ObjectivesLittle is known about the oral health of paediatric oncology patients in the Caribbean. Poor oral health can complicate oncology treatment, negatively affecting a child's health. In children undergoing chemotherapy or bone marrow transplant, odontogenic infections can progress to life‐threatening sepsis. The aim of this study is to investigate the oral health among children attending an oncology clinic in Trinidad.Material and MethodsSample population included paediatric oncology patients attending a children's hospital in Trinidad. Subsequent to obtaining informed consent, a 14‐item questionnaire was administered to parents/caregivers. An intra‐oral examination was undertaken by two dentists to assess soft tissues, gingival health, and dentition status, using visual examination only.ResultsSeventy‐one children and their caregivers participated in the study. The children consisted of both patients warded or attending as outpatients; 53.5% of patients were male and the mean age 6.64 (SD 3.33) years with a range of 1 to 15 years. Gingivitis and mucositis were present among 41.3% and 3% of patients, respectively. The prevalence of visible dental caries was 54.3%. Caries experience (dmft) was 2.28 (SD 3.63), and for those children with some caries experience (dmft > 0), this was 5.59 (SD 3.72). The majority (62.5%) had never visited a dentist. The most common dental treatment needs were dental prophylaxis (98.4%) and restorative treatment (50.8%). Acute lymphocytic leukaemia (39.1%) was the most common malignancy among this sample, and patients were at varying stages of cancer treatment.ConclusionsOral health among this sample of paediatric oncology patients was generally poor, with untreated caries being common, and the majority of children not having had any previous dental care. Preventive dental care for these patients should include oral hygiene instruction, dietary advice, topical fluoride application along with management of carious lesions, and odontogenic infections. This preliminary study highlights the need for closer collaboration between general dental practitioners, paediatric dentists, and paediatric oncology physicians, in caring for these patients.

No abstract

This cross-sectional survey was carried out to ascertain the prevalence of fractured incisors in 11–12-year-olds. In addition we explored the relationship with overjet, incompetent lips, incisor inclination and to determine if there was any association with ethnicity and gender. All permanent incisors were examined in 672 children comprising 356 females (53.1%) and 315 males (46.9%). The sample comprised 11–12-year-olds in high schools across Trinidad and Tobago. Statistical analysis was undertaken using Chi-square test, independent t-test, and binary logistic regression. The prevalence of fractured incisors was 18.9%. Boys presented with an increased incidence of fractured incisors than girls. 86.3% of dental trauma was untreated. The average overjet of subjects with fractured incisors was 4.2 mm. 18.62% of subjects with fractured incisors had incompetent lips. The most common malocclusion (18.81%) with fractured incisors was class 2 division 1. The Afro-Trinidadian ethnicity had the highest prevalence of fractured incisors (11.0%) when compared to mixed ethnicities, which was statistically significant. Maxillary central incisors were the most commonly injured teeth. Most patients delayed in seeking dental treatment for fractured incisors in our population. Early orthodontic treatment is recommended to help reduce the risk of dental trauma.

The COVID-19 virus is highly infectious, and it places both patients and dental health care providers at high risk for contracting the disease. Therefore, it is crucial for dental teams to practice preventative measures against COVID-19 by wearing personal protective equipment (PPE), handwashing, ensuring adequate ventilation and sticking to strict protocols when conducting aerosol-generating procedures. Methods: A cross-sectional survey using an online platform was conducted to assess dentists’ knowledge, attitude and awareness of COVID-19 in Trinidad and Tobago. Descriptive statistics, Pearson’s chi-square and Fisher exact test were performed. Results: One hundred and ninety-two dentists participated in the survey. The age group, 30–39, comprised 40.6% of the respondents. General dentists comprised 80.7% of the sample. The majority of the respondents evaluated their awareness of COVID-19 as above average. There was no difference in knowledge between dentists and specialists regarding routes of transmission and preventative techniques. More female dentists reported feeling anxious and fearful. Conclusions: There was a high level of agreement between different professionals about the preventative measures, routes of transmission and incubation period. There was a lot of variation in knowledge about the survivability of the virus on innate objects. More education campaigns, seminars, and rehabilitation services targeting dentists in Trinidad and Tobago are required.

Background: The COVID-19 pandemic has affected the delivery of the curriculum of dental schools. The psychological impact and coping strategies of dental students in Trinidad and Tobago are a matter of concern. In this study, dental students were asked to evaluate their mental health and coping strategies regarding COVID-19. Methods: A survey was conducted using an online platform. Demographic data was collected and the psychological impact was assessed. Participants were also questioned on their coping strategies. Descriptive statistics, Chi-square test, Mann-Whitney test and a logistic regression were performed. Results: A total of 108 out of 137 students participated. Their mean age was 22.96 years. High levels of stress (59.26%), anxiety (64.81%) and depression (76.85%) were observed among dental students. Nationality and gender played a significant role in the students' mental health scores. Female students were more likely to experience stress, anxiety and depression than males (exp[β] = −0.38, −0.21, and −2.31). There were various coping mechanisms deployed by dental students. Conclusion: The elevated levels of stress, anxiety and depression in these dental students emphasize the need for psychological intervention.