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33. Principles and care pathways for caries management in children: IAPD Rome forum.

Author

Tinanoff, Norman, Banerjee, Avijit, Buzalaf, Marilia Afonso Rabelo, Chen, Jung‐Wei, Dhar, Vineets, Ekstrand, Kim R., Fontana, Margherita, Innes, Nicola, Koo, Hyun, Listl, Stefan, Lo, Edward Chin Man, Potgieter, Nicoline, Schwendicke, Falk, Sharkov, Nikolai, Twetman, Svante, and Vargas, Kaaren

Subjects
TREATMENT of dental caries, HEALTH services administration, MEDICAL protocols, HEALTH services accessibility, MEDICAL quality control, PROFESSIONAL associations, DISEASE management, HUMAN microbiota, CARDIOVASCULAR diseases risk factors, PEDIATRIC dentistry, DENTAL enamel, TOOTH demineralization, REMINERALIZATION (Teeth), DENTAL technology, CHILDREN'S dental care, EVIDENCE-based dentistry, ORAL health, CHILDREN
Abstract

The article offers a perspective on principles and care pathways for caries management in children. Topics discussed include advances in the science of cariology, evidence-based care pathway for caries management, prevention and restorative strategies, caries risk/susceptibility assessment, shared decision-making in oral healthcare, and active surveillance as part of restorative dental care, advances in clinical caries management for children, improvements for oral health systems.

Published
2024
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34. Oral Health-Related Quality of Life of Hong Kong Kindergarten Children Receiving Silver Diamine Fluoride Therapy.

Author

Chai, Hollis Haotian, Sun, Ivy Guofang, Duangthip, Duangporn, Gao, Sherry Shiqian, Lo, Edward Chin Man, and Chu, Chun Hung

Subjects
QUALITY of life, HEALTH behavior, DENTAL caries, COSMETIC dentistry, INCISORS
Abstract

The objective of this prospective 12-month observational study is to examine the oral health-related quality of life (OHRQoL) among Hong Kong young children aged 3–4 years old receiving silver diamine fluoride (SDF) therapy for carious upper anterior primary teeth. A parental questionnaire was used to collect each child's sociodemographic background and oral health habits at baseline. Data on parents' satisfaction with their child's dental aesthetics were collected at baseline and during a 12-month visit. The Chinese Early Childhood Oral Health Impact Scale (C-ECOHIS) was used to measure OHRQoL. A trained dentist performed examinations and recorded caries experience (dmft) and oral hygiene (visible plaque index) at baseline and 12 months. SDF was applied to the carious lesions. Out of 286 invited children, 248 (87%, 248/286) participated, and 211 (85%, 211/248) attended the 12-month examination. All SDF-treated carious lesions were discoloured at the 12-month examination. Regression analysis showed that the baseline C-ECOHIS score was associated with dmft (p < 0.001). The baseline and 12-month C-ECOHIS scores were 4.6 ± 5.5 and 5.0 ± 5.6, respectively (p = 0.42). The scores for parental satisfaction with dental aesthetics at baseline and 12 months were 59% to 46% (p < 0.001). Satisfaction was negatively associated with the number of discoloured upper anterior teeth (p < 0.001). In conclusion, SDF discoloured the carious upper anterior teeth of the Hong Kong kindergarten children. However, the discoloured lesions had no significant effects on the OHRQoL of these children. However, more parents became dissatisfied with their child's dental aesthetics after SDF therapy. Hence, clinicians should inform parents well before they perform SDF therapy on children. [ABSTRACT FROM AUTHOR]

Published
2024
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39. Strategies for Effective Dentist-Patient Communication: A Literature Review.

Author

Ho, Jasmine Cheuk Ying, Chai, Hollis Haotian, Lo, Edward Chin Man, Huang, Michelle Zeping, and Chu, Chun Hung

Subjects
FEAR of dentists, PATIENT satisfaction, PATIENT compliance, LITERATURE reviews, FACIAL expression, DENTIST-patient relationship
Abstract

The effectiveness of high-quality dental care predominantly lies on the communication between dentist and patient. However, little literature has reported the importance of these "soft skills" in dental practice. The aim of this literature review is to explore strategies for effective dentist-patient communication. Dentist-patient communication is a bidirectional process involving the exchange of ideas that should be clear (easy to understand), correct (accurate), concise (to the point), complete (with essential information), and cohesive (well-organized). Effective communication empowers patients with the knowledge required to make an informed decision about their own oral health. It not only improves the dentist's efficiency and boosts patient confidence, but also alleviates patients' dental anxiety and fear, addresses patients' needs and preferences, increases patients' adherence, and enhances patient satisfaction. To enhance dentist-patient communication, dentists should take the patient-centered approach as a premise. The approach comprises understanding patients' illnesses, shared decision-making, and mindful intervention at the patient's own pace. In addition, dentists should use simple, succinct language, proper body posture, gestures, facial expressions, and eye contact when interacting with patients. Dentists should show empathy, encourage questions and feedback, employ visual aids, and give ample time to patients. Nowadays, dentists and their patients use messaging applications in their communication. This form of telecommunication is not only a convenient way of communication but also reduces the costs associated with a dentist visit. In conclusion, effective dentist-patient communication is vital for the success of dental practice. Dentists who prioritize communication and build positive relationships with their patients are more likely to achieve positive outcomes and foster the expansion of their dental practice. [ABSTRACT FROM AUTHOR]

Published
2024
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41. Trend on dental caries status and its risk indicators in children aged 12 years in China: a multilevel analysis based on the repeated national cross-sectional surveys in 2005 and 2015

Author

Li, Fei, Wu, Si-Cheng, Zhang, Zhi-Yuan, Lo, Edward Chin Man, Gu, Wen-Jia, Tao, Dan-Ying, Wang, Xing, Tai, Bao-Jun, Hu, De-Yu, Lin, Huan-Cai, Wang, Bo, Si, Yan, Wang, Chun-Xiao, Zheng, Shu-Guo, Liu, Xue-Nan, Rong, Wen-Sheng, Wang, Wei-Jian, Feng, Xi-Ping, and Lu, Hai-Xia

Published
2021
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