Hyoeun Lee
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on the atlas · 9
- Evaluation of the effectiveness of tell-show-do and ask-tell-ask in the management of dental fear and anxiety: a double-blinded randomized control trial - PMC1 savers
- Parallel Distributed Processing1 savers
- Teledentistry: Opportunities and Recent Developments in Pediatric Dentistry1 savers
- Genetic analysis of social-class mobility in five longitudinal studies | PNAS1 savers
- Genetic analysis of social-class mobility in five longitudinal studies1 savers
- A major role for common genetic variation in anxiety disorders1 savers
- Journal of Indian Society of Pedodontics and Preventive Dentistry1 savers
- Non‐pharmacological interventions for managing dental anxiety in children - PMC1 savers
- Pediatric dental treatments with pharmacological and non-pharmacological interventions: a cross‐sectional study | BMC Oral Health | Full Text1 savers
highlights · 35
Currently, nationwide only 43% of families have access to video-based technology and many do not have access to high-speed internet required to support most platforms.37 In these situations, a text-based model of telehealth could provide a compromise and permit some access to virtual services for families who have limited access to videoconferencing capabilities.38
Teledentistry: Opportunities and Recent Developments in Pediatric DentistryObserving how oral hygiene is done at home by the family and child is extremely valuable in helping to provide specific individualized interventions to improve oral hygiene and prevent oral disease for children with ASD/NDDs.
Teledentistry: Opportunities and Recent Developments in Pediatric Dentistryaccurately recommending treatment modalities for pediatric dentistry.31,32 This methodology is especially important for patients with special health care needs who face an increased expense and inconvenience of having to travel for medical and dental visits.33
Teledentistry: Opportunities and Recent Developments in Pediatric DentistryThis use of synchronous telehealth precludes the need for the family to travel a significant distance to San Francisco for an initial consultation and reduces the number of in-person visits needed while conserving PPE, disposables and auxiliary staff time. Furthermore, evidence has shown that the use of teledentistry is effective for
Teledentistry: Opportunities and Recent Developments in Pediatric DentistryWe have implemented the use of synchronous telehealth consult visits for patients with special health care needs and/or those who live a significant distance from San Francisco who are referred for advanced pediatric dental care.
Teledentistry: Opportunities and Recent Developments in Pediatric DentistryTeledentistry has the ability to not only increase access to care for patients by allowing them to access dental care but to also become an additional production source for dental providers.
Teledentistry: Opportunities and Recent Developments in Pediatric DentistryFurthermore, Delta Dental of California is exploring the future role of teledentistry in the provision of dental care by initiating its own direct-to-consumer teledentistry service.
Teledentistry: Opportunities and Recent Developments in Pediatric DentistryThis allows for a network of providers and community partners to participate in teledentistry through cloud-based telehealth accessibility
Teledentistry: Opportunities and Recent Developments in Pediatric DentistryAdditionally, care with teledentistry has been shown to help individuals improve their oral hygiene through decreased plaque and improved gingival index.18 Most recently, one study showed that over 90% of patients were satisfied with their dental visits through telehealth during the COVID-19 pandemic.19 And another recently published report demonstrated teledentistry can be a cost-saving mechanism by reducing unnecessary in-person dental visits and triaging patients to prioritize those who need care most urgently.2
Teledentistry: Opportunities and Recent Developments in Pediatric DentistryStudies have demonstrated that the use of teledentistry for caries diagnosis can be comparable to the diagnosis of caries by traditional dental visits.16 Beyond being an effective means of diagnosis, teledentistry has also been shown to increase access to care for children who have never seen a dentist and could be a viable option for providing early screening for dental caries.17
Teledentistry: Opportunities and Recent Developments in Pediatric DentistryIncreased patient contact and engagement in between necessary in-person visits. n Reduced stress and desensitization for patients with special health care needs by having some aspects of their care in the comfort of their home.
Teledentistry: Opportunities and Recent Developments in Pediatric DentistryBetter continuity of care by the use of teledentistry-based, postoperative follow-up care following surgery or other procedures.
Teledentistry: Opportunities and Recent Developments in Pediatric DentistryCost savings to providers by reduced use of PPE and disposable supplies.
Teledentistry: Opportunities and Recent Developments in Pediatric Dentistryif education-linked genetics mainly reflect a legacy of social privilege, then controlling for the socioeconomic status of a child’s parents should reduce the association between the child’s genetics and their future social attainment to zero. In contrast, if genetic associations with attainment persist even after controlling for parents’ social class, this result would suggest that education-linked genetics influences social mobility.
Genetic analysis of social-class mobility in five longitudinal studies | PNASSuch environmentally mediated genetic effects, in which parents’ genetics affects the household environment in ways that influence their children’s outcomes, are ruled out in genetic estimates from twin studies. However, they are not ruled out in GWAS (22, 23).
Genetic analysis of social-class mobility in five longitudinal studies | PNASRecently, genome-wide association studies (GWAS) have discovered molecular genetic associations with education (10–12), a determinant of social class (13).
Genetic analysis of social-class mobility in five longitudinal studies | PNAS. However, they also tended to come from better-off families. In the key test, participants with higher polygenic scores tended to be upwardly mobile compared with their parents. Moreover, in sibling-difference analysis, the sibling with the higher polygenic score was more upwardly mobile. Thus, education GWAS discoveries are not mere correlates of privilege; they influence social mobility within a life. Additional analyses revealed that a mother’s polygenic score predicted her child’s attainment over and above the child’s own polygenic score, suggesting parents’ genetics can also affect their…
Genetic analysis of social-class mobility in five longitudinal studies | PNASParticipants with higher polygenic scores achieved more education and career success and accumulated more wealth
Genetic analysis of social-class mobility in five longitudinal studies | PNASWe tested if education-linked polygenic scores predicted social mobility in >20,000 individuals in five longitudinal studies in the United States, Britain, and New Zealand.
Genetic analysis of social-class mobility in five longitudinal studies | PNASA key test to distinguish biological mechanism from social history is if people with higher education polygenic scores tend to climb the social ladder beyond their parents’ position.
Genetic analysis of social-class mobility in five longitudinal studies | PNASWe found that people with more education-linked genetics were more successful compared with parents and siblings. We also found mothers’ education-linked genetics predicted their children’s attainment over and above the children’s own genetics, indicating an environmentally mediated genetic effect.
Genetic analysis of social-class mobility in five longitudinal studies | PNASsocial mobility in five cohorts from three countries
Genetic analysis of social-class mobility in five longitudinal studies | PNASmodern interactive techniques
Journal of Indian Society of Pedodontics and Preventive DentistryThis study compares the conventional TSD technique with its own modifications for effective management of children in a dental clinic.
Journal of Indian Society of Pedodontics and Preventive DentistryAccording to Howitt and Stricker,[19] a child’s arousal level is reduced as they become accustomed to dental situation.
Journal of Indian Society of Pedodontics and Preventive DentistryFurthermore, when a dentist himself asks the child about his fear and concerns, the child is unable to express his thoughts and feelings freely to the dentist.[18]
Journal of Indian Society of Pedodontics and Preventive DentistryThe Venham’s Anxiety Scale was selected for the assessment by a dentist in this study. It is the most reliable indicator for the assessment of dental anxiety. The advantage of this scale is its clarity, reliability, and ease of recording.[17]
Journal of Indian Society of Pedodontics and Preventive DentistryVarious validation studies have suggested the Facial Image Scale as a suitable measure for assessing child anxiety even at younger age.[16]
Journal of Indian Society of Pedodontics and Preventive DentistryA reduction in heart rate postoperatively for the TSD group was very minimal. The results were in accordance with the study by Radhkrishna et al.,[6] in which there was a reduction in mean pulse rate, after treatment, for both the Tell-Show-Play-Doh and Smartphone Dentist Game groups (P = 0.002 and P = 0.007). Similar results were obtained by Kevadia et al.[5] where the TSD group (11.83%) does not show marked a reduction in the heart rate when compared with Tell-Play-Do technique (12.64%).
Journal of Indian Society of Pedodontics and Preventive DentistryAccording to Messer,[14] heart rate and blood pressure can be used as reliable indicators of anxiety.
Journal of Indian Society of Pedodontics and Preventive DentistryAccording to the Piaget’s classification, children in the age group of 4–8 years are in preoperational phase. This age group is absolute for testing the effectiveness of behavior management techniques as the evolution in the vocabulary, attention, and concentration abilities in this period is a sign of their readiness for social communications. In the present study, a comparison between males and females was not done as the importance of gender on behavioral changes in the younger age group is limited.[12]
Journal of Indian Society of Pedodontics and Preventive DentistryThe first dental visit of the child is important for molding a child’s attitude toward the dental treatment. The main aim of the dentist should be a positive and successful first visit of the child.[11]
Journal of Indian Society of Pedodontics and Preventive Dentistryccording to the Diagnostic and Statistical Manual of Mental Disorders (DSM–V), the criteria for diagnosis of a specific phobia are: (i) marked and out of proportion fear within an environmental or situational context to the presence or anticipation of a specific object or situation, (ii) exposure to the phobic stimulus provokes an immediate anxiety response, which may take the form of a situationally bound or situationally predisposed panic attack, (iii) the person recognises that the fear is out of proportion, (iv) the phobic situation(s) is avoided, or else is endured with intense anxiety or…
Non‐pharmacological interventions for managing dental anxiety in children - PMCDisruptive or non‐compliant behaviours are a common manifestation of dental fear, anxiety, or phobia in children (Winer 1982).
Non‐pharmacological interventions for managing dental anxiety in children - PMCOne of the major problems in pediatric dentistry relates to the management of uncooperative and anxious children during treatment.
Pediatric dental treatments with pharmacological and non-pharmacological interventions: a cross‐sectional study | BMC Oral Health | Full Text