To assess the effect of a one-off intervention at the time of birth on dental caries in 5-year-ol... more To assess the effect of a one-off intervention at the time of birth on dental caries in 5-year-old children in an early oral health promotion program. Is a one-off intervention at the time of birth sufficient to improve the oral health of young children? SOURCE OF FUNDING No financial support. Logistic support from Zahnprophylaxe Vorarlberg GmbH, Bregenz, Austria TYPE OF STUDY/DESIGN Cross-sectional study LEVEL OF EVIDENCE Level 3: Other evidence STRENGTH OF RECOMMENDATION GRADE Not applicable
Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progressio... more Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progression of the lesions. In this report, we describe for approximal surfaces with noncavitated incipient lesions the clinical procedures for sealant application illustrating this minimally invasive method with 3 clinical cases and scanning electron microscopic images.
PURPOSE To study the microstructure of sealant penetration in the enamel of in vivo sealed approx... more PURPOSE To study the microstructure of sealant penetration in the enamel of in vivo sealed approximal noncavitated incipient caries lesions with and without a preceding bonding step. MATERIALS AND METHODS A total of 26 proximal noncavitated caries lesions were sealed in vivo, using a sealant in 13 premolars with orthodontic indication of extraction. Each tooth was randomly assigned to mesial or distal surface application of a sealant in the lesion area and in surrounding sound enamel, with or without a bonding system. Four groups were analyzed: a nonbonding group in the lesion area (NBL); a nonbonding group in sound enamel (NBS); a bonding group in the lesion area (BL) and a bonding group in sound enamel (BS). The premolars were extracted after two weeks. All sealed areas were cut and demineralized with 37% hydrochloric acid for 24 h. For each group, the resin tags were observed and measured by scanning electron microscopy. RESULTS The lesion areas showed a very irregular resin netw...
Journal of the International Society for Telemedicine and eHealth, 2017
In the broad field of injury and traumatology, injuries affecting the maxillo-facial region have ... more In the broad field of injury and traumatology, injuries affecting the maxillo-facial region have an important role: dental trauma (DT) makes up 35% of facial injuries, and 31-39% of dental emergencies are consequences of DT. Dental trauma is injury to the soft tissue as well as the teeth. Although in the majority of cases dental trauma is not fatal, it still may cause some long-lasting psychological or physical damage to the victims. Consequently, DT is recognised as a major dental public health problem worldwide. However, lack of data reduces the timeliness and effectiveness of dental trauma research. Thus the ‘Dental Trauma Tracker’ project was established to promote the development of research in dental trauma. The aim of this project was to implement a mobile phone-based application for the epidemiologic surveillance of dental and maxillo-facial trauma. The Dental Trauma Tracker application takes advantage of mobile phone data capture capabilities (text, photo, video, and audio)...
AIM The diagnosis and treatment of dental trauma are based primarily on observational evidence an... more AIM The diagnosis and treatment of dental trauma are based primarily on observational evidence and case reports. The aim of this research is to evaluate the quality of reporting of dental trauma case reports using the Case Report (CARE) guideline was selected journals from 2008 to 2018 and to assess whether there was a change after publication of the CARE guidelines. METHODS A descriptive study of the publications available on PubMed from specialist journals was conducted. Searches were made for MESh and free keywords associated with dental trauma and tooth injuries. One calibrated evaluator (kappa-intra=0.87) using CARE (max=30 points) evaluated all case reports published from 2008 to 2018 in relevant journals. The average score before and after 2013 was compared by t-test and regression modelling, and the description of each CARE item was analyzed. RESULTS The search found 201 relevant articles published in Dent Traumatol 141 (70.1%), Eur Arch Paediatr Dent 10 (5.0%), Int J Clin Pediatr Dent 16 (8.0%), J Clin Pediatr Dent 19 (9.5%) and Pediatr Dent 15 (7.5%). The mean quality (± standard deviation) was 14.3 (±2.6), and range from 7 to 20 . The number and mean (±SD) before CARE were n=171, mean=14.3 (±2.6) and after CARE were n=30, mean=14.7 (± 2.7), (p=0.39, t-test). No significant differences per journal or origin of the first author were found. CONCLUSIONS The reporting quality of case reports about dental trauma in five international dental journals has not improved since the publication of the CARE guidelines. The lack of reporting of essential items in case reports suggests that journals could enhance their quality by inviting authors to adhere to the CARE guidelines or similar reporting guidelines.
This article is being published concurrently in Journal of Endodontics. The articles are identica... more This article is being published concurrently in Journal of Endodontics. The articles are identical. Either citation can be used when citing this article.
Dental traumatology : official publication of International Association for Dental Traumatology, Jan 24, 2018
Traumatic dental injuries (TDI) are a public health problem, given their prevalence and consequen... more Traumatic dental injuries (TDI) are a public health problem, given their prevalence and consequences. However, their epidemiology is uncertain due to a general lack of quality data capture. The aim of this study was to evaluate the validity and usability of a mobile phone-based application for community-based surveillance of traumatic dental injuries. A mobile phone-based application, Dental Trauma Tracker (DTT), was developed. This system involves a mobile application for general users to report TDIs and a Web application for researchers to generate epidemiological data. The DTT evaluation used mixed methods and was conducted in three phases: (a) validation of a trauma identification system using preselected TDI images; (b) design evaluation by experts; and (c) usability evaluation measured by the reporting of three fictitious TDI cases and using the System Usability Scale (SUS). In the first phase, 182 participants participated. Most images showed over 95% accuracy, indicating tha...
Traumatic injuries to the primary dentition present special problems and the management is often ... more Traumatic injuries to the primary dentition present special problems and the management is often different as compared with the permanent dentition. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialities were included in the task group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care for management of primary teeth injuries. The IADT cannot and does not guarantee favorable outcomes from strict adherence to the guidelines, but believe that their application can maximize the chances of a positive outcome.
Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progressio... more Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progression of the lesions. In this report, we describe for approximal surfaces with noncavitated incipient lesions the clinical procedures for sealant application illustrating this minimally invasive method with 3 clinical cases and scanning electron microscopic images.
Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progressio... more Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progression of the lesions. In this report, we describe for approximal surfaces with noncavitated incipient lesions the clinical procedures for sealant application illustrating this minimally invasive method with 3 clinical cases and scanning electron microscopic images.
A meeting was organised to consolidate a network of researchers and academics from Australia, Bra... more A meeting was organised to consolidate a network of researchers and academics from Australia, Brazil, Chile, the UK and the USA, relating to Early Childhood Caries (ECC) and Dental Trauma (DT). As part of this meeting, a dedicated session was held on the future of paediatric dental education and curricula. Twenty-four paediatric dentistry (PD) academics, representing eight Chilean dental schools, and three international specialists (from Brazil and Latvia) participated in group discussions facilitated by five members of the ECC/DT International Collaborative Network. Data were collected from group discussions which followed themes developed as guides to identify key issues associated with paediatric dentistry education, training and research. Participants discussed current PD dental curricula in Chile, experiences in educating new cohorts of oral health care providers, and the outcomes of existing efforts in education and research in PD. They also, identified challenges, opportuniti...
To assess the effect of a one-off intervention at the time of birth on dental caries in 5-year-ol... more To assess the effect of a one-off intervention at the time of birth on dental caries in 5-year-old children in an early oral health promotion program. Is a one-off intervention at the time of birth sufficient to improve the oral health of young children? SOURCE OF FUNDING No financial support. Logistic support from Zahnprophylaxe Vorarlberg GmbH, Bregenz, Austria TYPE OF STUDY/DESIGN Cross-sectional study LEVEL OF EVIDENCE Level 3: Other evidence STRENGTH OF RECOMMENDATION GRADE Not applicable
Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progressio... more Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progression of the lesions. In this report, we describe for approximal surfaces with noncavitated incipient lesions the clinical procedures for sealant application illustrating this minimally invasive method with 3 clinical cases and scanning electron microscopic images.
PURPOSE To study the microstructure of sealant penetration in the enamel of in vivo sealed approx... more PURPOSE To study the microstructure of sealant penetration in the enamel of in vivo sealed approximal noncavitated incipient caries lesions with and without a preceding bonding step. MATERIALS AND METHODS A total of 26 proximal noncavitated caries lesions were sealed in vivo, using a sealant in 13 premolars with orthodontic indication of extraction. Each tooth was randomly assigned to mesial or distal surface application of a sealant in the lesion area and in surrounding sound enamel, with or without a bonding system. Four groups were analyzed: a nonbonding group in the lesion area (NBL); a nonbonding group in sound enamel (NBS); a bonding group in the lesion area (BL) and a bonding group in sound enamel (BS). The premolars were extracted after two weeks. All sealed areas were cut and demineralized with 37% hydrochloric acid for 24 h. For each group, the resin tags were observed and measured by scanning electron microscopy. RESULTS The lesion areas showed a very irregular resin netw...
Journal of the International Society for Telemedicine and eHealth, 2017
In the broad field of injury and traumatology, injuries affecting the maxillo-facial region have ... more In the broad field of injury and traumatology, injuries affecting the maxillo-facial region have an important role: dental trauma (DT) makes up 35% of facial injuries, and 31-39% of dental emergencies are consequences of DT. Dental trauma is injury to the soft tissue as well as the teeth. Although in the majority of cases dental trauma is not fatal, it still may cause some long-lasting psychological or physical damage to the victims. Consequently, DT is recognised as a major dental public health problem worldwide. However, lack of data reduces the timeliness and effectiveness of dental trauma research. Thus the ‘Dental Trauma Tracker’ project was established to promote the development of research in dental trauma. The aim of this project was to implement a mobile phone-based application for the epidemiologic surveillance of dental and maxillo-facial trauma. The Dental Trauma Tracker application takes advantage of mobile phone data capture capabilities (text, photo, video, and audio)...
AIM The diagnosis and treatment of dental trauma are based primarily on observational evidence an... more AIM The diagnosis and treatment of dental trauma are based primarily on observational evidence and case reports. The aim of this research is to evaluate the quality of reporting of dental trauma case reports using the Case Report (CARE) guideline was selected journals from 2008 to 2018 and to assess whether there was a change after publication of the CARE guidelines. METHODS A descriptive study of the publications available on PubMed from specialist journals was conducted. Searches were made for MESh and free keywords associated with dental trauma and tooth injuries. One calibrated evaluator (kappa-intra=0.87) using CARE (max=30 points) evaluated all case reports published from 2008 to 2018 in relevant journals. The average score before and after 2013 was compared by t-test and regression modelling, and the description of each CARE item was analyzed. RESULTS The search found 201 relevant articles published in Dent Traumatol 141 (70.1%), Eur Arch Paediatr Dent 10 (5.0%), Int J Clin Pediatr Dent 16 (8.0%), J Clin Pediatr Dent 19 (9.5%) and Pediatr Dent 15 (7.5%). The mean quality (± standard deviation) was 14.3 (±2.6), and range from 7 to 20 . The number and mean (±SD) before CARE were n=171, mean=14.3 (±2.6) and after CARE were n=30, mean=14.7 (± 2.7), (p=0.39, t-test). No significant differences per journal or origin of the first author were found. CONCLUSIONS The reporting quality of case reports about dental trauma in five international dental journals has not improved since the publication of the CARE guidelines. The lack of reporting of essential items in case reports suggests that journals could enhance their quality by inviting authors to adhere to the CARE guidelines or similar reporting guidelines.
This article is being published concurrently in Journal of Endodontics. The articles are identica... more This article is being published concurrently in Journal of Endodontics. The articles are identical. Either citation can be used when citing this article.
Dental traumatology : official publication of International Association for Dental Traumatology, Jan 24, 2018
Traumatic dental injuries (TDI) are a public health problem, given their prevalence and consequen... more Traumatic dental injuries (TDI) are a public health problem, given their prevalence and consequences. However, their epidemiology is uncertain due to a general lack of quality data capture. The aim of this study was to evaluate the validity and usability of a mobile phone-based application for community-based surveillance of traumatic dental injuries. A mobile phone-based application, Dental Trauma Tracker (DTT), was developed. This system involves a mobile application for general users to report TDIs and a Web application for researchers to generate epidemiological data. The DTT evaluation used mixed methods and was conducted in three phases: (a) validation of a trauma identification system using preselected TDI images; (b) design evaluation by experts; and (c) usability evaluation measured by the reporting of three fictitious TDI cases and using the System Usability Scale (SUS). In the first phase, 182 participants participated. Most images showed over 95% accuracy, indicating tha...
Traumatic injuries to the primary dentition present special problems and the management is often ... more Traumatic injuries to the primary dentition present special problems and the management is often different as compared with the permanent dentition. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialities were included in the task group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care for management of primary teeth injuries. The IADT cannot and does not guarantee favorable outcomes from strict adherence to the guidelines, but believe that their application can maximize the chances of a positive outcome.
Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progressio... more Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progression of the lesions. In this report, we describe for approximal surfaces with noncavitated incipient lesions the clinical procedures for sealant application illustrating this minimally invasive method with 3 clinical cases and scanning electron microscopic images.
Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progressio... more Sealing of incipient carious lesions in occlusal surfaces has been shown to arrest the progression of the lesions. In this report, we describe for approximal surfaces with noncavitated incipient lesions the clinical procedures for sealant application illustrating this minimally invasive method with 3 clinical cases and scanning electron microscopic images.
A meeting was organised to consolidate a network of researchers and academics from Australia, Bra... more A meeting was organised to consolidate a network of researchers and academics from Australia, Brazil, Chile, the UK and the USA, relating to Early Childhood Caries (ECC) and Dental Trauma (DT). As part of this meeting, a dedicated session was held on the future of paediatric dental education and curricula. Twenty-four paediatric dentistry (PD) academics, representing eight Chilean dental schools, and three international specialists (from Brazil and Latvia) participated in group discussions facilitated by five members of the ECC/DT International Collaborative Network. Data were collected from group discussions which followed themes developed as guides to identify key issues associated with paediatric dentistry education, training and research. Participants discussed current PD dental curricula in Chile, experiences in educating new cohorts of oral health care providers, and the outcomes of existing efforts in education and research in PD. They also, identified challenges, opportuniti...
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