Introduction. Premature loss of the first primary molar may cause malocclusion or impair permanent tooth eruption. Aim. The aim of the study was to assess spatial changes in the dental arch after unilateral premature extraction of the first primary molar. Material and methods. The alginate impressions were taken in patients aged between 5 and 7 years who met the inclusion criteria based on medical history, clinical examination and panoramic x-ray during a preliminary qualifying examination 14 days before or on the day of extraction (before the procedure), as well as during follow up (at months 1, 3, 6 and 12 after extraction). Gypsum models were used to measure the circumference of the arch, the posterior and intercanine width, as well as the interdental distance: IIID-VM, IIID-VD on the side of extraction and the opposite side of the arch. The data were analysed statistically (Statistica 10, Statsoft, p < 0.05). Results. A total of 14 mandibular and 16 maxillary teeth were extracted in 27 children aged between 5 and 7 years (mean age ± SD = 6.64 ± 1.01; 15 boys and 12 girls). A significant loss of interdental spaces for IIID-VM and IIID-VD between the study vs. control side due to distalisation of canine and mesialisation of the second primary molar was observed. Much less significant displacement of these teeth was noted in the case of the presence of the first permanent molar at the time of first primary molar extraction. Conclusions. Premature loss of first primary molars results in reduced interdental distances which does not hinder the eruption of their permanent successors. There is no need for space maintainers.
Objectives: The aim of the study was to assess routine dental examination attendance of pregnant women and a possible impact of gynaecological referrals on the attendance rate. Material and methods:An electronic survey was conducted that was inclusive of women up to 5 years following delivery. The questions related to socio-demographic data, the course of pregnancy and childbirth, and visits to dental office during pregnancy. For statistical analysis, the authors utilized the chi-square test, Spearman's rank correlation coefficient and odds ratios. A significance level of 0.05 has been assumed. Results:A total of 3455 questionnaires were analyzed encompassing women aged 13.1-45.4 years. The respondents were on average 1.78 ± 1.44 years after childbirth. The population comprises of women in 59.1% from large cities, in 74.8% with higher education and in 41% with good socio-economic status. A total of 62.3% of women from the study population have visited a dentist for a routine dental examination. Gynaecologists have given a simple referral to a dentist to 17.6% of all women. 45.9% of them were further requested to provide back the feedback of their dental consultation. Dental appointments were upheld by 87.3% of referred women and by 56.9% of those without a referral (OR = 5.20 (4.05-6.67); p < 0.001). Among those who were referred, dental appointments were upheld in 91.7% of cases when further asked to provide oral health feedback and in 83.5% of cases in absence of such further request (OR = 2.19 (1.3-3.66); p = 0.003). Conclusions:It was determined that referrals from a gynaecologist, and associated oral health feedback requests increase the frequency of abiding to dental appointments during pregnancy. As such, it is necessary to increase the involvement of gynaecologists in the promotion and maintenance of perinatal oral health.
Introduction. The overall health condition, as well as the course and duration of pregnancy are important determinants of the term of delivery and child’s well-being, including birth weight and oral health. Unfortunately, dental attendance of pregnant women is insufficient. This may result from the poor oral health knowledge of dentists and obstetrician-gynaecologists. Aim. The aim of the study was to assess the knowledge of Polish dentists and obstetrician-gynaecologists on oral health and dental care in pregnant women, as well as its socio-economic determinants. Material and methods. An anonymous questionnaire for dentists and obstetrician-gynaecologists, which included questions on the demographic characteristics of respondents, as well as 29 single-choice questions on dental issues in pregnancy, which we classified into 4 thematic categories (I ? relationship between maternal periodontal diseases and the course of pregnancy/child’s health; II ? dental management and oral physiological changes in pregnancy; III ? the safety of dental procedures in pregnancy; IV ? providing health advice) was carried out. The data were analysed statistically. Results. A total of 485 dentists and 185 obstetrician-gynaecologists (670 doctors in total) completed the questionnaire. Dentists were more likely to know the relationship between oral conditions in pregnancy and birth weight, the future risk of periodontal diseases and caries in the child. However, they were less likely to provide correct answers to questions on the safety of diagnostic radiology in pregnancy. On the other hand, obstetrician-gynaecologists were more likely to have doubts about performing some dental procedures, including fluoride varnish application and scaling. The mean number of correct answers to all questions was higher in the group of dentists vs. gynaecologists. Correlations with age and a longer period of practice were found in the group of dentists, while correlations with age and the type of practice were observed among gynaecologists. Conclusions. The poor level of knowledge of Polish dentists and gynaecologists on dental treatment and its safety in pregnant women indicates the need for education of dental and obstetric practitioners. The level of knowledge in both these professional groups is associated with age and, additionally, with the length of practice in the case of dentists, and the type of practice in the case of obstetrician-gynaecologists.
Introduction. Pregnancy is a special period in the life of a woman, when she cares not only for her own health, but also for that of her unborn child. Prenatal care is defined as comprehensive and multidisciplinary care provided to a pregnant woman, developing foetus, and then a newborn. The aim of caries prevention in pregnancy is not only to protect the future mother from caries, but also to prevent the disease in the child. Aim. The aim of the paper was to present the recommendations on preventive and therapeutic dental management in pregnant women with regard to oral diseases in the mother and her child. Material and methods. Electronic search for literature in medical databases (Pubmed, EMBASE, MEDLINE) and manual search for literature on primary-primary prevention of dental caries and dental care in pregnancy. Results. The available literature indicates the safety of preventive and therapeutic activities during pregnancy, including the use of local anaesthesia and dental diagnostic radiology. Although dental treatment requires some modifications due to pregnancy-related changes, it may be safely used for the benefit of the mother’s and the child’s health. Conclusions. Dental care in pregnancy should be primarily dedicated to education, prevention and treatment, if needed. Future mothers should be made aware that the child’s oral health can and should be taken care of already in the prenatal period.
Background:The number of child abuse cases is increasing worldwide; therefore, it is important to educate individuals having contact with children about it. This includes dentists who play a pivotal role in detecting and reporting child abuse. Aim: To identify and compare the final-year dental student's knowledge, attitudes, and practice in relation to child abuse. Design: A 38-item and four-part online questionnaire was distributed to students of 11 dental schools in 10 countries. SPSS and GraphPad Prism were used for data analysis. The levels of statistical significance were determined using a chi-square test. P ≤ .05 was considered to be statistically significant. Results: A total of 660 students completed the survey. Fifty-six percent of the students received formal training on child abuse, and 86% wanted additional training.The knowledge of child abuse was significantly higher in Australia, the United States, and Jordan compared with other countries. Internet (60.3%) was commonly used as an information source for child abuse. Conclusions:The study showed that dental students lack knowledge and experience in recognizing and reporting child abuse. Most respondents indicated a desire for additional training; therefore, dental schools should review what they are currently teaching and make changes as appropriate.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.