RESUMO
OBJECTIVE: To evaluate whether cosmetically relevant dental effects occurred among children who had received doxycycline for treatment of suspected Rocky Mountain spotted fever (RMSF). STUDY DESIGN: Children who lived on an American Indian reservation with high incidence of RMSF were classified as exposed or unexposed to doxycycline, based on medical and pharmacy record abstraction. Licensed, trained dentists examined each child's teeth and evaluated visible staining patterns and enamel hypoplasia. Objective tooth color was evaluated with a spectrophotometer. RESULTS: Fifty-eight children who received an average of 1.8 courses of doxycycline before 8 years of age and who now had exposed permanent teeth erupted were compared with 213 children who had never received doxycycline. No tetracycline-like staining was observed in any of the exposed children's teeth (0/58, 95% CI 0%-5%), and no significant difference in tooth shade (P=.20) or hypoplasia (P=1.0) was found between the 2 groups. CONCLUSIONS: This study failed to demonstrate dental staining, enamel hypoplasia, or tooth color differences among children who received short-term courses of doxycycline at <8 years of age. Healthcare provider confidence in use of doxycycline for suspected RMSF in children may be improved by modifying the drug's label.
Assuntos
Antibacterianos/efeitos adversos , Esmalte Dentário/efeitos dos fármacos , Doxiciclina/uso terapêutico , Febre Maculosa das Montanhas Rochosas/tratamento farmacológico , Dente/efeitos dos fármacos , Adolescente , Criança , Cor , Doxiciclina/efeitos adversos , Humanos , Indígenas Norte-Americanos , Estudos Retrospectivos , Espectrofotometria , Inquéritos e QuestionáriosRESUMO
The objective of this article is to propose a classification of dental competencies. Interest in dental competencies has grown consistently during the last three decades. However, the dental education literature suggests that the term "competency" is understood and used differently by dental schools around the world. The taxonomic classification of dental competencies we propose follows a systematic approach starting at the highest level of complexity, i.e., the professional profile the teaching institution envisions for its graduates, and following in a decreasing degree of complexity to competency function, task, step, movement, and moment. This taxonomy has proved to be useful for more than thirty years in the Dental School of the Peruvian University Cayetano Heredia. Graduates of this school are successful practitioners, teachers, and researchers in Peru and other countries. The classification proposed here should clarify terms, facilitate curriculum design and learning assessment, stimulate further discussion on the matter, and facilitate communication among the dental education establishment.
Assuntos
Educação Baseada em Competências/classificação , Currículo , Educação em Odontologia/classificação , Competência Clínica , Pesquisa em Odontologia , Dentística Operatória/educação , Odontólogos , Diagnóstico Bucal/educação , Docentes de Odontologia , Promoção da Saúde , Humanos , Avaliação das Necessidades , Política Organizacional , Odontologia Preventiva/educação , Faculdades de Odontologia/organização & administração , Doenças Estomatognáticas , Ensino/métodosRESUMO
The prevalence, severity, and distribution pattern of early childhood caries (ECC) among Anguillian children aged 24-71 months are described. The results show that teeth and surfaces affected by caries vary by age, suggesting that age and morphological considerations play a role in the etiological models proposed to explain susceptibility.