Day :
- Oral Microbiology & Pathology | Forensic Dentistry | Pediatric Dentistry | Orthodontics & Endodontics Periodontics and Prosthodontics | Orofacial Myology | Dental Pharmacology | Dental Materials Science | Dental Anesthesiology | Forensic Dentistry
Location: Armstrong
Chair
Najat A Rabbo J S Alyafei
Primary Health Care Corporation, Qatar
Session Introduction
Majed Almuammar
National Guard Health Affairs, Saudi Arabia
Title: The impact of dental treatment and age on salivary cortisol and alpha-amylase levels of patients with varying degrees of dental anxiety
Biography:
Majed Almuammar completed his BDS, Ms, ABPD, FAAPD, FICD. He worked as a consultant Pediatric Dentistry, King Abdulaziz Medical City, in National-Guard, RIYADH, SAUDI Arabia, Associate Professor at King Saud bin Abdulaziz university, RIYADH, Saudi Arabia. He finished certificate in pediatric dentistry at New York university on July 1996. He had done Master of Dental Material from same university (New York unit) on 1997. He certified as an American board in pediatric dentistry in the year of 2000. He was a fellow of American academy of pediatric dentistry in the year 2001 and International College of Dentistry on the year of 2007. Seven publications done in known journals. He worked as Director of the residency program in national-Guard in the center region from the year 2000 – 2011. He involved in administration as a divisional head in pediatric dentistry and Orthodontics department for several years and involved in many committees. He attended as an invited speaker in international symposium for several occasions.
Abstract:
Background: The purpose of this study was to assess the salivary cortisol and salivary alpha-amylase levels in children aged between 6-9 years.
Methods: total of 1567 patients were screened, a total of 151 patients completed the study, patients’ heart rate on recall, salivary cortisol and salivary alpha-amylase where compared between the groups.
Results: showed that salivary cortisol and salivary alpha-amylase had a significant association with the level of dental fear. The phobic patients had the highest levels of salivary cortisol and salivary alpha-amylase with no significant associations observed with either heart rate or extent of dental treatment. Control and anxious patients had significantly lower amylase levels when compared to phobic patients.
Conclusion: within the limitations of this study we can conclude that salivary amylase is an indicator of acute stress that can differentiate between anxiety and dental fear; while salivary cortisol appears to be a marker of long-term stress that lacks the sensitivity to differentiate between the two.
Madalina Croitoru
Carol Davila University of Medicine and Pharmacy, Romania
Title: Assessing the degree of acceptance of dental treatments by children and adolescents through the use of behavioural treatment techniques
Biography:
Madalina Croitoru has her expertise in paediatric dentistry and a passion for improving the health and wellbeing of children and adolescents. Her open manner and dedication towards handling difficult make her a valuable member of the Paediatric Department. Her area of research interest includes paediatric dentistry, children psychology.
Abstract:
Aim: The purpose of this paper was to determine if behaviour management can modify in a positive manner the degree of acceptance of dental treatment in children and adolescents and to assess the influencing factors of the patients’ behavioural pattern.
Background: One of the cornerstones in practicing paediatric dentistry is the ability to guide children positively throughout their dental experience and encourage positive dental attitude in order to improve their oral and overall health. Anxiety associated with the dental procedures can be reflected in the child’s behaviour. Therefore, it is important for dentists to evaluate psychological personal traits and to modify the management approach to reduce their anxiety.
Material and Methods: A cross-sectional study was performed on 312 children aged 2 to 14 years (m.a. 6.44±0.19 years) attending the Pedodontics Dental Clinic of the “Carol Davila” University of Medicine and Pharmacy in Bucharest, Romania for routine dental care. The improvement of the patients’ behavioural pattern was attempted using the “tell-show-do” technique, positive reinforcement, ART technique, voice modulation, systematic desensitivation, non-verbal communication and behavioural modelling. Their behaviour was evaluated using Frankl’s scale at every visit at the clinic. Statistical analysis was performed using PSPP 1.2 afp005.
Results: A positive modification of the behavioural pattern was recorded in 93.7% of cases. The main factors influencing the behavioural pattern were age and the use of ART techinique (p<0.05).
Conclusion: Behavioural treatment can be a valuable tool in improving the acceptance of dental treatments in children and adolescents.
Najat A Rabbo J S Alyafei
Primary Health Care Corporation, Qatar
Title: Job satisfaction of dental professionals in Asnani School Oral Health Program
Biography:
Najat Alyafei is the Head of Oral Public Health Services of the Primary Healthcare Corporation, a deputy member of the National Oral Health Committee (NOHC) and the lead of School Oral Health Program tagged Asnani (My Teeth) in Qatar. Coming soon implementing National Adult Screening Project. In addition, she is the first and only Qatari senior hygienist worked for Hamad Medical Corporation (HMC) 1992-2016. She has a Bachelor of Health Care Science degree in Dental Hygiene from King Saud University, Riyadh, Saudi Arabia and Master of Science degree in Education from Old Dominion University, Virginia, USA. Currently, she is a PhD candidate at Health Care science (implementation program), Bangor University, United Kingdom.
Abstract:
Job satisfaction among health care professionals has been linked to various aspects of patient care and health system outcomes as well as to general life satisfaction and job performance. It is of immense significance for any organization to have complete awareness of the level of job satisfaction of its workforce. Asnani School Oral Health Program was initiated in November 2018 by Primary Health Care Corporation (PHCC), Qatar, as a novel initiative to provide dental screening services, preventive treatments like fluoride varnish applications and pit and fissure sealants along with referrals for treatment children in Qatar employing bipartite strategy i.e., at schools and at Health Centers (HC).
Objectives: 1) To assess job satisfaction of dental professionals in Asnani School Oral Health Program. 2)To evaluate the attitude of the Asnani dental professionals towards their work. 3)To elucidate the underlying factors which may impact their job satisfaction and to improve the efficiency of dental professionals in Asnani program by addressing their grievances.
Methodology: Online survey questionnaire tool was designed to assess the job satisfaction of 23 dental professionals (7 Dentists, 4 Dental Hygienists and 12 Dental Assistants) engaged in Asnani School Oral Health Program.
Results: Majority of the dental professionals expressed their satisfaction about being a part of Asnani School Oral Health Program. More than half of respondents rated high workload at both the schools and Health Centers. Only about one third of them perceived that the workload was almost right. 81% reported good work-life balance and 88% felt connected to their team.
Conclusion: Overall job satisfaction was judged to be good among majority of the dental professionals in Asnani School Oral Health Program and they had a positive attitude towards their work.
Maryam Zahed
Shiraz University of Medical Sciences, Shiraz, Iran
Title: Long term Effectiveness of Treatment for Oral Pemphigus Vulgaris with Systemic Corticosteroids and Azathioprine
Biography:
Seyedeh Maryam Zahedzahedani working in Oral and Dental Research Center, Shiraz University of Medical Sciences as an Assistant Professor of Oral and Maxillofacial Medicine in Iran
Abstract:
Aim: The aim of this study was to compare the safety, tolerability and efficacy of corticosteroid and corticosteroid combined with azathioprine in oral pemphigus vulgaris patients.
Materials and Methods:
In this study, data of 47 patients with oral pemphigus vulgaris were evaluated and statistically analyzed during a 14-year period (2004-2018).
All patients started treatment with oral prednisolone 1mg/kg/d (group I). 22 patients who did not respond to this treatment in 6 weeks time were placed on a combination regimen consisting of prednisolone 1mg/ kg/d with 100 mg azathioprine twice daily (group II). All patients were referred every two weeks for medication tapering, evaluation of side effects, lesion examination and follow-up. The time to recovery was considered as the time from treatment to the first follow up session where all lesions had recovered and no new lesions had formed.
Results: Both groups showed a high degree of favorable clinical response. That is complete treatment was seen in 13 patients (52%) of group I and 13 patients (59.1%) of group II. The mean time to recovery was 163.96 days for group I, and 134.24 days for group II. Only one patient did not show response to any treatment. However, the comparison of side effects in the two groups in this study showed that the side effects of drug use were significantly lower in the combination diet group.( Complications in group one were 80% and in group two 50% P = 0.030)
Conclusion:
Both treatments were effective. In patients with less severe disease, systemic corticosteroids are preferable to combination regimens. Because of this, the unknown effects of adding immunosuppressive drugs to the patient cannot be imposed. However, when the disease is more severe, the combined regimen can be used effectively and safely to treat the disease and prevent the patient from being exposed to higher doses of prednisone and its adverse effects.
Alrouh Mosab Al Saadoon
King Saud Univeristy, Saudi Arabia
Title: Management of dental fear and anxiety in pediatric patients
Biography:
Alrouh Mosab Al Saadoon is a postgraduate student at King Saud University, he is constantly engaged in variable outstanding health promotion activities with a strong emphasis on patient’s care. His thesis and education focusing on anxiety management expanded my knowledge and have gained me a vast amount of insight regarding this aspect.
Abstract:
Dental anxiety is a broad term which includes all different types of dental fears and phobias (Porritt et al., 2013). It is extremely common affecting both adults and children. It is known that dental anxiety majorly contributes to dental avoidance, which will negatively affect the individual’s oral health and quality of life (McGrath and Bedi, 2004). Therefore, it is necessary to assess the patient’s anxiety, as it will help in directing the most appropriate means for their management.
Maram A. Alagla
King Saud University, Saudi Arabia
Title: Do parenting styles affect children’s oral health in Saudi Arabia?
Biography:
Maram A Alagla is a senior pediatric dentistry doctoral candidate at King Saud University, Riyadh, Kingdom of Saudi Arabia. She has always been interested in early childhood caries, behavioral dental management of young children and parenting styles. Maram is eager to find solutions to young children’s dental challenges and overall oral health.
Abstract:
Objective: The purpose of the study is to correlate the parenting styles of parents with the oral health of their children, in Riyadh, Saudi Arabia.
Study design: Two hundred and eighty healthy preschool children, who have never been to the dentist, were recruited. Parenting style was determined by the Parenting Style and Dimensions Questionnaire (PSDQ). World Health Organization (WHO) criteria and simplified debris index (DI-S) were used for the diagnosis of dental caries and oral hygiene of the children respectively.
Results: Two parenting styles were identified among Saudi parents; authoritative (94%, n = 265) and permissive (6%, n = 17). The majority of children were brushing by themselves (n = 130, 46.1%) and once per day (n = 163, 57.8%). Significant correlations were detected between parenting style and children’s brushing times (P-value of 0.016) and the number of meals consumed by children (P-value of 0.031). The age of the child and oral hygiene score were significantly correlated to dental caries (P-value < 0.05).
Conclusion: Two parenting styles were identified among Saudi parents. Parenting style influenced the child’s oral health but not significantly. Early childhood caries and fair to poor oral hygiene were commonly detected among children. Clinically interesting correlations were identified regarding factors affecting the child’s oral health status.
Image
Figure: Parenting styles distribution among the studied sample