Browsing by Author "Alnuaimi, Eman H"

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Assessment of paediatric dental guidelines and caries management alternatives in the post COVID‑19 period. A critical review and clinical recommendations
(2020) Al Halabi, Manal; Salami, A; Alnuaimi, Eman H; Kowash, Mawlood; Hussein, Iyad
Purpose: The first aim of this paper is to provide dental professionals caring for children and adolescents during and after the COVID-19 pandemic with a reference to international dental guidelines. The second aim is to suggest minimally invasive treatment alternatives for caries management, minimising the risk of viral cross-infection and ofering a safer clinical environment. Methods: An evidence-based pertinent literature search of diferent electronic databases was performed in addition to leading global dental authorities, royal colleges, and programmes. Results: All guidelines released in response to COVID-19 centred around minimising Aerosol Generating Procedures (AGP) impacting the provision of regular dental treatment of paediatric patients. There was an emphasis on triaging and only treating emergency and urgent cases. Special attention was given to medically compromised children in the guidelines. Detailed guidelines for the dental environment and equipment were given. This paper also summarised the relevant evidence-based guidelines for the use of non-invasive and minimally invasive caries management techniques. Conclusion: Specific recommendations for dental management of paediatric patients during and in the post-COVID-19 era are suggested. Minimisation of AGP procedures, and case-based selection of biological, non-invasive or minimally invasive methods are recommended.
Hybrid child friendly biological primary molar restorative alternatives to general anaesthesia
(2018-09) Alnuaimi, Eman H; El-Halabi, Manal; Hussein, Iyad
Abstract: Management of early childhood caries, especially in high caries prevalence regions, is challenging, with multiple extractions under general anaesthesia (GA) becoming frequently unavoidable. This paper describes a combination of child-friendly biological methods of caries management that could be utilized by general dental practitioners. The use of interim therapeutic restorations to aid in diagnosis of pulpal status in deeply carious primary molars followed by using multiple Hall technique preformed metal crowns is described through a series of case reports. By the hybrid utilization of these methods with complete avoidance of local anaesthesia, an alternative treatment to dental GA is demonstrated. CPD/Clinical Relevance: To provide a guide for the use of combined biological methods to treat early childhood caries.
Oral and Dental Considerations in the Management of Leukemic Children
(2014-09) Alnuaimi, Eman H; El-Halabi, Manal; Kowash, Mawlood B.
Abstract: An incidence of overall oral sequelae in leukemic children of 54% has been reported in the literature. Oral complications include mucositis, fungal and viral infections, salivary gland hypofunction, dental caries, and others. Mucositis accounts for the most common complication followed by fungal infections and viral infections. It has also been reported that the quality of life of these children is affected. Dental healthcare professionals play a very important role in assessing the patient’s oral health needs before, during, and after cancer therapy. A multidisciplinary approach between the medical and dental team will help prevent, stabilize, and treat the oral and dental problems at an early stage. This paper reviews briefly the oral health problems in leukemic children as well as dental considerations and recommendations for optimal oral health care.
Oral health problems in leukaemic paediatric patients in the United Arab Emirates: A retrospective study
(2018-09) Alnuaimi, Eman H; El-Halabi, Manal; Hassan Khamis, Amar; Kowash, Mawlood
Aim: The aim of this study was to estimate the prevalence of oral health problems in leukaemic paediatric patients in the United Arab Emirates (UAE) and correlate it to the phase of chemotherapy. Materials and Methods: Medical records of 120 paediatric leukaemic patients (age below 15 years) in the UAE were reviewed for the occurrence of oral health problems. Records from the three main hospitals that provide cancer therapy were accessed after obtaining the required permissions. Results: The overall prevalence of oral health problems in leukaemic patients in our study is 60%. The most common oral health problem recorded in the patients’ records was oral mucositis and ulceration (52.4%) followed by dental caries and oral candidiasis accounting for 18.3% and 14.2% respectively. Other oral health problems recorded were gingivitis and gingival bleeding, herpetic gingivostomatitis, poor oral hygiene, and facial palsy. The peak occurrence of most oral problems was during phase IV (maintenance). Oral health problems were more common among patients who received treatment and follow-up locally rather than abroad. Statistics: Collected data were analysed using statistical software International Business Machines (IBM) Statistical Package for Social Sciences (SPSS, version 20, Chicago, SPSS Inc). Descriptive statistics were performed to describe the characteristics of the study population. The association between oral health problems and other risk factors was analysed using the Chi-squared test. A P-value of <0.05 was considered statistically significant. Conclusion: This is the first study to describe oral health problems and its correlation to the phase of chemotherapy in leukaemic paediatric patients in the UAE. Oral health problems as a result of leukaemia and its management are both variable and unavoidable. Therefore, oral and dental care is of critical importance in maintaining the overall wellbeing of the patient before, during, and after treatment. This can be achieved by close liaison between the oncology and dental teams.