International journal of paediatric dentistry最新文献

Background: Same-day cancellations in pediatric dental sedation disrupt care delivery and lead to inefficient use of healthcare resources; however, their frequency and associated factors are underreported.

Aim: To quantify same-day cancellation frequency and examine associations with potentially modifiable factors, including age and sedation session time, in relation to inadequate fasting and recent upper respiratory infection (URI) symptoms.

Design: This single-center retrospective study reviewed children aged 2-14 years scheduled for dental treatment under sedation between August 2024 and August 2025. Same-day cancellations were included, while cases planned under general anesthesia and those with incomplete records were excluded. Cancellation reasons were categorized as inadequate fasting, recent URI symptoms, or other causes. Group comparisons were performed using Chi-square or Fisher's exact tests.

Results: Of 763 scheduled patients, 86 were cancelled on the day of the procedure (11.3%). Recent URI symptoms accounted for 51.2% of cancellations, inadequate fasting for 26.7%, and other reasons for 22.1%. No differences were observed by sex, month, or season. Fasting-related cancellations were more frequent in the 13:30 session (p = 0.007). Cancellation reasons differed by age group (p = 0.017).

Conclusion: Recent URI symptoms and inadequate fasting were the most commonly observed reasons for same-day cancellation, with notable associations with age and session timing.

Background: Adverse childhood experiences (ACEs) are associated with poorer general and oral health outcomes, but the psychosocial mechanisms underlying these associations remain unclear.

Aim: The aim of this study is to assess whether perceived social support and sense of coherence (SOC) moderate the association between ACEs and oral health-related quality of life (OHRQoL) among adolescents.

Design: A cross-sectional study nested within a cohort of 406 adolescents aged 14-18 years from southern Brazil. OHRQoL was measured using the Child Perceptions Questionnaire (CPQ11-14), ACEs by the Adverse Childhood Experiences-International Questionnaire (ACE-IQ), perceived social support by a proxy question, and SOC by the 13-item Sense of Coherence Scale (SOC-13). Sociodemographic and behavioral variables were included as covariates. Poisson regression was conducted.

Results: Adolescents exposed to ACEs and reporting low perceived social support had CPQ11-14 scores 1.48 (95% CI 1.26-1.74) times higher than peers without ACEs and with high support. Those with ACEs and low SOC had scores 2.5 times higher (95% CI 2.22-2.80). Adolescents with ACEs but higher perceived social support or SOC levels also exhibited higher CPQ11-14 scores, although with smaller impacts.

Conclusion: These findings emphasize that psychosocial factors, such as perceived social support and SOC, may buffer the impact of ACEs on OHRQoL in adolescents.

Background: Children with cerebral palsy (CP) face challenges in maintaining oral hygiene; data on their oral health practices and outcomes are limited.

Aim: To examine oral health practices and their association with adverse oral health outcomes among children and young adults with cerebral palsy in New Zealand.

Design: A cross-sectional, observational survey of 90 individuals with CP (aged 0-26 years) collected data on oral health behaviours, experiences, Gross Motor Function Classification System (GMFCS) and Eating and Drinking Ability Classification System (EDACS).

Results: Sixty-one (69%) reported teeth-brushing twice a day, 84 (94%) using age-appropriate fluoride toothpaste and 73 (85%) seeing a dental professional in the last 2 years. Difficulty keeping teeth clean was reported by 36 (41%) of participants and associated with 'poor' oral health (p < 0.001); toothache ≤ 12 months (p = 0.032); bad breath (p < 0.001) and bleeding gums ≤ 4 weeks (p < 0.001). Difficulty keeping teeth clean was more commonly reported for participants classified as GMFCS IV-V [19 (59%), p = 0.005] and EDACS III-V [12 (60%), p = 0.034].

Conclusion: Difficulty keeping teeth clean was commonly reported by individuals with greater physical and swallowing limitations and observed with indicators of adverse oral health. Targeted, family-centred strategies are needed to support effective oral hygiene in this population.

Background: Pediatric patients rely on their caregivers to make informed decisions about their oral health, which are influenced by caregivers' perceptions and the factors that shape those perceptions.

Aim: To evaluate if several individual, family, and community-level influences are associated with caregiver-reported perception of pediatric oral health in the United States using two self-reported measures as discordant or concordant perception.

Design: This cross-sectional study examined data from the 2021 National Survey of Children's Health using survey-weighted bivariate analyses and multivariable logistic regression to explore predictors of multilevel influences of caregiver-reported perception of children's oral health.

Results: Of 29 452 caregiver participants, discordant perception was most strongly associated with having children ages 6-12 years (AOR: 2.27, 95% CI: 1.86, 2.77), lacking child health insurance (AOR: 1.82, 95% CI: 1.16, 2.85), not being from a two-caregiver household (AOR: 1.64, 95% CI: 1.26, 2.16), positive special healthcare needs status (AOR: 1.37, 95% CI: 1.12, 1.68), having at least one caregiver born outside of the United States (AOR: 1.35, 95% CI: 1.08, 1.68), and education ≤ high school (AOR: 1.31, 95% CI: 1.04, 1.65).

Conclusion: Factors across multiple levels were associated with discordant caregiver-reported perception of pediatric oral health status of US children.

Background: Oral health is a key public health priority in the United Arab Emirates (UAE), yet the effectiveness of the existing programmes is unclear due to limited standardised data.

Aim: To estimate schoolchildren caries prevalence across UAE over five academic years (2015-2019) and assess the associated factors.

Methods: Secondary data analysis from a national oral health screening, by the Ministry of Health and Prevention in government schools across six emirates. Students in Grade 1 (6-8 years old), Grade 7 (12-14 years old) and Grade 10 (15-17 years old) were screened between 2015 and 2019.

Results: A total of 131 451 students were screened. Overall caries prevalence was high at 60.9%, declining from 65.1% in 2015 to 49.19% in 2019 (OR = 0.51, 95% CI: 0.49-0.53, p < 0.001, compared to 2015). Prevalence was the lowest in Dubai (55.2%), and the highest in Fujairah (75.0%, OR = 2.57, 95% CI: 2.46-2.67, p < 0.001, compared to Dubai). Grade 1 students had the highest prevalence (70.5%), while both Grade 7 (55.1%; OR = 0.51; 95% CI: 0.49-0.52; p < 0.001, compared to Grade 1) and Grade 10 (57.9%; OR = 0.58; 95% CI: 0.56-0.59; p < 0.001, compared to Grade 1) were the lowest.

Conclusion: Dental caries remains highly prevalent among UAE schoolchildren, particularly in Fujairah and younger age groups. Standardised, integrated oral health policy and planning are instantly needed across the Emirates.

Background: Puppetry is a well-established three-dimensional art form of media that has been commonly utilized to tell stories and communicate messages. Its application in educational entertainment has become widespread and gained recognition.

Aim: This scoping review aimed to explore puppetry-based approaches in promoting dental and oral health for children.

Methods: A comprehensive search of eight databases was conducted using PRISMA-ScR guidelines, focusing on studies published up to August 2024.

Results: Ten studies were included in the review. A game-centered educational approach significantly enhanced children's dental knowledge and skills. Human models with mirror feedback were most effective, while giant tooth-brushing models and animal puppets had the lowest imitation rates. Puppet theater improved urban preschoolers' oral health but had no effect on rural children. Hand puppets, pop-up books, and animated videos significantly enhanced toothbrushing skills. Storytelling with hand puppets improved knowledge and attitude more than role-playing. Puppet shows and animated videos yielded notable posttest improvements in oral health knowledge and skills.

Conclusion: Puppetry-based education appears to be an effective strategy for improving oral health knowledge, attitudes, and behaviors among children, particularly in school and clinical settings.