May 2020 Volume LV Number 3


Pediatric Oral Health Research and Policy Center Updates

May 2019 Volume LIV Number 3

Beyond the Shrugs and Eye Rolls: Improve Your Communication Skills with Adolescent Patients
Adolescence has been described as a plague on the senses, a war from which no one escapes unscathed, and one big walking pimple. This sensitive patient group has dental-related health concerns, yet faces difficulties discussing them with oral health professionals, especially on potentially embarrassing topics. "Speak Up for Patient Health: Critical Conversations on Con- troversial Issues" is the AAPD Preconference Course to be held at Annual Session in Chicago on Thursday, May 23, 2019. It brings experts from adolescent medicine, health communication and pediatric dentistry to offer practical advice on how to engage adolescents in more open conversations, build their trust about confidentiality, and provide much needed information on vital topics.
Confidence and Skill in Challenging Conversations
Robin Wright, Ph.D., director, Research and Policy Center, AAPD
Discussing Obesity and Eating Disorders
Karen Bernstein, M.D., M.P.H., director, Division of  Adolescent Medicine, University of  Illinois at Chicago
Difficult Dialogues: Sexual Practices, Pregnancy and STIs
Cora Collette Breuner, M.D., M.P.H., Adolescent Medicine, Seattle Children’s Hospital
Transgender Youth and the Welcoming Practice
Scott Schwartz, D.D.S., M.P.H., assistant professor, Cincinnati Children’s Hospital Medical Center
The Risk of the Drug Talk: Lose a Patient versus Lose a Patient
Sharon K. Parsons, D.D.S., dentist/owner, Dental Associates, Columbus, Ohio
Common Practice Pitfalls In Treating Adolescent Patients
Scott A. Herbert, J.D., shareholder, Cunningham Meyer & Vedrine, P.C.
Even as kids reach adolescence, they need more than ever for us to watch over them. Adolescence is not about letting go. It’s about hanging on during a very bumpy ride.
Ron Taffel
State of Little Teeth Report Second Edition Now Available
The second edition of the "State of Little Teeth Report," draws on the latest scientific research and best available expertise to examine the public health crisis of tooth decay among children in the U.S. In addition to examining the problems and causes of dental diseases, this report also explores an array of viable solutions by pediatric dentists, parents, and our nation’s leaders.
Key findings from the 2019 report:
  • In the U.S., tooth decay affects nearly one in five children under the age of 5, half of children aged 6–11, and more than half of those aged 12–19.
  • Children living in poverty are twice as likely to suffer from tooth decay, and their dental diseases are more than twice as likely to go untreated as their more affluent peers.
  • Treatment of severe tooth decay can cost $10,000 per child and up to $25,000 in severe cases, especially if the child needs to be hospitalized and treated under general anesthesia.
  • Over 70 percent of pediatric dentists and 38 percent of general dentists accept Medicaid. Publicly insured patients represent one-third of the average caseload of pediatric dentists in 2016, up from one-quarter in 2011.
  • The number of practicing pediatric dentists is projected to significantly increase through at least 2030.
  • Thanks to expanded dental benefits coverage for children, 2016 marks the first year a majority of publicly insured children (50.4 percent) visited a dentist.
  • A new AAPD national survey reveals nearly three-quarters of parents do not take their child to the dentist by the first birthday.
The new "State of Little Teeth Report," is an excellent resource to offer in your office reception area, share with referring dental and medical offices, provide to local school nurses, or drop off at preschools and childcare centers. To download the full publication, visit http:// content/uploads/2019/02/StateofLittleTeeth.2ndEdition.pdf.
Evidence-Based Dentistry Committee (EBDC) Update
Currently EBDC is overseeing two new evidence-based clinical practice guidelines:
  • Clinical Practice Guidelines for use of Non-Vital Pulp Therapies in Primary Teeth; and
  • Clinical Practice Guideline on Behavior Guidance for Pediatric Dental Patients.
The Non-Vital Pulp Therapy Guideline Workgroup had submitted "Systematic review and meta-analysis of non-vital pulp therapy for primary teeth" protocol1  to PROSPERO (International prospective reg- ister of systematic reviews, National Institute for Health Research). Data has been ex- tracted and analyzed for approximately 200 articles. Preliminary forest plots have been created on pulpectomy success using different root canal fillers. In-vitro antibacterial studies will also be evaluated. A draft systematic re- view manuscript is in preparation. Drs. James Coll and Kaaren Vargas will present prelimi- nary results of the meta-analysis to the board of trustees at AAPD 2019 in Chicago.
Selected systematic reviews were evalu- ated by the Behavior Guidance Guideline Workgroup. Draft PICO has been developed. The workgroup members are awaiting the publication of the Cochrane systematic re- view on "Non-pharmacological interventions for managing dental anxiety in children." They will evaluate and appraise the sys- tematic review using one of the validated appraisal instruments e.g. AMSTAR, CASP. The workgroup is comprised of Drs. Vineet Dhar, Elizabeth Gosnell, Cameron Randall, Rebecca Slayton and Reva Bhushan.
1James A. Coll, Kaaren Vargas, Abdullah A. Margha- lani, Shahad Al Shamali, Chia-Yu Chen, Reva Bhushan.
Systematic review and meta-analysis of non-vital pulp therapy for primary teeth. PROSPERO 2018
CRD42018099107. Accessed December 10, 2018. php?ID=CRD42018099107

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