Objective: To investigate the occurrence and management of teething symptoms during the first year of life and associated factors. Study design: 500 children were recruited at birth. Research assessments including structured interviews, anthropometric measurements and dental examination were carried out after birth, at 6 months and at one-year of age. The primary outcome of this study was defined as the occurrence of one or more teething symptoms within the first year of life, as reported by the mother. Results: Teething symptoms were reported in 73% of the children analyzed (273/375). The symptoms most frequently reported were irritability (40.5%), fever (38.9%), diarrhoea (36.0%) and itching (33.6%). Dentists had little influence on the management of symptoms and self-medication to relieve them was a common practice. The risk of reporting teething symptoms was higher for children from nuclear families (p=0.040) and for children from families with higher income (p=0.040). Conclusions: Teething symptoms were highly reported in this population. Pediatric dentists should be accessible and provide adequate orientation when symptoms can be managed at home or immediate referral to health services when more serious diseases are suspected.
This investigation aims to discuss the methodologies applied in clinical trials published about Carisolv, in order to assess the best scientific evidence concerning chemo-mechanical caries removal. Papers concerning the use of Carisolv were sought using a search strategy. The titles and abstracts of all the reports identified through the search were analyzed by a single reviewer. The inclusion criterion involved: clinical trials having Carisolv in one of the study groups. Then, those that fulfilled the inclusion criterion underwent methodology assessment and data extraction. Only 12 papers met the inclusion criterion. It was observed that none of these studies complied with all the evaluated research methodological principles required in order to have power of evidence generation. Carisolv proved to be effective in caries removal. Appointment mean time was greater, but the perceived time was shorter than that using conventional techniques due to patients' perception of more comfort and a reduction of anesthesia needs. There were no adverse effect in long-term assessments. In studies with microbiological evaluation of the remaining dentine, it was observed that both the conventional and chemo-mechanical methods produced statistically significant reduction on counts of viable microorganisms.
Utilização do Sistema de Anestesia Computadorizada The Wand® em Odontopediatria Introdução: O comportamento positivo do paciente infantil depende, entre outras variáveis, do controle da dor com a anestesia local. Objetivo: Neste contexto realizou-se uma revisão de literatura sobre a utilização da anestesia computadorizada em odontopediatria. Este sistema anestésico tem como principal objetivo reduzir o desconforto causado pela anestesia, por meio do controle de dois fatores que influenciam no sucesso da anestesia local: a pressão e o volume do líquido anestésico. Conclusão: A maioria dos trabalhos revisados demonstrou que o sistema computadorizado The Wand ® é superior à anestesia tradicional, quando as técnicas modificadas são utilizadas. Introduction: The positive behavior of the pediatric patient depends, among other variables, on pain control with local anesthetics. Purpose: In this context, a review of literature was performed regarding the use of computed anesthesia in Pediatric Dentistry. This anesthetic system has as its main goal minimizing the discomfort caused by conventional anesthesia, by controlling two factors that influence the success of local anesthesia: the pressure and volume of the anesthetic liquid. Conclusions: Most retrieved studies demonstrated that the computed anesthetic system The Wand ® has a better performance than conventional anesthesia, when the modified techniques are used.
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