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Dental caries is considered as one of the most common chronic diseases. The study of prevalence and severity of dental caries conducted in a specific geographic area contributes in constructing necessary plans for treatment and prevention. Aims of this study are to determine the prevalence and severity of early-childhood caries and to define risk factors associated with ECC among Lattakia/ Syrian preschool children. The sample comprised 909 children were divided into three age groups 3-4-5 years. A questionnaire was distributed and contained information on oral feeding habits, socio-economic status and educational Status of the mother. The results, and data analysis showed that the prevalence of ECC for pre-school children was 84.8%, the mean dmft and dmfs score in the group was in 3 years ( 4.09 (5.22=+6.22 & 2.85+=respectively. In 4 years3.43+=4.12) &7.29 += 8.25 ) .In 5 years (4.93 +=4.42 & (11.962+=10.157. The value of the significant caries index SIC was 9.02. We obtained on 492 questionnaire which was observed a significant relationship between ECC and age of children , socio-economic status of the family, the educational status of the mother, feeding habits ( quantity of sweet consumption per day- time of sweet consumed between meals, using baby bottle ). However, breastfeeding and gender didn't have significant effect
Purpose: The purpose is to assess chairside veneering posterior stainless steel crowns with nanocomposite and to compare them with conventional stainless steel crowns as well as to evaluate parental acceptance of these esthetic crowns. Material an d methods: The study included 32 crowns (16 conventional and 16 esthetics that were chairside veneered with nanocomposite, Tetric Evoceram®, using Ceramic Repair ,Intro Pack, Evoclar Vivadent). The crowns were placed in 10 children. A split mouth design was used. Each participant randomly received each crown type on 2 or 4 pair matched lower molars. The crowns were evaluated after 1,3,6 months and the following parameters were assessed: oral hygiene index, Gingival index, crown marginal extension, crown marginal adaptation clinically and radiographically, proximal contact areas, interproximal bone level and facing fracture. A Likert Type Scale was used to determine parental satisfaction. Results: All crowns were retained after 6 months. Non of the esthetic crowns had a complete face lost. The integrity of the facing was rated from 1-4 (1= no fracture, 2=less than 2 mm, 3= more than 2 mm in one surface, 4= more than 2 mm in 2 surfaces). Facing was intact in 50% (8) of the crowns after 3 months and in 37.5% (6) after 6 months. Facing fractures were rated 2, 3 in 31.25% (5) of the crowns at both 3 and 6 months, and were rated 4 in 18.75% (3) at 3 months and in 31.25% (5) at 6 months. No difference was found between the result of Gingival index, proximal contacts, crown marginal extension and crown marginal adaptation clinically and radiographically for both esthetic and conventional crowns in all recalls. Oral hygiene level had a significant effect on the gingival index after 1,3,6 months and radiographic crown marginal adaptation had a significant effect on gingival index only after 6 months p=0.034. The overall parental satisfaction with the esthetic crowns was high. Conclusions: chairside vereering stainless steel crowns with nanocomposite can be a good way to improve the esthetics of SSC with high parental satisfaction, and with out adverse effects on gingival tissue.
Aim of study: Comparing the efficacy of combination (Midazolam – Hydroxyzine) with and without nitrous oxide and oxygen in sedating uncooperating school children undergoing dental treatment. Materials and Methods: This was a prospective, triple bl ind, randomized, cross over, clinical study of uncooperative school children in need of two sessions of Bilateral mandibular dental treatment. 30 children ages (6-9) years, were randomly selected to receive one of two regimens: Regimen (A) contain oral midazolam (M) 7.5 mg and hydroxyzine (H) 10 mg with oxygen (O2) 100%, while Regimen (B) contain oral midazolam (M) 7.5 mg and hydroxyzine (H) 10 mg with nitrous oxide\oxygen (N2O\O2) 50% . And in the second session, the other regimen was administered. the behavior was assessed using modified Houpt rating scale by reviewing the records of patients in pretreatment stage ( injection, rapper dam, operating dental drill without touching the tooth then with touching it) and during treatment stages ( drilling, restoration ). Beside recording the vital signs. Results: Comparing the overall assessment of the two regimens the success rate was (86.67%) in regimen (A) and (93.34%) in regimen (B). No significant statistical difference existed between the two regimes. The vital signs remained within normal limits in all cases and no series side effects appeared.
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