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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 the General dentists’ attitudes toward non-pharmacological methods of controlling pediatrics’ behavior in Isfahan
Mehdi Jafarzadeh Samani, Maryam Hajiahmadi, Samira Yousefi, Elham Sadat Binande,
Volume 26, Issue 2 (5-2013)
Abstract

Background and Aims: Successful pediatric dentistry depends not only on the dentist's technical skills, but also on his ability to acquire and maintain a child's cooperation. The correction of dentist’ action in this area affects the view of parents and increases the quality of dental services. The objective of this study was to evaluate the attitudes of general dentists toward methods of controlling pediatrics’ behavior in Isfahan.

Materials and Methods: This study is descriptive, analytic, and cross-sectional. For this research, 100 general dentists of Isfahan city were selected with simple random sampling technique and were asked to complete the questionnaire which was included four different management techniques. The data were analyzed with t-test, P earson’s correlation , ANOVA and Kruskal-Wallis.

Results: The methods accepted by dentists were Tell-Show-Do (4.0 ± 0.5), Voice control (3.5 ± 0.4), active restraint (3.0 ± 0.5) and Hand-Over-Mouth (2.9 ± 0.5) respectively. The mean score of female dentists’ attitudes was more toward the method of active restraint and less toward Hand-Over-Mouth technique. Also the average score of middle aged dentists’ attitudes toward Voice Control method was less than young dentists and toward Hand-Over-Mouth was higher. The general dentists with more number of pediatric patients had less consent on the method of Hand-Over-Mouth (P=0.004) and active restraint (P=0.034).

Conclusion: There were significant correlation between attitude of general dentists toward behavior management techniques with age, gender, clinical experience and the number of pediatric patients. General dentists have fewer tendencies to aggressive behavior management techniques.


Assessment of knowledge, attitude and practice of pediatrics regarding hospital dentistry in Isfahan province
Alireza Eshghi, Arezoo Pirhaji, Firoozeh Nilchian,
Volume 33, Issue 3 (10-2020)
Abstract
Background and Aims: A significant percentage of children with dental caries require, hospital dentistry and their parents do not have much information in this regard. The aim of this study was to determine the knowledge, attitude and practice of pediatricians in hospital dentistry in Isfahan Province.
Materials and Methods: This cross-sectional study was performed on 100 pediatricians working in Isfahan. The self-administered questionnaire included demographics of doctors and 19 questions for assessing the knowledge, attitude and practice of pediatric practitioners about hospital dentistry under general anesthesia. Raw data were analyzed by Chi-square test using SPSS software version 23.
Results: 100 pediatricians with an average age of 44.1±5.7 years (57% male) completed the questionnaire. 53% of the pediatricians had a high level of awareness about hospital dentistry and 42% about its related guides. 66% practitioners had a favorable attitude toward general anesthesia and costs, while 71% considered the parents' awareness were poor about hospital dentistry. Only 43% of pediatricians performed oral examinations in their daily visits, and 17% had a referral for hospital dentistry. Male pediatricians aged from 35 to 45 had a higher level of knowledge about hospital dentistry. The attitude and practice of pediatricians did not have a significant relationship with their age. Meanwhile, male pediatricians had better performance in oral and dental examination and referral for hospital dentistry (P=0.15).
Conclusion: From the results of this study, there is a need for a serious improvement in the level of knowledge, attitude, and practice of pediatricians in the field of hospital dentistry.

Relation of maternal dental fear and anxiety with child’s dmft/DMFT
Azin Shishesaz, Reza Yazdani,
Volume 33, Issue 4 (1-2021)
Abstract
Background and Aims: Child’s oral health is believed to be related with maternal dental fear and anxiety. The purpose of the present study was to evaluate the relationship between the demographic status and maternal dental fear and anxiety and its effect on child’s dental caries.
Materials and Methods: This descriptive and analytical study conducted among 374 mothers which had attended to pediatric department of Tehran University of Medical Sciences for their child’s dental treatments in 2019 were evaluated in the present study. In addition to dental fear survey (DFS) and modified dental anxiety survey (MDAS) questionnaires, demographic information, age, marital status, family income, and educational level of the mother was recorded. Dental visit frequency and previous negative experience were also recorded. DMFT/dmft (decayed, missed, filled teeth) of the children was recorded according to WHO criteria. To assess the relationship between the variables, Pearson correlation and multiple linear regression were used using SPSS25 software.
Results: The mean age of the mothers was 35.66±15.75. There was no relationship between maternal dental fear and anxiety and children’s dental caries status (P=0.738). There was no relationship between the mothers’ age and dental fear, and anxiety (P=0.943). Previous negative experience and education were related to the dental fear and anxiety (P=0.02).
Conclusion: dmft of the children was not correlated with the maternal dental fear and anxiety. Higher education which was related with less dental fear and anxiety. Previous negative experience is one of the major factors influencing the maternal dental fear and anxiety.

Investigating the relationship between parenting style and dental anxiety in children aged 7 to 12 years in Tehran
Asie Eftekari, Maryam Bakhtiari, Amir Sam Kianimoghadam,
Volume 34, Issue 0 (5-2021)
Abstract
Background and Aims: Studies have shown that dental anxiety may be caused by various factors such as child mood, age, maternal emotional maturity, previous dental anxiety and parenting styles. Therefore, the aim of this study was to investigate the possible relationship between the parenting styles and pediatric dental anxiety and the predictability of this variable through parenting styles.
Materials and Methods: The present study was a cross-sectional correlational study. The study population was children aged 7 to 12 years who had referred to the dental clinics of Tehran in 1400. Sampling from one of the clinics was done randomly. A total of 100 questionnaires of modified child dental anxiety scale and parenting style inventory were given to the children and their parents and 95 of them could have been analyzed. The questionnaires were analyzed using SPSS22 software and Pearson correlation and regression tests.
Results: The results showed that dental anxiety had a negative and significant relationship with authoritative parenting style (r=-0.286, P<0.01) and a positive and significant relationship with authoritarian parenting style (r=0.342, P<0.01). Authoritarian parenting style can be a predictor of dental anxiety.
Conclusion: Knowing the predictors of dental anxiety can help a pediatric dentist analysing who is most prone to dental anxiety. Based on this approach, a relationship based on trust can be established between the dentist and parents to make the necessary recommendations to parents in the office, reduce dental anxiety and improve oral health conditions in children.
 

Comparison of primary molar crown dimensions with two brands of stainless steel crowns in a sample of Iranian children
Mehrdad Kahvand, Mostafa Vahedian, Mansoureh Hadadzadeh, Ali Saleh, Aida Mehdipour,
Volume 36, Issue 0 (5-2023)
Abstract
Background and Aims: One of the concerns of dentists is selecting a suitable brand of stainless steel crowns with maximum dimensional adaptation with primary teeth. The aim of this study was to compare the primary molar crown dimensions with that of two brands of stainless steel crowns (SSCs) in a sample of Iranian children.
Materials and Methods:  In this study, 130 eligible children between 3 and 12 years (66 boys, 64 girls) were selected. After recording the demographic information, the mesiodistal, buccolingual and occluso-gingival dimensions of first (D) and second (E) primary molars were measured on dental casts and compared with the dimensions of KTR (MeiMeiMinBenjing, Benjing, China) and Shinghung (Shinhungcompany, Seoul, South Korea) SSCs. Data were assessed using chi-square test and Pearson correlation coefficient. P<0.05 was considered statistically significant.
Results: In this study, the most dimension matching of the teeth with that of SSCs were observed mesiodistally in upper D and lower D, buccolingualy in the upper D and lower D, and occluso-gingivaly in upper D and lower E. The most cases of mismatch in the mesiodistal dimensions of the teeth with that of SSCs were observed in the lower E and upper D. Also, the most cases of mismatch in the buccolingual dimension were found for upper E and lower E.
Conclusion: Both SSCs brands in this study showed significant dimensional adaptation with the primary teeth in Iranian children. The most dimensional adaptation was between KTR SSCs and maxillary primary molars, and between Shinhung SSCs and mandibular primary molars.

The relationship between oral and dental health information literacy of parents and dental caries index of permanent teeth in primary school students in city of Isfahan in 2024-2025
Firoozeh Nilchian, Fatemeh Faraghani, Niloufar Ramazani, Rosanna Vaez,
Volume 39, Issue 0 (3-2026)
Abstract
Background and Aims: Dental caries is a multifactorial chronic disease that affects the majority of the population, causing a very serious health problem worldwide This population-based cross-sectional study was conducted with the aim of evaluating the incidence of dental caries, parents' understanding of children's oral health, and factors affecting the use of dental services in the population of primary school children.
Materials and Methods: This descriptive-analytical cross-sectional study was conducted and the desired information was collected using the OHL-AQ questionnaire, the validity and reliability of which was confirmed in the previuos study. A total of 400 students between the ages of 6 and 12 were included in the study. The decay, missing, filling (DMFT) Index was used for calculating dental caries index. The statistical population of this research were the parents and students of the primary level of education in the six districts of Isfahan city in the academic year of 1402-1403. The sampling method was random cluster sampling. Then, the data collected from the examinations and questionnaires were analyzed by correlation tests, Independent Samples
T-Test and linear regression using SPSS software version 26, and the error level was 0.05.
Results: Among 400 students, the highest frequency (20.8%) was related to the second grade and the lowest frequency (12.5%) was related to the sixth grade of education. The average age of students' parents was 39.8 years. In most cases (56%) parents had university education. The educational level of students and the level of parents’ education had a significant relationship with the DMFT score (P<0.001). The average oral health information literacy score and average age of the parents had a significant relationship with the DMFT score (P<0.001). In this study, the average oral health information literacy score of parents was estimated to be 9.1.
Conclusion: In the present study, the information literacy score of the parents was evaluated as average and showed a significant relationship with the DMFT index. Also, the educational level of the student and the level of parents’ education had a significant relationship with the DMFT score. Therefore, it can be concluded that promotion of the level of education in the society is necessary as it can affect the level of oral health of children.

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