1
|
Linas N, Peyron MA, Cousson PY, Decerle N, Hennequin M, Eschevins C, Nicolas E, Collado V. Comprehensive Dental Treatment under General Anesthesia Improves Mastication Capability in Children with Early Childhood Caries-A One-Year Follow-Up Study. Int J Environ Res Public Health 2022; 20:677. [PMID: 36612993 PMCID: PMC9819280 DOI: 10.3390/ijerph20010677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 12/16/2022] [Accepted: 12/18/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND Using the granulometry of ready-to-swallow food boluses, this study investigated the evolution of masticatory capability of children with Early Childhood Caries (ECC) after comprehensive dental treatment under general anesthesia (GA). METHODS Sixteen children with ECC were assessed before and over one year after dental treatment under GA, in comparison with 12 children with a Healthy Oral State (HOS). Oral health criteria, quality of life, body mass index, and frequency of orofacial dysfunctions were recorded. Masticatory kinematic parameters and median food bolus particle size (D50) at swallowing were assessed while masticating raw carrot (CAR), cheese (CHS), and breakfast cereals (CER). The impact of posterior teeth extractions was analyzed. RESULTS Quality of life and orofacial functions improved after dental treatment. Chewing frequency for all three foods increased without reaching the values of children with HOS, while D50 values for CAR and CHS decreased. After one year, children with posterior teeth extractions exhibited higher D50 values for CAR and CHS than children with only conservative treatment. One third of children with ECC were overweight or obese. CONCLUSIONS Comprehensive dental treatment improved children's mastication, and their BMI subsequently increased. Links between mastication and nutrition should be investigated further in children.
Collapse
Affiliation(s)
- Natacha Linas
- Centre de Recherche en Odontologie Clinique (CROC), Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
- Service d’Odontologie, CHU Clermont-Ferrand, F-63003 Clermont-Ferrand, France
| | - Marie-Agnès Peyron
- Centre de Recherche en Odontologie Clinique (CROC), Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
- CRNH Auvergne, Human Nutrition Unit (UNH), Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
| | - Pierre-Yves Cousson
- Centre de Recherche en Odontologie Clinique (CROC), Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
- Service d’Odontologie, CHU Clermont-Ferrand, F-63003 Clermont-Ferrand, France
| | - Nicolas Decerle
- Centre de Recherche en Odontologie Clinique (CROC), Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
- Service d’Odontologie, CHU Clermont-Ferrand, F-63003 Clermont-Ferrand, France
| | - Martine Hennequin
- Centre de Recherche en Odontologie Clinique (CROC), Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
- Service d’Odontologie, CHU Clermont-Ferrand, F-63003 Clermont-Ferrand, France
| | - Caroline Eschevins
- Centre de Recherche en Odontologie Clinique (CROC), Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
| | - Emmanuel Nicolas
- Centre de Recherche en Odontologie Clinique (CROC), Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
- Service d’Odontologie, CHU Clermont-Ferrand, F-63003 Clermont-Ferrand, France
| | - Valérie Collado
- Centre de Recherche en Odontologie Clinique (CROC), Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
- Service d’Odontologie, CHU Clermont-Ferrand, F-63003 Clermont-Ferrand, France
| |
Collapse
|
2
|
Fournier E, Roussel C, Dominicis A, Ley D, Peyron MA, Collado V, Mercier-Bonin M, Lacroix C, Alric M, Van de Wiele T, Chassard C, Etienne-Mesmin L, Blanquet-Diot S. In vitro models of gut digestion across childhood: current developments, challenges and future trends. Biotechnol Adv 2021; 54:107796. [PMID: 34252564 DOI: 10.1016/j.biotechadv.2021.107796] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 07/05/2021] [Accepted: 07/06/2021] [Indexed: 02/08/2023]
Abstract
The human digestion is a multi-step and multi-compartment process essential for human health, at the heart of many issues raised by academics, the medical world and industrials from the food, nutrition and pharma fields. In the first years of life, major dietary changes occur and are concomitant with an evolution of the whole child digestive tract anatomy and physiology, including colonization of gut microbiota. All these phenomena are influenced by child exposure to environmental compounds, such as drugs (especially antibiotics) and food pollutants, but also childhood infections. Due to obvious ethical, regulatory and technical limitations, in vivo approaches in animal and human are more and more restricted to favor complementary in vitro approaches. This review summarizes current knowledge on the evolution of child gut physiology from birth to 3 years old regarding physicochemical, mechanical and microbial parameters. Then, all the available in vitro models of the child digestive tract are described, ranging from the simplest static mono-compartmental systems to the most sophisticated dynamic and multi-compartmental models, and mimicking from the oral phase to the colon compartment. Lastly, we detail the main applications of child gut models in nutritional, pharmaceutical and microbiological studies and discuss the limitations and challenges facing this field of research.
Collapse
Affiliation(s)
- Elora Fournier
- Université Clermont Auvergne, INRAE, UMR 454 MEDIS, Microbiologie Environnement Digestif et Santé, CRNH Auvergne, 63000 Clermont-Ferrand, France; Toxalim, Research Centre in Food Toxicology, INRAE, ENVT, INP-Purpan, UPS, Université de Toulouse, 31000 Toulouse, France
| | - Charlène Roussel
- Laval University, INAF Institute of Nutrition and Functional Foods, G1V 0A6 Quebec, Canada
| | - Alessandra Dominicis
- European Reference Laboratory for E. coli, Istituto Superiore di Sanità, Rome, Italy
| | - Delphine Ley
- Université Lille 2, Faculté de Médecine, Inserm U995 Nutritional Modulation of Infection and Inflammation, 59045 Lille, France
| | - Marie-Agnès Peyron
- Université Clermont Auvergne, INRAE, UNH, Unité de Nutrition Humaine, CRNH Auvergne, 63000 Clermont-Ferrand, France
| | - Valérie Collado
- Université Clermont Auvergne, EA 4847, CROC, Centre de Recherche en Odontologie Clinique, 63000 Clermont-Ferrand, France
| | - Muriel Mercier-Bonin
- Toxalim, Research Centre in Food Toxicology, INRAE, ENVT, INP-Purpan, UPS, Université de Toulouse, 31000 Toulouse, France
| | - Christophe Lacroix
- Laboratory of Food Biotechnology, Institute of Food, Nutrition and Health, ETH Zurich, 8092 Zürich, Switzerland
| | - Monique Alric
- Université Clermont Auvergne, INRAE, UMR 454 MEDIS, Microbiologie Environnement Digestif et Santé, CRNH Auvergne, 63000 Clermont-Ferrand, France
| | - Tom Van de Wiele
- Ghent University, Center for Microbial Ecology and Technology (CMET), Coupure Links 653, 9000 Ghent, Belgium
| | - Christophe Chassard
- Université Clermont Auvergne, INRAE, VetAgro Sup, UMRF, 15000 Aurillac, France
| | - Lucie Etienne-Mesmin
- Université Clermont Auvergne, INRAE, UMR 454 MEDIS, Microbiologie Environnement Digestif et Santé, CRNH Auvergne, 63000 Clermont-Ferrand, France
| | - Stéphanie Blanquet-Diot
- Université Clermont Auvergne, INRAE, UMR 454 MEDIS, Microbiologie Environnement Digestif et Santé, CRNH Auvergne, 63000 Clermont-Ferrand, France.
| |
Collapse
|
3
|
Munoz-Sanchez ML, Linas N, Decerle N, Collado V, Faulks D, Nicolas E, Hennequin M, Cousson PY. Radiological Evaluation of Stainless Steel Crowns Placed on Permanent Teeth in Patients Treated under General Anaesthesia. Int J Environ Res Public Health 2021; 18:ijerph18052509. [PMID: 33802534 PMCID: PMC7967346 DOI: 10.3390/ijerph18052509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 02/16/2021] [Accepted: 02/25/2021] [Indexed: 11/16/2022]
Abstract
Evidence-based evaluations of dental treatment are needed to support the development of special care dentistry services. This retrospective study was designed to collect and analyse X-ray images of permanent teeth restored with stainless steel crowns (SSC) in patients treated under general anaesthesia. Between 2013 and 2019, 360 permanent molars were crowned with SSCs in 198 adult patients. One calibrated investigator used an original validated tool to evaluate four radiographic criteria for molars restored with SSCs: (i) marginal adaptation; (ii) interdental proximal contact; (iii) the presence of glass ionomer cement overflow; and (iv) the loss of alveolar bone. Overall, no defect or a minor defect was reported for the majority of SSCs for the criteria “Marginal adaptation” (62.5%, n = 320), “Proximal contact” (82.2%, n = 236) and “Cement overflow” (95.8%, n = 337). Alveolar bone resorption was reported in 8.3% of cases, n = 14, after a mean period of 8.9 ± 14.3 months. It was shown that the restoration of permanent teeth using SSCs placed under general anaesthesia presents a low risk of periodontal morbidity in the medium term when assessed radiographically.
Collapse
Affiliation(s)
- Marie-Laure Munoz-Sanchez
- CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France; (M.-L.M.-S.); (N.L.); (N.D.); (V.C.); (D.F.); (E.N.); (P.-Y.C.)
- CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France
| | - Natacha Linas
- CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France; (M.-L.M.-S.); (N.L.); (N.D.); (V.C.); (D.F.); (E.N.); (P.-Y.C.)
- CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France
| | - Nicolas Decerle
- CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France; (M.-L.M.-S.); (N.L.); (N.D.); (V.C.); (D.F.); (E.N.); (P.-Y.C.)
- CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France
| | - Valérie Collado
- CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France; (M.-L.M.-S.); (N.L.); (N.D.); (V.C.); (D.F.); (E.N.); (P.-Y.C.)
- CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France
| | - Denise Faulks
- CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France; (M.-L.M.-S.); (N.L.); (N.D.); (V.C.); (D.F.); (E.N.); (P.-Y.C.)
- CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France
| | - Emmanuel Nicolas
- CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France; (M.-L.M.-S.); (N.L.); (N.D.); (V.C.); (D.F.); (E.N.); (P.-Y.C.)
- CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France
| | - Martine Hennequin
- CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France; (M.-L.M.-S.); (N.L.); (N.D.); (V.C.); (D.F.); (E.N.); (P.-Y.C.)
- CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France
- Correspondence:
| | - Pierre-Yves Cousson
- CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France; (M.-L.M.-S.); (N.L.); (N.D.); (V.C.); (D.F.); (E.N.); (P.-Y.C.)
- CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France
| |
Collapse
|
4
|
Linas N, Decerle N, Munoz-Sanchez ML, Faulks D, Collado V, Nicolas E, Hennequin M, Cousson PY. Long-term Outcomes of Full Pulpotomy in Permanent Molars for Patients Treated in a Single, Short Session under Special Conditions. J Endod 2020; 46:1597-1604. [PMID: 32798524 DOI: 10.1016/j.joen.2020.08.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Revised: 07/11/2020] [Accepted: 08/06/2020] [Indexed: 01/17/2023]
Abstract
INTRODUCTION Endodontic procedures for patients requiring treatment in a single, short session need to be validated. This study aimed at evaluating the long-term outcome of full pulpotomy in permanent molars performed with reinforced zinc oxide-eugenol cement (Intermediate Restorative Material [IRM], Dentsply Sirona, Versailles, France) immediately restored using stainless steel crowns under general anesthesia. METHODS The absence of clinical signs and symptoms and the evolution of the periapical index between the treatment date and the longest follow-up time were used to grade the pulpotomy outcome as "effective," "uncertain," or "ineffective." The impact of different criteria on the pulpotomy outcome was tested (ie, the etiology of the lesion, tooth maturity, endodontic difficulty related to the coronal shape and the root canal shape, and endodontic difficulty related to the radiographic root canal appearance). RESULTS Among the 608 teeth (338 patients) treated in a single session with IRM full pulpotomy and stainless steel preformed crowns, 263 (143 patients) were evaluated after a median follow-up period of 24 months. Overall, 89% of the pulpotomies were effective, 7.6% were of uncertain outcome, and 3.4% were ineffective. No tested criteria influenced the rate of effectiveness. CONCLUSIONS Long-term outcomes of IRM pulpotomy are similar to those of calcium silicate-based cement pulpotomy observed in the literature. This procedure should not be restricted to patients treated under general anesthesia because it is relevant for all special conditions that impose the provision of endodontic treatment in a single, short session, such as dental care emergencies during humanitarian crises or pandemic periods.
Collapse
Affiliation(s)
- Natacha Linas
- Centre de Recherche en Odontologie Clinique, Université Clermont Auvergne, Clermont-Ferrand, France; Unité de Soins Spécifiques, Service d'Odontologie, Centre Hospitalier Universitaire Clermont-Ferrand, Clermont-Ferrand, France
| | - Nicolas Decerle
- Centre de Recherche en Odontologie Clinique, Université Clermont Auvergne, Clermont-Ferrand, France; Unité de Soins Spécifiques, Service d'Odontologie, Centre Hospitalier Universitaire Clermont-Ferrand, Clermont-Ferrand, France; Service de Chirurgie Ambulatoire, Centre Hospitalier Guy Thomas, Riom, France
| | - Marie-Laure Munoz-Sanchez
- Centre de Recherche en Odontologie Clinique, Université Clermont Auvergne, Clermont-Ferrand, France; Unité de Soins Spécifiques, Service d'Odontologie, Centre Hospitalier Universitaire Clermont-Ferrand, Clermont-Ferrand, France
| | - Denise Faulks
- Centre de Recherche en Odontologie Clinique, Université Clermont Auvergne, Clermont-Ferrand, France; Unité de Soins Spécifiques, Service d'Odontologie, Centre Hospitalier Universitaire Clermont-Ferrand, Clermont-Ferrand, France; Service de Chirurgie Ambulatoire, Centre Hospitalier Guy Thomas, Riom, France
| | - Valérie Collado
- Unité de Soins Spécifiques, Service d'Odontologie, Centre Hospitalier Universitaire Clermont-Ferrand, Clermont-Ferrand, France; Service de Chirurgie Ambulatoire, Centre Hospitalier Guy Thomas, Riom, France
| | - Emmanuel Nicolas
- Centre de Recherche en Odontologie Clinique, Université Clermont Auvergne, Clermont-Ferrand, France; Unité de Soins Spécifiques, Service d'Odontologie, Centre Hospitalier Universitaire Clermont-Ferrand, Clermont-Ferrand, France
| | - Martine Hennequin
- Centre de Recherche en Odontologie Clinique, Université Clermont Auvergne, Clermont-Ferrand, France; Unité de Soins Spécifiques, Service d'Odontologie, Centre Hospitalier Universitaire Clermont-Ferrand, Clermont-Ferrand, France; Service de Chirurgie Ambulatoire, Centre Hospitalier Guy Thomas, Riom, France.
| | - Pierre-Yves Cousson
- Centre de Recherche en Odontologie Clinique, Université Clermont Auvergne, Clermont-Ferrand, France; Unité de Soins Spécifiques, Service d'Odontologie, Centre Hospitalier Universitaire Clermont-Ferrand, Clermont-Ferrand, France; Service de Chirurgie Ambulatoire, Centre Hospitalier Guy Thomas, Riom, France
| |
Collapse
|
5
|
Linas N, Peyron MA, Eschevins C, Hennequin M, Nicolas E, Collado V. Natural food mastication capability in preschool children according to their oral condition: A preliminary study. J Texture Stud 2020; 51:755-765. [PMID: 32442320 DOI: 10.1111/jtxs.12536] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 04/23/2020] [Accepted: 05/17/2020] [Indexed: 12/24/2022]
Abstract
This study investigated, for the first time, the masticatory capability of preschool children using natural foods, and the impact of an early oral health alteration (early childhood caries: ECC) on the granulometry of ready-to-swallow food boluses. Thirteen children with ECC were compared to 13 preschool children with a healthy oral condition. Oral health criteria and NOT-S scores (Nordic Orofacial dysfunction Test-Screening) were recorded. For each child, number of masticatory cycles (Nc), chewing time (Ti), and frequency (Fq = Nc/Ti) were recorded during mastication of raw carrot (CAR), cheese (CHS) and breakfast cereals (CER) samples. Food boluses were collected by stopping children at their food-dependent individual swallowing threshold (Nc), and the median food bolus particle size value (D50) was calculated. Correlations were sought between oral health and masticatory criteria. In the ECC group, mean Fq values were significantly decreased for all three foods (p ≤ .001) and mean D50 values were significantly increased (p ≤ .001) compared to the control group (i.e., D50 CAR = 4,384 μm ± 929 vs. 2,960 μm ± 627). These alterations were related to the extent of ECC. The NOT-S mean global score was significantly increased in children with ECC (2.62 ± 1.37 vs. 1 ± 0.91 in the control group, p ≤ .01), due to "Mastication and swallowing" domain impairment. This study gives granulometric normative values for three foods in preschool children and shows the impact of ECC on D50 values. The progression of children's masticatory capability after dental treatment, and the impact of such modifications of sensory input on future eating habits should be explored.
Collapse
Affiliation(s)
- Natacha Linas
- Université Clermont Auvergne, CROC, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| | - Marie-Agnès Peyron
- Université Clermont Auvergne, CROC, Clermont-Ferrand, France.,Université Clermont Auvergne, INRA, UNH, Human Nutrition Unit, CRNH Auvergne, Clermont-Ferrand, France
| | | | - Martine Hennequin
- Université Clermont Auvergne, CROC, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| | - Emmanuel Nicolas
- Université Clermont Auvergne, CROC, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| | - Valérie Collado
- Université Clermont Auvergne, CROC, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| |
Collapse
|
6
|
Linas N, Peyron MA, Hennequin M, Eschevins C, Nicolas E, Delfosse C, Collado V. Masticatory behavior for different solid foods in preschool children according to their oral state. J Texture Stud 2019; 50:224-236. [PMID: 30636045 DOI: 10.1111/jtxs.12387] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Revised: 01/07/2019] [Accepted: 01/08/2019] [Indexed: 12/28/2022]
Abstract
Gradual introduction of solid foods in early childhood takes part in the maturation of mastication. The impact of any oral state alteration on food oral processing development is poorly documented for this age group. This study investigated the masticatory behavior in 3 to 6 year-old children with or without early childhood caries (ECC) for three solid foods of different textures. Twenty-one children with healthy oral state and 23 children with severe ECC were observed during complete mastication of calibrated samples of raw carrot, cheese and breakfast cereals. Food refusals and kinematic parameters (Ti: chewing time, Nc: number of cycles and Fq: chewing frequency) were used to assess children masticatory behavior. Oral Health-related Quality of Life and orofacial dysfunctions were evaluated using, respectively the early childhood oral health impact scale (ECOHIS) and the Nordic orofacial dysfunction test screening (NOT-S). Children suffering from ECC exhibited significantly higher ECOHIS and NOT-S scores, in particular for the mastication domain. Accordingly, lower chewing frequencies values were recorded in children with ECC (i.e., carrot Fq: 1.21 ± 0.20 vs 1.35 ± 0.22, p ≤ 0.01), as well as more frequent refusals for carrots. Kinematic parameters were shown to be repeatable in all children for successive samples of the same food, and tended to vary depending on the proposed food. Some masticatory behavior regulation according to food properties could already be present in preschool children. Children with ECC developed alternative behavioral strategies to overcome feeding difficulties. Further studies should investigate food bolus properties according to oral health, as well as nutritional issues. PRACTICAL APPLICATIONS: During childhood, the way solid foods are processed in the oral cavity to be safely swallowed and then digested in available nutrients, is poorly documented. In this study, preschool children have been shown to repeatedly adapt their masticatory behavior to a given food. The collection of various food boli as recorded at the moment of swallowing could then be considered in further food bolus properties research investigations. Moreover, this study suggested that children with altered dentition modified their masticatory kinematic parameters and developed alternative strategies, including food or texture selection, to overcome their feeding difficulties. The development of a mastication evaluation protocol could help medical professionals to detect children masticatory deficiencies and then propose diet adaptations. Considering the importance of food diversity in mastication development and maturation, food industries may consider to develop a range of texture adapted foods for young children, especially designed to gradually rehabilitate the masticatory function.
Collapse
Affiliation(s)
- Natacha Linas
- Université Clermont Auvergne, CROC, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| | - Marie-Agnès Peyron
- Human Nutrition Unit, CRNH Auvergne, Université Clermont Auvergne, INRA, UNH, Clermont-Ferrand, France
| | - Martine Hennequin
- Université Clermont Auvergne, CROC, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| | | | - Emmanuel Nicolas
- Université Clermont Auvergne, CROC, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| | - Caroline Delfosse
- Université Clermont Auvergne, CROC, Clermont-Ferrand, France.,Department of Pediatric Dentistry, Dental School, Lille 2 University, Lille, France
| | - Valérie Collado
- Université Clermont Auvergne, CROC, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| |
Collapse
|
7
|
Collado V, Pichot H, Delfosse C, Eschevins C, Nicolas E, Hennequin M. Impact of early childhood caries and its treatment under general anesthesia on orofacial function and quality of life : A prospective comparative study. Med Oral Patol Oral Cir Bucal 2017; 22:e333-e341. [PMID: 28390125 PMCID: PMC5432082 DOI: 10.4317/medoral.21611] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2016] [Accepted: 02/23/2017] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Early Childhood Caries (ECC) has become a major public health concern worldwide, mostly affecting children from disadvantaged families in increasingly severe forms. This condition has been frequently reported to alter children's nutrition, growth and general development. It negatively impacts their quality of life, through painful episodes and severe eating difficulties. While this period is crucial for oral praxes development, the impact of dental state on oro-facial functions is poorly documented. This study evaluated the impact of ECC and its treatment under general anesthesia on oro-facial functions and quality of life in pre-school children. MATERIAL AND METHODS The dysfunction and quality of life scores from 25 children with ECC were evaluated before treatment (T0), one month (T1) and three months after treatment (T2), using the Nordic Orofacial Test-Screening (NOT-S) and the Early Childhood Oral Health Impact Scale (ECOHIS), respectively, in comparison with 16 caries-free children. The number and extent of inter-arch dental contacts were also observed. RESULTS The pre-operative higher NOT-S score observed in children with ECC decreased to reach the control level at T2. The mastication item was the most affected in the ECC group throughout the study. Their mean ECOHIS score also significantly decreased post-operatively and differences remaining between both groups were no longer clinically relevant. In addition, in children with ECC, values of functional inter-arch surfaces tended to increase over the follow-up period. CONCLUSIONS Oro-facial functions and quality of life, altered by ECC, could be restored through a conservative treatment approach. Relations between dental state, orofacial functions and particularly chewing, and nutrition should be investigated further.
Collapse
Affiliation(s)
- V Collado
- Ea4847 Croc, Ufr Odontologie, 2 rue de Braga, F-63100, Clermont-Ferrand, France,
| | | | | | | | | | | |
Collapse
|
8
|
Vergara F, Rosa J, Orozco C, Bertiller E, Gallardo MA, Bravo M, Catay E, Collado V, Gómez G, Sabelli M, García MV, Rosemffet MG, Citera G, Schneeberger EE, Catoggio LJ, Soriano ER. Evaluation of learned helplessness, self-efficacy and disease activity, functional capacity and pain in Argentinian patients with rheumatoid arthritis. Scand J Rheumatol 2016; 46:17-21. [DOI: 10.3109/03009742.2016.1155643] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- F Vergara
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - J Rosa
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
- University School of Medicine, Hospital Italiano, and Dr Pedro M Catoggio Foundation, Buenos Aires, Argentina
| | - C Orozco
- Institute of Psychophysical Rehabilitation, Buenos Aires, Argentina
| | - E Bertiller
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - MA Gallardo
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - M Bravo
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - E Catay
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - V Collado
- The Alfred Lanari Medical Research Institute, Buenos Aires, Argentina
| | - G Gómez
- The Alfred Lanari Medical Research Institute, Buenos Aires, Argentina
| | - M Sabelli
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - MV García
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - MG Rosemffet
- Institute of Psychophysical Rehabilitation, Buenos Aires, Argentina
| | - G Citera
- Institute of Psychophysical Rehabilitation, Buenos Aires, Argentina
| | - EE Schneeberger
- Institute of Psychophysical Rehabilitation, Buenos Aires, Argentina
| | - LJ Catoggio
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
- University School of Medicine, Hospital Italiano, and Dr Pedro M Catoggio Foundation, Buenos Aires, Argentina
| | - ER Soriano
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
- University School of Medicine, Hospital Italiano, and Dr Pedro M Catoggio Foundation, Buenos Aires, Argentina
| |
Collapse
|
9
|
Collado V, Faulks D, Nicolas E, Hennequin M. Conscious sedation procedures using intravenous midazolam for dental care in patients with different cognitive profiles: a prospective study of effectiveness and safety. PLoS One 2013; 8:e71240. [PMID: 23940729 PMCID: PMC3734132 DOI: 10.1371/journal.pone.0071240] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2013] [Accepted: 06/27/2013] [Indexed: 11/20/2022] Open
Abstract
The use of midazolam for dental care in patients with intellectual disability is poorly documented. This study aimed to evaluate the effectiveness and safety of conscious sedation procedures using intravenous midazolam in adults and children with intellectual disability (ID) compared to dentally anxious patients (DA). Ninety-eight patients with ID and 44 patients with DA programmed for intravenous midazolam participated in the study over 187 and 133 sessions, respectively. Evaluation criteria were success of dental treatment, cooperation level (modified Venham scale), and occurrence of adverse effects. The mean intravenous dose administered was 8.8±4.9 mg and 9.8±4.1 mg in ID and DA sessions respectively (t-test, NS). 50% N₂O/O₂ was administered during cannulation in 51% of ID sessions and 61% of DA sessions (NS, Fisher exact test). Oral or rectal midazolam premedication was administered for cannulation in 31% of ID sessions and 3% of DA sessions (p<0,001, Fisher exact test). Dental treatment was successful in 9 out of 10 sessions for both groups. Minor adverse effects occurred in 16.6% and 6.8% of ID and DA sessions respectively (p = 0.01, Fisher exact test). Patients with ID were more often very disturbed during cannulation (25.4% ID vs. 3.9% DA sessions) and were less often relaxed after induction (58.9% ID vs. 90.3% DA) and during dental treatment (39.5% ID vs. 59.7% DA) (p<0.001, Fisher exact test) than patients with DA. When midazolam sedation was repeated, cooperation improved for both groups. Conscious sedation procedures using intravenous midazolam, with or without premedication and/or inhalation sedation (50% N₂O/O₂), were shown to be safe and effective in patients with intellectual disability when administered by dentists.
Collapse
Affiliation(s)
- Valérie Collado
- Clermont Université, Université d'Auvergne, EA4847, Centre de Recherche en Odontologie Clinique, BP 10448, F-63000 Clermont-Ferrand, France.
| | | | | | | |
Collapse
|
10
|
Catteau C, Faulks D, Mishellany-Dutour A, Collado V, Tubert-Jeannin S, Tardieu C, Hugues P, Roger-Leroi V, Hennequin M. Using e-learning to train dentists in the development of standardised oral health promotion interventions for persons with disability. Eur J Dent Educ 2013; 17:143-153. [PMID: 23815691 DOI: 10.1111/eje.12024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/08/2013] [Indexed: 06/02/2023]
Abstract
BACKGROUND This study aims to evaluate whether an e-learning curriculum was sufficient to impart the necessary knowledge to dentists to allow them to implement an oral health promotion intervention in an institution for persons with disability. MATERIALS AND METHODS Participants were asked to complete a 10-module online training course and to implement a standardised intervention in an institution. The outcome measures were as follows: online tracking of progress; multiple choice questionnaires completed at the end of most modules; self-efficacy questionnaire completed before and after online training; completion of training and calibration in the use of a standardised risk assessment form; initiation and full completion of an oral health promotion intervention in an institution; satisfaction of participants with the online training experience; and evaluation of the impact of the intervention by the institution staff. RESULTS The study sample included 26 dentists. The 10 modules were passed by 24 dentists, and the mean value of the highest overall score recorded in the multiple questionnaires was 88.4% (± 4.0). Twenty participants completed the self-efficacy questionnaire before and after training; the mean values of scores after training were statistically different and higher than those at baseline. Questionnaire regarding satisfaction with the online training experience was completed by 22 participants; all of them stated that they were satisfied with the online training experience. CONCLUSIONS The results indicate that the online training course helped participants to increase self-efficacy and to provide interventions in institutions. This study could have implications for both undergraduate and postgraduate dental education in France.
Collapse
Affiliation(s)
- C Catteau
- Clermont Université, Université d'Auvergne, Clermont-Ferrand, France
| | | | | | | | | | | | | | | | | |
Collapse
|
11
|
Serrano A, Rodríguez de la Fuente O, Collado V, Rubio-Zuazo J, Monton C, Castro GR, García MA. Simultaneous surface plasmon resonance and x-ray absorption spectroscopy. Rev Sci Instrum 2012; 83:083101. [PMID: 22938268 DOI: 10.1063/1.4739773] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
We present an experimental setup for the simultaneous measurement of surface plasmon resonance (SPR) and x-ray absorption spectroscopy (XAS) on metallic thin films at a synchrotron beamline. The system allows measuring in situ and in real time the effect of x-ray irradiation on the SPR curves to explore the interaction of x-rays with matter. It is also possible to record XAS spectra while exciting SPR in order to study changes in the films induced by the excitation of surface plasmons. Combined experiments recording simultaneously SPR and XAS curves while scanning different parameters can be also carried out. The relative variations in the SPR and XAS spectra that can be detected with this setup range from 10(-3) to 10(-5), depending on the particular experiment.
Collapse
Affiliation(s)
- A Serrano
- Instituto de Cerámica y Vidrio (ICV-CSIC), Cantoblanco, 28049 Madrid, Spain.
| | | | | | | | | | | | | |
Collapse
|
12
|
Hennequin M, Collado V, Faulks D, Koscielny S, Onody P, Nicolas E. A clinical trial of efficacy and safety of inhalation sedation with a 50% nitrous oxide/oxygen premix (Kalinox™) in general practice. Clin Oral Investig 2011; 16:633-42. [DOI: 10.1007/s00784-011-0550-y] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2010] [Accepted: 03/16/2011] [Indexed: 11/30/2022]
|
13
|
Abstract
BACKGROUND While dental anxiety is often correlated with prior negative dental experience, prevention of dental anxiety should in theory include early exposure to the dental setting. OBJECTIVE We set out to evaluate factors affecting dental fear in French children. METHODS Dental fear was evaluated using a visual analogue scale (DF-VAS) in a group of 1303 French children (681 boys and 622 girls) aged 5-11 years (mean: 8.12 years, SD: 1.42 years). Indicators of caries and oral hygiene were evaluated on dental examination. Indicators of well-being related to oral health, dental experience, and oral health education were collected via a structured interview. RESULTS Dental fear was scored low in 75.7% (DF-VAS 0-3), moderate in 16.7% (DF-VAS 4-6), and high in 7.6% (DF-VAS 7-10). DF-VAS decreased statistically with experience of a prior dental visit. Children who had at least one decayed tooth presented a higher level of dental fear than those with no decay, while children with fillings were significantly less anxious than those without previous dental care. CONCLUSIONS This study shows that for children aged 5-12 years, prior experience of the dental setting can act as a positive component of dental fear.
Collapse
Affiliation(s)
- Emmanuel Nicolas
- CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63000 Clermont-Ferrand, France
| | | | | | | | | | | |
Collapse
|
14
|
Hennequin M, Nicolas E, Collado V, Billoët C. 594 EFFICACY AND TOLERANCE OF 50%N
2
O/50%O
2
PREMIX WHEN ADMINISTERED BY DENTISTS IN THEIR PRIVATE OFFICES. Eur J Pain 2009. [DOI: 10.1016/s1090-3801(09)60597-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M. Hennequin
- University of Auvergne, EA3847 UFR d' Odontologie, Clermont‐Ferrand, France
- CHU de Clermont‐Ferrand, Clermont‐Ferrand, France
| | - E. Nicolas
- University of Auvergne, EA3847 UFR d' Odontologie, Clermont‐Ferrand, France
- CHU de Clermont‐Ferrand, Clermont‐Ferrand, France
| | - V. Collado
- University of Auvergne, EA3847 UFR d' Odontologie, Clermont‐Ferrand, France
- CHU de Clermont‐Ferrand, Clermont‐Ferrand, France
| | - C. Billoët
- Air Liquide Santé International, Paris, France
| |
Collapse
|
15
|
Collado V, Faulks D, Hennequin M. A survey of the difficulties encountered during routine hygiene and health care by persons with special needs. Disabil Rehabil 2009; 30:1047-54. [DOI: 10.1080/09638280701616574] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
16
|
Collado V, Nicolas E, Hennequin M. Dental difficulty for adult patients undergoing different dental procedures according to level of dental anxiety. Odontostomatol Trop 2008; 31:35-42. [PMID: 19441265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
This study aimed to determine the level of dental anxiety before different dental care procedures. A group of 116 adults presenting for the first time at a French dental hospital were included in the study. These patients completed a French-language version of Corah's Dental Anxiety Scale 1 and used a visual analogue scale to score their perception of the level of difficulty generated by 13 different dental treatments. The acts perceived as the most difficult to face were root canal and restorative treatment without local anaesthesia (LA), followed by oral surgery. There was a positive correlation between DAS score and level of difficulty experienced during dental treatment. Healthy subjects declared difficulty in coping with dental care. Dental procedures may be a factor of co morbidity in terms of the psychological status of dental patients. A classification of dental procedures is given according to the level of difficulty generated.
Collapse
Affiliation(s)
- V Collado
- Univ. of Clermont1, EA3847, UFR d'Odontologie, Clermont-Ferrand, France
| | | | | |
Collapse
|
17
|
Collado V, Nicolas E, Faulks D, Tardieu C, Manière MC, Droz D, Onody P, Hennequin M. Evaluation of safe and effective administration of nitrous oxide after a postgraduate training course. BMC Clin Pharmacol 2008; 8:3. [PMID: 18547418 PMCID: PMC2438323 DOI: 10.1186/1472-6904-8-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2008] [Accepted: 06/11/2008] [Indexed: 11/10/2022]
Abstract
BACKGROUND Conscious sedation is used in dentistry to improve access and quality of care in patients who have difficulty coping with treatment. The aim of this prospective study was to describe a postgraduate training course in conscious sedation for dentists, with specific evaluation of the safe and effective administration of a 50% nitrous oxide in oxygen premix. METHODS 45 practitioners were trained between 2002 and 2004. They carried out 826 sessions of inhalation sedation in 662 patients. The clinical competency of this group was compared with an expert group. RESULTS There was no difference between trainees and experts in ability to complete the planned dental treatment under sedation (89.6% vs 93.2%). Trainees were less successful than experts for patients with intellectual disability (87.4% vs 94.2%, p < 0.01). For both groups, the degree of cooperation improved between initial induction and each perioperative step (Wilcoxon test, p < 0.01). However, for trainees, Venham behaviour scores varied with the type of patient (Kruskal Wallis test, p < 0.001). No major adverse effects were recorded. Trainees reported more minor adverse effects than experts (13% vs. 5.3% respectively, Fisher exact test, p < 0.001) CONCLUSION The trainee practitioners provided effective and safe inhalation sedation. This challenges the current French restriction of the 50% nitrous oxide in oxygen premix to the hospital setting. Further emphasis is required on the teaching of behaviour management skills for patients with intellectual disability.
Collapse
Affiliation(s)
- Valérie Collado
- Univ Clermont1, EA 3847, UFR d'Odontologie, and CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63003, Clermont-Ferrand, France
| | - Emmanuel Nicolas
- Univ Clermont1, EA 3847, UFR d'Odontologie, and CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63003, Clermont-Ferrand, France
| | - Denise Faulks
- Univ Clermont1, EA 3847, UFR d'Odontologie, and CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63003, Clermont-Ferrand, France
| | - Corinne Tardieu
- Faculté d'Odontologie and Service d'Odontologie, Hôpital la Timone, 27 boulevard Jean Moulin, 13385 Marseille Cedex 5, France
| | - Marie-Cécile Manière
- Faculté d'Odontologie et Hôpital Civil, 1 place de l'Hôpital, 67091 Strasbourg, France
| | - Dominique Droz
- Faculté d'Odontologie, Département d'Odontologie pédiatrique, 96 Avenue de Lattre de Tassigny, 54004 NANCY Cedex, France
| | - Peter Onody
- Air Liquide Santé International, 10 rue Cognacq-Jay, 75341 Paris Cedex 7, France
| | - Martine Hennequin
- Univ Clermont1, EA 3847, UFR d'Odontologie, and CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63003, Clermont-Ferrand, France
| |
Collapse
|
18
|
Abstract
Few studies into conscious sedation with 50% nitrous oxide/oxygen premix (50% N2O/O2) have been conducted in accordance with Good Clinical Practice in Clinical Trials. Of the 140 articles retained in this review, the incidence of adverse events (AEs) varied in the range of 0-68% according to the indications. When other drugs and/or local anaesthesia were used concomitantly, the relative risk for nausea and vomiting increased whereas it decreased for vertigo or hallucinations. Only one study examined potential causal relationship between serious AEs and the 50% N2O/O2 gas itself, giving a risk for a serious AE directly due to the gas of 3/10,000 administrations. No analysis of the effect of the method of administration was possible, nor could conclusions be drawn relating to the risk of occupational exposure.
Collapse
Affiliation(s)
- Valérie Collado
- Univ Clermont1, EA 3847, Faculté d'Odontologie, 11 bvd Charles de Gaulle, F-63000 Clermont-Ferrand, France.
| | | | | | | |
Collapse
|
19
|
Nicolas E, Collado V, Faulks D, Bullier B, Hennequin M. A national cross-sectional survey of dental anxiety in the French adult population. BMC Oral Health 2007; 7:12. [PMID: 17927808 PMCID: PMC2098754 DOI: 10.1186/1472-6831-7-12] [Citation(s) in RCA: 59] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2007] [Accepted: 10/10/2007] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Dental anxiety is a public health problem but no epidemiological study has been undertaken in France to evaluate its prevalence. The aim of this study was to estimate the prevalence, severity and associations of dental anxiety in a sample of the French adult population. METHODS A convenience sample of 2725 adults (mean age = 47 years, SD16, minimum = 16, maximum = 101 years), representative of the French population with regard to age and urban distribution, completed a French version of the Corah Dental Anxiety scale (DAS) and a questionnaire relating to their dental appointments. RESULTS Moderate dental anxiety (14>or=DAS>or=13) was revealed for 172 persons (6.2%), while 195 (7.3%) had severe dental anxiety (DAS>or=15), giving an overall prevalence of dental anxiety of 13.5%. Prevalence was lower proportionally with age (P < 0.001) and was higher in French overseas territories and in the countryside (P < 0.01). Farmers and low skilled workers were significantly more anxious than executives and shopkeepers (P < 0.001). Anxiety was associated with avoidance of care (p < 0.001) and lack of regular dental appointments (p < 0.001). CONCLUSION Dental anxiety in France appears to concern a similar proportion of the population as in other industrialised European, Australasian or North American countries. Recommendations for prevention and management of dental anxiety are made with reference to dental education and health care services in France.
Collapse
Affiliation(s)
- Emmanuel Nicolas
- CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63000 Clermont-Ferrand, France
- Univ Clermont1, EA 3847, Faculté d'Odontologie, 11 bvd Charles de Gaulle, F-63000 Clermont-Ferrand, France
| | - Valérie Collado
- CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63000 Clermont-Ferrand, France
- Univ Clermont1, EA 3847, Faculté d'Odontologie, 11 bvd Charles de Gaulle, F-63000 Clermont-Ferrand, France
| | - Denise Faulks
- CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63000 Clermont-Ferrand, France
- Univ Clermont1, EA 3847, Faculté d'Odontologie, 11 bvd Charles de Gaulle, F-63000 Clermont-Ferrand, France
| | - Brigitte Bullier
- Univ Clermont1, EA 3847, Faculté d'Odontologie, 11 bvd Charles de Gaulle, F-63000 Clermont-Ferrand, France
| | - Martine Hennequin
- CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63000 Clermont-Ferrand, France
- Univ Clermont1, EA 3847, Faculté d'Odontologie, 11 bvd Charles de Gaulle, F-63000 Clermont-Ferrand, France
| |
Collapse
|
20
|
Faulks D, Collado V, de Freminville B, Newton JT, Hennequin M. A controlled national survey in France of health-related challenges for persons with Down syndrome. Nurs Outlook 2006; 54:345-52. [PMID: 17142153 DOI: 10.1016/j.outlook.2006.09.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2006] [Indexed: 11/24/2022]
Abstract
Despite recent research on the impact of disability on function, little information is available to evaluate the need for daily support in persons with Down syndrome. The aim of this study was to evaluate the prevalence and relative degree of difficulty experienced by this population in routine hygiene and health care when compared to their siblings. A proxy French language questionnaire was used for this cross-sectional survey of 199 persons with Down syndrome and 153 siblings (mean age 12.3 years, range < or = 1-48). Individuals in the study group had significantly more difficulty performing all activities related to routine hygiene and health care, and were 2-22 times more likely to need help than the control group. Certain acts of routine health care were performed more regularly by those in the study group (6/12 items), and specialist medical and paramedical visits were more regular (OR = 7-44). Increased difficulty and need for help in performing acts of basic self-care may reduce autonomy and social integration for persons with Down syndrome. Recommendations are made in relation to the training of caregivers and health professionals.
Collapse
Affiliation(s)
- Denise Faulks
- Université Clermont 1, EA 3847, Faculté de Chirurgie Dentaire, 11 Boulevard Charles de Gaulle, 63000 Clermont-Ferrand, France.
| | | | | | | | | |
Collapse
|
21
|
Collado V, Hennequin M, Faulks D, Mazille MN, Nicolas E, Koscielny S, Onody P. Modification of behavior with 50% nitrous oxide/oxygen conscious sedation over repeated visits for dental treatment a 3-year prospective study. J Clin Psychopharmacol 2006; 26:474-81. [PMID: 16974188 DOI: 10.1097/01.jcp.0000236660.01039.eb] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
In various medical domains, inhalation of nitrous oxide (N2O) in oxygen (O2) is indicated to alleviate pain and anxiety during routine treatment. Repeat treatment may often be indicated. Little data are available, however, to evaluate the long-term efficacy and side effects of reiterated N2O/O2 sedation. The aim of this study was to compare behavior during dental treatment under a premix of 50% N2O/O2 between first experience and repeat experiences of sedation in a cohort of uncooperative patients. Five hundred forty-three patients (age range, 1-94 years; mean, 17 +/- 16 years) experiencing conscious sedation for dental treatment for the first time were recruited at a special care unit during 3 years. A modified Venham scale was used to evaluate patient behavior at 5 steps during each session. Completion of planned treatment and occurrence of adverse side effects of sedation were additional criteria. Patients experienced sedation for the first time for 378 sessions, and the session was a repeat experience in 843 cases (number of visits: range, 1-6). Patient cooperation significantly improved during visits at first contact with the dentist and when applying the mask (P < 0.0001, between sessions 1 and 2). Between the first and the third sessions, the percentage of very uncooperative patients decreased from 23% to 3.7% at first contact with the dentist and from 22.3% to 8.5% on application of the mask. Experience of reiterated dental treatment under sedation with 50% N2O/O2 premix helps uncooperative patients to cope with dental treatment in the long term.
Collapse
Affiliation(s)
- Valérie Collado
- Univ Clermont1, UFR d'Odontologie, Clermont-Ferrand, France.
| | | | | | | | | | | | | |
Collapse
|
22
|
Collado V, Faulks D, Domejean S, Roux D, Woda A, Mazille MN, Orliaguet T, Hennequin M. Impact of teaching requirements for students on the activity of a university dental hospital. Eur J Dent Educ 2004; 8:161-166. [PMID: 15469442 DOI: 10.1111/j.1600-0579.2004.00348.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
OBJECTIVES This study aimed at investigating the influence of teaching requirements on the clinical activity of a dental hospital. METHOD The annual clinical activity of seven classes of fifth-year students (n = 294) was monitored between 1994 and 2001 within the conservative dentistry and endodontic departments of a French dental hospital. The variables chosen were: (i) the mean number of procedures performed per student, and (ii) the proportion of different types of treatment within the global activity (i.e. endodontic treatment, anterior, and posterior restorations). These data were analysed in relation to changes in student assessment criteria over time. RESULTS Quantitative clinical teaching requirements were removed for the academic year 1998-99 and student clinical activity subsequently decreased by 32.7%, going from 51.9 +/- 12.2 dental procedures on average per student in 1997-98, to 29.1 +/- 7.2 in 2000-01. The mean number of patients treated per student also declined significantly during this period. The size of the minimum clinical requirement altered over the years prior to being removed altogether and a positive correlation existed between the volume of activity and the minimum requirement over this time. The types of treatment provided changed independently from the assessment criteria over the study period. There was a decrease in the percentage of amalgams placed and an increase in the number of posterior composites. A negative correlation existed between the evolution of these two types of treatment. CONCLUSION This study demonstrates that the clinical activity of a department in a dental teaching hospital is directly related to the assessment criteria fixed by the university. This may have repercussions for hospital services.
Collapse
Affiliation(s)
- V Collado
- Department of Conservative Dentistry and Endodontics, Faculté de Chirurgie Dentaire, Clermont-Ferrand, France.
| | | | | | | | | | | | | | | |
Collapse
|
23
|
Affiliation(s)
- Augustin Nogués
- Radiology Department, Donostia Hospital, San Sebastián, Spain.
| | | | | | | |
Collapse
|
24
|
Abstract
The purpose of this study was to examine the role of glycine in sensory processes in the spinal trigeminal nucleus oralis (Sp5O). We evaluated the effect of intravenous administration of strychnine, a glycine receptor antagonist, on the responses of Sp5O convergent neurons evoked by innocuous peripheral electrical and mechanical stimuli in halothane-anesthetized rats. Strychnine significantly increased the Abeta-fiber-evoked activities of Sp5O neurons to electrical stimulation in a dose-dependent (0.2-0.8 mg/kg) fashion. The response to air-jet stimulation was also significantly enhanced at the highest dose of strychnine. These findings indicate that glycinergic neurons participate in the control of the flow of information conveyed to Sp5O nociceptive neurons by myelinated low-threshold mechanoreceptive afferents. Thus, alteration of trigeminal glycinergic modulation may contribute to the dynamic mechanical allodynia that occurs in trigeminal neuropathies.
Collapse
Affiliation(s)
- C Ressot
- Laboratoire de Physiologie Oro-Faciale, Faculté de Chirurgie Dentaire, 63000 Clermont-Ferrand, France
| | | | | | | |
Collapse
|
25
|
Santonja JM, Ochando R, Collado V, Cervera I. [ELectro-trauma by lightning through the telephone]. Rev Neurol 1998; 27:1073. [PMID: 9951044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
|
26
|
Santonja Llabata JM, Ochando R, Collado V, Cervera I. Traumatismo eléctrico por rayo a través del teléfono. Rev Neurol 1998. [DOI: 10.33588/rn.27160.98241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
27
|
Nogués A, Pagola C, Rey A, Collado V, Gaztañaga R, Albisu J. [Diagnosis and follow-up of cerebral ventricle pathology using transfontanelle real-time echography]. An Esp Pediatr 1984; 20:41-48. [PMID: 6608302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Authors evaluate 36 patients with different degrees of cerebral ventricular dilation divided in three groups according with previous clinical features. Cerebral ultrasonography demonstrated to be a more accurate method than CAT in most of cases examined by these two procedures. Real time cerebral ecography is indicated in follow-up of conditions which need repetitive controls like hydrocephalus with ventriculo-peritoneal shunts, posthemorhagic ventricular dilations or daily follow-up o acute pathology like ill-course meningitis. Finally they describe situations in which ultrasonography may have a great value as cerebral screening test.
Collapse
|