Oral Health

Record 1 of 98
Title: Oral Health Characteristics of Preschool Children with Autistic

Syndrome Disorder
Author(s): Sarnat, H (Sarnat, Haim); Samuel, E (Samuel, Eli); Ashkenazi-
Alfasi, N (Ashkenazi-Alfasi, Naomi); Peretz, B (Peretz, Benjamin)
Source: JOURNAL OF CLINICAL PEDIATRIC DENTISTRY Volume: 40 Issue: 1
Pages: 21-25 Published: WIN 2016
Abstract: Objective: to assess the dental status of young children with
Autistic Syndrome Disorder (ASD) in order to allow better understanding of
the dentist's role in treating these children. Study design: The ASD group
consisted of 47 children diagnosed as ASD from three special
kindergartens from three towns in Israel. The control group was 44
normally developed children from 4 kindergartens from 2 neighboring
towns. Parents were asked to complete a questionnaire requesting the
following: socio-demographic information, general medical condition,
dental information (previous visit to a dentist, feeding habits, oral hygiene
behavior, oral habits and the Vinland Adaptive Behavioral Scales (VABS).
Results: While in the control group there was no report of no brushing at
all, among the ASD children 25% did not brush at all. Use of pacifier, fussy
eating and eating problems were significantly more prevalent among the
ASD group. In addition, the ASD children significantly preferred more salty,
spicy and sweet foods than the control. There were more caries-free
children among the ASD group. In the ASD group, the ability to perform
everyday life functions was slightly more than half of what is expected for
age. Conclusions: autistic children have a relative age of one half, meaning
they function at half the level of normally developed children at their
chronological age, more eating problems and more persistent oral habits
yet no correlation to dental health could be shown. Caries experience of
autistic children was lower than in the control group, maintaining good oral
hygiene is difficult for autistic children yet their gingival health was found
to be good.
Document Type: Article
Record 2 of 98
Title: Prenatal exposure to dental amalgam and pregnancy outcome
Author(s): Lygre, GB (Lygre, Gunvor Bentung); Haug, K (Haug, Kjell);
Skjaerven, R (Skjaerven, Rolv); Bjorkman, L (Bjorkman, Lars)
Source: COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY Volume: 44
Issue: 5 Pages: 442-449 DOI: 10.1111/cdoe.12233 Published: OCT 2016
Abstract: ObjectiveQuestions have been raised about potential risks of
prenatal exposure to mercury from amalgam fillings during pregnancy. The
aim of this study was to assess possible associations between exposure to
amalgam fillings in pregnant women participating in a large cohort study
and adverse pregnancy outcome.
MethodsIn the Norwegian Mother and Child Cohort Study (MoBa), a valid
information about the number of teeth with amalgam fillings and dental
treatment, including new amalgam fillings placed or removed during
pregnancy, was available from 69 474 pregnancies. The information was
obtained from two questionnaires sent to the women at 17 and 30 weeks
of pregnancy, and the data were linked to the Medical Birth Registry of
Norway. Logistic regression was used to estimate the odds ratio (OR) and
95% confidence intervals (95% CI) as a measure of association between
pregnancy outcome and prenatal exposure to amalgam fillings.
ResultsLogistic regression models, including mothers age, education, BMI,
parity, smoking during pregnancy, and alcohol consumption during
pregnancy revealed no significant associations between the number of
teeth with amalgam fillings and early preterm delivery, late preterm
delivery, low birthweight, malformation or stillbirth.
ConclusionsWe found no evidence for serious perinatal consequences of
maternal exposure to amalgam fillings during pregnancy.
Record 3 of 98
Title: Developing and Testing the Short-Form Knowledge, Efficacy, and
Practices Instrument for Assessing Cultural Competence
Author(s): Garvan, GJ (Garvan, Gerard J.); Garvan, CW (Garvan, Cynthia
W.); Behar-Horenstein, LS (Behar-Horenstein, Linda S.)
Source: JOURNAL OF DENTAL EDUCATION Volume: 80 Issue: 10 Pages:
1245-1252 Published: OCT 2016
Abstract: The importance of educating dental students in cultural
competence has been widely emphasized, but there is a need to assess
cultural competence in a consistent and reliable way. The aims of this
study were to determine latent constructs for the initial measure of
cultural competence for oral health providers, the Knowledge, Efficacy,
and Practices Instrument (KEPI), and to determine how well these factors
related to previously identified latent constructs. Data were collected in
surveys of dental students and from dental hygiene, dental assisting, and
dental faculty members in 44 academic dental institutions from 2012 to
2015. There were a total of 1,786 respondents to the surveys; response
rates to individual surveys ranged from 35% to 100%. There were 982
(55%) female and 804 (45%) male respondents, 286 (16%)
underrepresented minority (URM) and 1,500 (84%) non-URM respondents,
and 339 (19%) faculty and 1,447 (81%) student respondents. Three latent
constructs were identified. Female respondents scored significantly higher
on the culture-centered practice and efficacy of assessment factors, while
URM respondents had significantly higher scores on all three of the KEPI
factors. Measurements indicated that the long-form KEPI could be
shortened by ten questions and still have three meaningful
measurements. Continued research in assessing other health care
providers' cultural competence is needed to expand the KEPI to measure
providers' cultural competence with patients with minority sexual
orientation and gender identity issues and those with physical disabilities,
mental illness, and autism to advance patient-centric communication.
Record 4 of 98
Title: Perception of dental visit pictures in children with autism spectrum
disorder and their caretakers: A qualitative study
Author(s): Wibisono, WL (Wibisono, Witriana L.); Suharsini, M (Suharsini,
Margaretha); Wiguna, T (Wiguna, Tjhin); Sudiroatmodjo, B (Sudiroatmodjo,
Budiharto); Budiardjo, SB (Budiardjo, Sarworini B.); Auerkari, EI (Auerkari,
Elza I.)
Source: JOURNAL OF INTERNATIONAL SOCIETY OF PREVENTIVE AND
COMMUNITY DENTISTRY Volume: 6 Issue: 4 Pages: 359-365 DOI:
10.4103/2231-0762.186791 Published: JUL-AUG 2016
Abstract: Objectives: One of the most common ways to communicate to
children with autism spectrum disorder (ASD) is by using pictures. This
study was conducted to identify the easiest perception of dental visit by
children with ASD when using pictures as printed photographs. Materials
and Methods: Purposive sampling was used to recruit participants from a
school for children with special needs in south Jakarta. Semi-structured
interviews were conducted with 10 autistic children aged 13u17 years, 2
parents, and 2 teachers. Open-ended questions were asked to participants
regarding pictures of dental clinic personnel and activity. Conversations
were noted, tape recorded, and then categorized to extract a theme. The
data were analyzed using Dedoose mixed methods software. Results: Most
respondents showed a positive perception of the dental visit pictures.
Many of the pictures were easily recognized by children with ASD, but
some failed to be understood. Caretakers not only gave their perception
but also recommendations for improvement of the pictures. Conclusions:
Dental visit pictures could be used as useful communication tools for
children with ASD. Based on the results, the pictures related to dental visit
were generally easy to understand, however, some needed correction to
be comprehensible.
Record 5 of 98
Title: Risk factors for anterior traumatic dental injury in children and
adolescents with autism spectrum disorders: a case-control study
Author(s): Habibe, RCH (Habibe, R. C. H.); Ortega, AOL (Ortega, A. O. L.);
Guare, RO (Guare, R. O.); Diniz, MB (Diniz, M. B.); Santos, MTBR (Santos, M.
T. B. R.)
Source: EUROPEAN ARCHIVES OF PAEDIATRIC DENTISTRY Volume: 17
Issue: 2 Pages: 75-80 DOI: 10.1007/s40368-015-0207-7 Published: APR
2016
Abstract: Aim This was to assess and compare risk factors for traumatic
dental injury (TDI) among children/adolescents with and without autism
spectrum disorders (ASD).
Methods The study consisted of 122 children and adolescents (98 males,
24 females), 61 with ASD (study group) and 61 without ASD (control group,
CG). Dental injuries were determined according to Andreasenss
classification. The cause, location and type of activity at the time of
trauma were recorded from patient/carer recollection.
Results Subjects with ASD presented higher percentages of TDI in routine
activities (P = 0.003), falling while walking and episodes of self-harm (P =
0.007) in the individual's own residence (P = 0.036). TDI prevalence in the
ASD group was higher (39.3 %) than in the CG (26.2 %) though not
significant, (P = 0.123). Girls with ASD presented a significantly higher TDI
percentage (50.0 %) compared with girls from the CG (8.3 %) (P = 0.024).
Enamel fracture was the most frequent type of TDI for both groups (P =
0.292). The teeth most commonly affected were #11 and #21 for both
groups.
Conclusions Children and adolescents with ASD exhibit different risk
factors for TDI compared with those without ASD, and girls with ASD are
more prone than boys.
Record 6 of 98
Title: Fgf20 and Fgf4 may contribute to tooth agenesis in epilepsy-like
disorder mice
Author(s): Ogawa, N (Ogawa, Nao); Shimizu, K (Shimizu, Kunihiko)
Source: PEDIATRIC DENTAL JOURNAL Volume: 26 Issue: 1 Pages: 21-27
DOI: 10.1016/j.pdj.2015.11.001 Published: APR 2016
Abstract: Background/purpose: Tooth agenesis is one of the most clearly
recognized dental anomalies in the permanent dentition and can be
challenging to manage clinically. Recent genetic studies identified several
genes related to syndromic and nonsyndromic human dental agenesis.
However, the genetic factors related to agenesis of the third molars (M3s),
second premolars, and lateral incisors, which are most commonly involved
in hypodontia, are still unknown. Therefore, this study aimed to identify
the genetic causes of the lacking M3s in epilepsy-like disorder (EL) mice,
which have 100% incidence of M3 agenesis.
Methods: M3 tooth germs from EL and C57BL/6 control mice on postnatal
day 3 were dissected out and total RNA was extracted. mRNA expressional
analysis was carried out using DNA microarray, real-time polymerase chain
reaction and in-situ hybridization.
Results: DNA microarray analysis revealed significantly decreased
expression of Fgf20 and Fgf4 and increased expression of EDA in the M3s
of EL mice at the bud stage relative to C57BL/6 control mice, which was
supported with both reverse-transcriptase polymerase chain reaction and
real-time polymerase chain reaction analyses (p < 0.05). Furthermore, in-
situ hybridization revealed low mRNA expression levels of Fgf20 and Fgf4
in the M3s of EL mice, whereas strong signals were observed in control
mice.
Conclusion: Our results suggest that a decrease of Fgf20 and Fgf4
expression may lead to M3 agenesis in EL mice. Understanding the
mechanisms controlling tooth agenesis will facilitate the development of
strategies for tooth bioengineering. Copyright (C) 2015 The Japanese
Society of Pediatric Dentistry. Published by Elsevier Ltd. All rights reserved.
Record 7 of 98
Title: Visualizing the Comorbidity Burden in Children with Autism Spectrum
Disorder Receiving Dental Treatment Under General Anesthesia
Author(s): Mathu-Muju, KR (Mathu-Muju, Kavita R.); Li, HF (Li, Hsin-Fang);
Nam, LH (Nam, Lisa H.); Bush, HM (Bush, Heather M.)
Source: PEDIATRIC DENTISTRY Volume: 38 Issue: 2 Pages: 134-139
Published: MAR-APR 2016
Abstract: Purpose: The purposes of this study were to: (1) describe the
comorbidity burden in children with autism spectrum disorder (ASD)
receiving dental treatment under general anesthesia (GA); and (2)
characterize the complexity of these concurrent comorbidities. Methods: A
retrospective chart review was completed of 303 children with ASD who
received dental treatment under GA. All comorbidities, in addition to the
primary diagnosis of ASD, were categorized using the International
Classification of Diseases-10 codes. The interconnectedness of the co-
morbidities was graphically displayed using a network plot. Network
indices (degree centrality, betweenness centrality, closeness centrality)
were used to characterize the comorbidities that exhibited the highest
connectedness to ASD. Results: The network plot of medical diagnoses for
children with ASD was highly complex, with multiple connected
comorbidities. Developmental delay, speech delay, intellectual disability,
and seizure disorders exhibited the highest connectedness to ASD.
Conclusions: Children with autism spectrum disorder may have a
significant comorbidity burden of closely related neurodevelopmental
disorders. The medical history review should assess the severity of these
concurrent disorders to evaluate a patient's potential ability to cooperate
for dental treatment and to determine appropriate behavior guidance
techniques to facilitate the delivery of dental core.
Record 8 of 98
Title: Patterns of Intracranial Hemorrhage in Pediatric Patients with Facial
Fractures
Author(s): Marano, AA (Marano, Andrew A.); Hoppe, IC (Hoppe, Ian C.);
Halsey, JN (Halsey, Jordan N.); Kordahi, AM (Kordahi, Anthony M.); Granick,
MS (Granick, Mark S.); Lee, ES (Lee, Edward S.)
Source: CRANIOMAXILLOFACIAL TRAUMA & RECONSTRUCTION Volume: 9
Issue: 1 Pages: 35-39 DOI: 10.1055/s-0035-1558453 Published: MAR
2016
Abstract: Intracranial hemorrhage (ICH) is a potentially fatal injury
accompanying fractures of the cranium and facial skeleton. When
occurring at a young age, ICH can lead to developmental delay, cerebral
palsy, epilepsy, and death. It is therefore important for clinicians to
recognize the presence of ICH early, and understand the factors that affect
its prognosis. In this study, we aim to identify diagnostic and prognostic
signs for ICH in pediatric facial fracture patients by examining aspects of
patient presentation, concomitant injuries, and fracture patterns. Data
were collected for all radiologically diagnosed facial fractures between
January 2000 and December 2012 at a level I trauma center in Newark, NJ.
This was then further refined to include only patients 18 years of age or
younger who had a documented ICH. Patient age, Glasgow coma scale
(GCS) on presentation, fracture location, type of hemorrhage, and certain
aspects of management were collected from these records. Data were
then analyzed by either Pearson chi-square test or a t-test to determine
significant relationships. A total of 285 pediatric patients were found to
have sustained a facial fracture during this time period, 67 of which had
concomitant ICH; 46 of these patients were male and 21 were female, with
average ages of 14.26 and 9.52 (p<0.01), respectively. Causes of injury
included motor vehicle accidents, pedestrians struck, assault, falls,
gunshot injuries, and sports-related injuries. All patients who suffered
injuries as a result of violent crimes (assault and gunshot injuries) were
male. Although nearly all fracture patterns were significantly associated
with the presence of ICH, mandibular fractures showed a significant
negative association with the presence of ICH. In addition, patients who
received surgical intervention were significantly younger than those who
did not (7.7 vs. 13.7, p<0.05). The GCS was significantly lower in patients
who underwent ICP (intracranial pressure) monitoring or EVD (external
ventricular drain) placement, suffered intraventricular hemorrhage,
experienced worsening of hemorrhage on repeat imaging, and suffered
fatal injuries. Our data also showed a significant association between the
need for intubation in the emergency department and fatality. Because the
consequence of ICH can be life threatening, proper diagnosis and
management are imperative. The purpose of this study is to describe
patterns associated with ICH in pediatric facial fracture patients to
promote early recognition of the injury and understanding of poor
prognostic signs.
Record 9 of 98
Title: Management of patient with acrometageria for routine dental
treatment: A case report
Author(s): Young, AS (Young, Andrew S.); Cooke, MR (Cooke, Matthew R.);
Taiclet, LM (Taiclet, Lynne M.)
Source: SPECIAL CARE IN DENTISTRY Volume: 36 Issue: 1 Pages: 32-38
DOI: 10.1111/scd.12127 Published: JAN-FEB 2016
Abstract: The population of special needs patients in dental offices is
growing. Therefore, the demand for well-trained, educated practitioners
must increase to fit the need. Conditions such as intellectual
developmental disorder, Down syndrome, and autism spectrum disorder
are more readily encountered in dental settings. However, it is equally
appropriate to identify management techniques for patients with less
common conditions. A case is reported in which a 38-year-old Caucasian
male with a history significant for acrometageria and associated signs of
Mallampati Class IV, micrognathia, decreased mouth opening, decreased
thyromental distance, and decreased cervical range of motion presented
for routine dental treatment under intravenous sedation. Providers should
recognize appropriate management techniques to safely and effectively
care for a wide patient demographic.
Record 10 of 98
Title: Visual Schedule System in Dental Care for Patients with Autism: A
Pilot Study
Author(s): Mah, JWT (Mah, Janet W. T.); Tsang, P (Tsang, Phoebe)
Pages: 393-399 Published: 2016
Abstract: Objectives: A pilot study to test whether a visual schedule
system using picture communication symbols can help children with
autism have successful routine dental cleaning visits. Study Design: 14
boys with autism between three- to eight-years-old presented to the
dental clinic for four weekly consecutive dental appointments. Patients
were randomly assigned to either the control group who received the tell-
show do method (i.e., standard of care), or the test group who received
the tell-show-do method plus the visual schedule system. Results: Patients
in the test group completed an average of 1.38 more steps, at 35.52
seconds per step faster, and with 18.7% lower levels of behavioral distress
than those in the control group. Conclusion: The use of a visual schedule
system, along with repeated weekly visits, showed some promise in
helping children with autism successfully complete more steps, progress at
a quicker rate, and exhibit lower levels of behavioral distress within a
dental appointment, compared to a traditional tell-show-do approach.
Record 11 of 98
Title: Management of oromandibular dystonia on a chorea acanthocytosis:
a brief review of the literature and a clinical case
Author(s): Ortega, MCP (Ortega, Maria Cecilia Pesce); Skarmeta, NP
(Skarmeta, Nicolas Patricio); Diaz, YJ (Diaz, Yaglyn Jarpa)
Source: CRANIO-THE JOURNAL OF CRANIOMANDIBULAR PRACTICE Volume:
34 Issue: 5 Pages: 332-337 DOI: 10.1179/2151090315Y.0000000027
Published: 2016
Abstract: Background: Chorea acanthocytosis is an extremely rare
neurodegenerative condition characterized by neuropsychiatric
disturbances, movement disorders, neuropathy, seizures, and
acanthocytosis. In this case report, the authors will present the
management of the oromandibular movement disorders associated with
this disease.Case Description: This case report describes the focal
management of the severe orofacial manifestations associated with this
condition. The therapeutic approach adopted to reduce the severe
oromandibular movements, dysphagia, and the numerous oral ulcers was
selective electromyography (EMG)-guided botulinum toxin application to
the inferior head of the lateral pterygoid muscles and masseters. This
would be applied to control severe and sudden oromandibular
dystonia.Results: Through this procedure, the authors were able to reduce
these severe oral manifestations, which had a major impact on the
patient's quality of life, and temporarily improve vital functions, such as
mastication, deglutition, and speech articulation.Conclusions:
Electromyography-guided botulinum toxin application may be a useful tool
in the multimodal management of this condition.
Document Type: Review
Record 12 of 98
Title: Dental Treatment of a Child with Pallister-Killian Syndrome
Author(s): Didinen, S (Didinen, Serhan); Atabek, D (Atabek, Didem); Kip, G
(Kip, Gulay); Munevveroglu, AP (Munevveroglu, Asli Patir); Tulunoglu, O
(Tulunoglu, Ozlem)
Source: CASE REPORTS IN DENTISTRY Article Number: 4130961 DOI:
10.1155/2016/4130961 Published: 2016
Abstract: The Pallister-Killian syndrome (PKS) is an extremely rare genetic
disorder with an incidence estimated around 1/25000. PKS is a multiple
congenital anomaly deficit syndrome caused by mosaic tissue limited
tetrasomy for chromosome 12p. The presented report is the first confirmed
case with PKS in Turkey. This report focuses on the orofacial clinical
manifestations of an 6-year-old boy with PKS who was referred to the
Department of Paediatric Dentistry clinic, Gazi University. It has been
learned that the PKS was diagnosed 1 year after birth. Due to intellectual
disability, it was decided to make the dental treatments under moderate
sedation. Although significant tongue thrust and anterior open bite were
determined, any oral appliances could not be applied because of the 2
epilepsy seizures in the last 2 years. The aim was to treat decayed teeth
and set good oral hygiene in the patient's mouth. Still, there is a
probability for epilepsy seizures. If epileptic seizures stop permanently, we
can apply an oral appliance to block tongue thrust. The patient is now
under control. In cases of systemic and oral findings such as PKS,
conducting medical and dental approaches together will increase the life
quality of patients.
Record 13 of 98
Title: Dental trauma in Brazilian children and adolescents with cerebral
palsy
Author(s): Cardoso, AMR (Rodrigues Cardoso, Andreia Medeiros); Silva,
CRD (Duarte Silva, Clara Regina); Gomes, LN (Gomes, Lays Nobrega);
Gomes, MDNC (Cesarino Gomes, Monalisa da Nobrega); Padilha, WWN
(Nascimento Padilha, Wilton Wilney); Cavalcanti, AL (Cavalcanti,
Alessandro Leite)
Source: DENTAL TRAUMATOLOGY Volume: 31 Issue: 6 Pages: 471-476
DOI: 10.1111/edt.12184 Published: DEC 2015
Abstract: Background: Assessing the frequency and factors associated with
dental trauma in pediatric populations with cerebral palsy is important for
the planning and implementation of prevention and health promotion
programs. The aim of this study was to determine the prevalence and
factors associated with dental trauma in children and adolescents with
cerebral palsy. Material and methods: Cross-sectional study with a non-
probabilistic sample of 80 patients aged 2-18 years was treated in a
rehabilitation institution in northeastern Brazil. Caregivers completed a
socioeconomic questionnaire, while oral exams were performed by a
calibrated investigator (K = 0.75-1.00), with record of the Dental Trauma
Index, DMFT and dmft, and Dental Aesthetics and malocclusion indices.
Bivariate and multivariate Poisson regression analyses (alpha = 0.05) were
performed with the Statistical Package for Social Sciences, version 17.
Results: The prevalence of dental trauma was 36.3%, enamel fracture was
the most common trauma (89.1%), and the upper central incisors were the
most affected dental elements (63.0%). Patients with dental trauma were
male, aged 7-18 years, with family income more than one minimum wage,
caregiver's education over 4 years, increased overjet, lip hypotonia,
quadriplegia, epilepsy, oral breathing, and severe communication skills.
The presence of dental trauma was not associated with socioeconomic
characteristics (gender, age, family income, and caregiver's educational
level), oral health perception, and systemic and oral conditions (dental
caries, malocclusion, and lip hypotonia) were evaluated (P > 0.05).
Conclusion: The prevalence of dental trauma was high, but not associated
with clinical variables and evaluated socioeconomic indicators.
Record 14 of 98
Title: Salivary Cortisol Levels and its Implication on Behavior In Children
with Autism during Dental Treatment
Author(s): Abdulla, AM (Abdulla, A. M.); Hegde, AM (Hegde, A. M.)
Pages: 128-132 Published: WIN 2015
Abstract: The aim of the study was to estimate the diurnal variations of
salivary cortisol in children with autism and healthy children and it's
implication on behavior during non-invasive dental procedures. Study
design: 50 children with autism and 50 healthy children in the age group
between 6 to 12 years of both genders with the need for dental treatment
were included in the study Whole unstimulated saliva was collected from
them during early hours of the day and during evenings for 2 consecutive
days. The collected saliva was then subjected to
electrochemiluminescence assay. Minimum invasive dental procedures like
hand scaling, pit and fissure sealants and glass ionomer cement
restorations were performed for the participants each time after the saliva
sample collection and their behavior during the procedures was rated
using Frankl's Behavior Rating Scale. Results:Significant correlation was
seen between cortisol levels and behavior in children with autism. As
cortisol levels increased in children with autism, behavior worsened and as
the cortisol levels decreased they showed positive behaviour Conclusion:
Cortisol acts as a stress marker and studying the diurnal variations of
salivary cortisol can help us in attaining better knowledge about the
behavior pattern and thereby assist us in modiffing the behavior
modification procedures and treatment planning in this group of special
children.
Record 15 of 98
Title: Multidisciplinary Aspects of 104 Patients With Pierre Robin Sequence
Author(s): Filip, C (Filip, Charles); Feragen, KB (Feragen, Kristin Billaud);
Lemvik, JS (Lemvik, Jorunn Skartveit); Lindberg, N (Lindberg, Nina);
Andersson, EM (Andersson, Els-Marie); Rashidi, M (Rashidi, Mitra); Matzen,
M (Matzen, Michael); Hogevold, HE (Hogevold, Hans Erik)
Source: CLEFT PALATE-CRANIOFACIAL JOURNAL Volume: 52 Issue: 6
Pages: 732-742 DOI: 10.1597/14-161 Published: NOV 2015
Abstract: Objective: To describe Pierre Robin sequence patients with a cleft
palate from a multidisciplinary perspective. Patients: A total of 104
individuals with Pierre Robin sequence and cleft palate, born between
1980 and 2010.
Method: Data were collected retrospectively and compared with large
control groups.
Results: Of 104 patients, 19 (18.3%) were treated with a nasopharyngeal
or oropharyngeal tube, continuous positive airway pressure, and/or a
tracheotomy. The mean weight percentile for newborns with Pierre Robin
sequence was 30.9. It decreased to 29.9 at the time of cleft palate repair
(mean age, 13.7 months) (P = .78). Of 87 patients, 30 (34.5%) developed
normal speech after cleft palate repair. Of 93 nonsyndromic Pierre Robin
sequence patients, 31 (33.3%) had or are having surgery for
velopharyngeal insufficiency, a rate that is significantly higher when
compared with a control group of cleft palate-only patients (19.4%; P = .
004). Of 31 patients, 25 (80.6%) developed normal resonance after
surgery for velopharyngeal insufficiency. There was no significant
difference in the rate of syndromes between the Pierre Robin sequence
patients and a control group of cleft palate patients without Pierre Robin
sequence (P = .25). Seven of 39 boys (17.9%) with Pierre Robin sequence
had a diagnosis of autism spectrum disorder.
Conclusion: Even though the mean weight percentile for newborns with
Pierre Robin sequence was low, the patients did not show a growth spurt
during the first year of life. The high rate of velopharyngeal insufficiency
after cleft palate repair in patients with Pierre Robin sequence needs
further investigation. Also, the high rate of autism spectrum disorder
among boys with Pierre Robin sequence prompts further investigation.
Record 16 of 98
Title: Speech, eating and saliva control in rare diseases - a database study
Author(s): Sjogreen, L (Sjoegreen, L.); Mogren, A (Mogren, A.); Andersson-
Norinder, J (Andersson-Norinder, J.); Bratel, J (Bratel, J.)
Source: JOURNAL OF ORAL REHABILITATION Volume: 42 Issue: 11 Pages:
819-827 DOI: 10.1111/joor.12317 Published: NOV 2015
Abstract: The aim was to study the background to and the manifestations
of affected intelligibility of speech and reported difficulty with eating and
saliva control in rare diseases. In Sweden, a disease or disorder is defined
as rare when it affects no more than 100 individuals per million population
and leads to a marked degree of disability. In 1996-2008, 1703 individuals
with 169 rare diseases (3-67years) answered a questionnaire about oral
health and oro-facial function and 1614 participated in a clinical
examination. A control group of 135 healthy children was included.
Oromotor impairment was a frequent finding (43%) and was absent among
the controls. Half the children in the youngest age group (3-6years) had
moderate/severely affected intelligibility or no speech compared with one-
third in the other age groups. The most frequent eating difficulties were
related to chewing and were found in approximately 20% of the individuals
in the study group. Artificial nutrition was most common in children aged
3-6years (92%), followed by children aged 7-12years (49%), adolescents
aged 13-19years (33%) and adults (14%). Impaired saliva control was
common (312%) and strongly and significantly correlated with oromotor
dysfunction, intellectual disability, open mouth at rest and epilepsy. In
conclusion, oromotor impairment and oro-facial dysfunctions, such as
affected intelligibility, eating difficulties and impaired saliva control, are
frequent in individuals with rare diseases. There is a strong correlation
between oromotor impairment and affected intelligibility, eating difficulties
and impaired saliva control in individuals with rare diseases.
Record 17 of 98
Title: A case report: retigabine induced oral mucosal dyspigmentation of
the hard palate
Author(s): Beacher, NG (Beacher, Nicholas G.); Brodie, MJ (Brodie, Martin
J.); Goodall, C (Goodall, Christine)
Source: BMC ORAL HEALTH Volume: 15 Article Number: 122 DOI:
10.1186/s12903-015-0102-y Published: OCT 9 2015
Abstract: Background: Dyspigmentation of the oral mucosa has a
multitude of aetiological causes. Retigabine, a new antiepileptic drug, has
the potential side effect of inducing a blue/purple pigmentation of the oral
mucosa in addition to the skin, lips, nails and retina of the eyes. This
article presents a unique case of dyspigmentation present in the oral
mucosa of the hard palate which has previously been unreported in the
dental literature.
Case presentation: A 70 year old white male presented to a secondary
care oral surgery department with an unusual asymptomatic pigmented
lesion present in the hard palate of the oral cavity. The pigmentation was
remarkable for its distinct blue/purple colouration which was associated
with a similar discolouration of the nail beds of the hands. This is believed
to be a side effect of the anti-epileptic medication retigabine.
Conclusion: The dental profession and wider healthcare community should
be made fully aware of the potential side effect of oral dyspigmentation
associated with the novel anti-epileptic medication retigabine. Enhanced
knowledge of the causative role of retigabine in dyspigementation of the
oral mucosa will allow the practitioner to make an appropriate diagnosis.
As far the authors are aware this is reaction is unreported in the dental
literature and should be disseminated to the wider oral health
professional's community.
Record 18 of 98
Title: Translating neuroscience research to oral medicine: oxytocin and
human behavior
Author(s): Nash, DA (Nash, D. A.)
Source: ORAL DISEASES Volume: 21 Issue: 7 Pages: 913-917 DOI:
10.1111/odi.12359 Published: OCT 2015
Document Type: Letter
Record 19 of 98
Title: Dental care protocol based on visual supports for children with
autism spectrum disorders
Author(s): Cagetti, MG (Cagetti, Maria Grazia); Mastroberardino, S
(Mastroberardino, Stefano); Campus, G (Campus, Guglielmo); Olivari, B
(Olivari, Benedetta); Faggioli, R (Faggioli, Raffaella); Lenti, C (Lenti, Carlo);
Strohmenger, L (Strohmenger, Laura)
Source: MEDICINA ORAL PATOLOGIA ORAL Y CIRUGIA BUCAL Volume: 20
Issue: 5 Pages: E598-E604 Article Number: 20424 DOI:
10.4317/medoral.20424 Published: SEP 2015
Abstract: Background: Subjects with Autism Spectrum Disorders (ASDs)
have often difficulties to accept dental treatments. The aim of this study is
to propose a dental care protocol based on visual supports to facilitate
children with ASDs to undergo to oral examination and treatments.
Material and Methods: 83 children (age range 6-12 years) with a signed
consent form were enrolled; intellectual level, verbal fluency and
cooperation grade were evaluated. Children were introduced into a four
stages path in order to undergo: an oral examination (stage 1), a
professional oral hygiene session (stage 2), sealants (stage 3), and if
necessary, a restorative treatment (stage 4). Each stage came after a
visual training, performed by a pschologist (stage 1) and by parents at
home (stages 2, 3 and 4). Association between acceptance rates at each
stage and gender, intellectual level, verbal fluency and cooperation grade
was tested with chi-square test if appropriate.
Results: Seventy-seven (92.8%) subjects overcame both stage 1 and 2. Six
(7.2%) refused stage 3 and among the 44 subjects who need restorative
treatments, only three refused it The acceptance rate at each stage was
statistically significant associated to the verbal fluency (p=0.02, p=0.04;
p=0.01, respectively for stage 1, 3 and 4). In stage 2 all subjects accepted
to move to the next stage. The verbal/intellectual/cooperation dummy
variable was statistically associated to the acceptance rate (p<0.01).
Conclusions: The use of visual supports has shown to be able to facilitate
children with ASDs to undergo dental treatments even in non-verbal
children with a low intellectual level, underlining that behavioural
approach should be used as the first strategy to treat patients with ASDs
in dental setting.
Record 20 of 98
Title: Our experience about the use of resorbable plates in the treatment
of craniostenosis
Author(s): Grassiot, B (Grassiot, B.); Delabar, V (Delabar, V.); Szathmari, A
(Szathmari, A.); Beuriat, PA (Beuriat, P. A.); Paulus, C (Paulus, C.);
Mottolese, C (Mottolese, C.)
Source: REVUE DE STOMATOLOGIE DE CHIRURGIE MAXILLO-FACIALE ET DE
CHIRURGIE ORALE Volume: 116 Issue: 4 Pages: 245-249 DOI:
10.1016/j.revsto.2015.06.007 Published: SEP 2015
Abstract: Introduction. The use of resorbable plates increases for
craniosynostosis surgery. This material, based on polymere (PLA, PGA) can
replace steel wire and non resorbable plates. A few studies present
surgical results about the use of this material with a long follow-up. We
present our ten years experience of using resorbable material for
craniosynostosis treatment in children.
Methods. Between 2002 and 2012, we operated 283 craniosynostosis (98
scaphocephalies, 55 trigonocephalies, 79 plagiocephalies et 51
craniofaciostenoses). Among these surgeries, 211 were realized with
resorbable material (plates and screws). Different criteria were observed:
the esthetic result, the infection rate, the re-intervention, the bone defects
and the inflammatory granuloma.
Results. Among the 211 craniosynostosis, we found 62 plagiocephalies, 66
scaphocephalies, 50 trigonocephalies, 33 craniofaciostenoses. All the
reconstructions were realized with the same resorbable material
(Macropore by Medtronic). The rate of complications was low: one scar
infection without participation of material for two patients (0.9%), a
pseudo-meningocele for two patients (0.9%), epilepsy for four children
(1.8%) and bone defect for 15 (7%). We observed no granuloma for these
patients.
Conclusion. Our experience of ten years using resorbable material is very
satisfactory. This material permits to realize solid and esthetic
reconstructions with a low rate of infection without dangerous reaction for
children in young age. (C) 2015 Elsevier Masson SAS. All rights reserved.
Record 21 of 98
Title: STUDY POINTS TO EASIER DENTAL VISITS FOR CHILDREN WITH
AUTISM
Author(s): [Anonymous] ([Anonymous])
Source: JOURNAL OF THE AMERICAN DENTAL ASSOCIATION Volume: 146
Issue: 8 Pages: 570-571 DOI: 10.1007/s10803-015-2450-5 Published:
AUG 2015
Document Type: News Item
Record 22 of 98
Title: A cross-sectional study on oral health and dental care in intellectually
able adults with autism spectrum disorder
Author(s): Blomqvist, M (Blomqvist, My); Bejerot, S (Bejerot, Susanne);
Dahllof, G (Dahllof, Goran)
Source: BMC ORAL HEALTH Volume: 15 Article Number: 81 DOI:
10.1186/s12903-015-0065-z Published: JUL 15 2015
Abstract: Background: Autism spectrum disorder (ASD) is characterized by
impairments in social interaction and communication, restricted patterns
of behaviour, and unusual sensory sensitivities. The hypotheses to be
tested were that adult patients with ASD have a higher caries prevalence,
have more risk factors for caries development, and utilize dental health
care to a lesser extent than people recruited from the normal population.
Methods: Forty-seven adults with ASD, (25 men, 22 women, mean age 33
years) and of normal intelligence and 69 age-and sex-matched typical
controls completed a dental examination and questionnaires on oral
health, dental hygiene, dietary habits and previous contacts with dental
care.
Results: Except for increased number of buccal gingival recessions, the
oral health was comparable in adults with ASD and the control group. The
group with ASD had less snacking, but also less frequent brushing of teeth
in the mornings. The stimulated saliva secretion was lower in the ASD
group, regardless of medication. Frequencies of dental care contacts were
equal in both groups. The most common reason for missing a dental
appointment was forgetfulness in the ASD group.
Conclusions: Adults with ASD exhibited more gingival recessions and
considerably lower saliva flow compared to healthy controls. Despite equal
caries prevalence, the risk for reduced oral health due to decreased
salivary flow should be taken into consideration when planning dental care
for patients with ASD. Written reminders of dental appointments and
written and verbal report on oral health status and oral hygiene
instructions are recommended.
Record 23 of 98
Title: Motor, linguistic, personal and social aspects of children with Down
syndrome
Author(s): Ferreifta-Vasques, AT (Ferreifta-Vasques, Amanda Tragueta);
Lamonica, DAC (Cusin Lamonica, Dionisia Aparecida)
Source: JOURNAL OF APPLIED ORAL SCIENCE Volume: 23 Issue: 4 Pages:
424-430 DOI: 10.1590/1678-775720150102 Published: JUL-AUG 2015
Abstract: A global developmental delay is expected from Down syndrome,
affecting motor, cognitive, linguistic and personal-social skills. However,
not always these delays are proportional; different conditions occur due to
several intrinsic and extrinsic variables that must be controlled to form
groups of greater homogeneity. Objective: To enhance personal-social, fine
motor-adaptive, gross motor and linguistic skills among children with Down
syndrome and compare them with typically developing children, matched
for gender, socioeconomic status and mental age, while controlling some
variables that interfere with the global development. Methods: The ethical
aspects were fulfilled (Case No. 040/2009). The following inclusion criteria
were considered: participants without a history of prematurity, very low
birth weight, congenital hypothyroidism, significant hearing and vision
problems, and signs of Autism Spectrum Disorder. After the inclusion
criteria were considered, 40 children participated in the study, of which 20
had Down syndrome (experimental group - EG), these being of both
genders and with chronological ages ranging from 38 to 63 months, and
the other 20 being typically developing children (control group - CG),
matching the EG in terms of gender, socioeconomic status and mental
age, with this age ranging from 13 to 50 months. The evaluation consisted
in applying the Denver Developmental Screening Test II, a test that
assesses areas such as personal-social, fine motor-adaptive, linguistic and
gross motor development. The results were subjected to statistical
analysis using Student's t-test. Results: A statistically significant difference
was verified between the groups for the language and fine motor-adaptive
areas. Conclusion: Children with Down syndrome showed lower
performance in language and fine motor skills when compared with
typically developing children. There was no statistically significant
difference in gross motor and personal-social areas. It is worth mentioning
the importance of controlling the variables to deal with more
homogeneous groups.
Record 24 of 98
Title: Vaccine hesitancy and unfalsifiability
Author(s): Glick, M (Glick, Michael)
Issue: 7 Pages: 491-493 DOI: 10.1016/j.adaj.2015.05.003 Published: JUL
2015
Document Type: Editorial Material
Record 25 of 98
Title: A Systematic Review of Observational Studies Evaluating Implant
Placement in the Maxillary Jaws of Medically Compromised Patients
Author(s): Kotsakis, GA (Kotsakis, Georgios A.); Ioannou, AL (Ioannou,
Andreas L.); Hinrichs, JE (Hinrichs, James E.); Romanos, GE (Romanos,
Georgios E.)
Source: CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH Volume:
17 Issue: 3 Pages: 598-609 DOI: 10.1111/cid.12240 Published: JUN 2015
Abstract: BackgroundEven though the efficacy of implant treatment and
the excellent success rates that modern implant surfaces yield remain
unchallenged, there is limited information available on implant success
rates in medically compromised patients.
PurposeThe aim of this systematic review was to evaluate the survival of
implants placed in the maxillary jaws of medically compromised patients.
Materials and MethodsTwo reviewers using predefined selection criteria
performed an electronic search complemented by a manual search,
independently and in duplicate.
ResultsAfter the final selection, 11 studies reporting on four distinct
medical conditions were included out of 405 potentially eligible titles. In
detail, three studies reported on implants placed in diabetic patients, six
on implants placed in patients with a history of oral cancer, one on
implants in patients with a history of epilepsy, and one on implants in
patients with autoimmune rheumatoid arthritis.
ConclusionsPlacement of maxillary implants in medically compromised
patients seems to yield acceptable survival rates. Implant survival in well-
controlled diabetic patients, patients diagnosed with rheumatoid arthritis,
and patients treated for severe epilepsy is comparable to that in healthy
patients. Implants placed in the maxillae of patients treated for oral cancer
may attain osseointegration less predictably than in the mandible.
Record 26 of 98
Title: An evaluation of clinical, radiological and three-dimensional dental
tomography findings in ectodermal dysplasia cases
Author(s): Dogan, MS (Dogan, Mehmet-Sinan); Callea, M (Callea, Michele);
Yavuz, I (Yavuz, Izzet); Aksoy, O (Aksoy, Orhan); Clarich, G (Clarich,
Gabriella); Gunay, A (Gunay, Ayse); Gunay, A (Gunay, Ahmet); Guven, S
(Guven, Sedat); Maglione, M (Maglione, Michele); Akkus, Z (Akkus, Zeki)
10.4317/medoral.20303 Published: MAY 2015
Abstract: Background: This study aimed to review the results related to
head and jaw disorders in cases of ectodermal dysplasia. The evaluation of
ectodermal dysplasia cases was made by clincal examination and
examination of the jaw and facial areas radiologically and on cone-beam 3-
dimensional dental tomography (CBCT) images.
Material and Methods: In the 36 cases evaluated in the study, typical
clinical findings of pure hypohidrotic ectodermal displasia (HED) were
seen, such as missing teeth, dry skin, hair and nail disorders. CBCT images
were obtained from 12 of the 36 cases, aged 1.5-45 years, and orthodontic
analyses were made on these images.
Results: The clinical and radiological evaluations determined, hypodontia
or oligodontia, breathing problems, sweating problems, a history of fever,
sparse hair, saddle nose, skin peeling, hypopigmentation,
hyperpigmentation, finger and nail deformities, conical teeth anomalies,
abnormal tooth root formation, tooth resorption in the root, gingivitis,
history of epilepsy, absent lachrymal canals and vision problems in the
cases which included to the study.
Conclusions: Ectodermal dysplasia cases have a particular place in
dentistry and require a professional, multi-disciplinary approach in respect
of the chewing function, orthognathic problems, growth, oral and dental
health. It has been understood that with data obtained from modern
technologies such as three-dimensional dental tomography and the
treatments applied, the quality of life of these cases can be improved.
Record 27 of 98
Title: Oral health in a group of patients with Rett syndrome in the regions
of Valencia and Murcia (Spain): A case-control study
Author(s): Fuertes-Gonzalez, MC (Fuertes-Gonzalez, Maria-Cristina);
Silvestre, FJ (Silvestre, Francisco-Javier)
Issue: 6 Pages: E598-E604 DOI: 10.4317/medoral.19743 Published: NOV
2014
Abstract: Objectives: Rett syndrome (RS) is a rare disease with oral
manifestations that have not been described in detail or in a standardized
manner in the literature. The present study describes the oral health of the
population with RS in two Spanish regions, following the protocol of the
World Health Organization for conducting common oral health surveys.
Study Design: A prospective, observational case-control study was carried
out, involving a group of patients with RS (n(1)=41) and a mean age of
13.37 +/- 3.19 years, and an age-and gender-matched control group
without RS (n(0)=82). The data referred to oral health and habits were
recorded by means of a questionnaire and oral examination was used to
document caries indicators (prevalence of caries, df(t), df(s), DMF(T),
DMF(S) and indices referred to dental loss, morbidity, restoration), the
Community Periodontal Index (CPI), and the most characteristic oral
manifestations.
Results: The most frequent oral habit in the patients with RS was diurnal
bruxism, followed by stereotyped tongue movements and oral breathing.
The caries scores were lower in the RS population than in the control
group, but patients with RS showed greater periodontal alterations and a
greater prevalence of drooling, dental wear, high-arched palate and
anterior open bite.
Conclusions: The population with RS exhibits characteristic and early oral
habits and alterations, and periodontal problems that are more notorious
than caries disease, so that our efforts should focus on the diagnosis and
early correction of the parafunctional habits, promoting restorative
treatment, and providing instructions on correct oral hygiene.
Record 28 of 98
Title: Nonverbal Patient With Autism Spectrum Disorder and Obstructive
Sleep Apnea: Use of Desensitization to Acclimatize to a Dental Appliance
Author(s): Fetner, M (Fetner, Maggie); Cascio, CJ (Cascio, Carissa J.); Essick,
G (Essick, Gregory)
Published: NOV-DEC 2014
Abstract: Patients with autism spectrum disorders (ASDs) may have
difficulty tolerating conventional dental treatment due to aberrant sensory
responsiveness. The purpose of this report was to describe the successful
treatment of obstructive sleep apnea (OSA) in a nonverbal 20-year-old
male patient with ASD using a dental appliance. A series of appointments
prepared the patient for the required treatment procedures and
desensitized him for use of the final appliance. The final appliance
improved outcomes of a post-treatment sleep study, indicating successful
treatment of OSA. Understanding the specific challenges of patients with
ASD and the patience and foresight of providers in approaching these
challenges, in collaboration with caregivers, can contribute to improved
health outcomes for these patients.
Record 29 of 98
Title: Temporomandibular dysfunction post-craniotomy: Evaluation
between pre- and post-operative status
Author(s): Costa, ALF (Ferreira Costa, Andre Luiz); Yasuda, CL (Yasuda,
Clarissa Lin); Franca, M (Franca, Marcondes, Jr.); de Freitas, CF (de Freitas,
Claudio Froes); Tedeschi, H (Tedeschi, Helder); de Oliveira, E (de Oliveira,
Evandro); Cendes, F (Cendes, Fernando)
Source: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY Volume: 42 Issue:
7 Pages: 1475-1479 DOI: 10.1016/j.jcms.2014.04.016 Published: OCT
2014
Abstract: Objective: To identify risk factors associated with post-operative
temporomandibular joint dysfunction after craniotomy.
Methods: The study sample included 24 patients, mean age of 37.3 +/- 10
years; eligible for surgery for refractory epilepsy, evaluated according to
RDC/TMD before and after surgery. The primary predictor was the time
after the surgery. The primary outcome variable was maximal mouth
opening. Other outcome variables were: disc displacement, bruxism, TMJ
sound, TMJ pain, and pain associated to mandibular movements. Data
analyses were performed using bivariate and multiple regression methods.
Results: The maximal mouth opening was significantly reduced after
surgery in all patients (p = 0.03). In the multiple regression model, time of
evaluation and pre-operative bruxism were significantly (p < .05)
associated with an increased risk for TMD post-surgery.
Conclusion: A significant correlation between surgery follow-up time and
maximal opening mouth was found. Pre-operative bruxism was associated
with increased risk for temporomandibular joint dysfunction after
craniotomy. (C) 2014 European Association for Cranio-Maxillo-Facial
Surgery. Published by Elsevier Ltd. All rights reserved.
Record 30 of 98
Title: Behavioural aspects of patients with Autism Spectrum Disorders
(ASD) that affect their dental management
Author(s): Limeres-Posse, J (Limeres-Posse, Jacobo); Castano-Novoa, P
(Castano-Novoa, Patricia); Abeleira-Pazos, M (Abeleira-Pazos, Maite);
Ramos-Barbosa, I (Ramos-Barbosa, Isabel)
Issue: 5 Pages: E467-E472 DOI: 10.4317/medoral.19566 Published: SEP
2014
Abstract: Dental treatment in patients with Autism Spectrum Disorders
(ASD) can be complicated due to the presence of behavioral alterations. In
this group, there are no specific behavioral profiles that allow dentist to
anticipate the attitude that a patient will show during a visit. Thus,
behavioral attitudes have been described that vary from total
permissiveness and collaboration during even bloody procedures, to the
absolute impossibility in conducting a simple oral examination.
There is no effective behavioral management technique for all ASD
patients. Prior information, such as the type of ASD or the presence of
certain concurrent pathologies can help predict the patient's likely
behavior. Therefore, gathering all the information in a preliminary
interview with the parents/guardians of the patient is recommended.
Knowing these factors will allow individualized behavioral management
strategies to be designed and facilitates the planning of dental treatment.
Record 31 of 98
Title: Consensus Report of the XI Congress of the Spanish Society of
Odontology for the Handicapped and Special Patients
Author(s): Machuca-Portillo, G (Machuca-Portillo, Guillermo); Cabrerizo-
Merino, C (Cabrerizo-Merino, Carmen); Cutando-Soriano, A (Cutando-
Soriano, Antonio); Gimenez-Prats, MJ (Gimenez-Prats, Maria-Jose);
Silvestre-Donat, FJ (Silvestre-Donat, Farncisco-Javier); Tomas-Carmona, I
(Tomas-Carmona, Inmaculada)
Issue: 5 Pages: E495-E499 DOI: 10.4317/medoral.19569 Published: SEP
2014
Abstract: This article summarizes the findings of consensus of the XI
congress of the SEOEME. All of these conclusions are referring to the
review articles responsible to the general rapporteurs in order to bringing
up to date knowledge with regard to the use of implants in patients
medically compromised and with special needs and, in the dental
management of autism and cerebral palsy, in the dental treatment of
patients with genetic and adquired haematological disorders, the dental
implications of cardiovascular disease and hospital dentistry.
Record 32 of 98
Title: Correlation between oral health in disabled children and depressive
symptoms in their mothers
Author(s): D'Alessandro, G (D'Alessandro, G.); Cremonesi, I (Cremonesi, I.);
Alkhamis, N (Alkhamis, N.); Piana, G (Piana, G.)
Source: EUROPEAN JOURNAL OF PAEDIATRIC DENTISTRY Volume: 15
Issue: 3 Pages: 303-308 Published: SEP 2014
Abstract: Aim The aim of this study was to evaluate the presence and
degree of depressive symptoms in mothers of disabled children and to
assess the correlation between maternal major depression risk and
son/daughter oral health.
Materials and methods A prospective study was conducted in 51 disabled
children and their 51 mothers. In children dmft/DMFT values, food and/or
sugar-sweetened consumption levels and daily tooth brushing frequency
were evaluated. Depressive maternal symptoms were Measured by EDPS
questionnaire: the questionnaire scores were converted into positive
predictive values (PPV) that represented the risk of falling into major
depression. A regression analysis was performed on the variables (statical
significance was set at p value <= 0.05).
Results Children (8.68 +/- 3.98 years old) average dmft/DMFT was 2.7 Fifty
three percent of the mothers (38.37 +/- 6.04 years) were at risk for
depression (PPV>60%), while depressive symptoms were already present
in 25% of the subjects (PPV=100%).
Discussion and conclusion Mothers of disabled Children are more likely to
fall into major depression compared to mothers of healthy children. For
each mother-child couple the correlation between different variables was
evaluated: there was a statistically significant Correlation between
children's dmft/ DMFT values and mothers' depression risk. The risk of
maternal depression was statistically correlated to prevalence of caries
and sugar consumption in children.
Record 33 of 98
Title: Association between anticonvulsant drugs and teeth-grinding in
children and adolescents with cerebral palsy
Author(s): Ortega, AOL (Ortega, A. O. L.); Dos Santos, MTBR (Dos Santos,
M. T. B. R.); Mendes, FM (Mendes, F. M.); Ciamponi, AL (Ciamponi, A. L.)
Source: JOURNAL OF ORAL REHABILITATION Volume: 41 Issue: 9 Pages:
653-658 DOI: 10.1111/joor.12185 Published: SEP 2014
Abstract: The relation between teeth-grinding and the use of drugs acting
on the central nervous system of cerebral palsy (CP) patients has not yet
been described. The aim of this research was to evaluate the presence or
absence of teeth-grinding (sleep and/or awake periods) in normal and in
CP children and adolescents, as well as the association of teeth-grinding
and use of anticonvulsant drugs. The sample consisted of 207 children and
adolescents, divided into three groups: G1, individuals with CP who did not
take anticonvulsant drugs; G2, individuals with CP administered
medications on a regular basis; and CG, normal individuals. Logistic
regression analyses were performed to evaluate the association of teeth-
grinding with some variables. No significant statistical differences were
observed regarding the presence or absence of teeth-grinding when G1
and G2 were compared. However, compared with the CG, a statistically
significant difference was determined, with the CG showing fewer children
presenting teeth-grinding (P < 0.001). Among those children/adolescents
prescribed drug therapy, the barbiturate group showed a greater
frequency of teeth-grinding. CP children and adolescents show a greater
and significant presence of grinding of the teeth compared with normal
individuals. Subjects taking barbiturate drugs showed greater presence of
teeth-grinding, than those who were taking medications from the other
groups of anticonvulsant drugs.
Record 34 of 98
Title: Oral health status and behaviours of children with Autism Spectrum
Disorder: a case-control study
Author(s): El Khatib, AA (El Khatib, Amira A.); El Tekeya, MM (El Tekeya,
Magda M.); El Tantawi, MA (El Tantawi, Maha A.); Omar, T (Omar, Tarek)
Source: INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY Volume: 24
Issue: 4 Pages: 314-323 DOI: 10.1111/ipd.12067 Published: JUL 2014
Abstract: Background. Autism Spectrum Disorder (ASD) is a lifelong neuro-
developmental disorder characterized by abnormalities in social
interactions and communication and by stereotyped, repetitive activities.
Purpose. Assess the oral health status and behaviours of children with
ASD.
Methods. The study included 100 children with ASD and 100 healthy
children from Alexandria, Egypt. Data were collected using a questionnaire
and clinical examination. Questionnaire assessed socio-demographics,
medical history, dental history, oral hygiene, dietary habits, and presence
of self-injurious behaviours. Clinical examination assessed behaviour
during examination, gingival condition, plaque accumulation, caries, and
other oral conditions.
Results. Children with ASD had significantly poorer oral hygiene and
gingival condition than healthy children (P < 0.001 for both). No significant
differences were found in caries prevalence or experience in primary or
permanent dentition. More children with ASD behaved 'negatively' or
'definitely negatively' (37% and 11%) than did healthy controls (11% and
2%) (P < 0.0001). Self-injurious behaviour and bruxism were more
practised by children with ASD (32% of children with ASD and 2% of
healthy children, P < 0.001). More children with ASD had difficulty in
accessing dental care (P = 0.002).
Conclusions. The oral condition of children with ASD might increase the
risk of developing dental diseases. Their behaviour and life factors may
complicate provision of services and limit access to dental care. Therefore,
individualized oral health education programmes should be implemented
for those children.
Record 35 of 98
Title: AUTISM SPECTRUM DISORDERS: AN UPDATE ON ORAL HEALTH
MANAGEMENT
Author(s): Gandhi, RP (Gandhi, Roopa P.); Klein, U (Klein, Ulrich)
Source: JOURNAL OF EVIDENCE-BASED DENTAL PRACTICE Volume: 14
Pages: 115-126 DOI: 10.1016/j.jebdp.2014.03.002 Supplement: S
Published: JUN 2014
Abstract: Dental professionals caring for patients with a diagnosis of
autism spectrum disorder (ASD) will need to provide oral health care based
on a family-centered approach that involves a comprehensive
understanding of parental concerns and preferences, as well as the unique
medical management, behaviors, and needs of the individual patient.
Background
With the rising prevalence of autism spectrum disorders (ASD), oral health
providers will find themselves increasingly likely to care for these patients
in their daily practice. The purpose of this article is to provide a
comprehensive update on the medical and oral health management of
patients with autism spectrum disorders.
Methods
The authors conducted a literature review by searching for relevant
articles written in English in the PubMed database pertaining to the
medical and oral health management of autism, including caries status,
preventive, behavioral, trauma, and restorative considerations.
Conclusions
A detailed family centered approach based on parental preferences and
concerns, the patient's challenging behaviors, and related comorbidities
can serve to improve the treatment planning and oral health management
of dental patients with ASD.
Record 36 of 98
Title: Children with Special Health Care Needs: Exploring the Relationships
between Patients' Level of Functioning, Their Oral Health, and Caregivers'
Oral Health-related Responses
Author(s): Petrova, EG (Petrova, Elena G.); Hyman, M (Hyman, Michael);
Estrella, MRP (Estrella, Maria Regina Padilla); Inglehart, MR (Inglehart,
Marita R.)
Published: MAY-JUN 2014
Abstract: Purpose: The purposes of this study were to increase dentists'
understanding of how to best engage parents and their children with
special health care needs (SHCN) in oral health promotion efforts and
explore the relationships between these patients' level of functioning. and
oral health and their parents' comfort concerning oral health promotion.
Methods: Survey data were collected from 154 caregivers of SHCN
children. Children's oral health data were obtained from their clinical
charts. Results: The patients' level of functioning ranged from the lowest
to the highest regarding their ability to listen/understand, talk, relate to
others, care for themselves, play with others, and participate in physical
activities. Children's gingival health was correlated with their ability to talk
(r=-.12; P<.05). Their oral hygiene score correlated with their ability to talk
(r=.18; P<.05) and their skills in social play interactions (r=.21; P<.05).
The parents' comfort level concerning oral health promotion correlated
positively with their child's level of functioning. Parents' interest in
receiving oral health instruction correlated positively with their child's level
of functioning. Conclusions: Understanding patient's level of functioning
might predict the degree to which parents actually engage in oral health
promotion efforts and are interested in oral health-related education.
Record 37 of 98
Title: Dentition Abnormalities in a Timothy Syndrome Patient With a Novel
Genetic Mutation: A Case Report
Author(s): Papineau, SD (Papineau, Scott D.); Wilson, S (Wilson, Stephen)
Abstract: The purpose of this paper was to present the case of a two-year-
old male diagnosed with Timothy syndrome who presented with
generalized enamel defects in the primary dentition. Timothy syndrome is
an autosomal dominant condition characterized by a de novo missense
mutation in the Ca(v)1.2 L-type calcium channel CACNA1C. Timothy
syndrome patients present with multiple clinical manifestations, including:
cardiac arrhythmias; syndactyly; immune deficiency; intermittent
hypoglycemia; and neurologic issues, including seizures, mental
retardation, hypotonia, and autism. Craniofacial abnormalities reported
include: low-set ears; flat nasal bridge; small upper jaw; thin upper lip;
round face; and baldness at birth. Abnormalities in the dentition have been
reported, including small, misplaced teeth with poor enamel and severe
caries. At present, there is no thorough description of the dental
abnormalities seen in a patient with Timothy syndrome.
Record 38 of 98
Title: A new indicator of the oral hygiene habits of disabled persons:
relevance of the carer's personal appearance and interest in oral health
Author(s): Limeres, J (Limeres, J.); Martinez, F (Martinez, F.); Feijoo, JF
(Feijoo, J. F.); Ramos, I (Ramos, I.); Linares, A (Linares, A.); Diz, P (Diz, P.)
Source: INTERNATIONAL JOURNAL OF DENTAL HYGIENE Volume: 12 Issue:
2 Pages: 121-126 DOI: 10.1111/idh.12033 Published: MAY 2014
Abstract: Objective
To investigate whether there is a relationship between the oral hygiene
habits of individuals with severe disability the carer's personal appearance
and interest in oral health.
Patients and methods
The study group was formed of 60 disabled persons and their respective
carers who came for the first time to consultation in the Special-Needs
Dentistry Unit of the University of Santiago de Compostela, Spain. All the
carers answered a standardised questionnaire of 28 questions divided into
four sections: disabled individual's demographic data, disabled individual's
general medical details, social aspects of the carer (personal appearance
of the carer and interest in oral health), and disabled individual's oral
hygiene habits. The personal appearance of the carers and their interest in
the disabled individual's oral health were evaluated using independent
scales designed specifically for the study, with five binary items in each
scale.
Results
The carer's personal appearance and interest in the disabled individual's
oral health showed a statistically significant relationship with the
individual's oral hygiene habits, particularly with respect to the frequency
and duration of toothbrushing, need for physical restraint during
toothbrushing, use of a manual toothbrush and use of toothpaste.
Conclusions
The carer's personal appearance and interest in the disabled individual's
oral health are good indicators of the oral hygiene habits of an individual
with severe disability. Consideration should be given to the inclusion of
these aspects as a complementary element of the dental record.
Record 39 of 98
Title: Specialist management of routine dental procedures in adults with
refractory epilepsy
Author(s): Ransford, N (Ransford, N.); Soryal, I (Soryal, I.); McCorry, D
(McCorry, D.); Sander, JW (Sander, J. W.); Duncan, F (Duncan, F.); Huggins,
N (Huggins, N.)
Source: BRITISH DENTAL JOURNAL Volume: 216 Issue: 7 Pages: 403-407
DOI: 10.1038/sj.bdj.2014.247 Published: APR 2014
Abstract: Little published information exists about the management of
dental treatment procedures for people with epilepsy who, despite their
medication, continue to have seizures. This paper draws on relevant
literature in neurology and anaesthetics to provide a multi-speciality
consensus on methods of assessment and adjunctive treatment options in
order to manage the risk of a clinically significant seizure occurring during
a procedure. It aims to enhance current guidelines and practice in the
provision of specialist care for this diverse group.
Record 40 of 98
Title: Occurrence of oral trauma in young epileptic patients
Author(s): Gerreth, K (Gerreth, K.); Gerreth, P (Gerreth, P.)
Issue: 1 Pages: 13-16 Published: MAR 2014
Abstract: Aim People with reduced efficiency, as well as those who
experience seizures, are prone to traumatic injuries within the facial
skeleton. This study aimed to evaluate the incidence of traumatic injuries
of the oral cavity in epileptic children and youths from special-care
schools.
Materials and methods The study was carried out in children and youths
with intellectual disability attending special-care schools in the city of
Poznan (Poland). The study group comprised 63 epileptic students (31
female and 32 male), aged 6-20 years. Information on disease prevalence
was obtained from medical records. The control group consisted of 63
students (23 female and 40 male), aged 7-20 years, not suffering from
epilepsy, randomly selected from individuals in the same schools. The
examination included assessment of dental traumatic injuries (crown
fracture or traumatic tooth loss). Statistics: For statistical analysis relating
to differences in the occurrence of injuries of teeth between epileptic
subjects and control group, the chi-square test was used, but in case of a
low number of observations, chi-square with Yates's correction.
Results Crown's fracture of permanent teeth was reported in 10 subjects
(15.9% of all patients), which involved 13 permanent incisors. Tooth loss as
a result of the injury was seen only in one 14-year-old subject. However, in
the control group, symptoms of crown's fracture were found in six
permanent teeth in 4 patients (6.4% of all subjects).
Conclusion It is necessary to provide appropriate dental care to epileptic
patients because Of the risk of injuries and the need for a special
prosthoclontic rehabilitation.
Record 41 of 98
Title: Caries Experience and Overall Health Status
Author(s): Johnston, L (Johnston, Lindsay); Vieira, AR (Vieira, Alexandre R.)
Source: ORAL HEALTH & PREVENTIVE DENTISTRY Volume: 12 Issue: 2
Pages: 163-170 DOI: 10.3290/j.ohpd.a31670 Published: 2014
Abstract: Purpose: The aim of this work was to evaluate whether self-
reported systemic diseases were associated with caries experience.
Materials and Methods: Medical history data and caries experience (DMFT
and DMFS; Decayed, Missing due to caries, Filled Teeth/Surface) were
obtained from the University of Pittsburgh School of Dental Medicine
dental registry and DNA repository. Information on 1,281 subjects was
evaluated (839 with primary caries and 492 with secondary caries
experience). Regression analysis was used to test for association between
caries experience and disease status.
Results: Associations were found between caries experience and specific
conditions: stroke (R-2 = 0.007, P = 0.001), asthma (R-2 = 0.003, P =
0.025), hepatitis (R-2 = 0.009, P = 0.0001), liver disease (R-2 = 0.009, P =
0.00001), high blood pressure (R-2 = 0.072, P = 0.00001) and diabetes
(R2 = 0.03, P = 0.00001). We found primary caries to be associated with
hepatitis (DMFT with R-2 = 0.011, P = 0.002 and DMFS with R-2 = 0.008, P
= 0.006). We also found an association between secondary caries and
asthma (DMFS with R-2 = 0.006, P = 0.04), high blood pressure (DMFT
with R-2 = 0.014, P = 0.005 and DMFS with R-2 = 0.043, P = 0.00001) and
diabetes (DMFT with R-2 = 0.013, P = 0.007 and DMFS with R-2 = 0.023, P
= 0.00001).
Conclusion: Hepatitis, asthma, high blood pressure, stroke, liver disease
and diabetes are associated with higher caries experience.
Record 42 of 98
Title: A toothbrush impalement injury of the floor of mouth in autism child
Author(s): Sasaki, R (Sasaki, Ryo); Uchiyama, H (Uchiyama, Hiroto);
Okamoto, T (Okamoto, Toshihiro); Fukada, K (Fukada, Kenji); Ogiuchi, H
(Ogiuchi, Hideki); Ando, T (Ando, Tomohiro)
Source: DENTAL TRAUMATOLOGY Volume: 29 Issue: 6 Pages: 467-468
DOI: 10.1111/j.1600-9657.2012.01116.x Published: DEC 2013
Abstract: - Penetrating injuries in the oral cavity are common in children.
However, penetrating injuries with retained foreign bodies are rare. We
report a case of a toothbrush impalement injury of the floor of the mouth
in a child with autism. A 5-year-old boy with autism presented with an
accidentally impaled toothbrush in the oral cavity. He was taken to the
operation room and examined under general anesthesia. The handle of the
toothbrush was cut off using rib scissors for mask ventilation, and intra-
oral intubation was performed. The toothbrush was located approximately
2.5cm into the floor of the mouth. The toothbrush was removed
uneventfully. Intravenous antibiotic therapy was instituted during
hospitalization, and discharge from the hospital occurred 4days after the
operation.
Record 43 of 98
Title: Management of children with autism spectrum disorder in the dental
setting: Concerns, behavioural approaches and recommendations
Author(s): Delli, K (Delli, Konstantina); Reichart, PA (Reichart, Peter A.);
Bornstein, MM (Bornstein, Michael M.); Livas, C (Livas, Christos)
10.4317/medoral.19084 Published: NOV 2013
Abstract: Objectives: This article reviews the present literature on the
issues encountered while coping with children with autistic spectrum
disorder from the dental perspective. The autistic patient profile and
external factors affecting the oral health status of this patient population
are discussed upon the existing body of evidence.
Material and Methods: The MEDLINE database was searched using the
terms 'Autistic Disorder', 'Behaviour Control/methods', 'Child', 'Dental care
for disabled', 'Education', 'Oral Health', and 'Pediatric Dentistry' to locate
related articles published up to January 2013.
Results: Most of the relevant studies indicate poor oral hygiene whereas
they are inconclusive regarding the caries incidence in autistic individuals.
Undergraduate dental education appears to determine the competence of
dental professionals to treat developmentally disabled children and
account partly for compromised access to dental care. Dental
management of an autistic child requires in-depth understanding of the
background of the autism and available behavioural guidance theories.
The dental professional should be flexible to modify the treatment
approach according to the individual patient needs.
Record 44 of 98
Title: Antiepileptic drugs (AEDs) during pregnancy and risk of congenital
jaw and oral malformation
Author(s): Koo, J (Koo, J.); Zavras, A (Zavras, A.)
Source: ORAL DISEASES Volume: 19 Issue: 7 Pages: 712-720 DOI:
10.1111/odi.12061 Published: OCT 2013
Abstract: In the United States, an estimate of 1.3million women suffering
from epilepsy are in their childbearing age. Potential teratogenicity of
antiepileptic drugs (AEDs) is of concern to these women considering
pregnancy because discontinuing pharmacotherapy during pregnancy may
not be advised due to the risk of seizures that may be dangerous to the
mother as well as the fetus. Using a Relational Online Analytical Processing
(ROLAP) software licensed by Simultek, we searched for medications
reported for congenital jaw and oral cavity malformation on the FDA
Adverse Event Reporting System (AERS), a voluntary adverse event
reporting program that contains over 55 million adverse event reports of
medical products in the United.States. Our results indicate that various
forms of valproic acid, and more importantly, newer generation
antiepileptic agents including lamotrigine, topiramate, and gabapentin
show signals for either congenital jaw or oral malformation. Although
teratogenic potential of valproic acid has long been confirmed, information
on teratogenicity of the newer generation antiepileptic drugs is relatively
scarce and inconclusive. Early safety signals on the teratogenic potential
of AEDs detected in this study are crude statistics that do not establish
causation nor exclude confounding. The results require validation and
further investigation via properly controlled epidemiological studies.
Record 45 of 98
Title: Oral Care and Sensory Over-responsivity in Children with Autism
Spectrum Disorders
Author(s): Stein, LI (Stein, Leah I.); Polido, JC (Polido, Jose C.); Cermak, SA
(Cermak, Sharon A.)
Abstract: Purpose: The purpose of this study was to investigate the
relationship between sensory sensitivities and oral care difficulties in
children with autism spectrum disorders (ASDs) or typical development
(TD). Methods: Participants included 396 parents of 2- to 18-year-old
children with ASDs or TD who completed a questionnaire about oral care in
the home and dental office. Descriptive and bivariate analyses were
conducted to examine the association between sensory sensitivities and
oral care variables. Results: Both hypotheses were supported: (1) ASDs
children vs. TD children were reported to have a significantly greater
prevalence of sensory over-responsivity across all sensory domains; and
(2) ASDs children characterized as "sensory over-responders" exhibited a
significantly greater prevalence of oral care difficulty in the home and
dental office vs. ASDs children who responded more typically to sensory
stimuli ("sensory not over-responders"). Conclusions: This study provides
further evidence for the impact of sensory processing problems on oral
care, both in the home and dental office. Methods to best serve children
with autism spectrum disorders may include strategies that alter the
sensory characteristics of the dental environment as well as interventions
to reduce children's sensory sensitivities.
Record 46 of 98
Title: Evaluation of sedation in oral and maxillofacial surgery in ambulatory
patients: failure and complications
Author(s): Senel, AC (Senel, Ahmet Can); Altintas, NY (Altintas, Nuray
Yilmaz); Senel, FC (Senel, Figen Cizmeci); Pampu, A (Pampu, Alper); Tosun,
E (Tosun, Emre); Ungor, C (Ungor, Cem); Dayisoylu, EH (Dayisoylu, Ezher
Hamza); Tuzuner, T (Tuzuner, Tamer)
Source: ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL
RADIOLOGY Volume: 114 Issue: 5 Pages: 592-596 DOI:
10.1016/j.oooo.2012.03.008 Published: NOV 2012
Abstract: Objectives. This study evaluated the failure and complication
rates of sedation in ambulatory patients undergoing oral and maxillofacial
surgery.
Materials and Methods. This retrospective cohort study was carried out
among 619 patients who had undergone maxillofacial surgical procedures
under intravenous sedation with midazolam and fentanyl. Each patient's
age, American Society of Anesthesiologists (ASA) classification, systemic
condition, surgical procedure, complications, and failures were recorded
for evaluation.
Results. A total of 400 patients with ASA I, 199 with ASA II, and 20 with
ASA III between the ages of 9 months and 84 years were included in the
study. The most common systemic disorders in our patients were mental
retardation (35%), hypertension (19%), and epilepsy (15%). Evaluation of
the cases revealed 9 complications (1.4%) and 9 sedation failures (1.4%).
The complications were bradycardia, postoperative agitation and
hallucination, drug reaction, vomiting and nausea, desaturation, and
hypotension.
Conclusions. Our results in the oral and maxillofacial surgery clinic
revealed low complication and failure rates. (Oral Surg Oral Med Oral
Pathol Oral Radiol 2012;114:592-596)
Record 47 of 98
Title: Three- to 21-year-old Patients with Autism Spectrum Disorders:
Parents' Perceptions of Severity of Symptoms, Oral Health, and Oral
Health-related Behavior
Author(s): Weil, TN (Weil, Taryn N.); Inglehart, MR (Inglehart, Marita Rohr)
Abstract: Purpose: The purpose was to explore the relationship between
the level of functioning (listening/talking/reading/daily self-care/care at
home/social skills) of three to 21-year-old patients with autism spectrum
disorders (ASDs) and their oral health and oral health-related behavior
(brushing, flossing, dental visits). Methods: Survey data were collected
from 85 parents of ASD patients. Patients' level of functioning was
determined with a short version of the Survey Interview Form of the
Vineland Adaptive Behavior Scales (2nd edition). Results: The patients
ranged from very low to high levels of functioning. Oral health correlated
with the ability to: listen (r=.53; P<.001); talk (r=.40; P<.001); read
(r=.30; P<.01); engage in daily self-care (r=.36; P<.001); engage in care
at home (r=.44; P<.001); and demonstrate social skills (r=.36; P<.001).
The parents' comfort levels concerning brushing and flossing their
children's teeth and taking their children to the dentist varied considerably
and correlated with children's level of functioning. Frequency of tooth-
brushing correlated with listening skills (r=.31; P<.01); the frequency of
flossing correlated with the ability to talk (r=.31; P<.01). Conclusions:
Understanding the relationships between level of functioning of children
with ASDs and their oral health and oral health-related behavior could
increase dentists' ability to provide the best possible care for these
patients.
Record 48 of 98
Title: Preferences of Parents of Children with Autism Spectrum Disorders
Concerning Oral Health and Dental Treatment
Author(s): Capozza, LE (Capozza, Lauren E.); Bimstein, E (Bimstein,
Enrique)
Abstract: Purpose: The purpose of this study was to describe the
preferences of parents of children with or without autism spectrum
disorders (ASDs) concerning oral health and dental treatment. Methods: A
questionnaire that queried demographics, dental needs, perceptions of
dental materials and treatments, and parental concerns regarding relevant
ASD issues in medicine and dentistry was distributed in the waiting rooms
of a pediatric dental Clinic and an autism clinic to parents or legal
guardians of children undergoing treatment. The responses for the children
with or without ASDs were compared. Results: Statistically significant
differences between the ASDs (N=23 and non-ASDS (N=33) groups existed
for: parental age; frequency of dental visits per year; supervision of tooth-
brushing; and use of a fluoridated toothpaste. Statistically insignificant
differences were found in attitudes toward: amalgam; composite; fluoride
products; or behavior guidance techniques. Conclusions: Parents or legal
guardians of children with autism spectrum disorders are likely to have
special beliefs and preferences regarding dental materials and dental
behavior guidance.
Record 49 of 98
Title: Oral Care Experiences and Challenges in Children with Autism
Spectrum Disorders
Author(s): Stein, LI (Stein, Leah I.); Polido, JC (Polido, Jose C.); Najera, SOL
(Najera, Sandy Oliver Lopez); Cermak, SA (Cermak, Sharon A.)
Published: SEP-OCT 2012
Abstract: Purpose: The purpose of this study was to investigate the
differences between children with autism spectrum disorders (ASD) and
their typically developing peers in relation to aspects of oral care.
Methods: Participants included 396 parents of ASD children or typically
developing 2- to 18-year-olds. Parents completed a 37-item questionnaire
designed by authors to elicit information about oral core in the home and
dental office. Descriptive, bivariate, and multivariate regression analyses
were conducted to examine the association between diagnostic group and
oral care variables. Results: Significantly more parents of ASD children
than parents of typically developing children reported difficulty across
almost all oral care variables explored, including oral care in the home,
oral core at the dentist, and access to oral care. Following multivariate
regression to control for possible confounders including age, gender,
Hispanic status, and paternal education level all previously significant
variables remained significant. Conclusion: This study indicates that
children with autism spectrum disorders experience greater difficulties and
barriers to care in both the home and dental office settings than their
typically developing peers.
Record 50 of 98
Title: Salivary antioxidants and oral health in children with autism
Author(s): Rai, K (Rai, Kavita); Hegde, AM (Hegde, Amitha M.); Jose, N
(Jose, Nijo)
Source: ARCHIVES OF ORAL BIOLOGY Volume: 57 Issue: 8 Pages: 1116-
1120 DOI: 10.1016/j.archoralbio.2012.03.006 Published: AUG 2012
Abstract: Individuals with autism vary widely in abilities, intelligence, and
behaviours. Autistic children have preferences for soft and sweetened food
making them susceptible to caries. A wide spectrum of medical and
behavioural symptoms is exhibited by children with autism, which makes
routine dental care very difficult in them. Mental retardation is evident in
approximately 70% of individuals with autism and most psychiatric
disorders including autism are associated with increased oxidative stress.
Objectives: To evaluate the oral health status of children with autism and
to determine the salivary pH and total salivary antioxidant concentration
(TAC).
Materials and methods: 101 subjects with autism between age group of 6
and 12 year were part of the study and 50 normal healthy siblings of same
age group were taken as control group. Oral health status was analysed
using oral hygiene index-simplified and dentition status index. The salivary
total anti-oxidant level was estimated using phosphomolybdic acid using
spectrophotometric method and the salivary pH using the pH indicating
paper. The results were statistically analyzed using Mann-Whitney U test.
Results: A statistically very highly significant difference was seen in the
mean oral hygiene index scores (autistic group-1.2 and control group-1, P
< 0.001) and the mean salivary total antioxidant concentration (autistic
group - 5.71 mu g/ml and control group - 38 mu g/ml, P < 0.001). No
statistical significant difference was observed in the dental caries status
and the salivary pH of autistic group and the control group.
Conclusions: Similar dental caries status was observed in children with
autism and their healthy normal siblings. Oral hygiene was poor in children
with autism whereas the Salivary TAC was significantly reduced in autistic
children. (C) 2012 Elsevier Ltd. All rights reserved.
Record 51 of 98
Title: Gingival overgrowth in partially edentulous ridges in an elderly
female patient with epilepsy: a case report
Author(s): Dhingra, K (Dhingra, Kunaal); Prakash, S (Prakash, Shobha)
Source: GERODONTOLOGY Volume: 29 Issue: 2 Pages: E1201-E1206
DOI: 10.1111/j.1741-2358.2012.00624.x Published: JUN 2012
Abstract: Background: Drug-influenced gingival overgrowth is an
unaesthetic overgrowth of gingiva principally associated with intake of
drugs like phenytoin, cyclosporin A and nifedipine. Its occurrence in both
dentate and edentulous regions of oral cavity is poorly understood.
Objectives: This report highlights clinical and histological description,
aetiology and management of gingival overgrowth in a partially
edentulous (non-denture wearer) 60-year-old female patient with epilepsy
on phenytoin and phenobarbital drugs from past 7 years.
Materials and methods: Patient's intraoral examination revealed lobulated
and fibrotic consistency gingival overgrowth around teeth and on partially
edentulous ridges of upper and lower arches along with generalised tooth
mobility. Under medical consultation, full mouth extraction, surgical
excision of overgrowth followed by complete denture rehabilitation and
replacement of combination drugs with sodium valproate were
accomplished.
Results: Histologically, the lesion showed fibro-epithelial hyperplasia.
Clinical results after 6 months demonstrated almost complete resolution of
gingival overgrowth.
Conclusion: The findings of present case suggest that gingival overgrowth
can occur even in partially edentulous ridges (not exposed to denture
wear) that could be due to persistence of gingival overgrowth, which may
not resolve completely following tooth extraction or occurs because of
incorporation of specific subpopulation of gingival fibroblasts in alveolar
ridge mucosa.
Record 52 of 98
Title: Oral manifestations in a group of adults with autism spectrum
disorder
Author(s): Orellana, LM (Orellana, Lorena-Mirtala); Silvestre, FJ (Silvestre,
Francisco-Javier); Martinez-Sanchis, S (Martinez-Sanchis, Sonia); Martinez-
Mihi, V (Martinez-Mihi, Victoria); Bautista, D (Bautista, Daniel)
10.4317/medoral.17573 Published: MAY 2012
Abstract: Objective: A number of studies have evaluated the oral health of
patients with autism spectrum disorder (ASD), though most have involved
children, and no specific oral manifestations have been described. The
present study describes the buccodental disorders and hygiene habits in a
group of adults with ASD.
Study Design: A prospective case-control study was made of a group of
patients with ASD (n=30), with a mean age of 27.7 +/- 5.69 years, and of
a healthy age-and gender-matched control group (n=30). An evaluation
was made of the medical history, medication, oral hygiene habits and oral
diseases, with determination of the CAOD, CAOS and OHI-S oral hygiene
scores.
Results: Most of the patients in the ASD group used two or more drugs and
were assisted in brushing 2-3 times a day. The most frequent
manifestations were bruxism, self-inflicted oral lesions and certain
malocclusions. The CAOD and CAOS scores were significantly lower than in
the controls.
Conclusions: Adults with ASD and assisted dental hygiene presented fewer
caries than the non-disabled population. However, bruxism, ogival palate
and anterior open bite were frequent in the patients with ASD.
Record 53 of 98
Title: Suberoylanilide Hydroxamic Acid Enhances Odontoblast
Differentiation
Author(s): Kwon, A (Kwon, A.); Park, HJ (Park, H. -J.); Baek, K (Baek, K.);
Lee, HL (Lee, H. -L.); Park, JC (Park, J. -C.); Woo, KM (Woo, K. M.); Ryoo, HM
(Ryoo, H. -M.); Baek, JH (Baek, J. -H.)
Source: JOURNAL OF DENTAL RESEARCH Volume: 91 Issue: 5 Pages: 506-
512 DOI: 10.1177/0022034512443367 Published: MAY 2012
Abstract: Previous studies have shown that histone deacetylase (HDAC)
inhibitors stimulate osteoblast differentiation in vitro and bone formation in
vivo. However, the effects of HDAC inhibitors on odontoblasts have not
been elucidated. Therefore, in this study, we examined the effect of
suberoylanilide hydroxamic acid (SAHA), an HDAC inhibitor, on odontoblast
differentiation using an MDPC23 odontoblast-like cell line. SAHA
significantly enhanced matrix mineralization and the expression levels of
odontoblast marker genes. SAHA increased the expression levels of
nuclear factor I/C (Nfic) and dentin sialophosphoprotein (Dspp). Nfic bound
directly to the Dspp promoter and stimulated Dspp transcription. SAHA
increased both basal and Nfic-induced Dspp promoter activity. SAHA-
induced Dspp promoter activity disappeared when mutations were
introduced within the Nfic binding element of the Dspp promoter. Nfic
knockdown by siRNA blocked SAHA stimulation of Dspp expression. These
results indicate that SAHA enhances odontoblast differentiation and that
SAHA increases Dspp expression, at least in part, by increasing the
expression level of Nfic.
Record 54 of 98
Title: Phenytoin- and amlodipine-induced gingival overgrowth
Author(s): Chang, CW (Chang, Ching-Wen); Yang, CJ (Yang, Chih-Jen); Lai,
YL (Lai, Yu-Lin)
Source: JOURNAL OF DENTAL SCIENCES Volume: 7 Issue: 1 Pages: 85-88
DOI: 10.1016/j.jds.2012.01.013 Published: MAR 2012
Abstract: Drug-induced gingival overgrowth is an adverse event associated
with three types of drugs, i.e., anticonvulsants, immunosuppressants, and
calcium-channel blockers. It was shown that the combined use of an
immunosuppressant (cyclosporine) and a calcium-channel blocker
increases the prevalence and severity of gingival overgrowth. However,
few reports discussed the effects of the combination of an anticonvulsant
(phenytoin) and a calcium-channel blocker (amlodipine). In this case
report, we present an epilepsy patient who was using both phenytoin and
amlodipine, which caused extensive gingival overgrowth. After periodontal
treatment and a gingivectomy, the gingival overgrowth was significantly
reduced. A postoperative drug-substitution regimen and intensive
professional care ensured a stable result 1 year after surgery. Copyright (c)
2012, Association for Dental Sciences of the Republic of China. Published
by Elsevier Taiwan LLC. All rights reserved.
Record 55 of 98
Title: Vagus nerve stimulation therapy (VNST) in epilepsy - implications for
dental practice
Author(s): Lisowska, P (Lisowska, P.); Daly, B (Daly, B.)
DOI: 10.1038/sj.bdj.2012.47 Published: JAN 2012
Abstract: Epilepsy is a chronic condition which affects about 1% of the
population. It is important that the dental team is aware of the
management of epileptic seizures and epileptic syndromes including
recent advances in seizure management. As people with epilepsy often get
a warning aura before seizures begin, the management of the condition
has increasingly involved measures to prevent the seizure, once the aura
has begun. Vagus nerve stimulation therapy (VNST) in epilepsy involves
the use of an implantable electronic device and is being increasingly used
in the UK to control severe treatment resistant epilepsy. As a result, more
patients will be presented to clinicians in the primary healthcare setting
and hospital services with these devices in place. Members of the dental
team need to understand the principles of epilepsy control, how VNST is
used in the management of intractable epilepsy, how the VNST system
operates and the implications of VNST use for dental practice including
medical devices, interactions and safety features.
Record 56 of 98
Title: The Effects of Antiepileptic Drugs on Oral Health
Author(s): Cornacchio, ALP (Cornacchio, Angelica Lee Petrina); Burneo, JG
(Burneo, Jorge G.); Aragon, CE (Aragon, Cecilia E.)
Source: JOURNAL OF THE CANADIAN DENTAL ASSOCIATION Volume: 77
Pages: 1-8 Article Number: b140 Published: DEC 2 2011
Abstract: Objective: Long-term use of phenytoin (PHT) causes gingival
hyperplasia; however, little is known about the oral side effects of other
antiepileptic drugs (AEDs). Through a systematic review of the literature,
we explored the effects of AEDs on the oral health of patients with
epilepsy.
Methods: We searched PubMed, EMBASE and the Cochrane library
between January 1963 and August 2010. The search strategy retrieved
170 abstracts. We included studies that involved original research and had
>= 10 patients in our review. We also checked the reference lists of
reviews, letters and other manuscripts to find studies that met our
selection criteria.
Results: Only 15 articles were included in the final analysis. Gingival
hyperplasia was very common in patients taking PHT (16%-94% of
patients). Alveolar bone loss occurred in patients taking carbamazepine or
PHT. Patients taking valproate, carbamazepine or phenobarbital also had
gingival hyperplasia. We found no published studies of newer-generation
AEDs.
Conclusion: Although several studies examined the effects of PHT on oral
health, none have studied those of the newer generation of AEDs. Studies
exploring oral side effects of AEDs are needed.
Record 57 of 98
Title: Oral Health Status of Autistic Children in India
Author(s): Subramaniam, P (Subramaniam, P.); Gupta, M (Gupta, M.)
Pages: 43-47 Published: FAL 2011
Abstract: Autism is one of the most severe childhood neuropsychiatric
disorders. Autistic individuals are characterized by impairment in social
interaction with a restricted range of interests and often, stereotyped
repetitive behaviors. Studies on oral health conditions in children with
autism are sparse. The complicated disability itself makes clinical research
difficult. Aim: The need for baseline information regarding the oral health
status of children with autism is essential. Method: The present study
assessed the oral health status of 106 autistic children aged 4 to 15 years
in Bangalore city, India. The dental caries was recorded according to the
WHO criteria; oral hygiene was assessed using the Oral Hygiene Index-
Simplified (OHI-S) and its modification for deciduous dentition. The
behavior of children towards dental treatment was also assessed using the
Frankel's behavior rating scale. Data obtained was subjected to statistical
analysis. Results showed that caries experience among autistic children
was lower; however they were found to have more debris and calculus
deposits. Conclusions: Negative behavior towards dental treatment was
seen in autistic children.
Record 58 of 98
Title: CHILDREN WITH AUTISM
Author(s): Limeres, JR (Referen Limeres, Jacobo); Feijoo, JF (Feijoo, Javier
F.); Diz, P (Diz, Pedro)
Issue: 7 Pages: 793-794 Published: JUL 2011
Record 59 of 98
Title: CHILDREN WITH AUTISM Response
Author(s): Hernandez, P (Hernandez, Purnima); Ikkanda, Z (Ikkanda,
Zachary)
Issue: 7 Pages: 794-795 Published: JUL 2011
Record 60 of 98
Title: A dental look at the autistic patient through orofacial pain
Author(s): Zeidan-Chulia, F (Zeidan-Chulia, Fares); Gursoy, UK (Gursoy, Ulvi
K.); Kononen, E (Kononen, Eija); Gottfried, C (Gottfried, Carmem)
Source: ACTA ODONTOLOGICA SCANDINAVICA Volume: 69 Issue: 4
Pages: 193-200 DOI: 10.3109/00016357.2010.549505 Published: JUL
2011
Abstract: Autism is a neurodevelopmental disorder characterized by
impaired social interaction and restricted interests, compromised
communication skills, and repetitive patterns of behavior. Both social and
behavioral problems, which may include hyperactivity and quick
frustration, may hinder the detection of other important pathologies such
as orofacial pain. This is aggravated by the invasive nature of oral
exploration, which may trigger violent and self-injurious responses, such as
temper tantrums and/or head banging, which make the work of
professionals extremely difficult during diagnoses, follow-up examinations,
and dental treatments. In addition, mercury-containing amalgams used to
treat dental caries (the most common form of acute orofacial pain) have
been associated with higher rates of severe autism in children. The
purpose of this review is to describe the current state of the art regarding
the co-occurrence of orofacial pain and autism spectrum disorder, and how
these conditions may interrelate clinically and neurobiologically.
Record 61 of 98
Title: RESTORATION FRAGMENTS
Author(s): Ghafoor, M (Ghafoor, M.); Halsnad, M (Halsnad, M.); Grew, N
(Grew, N.); Asokan, S (Asokan, S.); Ajit, P (Ajit, P.)
DOI: 10.1038/sj.bdj.2011.491 Published: JUN 2011
Record 62 of 98
Title: Dental caries experience, oral health status and treatment needs of
dental patients with autism
Author(s): Jaber, MA (Jaber, Mohamed Abdullah)
Source: JOURNAL OF APPLIED ORAL SCIENCE Volume: 19 Issue: 3 Pages:
212-217 Published: MAY-JUN 2011
Abstract: Objectives: Autism is a lifelong neurodevelopmental disorder.
The aims of this study were to investigate whether children with autism
have higher caries prevalence, higher periodontal problems, or more
treatment needs than children of a control group of non-autistic patients,
and to provide baseline data to enable comparison and future planning of
dental services to autistic children. Material and Methods: 61 patients with
autism aged 6-16 years (45 males and 16 females) attending Dubai and
Sharjah Autism Centers were selected for the study. The control group
consisted of 61 non-autistic patients chosen from relatives or friends of
autistic patients in an attempt to have matched age, sex and
socioeconomic status. Each patient received a complete oral and
periodontal examination, assessment of caries prevalence, and caries
severity. Other conditions assessed were dental plaque, gingivitis,
restorations and treatment needs. Chi-square and Fisher's exact test of
significance were used to compare groups. Results: The autism group had
a male-to-female ratio of 2.8:1. Compared to controls, children with autism
had significantly higher decayed, missing or filled teeth than unaffected
patients and significantly needed more restorative dental treatment. The
restorative index (RI) and Met Need Index (MNI) for the autistic children
were 0.02 and 0.3, respectively. The majority of the autistic children either
having poor 59.0% (36/61) or fair 37.8% (23/61) oral hygiene compared
with healthy control subjects. Likewise, 97.0% (59/61) of the autistic
children had gingivitis. Conclusions: Children with autism exhibited a
higher caries prevalence, poor oral hygiene and extensive unmet needs for
dental treatment than non-autistic healthy control group. Thus oral health
program that emphasizes prevention should be considered of particular
importance for children and young people with autism.
Record 63 of 98
Title: Prosthodontic treatment in a partially edentulous patient with a
complex medical history of epilepsy and deep vein thrombosis: A case
report
Author(s): Kosyfaki, P (Kosyfaki, Panagiota); Woerner, W (Woerner, Wolf);
Att, W (Att, Wael)
Source: QUINTESSENCE INTERNATIONAL Volume: 42 Issue: 5 Pages: 365-
372 Published: MAY 2011
Abstract: This report describes the prosthodontic rehabilitation of a
partially edentulous patient by means of a maxillary implant-supported
removable dental prosthesis and mandibular telescopic crown prosthesis.
Due to the patient's contributory medical history for epilepsy and deep
vein thrombosis, clinical management considerations are outlined along
with an evidence-based, medically oriented treatment sequence
concerning the surgical and prosthodontic stages of the case.
(Quintessence Int 2011;42:365-373)
Record 64 of 98
Title: Applied behavior analysis: Behavior management of children with
autism spectrum disorders in dental environments
Author(s): Hernandez, P (Hernandez, Purnima); Ikkanda, Z (Ikkanda,
Zachary)
Abstract: Background. There are a limited number of studies addressing
behavior management techniques and procedural modifications that
dentists can use to treat people with an autism spectrum disorder (ASD).
Methods. The authors conducted a search of the dental and behavioral
analytic literature to identify management techniques that address
problem behaviors exhibited by children with ASDs in dental and other
health-related environments.
Results. Applied behavior analysis (ABA) is a science in which procedures
are based on the principles of behavior through systematic
experimentation. Clinicians have used ABA procedures successfully to
modify socially significant behaviors of people with ASD. Basic behavior
management techniques currently used in dentistry may not encourage
people with cognitive and behavioral disabilities, such as ASD, to tolerate
simple in-office dental procedures consistently. Instead, dental care
providers often are required to use advanced behavior management
techniques to complete simple in-office procedures such as prophylaxis,
sealant placement and obtaining radiographs. ABA procedures can be
integrated in the dental environment to manage problem behaviors often
exhibited by children with an ASD.
Conclusions. The authors found no evidence-based procedural
modifications that address the behavioral characteristics and problematic
behaviors of children with an ASD in a dental environment. Further
research in this area should be conducted.
Clinical Implications. Knowledge and in-depth understanding of behavioral
principles is essential when a dentist is concerned with modifying
behaviors. Using ABA procedures can help dentists manage problem
behaviors effectively and systematically when performing routine dental
treatment. Being knowledgeable about each patient's behavioral
characteristics and the parents' level of involvement is important in the
successful integration of the procedures and reduction of in-office time.
Record 65 of 98
Title: A Rare Case of Gingival Fibromatosis Associated with Hypertrichosis
and a Dysmorphic Face
Author(s): Kulkarni, P (Kulkarni, Parimala); Agrawal, N (Agrawal, Neeraj);
Tyagi, S (Tyagi, Sanjeev); Kambalimath, H (Kambalimath, Halaswamy)
Pages: 305-308 Published: SPR 2011
Abstract: Several forms of hypertrichosis have been described with and
without gingival hyperplasia; some of them are recognized as genetic
disorder and associated with syndromes. In all reported cases the most
striking differences from other are the craniofacial features. We present a
case of a 6-year-old boy with hypertrichosis associated with gingival
hyperplasia and a characteristic, coarse face and we consider this case to
be a distinctive entity.
Record 66 of 98
Title: DENTISTRY AND AUTISM
Author(s): Barnes, VM (Barnes, Virginia Monsul)
Issue: 2 Pages: 126-126 Published: FEB 2011
Record 67 of 98
Title: DENTISTRY AND AUTISM response
Author(s): Rada, RE (Rada, Robert E.)
Record 68 of 98
Title: Unmet Dental Needs and Barriers to Care for Children with
Significant Special Health Care Needs
Author(s): Nelson, LP (Nelson, Linda P.); Getzin, A (Getzin, Anne); Graham,
D (Graham, Dionne); Zhou, J (Zhou, Jing); Wagle, EM (Wagle, Elke M.);
McQuiston, J (McQuiston, Jessie); McLaughlin, S (McLaughlin, Suzanne);
Govind, A (Govind, Akshay); Sadof, M (Sadof, Matthew); Huntington, NL
(Huntington, Noelle L.)
Published: JAN-FEB 2011
Abstract: Purpose: The purpose of this study was to conduct the first
known large scale survey of parents of children with special health care
needs (CSHCN) to determine their child's: oral health status; access to
dental care; perceived barriers (environmental/system and
nonenvironmental/family); and oral health quality of life, accounting for
each child's medical diagnosis and severity of diagnosis. Methods: A 72-
item survey was sent to 3760 families of CSHCN throughout urban and
rural Massachusetts. Results: The study yielded 1,128 completed surveys.
More than 90% of the children had seen a dentist within the past year;
66% sow a pediatric dentist, and 21% needed intense behavioral
interventions. Although most families had high education levels, private
dental insurance, and above average incomes, 20% of CSHCN had an
unmet dental need. Children with craniofacial anomalies had twice as
many unmet needs and children with cystic fibrosis had fewer unmet
needs. Children with cerebral palsy, autism, developmental delay, and
Down syndrome had more aversions to dental treatment, more treatment
complications posed by their medical conditions, and more difficulty
finding a dentist willing to provide care. Children with cystic fibrosis,
metabolic disorders, or hemophilia encountered fewer barriers to care.
Conclusions: The data paint a picture of high unmet dental needs with
subpopulations of children with special health care needs who are more at
risk for system barriers and internal family barriers to care based on their
medical diagnoses. (Pediatr Dent 2011;33:29-36) Received August 7 2009
I Lost Revision November 18, 2009 I Accepted November 27, 2009
Record 69 of 98
Title: Five-year follow-up of oral health and seizure condition of patients
with epilepsy: a prospective observational study
Author(s): Karolyhazy, K (Karolyhazy, K.); Kivovics, P (Kivovics, P.);
Hermann, P (Hermann, P.); Fejerdy, P (Fejerdy, P.); Aranyi, Z (Aranyi, Z.)
Source: COMMUNITY DENTAL HEALTH Volume: 27 Issue: 4 Pages: 233-
237 DOI: 10.1922/CDH_2466Aranyi05 Published: DEC 2010
Abstract: Objective: A five-year follow up of patients with epilepsy to
examine the change in their oral health and seizure condition. Basic
research design: A prospective observational controlled epidemiologic
study under natural treatment settings. Participants: The epilepsy group
consisted wholly of patients participating in an epidemiologic survey
performed five years previously. The gender-and age-matched control
(non-epilepsy) group consisted partly of subjects recovered from the
previous study, and partly of new subjects. Interventions: Data pertaining
to the disease were collected and a thorough dental examination was
performed. Main outcome measures: Indices quantifying oral hygiene, the
number and condition of the remaining teeth and periodontium, and the
degree of prosthetic treatment were measured. Statistical comparison was
performed between the patient and the control group of the present study,
and pair wise between the previous and the present survey. Results: The
epileptic condition of the patients showed significant improvement upon
follow-up, in contrast to a significant deterioration in their oral health as
compared to the control group. Concerning oral health, dental indices
describing oral hygiene and periodontal condition showed the most
pronounced decline. Conclusions: The improvement in the epileptic
condition of patients is attributed to changes in treatment strategies. As
the epileptic condition and oral health of patients changed in opposite
directions, socioeconomic and educational factors appear to play a more
important role in the poor oral health of these patients than disease-
specific factors (e. g. oral cavity injuries, increased exertion on the teeth,
antiepileptic drug effects). Furthermore, the periodontal condition seems
to be main factor responsible for the unfavourable dental status.
Record 70 of 98
Title: Special care dentistry: Midazolam conscious sedation for patients
with neurological diseases
Author(s): Capp, PL (Capp, P. L.); de Faria, MEJ (de Faria, M. E. J.); Siqueira,
SRDT (Siqueira, S. R. D. T.); Cillo, MTP (Cillo, M. T. P.); Prado, EGB (Prado, E.
G. B.); de Siqueira, JTT (de Siqueira, J. T. T.)
Issue: 4 Pages: 162-164 Published: DEC 2010
Abstract: Aim Midazolam is used very often to control the anxiety of
patients for dental treatment especially in patients with special needs. The
objective of this study was to evaluate the efficiency of Midazolam in
patients with neurological diseases referred for dental treatment.
Study design Descriptive study
Methods Forty consecutive patients with neurological disorders
(encephalopathy, autism, and epilepsy) were referred to dental treatment,
and 45 sedations were performed; all were sedated with Midazolam
(intramuscular 0.2-0.3 mg/kg or intravenous 0.1mg/kg) and all were
anesthetised with lidocaine 2% (0.5-2 mL). During the dental procedure,
their behavior was analysed and classified into 3 categories: A
(indifferent), 8 (reacted but allowed treatment), and C (did not allow
treatment). Data were tabbed and statistically analysed.
Results The final patients' classification was: A 22 (49%), 8 18 (40%) and C
5 (11%); the patients with encephalopathy had the best results of sedation
according to the proposed classification (p<0.05).
Conclusion Midazolam demonstrated to be effective in 89% of this sample
for dental procedures in patients with neurological and behavioral
disturbances, but it was less effective for patients with autism (p<0.05).
Record 71 of 98
Title: Dental Education and Dentists' Attitudes and Behavior Concerning
Patients with Autism
Author(s): Weil, TN (Weil, Taryn N.); Inglehart, MR (Inglehart, Marita R.)
1294-1307 Published: DEC 2010
Abstract: The number of patients diagnosed with autism spectrum
disorders (ASD) in the United States has increased significantly The
objectives of this study were to explore general and pediatric dentists'
professional attitudes and behavior towards patients with ASD, these
dentists' perceptions of their dental education about these issues, and the
relationships among their educational experiences, attitudes, and
behaviors concerning patients with ASD Survey data were collected from
162 general dentists in Michigan and 212 pediatric dentists across the
United States The results showed that 89 percent of pediatric dentists and
32 percent of general dentists treat patients with ASD The respondents
disagreed with statements indicating that their predoctoral dental
education had prepared them well to treat patients with ASD However, the
better they felt prepared, the more likely they were to provide care for
these patients The frequency with which pediatric dentists said they use
appropriate behavior management strategies when treating patients with
ASD correlated with the quality of their educational experiences In
conclusion, given the growing number of patients with ASD, it is Important
to revisit dental education efforts targeted towards preparing future dental
care providers for the treatment of patients with ASD and special needs
Record 72 of 98
Title: Dental Education About Patients with Special Needs: A Survey of U.S.
and Canadian Dental Schools
Author(s): Krause, M (Krause, Meggan); Vainio, L (Vainio, Lauren);
Zwetchkenbaum, S (Zwetchkenbaum, Samuel); Inglehart, MR (Inglehart,
Marita R.)
1179-1189 Published: NOV 2010
Abstract: The objectives of this study were to explore how US and
Canadian dental schools educate students about special needs patients
and which challenges and intentions for curricular changes they perceive
Data were collected from twenty-two dental schools in the United States
and Canada with a web-based survey While 91 percent of the programs
covered this topic in their clinical education, only 64 percent offered a
separate course about special needs patients The clinical education varied
widely Thirty-seven percent of the responding schools had a special
clinical area in their school for treating these patients These areas had
between three and twenty-two chairs and were funded and staffed quite
differently Most programs covered the treatment of patients with more
prevalent impairments such as Down syndrome (91 percent), autism
spectrum disorders (91 percent), and motion impairments (86 percent)
Written exams were the most common outcome assessments (91 percent),
while objective structured clinical examinations (18 percent) and
standardized patient experiences (9 percent) were used less frequently
The most commonly reported challenge was curriculum overload (55
percent) The majority (77 percent) planned educational changes over the
next three years, with 36 percent of schools planning to increase clinical
and 27 percent extramural experiences The findings showed that the
responding US and Canadian dental schools had a wide range of
approaches to educating predoctoral students about treating special needs
patients In order to eliminate oral health disparities and access to care
issues for these patients, future research should focus on developing best
practices for educational efforts in this context
Record 73 of 98
Title: Management of the Uncooperative Child
Author(s): Blitz, M (Blitz, Meredith); Britton, KC (Britton, Kate Cerino)
Source: ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA
Volume: 22 Issue: 4 Pages: 461-+ DOI: 10.1016/j.coms.2010.08.002
Published: NOV 2010
Abstract: The management of a child who requires a medical procedure is
a challenging issue for the oral and maxillofacial surgeon (OMS) and
practitioners in the dental specialties. The office of the OMS is traditionally
one in which short outpatient procedures are performed within brief
appointment times often using only local anesthesia. For typical children,
this brief procedure may be difficult, and for children with behavioral
challenges, it may be impossible without the use of behavioral
management techniques or pharmacologic modalities. Practitioners must
be aware of current trends in pediatric mental health and should develop
treatment protocols to avoid complications.
Record 74 of 98
Title: Role of parental risk factors in the aetiology of isolated non-
syndromic metopic craniosynostosis
Author(s): Singh, RP (Singh, Rabindra Pratap); Dhariwal, D (Dhariwal,
Daljit); Bhujel, N (Bhujel, Nabina); Shaikh, Z (Shaikh, Zarina); Davies, P
(Davies, Paul); Nishikawa, H (Nishikawa, Hiroshi); Solanki, G (Solanki,
Guirish); Dover, MS (Dover, M. S.)
Source: BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY Volume:
48 Issue: 6 Pages: 438-442 DOI: 10.1016/j.bjoms.2009.06.233
Published: SEP 2010
Abstract: To try and identify potential parental risk factors for isolated non-
syndromic metopic craniosynostosis, we did a telephone survey of parents
of children who attended the craniofacial centre at Birmingham Children's
Hospital (BCH), UK, from 1995 to 2004. We calculated the prevalence of a
number of potential risk factors and compared them with those of the
general population.
A total of 103 children with syndromic or non-syndromic isolated metopic
craniosynostosis were seen, of which 81 (79%) had non-syndromic,
isolated metopic craniosynostosis (M:F ratio 3:1). The response rate to the
telephone survey was 72%. The prevalences of maternal epilepsy and the
use of valproate, antenatal maternal complications (hypertension or pre-
eclampsia, haemorrhage, and urinary tract infection), and fertility
treatment in our sample were significantly higher than among the general
population (p=0.01 or less in all cases).
The likely roles of maternal epilepsy and taking valproate in the aetiology
of isolated non-syndromic metopic craniosynostosis are further
consolidated by our study. The finding that antenatal complications are
possible risk factors for craniosynostosis has not to our knowledge been
published previously. (C) 2010 The British Association of Oral and
Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
Record 75 of 98
Title: Postcraniotomy Temporalis Muscle Atrophy: A Clinical, Magnetic
Resonance Imaging Volumetry and Electromyographic Investigation
Author(s): Yasuda, CL (Yasuda, Clarissa Lin); Costa, ALF (Ferreira Costa,
Andre Luiz); Franca, M (Franca Junior, Marcondes); Pereira, FRS (Silvestre
Pereira, Fabricio Ramos); Tedeschi, H (Tedeschi, Helder); de Oliveira, E (de
Oliveira, Evandro); Nucci, A (Nucci, Anamarli); Cendes, F (Cendes,
Fernando)
Source: JOURNAL OF OROFACIAL PAIN Volume: 24 Issue: 4 Pages: 391-
397 Published: FAL 2010
Abstract: Aims: To evaluate both cosmetic and functional effects of
temporalis muscle atrophy, by means of clinical examination, magnetic
resonance imaging (MRI), and electromyographic (EMG) activity in patients
who underwent craniotomy in order to treat refractory mesial temporal
lobe epilepsy (MTLE). Methods: A total of 18 controls and 18 patients who
underwent surgery for MTLE were investigated. The ternporalis muscle
volume of the patients was assessed by a 3D reconstruction. The image
analysis software (ITK-SNAP) was used for the 3D reconstruction. In
addition, the amplitude of the EMG signal during a maximum voluntary
clench was recorded from both temporalis muscles by surface electrodes.
The presence of temporomandibular disorder (TMD) signs was assessed by
clinical examination that was performed only after surgery. Data were
analyzed statistically by means of the Mann-Whitney U test, paired t-test,
Pearson chi(2) and linear regression. Results: The volume of the ternporalis
muscle of the operated side was significantly reduced (P = .004). The EMG
results confirmed the presence of muscle atrophy, the amplitude of the
EMG signal being significantly decreased on the operated side (P < .05).
Also the patients' maximum mouth opening after surgery was significantly
reduced compared to that of the controls (P < .0001). Patients presented
facial asymmetry, signs of TMD (pain, disc displacement, and joint
sounds), and masticatory abnormalities. Conclusion: These preliminary
results showed that, despite the good control of seizures, some patients
may experience cosmetic and functional abnormalities of temporalis
muscle secondary to atrophy and fibrosis. J OROFAC PAIN 2010;24:391-397
Record 76 of 98
Title: Controversial issues in treating the dental patient with autism
Author(s): Rada, RE (Rada, Robert E.)
Issue: 8 Pages: 947-953 Published: AUG 2010
Abstract: Background. The author conducted a literature review to
investigate concerns that parents of a child with an autism spectrum
disorder may have when oral health care is provided to the child.
Types of Studies Reviewed. The author conducted a search of PubMed
using the terms "mercury," "fluoride," "nitrous oxide," "antibiotics,"
"gluten," "casein," "acetaminophen" and "dentistry" each with the term
"autism." He identified controlled studies and literature reviews in both
medical and alternative medical literature that were related to areas of
importance to oral health care workers. The use of mercury, fluoride,
nitrous oxide, antibiotic agents and acetaminophen all are sources of
controversy between dentistry and the parents of children who have
autism.
Results. The author found that patients who have autism frequently also
have allergies, immune system problems, gastrointestinal disturbances
and seizures. Dental health care workers must be aware of these comorbid
conditions so they can provide optimal care to the children with autism
spectrum disorders. The author found two distinct theories as to what
causes autism: one that focuses on genetic causes, and one that focuses
on the impact of the environment. He found that the interpretation of
these theories might affect parents' concerns about various dental
treatments.
Clinical Implications. Dentists treating patients who have autism may need
to provide more than standard patient care, as the use of time-tested
dental treatment and prevention modalities may be questioned or refused
by parents.
Record 77 of 98
Title: Dental Injuries in Autistic Patients
Author(s): Altun, C (Altun, Ceyhan); Guven, G (Guven, Gunseli); Yorbik, O
(Yorbik, Ozgur); Acikel, C (Acikel, Cengizhan)
Published: JUL-AUG 2010
Abstract: Purpose: The purpose of this study was to assess the incidence
of traumatic dental injury among Turkish children and young adults with
autism and compare this to the general population of Turkish children and
young adults without autism. Methods: This study was comprised of 786
children and young adults (138 moles and 48 females), 93 with autism
(autistic group, or AG) and 93 without autism (control group, or CG).
Dental injuries were classified according to drawings and texts based on
the WHO classification system, as modified by Andreasen and Andreasen.
Results: The rote of injury was higher among the AG (23%) than the CG
(15%). The difference between the 2 groups, however, was not statistically
significant (P<.19). The most common type of dental injury was enamel
fracture. The rote of enamel fracture was higher in the CG (59%) than in
the AG (33%), and the distribution of types of traumatic injury differed
significantly between the AG and CG (P>.01). Conclusions: There were no
significant differences in the rates of traumatic dental injuries among
children and young adults with and without autistic disorder. The most
frequently injured teeth were the permanent maxillary central incisors,
and the frequency of injury to these teeth differed significantly (P>.01)
between AG (56%) and CG (91%). The most common type of dental injury,
enamel fracture, was more common in CG (59%) than AG (33%). The
distribution of types of traumatic dental injuries differed significantly
between the 2 groups (P>.07). (Pediatr Dent 2010;32:343-6) Received
October 3, 2008 vertical bar Lost Revision April 30, 2009 vertical bar
Revision Accepted May 1, 2009
Record 78 of 98
Title: Caries-risk Assessment and Caries Status of Children with Autism
Author(s): Marshall, J (Marshall, Jennifer); Sheller, B (Sheller, Barbara);
Mancl, L (Mancl, Lloyd)
Published: JAN-FEB 2010
Abstract: Purpose: This paper's purpose was to describe the caries status
of children with autism and explore associations with the Caries-risk
Assessment Tool promoted by the American Academy of Pediatric
Dentistry Methods: Data was collected from children with autism, their
parents, and dentists using interviews, surveys, and treatment records.
Descriptive statistics and bivariate analysis explored the association of
new caries activity and caries experience with oral health measures.
Results: Subjects were 75 males and 24 females with a mean age (+/- SD)
of 9.7 years (+/- 3.7), (range=2.7 to 19 years). Children <= 7 years old
had more new caries (60%) than older children (34%; P=.05). Although not
statistically significant, all children who brushed less than once per day
had new caries and a mean t-DMF-T (def + DMF) of 7.3. Children with poor
oral hygiene had more new caries (59%) than those with good/excellent
hygiene (28%; P=.06). Caries status was not associated with gender,
socioeconomic status, medical history, appointment type, dental home,
food rewards, restricted diets, and some hygiene habits. Conclusions: This
study confirms the validity of considering autism as an indicator of high
caries risk. Oral hygiene may be the most influential risk indicator
associated with new caries in children with autism. (Pediatr Dent
2010;32:69-75) Received August 10, 2008 I Lost Revision November 8,
2008 I Revision Accepted December 6, 2008
Record 79 of 98
Title: Behaviour guidance in dental treatment of patients with autism
spectrum disorder
Author(s): Loo, CY (Loo, Cheen Y.); Graham, RM (Graham, Richard M.);
Hughes, CV (Hughes, Christopher V.)
Source: INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY Volume: 19
Issue: 6 Pages: 390-398 DOI: 10.1111/j.1365-263X.2009.01011.x
Published: NOV 2009
Abstract: Background. Autism spectrum disorder (ASD) is a
neurodevelopmental disorder categorized into autism, pervasive
developmental disorder - not otherwise specified (PDD-NOS) and Asperger
syndrome.
Aims. To identify factors associated with the behaviour of patients with
ASD in a dental setting, use of general anaesthesia (GA), and protective
stabilization.
Design. The dental charts of 395 patients with ASD patients and 386
unaffected patients were reviewed. The following data were analysed: ASD
diagnosis, age, gender, residence, seizure disorder, additional diagnosis
(mental retardation, cerebral palsy, self-injurious behaviour or pica),
medications, caries prevalence and severity, dental treatment history,
behaviour, and behaviour guidance technique(s) used.
Results. Within both groups, younger patients were more uncooperative.
ASD patients with autism were more uncooperative than patients with
PDD-NOS; patients with an additional diagnosis were also more
uncooperative. ASD patients with higher caries severity, who were
uncooperative or female, were more likely to require GA. Use of protective
stabilization was associated with lower caries severity, presence of seizure
disorder, uncooperative behaviour, male gender, or residency in a group
home/institution.
Conclusions. Autism spectrum disorder patients with autism, younger age
and an additional diagnosis were more uncooperative. Factors associated
with the use of GA and protective stabilization in patients with ASD were
also identified.
Record 80 of 98
Title: Knowledge and Attitudes about Epilepsy: A Survey of Dentists in
London, Ontario
Author(s): Aragon, CE (Aragon, Cecilia E.); Hess, T (Hess, Tiiu); Burneo, JG
(Burneo, Jorge G.)
Issue: 6 Pages: 450-U24 Published: JUL-AUG 2009
Abstract: Background: The controversial relation between societal
knowledge and attitudes about epilepsy may affect the access of people
with epilepsy to dental care.
Materials and Methods: A questionnaire that evaluated knowledge about
epilepsy, attitudes toward epilepsy and willingness to provide dental care
to people with epilepsy was administered to all 288 dentists in the city of
London, Ontario, Canada.
Results: Of the 197 respondents, 75.6% were general dentists. Knowledge
was patchy about the epidemiology, causes, treatment and recognition of
epilepsy. Six percent of dentists did not think that they could safely treat a
patient with epilepsy in their offices.
Conclusion: Dental care providers' negative attitudes to and lack of
knowledge about epilepsy may directly affect the access to dental care for
people living with this problem.
Record 81 of 98
Title: Dental Implants in Persons with Severe Epilepsy and Multiple
Disabilities: A Long-Term Retrospective Study
Author(s): Cune, MS (Cune, Marco S.); Strooker, H (Strooker, Hans); van
der Reijden, WA (van der Reijden, Willy A.); de Putter, C (de Putter,
Cornelis); Laine, ML (Laine, Marja L.); Verhoeven, JW (Verhoeven, Jan
Willem)
Source: INTERNATIONAL JOURNAL OF ORAL & MAXILLOFACIAL IMPLANTS
Volume: 24 Issue: 3 Pages: 534-540 Published: MAY-JUN 2009
Abstract: Purpose: A retrospective study on the performance of
endosseous implants in a population of patients with severe epilepsy and
additional motor and/or intellectual impairments was performed. Materials
and Methods: All residents of an inpatient center for persons affected by
severe, refractory epilepsy and multiple disabilities who received
endosseous implants between 1991 and April 2007 were included in the
study. Implant survival was analyzed using the Kaplan-Meier method. A
subset of patients who were treated between 1991 and 2004 was invited
to participate in a clinical and radiographic evaluation in 2004 and 2005.
Results: A total of 61 patients were treated between 1991 and April 2007
(n = 134 implants). Three of these implants in three different patients
failed during the observation period, demonstrating an estimated
probability of functional implant survival of 97.6% (SE 1.4%) after 16
years. In patients who were seen during the clinical evaluation in 2004 (n
= 76 implants), only mild inflammation of the peri-implant mucosa was
generally observed (Gingival-Bleeding Index = 1), despite the fact that the
level of oral hygiene was considered inadequate around 55 of 76 implants
(72%). Obvious signs of drug-induced gingival hyperplasia in relation to
the implants were not observed. Probing depths averaged approximately 2
mm. Stable marginal bone levels were observed on the radiographs.
Conclusions: Dental implant treatment in a population of patients with
severe epilepsy and additional disabilities seems to be a viable treatment
option. Implant loss is rare. Although adequate plaque control was not
feasible in all patients, marginal bone levels remained stable. INT J ORAL
MAXILLOFAC IMPLANTS 2009;24:534-540
Record 82 of 98
Title: The caries experience and behavior of dental patients with autism
spectrum disorder
Author(s): Loo, CY (Loo, Cheen Y.); Graham, RM (Graham, Richard M.);
Hughes, CV (Hughes, Christopher V.)
Issue: 11 Pages: 1518-1524 Published: NOV 2008
Abstract: Background. Autism spectrum disorder (ASD) is a lifelong
neurodevelopmental disorder. The authors conducted a study to evaluate
the demographics, caries experience and behavior of patients with ASD
and compare these characteristics with those of patients without ASD
(unaffected patients).
Methods. The authors reviewed patients' charts and identified a group of
395 patients with ASD and a group of 386 unaffected patients. They
obtained the following patient data for analysis: primary diagnosis, age,
sex, residence (home versus institution or group home), presence of
seizure disorder, additional diagnosis (mental retardation, cerebral palsy,
self-injurious behavior or pica), medications, caries prevalence, caries
severity and behavior.
Results. The ASD group had a male:female ratio of 4:1, and patients had a
diagnosis of autism, pervasive developmental disorder-not otherwise
specified or Asperger syndrome. Sex distribution was equal in the
unaffected group, which was younger and had a higher decayed, missing
and filled teeth (DMFT) score than did the ASD group. When the authors
controlled for age and sex, they noted a statistically significant association
between ASD and dental caries prevalence. A significantly higher
percentage of patients with ASD than unaffected patients were
uncooperative and required dental treatment to take place under general
anesthesia. Caries prevalence and severity in patients with ASD were not
associated with institutionalization, presence of seizure disorder or
additional diagnosis.
Conclusions. People with ASD were more likely to be caries-free and had
lower DMFT scores than did their unaffected peers. Significantly more
patients with ASD than unaffected patients were uncooperative and
required general anesthesia to undergo dental treatment.
Record 83 of 98
Title: Parental Attitudes Regarding Behavior Guidance of Dental Patients
with Autism
Mancl, L (Mancl, Lloyd); Williams, BJ (Williams, Bryan J.)
Abstract: Purposes: The purposes of this study were to evaluate: (1)
parents' ability to predict dental treatment cooperation by their autistic
child; (2) behavior guidance techniques (BGTs) used during treatment; and
(3) parental attitudes regarding basic and advanced BGTs. Methods: Data
were collected from 85 parent/autistic child pairs and their dentists using
surveys and treatment records. Results: Parents most accurately predicted
If their child would permit an examination in the dental choir (>= 88%)
and would cooperate for radiographs (>= 84%). BGTs utilized most often
(>50%) were positive verbal reinforcement (PVR), tell-show-do (TSD),
mouthprops, and rewards. In general, basic BGTs were more acceptable
(>81%) than advanced BGTs (>54%). The most acceptable techniques
(>90%) in order were: PVR, TSD, distraction, rewards, general anesthesia,
hand-holding by parent, and mouthprops. When parents evaluated only
BGTs used for their child, all BGTs, including a stabilization device, were
highly acceptable (>91%), except for staff restraint (74%). Conclusions:
Parents were accurate in predicting cooperation for some procedures. The
most acceptable and efficacious BGTs in order were: PVR, TSD, distraction,
rewords, and hand-holding by parent. Parental perceptions of BGTs were
influenced by whether or not they had been used for their child. (Pediatr
Dent 2008;30:400-7) Received June 22, 2007 / Last Revision October 10,
2007 / Revision Accepted October 15, 2007
Record 84 of 98
Title: Cooperation predictors for dental patients with autism (vol 29, pg
369, 2007)
Williams, BJ (Williams, Bryan J.)
Published: MAR-APR 2008
Document Type: Correction
Record 85 of 98
Title: Cooperation predictors for dental patients with autism
Williams, BJ (Williams, Bryan J.); Mand, L (Mand, Lloyd); Cowan, C (Cowan,
Charles)
Abstract: Purpose: This study evaluated potential predictors of cooperation
during dental appointments for children with autism. Methods. Data were
collected from 108 parent/child pairs and their dentists, Questions
included: (7) medical/dental history; (2)function(71 language; (3) personal
hygiene skills; (4) academic setting, and (5) achievements. Behavior was
scored using the Frankl scale. Results. Subjects were 80 males and 28
females 2.7 to 19 years old with a mean age of 9.8 years. Frankl scores
were 65% uncooperative (definitely negative or negative) and 35%
cooperative (positive or definitely positive). Multiple factors predicted
uncooperative behavior; (7) appointment type (P=.03); (2) concurrent
medical diagnoses (P=.04); (3) nonverbal/minimal or echolalic language
(P=.005); (4) inability to understand language appropriate for age (P=.02);
(5) inability to follow multistep instructions (P=.04); (6) parents providing
most/all tooth-brushing (P=.004); (7) partially or not toilet trained at 4+
years (P=.02); (8) inability to sit for a haircut (P=.01); (9) attending special
education (P <.007); and (10) inability to read at 6+ years (P <.001).
Conclusions. Five questions readily answered by a caregiver may indicate
a child's cooperative potential. Preappointment inquiry about toilet
training, toothbrushing, haircuts, academic achievement and language can
give the dentist insight into the child's ability to respond positively to
behavior guidance techniques based on communication.
Record 86 of 98
Title: Autism
Author(s): Tesini, D (Tesini, David); Friedman, C (Friedman, Clive); Connors,
SL (Connors, Susan L.); Zimmerman, AW (Zimmerman, Andrew W.)
Record 87 of 98
Title: More about autism - Response
Author(s): Friedlander, AH (Friedlander, Arthur H.)
Issue: 3 Pages: 288-+ Published: MAR 2007
Record 88 of 98
Title: More about autism
Author(s): Wickenhauser, AJ (Wickenhauser, Alan J.)
Record 89 of 98
Title: Understanding the patient with epilepsy and seizures in the dental
practice
Author(s): Aragon, CE (Aragon, Cecilia E.); Burneo, JG (Burneo, Jorge G.)
Abstract: Epilepsy, which is characterized by the risk of recurrent seizures,
is a chronic disease that afflicts about 200,000 Canadians at any one time.
Dentists with a thorough knowledge of seizure disorders and the
medications used to treat them can provide necessary dental and oral
health care to these patients. In this review, we summarize current
knowledge of epilepsy, seizures and antiepileptic drugs and provide
information on dental-related issues, as well as guidelines for the
management of an acute seizure in the dental office.
Record 90 of 98
Title: The neuropathology, medical management and dental implications of
autism
Author(s): Friedlander, AH (Friedlander, Arthur H.); Vagiela, JA (Vagiela,
John A.); Paterno, VI (Paterno, Victoria I.); Mahler, ME (Mahler, Michael E.)
Issue: 11 Pages: 1517-1527 Published: NOV 2006
Abstract: Background. A paucity of information exists in the dental
literature about autism and its dental implications.
Types of Studies Reviewed. The authors conducted a MEDLINE search for
the period 2000 through 2006, using the term "autism," with the aim of
defining the condition's clinical manifestations, dental and medical
treatment and dental implications.
Results. Autism is a severe developmental. brain disorder that appears in
infancy, persists throughout life, and is characterized by impaired social
interaction, abnormalities in communication (both verbal and nonverbal
and restricted interests. Often accompanying the disorder are behavioral
disturbances-such as self-mutilation, aggression, psychiatric symptoms
and seizures-that necessitate the administration of multiple medications to
help the affected person participate effectively in the educational and
rehabilitative process.
Clinical Implications. Dentists caring for people with autism must be
familiar with the manifestations of the, disease and its associated features
so that they can garner the maximum level of patient cooperation. They
also must be familiar with the medications used to treat the associated
features of the disorder because many of them cause untoward orofacial
and systemic reactions and may precipitate adverse interactions with
dental therapeutic agents.
Record 91 of 98
Title: Epilepsy in the oral and maxillofacial patient: Current therapy
Author(s): Turner, MD (Turner, MD); Glickman, RS (Glickman, RS)
Source: JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY Volume: 63
Issue: 7 Pages: 996-1005 DOI: 10.1016/j.joms.2004.04.038 Published:
JUL 2005
Record 92 of 98
Title: Prosthodontic status and recommended care of patients with
epilepsy
Author(s): Karolyhazy, K (Karolyhazy, K); Kivovics, P (Kivovics, P); Fejerdy,
P (Fejerdy, P); Aranyi, Z (Aranyi, Z)
Source: JOURNAL OF PROSTHETIC DENTISTRY Volume: 93 Issue: 2 Pages:
177-182 DOI: 10.1016/j.prosdent.2004.11.008 Published: FEB 2005
Abstract: Statement of problem. Epilepsy is a chronic disease that can
affect oral health and prosthodontic status in different ways. However,
epilepsy is a condition of various etiologies and seizure types, and
different patients may have differing needs in prosthodontic care.
Purpose. The purpose of this study was to examine the prosthodontic
status of patients with epilepsy to determine if the disease has any effect
on prosthodontic treatment and to obtain information regarding the level
of prosthodontic care. This information was used to provide
recommendations for the prosthodontic treatment of patients with
epilepsy.
Material and methods. One hundred one epileptic patients were examined,
interviewed, and compared with 101 age-matched control (nonepileptic)
subjects of the general population. Epileptic patients were recruited at an
epilepsy outpatient clinic. The only exclusion criterion was a mental
handicap severe enough to exclude cooperation of the patient during a
dental examination. Control subjects were recruited at a community
radiographic chest-screening clinic. Epileptic patients were first grouped
according to dental risk factors and dental manageability. Dental
classification of patients with epilepsy considered the frequency and type
of seizures, as seizures may damage the teeth and dental prostheses. The
number of missing teeth, the ratio of missing and replaced teeth, and the
number of fixed and removable partial dentures and complete dentures,
and the characteristics (material, degree of abrasion, and age) of the
dentures was determined by dental examination. Finally, the state of oral
mucosa and the number of seizure-related injuries was noted. Statistical
comparison of the patient and the control group was performed, using the
2-tailed t-test for continuous variables and the chi-squared test or Fisher's
exact test for categorical variables (alpha=.05).
Results. The number of missing teeth was significantly higher in the
epilepsy group than in the control group (P=.021). The ratio of replaced
and missing teeth was lower in the epileptic group (P<.01), indicating
inadequate prosthodontic care. There was also a significant difference in
the age of the fixed prostheses (P=.0016), being lower in the epilepsy
group, and in the material of fixed prostheses (P=.033), metal-ceramic
being more common in the control group. More epileptic patients were
edentulous than control subjects (8 versus 3) and the average age at the
time of examination was younger (48 versus 57 years). Seizure-related
injuries were reported by 11% of patients, all belonging to the subgroup of
patients with frequent generalized tonic-clonic seizures.
Conclusion. Patients with epilepsy have an increased risk for loosing teeth
and, furthermore, the prosthodontic status of epilepsy patients was not as
optimal as compared with the control group. Seizure-related injuries to
prostheses arc also an issue, but only in those suffering from frequent
generalized tonic-clonic seizures. Therefore, the large majority of patients
can and should receive prosthodontic treatment without restrictions. For a
smaller group of patients, however, certain restrictions apply, to prevent
potentially dangerous seizure-related complications.
Record 93 of 98
Title: Autism caused by dental amalgam?
Author(s): Osborne, JW (Osborne, JW); Summitt, J (Summitt, J)
Source: OPERATIVE DENTISTRY Volume: 28 Issue: 6 Pages: 665-666
Document Type: Editorial Material
Record 94 of 98
Title: Dental status and oral health in epilepsy patients.
Author(s): Karolyhazy, K (Karolyhazy, K.); Faluhelyi, P (Faluhelyi, P.);
Kivovics, P (Kivovics, P.); Aranyi, Z (Aranyi, Z.); Fejerdy, P (Fejerdy, P.)
Source: JOURNAL OF DENTAL RESEARCH Meeting Abstract: 0972 Volume:
82 Special Issue: B Pages: B134-B134 Published: JUN 2003
Document Type: Meeting Abstract
Record 95 of 98
Title: Temporomandibular joint (TMJ) disorders following anterior temporal
lobectomy in patients with medically intractable temporal lobe epilepsy: A
retrospective study.
Author(s): Markarian, TZ (Markarian, T. Z.); Jasinevicius, TR (Jasinevicius, T.
R.); Nelson, S (Nelson, S.); Bingaman, W (Bingaman, W.); Palmer, J (Palmer,
J.); Morris, H (Morris, H.); Najm, I (Najm, I.)
82 Special Issue: B Pages: B110-B110 Published: JUN 2003
Record 96 of 98
Title: Tooth by tooth survival analysis of dental health in epilepsy girls.
Author(s): Rajavaara, P (Rajavaara, P); Vainionpaa, L (Vainionpaa, L); Ratty,
J (Ratty, J); Knip, M (Knip, M); Pakarinen, A (Pakarinen, A); Isojarvi, J
(Isojarvi, J); Larmas, M (Larmas, M)
81 Special Issue: SI Pages: A95-A95 Published: MAR 2002
Record 97 of 98
Title: Children with mental retardation and epilepsy: Demographics and
general concerns
Author(s): Waldman, HB (Waldman, HB); Swerdloff, M (Swerdloff, M);
Perlman, SP (Perlman, SP)
Source: JOURNAL OF DENTISTRY FOR CHILDREN Volume: 67 Issue: 4
Pages: 268-+ Published: JUL-AUG 2000
Abstract: Epilepsy is the most frequent additional handicap in children with
mental retardation, with a reported prevalence between 5 and 50 percent.
Demographics, issues of control of epilepsy and general attitudes to the
care of these youngsters are considered in an effort to increase the
availability of needed dental services.
Record 98 of 98
Title: Visual pedagogy in dentistry for children with autism
Author(s): Backman, B (Backman, B); Pilebro, C (Pilebro, C)
Source: JOURNAL OF DENTISTRY FOR CHILDREN Volume: 66 Issue: 5
Pages: 325-+ Published: SEP-OCT 1999
Abstract: The aim of the present study is to present and evaluate a model
based on visual pedagogy for the introduction of dentistry to preschool
children with autism. The model is based on the knowledge that it is easier
for these children to communicate via pictures than via words. A book has
been produced with distinct color-prints describing every step when
visiting the dentist. The project has been designed in cooperation with the
multi-professional team involved with the children. A total of sixteen
children with autism participated in the project. Evaluation was done after
1.5 years. The ability of the children to cooperate is compared with that of
sixteen children with autism of the same ages who were not treated with
this method. The capacity of the children in the project to cooperate
during dental treatment is superior to that of the control-children. Visual
pedagogy is a way of introducing dentistry to children with autism.

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Record 1 of 98

Title: Oral Health Characteristics of Preschool Children with Autistic

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