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Purpose: The purpose of this retrospective study is to utilize data from the Nationwide Children’s Hospital electronic health record to relate behavior at initial early child dental visits and future behavioral health diagnoses. Methods: This retrospective study used electronic health records of ASA I and II children who had their first dental visit (FDV) between the ages of 3-5 years at the Department of Dentistry at Nationwide Children’s Hospital and had no behavioral health diagnosis at that time and who were 8-10 years of age at the time of the chart review. Frankl behavior rating scale scores at the initial dental visit were correlated with presence/absence of a behavioral health diagnosis (BHD) and its type, including ADHD, autism spectrum disorder, speech delay, and developmental delay. A total of 408 patients met the inclusion criteria. An age- and gender-matched group with early dental visits and behavioral scores who were ages 8-10 years of age at the time of the chart review served as controls. Results: 408 patient charts met the inclusion criteria. 70.6% of the sample was male, while 29.4% of the sample was female. The most common BHD encountered was ADHD (N=265), followed by speech delay (N=98), autism spectrum disorder (N=35), and developmental delay (N=10). There was no difference in Frankl score at initial dental visit between the study group and the control group (a=0.08). There was a statistical difference of Frankl score between the diagnosis groups (a=0.0007). Patients without BHDs were more likely to have dental treatment iii needs than those with BHDs (a=0.01). Patients who received a BHD at an earlier age were more likely to have dental treatment needs (a=0.03). As age at FDV increased, Frankl score at FDV also increased (a=0.01). The use of restraint for dental treatment declined as age at FDV increased (a=0.0001). Patients who were younger at FDV were less likely to have dental treatment needs (a
The revised Second Edition of Physical Evaluation and Treatment Planning in Dental Practice has been expanded to include information pertinent when considering comprehensive treatment planning for a wide variety of dental procedures. Written by internationally recognized specialists and discipline experts in their field, the Second Edition offers new chapters on dental and oral diseases and disorders, including insights and diagnostics for each category. Readers will learn about diagnosis and planning considerations for orofacial pain, caries, periodontics, oral surgery, endodontics, restorative, prosthodontics and esthetic dentistry, and more. Beginning with a complete introduction of oral health and associated systemic health, the book incorporates discussions of patient history profiles, basic procedures in physical examinations, including examination of the head, neck, extraoral and intraoral tissues, radiographic examination and interpretation, as well as laboratory methods. Readers will also find: A thorough introduction to the orofacial clinical processes, including the essential phases in treatment, quality management, patient-doctor communication, documentation, and management of critical patient information. An exploration of basic procedures in physical examinations in dentistry, including inspection, palpation, percussion, auscultation, olfaction, and evaluation of function, form, and detailed analysis. A thorough review of the head and neck complex. An analysis of the examination and diagnosis of the intraoral and extraoral features, including all hard and soft tissues of the orofacial complex. Designed for general dental practitioners, periodontists, prosthodontists, dental residents and fellows, and dental students, Physical Evaluation and Treatment Planning in Dental Practice is a logically organized one-stop reference for patient evaluation and treatment.
The fourth edition of Developmental-Behavioral Pediatrics—the pioneering, original text— emphasizes children’s assets and liabilities, not just categorical labels. It includes fresh perspectives from new editors—Drs. William Coleman, Ellen Elias, and Heidi Feldman, as well as further contributions from two of the original editors, William B. Carey, M.D, and Allen C. Crocker, M.D. This comprehensive resource offers information and guidance on normal development and behavior: genetic influences, the effect of general physical illness and psychosocial and biologic factors on development and behavior. It is also sufficiently scholarly and scientific to serve as a definitive reference for researchers, teachers, and consultants. With a more user-friendly design, this resource offers easy access comprehensive guidance. Features new chapters dealing with genetic influences on development and behavior, crisis management, coping strategies, self-esteem, self-control, and inborn errors of metabolism to cover the considerable advances and latest developments in the field. Focuses on the clinical aspects of function and dysfunction, rather than arranging subjects according to categorical labels. Emphasizes children’s assets as well as their liability so you get a well-developed approach to therapeutic management. Concludes each chapter with a summary of the principle points covered, with tables, pictures and diagrams to clarify and enhance the presentation. Offers a highly practical focus, emphasizing evaluation, counseling, medical treatment, and follow-up. Features superb photos and figures that illustrate a wide variety of concepts. Offers access to the full text online through Expert Consult functionality at www. expertconsult.com for convenient reference from any practice location. Features new chapters dealing with—Genetic Influences on Development and Behavior, Crisis Management, Coping Strategies, Self-Esteem, Self-Control, and Inborn Errors of Metabolism. Presents a new two-color design and artwork for a more visually appealing and accessible layout. Provides the latest drug information in the updated and revised chapters on psychopharmacology. Introduces Drs. William Coleman, Ellen Elias, and Heidi Feldman to the editorial team to provide current and topical guidance and enrich the range of expertise and clinical experience. Covers the considerable advances and latest developments in this subspecialty through updates and revisions to existing material.
Enhance your skills in patient assessment, oral diagnosis, and treatment planning! A full-color, all-in-one reference, Diagnosis and Treatment Planning in Dentistry, 4th Edition helps you create person-centered dental treatment plans for adolescent and adult patients. Using evidence-based research, this text shows how risk assessment, prognosis, and expected treatment outcomes factor into the planning process. Detailed coverage guides you through each phase of the treatment plan. New to this edition are chapters covering digital tools used in treatment planning and revised content in all chapters. The book renews a core section that describes how to plan and provide optimal oral health care for unique patient populations. Written by noted dentistry educators Stephen Stefanac and Samuel Nesbit, this must-have resource includes a fully searchable eBook version free with each print purchase. Clear, logical organization builds your understanding with sections on comprehensive patient evaluation, the treatment planning process, the five phases of the treatment plan, and care planning for all patients. What's the Evidence? boxes cite research articles affecting clinical decision-making and treatment planning strategies. In Clinical Practice boxes summarize information on specific clinical situations for quick and easy review. Ethics in Dentistry boxes address clinical situations where ethical decision making may be required. Review questions summarize and reinforce the important concepts in each chapter. 350 full-color illustrations depict important concepts. NEW! Updated content in all chapters. NEW! An eBook version is included with print purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Plus, additional videos and all-new case-based practice quizzes for each chapter. NEW! Digital Tools chapter focuses on the use of digital tools in diagnosis and treatment planning.
This book provides comprehensive coverage of applied behavioral analysis (ABA). It examines the history and training methods of ABA as well as related ethical and legal issues. The book discusses various aspects of reinforcement, including social reinforcers, tangible reinforcers, automatic reinforcement, thinning reinforcers, and behavioral momentum. It addresses basic training strategies, such as prompts and fadings, stimulus fading, and stimulus pairing and provides insights into auditory/visual discrimination, instructional feedback, generalization, error correction procedures, and response interruption. In addition, the book addresses the use of ABA in education and explores compliance training, on-task behavior, teaching play and social skills, listening and academic skills, technology, remembering and cognitions, picture-based instruction, foreign language instruction, teaching verbal behavior, public speaking, and vocational skills. In addition, the book covers treatments for tics, trichotillomania, stereotypies, self-injurious behavior, aggression, and toe walking. It also addresses ABA for special populations, including individuals with autism, ADHD, substance abuse, and intellectual disabilities. Featured areas of coverage include: Basic assessment methods, such as observing behavior, treatment integrity, social validation, evaluating physical activity, measuring sleep disturbances, preference assessment, and establishing criteria for skill mastery. Functional assessment, including how to quantify outcomes and evaluate results, behaviors that precede and are linked to target behaviors, and treatments. Treatment methods, such as token economies, discrete trial instruction, protective equipment, group-based and parent training as well as staff training and self-control procedures. Health issues, including dental and self-care, life skills, mealtime and feeding, telehealth, smoking reduction and cessation, and safety training. Leisure and social skills, such as cellphone use, gambling, teaching music, sports and physical fitness. The Handbook of Applied Behavior Analysis is a must-have reference for researchers, professors, and graduate students as well as clinicians, therapists, and other professionals in clinical child and school psychology, child and adolescent psychiatry, social work, behavioral therapy and rehabilitation, special education, developmental psychology, pediatrics, nursing, and all interrelated disciplines.
Covering the full spectrum of health conditions seen in the primary care of children, Pediatric Primary Care, 5th Edition emphasizes both prevention and management from the unique perspective of the Nurse Practitioner. Written by an expert editor/contributor team, it provides in-depth, evidence-based guidance for assessing and managing health problems in children from infancy through adolescence. Other key topics include developmental theory, the health status of children today, issues of daily living, and cultural considerations. Four-part organization includes an introductory unit, plus units on child development, the health management of children, and diseases and disorders common to childhood. UNIQUE! Functional health patterns framework in Unit Three provides a lens for discussing health promotion through the various components of healthy living. UNIQUE! ICD framework in Unit Four addresses the classification used to code diseases in both hospital and outpatient settings. UNIQUE! Practice management chapter provides need-to-know information on managing a private healthcare practice, including issues of productivity, compliance with applicable laws, quality-of-care indicators, and successful business practices. UNIQUE! Environmental health chapter offers evidence-based content on the effects of environmental toxicants, such as tobacco smoke, heavy metals, and air pollutants. An 8-page color insert presents over 40 photos that visually demonstrate key assessment findings for ear, skin, and other conditions. NEW! Pediatric Pain Management chapter addresses the increased recognition of pain as the "fifth vital sign" with expanded coverage of acute and chronic pain management in children. Extensively revised and updated genetics chapter presents a new paradigm for addressing genetic considerations in clinical practice, including an introduction to epigenetics. Increased emphasis on health disparities explores the growing health disparities among children in the U.S and worldwide and provides strategies to help patients and parents gain accessibility to health care resources. NEW! Content on implementing a "medical home" explores the trend toward family-centered coordinated health care and fosters appropriate treatment for children with chronic disease. NEW! Updated coverage takes a more global approach, exploring the health status of children outside the U.S. Expanded imaging content offers valuable guidance on using various imaging modalities, including how to prepare the child for diagnostics.
First multi-year cumulation covers six years: 1965-70.
With collaboration of Dr. Bonita Stanton, Drs. Coppes and Fisher-Owens have created a current issue that looks at oral health in children, with a much needed update in the literature for pediatricians. Top experts have contributed clinical reviews on the following topics: Oral Health and Development; Infant Oral Health and the Influence of Habits; Prevention of tooth decay; Fluoride; Caries; Disparities in Children’s Oral Health (including Oral Health of Native Children); Children with Special Health Care Needs; Orthodontics; Oral Manifestations of Systemic Disease (specific to pediatrics and life course); Soft Tissue; Trauma; The Role of Primary Care Physicians (pediatricians and others) in Prevention Oral Disease; and Oral Health Care/Policies. Pediatricians will come away with the current clinical recommendations they need to improve oral health in children.