Introduction/Objective. An important moment in oral health care and preventive dentistry is the first dental visit, recommended to be undertaken between the child?s sixth and 12th month of life. Worldwide evidence shows a considerable delay. This study evaluates characteristics of the first dental visit in a public health care center in Novi Sad, Serbia, during 2006?2015 period, and changes in occurrence driven by the healthcare reform. Methods. The study design was retrospective, evaluating available data on age and the main reason for the first dental visit of 270 children, who come to the same dentist and pediatrician in a public health care center during the 2006?2015 period. Results. Collected data determined the third and the fourth year of life as the dominant age (45.8% of children) for the first dental visit in 2006?2010, initiated mostly by a dental check-up (53.8%). During the second period (2011?2015), most of the first visits (31.1%) were done by the age of one, while the main reason for 80.1% of the visits was dental check-up. Conclusion. Considerable progress regarding the first dental visit was made in the observed period, which is, at least partially, due to the health care reform and emphasized preventive versus curative measures, by means of advanced communication between parents and chosen medical staff in prenatal and pediatric clinics.
Research has shown that despite the lack of subjective symptoms, these lesions have distinct clinical characteristics. The fact that they occur even in deciduous dentition justifies the need for further investigations.
Introduction. Autism is a severe and lifelong developmental disorder
characterized by impaired social interaction and interpersonal
communication, as well as characteristic repetitive patterns of interest and
behavior. The purpose of this study is to point to the possibility of
applying various techniques of adaptation of children with autism to dental
interventions in order to maintain oral health. Material and Methods. A
multidisciplinary project was carried out by the Dental Clinic of Vojvodina,
Special Education School ?Dr. Milan Petrovic? and the Autism Society of Novi
Sad. The following education models were used in the project:
behaviororiented models, developmental strategies, therapy based
interventions, and combined interventions. The success rate of applied
education models and adaptation of children with autism spectrum disorders
to dental interventions was examined. The success criteria included the
ability to make contact, communicate, cooperate, and perform dental
treatment. Results. The multidisciplinary project included 20 active members
the Autism Society of Novi Sad and 20 members of the Special Education
School ?Dr. Milan Petrovic? day care program. The results of the study
showed a 95% success rate of the most commonly used applied behavior
analysis. The success rate of the communication oriented interventions was
90%, while therapy based interventions showed an 85% success rate. The
combined interventions showed a 100% success rate. Conclusion. Only
integration of several methods, multidisciplinary cooperation and an
individual approach to work with children with autism can lead to success in
work and adaptation to dental interventions of persons with autism spectrum
disorder.
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