Abstract:
PURPOSE:The purpose of this nonrandomized, case-control study was to examine the incidence and severity of upper airway obstruction (UAO) in children with enlarged tonsils during inhalation of nitrous oxide (N2O). METHODS:Following premedication with oral midazolam, 0.5 mg/kg, measurements were collected during a 3-minute control period followed by 3 minutes of breathing 50% N2O in oxygen. An unblinded anesthesiologist held a facemask over the child's mouth and nose without supporting the head or neck, or attempting to maintain airway patency. Every 20 seconds, the degree of airway obstruction was graded as none, partial, or complete. Twenty-five children presenting for tonsillectomy and 25 controls without enlarged tonsils participated. RESULTS:During 50% N2O inhalation, 14 children (56%) in the tonsillectomy group, and four children (16%) in the control group demonstrated partial UAO. One child in the tonsillectomy group with partial UAO developed hypoxemia (SpO2 72%). One child in the tonsil group developed complete UAO during inhalation of 50% N2O. CONCLUSION:Children who receive sedation with oral midazolam and 50% N2O inhalation may exhibit significant UAO, especially in the presence of enlarged tonsils. Presedation physical exams should evaluate the presence of tonsil size during examination of the mouth and airway.
journal_name
Pediatr Dentjournal_title
Pediatric dentistryauthors
Litman RS,Kottra JA,Berkowitz RJ,Ward DSsubject
Has Abstractpub_date
1998-09-01 00:00:00pages
318-20issue
5eissn
0164-1263issn
1942-5473journal_volume
20pub_type
杂志文章abstract::A survey of directors of advanced educational programs in pediatric dentistry, identical to one conducted in 1979, was undertaken to examine the utilization of and indications for various physical restraint techniques. Updated results indicated that there is still a high acceptance of the hand-over-mouth (HOM) techniq...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract::The purpose of this study was to evaluate the effect of acid conditioning and occlusal sealant on microbial colonization of pit and fissures submitted to ameloplasty or left intact. Human enamel blocks containing fissures prepared from the occlusal surfaces of unerupted third molars were implanted in occlusal fillings...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
abstract:PURPOSE:This study's purpose was to investigate how young children's and parent/caregivers' oral health-related quality of life and children's dental fears were affected by dental rehabilitation under general anesthesia (DRGA). METHODS:A consecutive clinical sample of dyads of parents/caregivers and their four- to six...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2014-01-01 00:00:00
abstract::Ectodermal dysplasia (ED) is a hereditary condition diagnosed in childhood that is characterized by developmental and morphological abnormalities of anatomic structures derived from the ectoderm. Multidisciplinary management and team approach are important to ensure the patient's quality of life and to provide the fam...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:This study's purpose was to explore how content and format of children's oral health instruction in the dental clinic is perceived by parents and might affect parents' knowledge and behaviors. METHODS:Thirty low-income Mexican immigrant parents of children age five years and under were recruited from dental cl...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2018-01-01 00:00:00
abstract:PURPOSE:This study's purpose was to investigate the effect of a glass ionomer cement as a liner over infected unexcavated dentin after 60 days and at 10 to 15 months. METHODS:Forty-five permanent molars with deep carious lesions were selected. Fragments of carious dentin were removed prior to lining the cavity (baseli...
journal_title:Pediatric dentistry
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2014-07-01 00:00:00
abstract:PURPOSE:The objective of this study was to assess the effect of mineral trioxide aggregate (MTA) as pulp dressing material following pulpotomy in primary molars with carious pulp exposure and compare them to those of formocresol (FC). METHODS:Of 33 children, primary molars treated via a conventional pulpotomy techniqu...
journal_title:Pediatric dentistry
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2005-03-01 00:00:00
abstract:PURPOSE:The purpose of this study was to evaluate, using a randomized, double-blind methodology: (1) the safety of phentolamine mesylate (Oraverse) in accelerating the recovery of soft tissue anesthesia following the injection of two percent lidocaine plus 1:100,000 epinephrine in two- to five-year-olds; and (2) effica...
journal_title:Pediatric dentistry
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2017-01-15 00:00:00
abstract::Children and adolescents are subject to several periodontal diseases. Although there is a much lower prevalence of destructive periodontal diseases in children than in adults, children can develop severe forms of periodontitis. In some cases, this destructive disease is a manifestation of a known underlying systemic d...
journal_title:Pediatric dentistry
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
abstract:: Purpose: This study's purpose was to evaluate the effective dose (E) and equivalent dose (HT) of exposing a pediatric phantom to the extraoral bitewing programs of the Planmeca ProMax 2D S3 (ProMax) and Instrumentarium Orthopantomograph OP30 (OP30) and compare these result...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2020-01-15 00:00:00
abstract::This investigation demonstrates the reliability of fluorescein for detecting the permeability of incipient dental caries (white spots). Artificial white spots were created on the buccal surface of 12 human bicuspids by viscous lactic acid (pH 4). Permeability of these lesions was assessed and reassessed before and aft...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract::Purpose: Fluoridated toothpaste ingestion is associated with increased dental fluorosis prevalence. Current guidelines recommend a smear of fluoridated toothpaste for children younger than three years old and a pea-sized amount for children age three years or older. The purpose of this study was to evaluate two educat...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2018-11-15 00:00:00
abstract::There have been no previous studies on dental maturation of prematurely born, very low birthweight (< 1500 g, VLBW) Caucasian children. This study investigated dental development and prevalence of enamel defects in a group of 55 VLBW children (mean age at dental examination 7.7 +/- 2.2 years, mean birthweight 1203 +/-...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:PURPOSE:Study purposes were to: (1) validate information of New York State (NYS) pediatric dental Medicaid/CHIP providers registered on InsureKidsNow.gov (IKN); and (2) compare dental access to available IKN pediatric dental Medicaid provider locations by NYS region and population density of young children in poverty M...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2013-09-01 00:00:00
abstract::Teething as a disease entity has been diminished from its 19th century status as the major cause of infant mortality to its modest position today as a "waste basket" diagnosis. If past proves to be prologue, it will diminish further as more credible causes for undifferentiated fevers and other complaints are found. Th...
journal_title:Pediatric dentistry
pub_type: 历史文章,杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract:PURPOSE:The purpose of this study was to investigate whether there are microbiological differences in bacterial samples collected from labial piercings made of different materials. METHODS:Sterile piercings of 4 materials were randomly allocated to 80 pierced subjects. After 2 weeks, microbiologic samples were collect...
journal_title:Pediatric dentistry
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2013-01-01 00:00:00
abstract::Dental caries continues to be one of the most common chronic diseases of childhood. Medical management of this disease has the potential to decrease the burden of disease in the most vulnerable children and delay the need for surgical intervention. Effective medical management requires early and effective risk assessm...
journal_title:Pediatric dentistry
pub_type: 杂志文章,评审
doi:
更新日期:2015-03-01 00:00:00
abstract::Scurvy, vitamin C deficiency, is uncommon in industrialized societies today. Although supplementation of food with vitamin C has diminished its incidence, scurvy continues to occur in specific economically and nutritionally disadvantaged populations. The purpose of this report was to describe the case of infantile scu...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2010-03-01 00:00:00
abstract::Juvenile xanthogranuloma is a rare non-Langerhans cell histiocytosis that usually occurs in the skin of children. Extracutaneous involvement is rare, and few cases affecting the oral cavity have been reported. The purpose of the present study was to report two cases of oral juvenile xanthogranuloma affecting the lower...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2017-05-15 00:00:00
abstract::Concern has been expressed about the safety of formocresol use in pediatric dentistry Formaldehyde, a primary component in formocresol, is a hazardous substance and is considered a probable human carcinogen by the International Agency for Research on Cancer, Health Canada, the Agency for Toxic Substances and Disease R...
journal_title:Pediatric dentistry
pub_type: 杂志文章,评审
doi:
更新日期:2008-05-01 00:00:00
abstract:PURPOSE:Enamel demineralization adjacent to orthodontic brackets is one of the risks associated with orthodontic treatment. Glass ionomer cements have been shown to decrease enamel demineralization adjacent to brackets and bands but do not exhibit bond strengths comparable to resin composites. The purpose of this in vi...
journal_title:Pediatric dentistry
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2001-05-01 00:00:00
abstract:PURPOSE:The purposes of this study were to: (1) describe the demographics and oral characteristics of deaf or blind children and adolescents receiving dental treatment at an institution for the deaf and blind (DBC); (2) compare this information to children and adolescents with no systemic disease or impairments attendi...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2014-07-01 00:00:00
abstract:PURPOSE:This manuscript presents evidence-based guidance on the use of vital pulp therapies for treatment of deep caries lesions in children. A guideline panel convened by the American Academy of Pediatric Dentistry formulated evidence-based recommendations on three vital pulp therapies: indirect pulp treatment (IPT; a...
journal_title:Pediatric dentistry
pub_type: 杂志文章,实务指引
doi:
更新日期:2017-09-15 00:00:00
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: (1) medical/dental history; (2)functional language; (3) personal hygiene skills; (4) academic setting; an...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2007-09-01 00:00:00
abstract:PURPOSE:Chronic irritation of the gingiva causes localized reactive hyperplastic lesions (LRHLs), which are classified into: peripheral ossifying fibroma (POF); peripheral giant cell granuloma (PGCG); pyogenic granuloma (PG); and focal fibrous hyperplasia (FFH). The purpose of this study was to determine the frequency ...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2010-11-01 00:00:00
abstract::The purposes of the present study were to determine the effectiveness of infiltration anesthesia in the mandibular primary molars, and how patient age, tooth location, and anesthetic type relate to the quality of anesthesia. Data were derived from 66 subjects, 42-72 months old, requiring restorative treatment in mandi...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract:PURPOSE:This study was performed to estimate the prevalence of giant dentin tubules or microcanals in primary maxillary anterior teeth. METHODS:One hundred sixty eight extracted or exfoliated primary maxillary anterior teeth were sectioned and examined by optical microscopy and image analysis. Differences in the propo...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract:PURPOSE:The purpose of this study was to compare the pain rating scale measurements from an exposure group (injections with the aid of DentalVibe Injection Comfort System) and control group (traditional injection without the aid of the DentalVibe) in adolescent patients using self-reported pain during administration of...
journal_title:Pediatric dentistry
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2014-01-01 00:00:00
abstract::Congenital aplasia of the major salivary glands is rare, and there have been few cases of the condition reported to date. In many cases, absence of the salivary glands is associated with syndromes involving the ectodermal tissues. The xerostomia encountered in affected children is usually associated with increased ris...
journal_title:Pediatric dentistry
pub_type: 杂志文章,评审
doi:
更新日期:2011-03-01 00:00:00
abstract::The purpose of this study was to determine the in vitro bond strengths of composite rebonded to stainless steel crown metal (SS) using five different bonding agents after composite to SS bond failure had been produced. The adhesive systems were applied to the failed bonds following the manufacturers' instructions and,...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:1997-05-01 00:00:00