Research Articles (Paediatric Dentistry)
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Item Principles and care pathways for caries management in children: IAPD Rome forum(John Wiley & Sons, 2024) Tinanoff, Norman; Potgieter, Nicoline; Banerjee, AvijitThe traditional approaches to the treatment of dental caries have focused on repairing the consequences of the caries process, the lesions, rather than addressing the disease process itself. Advances in the understanding of caries microbiology, de-/remineralization cycling, risk/susceptibility assessment, staging of lesion activity/severity, non-surgical/micro-/minimally invasive procedures and public health interventions are fundamentally changing the landscape of caries management. To facilitate the global adoption of contemporary caries management for children, international experts were convened as part of an International Association of Paediatric Dentistry (IAPD) forum in Rome, in November 2022. This expert panel met for a one-day pre-conference workshop to discuss and consider principles of cariology and care pathways to improve oral health for individuals and healthcare systems. The topics discussed included advances in the science of cariology, advances in caries management, improving oral healthcare systems and teaching caries management. Such advances are especially important for children's oral health because of the value of establishing early preventive behaviours (including caregivers), difficulties of performing procedures in young children and inequalities/inequities in children's oral health care. The topics were presented over the two-and-a-half-day congress, and the feedback was collected. This position paper presents the summarized evidence collated by the expert panel and the IAPD Board of Directors.Item Acceptance of the use of silver fluoride among Brazilian parents of children with special health care needs(Frontiers Media SA, 2024) Potgieter,Nicoline; Charone,Senda; Elias RBackground: Children with special health care needs including down syndrome, autism spectrum disorder and down syndrome experience difficulties in receiving dental treatment. silver diamine fluoride (SDF) and silver fluoride (SF) are a minimally invasive treatments options to arrest dental caries without sedation; local or general anaesthesia (GA). Aim: Evaluation of Brazilian's parents' acceptance of the use of SF in CSHCN. Methods: After receiving education on SF, 100 Parents of CSHCN completed a questionnaire concerning their acceptance of SF, in different dental situation. Result: Majority of parents (74,5%) agreed to the use of SF for their children. SF was more acceptable on posterior teeth (74,5%) when compared to its use on anterior teeth (43,1%). Parents accepted to use SF in order: to reduce infection and pain (82,4%); to avoid dental injection (72,5%) and treatment under GA (84,3%). The majority of parents accepted the properties of SF (82,4%) and silver (80,4%). Conclusion: silver fluoride was accepted as a treatment option for caries, by Brazilian parents of CSHCN. SF should be considered as a treatment option for caries limited to dentine for CSHCN, taking into consideration the individual needs and opinions with regard to aesthetics and exposure to fluoride and silver.