Treatment Trends in Paediatric Dentistry with Evolving Training and Education of Postgraduate Students in India: A Retrospective Study

Authors

  • Khadeeja Kulood Mazhuvanchery
  • Rishi Tyagi
  • Namita Kalra
  • Amit Khatri

Keywords:

Dentistry, Education, Dental, Dentistry, Operative, Endodontics, Tooth Loss

Abstract

Objective: To assess and analyse the pattern of dental treatment services and their characteristics provided to children by evaluating the clinical use of materials and prevalence in material research in a major postgraduate paediatric tertiary care hospital in India over three years. Material and Methods: Institutionally approved retrospective analysis was conducted by auditing the clinical records of 2644 patients who visited and had treatment in the Outpatient and Inpatient Department of Paedodontics and Preventive Dentistry from January 2017 to December 2019. Clinical logbooks of postgraduate students were analysed by crosschecking with the department's data warehouse. Results: Out of the 2644 children who had treatment, more than two-thirds of them were in the age group of 4-7 years old. Around 5.6% of the patients were specially-abled children. Extraction (33.5%) was the most common treatment, followed by restorative treatment (29.1%). Endodontic treatment had a prevalence of 19.8%, with a reduced prevalence of preventive treatment care (0.5%). Patients who had traumatic tooth management included 2.8% of the study population. The prevalence of preventive care was found to be 2.1%. The teaching curriculum with theoretical and clinical skill practices was under the country's assigned authority. Conclusion: Despite advancements in paediatric dentistry, more children had extraction treatment with less observed utilization of preventive care. The widening of the training prospectus includes comprehensive care and an amplified focus on preventive care in the academic curriculum of paediatric postgraduates, which is the need of the hour.

References

Hu DY, Hong X, Li X. Oral health in China--trends and challenges. Int J Oral Sci 2011; 3(1):7-12. https://doi.org/10.4248/IJOS11006

Al-Jundi SH, Ei Shahawy OI, Nazzal H. Paediatric dentistry undergraduate education across dental schools in the Arabian region: A cross-sectional study. Eur Arch Paediatr Dent 2021; 22(5):969-977. https://doi.org/10.1007/s40368-021-00656-9

Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006; 201(10):625-626. https://doi.org/10.1038/sj.bdj.4814259

American Academy of Pediatric Dentistry. Overview. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2021:7-9.

Marzo G. Finally in Italy the school of specialisation in paediatric dentistry!. Eur J Paediatr Dent 2017; 18(2):89. https://doi.org/10.23804/ejpd.2017.18.02.01

Dental Council of India. MDS Course Regulations. 2017. Available from: https://dciindia.gov.in/Rule_Regulation/MDS_Course_Regulations_2017.pdf. [Accessed on December 16, 2022].

Taylor CL, Grey N, Satterthwaite JD. Assessing the clinical skills of dental students: A review of the literature. J Educ Learn 2013; 2(1):20-31. https://doi.org/10.5539/jel.v2n1p20

Eriksen HM, Bergdahl J, Bergdahl M. A patient-centred approach to teaching and learning in dental student clinical practice. Eur J Dent Educ 2008; 12(3):170-175. https://doi.org/10.1111/j.1600-0579.2008.00518.x

Mariño R, Ramos-Gómez F, Manton DJ, Onetto JE, Hugo F, Feldens CA, et al. The future of pediatric dentistry education and curricula: A Chilean perspective. BMC Oral Health 2016; 17(1):20. https://doi.org/10.1186/s12903-016-0251-7

Ferraz dos Santos B, Dabbagh B. A 10-year retrospective study of paediatric emergency department visits for dental conditions in Montreal, Canada. Int J Paediatr Dent 2020; 30(6):741-748. https://doi.org/10.1111/ipd.12651

Pani SC, AlKaoud R, AlMoqbel G, AlMeshrafi A, Binateeq S, Sonbol S. Pattern of dental treatment of children under outpatient general anesthesia in children: A 6-year retrospective study in Saudi Arabia. Saudi J Oral Sci 2020; 7(2):80-84. https://doi.org/10.4103/sjos.SJOralSci_12_20

Chukwumah N, Azodo C, Orikpete E. Analysis of tooth mortality among Nigerian children in a tertiary hospital setting. Ann Med Health Sci Res 2014; 4(3):345-349. https://doi.org/10.4103/2141-9248.133457

Ockell NM, Bågesund M. Reasons for extractions, and treatment preceding caries-related extractions in 3-8 year-old children. Eur Arch Paediatr Dent 2010; 11(3):122-130. https://doi.org/10.1007/BF03262727

Salim NA, ElSa'aideh BB, Maayta WA, Hassona YM. Dental services provided to Syrian refugee children in Jordan: A retrospective study. Spec Care Dentist 2020; 40(3):260-266. https://doi.org/10.1111/scd.12460

Caufield PW, Cutter GR, Dasanayake AP. Initial acquisition of mutans streptococci by infants: Evidence for a discrete window of infectivity. J Dent Res 1993; 72(1):37-45. https://doi.org/10.1177/00220345930720010501

Alsheneifi T, Hughes CV. Reasons for dental extractions in children. Pediatr Dent 2001; 23(2):109-112.

Baginska J, Rodakowska E, Milewski R, Kierklo A. Dental caries in primary and permanent molars in 7-8-year-old schoolchildren evaluated with Caries Assessment Spectrum and Treatment (CAST) index. BMC Oral Health 2014; 14:74. https://doi.org/10.1186/1472-6831-14-74

Ahamed SS, Reddy VN, Krishnakumar R, Mohan MG, Sugumaran DK, Rao AP. Prevalence of early loss of primary teeth in 5-10-year-old school children in Chidambaram town. Contemp Clin Dent 2012; 3(1):27-30. https://doi.org/10.4103/0976-237X.94542

Hujoel PP, Lamont RJ, DeRouen TA, Davis S, Leroux BG. Within-subject coronal caries distribution patterns: an evaluation of randomness with respect to the midline. J Dent Res 1994; 73(9):1575-1580. https://doi.org/10.1177/00220345940730091401

Kazeminia M, Abdi A, Shohaimi S, Shohaimi S, Jalali R, Vaisi-Raygani A, Salari N, et al. Dental caries in primary and permanent teeth in children's worldwide, 1995 to 2019: A systematic review and meta-analysis. Head Face Med 2020; 16(1):22. https://doi.org/10.1186/s13005-020-00237-z

Bhaskar SA, Hegde S. Molar-incisor hypomineralization: Prevalence, severity and clinical characteristics in 8- to 13-year-old children of Udaipur, India. J Indian Soc Pedod Prev Dent 2014; 32(4):322-329. https://doi.org/10.4103/0970-4388.140960

de Paula Barros JN, de Araújo TAA, Soares TRC, Lenzi MM, de Andrade Risso P, Fidalgo TKDS, et al. Profiles of trauma in primary and permanent teeth of children and adolescents. J Clin Pediatr Dent 2019; 43(1):5-10. https://doi.org/10.17796/1053-4625-43.1.2

Jafar Z, Akram D. Restored primary molars in a group of children presenting to the pediatric department of college of dentistry, University of Baghdad in 2014-2015. J Dent Sch 2018; 36(4):122-126.

Kale S, Kakodkar P, Shetiya S, Abdulkader R. Prevalence of dental caries among children aged 5-15 years from 9 countries in the Eastern Mediterranean Region: A meta-analysis. East Mediterr Health J 2020; 26(6):726-735. https://doi.org/10.6719/emhj.20.050

Kassa D, Day P, High A, Duggal M. Histological comparison of pulpal inflammation in primary teeth with occlusal or proximal caries. Int J Paediatr Dent 2009; 19(1):26-33. https://doi.org/10.1111/j.1365-263X.2008.00962.x

Gao SS. The longevity of posterior restorations in primary teeth. Evid Based Dent 2018; 19(2):44. https://doi.org/10.1038/sj.ebd.6401302

Chisini LA, Collares K, Cademartori MG, de Oliveira LJC, Conde MCM, Demarco FF, et al. Restorations in primary teeth: A systematic review on survival and reasons for failures. Int J Paediatr Dent 2018; 28(2):123-139. https://doi.org/10.1111/ipd.12346

Dias AGA, Magno MB, Delbem ACB, Cunha RF, Maia LC, Pessan JP. Clinical performance of glass ionomer cement and composite resin in Class II restorations in primary teeth: A systematic review and meta-analysis. J Dent 2018; 73:1-13. https://doi.org/10.1016/j.jdent.2018.04.004

Sidhu SK, Nicholson JW. A review of glass-ionomer cements for clinical dentistry. J Funct Biomater 2016; 7(3):16. https://doi.org/10.3390/jfb7030016

Sztyler K, Wiglusz RJ, Dobrzynski M. Review on preformed crowns in pediatric dentistry-the composition and application. Materials 2022; 15(6):2081. https://doi.org/10.3390/ma15062081

Tewari N, Mathur VP, Siddiqui I, Morankar R, Verma AR, Pandey RM. Prevalence of traumatic dental injuries in India: A systematic review and meta-analysis. Indian J Dent Res 2020; 31(4):601-614. https://doi.org/10.4103/ijdr.IJDR_953_19

Lewis CW, Johnston BD, Linsenmeyar KA, Williams A, Mouradian W. Preventive dental care for children in the United States: A national perspective. Pediatrics 2007; 119(3):e544-e553. https://doi.org/10.1542/peds.2006-1958

Vargas CM, Ronzio CR. Disparities in early childhood caries. BMC Oral Health 2006; 6(Suppl 1):S3. https://doi.org/10.1186/1472-6831-6-S1-S3

Downloads

Published

2024-05-27

How to Cite

Mazhuvanchery, K. K., Tyagi, R., Kalra, N., & Khatri, A. (2024). Treatment Trends in Paediatric Dentistry with Evolving Training and Education of Postgraduate Students in India: A Retrospective Study. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 24, e220157. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/3433

Issue

Section

Original Articles