament for pulpotomy in primary molars. Data in this retrospective study was collected from the dental records of all patients that had at least one primary molar receive pulpotomy treatment (CDT code: D3221) between 01 July 2012 and 01 July 2015. This data includes child's age, medical history, dental history, dental radiographs, pulpotomy procedure details and follow-up clinical notes.

How Can Dentists Effectively Manage Behavior, Sedation, and General Anesthesia in Pediatric Patients?

The problem of treating and healing such patients is complex. Considerations encompass the safety and comfort of the child, the amount and difficulty of treatment needed, the level of the patient's anxiety and whether or not the patient is cooperative, the parent or guardian's attitude and level of trust, and whether or not the patient is physically resistant and, if so, the level of resistance. Other considerations are medicolegal implications, financial implications of treatment, insurance considerations, the dentist's and staff's training and experience, and the availability of sedation or general anesthesia.

Innovative Surgical Treatment of Severe Cherubism.

Background: Cherubism is an autosomal dominant syndrome characterized by excessive bilateral maxillomandibular bony degeneration and fibrous tissue hyperplasia. Conservative management is the preferred treatment as cherubism has a self-limiting course. Functional or emotional disturbances may, however, demand surgical intervention.

The effect of social geographic factors on the untreated tooth decay among head start children.

Background: Disparities among untreated dental caries exist for children from low-income families in the United States. Understanding of the mechanism of the disparities is required to reduce it and social geographic factors are one of the important influences. Although the effect of fluoridated water has been well reported, studies of other sociogeograpic factors, such as the density of available dentists, are still very limited.

Family Access to a Dentist Study (FADS): A multi-center randomized controlled trial.

Introduction: Many low-income parent/caregivers do not understand the importance of cavity-free primary (baby) teeth and the chronic nature of dental caries (tooth decay). As a consequence, dental preventive and treatment utilization is low even when children are screened in schools and referred for care. This study aims to test a referral letter and Dental Information Guide (DIG) designed using the Common-Sense Model of Self-Regulation (CSM) framework to improve caregivers' illness perception of dental caries and increase utilization of care by children with restorative dental needs.

The effectiveness of xylitol in a school-based cluster-randomized clinical trial.

Objective: The purpose of this double-blind, cluster-randomized clinical trial was to examine the effects of xylitol gummy bear snacks on dental caries progression in primary and permanent teeth of inner-city school children.

Methods: A total of 562 children aged 5-6 years were recruited from five elementary schools in East Cleveland, Ohio. Children were randomized by classroom to receive xylitol (7.

Practice-tailored facilitation to improve pediatric preventive care delivery: a randomized trial.

Objective: Evolving primary care models require methods to help practices achieve quality standards. This study assessed the effectiveness of a Practice-Tailored Facilitation Intervention for improving delivery of 3 pediatric preventive services.

Methods: In this cluster-randomized trial, a practice facilitator implemented practice-tailored rapid-cycle feedback/change strategies for improving obesity screening/counseling, lead screening, and dental fluoride varnish application.

Agreement between photographic and clinical examinations in detecting developmental defects of enamel in infants.

Objectives: This study assesses the reliability of photographic method with clinical examinations in detecting developmental defects of enamel (DDE) in the anterior primary teeth of infants.

Methods: The study sample was a part of an ongoing longitudinal study to assess risk factors for early childhood caries, and consisted of 138 and 238 infants who had scheduled follow-up visits at approximately 8 and 18-20 months corrected age, respectively. The modified DDE Index was used to record enamel defects (opacity, hypoplasia, and all types of defects) on anterior primary teeth by trained dentist examiners.

School screening and parental reminders in increasing dental care for children in need: a retrospective cohort study.

Objective: The objective of this study is to assess follow-up dental care received by children given baseline screening and referrals as part of an ongoing clinical trial.

Methods: A retrospective study with two cohorts of kindergarten children who had baseline and follow-up (9 months later) dental exams was used. The parents/caregivers of children with routine restorative or urgent needs at baseline received a referral letter and telephone reminders to seek care for their child.

Physicians' oral health education in Kentucky.

Objectives: The Physicians' Oral Health Education in Kentucky (POHEK) curriculum was developed to teach family medicine residents to (1) perform oral health screening and risk assessment and (2) recognize and manage common oral conditions for children ages 5 years and under.

Methods: Family medicine residents in urban and rural settings received didactics and hands-on experience providing oral screening, risk assessments, and counseling for their pediatric patients.

Evaluation: Residents were evaluated by comparing pretest and posttest means of surveys that assessed attitudes and knowledge.

The 2001 Kentucky Childrens Oral Health Survey: findings for children ages 24 to 59 months and their caregivers.

Purpose: This study was performed to provide a 2001 benchmark of oral health status of children in Kentucky with a comparison to the most recent state (1987) and national surveys.

Methods: Using Basic Screening Survey protocols for visual screenings, a sample of 572 children ages 24 to 59 months was screened in health department clinics and physicians' and pediatric dentists' offices across Kentucky after caregivers completed a questionnaire. Screeners were provided modified Association of State and Territorial Dental Directors training materials.