Y Martínez-Beneyto, I Navarro-Vera, C Serna-Muñoz, A J Ortiz-Ruiz, A Vicente, J M Montiel-Company
Aim: To estimate the prevalence of early childhood caries and to study a possible influence on different ethnicities in preschool children aged 3 to 5 with social exclusion risk.
Background: Oral diseases are a major global public health problem, with negative effects at both individual and collective levels, and there is a relationship between socioeconomic characteristics such as income, occupation and educational level, with the prevalence and severity of oral diseases.
Methods: A cross sectional study was conducted in a sample of 288 preschool children belonging to three schools in the Southeastern Spain among other variables dmft and ICDASS index.
Conclusion: The ethnicity of school children at risk of social exclusion is a determining factor in the increased prevalence of cavities in primary caries.
{"title":"Influence of different ethnicities on early childhood caries in preschool children at risk of social exclusion in Southeastern Spain.","authors":"Y Martínez-Beneyto, I Navarro-Vera, C Serna-Muñoz, A J Ortiz-Ruiz, A Vicente, J M Montiel-Company","doi":"10.23804/ejpd.2025.2126","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2126","url":null,"abstract":"<p><strong>Aim: </strong>To estimate the prevalence of early childhood caries and to study a possible influence on different ethnicities in preschool children aged 3 to 5 with social exclusion risk.</p><p><strong>Background: </strong>Oral diseases are a major global public health problem, with negative effects at both individual and collective levels, and there is a relationship between socioeconomic characteristics such as income, occupation and educational level, with the prevalence and severity of oral diseases.</p><p><strong>Methods: </strong>A cross sectional study was conducted in a sample of 288 preschool children belonging to three schools in the Southeastern Spain among other variables dmft and ICDASS index.</p><p><strong>Conclusion: </strong>The ethnicity of school children at risk of social exclusion is a determining factor in the increased prevalence of cavities in primary caries.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T Cantile, A Valletta, E Salza, F Riccitiello, S Lombardi, M Quaraniello, A Riccitiello
Aim: Self-inflicted oral-dental mutilations (SIODMs) are the result of an intentional or unintentional action that leads to anatomical and functional damage to the soft and hard tissues of the oral cavity. In paediatric patients they can be associated with both organic and functional diseases. A systematic review was conducted aiming to consolidate and integrate the existing knowledge on SIODM in paediatric patients.
Methods: Literature search, study design and data analysis were performed in accordance with PRISMA guidelines. The research question was structured using the PICO framework (PROSPERO n° CRD42023433727).
Conclusion: This is the first systematic review aimed to synthesize the findings of studies on SIODM in paediatric patients. The extensive heterogeneity of underlying diseases, anatomical sites and nature of mutilation, as well as of the proposed treatments, make SIODM in paediatric population a challenging clinical field, in which only a multidisciplinary approach can provide adequate know-how in terms of prevention and therapeutic interventions.
{"title":"Self-inflicted oral-dental mutilations (SIODMs) in paediatric patients: a systematic review of case reports and case series.","authors":"T Cantile, A Valletta, E Salza, F Riccitiello, S Lombardi, M Quaraniello, A Riccitiello","doi":"10.23804/ejpd.2025.2213","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2213","url":null,"abstract":"<p><strong>Aim: </strong>Self-inflicted oral-dental mutilations (SIODMs) are the result of an intentional or unintentional action that leads to anatomical and functional damage to the soft and hard tissues of the oral cavity. In paediatric patients they can be associated with both organic and functional diseases. A systematic review was conducted aiming to consolidate and integrate the existing knowledge on SIODM in paediatric patients.</p><p><strong>Methods: </strong>Literature search, study design and data analysis were performed in accordance with PRISMA guidelines. The research question was structured using the PICO framework (PROSPERO n° CRD42023433727).</p><p><strong>Conclusion: </strong>This is the first systematic review aimed to synthesize the findings of studies on SIODM in paediatric patients. The extensive heterogeneity of underlying diseases, anatomical sites and nature of mutilation, as well as of the proposed treatments, make SIODM in paediatric population a challenging clinical field, in which only a multidisciplinary approach can provide adequate know-how in terms of prevention and therapeutic interventions.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V Rrustemaj, B Bahtiri Rrustemaj, M Lapter Varga, L Ferizi Shabani, S Anic Milosevic
Aim: The aim of this study was to evaluate the dental caries status in deciduous dentition and associated risk factors in kindergarten children in Prishtina, the capital of Kosovo.
Materials: A cross-sectional study was performed among 655 kindergarten children aged 3-6 years from Prishtina. Dental health status was assessed using the World Health Organization (WHO) caries diagnostic criteria for decayed, extracted and filled surfaces of the teeth (defs index) in the deciduous dentition. At the same time, a questionnaire was completed with the children's parents/guardians to identify potential risk factors associated with deciduous dental caries. Statistical analysis was performed using frequencies, means, and chi-square test.
Conclusion: The deciduous dental caries status of kindergarten children in Prishtina remains serious problem. Regular dental check-ups, accompanied by oral health education through regular tooth brushing, and dental visits are recommended for all kindergarten children and the children's parents/guardians.
{"title":"Prevalence of dental caries in 3-6-year-old children in Prishtina, Kosovo.","authors":"V Rrustemaj, B Bahtiri Rrustemaj, M Lapter Varga, L Ferizi Shabani, S Anic Milosevic","doi":"10.23804/ejpd.2025.2069","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2069","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate the dental caries status in deciduous dentition and associated risk factors in kindergarten children in Prishtina, the capital of Kosovo.</p><p><strong>Materials: </strong>A cross-sectional study was performed among 655 kindergarten children aged 3-6 years from Prishtina. Dental health status was assessed using the World Health Organization (WHO) caries diagnostic criteria for decayed, extracted and filled surfaces of the teeth (defs index) in the deciduous dentition. At the same time, a questionnaire was completed with the children's parents/guardians to identify potential risk factors associated with deciduous dental caries. Statistical analysis was performed using frequencies, means, and chi-square test.</p><p><strong>Conclusion: </strong>The deciduous dental caries status of kindergarten children in Prishtina remains serious problem. Regular dental check-ups, accompanied by oral health education through regular tooth brushing, and dental visits are recommended for all kindergarten children and the children's parents/guardians.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.23804/ejpd.2024.25.04.03
E Spinas, L Carboni, S Cordaro, G Lopponi, T Mallus, N Zerman
{"title":"Intrusive luxation lesions in permanent teeth: a Literature review and an up to date on the possibilities of approaches with the orthodontic repositioning technique.","authors":"E Spinas, L Carboni, S Cordaro, G Lopponi, T Mallus, N Zerman","doi":"10.23804/ejpd.2024.25.04.03","DOIUrl":"https://doi.org/10.23804/ejpd.2024.25.04.03","url":null,"abstract":"","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"25 4","pages":"331-335"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01Epub Date: 2024-09-01DOI: 10.23804/ejpd.2024.2289
V D'oria, S Bettocchi, V De Cosmi, M Paglia, S Colombo, S Scaglioni, C Agostoni, M Beretta, F Braiotta, C Berti, L Paglia
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.
{"title":"Risk factors for Early Childhood Caries in Italian preschoolers: A cross-sectional analysis.","authors":"V D'oria, S Bettocchi, V De Cosmi, M Paglia, S Colombo, S Scaglioni, C Agostoni, M Beretta, F Braiotta, C Berti, L Paglia","doi":"10.23804/ejpd.2024.2289","DOIUrl":"10.23804/ejpd.2024.2289","url":null,"abstract":"<p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"271-276"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01Epub Date: 2024-06-01DOI: 10.23804/ejpd.2024.2102
J Abanto, S Diaz Cárdenas, A Veloso Duran, M Garza, V Reis Brigato, F Guinot
Aim: To compare how parents' attitudes, knowledge, and sociodemographic characteristics influence untreated early childhood caries in infants and preschoolers in Brazil and Colombia.
Background: Dental caries is a prevalent chronic disease affecting children worldwide. However, little research has explored the connection between parents' knowledge, attitudes, and beliefs about oral health and the occurrence of dental caries in their children's primary teeth.
Materials: Oral health information was evaluated in children aged 3 to 5 years with a questionnaire covering sociodemographic and socioeconomic variables, family information and questions about health knowledge and child's and parents' oral health. In addition, oral examinations have been carried out to determine the prevalence of untreated dental caries. A p-value of 0.05 and 95% reliability level were considered statistically significant.
Conclusion: Untreated caries in infants and preschoolers are influenced by socioeconomic status, maternal education, sugar consumption, oral hygiene, and parents' beliefs about primary dentition.
{"title":"Association between socioeconomic factors, attitudes and beliefs regarding the primary dentition and caries in children aged 1-5 years of Brazilian and Colombian parents.","authors":"J Abanto, S Diaz Cárdenas, A Veloso Duran, M Garza, V Reis Brigato, F Guinot","doi":"10.23804/ejpd.2024.2102","DOIUrl":"10.23804/ejpd.2024.2102","url":null,"abstract":"<p><strong>Aim: </strong>To compare how parents' attitudes, knowledge, and sociodemographic characteristics influence untreated early childhood caries in infants and preschoolers in Brazil and Colombia.</p><p><strong>Background: </strong>Dental caries is a prevalent chronic disease affecting children worldwide. However, little research has explored the connection between parents' knowledge, attitudes, and beliefs about oral health and the occurrence of dental caries in their children's primary teeth.</p><p><strong>Materials: </strong>Oral health information was evaluated in children aged 3 to 5 years with a questionnaire covering sociodemographic and socioeconomic variables, family information and questions about health knowledge and child's and parents' oral health. In addition, oral examinations have been carried out to determine the prevalence of untreated dental caries. A p-value of 0.05 and 95% reliability level were considered statistically significant.</p><p><strong>Conclusion: </strong>Untreated caries in infants and preschoolers are influenced by socioeconomic status, maternal education, sugar consumption, oral hygiene, and parents' beliefs about primary dentition.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"258-265"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01Epub Date: 2024-10-01DOI: 10.23804/ejpd.2024.2281
S E Salvati, G Marzo, M Palermiti, M Romano, V Quinzi
Background: Odontomas are the most common odontogenic tumours, often considered hamartomas rather than true neoplasms. These mixed tumours consist of fully differentiated dental tissues, including enamel, dentin, cementum, and pulp. Odontomas can be classified into compound and complex types. While typically asymptomatic, they are often discovered during routine radiographic examinations for delayed tooth eruption. The management of odontomas generally involves surgical removal, which is effective in resolving associated dental impactions.
Case report: We present the case of a healthy 4-year-old child who presented with the absence of the lower left deciduous canine (tooth 7.3) in the dental arch. Radiographic examination revealed multiple radiopaque masses indicative of a compound odontoma associated with the unerupted deciduous canine. Following detailed imaging and surgical planning, the odontoma was successfully enucleated under conscious sedation with nitrous oxide. The surgical procedure was performed without extracting the retained canine. Post-operative follow-up at two weeks showed excellent healing, and at seven months, partial eruption of the canine was observed, confirming the odontoma's role in impeding its eruption.
Conclusion: This case underscores the importance of early diagnosis and management of odontomas to prevent potential impaction of associated teeth. The successful surgical removal of the odontoma facilitated the spontaneous eruption of the lower left deciduous canine, highlighting the effectiveness of early intervention. Conscious sedation with nitrous oxide proved to be a valuable tool in managing the young patient, ensuring cooperation and comfort during the procedure. Early identification and treatment of odontomas are crucial for promoting normal dental development and preventing future malocclusions.
{"title":"Compound odontoma and impaction of the lower left deciduous canine in a 4-year-old child: diagnosis and treatment.","authors":"S E Salvati, G Marzo, M Palermiti, M Romano, V Quinzi","doi":"10.23804/ejpd.2024.2281","DOIUrl":"10.23804/ejpd.2024.2281","url":null,"abstract":"<p><strong>Background: </strong>Odontomas are the most common odontogenic tumours, often considered hamartomas rather than true neoplasms. These mixed tumours consist of fully differentiated dental tissues, including enamel, dentin, cementum, and pulp. Odontomas can be classified into compound and complex types. While typically asymptomatic, they are often discovered during routine radiographic examinations for delayed tooth eruption. The management of odontomas generally involves surgical removal, which is effective in resolving associated dental impactions.</p><p><strong>Case report: </strong>We present the case of a healthy 4-year-old child who presented with the absence of the lower left deciduous canine (tooth 7.3) in the dental arch. Radiographic examination revealed multiple radiopaque masses indicative of a compound odontoma associated with the unerupted deciduous canine. Following detailed imaging and surgical planning, the odontoma was successfully enucleated under conscious sedation with nitrous oxide. The surgical procedure was performed without extracting the retained canine. Post-operative follow-up at two weeks showed excellent healing, and at seven months, partial eruption of the canine was observed, confirming the odontoma's role in impeding its eruption.</p><p><strong>Conclusion: </strong>This case underscores the importance of early diagnosis and management of odontomas to prevent potential impaction of associated teeth. The successful surgical removal of the odontoma facilitated the spontaneous eruption of the lower left deciduous canine, highlighting the effectiveness of early intervention. Conscious sedation with nitrous oxide proved to be a valuable tool in managing the young patient, ensuring cooperation and comfort during the procedure. Early identification and treatment of odontomas are crucial for promoting normal dental development and preventing future malocclusions.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"297-301"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01Epub Date: 2023-06-01DOI: 10.23804/ejpd.2023.1663
F Remy, Y Godio-Raboutet, G Captier, P Burgart, P Bonnaure, L Thollon, L Guyot
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.
{"title":"Characterisation of the very young child's palatal vault growth pattern: how do its size and shape evolve?","authors":"F Remy, Y Godio-Raboutet, G Captier, P Burgart, P Bonnaure, L Thollon, L Guyot","doi":"10.23804/ejpd.2023.1663","DOIUrl":"10.23804/ejpd.2023.1663","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to characterise the palatal vault evolution during the first years of life, both in terms of shape and size.</p><p><strong>Materials: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"2 24","pages":"318-326"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10544650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.23804/ejpd.2024.25.04.01
S Colombo, L Paglia
<p><p>What drives our irresistible attraction to foods like chocolate, fries, or a warm apple pie? Sugar intake triggers the brain's dopamine system, creating a sense of reward that unconsciously conditions a preference for foods that satisfy cravings. Over time, this weakens attraction to healthier, low-fat and low-sugar foods. This response shares characteristics with addiction, sparking the concept of "food addiction." For early humans, this reward-driven behaviour was advantageous, motivating them to seek high-calorie foods essential for survival when food was scarce. Today, however, it fuels a global surge in obesity and diabetes the real "killer" of our times. Additionally, a study on fruit flies (Drosophila melanogaster) found that a sugar-heavy diet reduces sensitivity to sweetness, leading to increased consumption. This phenomenon, like "desensitisation" in humans, suggests that high sugar intake may promote obesity by altering taste perception and reward circuits [May et al., 2019]. The link between sugar-rich diets, obesity, and public health is a critical concern for healthcare professionals, policymakers, and the sustainability of the western healthcare system. A 2024 study published in BMJ [Lara-Castor et al., 2024] revealed that from 1990 to 2018, the consumption of sugar-sweetened beverages (SSBs) in children and adolescents (aged 3-19) from 185 countries rose by 23%, paralleling a global rise in obesity rates in this age group (Fig. 1). The findings highlighted a range of consumption levels influenced by factors like age, parental education, and urban living; however, the overall increase calls for national and targeted approaches to reduce SSB intake. Exactly like the prevalence of overweight (including obesity) among children and adolescents aged 5-19 has risen dramatically from just 8% in 1990 to 20% in 2022. While just 2% of children and adolescents aged 5-19 was obese in 1990 (31 million young people), by 2022, 8% of children and adolescents were living with obesity (160 million young people) [GBD 2019 Risk Factors Collaborators 2020; Okunogbe et al., 2022] (Fig. 2) [Ritchie and Roser, 2017]. Establishing good habits early is vital, as children are highly receptive to new behaviours. Notably, paediatric prevention begins even in the womb [Paglia 2017; Paglia, 2019]: a 2021 Canadian study [Laforest-Lapointeet al, 2021] linked maternal consumption of artificial sweeteners during pregnancy to an increased risk of infant obesity. By examining the gut microbiomes of 100 infants, researchers found that artificial sweetener intake could influence infant gut health and body mass index in the first year of life. The effects of sugar thus begin before birth and extend into early childhood. In Italy, added sugars are often introduced into infants' diets before 12 months, and delayed oral hygiene practices worsen the risks. Parental obesity further correlates with a higher incidence of Early Childhood Caries (ECC), emphasizing the need
是什么让我们对巧克力、薯条或热苹果派等食物产生不可抗拒的吸引力?摄入糖会触发大脑的多巴胺系统,产生一种奖励感,无意识地对满足渴望的食物产生偏好。随着时间的推移,这会削弱人们对更健康、低脂和低糖食物的吸引力。这种反应与成瘾有共同的特点,引发了“食物成瘾”的概念。对早期人类来说,这种奖励驱动的行为是有利的,激励他们在食物匮乏时寻找高热量的食物,这是生存所必需的。然而,今天,它助长了全球肥胖和糖尿病的激增——我们这个时代真正的“杀手”。此外,一项对果蝇(Drosophila melanogaster)的研究发现,高糖饮食会降低对甜味的敏感性,导致摄入量增加。这种现象,就像人类的“脱敏”一样,表明高糖摄入可能会通过改变味觉和奖励回路来促进肥胖[may等人,2019]。高糖饮食、肥胖和公共健康之间的联系是医疗保健专业人员、政策制定者和西方医疗保健系统可持续性的一个关键问题。2024年发表在《英国医学杂志》(BMJ)上的一项研究[Lara-Castor等人,2024]显示,从1990年到2018年,来自185个国家的儿童和青少年(3-19岁)的含糖饮料(SSBs)消费量增长了23%,与全球该年龄组肥胖率的上升相一致(图1)。研究结果强调了受年龄、父母教育和城市生活等因素影响的一系列消费水平;然而,总体的增长需要国家和有针对性的方法来减少SSB的摄入。同样,5-19岁儿童和青少年中超重(包括肥胖)的患病率从1990年的8%急剧上升到2022年的20%。1990年,只有2%的5-19岁儿童和青少年肥胖(3100万年轻人),到2022年,8%的儿童和青少年患有肥胖症(1.6亿年轻人)[GBD 2019风险因素合作者2020;Okunogbe et al., 2022](图2)[Ritchie and Roser, 2017]。早期养成良好的习惯是至关重要的,因为孩子们很容易接受新的行为。值得注意的是,儿科预防甚至在子宫内就开始了[Paglia 2017;Paglia, 2019]: 2021年加拿大的一项研究[lforest - lapointeet al, 2021]将孕妇在怀孕期间食用人工甜味剂与婴儿肥胖风险增加联系起来。通过检查100名婴儿的肠道微生物群,研究人员发现,人工甜味剂的摄入会影响婴儿出生后第一年的肠道健康和体重指数。因此,糖的影响在出生前就开始了,并延伸到童年早期。在意大利,添加糖通常会在12个月前被引入婴儿的饮食中,而延迟的口腔卫生习惯会加剧这种风险。父母肥胖与儿童早期龋齿(ECC)的高发病率进一步相关,强调需要解决从产前到儿童早期阶段的糖消费和健康习惯[D'oria, Bettocchi等人,2024]因此,解决年轻人群肥胖和饮食相关疾病的根源至关重要,早期干预是关键。在意大利,政府正试图通过在2020年预算法中引入的所谓“糖税”来抑制糖的消费。该税最初定于2021年1月1日生效;但被推迟到2022年1月1日。然后到2023年1月1日;再次推迟到2024年1月1日,最近又推迟到2025年1月1日……希望明年终于能实现!
{"title":"Childhood obesity, sugar, and Early Childhood Caries: the sweet trap.","authors":"S Colombo, L Paglia","doi":"10.23804/ejpd.2024.25.04.01","DOIUrl":"https://doi.org/10.23804/ejpd.2024.25.04.01","url":null,"abstract":"<p><p>What drives our irresistible attraction to foods like chocolate, fries, or a warm apple pie? Sugar intake triggers the brain's dopamine system, creating a sense of reward that unconsciously conditions a preference for foods that satisfy cravings. Over time, this weakens attraction to healthier, low-fat and low-sugar foods. This response shares characteristics with addiction, sparking the concept of \"food addiction.\" For early humans, this reward-driven behaviour was advantageous, motivating them to seek high-calorie foods essential for survival when food was scarce. Today, however, it fuels a global surge in obesity and diabetes the real \"killer\" of our times. Additionally, a study on fruit flies (Drosophila melanogaster) found that a sugar-heavy diet reduces sensitivity to sweetness, leading to increased consumption. This phenomenon, like \"desensitisation\" in humans, suggests that high sugar intake may promote obesity by altering taste perception and reward circuits [May et al., 2019]. The link between sugar-rich diets, obesity, and public health is a critical concern for healthcare professionals, policymakers, and the sustainability of the western healthcare system. A 2024 study published in BMJ [Lara-Castor et al., 2024] revealed that from 1990 to 2018, the consumption of sugar-sweetened beverages (SSBs) in children and adolescents (aged 3-19) from 185 countries rose by 23%, paralleling a global rise in obesity rates in this age group (Fig. 1). The findings highlighted a range of consumption levels influenced by factors like age, parental education, and urban living; however, the overall increase calls for national and targeted approaches to reduce SSB intake. Exactly like the prevalence of overweight (including obesity) among children and adolescents aged 5-19 has risen dramatically from just 8% in 1990 to 20% in 2022. While just 2% of children and adolescents aged 5-19 was obese in 1990 (31 million young people), by 2022, 8% of children and adolescents were living with obesity (160 million young people) [GBD 2019 Risk Factors Collaborators 2020; Okunogbe et al., 2022] (Fig. 2) [Ritchie and Roser, 2017]. Establishing good habits early is vital, as children are highly receptive to new behaviours. Notably, paediatric prevention begins even in the womb [Paglia 2017; Paglia, 2019]: a 2021 Canadian study [Laforest-Lapointeet al, 2021] linked maternal consumption of artificial sweeteners during pregnancy to an increased risk of infant obesity. By examining the gut microbiomes of 100 infants, researchers found that artificial sweetener intake could influence infant gut health and body mass index in the first year of life. The effects of sugar thus begin before birth and extend into early childhood. In Italy, added sugars are often introduced into infants' diets before 12 months, and delayed oral hygiene practices worsen the risks. Parental obesity further correlates with a higher incidence of Early Childhood Caries (ECC), emphasizing the need ","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"25 4","pages":"254-255"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01Epub Date: 2024-07-01DOI: 10.23804/ejpd.2024.2056
N Bhatia, A K Subramanian, N Ramasamy, M Di Blasio, V Ronsivalle, M Cicciù, G Minervini
Aim: The primary goal of the present comprehensive systematic review is to assess the treatment results attained through PSIO in individuals with NSCLP, as well as to explore its effectiveness. This will be accomplished by examining a range of existing published studies that focus on patient groups who have undergone PPIO.
Materials: A comprehensive search strategy was devised by a single author for each database without language restrictions. The databases searched were PubMed, Cochrane library Google Scholar, Web of Science and Scopus. The search period was limited to the years 2001 to 2023. Duration and study design filter was used. Furthermore, conference proceedings, abstracts, and reference lists of relevant studies were sought to obtain additional records.
Conclusion: The examined protocols for passive presurgical infant orthopaedics (PPIO) in individuals with CLP typically did not reveal notable treatment outcomes when compared to a lack of treatment across a range of domains. These domains encompass feeding patterns, facial aesthetics, maxillary dentoalveolar factors, cephalometric measurements, speech and language-related aspects, dental arch alignments, economic assessments, as well as occurrences of adverse effects or complications associated with applied appliances or procedures.
{"title":"Evaluation of treatment outcomes with passive presurgical infant orthopaedics in patients with non-syndromic cleft lip and or palate: A systematic review conducted according to PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions.","authors":"N Bhatia, A K Subramanian, N Ramasamy, M Di Blasio, V Ronsivalle, M Cicciù, G Minervini","doi":"10.23804/ejpd.2024.2056","DOIUrl":"10.23804/ejpd.2024.2056","url":null,"abstract":"<p><strong>Aim: </strong>The primary goal of the present comprehensive systematic review is to assess the treatment results attained through PSIO in individuals with NSCLP, as well as to explore its effectiveness. This will be accomplished by examining a range of existing published studies that focus on patient groups who have undergone PPIO.</p><p><strong>Materials: </strong>A comprehensive search strategy was devised by a single author for each database without language restrictions. The databases searched were PubMed, Cochrane library Google Scholar, Web of Science and Scopus. The search period was limited to the years 2001 to 2023. Duration and study design filter was used. Furthermore, conference proceedings, abstracts, and reference lists of relevant studies were sought to obtain additional records.</p><p><strong>Conclusion: </strong>The examined protocols for passive presurgical infant orthopaedics (PPIO) in individuals with CLP typically did not reveal notable treatment outcomes when compared to a lack of treatment across a range of domains. These domains encompass feeding patterns, facial aesthetics, maxillary dentoalveolar factors, cephalometric measurements, speech and language-related aspects, dental arch alignments, economic assessments, as well as occurrences of adverse effects or complications associated with applied appliances or procedures.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"302-309"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}