Acid Rather Than Nonacid Reflux Burden Is a Predictor of Tooth Erosion.

Objectives: The relation between tooth erosion (TE) and gastroesophageal reflux in children has not been clearly established, and there are no studies to determine the relation with refluxate height, nonacid reflux, and erosions. The aim of this study was to determine the relation between TE and acid and nonacid gastroesophageal refluxes measured using combined pH and multichannel intraluminal impedance (pH-MII).

Methods: We conducted a prospective cohort study of children presenting for pH-MII testing.

Time delays in treating dental trauma at a children's hospital and private pediatric dental practice.

Purpose: The purpose of this study was to compare the time interval between a child sustaining a dental injury and the rendering of treatment in a hospital setting and a private pediatric dental practice.

Methods: Data were collected from the patient records of children treated for dental trauma at a children's hospital emergency department, a children's hospital dental clinic, and a private pediatric dental practice. Data included demographics and the time, date, type of injury, and its treatment.

The use of local anesthesia during dental rehabilitations: a survey of AAPD members.

Purpose: The purpose of this study was to document current practices among pediatric and general dentists who are members of the American Academy of Pediatric Dentistry (AAPD) regarding the use of local anesthesia (LA) on children undergoing dental rehabilitation under general anesthesia (GA).

Methods: A survey was administered via e-mail to AAPD members to document the use of LA during dental rehabilitations under GA and the rationales for its use.

Results: A total of 952 of 5,599 members responded to this survey; 79 percent of respondents use LA at least part of the time during dental rehabilitations under GA.

Premature loss of primary anterior teeth due to trauma--potential short- and long-term sequelae.

Traumatic dental injuries (TDIs) can result in the premature loss of primary anterior teeth due to an immediate avulsion, extraction later after the injury because of poor prognosis or late complications, or early exfoliation. There are a number of potential considerations or sequelae as a result of this premature loss that have been cited in the dental literature, which include esthetics, quality of life, eating, speech development, arch integrity (space loss), development and eruption of the permanent successors, and development of oral habits. This article provides a comprehensive review of the dental literature on the possible consequences of premature loss of maxillary primary incisors following TDI.

Massachusetts emergency departments' resources and physicians' knowledge of management of traumatic dental injuries.

Background: Hospital emergency departments (ED) are confronted with triaging and managing dental emergencies of both traumatic and non-traumatic origin. However, the literature suggests that there exists inadequate knowledge of the management of traumatic dental injuries (TDI) among medical professionals who must be knowledgeable and have the appropriate resources needed to triage or treat patients presenting with TDI.

Aim: The aims of this study were to (i) evaluate the resources of Massachusetts emergency departments (MEDs) for TDI, (ii) determine the knowledge of management of TDI among MED physicians, and (iii) investigate potential factors that affect their knowledge.

Part 3: neglect.

Purpose: The purpose of this study was to determine the current rate of observing and reporting of child neglect among Massachusetts dentists and to identify possible factors associated with child neglect observation and reporting behaviors.

Methods: A web-based questionnaire was emailed to 3,451 members of the Massachusetts Dental Society (MDS). The questionnaire was divided into three parts: demographic information on the dentists and their practices; knowledge and reporting behaviors of child maltreatment; and educational experiences with child maltreatment.

Part 2: abuse.

Purpose: The purpose of this study was to identify the current rate of observing and reporting of child abuse among Massachusetts dentists, determine if there have been changes since a similar 1975 survey, and review possible factors associated with child abuse observation and reporting behaviors.

Methods: A web-based questionnaire was emailed to 3,451 members of the Massachusetts Dental Society (MDS). The questionnaire was divided into three parts: demographic information on the dentists and their practices; knowledge and reporting behaviors of child maltreatment; and educational experiences with child maltreatment.

Part 1: knowledge and educational experience.

Purpose: The purpose of this study was to determine the current knowledge and educational experiences of Massachusetts dentists regarding child maltreatment and to compare those findings to a similar survey completed in 1975.

Methods: A web-based questionnaire was emailed to 3,451 members of the Massachusetts Dental Society. The questionnaire was divided into three parts: demographic information on the dentists and their practices; knowledge and reporting behaviors of child maltreatment; and educational experiences with child maltreatment.

The art and science of managing traumatic injuries to primary teeth.

The selection of an appropriate treatment protocol and the rendering of treatment to children with traumatic injuries of their primary teeth are often more challenging than doing so for the permanent teeth of older individuals. This article discusses general considerations involving patient, parent, dentist, dental anatomy and occlusion that are responsible for the differences between the treatment protocols for the management of traumatic dental injuries to primary teeth and those for permanent teeth.

Personality types of pediatric dentists: comparative analysis and associated factors.

Purpose: The purpose of this study was to determine the personality types of pediatric dentists and associated variables.

Methods: A survey containing the Myers-Briggs Type Indicator and demographic and practice questions was mailed to 500 pediatric dentists.

Results: The responding 214 pediatric dentists preferred sensing over intuition, feeling over thinking and judging over perceiving.

Postoperative pain and other sequelae of dental rehabilitations performed on children under general anesthesia.

Purpose: The purpose of this study was to determine the prevalence, severity and variables influencing postoperative pain and other sequelae in children undergoing dental rehabilitation under general anesthesia.

Methods: Healthy children scheduled for dental rehabilitation having treatment on only primary teeth were included in the study. General anesthesia protocol was standardized, and patients did not receive local anesthesia intraoperatively.

Hypokalemic sensory overstimulation.

This report describes 2 generations of a family with symptoms of sensory overstimulation that exhibit a potassium sensitivity similar to that seen in hypokalemic periodic paralysis. The sensory overstimulation is characterized by a subjective experience of sensory overload and a relative resistance to lidocaine local anesthesia. The sensory overload is treatable with oral potassium gluconate, with onset of the therapeutic effect in approximately 20 minutes.

Prevalence of bruxism and associated correlates in children as reported by parents.

Purpose: The purpose of this study was to determine the prevalence of childhood bruxism and associated correlates, as reported by parents.

Methods: A cross-sectional survey of parents was conducted at 4 private pediatric dental offices and the Children's Hospital Boston Dental Clinic. Data were gathered via a self-administered questionnaire offered to the parents of children under age 17.

IgG antibody levels to Porphyromonas gingivalis and clinical measures in children.

Background: Periodontopathic clinical markers are poorly understood in the pediatric population. Several studies have proposed Porphyromonas gingivalis (P. gingivalis) and an antibody response to the microorganism as factors in periodontal tissue destruction in children.

The effects of infant feeding patterns on the occlusion of the primary dentition.

The purpose of this study was to investigate the effects of different methods of infant feeding on the development of the occlusion in the primary dentition. The study included 126 children. Parents completed questionnaires regarding feeding and health history, and the primary dental occlusion was recorded for each child.

Failure rates of restorative procedures following dental rehabilitation under general anesthesia.

Purpose: The failure rates of restorative procedures for children undergoing dental rehabilitation under general anesthesia, performed by pediatric dental residents in advanced educational programs, were evaluated in order to determine treatment outcomes and best practices.

Methods: Retrospective review of 504 dental records of children receiving comprehensive dental treatment under general anesthesia at children's hospitals in Boston between 1990-1992 and in Washington, DC, between 1994-1998, were undertaken. Data regarding restoration outcomes were evaluated using chi square tests with correction for continuity.