European journal of paediatric dentistry最新文献

Aim: Posterior crossbite is a very frequent malocclusion in the Caucasian population and is most often associated with hypoplasia or retrusion of the upper jaw. Treatment involves palatal expansion with the use of fixed or removable orthodontic devices. The aim of the present study is to compare two different devices used in expansion: the Eptamed Equilibrator elastodontic device (series 00) with the Schwartz plate, which is traditionally used in palatal expansion.

Materials: 70 children (30 boys and 40 girls, average age: 11 ± 1 years) were recruited and divided into a test group and a control group. The test group underwent palatal expansion with the elastodontic device, the control group with the Schwartz plate. Controls were carried out at 6 months and 12 months after the start of treatment. The distance between the cusps of the first upper premolars was taken as the reference or the width between the second deciduous molars. For statistical analysis, the t-test or Wilcoxon signed-rank test for continuous variables and chi-square test or Kruskal-Wallis test for categorical variables were used.

Conclusion: The Eptamed Equilibrator device allows palatal expansion like that achieved with traditional expansion devices, but with greater comfort and greater compliance for patients.

Aim: Digital applications are transforming dental practice, from diagnosis to treatment planning. In this context, digital impression-taking is becoming an increasingly prevalent method. This study aimed to evaluate the comfort and efficiency of digital impression-taking compared to classic alginate impressions. Additionally, the study explored the correlation between comfort, dental fear, and the gag reflex.

Methods: Means and standard deviations were used to describe the data, and paired t-tests compared time and comfort between impression methods. Pearson's and Spearman's correlation coefficients analysed relationships between comfort, dental fear, and the gag reflex. A nonparametric Spearman model further examined the association between discomfort levels in both techniques.

Conclusion: Digital impressions in young paediatric patients are more time-efficient and preferred over classic alginate impressions. Both observed and self-reported comfort are greater with digital impressions, and patient discomfort is strongly correlated with dental fear.

Aim: Black stain (BS) is a peculiar discoloration often observed on the teeth of paediatric patients, particularly prevalent in certain populations. This systematic review aims to analyze the composition of the microbiota associated with BS and its potential implications for caries risk. A acomprehensive search was conducted across multiple databases (PubMed, Scopus, Web of Science) to identify relevant studies published up to January 2024. Eligible studies were those investigating the microbiological profile of BS patients compared to non-black stain individuals, with a focus on cariogenic species and overall microbial diversity. Data extraction and synthesis were performed following PRISMA guidelines. The screening phase ended with selecting 14 publications for this work. The review explores the association between the microbiota of BS patients and caries prevalence or severity. Synthesising current evidence sheds light on the potential role of the microbiota in BS formation and its influence on caries susceptibility. Understanding these microbial dynamics may inform preventive strategies and therapeutic interventions tailored to mitigate caries risk in populations affected by BS. This review underscores the significance of further research to elucidate the complex relationship between BS, oral microbiota, and dental caries.

Aim: To define MIH prevalence, HSPM co-presence, and delineate MIH/HSPM clinical patterns in Italian and Turkish children.

Background: Molar Incisor Hypomineralisation (MIH) and Hypomineralised Second Primary Molars (HSPM) are worldwide spread developmental enamel defects, with an increasing number of cases.

Methods: 840 children (390 Italian, 450 Turkish) aged 6-16 years old were examined by two calibrated dentists. MIH and HSPM were diagnosed according to the European Academy of Pediatric Dentistry (EAPD) criteria. HSPM co-presence was evaluated in MIH-affected children having at least one second primary molar (SPM). The MIH/HSPM charting format for primary and permanent dentitions (long form) was used to record hypomineralised teeth.

Conclusion: MIH prevalence was similar in Italy and Turkey; HSPM was lower in Turkish children. More epidemiological standardised studies on large cohorts of subjects are needed.

Background: Early childhood caries (ECC) is the most common oral disease in children, and its causes are complex and diverse, which has a serious impact on children's physical and mental health. Over the past decade, a large number of studies have investigated ECC in depth, and bibliometrics can reveal its research trends within specific fields.

Materials: ECC-related publications published in the last decade were retrieved from the Web of Science database. The publication year, country, institution, author, journal and keywords were visualised by using CiteSpace and VOSviewer software.

Conclusion: Through bibliometric analysis, this study delineated a comprehensive landscape of ECC research hotspots and potential trends, which provided necessary information for relevant decision makers to make decisions. At the same time, it also helped researchers in this field to conduct in-depth exploration and exchanges in the clinical and academic fields, and jointly committed to ECC research, and ultimately improved the oral health of young children.

Aim: Avulsive trauma to permanent teeth is a critical dental emergency, particularly in children and adolescents, where timely intervention is essential for preserving aesthetics, function, and psychological well-being. This scoping review evaluates clinical adherence to the International Association of Dental Traumatology (IADT) guidelines for the replantation of avulsed permanent teeth, with a specific focus on the 2012 and 2020 versions. A comprehensive search of PubMed, Scopus, and Web of Science yielded 812 records, from which 92 studies were included after rigorous screening. Findings indicate that while adherence to IADT guidelines is generally observed, a greater alignment with the 2012 guidelines persists even in cases reported after the 2020 update. Adaptations of the guidelines were common, often reflecting case-specific considerations. Despite the IADT's standardized framework, long-term outcomes for replanted teeth remain unpredictable, with failure rates ranging from 55% to 96%. Key challenges include complications like ankylosis and root resorption, particularly in delayed replantation. These issues underscore the need for enhanced focus on long-term management and prognosis in future guideline updates. The review highlights the critical role of replantation in preserving aesthetics, functionality, and psychological stability, especially for adolescents in developmental stages. However, limitations in current guidelines regarding long-term care and medico-legal clarity necessitate revisions to address complications, future prosthetic needs, and comprehensive follow-up protocols. Structured guidelines have significantly advanced the management of dental avulsions, yet further research and refinement are essential to improve outcomes and provide clearer medico-legal guidance, ensuring optimal care for affected patients.

Aim: To determine children's expectations regarding their dentist preferences, considering age and sex differences, and evaluate the results in terms of their communication with dentists.

Methods: This study included 250 paediatric patients aged 3-10 years who presented to the Mersin University Pediatric Dentistry Clinic. Patients without comprehension or speech problems who were willing to participate were selected. The questionnaire consisted of 10 questions, with age-appropriate, easy-to-understand visuals created using the artificial intelligence-assisted Midjourney program.

Conclusion: Physical appearance influences first impressions and is crucial in determining dentist preferences. In order to enhance communication and cooperation, it is recommended to consider children's preferences for a dentist who is of the same sex, young, wearing a white coat, greeting them sitting down, using protective equipment, and wearing different colours of uniforms based on age.

Background: Preterm birth is one of the leading causes of neonatal morbidity and mortality globally. Premature infants have a higher risk of developing a range of complications, including dental conditions. This pilot study aims to examine delayed tooth eruption in premature infants in the first twelve months of life, in order to identify any correlations between prematurity and early dental problems.

Materials: A longitudinal study was conducted on premature infants of the Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Regina Elena Clinic, Milan, Italy comparing 2 groups of patients. The group of premature infants (group test) was evaluated between 6 and 9 months (T1) and at 12 months (T2), compared with a second group (control group) of healthy infants, born at term, between 6 and 12 months. Data were collected through clinical examinations, considering variables such as gestational age and birth weight. A descriptive statistical analysis was conducted by calculating the mean, mode, median, and standard deviation for variables such as corrected age, chronological age, and the number of teeth in both groups (premature and full-term infants). The Mann-Whitney U test was also used to verify significant differences in the median between the test and control groups.

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.

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.