European journal of paediatric dentistry最新文献

Aim: The present study aimed: i) to retrospectively evaluate the expansion movement predicted by the Clincheck® software and the achieved expansion using Invisalign First® in children needing maxillary expansion to correct malocclusions; and ii) to critically compare these clinical results with the outcomes obtained for maxillary expansion using conventional removable and cemented expanders.

Material and methods: The 3D digital models of the dental arches of 24 children undergoing orthodontic treatment exclusively with Invisalign First® aligners between 2018 and 2021 were sequentially selected for this study. Three digital models were analysed: pre-treatment (P0), the Clincheck®-predicted tooth positions (P1), and post-treatment (P2) models. The maxillary dental arch width and expansion efficiency were measured andcalculated. An in-depth review of the available literature on maxillary expansion was performed following PRISMA guidelines.

Results: Invisalign First® was able to achieve a total effectiveness of maxillary expansion of 62.6%, compared to the predicted movement. Similarly, the total effectiveness of mandibular expansion was 61.6%.

Conclusions: Our data shows that Invisalign First® system can increase the arch width with maxillary expansion effectiveness, providing similar results to those achieved with conventional removable appliances. However, neither Invisalign First® aligners nor conventional removable expanders are as much efficient as cemented-retained appliances.

Aim: Parents and caregivers, particularly in Italy, often have limited knowledge about their children's oral health. The primary objective of the study is to evaluate the educational effectiveness of a book on nutrition and prevention of oral diseases entitled "Oral health of mother and child in the first 1000 days of life".

Materials: The sample for this study was composed of 103 adult Italian women who were potential caregivers of one or more children (e.g., mothers, grandmothers, babysitters, and educators). The enrolled women completed a preliminary online survey which included questions about their socio-demographic characteristics and their knowledge on oral health in the first 1000 days of life of newborns (30 questions). Following the survey, they received the educational book. After reading it, the participants completed a second online survey with the same 30 questions, to measure any improvement in their knowledge.

Conclusion: It appears that our educational book about nutrition and prevention of oral diseases was effective in enhancing knowledge among the participants in our study. These findings suggest that this educational resource has the potential to be a valuable tool in preventing oral diseases in paediatric populations. However, further confirmation of these results should be obtained through randomised controlled trials.

Aim: The aim of this study was to analyse the facial characteristics and the craniofacial morphology in GGS patients in order to enable an early diagnosis.

Background: Gorlin-Goltz syndrome (GGS) is a autosomic dominant disease, characterised by basal cell carcinoma, palmar/plantar pits, maxillary and mandibular keratocysts and dental abnormalities.

Methods: Nine out of a sample of 24 GGS patients had complete cephalometric and photographic records at an average age of 8.7 years. Cephalometric and photometric analysis were carried out with standard analyses and compared with healthy patients matched for sex and age.

Conclusion: Early diagnosis of GGS based on clinical features could be useful to identify the presence of keratocysts through x-ray examination proceeding with surgical removal at an early stage, limiting space occupying damages.

"Professor, have you ever seen anything like this?". Few weeks ago I was asked this question by two young and esteemed specialist in orthodontics of my research group, actually PhD students, who showed me a laptop screen. "No, I have never seen anything so potentially extraordinary. But doubts arise: is this legal? Or rather, is it ethical for us to use it in the field of research?" So I asked the questioners, Dr. Serafin and Dr. Bocchieri, to write a short essay on this new form of artificial intelligence, the chatbots, to give me an idea of what they are, what their potential is, and how they can change the veracity of data when an artificial mind replaces a human one. After "letterally" 5 minutes, they returned to me and let me read the following: The rapid advancement of artificial intelligence (AI) technology has led to a proliferation of AI-powered tools that are having a significant impact in the realm of academic writing to automate various aspects of the editorial process, from research to proofreading and even generating complete high-quality scientific articles. Chatbots are AI-virtual assistants that offer significant benefits but there are also important ethical considerations that must be considered. One concern is related to the accuracy and reliability of AI-generated content, particularly in scientific writing where accuracy is of utmost importance. There are also concerns about the potential for AI to be used to produce plagiarized or fraudulent content, which could undermine the credibility of scientific soundness. To mitigate this risk, it is crucial to establish clear guidelines and regulations for their use. Additionally, academic institutions and publishers should take steps to verify the authenticity of authors and promote transparency and accountability in the publishing process. The use of chatbots in academic writing has the potential to revolutionize the way in which research is conducted and written. However, it is important to ensure that the ethical implications of this technology are carefully considered and addressed. This includes ensuring that AI-generated content is accurate, reliable, and trustworthy and that the use of AI does not result in the displacement of human imagination. To address these ethical considerations, it is recommended that academic institutions and scientific journals work together to establish clear guidelines and regulations for the use of AI in academic writing, ensuring that AI-powered tools are ethical. By taking a responsible approach, we can ensure that the benefits of this technology are realized while minimizing any potential negative consequences. Finally, the most important but missing information is that this editorial is fully written by a chatbot. Therefore, pay attention: the search for health for our patients must go through scientific honesty that produces data and analyzes them "humanly". I share my amazement, but also my concern. As a university professor, as a clin

Aim: This study aimed to characterise the palatal vault evolution during the first years of life, both in terms of shape and size.

Materials: The study sample was composed of 168 healthy children aged less than 4 years. Twenty-one measurements of distances and 6 angles were taken from 7 fixed landmarks set on the palatal vaults 3D surfaces reconstructed from CT-scans. To analyse only the shape evolution, the "sizefree" log-shape ratio of those measurements were computed and the global shape of the palatal vault and their transversal curve were plotted. Statistical analyses were performed to highlight the shape and size differences separately.

Conclusion: The shape and size evolution of the palatal vault during the first years of life was not only correlated with deciduous dentition development. We assumed that the progressive orofacial muscles activation and tongue movements in the oral cavity may also explain these results as they induced strains on the palatal vault, warping it in various ways.

Aim: Obstructive sleep apnoea syndrome (OSAS) is a common clinical condition in which the throat narrows or collapses repeatedly during sleep, causing obstructive sleep apnoea events. This disorder is present in the paediatric population with a prevalence estimated between 1.2% and 5.8%. Down Syndrome (DS) is the most common chromosomal alteration associated with mental disability and characterised by other clinical manifestations, and its incidence is estimated at 1/800 births worldwide. Most of the craniofacial features typical of DS represent a risk factor for the development of OSAS. Routine screening has been recommended in some countries but it is still not a standard practice. The aim of this study is the Italian linguistic validation of a questionnaire for the diagnosis of OSAS in children with Down Syndrome.

Methods: After careful review of the existing scientific literature, a specific questionnaire was selected for the diagnosis of OSAS in children with DS. The questionnaire was then translated into Italian and administered to 111 parents of children with Down syndrome, for online completion. The last part of the questionnaire was dedicated to the comprehension of the questionnaire itself, with a specific focus on its clarity, accuracy and difficulty in completing it.

Conclusion: The positive feedback registered in the comprehension part of the questionnaire, certified the good quality of the Italian translation and confirmed the questionnaire as a useful screening method to identify the comorbidity of OSAS and DS.

Background: The aim of this paper is to promote reflection on the dentist's approach to the dental care of young patients, considering not only their oral care needs, but also the management of their behaviour, that is intrinsic to their life needs and to those of their families.

Case report: This approach to dental care management stems from a thorough evaluation of the patient, the reason for dental visit, whether the child had previous dental visit(s), which might not have been positive, the family involvement and the emotional characteristics of the child and their parents. We should design a progressive customized path, sometimes starting only from secondary prevention in order to "comfortably" avoid the worsening of a given clinical condition, stimulate a concomitant positive behavioural response of all parties involved, until the child and their family are ready to take the next step, in terms of integrated restorative dentistry and/or paediatric orthodontics, where and when needed.

Conclusion: "The teeth come after" means that dental and oral care of the children may not be achievable goals unless we first address their wellbeing and that of their families, and that sometimes "the perfect is the enemy of the good", especially when we incorrectly consider only the clinical outcome. In this scenario, psychological skills and clinical feelings, comfort techniques, technologies, new materials and a more "medical less" surgical approaches are the bases for a child/family-oriented approach.

Aim: This study aimed to determine the impact of laser surgical tongue-tie, lip-tie, buccal-tie release on bottle-feeding and gastroesophageal reflux disease (GERD) after functional assessment of tongue and lip movement in a prospective cohort study conducted from June 2019 to June 2020 in a private general dental practice.

Methods: Preoperative, one-week and one-month postoperative surveys were completed, using the Revised Infant Gastroesophageal Reflux Questionnaire (I-GERQ-R). All study participants were bottle-feeding dyads (0-12 weeks of age) with untreated ankyloglossia and/or tethered maxillary/buccal frena.

Results: The study had 40 bottle feeding infants enrolled. Posterior :tongue-tie was noted in 67.5% of this cohort. Statistically significant improvement in I-GERQ-R scores was reported between preoperative (16.6, SD: 6.1; min-max: 8-28), 1 week (14.1, SD: 4.2; min-max: 6-24) and 1 month I-GERQ-R total scores (9.1, SD: 4.5; min-max:3-27) (ANOVA test - P <.001).

Conclusion: This study confirms the need for functional assessment of tongue and lip movement for this significantly affected cohort when surgical release is proposed. Laser surgical release (frenotomy) of tongue-tie, lip-tie, buccal-tie resulted in significant improvement in I-GERQ-R outcomes were found for cohorts of the classically recognised anterior tongue-tie and the less obvious (without functional assessment) and less diagnosed posterior tongue tie were found.

Aim: Different experimental approaches have demonstrated that children with sleep breathing disorders (SBD) exhibit neurocognitive and behavioural impairment. The present systematic review and meta-analysis aims to quantify neurocognitive deficit disorders in mouth breathing paediatric patients by summarising relevant case-controls studies. Neurocognitive assessment was undertaken with WISC.

Methods: A search strategy was developed on electronic databases including Medline (Pubmed), Scopus, Scileo; Cochrane library from 2000 to June 2022 for published studies analysing neurocognitive skills in children with SBD compared to healthy control groups. The review was performed according to the PRISMA protocol and articles were selected according to the established inclusion and exclusion criteria. The Weighted Mean Differences (95% Confidence Intervals) were calculated between results obtained in WISC tests in SBD patients and healthy subjects.

Conclusion: Our results confirmed that SBD affected children performed worse than healthy children in terms of quite all the cognitive domains investigated.

Aim: The aim of this paper was to enlighten the peculiar findings of the Pierre Robin sequence, a rare congenital anomaly with important afterbirth comorbidities. The management of this pathology requires highly specialised centers and highly qualified specialists in order to offer the best therapeutic strategy to the affected child. Early diagnosis and parental counseling play a key role in the managing of PRS: an earlier activation of the treatment path helps to yield better outcomes and to prevent complications. A case of a newborn affected by PRS is presented, showing the steps of the treatment strategy and the final outcome.