European journal of paediatric dentistry最新文献

Aim: This study aimed to assess the engagement of Instagram users with Brazilian Portuguese posts related to amber necklaces for teething symptoms relief, identifying predictive factors that can increase users' engagement with information and misinformation.

Methods: This digital study analysed Brazilian Portuguese amber necklace-related posts on Instagram. The posts were collected using specific search strategies on CrowdTangleTM. Subsequently, two independent investigators were trained and calibrated to categorise the posts concerning the proposed outcomes. The posts were categorised according to their facticity (information or misinformation), type of media (album/photo or video/Instagram TV), sentiment (positive, neutral, or negative), author's occupation (dentist or non-dentist), and type of profile (commercial or personal). Additionally, investigators compiled information about the time of publication (days) and interaction metrics (total interaction and overperforming score). The statistical analysis assessed the inter-examiner reliability, group comparisons, and the factors associated with interaction and misinformation. P values <0.05 were considered significant.

Conclusion: Videos and personal profiles were predictive factors for higher user engagement with amber necklace posts on teething symptoms relief on Instagram, even with the warnings of health organisations and the lack of scientific evidence to confirm its efficacy.

Aim: Early childhood caries (ECC) represent a relevant public health issue in paediatric population globally. The current study aimed to investigate the main risk factors of this condition.

Methods: This is a cross-sectional study carried out at the Child Dentistry Clinics of the Istituto Stomatologico Italiano, Milan, Italy, including patients aged 12-71 months and their parents. Demographical data, anthropometric measurements, oral hygiene and health assessment, and children's eating habits were collected.

Conclusion: Our findings, according to recommendations, suggest that the prevention of ECC needs to begin in infancy. Oral health providers, physicians, nurses, and other health care personnel play an important role in educating parents about their child's oral and dental care and food choices.

Aim: To determine the factors associated with behaviours, attitudes and knowledge of parents about children's toothbrushing (CTB).

Methods: This is a cross-sectional analytical study of a calculated sample of 3,534 parents/guardians (92.6% female; 7.4% male; average age = 34 years [29-37]) of schoolchildren aged 3 to 8 years in 19 public schools in the province of Callao (Peru). A 31-item face-to-face/virtual questionnaire was divided into: 5 behavioural (18 (IQR)=3]; good 76%), 5 attitudes (13 [IQR=4]; negative 74.2%) and 10 knowledge (12 [IQR=4]; low 92.8%) (KMO≥0.537, Bartlett<0,001) and reliability (ω≥0.537) and 11 demographic domains. Bivariate and multivariate linear Poisson models were used with a P<0.05.

Conclusion: Children of parents with a higher education showed good behaviours related to CTB. Negative parental attitudes and low knowledge about CTB were associated with a lower parental education and toothbrushing frequency.

Background: Malocclusions are usually diagnosed around 3-4 years of age according to specific criteria. The purpose of this protocol is to validate a method to understand how the type of delivery can influence the development of malocclusions.

Materials: This pilot study, conducted at the Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico of Milan, evaluated the relationship between the type of delivery, fetal presentation, and the presence of malocclusions in children. The sample included 5 healthy term newborns, all born to healthy mothers with uncomplicated pregnancies by vaginal delivery. Measurements were taken, via ultrasound, at the 37th week of gestation (T0) and on the second day of life (T1), using a craniometer, caliper and goniometer, including head circumference, lower facial angle, frontonasal angle, labial fissure length, and interpupillary distance.

Conclusion: The results suggest that further research is necessary to better understand the influence of delivery mode and fetal presentation on the development of malocclusions. This study represents an important first step, highlighting the need for larger samples and more in-depth investigation methods to obtain more conclusive results.

Aim: To assess the clinical and radiographic success rates of regenerative pulpotomy compared to devitalising or preservative pulpotomy in treating vital pulp exposure in primary teeth.

Methods: Comprehensive search with PubMed/MEDLINE, Cochrane Library, Web of Science, Google Scholar and Open Grey databases was done and two reviewers extracted the data after assessing the studies for eligibility criteria. The Cochrane Collaboration Tool and Minors Checklist assessed the quality of the selected studies. A meta-analysis was performed using RevMan (P<0.05).

Conclusion: Within the limitations of the study, it can be concluded that MTA seemed to be the better alternative to FC and FS, showing a lower risk of failure and can be recommended for pulpotomy in primary teeth. BD also demonstrated promising results as a pulpotomy medicament.

Aim: To evaluate palatal surface effects induced by LE and RPE, alongside spontaneous changes in an untreated group, and to compare differences in canine and molar inclination among the three groups.

Materials: This randomised clinical trial aimed to compare digital models pre- and post-treatment over 12 months in patients receiving tooth-borne Leaf Expander® (LE) and tooth-borne Hyrax-type maxillary expander (RPE) treatments, alongside untreated patients. Analysis included 24 LE patients (13 males, 11 females, mean age 8.5±1.5), 22 RPE patients (10 males, 12 females, mean age 7.9±1.6), and 17 untreated subjects (7 males, 10 females, mean age 8.1±1.2). Inclusion criteria comprised indications for maxillary expansion treatment, mixed dentition, CVMS ≤ 3, erupted first molars, and good oral hygiene. Digital models were obtained using an intraoral scanner pre- and post-treatment. Palatal surface, segmented into anterior, median, and posterior zones, and canine/molar inclination were measured at T0-T1 using VAM software as the primary and secondary endpoint. Statistical analyses involved paired-sample T-tests for intra-group comparisons and ANOVA tests with Bonferroni correction for inter-group comparisons.

Conclusion: No significant difference in palatal surface increment was found between the two experimental groups (LE and RPE); both demonstrated a significant increase in palatal surface. The greatest increment occurred in the median palate zone for both experimental groups. The increment in the untreated control group was not significant. Furthermore, the RPE group showed a greater inclination of permanent molars compared to those treated with LE, indicating that expansion with lighter and continuous forces may lead to fewer dental side effects.

Aim: This present study has two primary objectives: firstly, to compare the effectiveness of an electric toothbrush versus a manual toothbrush in biofilm removal; secondarily, to assess the effectiveness of individualised instructions provided by the operator.

Materials: Fifty-five paediatric patients were enrolled in the study. Data collection involved three main steps: 1) Pre-brushing PCR index collection; 2) Post-brushing PCR index collection; 3) Post-brushing PCR index collection after providing individual instructions. The tooth surfaces were colored with a liquid plaque detector. To assess whether there was a statistically significant difference in plaque values before and after brushing, a Wilcoxon signed-rank test was conducted. The Wilcoxon test with continuity correction was performed to compare the two brushing methods.

Conclusion: It is possible to confirm a correlation between instructions provided by the operator and lower plaque index. As regards the comparison between manual and electric toothbrush, in our study one tool did not emerge as more effective than the other.

Aim: Exogenous black pigmentations, commonly referred to as black stains (BS), are an acquired oral pathology, prevalent among children. The condition is characterized by black punctiform spots that are distributed variably on the lingual and vestibular surfaces of both deciduous and permanent teeth. These spots are predominantly located on the cervical third of the crown but can also be found on the middle third, until the crown third, of the affected tooth's crown. These stains present a therapeutic challenge due to their high recurrence rate and the often-insufficient oral hygiene practices among children and their caregivers. Although general dentists may not be familiar with the classification of BS, the clinical diagnosis of this condition is typically straightforward. There is still no consensus among researchers regarding the prevalence of BS, and the etiopathogenesis of this condition remains not fully understood. Although BS are not a serious pathology, many children and their families experience significant embarrassment, anxiety, and negative psychological effects due to the condition. Recent literature on the treatment of BS indicates that a universally effective clinical protocol has not yet been established. This study introduces a new classification based on therapeutic approach and a flow chart designed to assist paediatric dentists in managing BS with a focus on preventing recurrence.