AN EPIDEMIOLOGIC SURVEY OF EARLY ORTHODONTIC TREATMENT NEED IN PHILADELPHIA PEDIATRIC DENTAL PATIENTS USING THE INDEX FOR PREVENTIVE AND INTERCEPTIVE ORTHODONTIC NEEDS (IPION) PDF Download
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Author: Zane Karrer Haider Publisher: ISBN: Category : Languages : en Pages : 144
Book Description
Abstract Introduction: Early Orthodontic Treatment (EOT) has been extensively studied, but questions still remain regarding the prevalence of its need in the United States. Without information regarding the epidemiology of EOT need, it is difficult to make determinations as to its viability as a Medicaid service. The Index for Preventive and Interceptive Orthodontic Needs (IPION) developed by Coetzee is the only index specifically meant for children in the mixed dentition. The purpose of this study was to utilize the IPION to measure EOT need in two pediatric dental populations in Philadelphia. Methods: 87 children between the ages of 6 and 9 were screened using the IPION. Overall scores, demographic information, and prevalence of specific malocclusions were recorded and analyzed. Results: A substantial proportion of children fell into the definite treatment need category (60.92% ±5.2% when including restorations and caries in the score, 31.03%±5.0% when excluding restorations and caries from the score). Site of screenings, race and sex had no significant effects on prevalence of EOT need, while IPION rubric used (IPION6 versus IPION9) had marginally significant effects on the prevalence of EOT need. Conclusions: There is a significant proportion of children in Philadelphia pediatric dental populations who have unmet EOT needs. Patients, communities, Medicaid, orthodontists and residents could all benefit from treatment of these children if policy were changed to allow EOT to be covered by Medicaid in Pennsylvania.
Author: Zane Karrer Haider Publisher: ISBN: Category : Languages : en Pages : 144
Book Description
Abstract Introduction: Early Orthodontic Treatment (EOT) has been extensively studied, but questions still remain regarding the prevalence of its need in the United States. Without information regarding the epidemiology of EOT need, it is difficult to make determinations as to its viability as a Medicaid service. The Index for Preventive and Interceptive Orthodontic Needs (IPION) developed by Coetzee is the only index specifically meant for children in the mixed dentition. The purpose of this study was to utilize the IPION to measure EOT need in two pediatric dental populations in Philadelphia. Methods: 87 children between the ages of 6 and 9 were screened using the IPION. Overall scores, demographic information, and prevalence of specific malocclusions were recorded and analyzed. Results: A substantial proportion of children fell into the definite treatment need category (60.92% ±5.2% when including restorations and caries in the score, 31.03%±5.0% when excluding restorations and caries from the score). Site of screenings, race and sex had no significant effects on prevalence of EOT need, while IPION rubric used (IPION6 versus IPION9) had marginally significant effects on the prevalence of EOT need. Conclusions: There is a significant proportion of children in Philadelphia pediatric dental populations who have unmet EOT needs. Patients, communities, Medicaid, orthodontists and residents could all benefit from treatment of these children if policy were changed to allow EOT to be covered by Medicaid in Pennsylvania.
Author: Julia Harfin Publisher: Springer Nature ISBN: 303095014X Category : Medical Languages : en Pages : 492
Book Description
This 2nd Edition includes new, updated chapters that deal with important issues and were written by orthodontists known worldwide. Dr Dr Bernd Lapatki presents an outstanding chapter about Early treatment of Class II Div. 2 and Coverbite, that provides a step-by-step description on how to treat these malocclusions using different alternatives. In addition to this topic, Dr Amit Bhardwaj shares the following question, is early Class II treatment worth the effort? Dr Somchai Satravaha added a new chapter about the benefits of early treatment in cleft lip palate patients and long-term controls, where she discusses all the benefits. Digital technology is here to stay forever. Dr Bryce Lee explains how this technology can help us to achieve a better diagnosis and treatment plan. Dr Julia Harfin add new chapters including relevant topics as mandibular incisor agenesis ,impacted central incisors and, how to avoid long term relapse in early orthodontic treatment. She also updates other chapters. The most important controversies are discussed in detail and which will allow doctors to expand their knowledge in order to achieve better orthodontic treatment results. New topics such as orthodontic treatment in patients with hemophilia and diabetes are also discussed by Dr Eduardo Rey and Olga Ramos. The book, which is the result of many years of clinical practice, includes numerous clinical photographs that clearly exemplify how to diagnose and to treat all these patients. It is written by the most experienced team of doctors in the field and will be a valuable asset for all who specialize in odonto pediatrics and orthopedic-orthodontic treatments.
Author: jimmy R. Pinkham Publisher: Mosby Incorporated ISBN: 9781455734153 Category : Medical Languages : en Pages : 768
Book Description
This is a Pageburst digital textbook; Using a unique age-specific organization, this book discusses all aspects of pediatric dentistry from infancy through adolescence. Each age-specific section covers the physical, cognitive, emotional, and social changes that children experience, as well as the epidemiology of dental disease at that age. Other chapters explore the examination, treatment planning, radiographic concerns, prevention, trauma, restorative dentistry, pulp therapy, orthodontics, and behavior management of each age range. Nine chapters are now in full color, providing more detail - especially in the oral pathology and esthetics chapters. Revised sedation guidelines for pediatric patients (presented during the May 2004 AAPD meeting) are reflected, so that practitioners stay current on pain and anxiety control issues. The latest caries risk assessment information (revised by the AAPD in 2002) is included. Text boxes spotlight topics of interest, such as tobacco use, the Alternative Restorative Treatment, and brushing techniques for special-needs children. Coverage includes anticipatory guidance, an innovative approach to preventive dentistry - this proactive developmentally based counseling system focuses on the needs of a child at a particular stage of life. Coverage of orthodontic diagnosis and treatment situations is expanded, with more illustrations to provide readers with examples of clinical scenarios. Contributions on dental trauma in the primary and transitional dentitions are completely rewritten to include the most current developments in trauma management. A completely new contribution on pulp therapy for young permanent teeth offers a review of the normal histology of the primary pulp, and discusses the basis for the different forms of pulpal treatment for the primary dentition. The behavior management chapter is revised to include the many recent changes in this field, a critical topic of interest when working with pediatric patients. Coverage includes chlorhexidine varnish, an oral antimicrobial that continues to be an important tool in the fight against oral disease. Emphasis is placed on age-appropriate topics throughout each section, such as genetic disorders in Conception to Age Three; managing trauma in The Primary Dentition Years and The Transitional Years; and esthetics and sports dentistry in Adolescence. New appendixes include HIPAA information and a schedule for childhood immunizations - important information for any pediatric office.
Author: Robert John Drummond Publisher: ISBN: Category : Languages : en Pages :
Book Description
The aim of this study was to evaluate the prevalence and severity of malocclusion and orthodontic treatment needs in a sample of 12-year-old South African school children using the Dental Aesthetic Index (DAI), and to assess the relationship between malocclusion and certain socio-demographic variables. The sample comprised 6142, 12-year-old children attending school in seven of the nine provinces of South Africa. For each subject the standard demographic information such as gender, population group, location type and employment status of the parents were collected, after which an intra-oral examination for occlusal status using the DAI was performed. The results showed that 47.7 per cent of the children in the sample presented with good occlusion or minor malocclusion, just over 52.1 per cent presented with identifiable malocclusion, a DAI score larger than 26. Of these, 21.2 per cent had definite malocclusion, 14.12 per cent had severe malocclusion and 16.89 per cent had very severe or handicapping malocclusion. Malocclusion as defined in this study was found to be significantly associated with the different provinces, the different population groups in South Africa, gender and dentition stage, but not with the location type or the employment status of parents. The results of the individual variables showed that anterior maxillary and mandibular irregularity occurred in more than 50 per cent of the sample. More than 40 per cent of the children examined showed signs of crowding. Spacing in the incisal segments occurred in almost 28 per cent of the sample and maxillary midline diastema was present in 16.66 per cent of the sample. At the age of 12 years, Black children, showed a higher prevalence of maxillary midline diastema, larger than 2mm, than their White, Coloured and Asian counterparts. A maxillary midline diastema, larger than 2mm, was more prevalent in 12-year-old females than in males. Thirty one per cent of the sample had an increased overjet larger than 3mm and a severe overjet of 6mm or more occurred in only 2.18 per cent of the sample. More Black 12-year-old children presented with an edge-to-edge anterior relationship and significantly less Black children had an increased overjet. Mandibular overjet affected only 10.43 per cent of the sample and was more prevalent in the late mixed dentition stage than in the early permanent dentition stage. Anterior openbite occurred in 7.7 per cent of the sample and ranged from 1mm to 8mm. Almost 44 per cent of the sample had a antero-posterior molar relation discrepancy. The results of this study indicated a high prevalence of malocclusion in 12-year-old South African children. The findings provide reliable base-line data regarding the prevalence, distribution and severity of malocclusion as well as useful epidemiological data on the orthodontic treatment needs of 12-year-old children in selected rural and urban areas in South Africa. The inclusion of occlusal traits as part of the index provided an opportunity to assess several occlusal characteristics in 12-year-old South African children, separately.
Author: Om Prakash Kharbanda Publisher: Elsevier India ISBN: 9788131248812 Category : Languages : en Pages : 1274
Book Description
The second edition is expanded and rejuvenated with a greater focus on PG students, orthodontic educators, UG students and practitioners. The book covers entire panorama of science and clinical practice of orthodontics, from basics to clinical, presented in 58 chapters organised in 15 sections. The information is provided in-depth, literature supported, complimented with real life scenarios and case reports. A special effort has been made to include structured information on subjects of relevance which are much talked about but found only in journals.
Author: Jane A. Soxman Publisher: John Wiley & Sons ISBN: 1118982584 Category : Medical Languages : en Pages : 386
Book Description
The Handbook of Clinical Techniques in Pediatric Dentistry provides the clinician with an increased level of expertise and skills for timely identification and intervention for various presentations in the developing dentition. It also clearly describes procedures for treatment in the primary and young permanent dentitions, including pulp therapy for primary and young permanent molars, extractions, space maintenance, and more. The most commonly encountered treatment needs are discussed with the goal of increasing clinician and staff confidence while decreasing chair-time and stress. With an emphasis on practical instruction, The Handbook of Clinical Techniques in Pediatric Dentistry is ideal for pediatric and general dentists, pediatric residents, and dental students taking clinical pediatric courses.
Author: Goran Koch Publisher: John Wiley & Sons ISBN: 1118913493 Category : Medical Languages : en Pages : 408
Book Description
Pediatric Dentistry: A Clinical Approach, Third Edition provides a uniquely clear, comprehensive, and clinical approach to the dental treatment of children and adolescents. Offers systematic coverage of all clinical, scientific and social topics relating to pediatric dentistry Thoroughly revised and updated new edition, with an increased focus on evidence based care Includes three new chapters on genetics, child abuse and neglected children, and ethics Pedodontic endodontics is now covered by two chapters – one on primary teeth and one on young permanent teeth Features a companion website with interactive self-assessment questions
Author: Vinay Kumar Srivastava Publisher: JP Medical Ltd ISBN: 9350251892 Category : Medical Languages : en Pages : 384
Book Description
Dentistry is a continuously evolving field, with recent advances in topics such as adhesive dental materials, instruments, microbiology, physiology, preventative dentistry, genetics and forensic science. Modern Pediatric Dentistry begins with an introduction to the field and then guides students through the recent advances and discusses different dental conditions found in children and the various methods of treatment.
Author: Zane Karrer Haider
Author: Zane Karrer Haider
Author: Julia Harfin
Author: Cobus Emelius Coetzee
Author: jimmy R. Pinkham
Author: Robert John Drummond
Author: Leora Jean L. Estioko
Author: Om Prakash Kharbanda
Author: Jane A. Soxman
Author: Goran Koch
Author: Vinay Kumar Srivastava