Pediatric dentistry complications and challenges

Slayton, Rebecca L.; Palmer, Elizabeth

doi:10.1002/9781118988053.ch8

Cited by 3 publications

(3 citation statements)

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“…Immediate intervention is indispensable to remove the obstruction and ensure unimpeded airflow. Lastly, when a permanent tooth is avulsed (completely displaced) in a child with an acute medical condition, such as a bleeding disorder or immunodeficiency, it becomes a life-threatening situation (13). Urgent dental and medical care is essential to address both the dental injury and the underlying medical condition.…”

Section: Figure 1: Ludwig's Angina In a 3-year-old Boy With Staphyloc...mentioning

confidence: 99%

An Overview of Pediatric Dental Emergencies

Kushari,

AlManie,

Alshehri

et al. 2023

JOHS

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Pediatric dental emergencies encompass a wide range of acute oral health issues in children that require immediate attention. These emergencies can result in pain, functional impairment, and long-term dental problems if not addressed promptly. They account for a significant portion of children's first dental visits. Life-threatening dental emergencies in children include situations where a child's life or health is at immediate risk. These can involve airway compromise due to severe facial swelling, cavernous sinus abscess, periorbital inflammation, high fever, uncontrolled bleeding, dislodgment of intraoral appliances, or avulsed permanent teeth in children with underlying medical conditions. Immediate intervention is crucial in these cases to prevent life-threatening complications. Urgent dental emergencies, while not immediately life-threatening, require prompt attention to alleviate pain, prevent complications, and restore oral health. These include severe toothaches, dental infections, dental abscesses, and orthodontic emergencies like broken braces or protruding wires. Soft tissue injuries, foreign body impaction, and traumatic dental injuries like dental fractures, avulsion, tooth intrusions, extrusions, and dental luxations also fall under this category. Timely treatment is essential to prevent further complications and ensure the best possible outcome for affected teeth and tissues. Traumatic dental injuries can vary in severity, from minor enamel cracks to complete avulsions, and may require treatments like dental bonding, veneers, crowns, or reimplantation of avulsed teeth. Fractures of supporting bones or jaws may accompany these injuries, necessitating immobilization or surgical intervention. Mouthguards are recommended for individuals engaging in activities with a risk of dental trauma to reduce the likelihood of injuries.

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Section: Figure 1: Ludwig's Angina In a 3-year-old Boy With Staphyloc...mentioning

confidence: 99%

An Overview of Pediatric Dental Emergencies

Kushari,

AlManie,

Alshehri

et al. 2023

JOHS

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show abstract

“…However, different factors may prevent people from attending or cause delayed dental appointments such as long waiting lists, cost, lack of time, and fear of dentists [ 4 , 5 ]. Other reasons that may complicate dental treatments are people with disabilities or behavioral difficulties [ 6 , 7 ]. Delaying dental treatment may lead to more serious irreversible diseases, from having only simple dental caries to more advanced problems, which may lead to the tooth being non-treatable and being extracted [ 8 , 9 ].…”

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confidence: 99%

Knowledge, Attitudes, and Practices About the Use of Silver Diamine Fluoride Among Dentists in Riyadh, Saudi Arabia: A Cross-Sectional Study

Al-Hussyeen,

Alghamdi,

Aljarboua

et al. 2024

Cureus

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Introduction Dental caries is a worldwide disease affecting children and older populations. There are multiple interventions to treat dental caries that could be sometimes hard to deliver, due to the general status of patients such as insufficient cooperation or medically compromising conditions. Therefore, another alternative to control dental caries is being used and has been recently introduced and approved by the Saudi FDA which is silver diamine fluoride (SDF). Objectives This study aimed to investigate the level of knowledge, attitudes, and practices about the use of SDF among dentists in Riyadh, Saudi Arabia. Materials and methods This cross-sectional study was conducted using pretested, an online digitally designed questionnaire sent to 500 Saudi Commission for Health Specialties (SCFHS) registered dentists working in the following specialties: general practitioners, interns, restorative, family, pediatric, and public health dentists who are working in public and private hospitals and clinics. One-way ANOVA was used to determine the comparison of participants’ knowledge and Practice with three variables (participants’ specialty, place of work, and years of experience), while Chi-square was used for the comparison of respondent’s attitudes about the use of SDF and the above same variables. Result A total of 265 responses were received (response rate is 53%). The majority of the respondents were general practitioners and interns 144 (54.3%). Over 50% of dentists believed that they were very informed about SDF. The mean score of knowledge and practices of SDF of participants was found below average 49.13 (19.81) and 43 (26.12), respectively. Correlation of the mean score knowledge and practicing SDF with the type of specialty showed that pediatric dentists had statically significant (P<0.05) higher mean of knowledge 66.94 (SD=17.64) and practicing of SDF 61.93 (22.12) as compared to other specialties, while no statistically significant differences were found among the groups in the overall knowledge and practices based on years of experience and workplace. Attitudes were correlated with the three above variables (specialty, years of experience, and place of work) and showed that pediatric dentists had the highest satisfaction with the results of SDF (85.3%) and were more willing to recommend using it to others (91.2%) as compared to the other groups(P<0.05). No statistically significant differences were found with respect to the later variables. Conclusion The findings of this study showed that irrespective of the positive attitude of participants towards SDF, pediatric dentists were found to have higher knowledge and use SDF more than other dentists in different specialties. Furthermore, they showed higher satisfaction with its use. Years of experience and workplace had no effect on the level of knowledge or practice among participants.

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“…Despite numerous effective treatment options, however, challenges often arise because young patients have fear of the dentist, or are unable to understand and cooperate for the duration of the procedure. 4 For these patients, pharmacological management ranging from minimal sedation (SED) to general anesthesia (GA) has been the standard of care to facilitate a safer environment for patients to receive comprehensive, high-quality dental care. 2 While these time-efficient methods reduce patient discomfort and enable clinicians to provide complete dental treatment, they also come with risks that require careful consideration.Sedation and GA in young children can result in allergic reactions, respiratory complications, cardiovascular issues, and in some cases, even death.…”

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confidence: 99%

Negative Clinical Outcomes Between Silver Diamine Fluoride, Sedation, and General Anesthesia Treatment for Children with Early Childhood Caries: A Cohort Study

Okuji,

Dinh,

McClure

et al. 2023

Preprint

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PurposeThis study compared the wait-time for treatment completion and pre- and post-treatment outcomes of treating early childhood caries with silver diamine fluoride, sedation, and general anesthesia.MethodsThis retrospective study examined children with early childhood caries treated with either silver diamine fluoride, sedation, or general anesthesia at federally qualified health centers. Demographics, wait-time for treatment completion, and pre- and post-treatment clinical outcomes were compared with analysis of variance for continuous variables and the Chi-square test for categorical variables. This study was reviewed and approved by Southcentral Foundation Research Review.ResultsThe outcomes between the silver diamine fluoride, sedation, and general anesthesia groups were respectively: 1) average wait-times to complete treatment at 49.6, 62.5, and 116.3 days, 2) mean number of pre-treatment visits at 1.08, 1.25, and 1.61, 3) mean number of post-treatment visits at 1.41, 1.29, and 1.45.Multiple negative outcomes were identified when the sedation and general anesthesia groups were compared with the silver diamine fluoride reference group for 1) pre-treatment visits with un-planned visits (for general anesthesia only), pain, intra-oral swelling, and prescriptions for pain and antibiotic medications (general anesthesia only) and 2) post-treatment visits with new carious lesions on permanent molars, new carious lesions on primary teeth (sedation only), intra-oral swelling (sedation only only), broken restorations, displaced restorations, and pulpal therapy (sedation only).ConclusionsSilver diamine fluoride provides timely and effective caries management with lower wait-time for treatment completion, clinical outcomes consistent with minimally invasive treatment, and mitigation for the risk of negative pre- and post-operative clinical outcomes compared to treatment under sedation or general anesthesia.

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Pediatric dentistry complications and challenges

Cited by 3 publications

References 53 publications

An Overview of Pediatric Dental Emergencies

An Overview of Pediatric Dental Emergencies

Knowledge, Attitudes, and Practices About the Use of Silver Diamine Fluoride Among Dentists in Riyadh, Saudi Arabia: A Cross-Sectional Study

Negative Clinical Outcomes Between Silver Diamine Fluoride, Sedation, and General Anesthesia Treatment for Children with Early Childhood Caries: A Cohort Study

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