European journal of paediatric dentistry最新文献

Aim: The Parental-Caregivers Perceptions Questionnaire (P-CPQ) is designed to measure how parents or caregivers perceive the influence of children's oral health on their quality of life. P-CPQ can be extremely useful in measuring oral health-related quality of life for patients who are unable to provide firsthand information about their oral health, such as many autistic patients who may have impaired communication abilities or different degrees of intellectual development.

Methods: Italian version of the Parental/Caregiver - Child Perception Questionnaire (P-CPQ) was used to evaluate the oral health-related quality of life of children with autism spectrum disorder (ASD) as perceived by their parents or caregivers. The questionnaire comprises 31 items categorised into four domains: oral symptoms (OS), functional limitations (FL), emotional well-being (EWB), and social well-being (SWB) of the child. Participants included parents or caregivers of neurotypical and autistic children aged 6 to 14 years, recruited from the Padua University Dental Clinic. Data collected from the questionnaires were analysed, and scores from autistic and neurotypical children were compared.

Conclusion: Parents of children and adolescents with ASD have a worse perception of the OHRQoL of their children than parents of unaffected children. In some cases, the relevance of oral conditions may be overlooked because parents of children with ASD have a huge workload related to the child's general health problems. Dentists should be part of the multidisciplinary team of professionals who are concerned with the health of individuals with ASD to provide appropriate preventive and rehabilitative oral care.

Aim: The Parental-Caregivers Perceptions Questionnaire (P-CPQ) is designed to assess how parents or caregivers perceive the impact of children's oral health on their quality of life. The P-CPQ is particularly useful for evaluating oral health-related quality of life in patients who are unable to provide firsthand information about their oral health, such as many autistic individuals with communication impairments or varying degrees of intellectual development.

Methods: The original P-CPQ consists of 31 questions divided into four domains, assessing oral symptoms, functional limitations, emotional well-being, and social well-being. The questionnaire was translated from English to Italian and administered to parents and caregivers of children aged 6 to 14 years, recruited from the University of Padua Dental Clinic. The final section of the questionnaire focused on participants' comprehension of the questionnaire, specifically evaluating its clarity, accuracy, and difficulty.

Conclusion: The positive feedback registered in the comprehension part of the questionnaire, certified the good quality of the Italian translation and confirms the usefulness of the questionnaire in assessing oral health-related quality of life in paediatric patients.

Aim: During adolescence, there is a significant surge in height and total body mass of males. Consequently, they simultaneously experience enhancements in their circulatory and respiratory systems, which adapt to these physiological transformations. The purpose of present study was to investigate the developmental changes in male pharyngeal airway from adolescence to adulthood.

Methods: Lateral cephalograms of 192 males were obtained and divided into 5 groups: early adolescence (age 10-13 years), middle adolescence (age 14-17 years), late adolescence (age 18-21 years), early adulthood (age 22-30 years), and middle adulthood (ages 31-50 years). The dimensions of pharyngeal airway spaces and the related anatomical structures were investigated. The one-way analysis of variance and Pearson correlation analysis were employed for statistical analysis.

Conclusion: During middle adolescence, the pharyngeal airway seems to be nearly completed in males. A significant negative correlation was found between the ANB angle and SPS, TPS, and EPS values.

Background: When planning dental treatment, particularly in orthodontics, the timing and order of tooth eruption (TE) are crucial considerations. It has been noted that fluctuations in body weight have garnered increasing scientific interest due to their potential impact on TE. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. An online database search was conducted using the keywords "dental eruption" AND "weight". A total of 14 relevant papers were scrutinised. Various population and age range were employed in different studies to evaluate surface roughness, color change, and surface fracturing. Numerous studies have investigated the impact of BMI on dental eruption, with findings suggesting a positive correlation between being overweight or obese and early tooth eruption. Understanding these relationships is crucial for identifying at-risk populations and developing effective public health interventions aimed at promoting optimal oral health outcomes worldwide. Further research is needed to comprehensively unravel the underlying mechanisms and implications of these associations.

Aim: Maintaining oral health and preventing dental caries are crucial for overall well-being and quality of life, especially during childhood. Parental knowledge and practices play a key role in shaping children's oral health. This pilot study investigates parental knowledge and attitudes towards children's oral health and preventive practices.

Materials: A cross-sectional observational study was conducted at the Family Counseling Center of Cesano Boscone, Italy, between March 2023 and September 2024. Participants were 114 parents (2 males, 112 females) of children aged 0-18 or expecting their second child. Data were collected using an anonymous online questionnaire assessing socioeconomic background, dietary habits, risky behaviours (bottle and pacifier use), oral hygiene practices, and preventive strategies.

Conclusion: The findings highlight key factors influencing daily habits and preventing dental diseases in children. Socioeconomic conditions influence choices related to health, diet, and prevention. The study provides a valuable overview of family practices and potential areas for improvement in children's oral health. This study emphasises the importance of parental education in oral health prevention. The findings suggest that while breastfeeding is common, there is a need to improve the use of fluoride toothpaste and increase awareness of occlusal sealants to promote more conscious and informed health management from early childhood. Further research is needed to explore strategies for enhancing parental knowledge and promoting better oral health outcomes for children.

Aim: A comparison between mineral trioxide aggregate (MTA) apexification and regenerative endodontic therapy (RET) in immature permanent teeth is pivotal for optimising treatment outcomes and enhancing clinical decision-making. Understanding the efficacy, limitations and long-term implications of each approach is essential for achieving predictable, successful outcomes when managing immature teeth with necrotic pulps. The aim of this retrospective study was to compare the changes in the periapical bone using fractal dimension (FD) on the periapical radiographs of patients who underwent apexification and RET.

Materials: The lesion area was evaluated using fractal analysis on periapical radiographs obtained before and one year after treatment with the ImageJ program. Additionally, periapical status was classified using the periapical index (PAI). The significance level was set at 0.05.

Conclusion: In the present study, we found that the changes in FD and PAI over a one-year observation period were independent of the specific root canal treatment technique used. According to the fractal analysis, neither MTA apexification nor RET with tripleantibiotic paste is superior for immature teeth with pulp necrosis resulting from dental trauma.

Aim: This study explored the association between overprotective parenting and children's behaviour during dental treatment, toothbrushing behaviour and children's dental caries experience in the Netherlands.

Conclusion: Overprotective parenting is significantly associated with more disruptive behaviour of children during dental treatment and more difficult toothbrushing behaviour.

Aim: The purpose of this study was to determine the prevalence of HSPM, its clinical presentation and any association to MIH in Jordanian children.

Materials: A cross-sectional study involving six- to-eight-year-old schoolchildren was carried out by two calibrated examiners. The MIH/HSPM index was used for scoring defects. A self-administered questionnaires exploring pre-, peri-, and post-natal relevant histories were also completed by parents. Descriptive statistics and chi-square test were used for data analysis with a p set at 0.05.

Results: A total of 783 children (417 males and 366 females) with a mean age of (7.27 ± 0.6) years were enrolled in the study. The prevalence reported for MIH and HSPM was 40.1% and 44% respectively. Gender had no influence on the prevalence of HSPM (p=0.28), however, for MIH, the condition was more significantly reported in females compared to males (53.5% vs. 46.5%, p =0.002). The lower molars were significantly more affected than upper molars. Demarcated opacities were the most common clinical presentation. Mild lesion severity was the most frequently reported for both MIH and HSPM. The two conditions were significantly associated with each other (p =0.00,). However, HSPM was not predictive of MIH (OR=1.17, 95% CI=0.95 to 1.44). Regarding potential etiological/ risk factors, maternal intake of vitamin D during pregnancy was significantly associated with less MIH in their children.

Conclusion: MIH and HSPM were quite prevalent in Jordanian schoolchildren. The two conditions were significantly associated with each other, but HSPM was not predictive of MIH.

Fluoride is a chemical element widely distributed throughout nature. In our bodies, fluoride is considered a trace element, meaning mineral salts that, although present only in small quantities or even trace amounts, perform important biological functions. Fluoride is present in the body primarily associated with calcium, for which it has a high affinity, in teeth and bones. It is rapidly absorbed in the stomach and proximal small intestine, and peak serum levels are reached within 40-60 minutes. Fluoride absorption from water in the form of fluoride ions is faster and more complete than that bound to proteins, the form in which it is found in foods. Fluoride is excreted in urine. In children, 20% of the fluoride is eliminated, with 80-90% retained by bone tissue and developing teeth. The main benefits of fluoride are obtained through local administration, on the tooth surface. Fluoride is considered safe when consumed at recommended levels, but excessive fluoride exposure will lead to the occurrence of fluorosis [Srivastava et al., 2020] with detrimental effects on teeth, bone strength [Wei et al., 2019; Helte et al., 2021; Lindsay et al., 2023] thyroid function and cognitive development [Iamandii et al., 2023; Granjean, 2019; Taylor et al., 2025]. Efforts to develop safe and effective strategies to prevent this common disease are critical, particularly among lower-to-middleincome countries. The aim of this work is to discuss evidence that excessive fluoride exposure is not essential for caries prevention, offers little benefit to the fetus and young infant, and is particularly hazardous for young children due to the vulnerability of their developing brain.

Aim: Evaluate the skeletal and upper airway changes induced by the Twin Block device in patients with Class II malocclusion due to mandibular retrognathia using 2D imaging and compare the effects of prepubertal and pubertal treatment.

Methods: Thirty patients (15 males and 15 females) with Class II malocclusion who were treated with the Twin Block device were selected. Latero-lateral teleradiographs were acquired at the beginning (T0) and end (T1) of treatment. The sample was divided into two groups (pre-pubertal and pubertal) according to cervical vertebral maturation (CVM). Patients wore the device 24 hours a day, except during meals and oral hygiene, and underwent monthly checkups. Images were analysed using DeltaDent software.

Conclusion: The Twin Block effectively improved mandibular position and dental occlusion, positively contributing to upper airway development with comparable effects in the two growth stages.