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Drug-associated gingival enlargement in pediatric patients
H. Nowzari, Sandra. K Rich, N. Moslemi,
Volume 21, Issue 4 (1-2009)
Abstract

Gingival overgrowth is a drug-associated side effect occurs in pediatric patients. Phenytoin, cyclosporine, calcium channel blockers, and amphetamine are primary drugs that can cause gingival enlargement in children. Pediatric patients are more prone to drug-associated gingival overgrowth rather than adults. Gingival overgrowth may cause functional, phonetic, and nutritional difficulties, and more importantly, may affect the psycho-social development, self-esteem, and quality of life in children. However, the researches about this issue are rare. This Part I paper provides an analysis of pediatric systemic disease and corresponding prescribed medications for selected physical and mental health conditions. This paper describes the morbidity and risk for children related to gingival overgrowth and proposes a framework for action that will be more completely described in a part II paper on this topic.


Evaluation of agreement levels between parents and children in reporting oral health-related quality of life in 11-14 year-old children of Isfahan city in 1389
Parvin Khadem , Seied Ebrahim Jabarifar , Hajiahmadi Maryam , Sadeghain Susan Susan , Mohamad Safaie ,
Volume 26, Issue 3 (8-2013)
Abstract

  Background and Aims: Oral health prepares us for daily activities without discomfort, and dissatisfaction. In this research, agreement level between parents and children aged 11-14 year-old in reporting child oral health-related quality of life was studied in Isfahan city.

  Materials and Methods: In this descriptive, analytical and cross-sectional study 128 pairs of parents and children aged 11-14 were selected with random sampling technique from schools in Isfahan and were asked to complete the relevant questionnaires. The questionnaires evaluated quality of life in four fields of oral signs, functional deficits and emotional and social health. In order to evaluate child-parent agreement, intra-correlation coefficient (ICC), Pearson’s correlation coefficient, Spearman’s correlation coefficient and intra-class correlation coefficient (ICC) were used (α=0.05).

  Results: The agreements between PPQ11-14 (parent perception questionnaire), CPQ11-14 (child perception questionnaire) and the related fields were 0.81, -0.67. The highest agreement level (ICC=0.83) was related to emotional health (excellent), followed by functional deficits (ICC=0.80), social health (ICC=0.69) and oral signs (ICC=0.64). Pearson's test showed significant correlations between CPQ11-14 and PPQ11-14 (r=0.81) (P<0.01).

  Conclusion: Although parents, especially mothers, may be used as proxies for their children in relation to quality of life and related fields, the views of both should be obtained in order to fully represent child oral health-related quality of life issues.


Effectiveness of an educational pamphlet for mothers on cooperation of 3-7 years old children in the first dental visit
Motlagh Mehdi Ghandehari , Pourhashemi Seyyed Jalal , Ghadimi Sara , Baghae Farideh ,
Volume 27, Issue 4 (1-2015)
Abstract

  Background and Aims: Dental environment is a stressful place for children. In many cases, parents transmit their anxiety to their children in the first dental visit. Mothers as the closest person to the children may have important influence on their children’s behavior in dentistry. The purpose of this study was to evaluate the effectiveness of an educational pamphlet for mothers on children’s behavior in the first dental visit.

  Materials and Methods: This study was conducted on 238 mothers who had 3-7 years old children undergoing dental treatment for the first time. The participants were divided into interventional and control group randomly. Behavior of children was assessed by questionnaire according to 4 point scale of Frankle. The questionnaire contained 5 parts: separation of child from the mother, entering the dental room, opening the mouth, communicating with dentist, getting the prize. Data were analyzed using Chi-square test.

  Results: The educational pamphlet was effective on the separation of child from the mother, the cooperation of children in interventional group was better than the control group (P=0.006). In interventional group 96.2% of and in the control group 90.8% of children had good and very good behavior but the difference was not significant (P=0.11).

  Conclusion: Although the educational pamphlet was effective on the separation of child from mother. No significant difference in behavior of 3-7 year-old children between interventional and control group was found.


Dentists' awareness and attitude regarding first dental visit in children
Nasim Seyfi, Milad Nodehghan,
Volume 31, Issue 4 (1-2019)
Abstract
Background and Aims: Tooth decay is still one of the most prevalent pediatric diseases. According to the role of general dentists and importance of first dental visit in prevention, the aim of this study was to evaluate dentist’s knowledge and attitude regarding children’s first dental visit in Gorgan, Iran.
Materials and Methods: In this cross-sectional study, 140 general practitioners participated. In order to assess the level of knowledge, a questionnaire including 2 parts was used as the main tool. Data were analyzed using Mann-Whitney, Kruskal-Wallis and Pearson correlation coefficient.
Results: Our findings revealed that the level of knowledge in both sex was equal (P=0.067). There was no significant relationship between the workplace (P=0.68), age (P=0.77), work experience (P=0.84) and the level of knowledge. Interest of practitioners to get the necessary training about examination and treatment of 0-2 year-old children was medium. 51.17% of dentists, admitted the treatment of 8-12 year-old children. 34.5% of dentists revealed that misbehavior of children during treatment was the main reason for unwillingness to accept treating them. 46.9% of dentists, revealed that the most effective result of child’s dental visit at an early age is increasing parents’ knowledge about prevention of carries in primary dentition.
Conclusion: The results showed that general dental practitioners in this study had a good level of knowledge about the first dental visit. Regarding to their little tendency to treat children, it seems necessary to hold workshops and seminars for better desired motivation in this field.

The importance of preserving deciduous teeth: Assessing knowledge, attitude, and practice of parents of preschool and primary school children in Isfahan
Firoozeh Nilchian, Ehsan Ghasemi,
Volume 35, Issue 0 (5-2022)
Abstract
Background and Aims: There is a traditional belief that the primary teeth can be replaced by permanent teeth and preserving them is not important. The aim of this study was to evaluate the knowledge and attitude of parents of preschool and elementary school children referring to the Specialty Clinic of Isfahan University of Medical Sciences and Imam Hossein pediatric hospital about the importance of preserving deciduous teeth and related factors.
Materials and Methods: This descriptive cross-sectional study was performed on 323 parents of preschool and elementary school children referred to the special clinic of Isfahan University of Medical Sciences and Imam Hossein Pediatric hospital. The data collection method was a questionnaire and face-to-face interview. The questionnaire was made, it consisted of 21 multiple-choice questions and descriptive questions. Data were analyzed using descriptive statistics tests and analytical tests such as t-test and Pearson correlation coefficient.
Results: The mean score of knowledge of parents was 37.5 with a standard deviation of 16.9, the mean score of attitude was 55.8 with a standard deviation of 11.1 and the mean score of performance was 41.8 with a standard deviation of 15.6 out of 100. Pearson correlation coefficient showed that there was a direct relationship between knowledge, attitude, and performance scores (P<0.001). Parents' knowledge score was directly related to the mothers' and fathers' ages (P<0.001).
Conclusion: According to the results, parents' awareness of the importance of the preservation of deciduous teeth and related factors is poor, their attitudes are neutral and their performance is poor to moderate. It is suggested to improve treatment facilities available for children in the family and to educate parents about the preservation of deciduous teeth.
 
Effect of music on the level of children's anxiety during dental treatment
Pegah Rahbar, Leila Basir, Nazila Kiani, Milad Soruri,
Volume 37, Issue 0 (3-2024)
Abstract
Background and Aims: Anxiety is one of the most important issues in the dental environment for children. The aim of this study was to investigate the effect of music on the level of anxiety and cooperation of children during dental treatment.
Materials and Methods: In this study 58 children aged 6 to 8 years were randomly divided into two groups: the intervention group (music played) and the control group (no music played). Children's anxiety was assessed using the Venham Picture Test and Frankel Behavior Rating Scale, and their heart rate was also measured.
Results: The results showed that in the intervention group, the level of anxiety based on the Venham Picture Test and Frankel Behavior Rating Scale was significantly lower. Additionally, the heart rate of children in this group was lower during the treatment (P<0.05).
Conclusion: Based on the findings of this study, the use of music as a non-pharmacological method can be beneficial in reducing anxiety and improving the cooperation of children in the dental environment.
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