Purpose: The purpose of this study is to describe children’s dental disease status and functional health literacy of families enrolled in the Child Health Investment Partnership program in Roanoke Valley. Methods: This was a prospective cohort study of children (n=166) enrolled in the Child Health Investment Partnership of Roanoke Valley, Virginia (CHIP). The parents of the 166 children completed the Life Skills Progression (LSP) survey at enrollment between September 2004 and September 2008 to assess their functional health literacy levels. Their LSP scores were used to determine their subsequent health care literacy (HCL), personal health literacy (PHL), and dental-child utilization (LSP22) scores. Descriptive statistics were recorded and a paired t-test was used to determine a relationship between the three measures of functional health literacy at baseline and at their most recent literacy assessment. Dental disease status was determined by an epidemiological dental exam and evaluated using d1d2-3f criteria. This was a visual exam that measured the presence of frank (d2-3) and non-cavitated carious lesions (d1), as well as filled teeth. Results: Descriptive analysis of the cohort reveals: 58% of the children enrolled had no carious teeth at the dental screening exam. The average mean of LSP scores for all three scales: HCL, PHL, and LSP22 were significantly different from baseline: p<.0001, p<.0009, and p<.0001, respectively. Conclusion: An improvement of parental functional health literacy has been documented in a low-income pediatric dental population when preventative efforts and education is delivered within the context of a home-visitation health program. The population of high-risk children had low levels of dental disease.

O objetivo deste estudo foi comparar o preparo de canais radiculares de dentes decíduos artificiais com o uso dos sistemas manual, rotatório e de rotação recíproca, no que diz respeito ao desgaste promovido após a instrumentação dos canais radiculares e o tempo necessário para a realização da instrumentação. Os fatores em estudo foram técnica de instrumentação em três níveis e área de avaliação no canal radicular em três níveis. Foram utilizados apenas os dentes multiradiculares (primeiro molar superior, segundo molar superior, primeiro molar inferior e segundo molar inferior), compondo 24 dentes os quais foram aleatoriamente divididos entre as três técnicas de instrumentação em estudo: manual, Sistema rotatório Mtwo e Sistema de rotação recíproca Reciproc. A unidade amostral foi conduto radicular (n=20). Os condutos radiculares foram escaneados no tomógrafo de TCFC (Accuitomo). Após a instrumentação dos dentes novas imagens foram realizadas, avaliações quantitativas foram feitas medindo-se nas imagens axiais dos canais radiculares, a espessura das paredes em três diferentes regiões: terços apical, médio e cervical. As variáveis de resposta analisadas foram cálculo do transporte do canal, cálculo da descentralização e tempo de instrumentação. Tanto para a avalição da descentralização, quanto para a avaliação do transporte, os dados foram transformados e analisados por ANOVA a 2 critérios e Teste de Tukey, para os dados da comparação dos tempos foi utilizado o teste de Kruskal-Wallis e Teste de Tukey (p<0,05). Para a avaliação do transporte do canal e da descentralização não foi encontrada diferença estatística significativa entre os tipos de instrumentação e terços radiculares (p>0,05). Na avaliação do tempo de preparo, o grupo do sistema reciprocante apresentou menor tempo de preparo em comparação com o sistema manual e rotatório (p<0,05). Desta forma conclui-se que os tipos de instrumentação avaliados promoveram um preparo similar dos canais, sem diferença entre os terços cervical, médio e apical, sendo que o sistema de rotação recíproca resultou em um menor tempo de instrumentação. / The objective of this study was to compare the preparation of root canals of artificial deciduous teeth with the use of the manual systems, rotational and reciprocal rotation, with regard the detrition promoted after instrumentation of root canals and the time necessary for the realization of instrumentation. The factors in study were the techniques of instrumentation in tree levels and the area of root canal in tree levels. Have been used only teeth multirooted (first molar, second molar, lower first molar and second molar), composing 24 teeth which were randomly divided among the three instrumentation techniques under study: manual, rotational system Mtwo and reciprocal rotation system Reciproc. The sample unit was root canal (n = 20). The root canals were scanned in tomographer CBCT (Accuitomo). After instrumentation of new images teeth were conducted quantitative evaluations were made by measuring the axial images of the root canals, the wall thickness at three different regions: apex, middle and cervical thirds. Response variables analyzed were calculating the channel transport, decentralization and calculation time instrumentation. Both for the evaluation of decentralization, as for the evaluation of transportation, data were processed and analyzed by ANOVA and Tukey 2 criteria test to the data comparing the times we used the Kruskal-Wallis test and Tukey test (p <0.05). For the evaluation of the channel transport and decentralization was no statistically significant difference between the types of instrumentation and root thirds (p> 0.05). In assessing the preparation time, the reciprocating system group showed less preparation time compared to the manual system and rotary (p <0.05). Thus it is concluded that the types of instrument reviews promoted a similar preparation of channels, no difference between the cervical, middle and apical thirds, and the reciprocal rotation resulted in a shorter time instrumentation.

Purpose: To identify and compare pre-treatment and post-treatment parental expectations and satisfaction concerning their child’s dental care under general anaesthesia. Participant characteristics were also investigated. Methods: Questionnaires were administered to all parents who attended the pre-operative anaesthesia consultation (pre-treatment group) and to all parents who returned for post-operative reassessment (post-treatment group). Participants were asked to rate the importance and frequency of 27 events on a four point Likert Scale. Parents were also asked to complete a participant characteristics information form. A score was calculated for each item in the questionnaires by multiplying the item’s mean “importance rating” and the item’s mean “expectation rating” and the items were ranked by scores. Results: Complete responses were obtained from 100 parents of the pre-treatment group and from 100 parents of the post-treatment group. In each group, the highest ranked elements were those representing information and communication while the physical conditions of care tended to be least valued by the parents. The rank-order of the importance scores showed a moderate to strong positive correlation with the rank-order of the frequency scores. Conclusion: Parents placed value on good communication and provision of information with regard to dental treatment of their children under general anaesthesia.

Purpose: To identify and compare pre-treatment and post-treatment parental expectations and satisfaction concerning their child’s dental care under general anaesthesia. Participant characteristics were also investigated. Methods: Questionnaires were administered to all parents who attended the pre-operative anaesthesia consultation (pre-treatment group) and to all parents who returned for post-operative reassessment (post-treatment group). Participants were asked to rate the importance and frequency of 27 events on a four point Likert Scale. Parents were also asked to complete a participant characteristics information form. A score was calculated for each item in the questionnaires by multiplying the item’s mean “importance rating” and the item’s mean “expectation rating” and the items were ranked by scores. Results: Complete responses were obtained from 100 parents of the pre-treatment group and from 100 parents of the post-treatment group. In each group, the highest ranked elements were those representing information and communication while the physical conditions of care tended to be least valued by the parents. The rank-order of the importance scores showed a moderate to strong positive correlation with the rank-order of the frequency scores. Conclusion: Parents placed value on good communication and provision of information with regard to dental treatment of their children under general anaesthesia.

Thesis (Ph. D.)--University of Nevada, Reno, 1979. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (p. 97-110).

Thesis (M.S.P.H.)--University of Michigan, 1939.

Thesis (M.S.)--University of Southern California, 1996. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis (M.S.P.H.)--University of Michigan, 1939.

Thesis (Ph. D.)--University of Nevada, Reno, 1979. / Includes bibliographical references (p. 97-110).

Thesis (M.S.)--University of Southern California, 1996. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.