Objective: To examine whether general and dental health and habits of families were affected by the first-wave lockdown due to COVID-19, and whether these habits were related to family functioning, resilience and stress. Study design: A cross-sectional study using an online survey disseminated among families with kindergarten and primary school-aged children during the lockdown of March and April 2020. Results: A total of 361 respondents completed the survey. Most respondents adapted well to the changes imposed by lockdown and reported that they and their children had low anxiety levels and high mental resilience. Family functioning and behavior were positively correlated with nutrition habits and hygiene. General hygiene was positively correlated with oral hygiene. Respondents who reported requiring dental care had difficulties gaining access to it. Most respondents perceived that it is important to improve patients’ digital access to pediatricians and dentists during crises. Conclusion: The study showed that better family functioning was associated with better family hygiene and nutrition, parental resilience and lower mental stress among children.

Objectives: To compare the in vitro cariogenic potential of two infant formulas (IF, for ages 6–12 months) processed with sterile distilled water with or without 1 ppm fluoride. Study design: Nine specimens in each water type were inoculated with Streptococcus mutans (SM) suspension. The specimens were then divided into one group of samples cultured immediately on Mitis salivarius (MS) agar plates (T 0 ) and another group of specimens cultured on MS agar plates after incubation at 37°C for 4 hours in anaerobic conditions (T 4 ). Six-fold dilutions of each sample were incubated for 48 hours, and colony-forming units (CFUs) of SM were numerated. The pH changes associated with bacterial fermentation of each of the suspensions were measured at T 0 and at T 4 following incubation. Results: The pH was lower at T 4 than at T 0 in both IF. The SM colonies increased significantly at T 4 compared to T 0 in both IF (P < 0.001). There was no significant difference between the CFUs of the mediums at T 0 and T 4 or relation between SM colonies of IF based on fluoridated and non-fluoridated distilled water. Conclusion: The cariogenic potential was not significantly different between two IF prepared with fluoridated or non-fluoridated distilled water.

Introduction. Knowledge of oral health (KOH) among mothers has an important influence on their children's oral habits and routines. Lack of maternal KOH had been related to the development of early childhood caries among preschool children. Aim. To assess KOH among mothers of 1–4 year-olds. Study design. Participating mothers completed a 3-part questionnaire on general demographic information, KOH of their children, and ranking of six food items according to their cariogenic potential. Results. Most of the 285 participating mothers had an academic education. Only 47% of the mothers correctly answered seven questions on KOH. The dentist was the main source for KOH. Most of the mothers (94.39%) were aware of the need to brush their children's teeth twice daily. Most of them (72.29%) did not know the correct fluoride concentration in their child's toothpaste. They ranked salty snacks as the least cariogenic food item. Most of the mothers were not aware that snacks and sweetened drinks should be consumed during meals, and two-thirds reported tasting food from their child's spoon. Conclusion. Overall, mothers of toddlers lacked basic knowledge of oral health issues and practices to follow for the prevention of their children's caries.

Objective: To compare postoperative pain among children who received an oral dose of paracetamol, ibuprofen or a placebo, prior to tooth extractions. Study design: Thirty minutes prior to dental treatment, children received a liquid dosage, fruit flavored and orange colored, of paracetamol, ibuprofen, or a placebo. Data accessed included children's dental history, their behavior, and their feeling of pain or anxiety according to Wong-Baker FACES: before treatment, following local anesthesia, and following treatment. Parents were interviewed by telephone regarding their children's need for a postoperative analgesia (paracetamol or ibuprofen), and their feeling of pain at four and 24 hours posttreatment. Results: Parents reported administering paracetamol or nurofen following the dental procedure to 9/43 (21%), 2/33 (6%) and 12/29 (41%) of the children in the preemptive paracetamol, ibuprofen, and placebo groups, respectively. For the 3 groups, mean pain assessment were similar: around the middle of the Wong-Baker FACES scale at baseline, slightly higher following local anesthesia, and low (pain-free) at four and 24 hours postoperative. Conclusion: Children who received paracetamol or ibuprofen prior to tooth extractions were less likely to need an analgesic following treatment, compared to children who received a placebo.

Objectives: To characterize the attitudes of Israeli parents towards caries preventive measures. Study design: participating parents completed a 21-item questionnaire on their demographics, dental history, attitudes and satisfaction from fluorides and fissure sealants. Results: One hundred parents (average age 41.62±4.9 years, 85 females) participated. Most of the parents (88% of the mothers and 84% of the fathers) had an academic education. Most of the parents (54%) had a favorable attitude towards the use of fluoridated gels, while only 37% of them had a positive opinion regarding fluoridated water. The satisfaction levels were very high regarding fissure sealants, fluoridated mouth rinses and fluoridated gels (78.1%, 73.6% and 72.5% respectively). The satisfaction from fluoridated water was split almost equally (50.8% were ‘pleased’ and 49.2% ‘not pleased’). The main source for parental oral health knowledge was the dentist (83%). Parents' attitude towards caries preventive measures was significantly correlated to their gender, dental experience, level of education and the number of children in the family. Conclusions: positive attitude towards caries preventive measures was found among parents with higher awareness for preventive oral health measures and among bigger families. Mothers were more positive about fissure sealants than fathers. Mothers with up to 12 years of education tended to have a positive opinion regarding water fluoridation.

Objectives : To assess the current choice of various restoration materials among Israeli pediatric dentists according to seniority and specialty. Study design : Participating dentists completed a 23-item questionnaire on their qualifications, type of practice and preference of restorative material. Results : Seventy-five dentists (average age 46.27±12.6 years, 58 females) participated. Forty-one were specialist pediatric dentists and 34 were general practitioners. Amalgam was preferred by 49.3%, followed by composite (41.3%), glass ionomer cement (5.3%) and compomer (4%). Only 13.3% of the dentists thought amalgam bears environmental and health hazards, compared to 49.3% for composite. Satisfaction was high for amalgam and composite, less for glass ionomer cements and least for compomer. General practitioners preferred amalgam (70.6%) while pediatric dentists preferred composite (51.2%), P < 0.003. Conclusions: Amalgam and composite were the materials of choice among the participating Israeli dentists. Most of them (86.7%) responded that amalgam does not possess any health issues. Their satisfaction with the restoration materials was highest for amalgam and composite, a choice significantly affected by whether they were in general practice (amalgam) or specialized in pediatric dentistry (composite).

Objectives : To assess the current choice of various restoration materials among Israeli pediatric dentists according to seniority and specialty. Study design : Participating dentists completed a 23-item questionnaire on their qualifications, type of practice and preference of restorative material. Results : Seventy-five dentists (average age 46.27±12.6 years, 58 females) participated. Forty-one were specialist pediatric dentists and 34 were general practitioners. Amalgam was preferred by 49.3%, followed by composite (41.3%), glass ionomer cement (5.3%) and compomer (4%). Only 13.3% of the dentists thought amalgam bears environmental and health hazards, compared to 49.3% for composite. Satisfaction was high for amalgam and composite, less for glass ionomer cements and least for compomer. General practitioners preferred amalgam (70.6%) while pediatric dentists preferred composite (51.2%), P < 0.003. Conclusions: Amalgam and composite were the materials of choice among the participating Israeli dentists. Most of them (86.7%) responded that amalgam does not possess any health issues. Their satisfaction with the restoration materials was highest for amalgam and composite, a choice significantly affected by whether they were in general practice (amalgam) or specialized in pediatric dentistry (composite).

Objective: The aim of this study was to examine the recovery time of children who underwent conscious sedation with oral or rectal midazolam. Study design: The medical files in the Department of Pediatric Dentistry of all the children who underwent conscious sedation with midazolam between 3/2013-4/2016 were examined. The total duration of sedation and time to discharge were calculated. Descriptions of the children's behavior before and during sedation were compared. Results: The files of 120 children were retrieved. They included 64 girls, mean (± standard deviation) age 5.7 ± 2.67 years and 56 boys, mean age 4.9 ±1.06 years. The mean weight for the entire cohort was 18.7 ± 5.2 kg. Eighty-one children (67.5%) received oral sedation and 39 (32.5%) received rectal sedation. The mean total duration of sedation was 105 ± 26 min, and the mean time to discharge after treatment was 55:17 ± 22:30 min. A hundred and seven children exhibited positive behavior before undergoing sedation, but the behavior deteriorated during sedation in 36 cases. Conclusion: The time to discharge post-midazolam sedation correlated to the child's age and weight and total amount of administered midazolam. Sedation negatively affected behavior in 43.6% of the cases.

Background : Previous studies have suggested that a child's dental anxiety is mainly influenced by the maternal dental anxiety. As modern society evolves the conventional structure of the family changes and both parents take equal part in the child's upbringing. Aim: The aims of the present study were: 1. To evaluate and compare the levels of dental anxiety among kibbutz-bred and city-bred parents, whose children were dentally treated.; 2. To examine the effect of selected sociodemographic variables on parental attitudes toward the dental situation on their dental anxiety; 3. To assess the parents' ability to evaluate their children's future behavior at the dental office. Study design : seventy-four parents, 44 from a kibbutz and 31 that live in a city comprised the study population. Dental anxiety was assessed by using Corah's Dental Anxiety Scale and Kleinknecht's Dental Fear Survey. The future behavior of the parent's child in the dental office was evaluated by Parental assessment of child's behavior. Results: No significant difference was found in the level of dental anxiety between kibbutz-member parents and city parents. Gender had no significant influence on the levels of dental anxiety among parents. Conclusions: The old axiom that dental anxiety is more prevalent among women is questioned. Dental anxiety of children may be equally influenced by both parents.