Children's discomfort in assessments using different methods for approximal caries detection

Novaes, Tatiane Fernandes; Matos, Renato Camargo; Raggio, Daniela Prócida; Braga, Mariana Minatel; Mendes, Fausto Medeiros

doi:10.1590/s1806-83242012000200002

Cited by 19 publications

(21 citation statements)

References 22 publications

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“…Universal pain assessment tool comprises of Verbal descriptor scale, Wong-Baker Facial grimace scale and activity tolerance test. It was found to be more sensitive as compared to Visual analog scale[202122] and hence it was used in this study.…”

Section: Discussionmentioning

confidence: 99%

Comparison of acceptance, preference and efficacy between pressure anesthesia and classical needle infiltration anesthesia for dental restorative procedures in adult patients

2014

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Introduction:Intraoral local anesthesia is essential for delivering dental care. Needless devices have been developed to provide anesthesia without injections. Little controlled research is available on its use in dental restorative procedures in adult patients. The aims of this study were to compare adult patients acceptability and preference for needleless jet injection with classical local infiltration as well as to evaluate the efficacy of the needleless anesthesia.Materials and Methods:Twenty non fearful adults with no previous experience of dental anesthesia were studied using split-mouth design. The first procedure was performed with classical needle infiltration anesthesia. The same amount of anesthetic solution was administered using MADA jet needleless device in a second session one week later, during which a second dental restorative procedure was performed. Patients acceptance was assessed using Universal pain assessment tool while effectiveness was recorded using soft tissue anesthesia and pulpal anesthesia. Patients reported their preference for the anesthetic method at the third visit. The data was evaluated using chi square test and student's t-test.Results:Pressure anesthesia was more accepted and preferred by 70% of the patients than traditional needle anesthesia (20%). Both needle and pressure anesthesia was equally effective for carrying out the dental procedures.Conclusion:Patients experienced significantly less pain and fear (p<0.01) during anesthetic procedure with pressure anesthesia. However, for more invasive procedures needle anesthesia will be more effective.

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Section: Discussionmentioning

confidence: 99%

Comparison of acceptance, preference and efficacy between pressure anesthesia and classical needle infiltration anesthesia for dental restorative procedures in adult patients

2014

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“…In this study, there were a high reproducibility between the examiners, in the detection and evaluation of caries activity. Furthermore, the ICDAS system is widely accepted and applied in pediatric dentistry clinics 21 .…”

Section: Discussionmentioning

confidence: 99%

Association between quantitative measures obtained using fluorescence‐based methods and activity status of occlusal caries lesions in primary molars

Novaes

Reyes

Matos

et al. 2016

Int J Paed Dentistry

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“…So far, great attempts have been made in the development of diagnostic adjuncts that have higher accuracy than tactile examination and bitewing radiography in detecting proximal lesions. Recent studies focused on the performance of a laser fluorescence apparatus (DIAGNOdent pen; KaVo, Biberach, Germany) and reported relatively high diagnostic accuracy for this device as a screening method for diagnosing smooth surface caries [Novaes et al, 2009[Novaes et al, , 2010[Novaes et al, , 2012bChen et al, 2012], although some authors claimed that visual-tactile examination was still the superior strategy regarding the choice of treatment [Baelum et al, 2012;Mendes et al, 2012]. It is not possible to compare the performance of the novel radiographic technique with other methods of proximal caries detection used in previous studies because of the differences in the inclusion criteria.…”

Section: Discussionmentioning

confidence: 99%

A Pilot Study of a Modified Radiographic Technique for Detecting Early Proximal Cavities

et al. 2013

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Diagnosing the necessity of cavity preparation in demineralized proximal areas has been considered as a challenge in restorative treatment planning. The purpose of this study was to investigate the clinical performance of a modified radiographic technique for the detection of proximal cavities. The sample consisted of 44 proximal surfaces in 38 dental students. The patients had radiolucent proximal lesions restricted to the inner half of enamel or the outer third of dentine in bitewing radiographs, and there was doubt regarding the presence or absence of cavities in the approximal areas. The suspected surfaces were then examined by secondary bitewing radiographs which were taken after pressing radiopaque material into the proximal areas. Finally, orthodontic elastic separators were placed in the contact areas to provide enough space for direct visual and tactile examination, thus detecting any proximal cavity (reference standard). The sensitivity, specificity and accuracy of the modified bitewing radiography were calculated against the reference standard. Overall, 7 surfaces presented caries cavities according to the reference standard. All proximal radiolucencies observed in the inner half of enamel and 46% of those extended to the outer third of dentine were not cavitated when evaluated by direct visual and tactile examination. The sensitivity, specificity and accuracy of bitewing radiography with opaque material for detecting proximal cavities (n = 7) were 86, 100 and 98%, respectively. The tested radiographic technique displayed good validity in this pilot study for detecting proximal cavities in posterior teethand should be further investigated.

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Children's discomfort in assessments using different methods for approximal caries detection

Cited by 19 publications

References 22 publications

Comparison of acceptance, preference and efficacy between pressure anesthesia and classical needle infiltration anesthesia for dental restorative procedures in adult patients

Comparison of acceptance, preference and efficacy between pressure anesthesia and classical needle infiltration anesthesia for dental restorative procedures in adult patients

Association between quantitative measures obtained using fluorescence‐based methods and activity status of occlusal caries lesions in primary molars

A Pilot Study of a Modified Radiographic Technique for Detecting Early Proximal Cavities

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