International journal of paediatric dentistry最新文献_第10页

Parental Feeding Styles, Sugary Drinks Intake, and Early Childhood Caries in Egyptian Children: A Mediation Analysis 父母的喂养方式，含糖饮料的摄入量，和早期儿童龋齿在埃及：中介分析。

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry

Pub Date : 2025-06-04 DOI: 10.1111/ipd.13324

Aya Taha, Wafaa Essam, Maha El Tantawi

Background

Early childhood caries (ECC) is associated with unhealthy eating.

Aim

To assess the relationship of parental feeding styles (PFS) with ECC and the mediating effect of sugary drinks.

Design

A cross-sectional study was conducted at a hospital in Egypt (2022–2023) including 2–6-year-old children. Clinical examination assessed ECC and plaque. Children's feeding habits were assessed by the PFS questionnaire. The World Health Organization Child Questionnaire assessed children's oral hygiene practices. A standardized questionnaire assessed the frequency and quantity of daily sugary drinks. Negative binomial regression assessed the relation between dmfs, PFS, and sugary drinks, controlling for confounders. PROCESS macro was used to assess mediation by sugary drinks.

Results

The study included 412 children. Most children (80.8%) had ECC and consumed sugary drinks daily (84.2%). There were significantly higher odds of dmfs with instrumental feeding (AOR = 2.35, 95% CI: 1.82, 3.03) and lower odds with encouragement-to-eat (AOR = 0.62, 95% CI: 0.50, 0.77). Sugary drinks significantly mediated the relationship of control-over-feeding and emotional feeding with ECC.

Conclusion

ECC was significantly associated with encouragement-to-eat and instrumental feeding. Sugary drinks significantly mediated the association with emotional feeding and control-over-feeding. Identifying PFS helps children at risk through preventive and health education programs.

背景：儿童早期龋齿（ECC）与不健康饮食有关。目的：探讨亲代喂养方式与幼崽ECC的关系及含糖饮料的中介作用。设计：在埃及的一家医院进行横断面研究（2022-2023），包括2-6岁的儿童。临床检查评估ECC和斑块。采用PFS问卷对儿童的喂养习惯进行评估。世界卫生组织儿童调查表评估了儿童的口腔卫生习惯。一份标准化的调查问卷评估了每天饮用含糖饮料的频率和数量。负二项回归评估dmfs、PFS和含糖饮料之间的关系，控制混杂因素。PROCESS宏用于评估含糖饮料的中介作用。结果：纳入412名儿童。大多数儿童（80.8%）患有ECC，每天饮用含糖饮料（84.2%）。辅助喂食组dmfs发生率显著增高（AOR = 2.35, 95% CI: 1.82, 3.03），鼓励进食组dmfs发生率显著降低（AOR = 0.62, 95% CI: 0.50, 0.77）。含糖饮料显著调节了控制性过度喂养和情绪性喂养与ECC之间的关系。结论：ECC与进食鼓励和辅助喂养有显著相关性。含糖饮料显著调节了情绪性进食和控制性过度进食的关联。识别PFS可以通过预防和健康教育项目帮助处于危险中的儿童。

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引用次数: 0

Paediatricians' and Primary Care Physicians' Ability to Assess Caries Risk in Singaporean Children Aged 2 Years and Below 儿科医生和初级保健医生评估新加坡2岁及以下儿童龋齿风险的能力。

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry

Pub Date : 2025-05-25 DOI: 10.1111/ipd.13323

Yuqin Liew, Shijia Hu, Chin-ying S. Hsu, Tammy S. H. Lim, David H. Y. Tan, Tze Lee Tan, Yu Fan Sim, Catherine H. L. Hong

Background

It is desirable for doctors to conduct caries risk assessment (CRA) and evaluate the child's need for dental referral as medical visits in the first year of life surpass dental visits.

Aim

This study aimed to evaluate physicians' proficiencies in performing CRA and risk-based dental referrals.

Design

The study involved a self-administered questionnaire that elicited participants' demographics and perceptions regarding oral health-related activities as well as responses to questions pertaining to CRA and referral recommendations via four clinical vignettes (vignettes 1 and 3: low caries risk, vignettes 2 and 4: moderate/high caries risk) of children aged ≤ 2 years.

Results

Participants performed better at CRA than for referral recommendation (p < 0.001). Including a clinical photograph (vignettes 3 and 4) did not improve the accuracy of CRA responses and instead significantly reduced the correct CRA responses for vignette 3 (before: 90.5%, after: 81.7%, p = 0.033). Though for vignette 3, there was an increase in participants making the recommendation to refer for dental evaluation (before: 34%, after: 86%) after being shown the clinical photograph.

Conclusion

Doctors were proficient at determining caries risk but less sure when deciding if a dental referral was required.

背景：由于儿童在出生后第一年的就诊次数超过了牙科就诊次数，因此医生需要进行龋齿风险评估（CRA）并评估儿童是否需要牙科转诊。目的：本研究旨在评估医师执行CRA和基于风险的牙科转诊的熟练程度。设计：本研究采用一份自我管理的问卷，通过四个临床小章节（小章节1和3：低龋风险，小章节2和4：中/高龋风险）对年龄≤2岁的儿童进行问卷调查，了解参与者的人口统计信息和对口腔健康相关活动的看法，以及对CRA和转诊建议相关问题的回答。结果：参与者在CRA上的表现优于转诊推荐(p结论：医生在确定龋齿风险方面精通，但在决定是否需要牙科转诊时不太确定。

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引用次数: 0

Relationship Between Smartphone Use and Traumatic Tooth Fractures in Korean Adolescents 韩国青少年使用智能手机与外伤性牙齿骨折的关系

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry

Pub Date : 2025-05-22 DOI: 10.1111/ipd.13322

Yong Kwon Chae, Sungwon Ryu, Hyo-Seol Lee, Sung Chul Choi, Ok Hyung Nam

Background

With the increasing rate of smartphone use among adolescents, smartphone addiction has become a social issue, causing reduced attention. This may make adolescents more susceptible to traumatic dental injuries (TDIs).

Aim

To assess the association between smartphone use and TDIs among Korean adolescents.

Design

This study used open-source data from the 2023 Korea Youth Risk Behavior Survey. This study included responses from 52 875 Korean adolescents. Information on demographics, weekly smartphone use, weekly exercise days, and tooth fracture experiences in the past year was collected and analyzed.

Results

The mean smartphone use per week was 2146.91 ± 1276.60 min in all participants, and the frequency of tooth fractures was 9.3% in extremely low users, 10.1% in low users, 11.1% in excessive users, and 13.6% in extremely excessive users. Logistic regression analysis revealed that higher smartphone usage time correlated with a greater risk of tooth fracture by increasing odd ratios for low, excessive, and extremely excessive users compared to excessively low users.

Conclusions

Within the limitations of this study, increased smartphone use was associated with higher rates of tooth fracture in Korean adolescents. This finding suggests the potential role of smartphone use in contributing to TDIs.

背景：随着青少年智能手机使用率的增加，智能手机成瘾已经成为一个社会问题，导致人们的注意力减少。这可能使青少年更容易受到创伤性牙齿损伤（TDIs）。目的：评估韩国青少年智能手机使用与tdi之间的关系。设计：本研究使用了来自2023年韩国青少年风险行为调查的开源数据。这项研究包括52 875名韩国青少年的反馈。收集并分析了过去一年的人口统计、每周智能手机使用、每周锻炼天数和牙齿骨折经历等信息。结果：所有参与者平均每周使用智能手机的时间为2146.91±1276.60分钟，极低使用频率为9.3%，低使用频率为10.1%，过量使用频率为11.1%，极过量使用频率为13.6%。逻辑回归分析显示，较长的智能手机使用时间与较高的牙齿骨折风险相关，与过低的用户相比，低、过度和极度过度的用户的奇比增加。结论：在本研究的局限性内，智能手机使用的增加与韩国青少年牙齿骨折的高发生率相关。这一发现表明，智能手机的使用可能会导致tdi。

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引用次数: 0

Choice Preferences of Direct Composite Restorations in Paediatric Patients: A Multinational Survey From 13 Countries. 儿科患者对直接复合修复体的选择偏好：来自13个国家的跨国调查。

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry

Pub Date : 2025-05-20 DOI: 10.1111/ipd.13317

Kacper Nijakowski, Jakub Jankowski, Milan Drobac, Maira Kopbayeva, Muhammad Qasim Javed, Olga Bekjanova, Ömer Hatipoğlu, Anna Lehmann

Background: Dentists often choose composites for permanent restorations, but using them in children is challenging due to moisture control issues and time-consuming procedures, especially with uncooperative young patients.

Aim: Our survey aimed to evaluate dentists' preferences in selecting resin-based composite restorations for paediatric patients, considering both clinical and aesthetic factors.

Design: The validated online questionnaire was developed in English in May 2023. A 10-item survey was designed for both general dentists and specialists. The questions addressed demographic characteristics (e.g., gender, specialisation) and the use of composite materials in paediatric patients, depending on the patient's age and the type of tooth being treated.

Results: A total of 1830 dentists from 13 countries participated in the survey. Respondents rarely used composite materials in primary teeth (59.7%). In anterior permanent teeth, composite materials were applied in 81.0% of patients aged 8 years and 90.9% of patients aged between 8 and 12 years. In posterior permanent teeth, they were used in 81.7% and 89.5% of patients in these age groups, respectively. Composite restorations were reported most frequently in permanent teeth of patients over 12 years of age (94.9%).

Conclusions: The use of resin composite in paediatric patients increases progressively with age, particularly in permanent teeth and older children.

Significance statement: The proper selection of direct composite restorations in children and adolescents, minimising potential complications after restorative procedures, is crucial for maintaining the integrity of the dentine-pulp complex in young teeth.

背景：牙医经常选择复合材料进行永久修复，但由于湿度控制问题和耗时的程序，在儿童中使用它们是具有挑战性的，特别是对于不合作的年轻患者。目的：我们的调查旨在评估牙医在为儿科患者选择树脂基复合修复体时的偏好，同时考虑临床和美学因素。设计：经验证的在线问卷于2023年5月以英文开发。为普通牙医和专家设计了一项10项调查。这些问题涉及人口统计学特征（例如，性别、专业）和儿科患者复合材料的使用，具体取决于患者的年龄和所治疗牙齿的类型。结果：共有来自13个国家的1830名牙医参与调查。受访者很少使用复合材料修复乳牙（59.7%）。在前恒牙中，8岁和8 ~ 12岁患者中复合材料的比例分别为81.0%和90.9%。后置恒牙的使用率分别为81.7%和89.5%。复合修复在12岁以上的患者中最为常见（94.9%）。结论：树脂复合材料在儿科患者中的使用随着年龄的增长而逐渐增加，特别是在恒牙和年龄较大的儿童中。意义声明：在儿童和青少年中正确选择直接复合修复体，最大限度地减少修复手术后的潜在并发症，对于保持年轻牙齿的牙本质-牙髓复合体的完整性至关重要。

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引用次数: 0

The Need for Better Knowledge Dissemination in Times of Fluoride Hesitancy 在氟化物犹豫时期，需要更好地传播知识。

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry

Pub Date : 2025-05-13 DOI: 10.1111/ipd.13321

Fabio Arriola-Pacheco

引用次数: 0

Experiences and Parents' Perceptions Regarding Dental Interventions Performed on Their Children: A Qualitative Systematic Review 对孩子进行牙科干预的经验和父母的看法：一项定性的系统回顾。

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry

Pub Date : 2025-05-07 DOI: 10.1111/ipd.13318

Luciana Dalsochio, Anelise Fernandes Montagner, Tamara Kerber Tedesco, Tamires Timm Maske, Françoise Hélène van de Sande

Background

Understanding the viewpoints of parents of children regarding dental interventions can enhance clinical practices and play a pivotal role in evaluating the acceptability of treatment recommendations.

Aim

To explore the experiences and perceptions of parents regarding minimally invasive dentistry and invasive dental interventions for caries prevention and management in their children.

Design

A systematic search strategy was performed to identify qualitative studies that assessed the phenomenon of interest in October 2022, updated in April 2024. The studies' methodological quality was evaluated, and the final synthesised findings were graded (ConQual). Data were analysed using a meta-aggregative approach.

Results

Sixteen studies were included. There were four synthesised key findings: family-centred care components identified in the dental attendance, aspects of interventions and settings that facilitated their acceptability, influence of oral health conversations and instructions on parents' behaviour, and barriers that persist. Confidence in the synthesised findings was rated as moderate–high. Parents mentioned aspects concerning the professionals, the impact of information on behavioural changes, the acceptability of dental interventions, expectations, criticisms and difficulties.

Conclusion

The dentist's attitude is a crucial aspect of parents' experience and can influence the acceptability of interventions and the change in behaviours related to oral health.

背景：了解儿童家长对牙科干预措施的看法可以提高临床实践水平，并在评估治疗建议的可接受性方面发挥关键作用。目的：探讨家长对微创牙科和侵入性牙科干预预防和治疗儿童龋齿的经验和看法。设计：执行系统搜索策略，以确定定性研究，评估2022年10月的兴趣现象，更新于2024年4月。对这些研究的方法学质量进行了评估，并对最终的综合结果进行了评分（conquest）。使用元聚合方法分析数据。结果：纳入16项研究。有四个综合的主要发现：在牙科就诊中确定的以家庭为中心的护理组成部分，促进其可接受性的干预措施和环境方面，口腔健康对话和对父母行为的指导的影响，以及持续存在的障碍。对综合研究结果的信心被评为中高。家长们提到了专业人员、信息对行为改变的影响、牙科干预的可接受性、期望、批评和困难等方面。结论：牙医的态度是家长体验的一个重要方面，可以影响干预措施的可接受性和口腔健康相关行为的改变。

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引用次数: 0

Perspectives and Influences of Intergenerational Caregivers on Cariogenic Feeding Practices in Childhood: A Qualitative Study 一项质性研究：代际照顾者对儿童龋齿喂养行为的观点和影响。

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry

Pub Date : 2025-05-07 DOI: 10.1111/ipd.13320

Su Lin Quak, Huei Jinn Tong, Catherine Hsu Ling Hong, Mary Foong Fong Chong, Monty Duggal, Zubair Amin, Xiaoli Gao

Background

Grandparental influences on child feeding practices that impact oral health remain under-investigated.

Aim

Explore perspectives and influences of intergenerational caregivers on cariogenic feeding practices in children.

Design

This qualitative study is based on phenomenological approach. Data collection involved in-depth interviews with parent(s) and grandparent(s) from the same family.

Results

Thematic saturation was achieved after 26 interviews (13 families) with 13 mothers, 13 grandmothers and one grandfather. Three themes were generated: (1) Intergenerational differences in milk feeding practices—Grandparents had strong preference for formula milk. They advocated formula milk feeding beyond infancy and sometimes encouraged cariogenic comfort feeding habits; (2) Transgenerational influences on snacking practices—Parents' and grandparents' own cariogenic snacking habits encouraged the child's cariogenic snack intake. Grandparents occasionally used sugary treats to reinforce their special identity as grandparents; and (3) Impact of new information sources versus grandparental input—Information sources influencing child feeding practices differed between generations; parents relied on social media (rather than grandparental advice) while grandparents drew from past experiences. However, grandmothers who were actively involved in food preparation had considerable influence on child feeding practices.

Conclusion

Practitioners and policymakers should actively engage grandparents to provide them with appropriate information on avoiding cariogenic feeding practices.

背景：祖父母对儿童喂养方式的影响对口腔健康的影响仍未得到充分调查。目的：探讨代际照顾者对儿童龋齿喂养行为的看法和影响。设计：本定性研究基于现象学方法。数据收集涉及对来自同一家庭的父母和祖父母进行深入访谈。结果：对13个家庭的13名母亲、13名祖母和1名祖父进行了26次访谈，达到主题饱和。研究产生了三个主题：(1)母乳喂养方式的代际差异——祖父母对配方奶有强烈的偏好。他们提倡婴儿期以后用配方奶喂养，有时还鼓励易患龋齿的舒适喂养习惯；(2)零食行为的跨代影响——父母和祖父母自身的龋齿零食习惯促进了孩子的龋齿零食摄入。祖父母偶尔会用甜食来强化他们作为祖父母的特殊身份；(3)新信息来源对祖父母输入的影响——影响儿童喂养方式的信息来源在代际之间存在差异；父母依赖社交媒体（而不是祖父母的建议），而祖父母则从过去的经验中吸取教训。然而，积极参与准备食物的祖母对儿童喂养的做法有相当大的影响。结论：从业人员和政策制定者应积极与祖父母接触，为他们提供避免龋齿喂养方法的适当信息。

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引用次数: 0

Sustainability of Improvement in Oral-Health-Related Quality of Life Following Dental Treatment Under General Anaesthetic: The Role of Family Functioning 全麻牙科治疗后口腔健康相关生活质量改善的可持续性：家庭功能的作用。

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry

Pub Date : 2025-05-04 DOI: 10.1111/ipd.13319

Arun Kumar Natarajan, Manikandan Ekambaram, Emma Jane Cooper, Jessica Emily Bruce-Jones, Libby Alice Collett, Riley Edward Thoroughgood, Arlia Rebekah Zhuo-Lin Schurr, William Murray Thomson

Background

Early childhood caries (ECC) impacts both children and their families.

Aim

To characterise improvement in oral-health-related quality of life (OHRQoL) among young children undergoing treatment for ECC under general anaesthesia (GA) and its association with family functioning.

Design

Pre-test/post-test design, with OHRQoL measured before treatment and then at 1, 6, and 12 months post-treatment, using the P-CPQ8 and the FIS8. Family functioning was measured before treatment, using the 12-item General Functioning (GF12) subscale of the McMaster Family Assessment Device.

Results

Of the 353 recruited participants, 300 (85.0%) underwent comprehensive dental treatment, with the remainder undergoing extractions only. Just over half were reassessed after 1 month, with that falling to 42.8% and 35.4% at 6 and 12 months, respectively. Only one in five participated in all four assessments. Improvements in P-CPQ8 and FIS8 scores from baseline showed large effect sizes. Those with poorer family functioning did not have higher P-CPQ8 and FIS8 scores after treatment, but younger children did.

Conclusion

Treating cases of ECC under GA leads to marked OHRQoL improvements that remain detectable 1 year later, but those do not tend to be greater in better-functioning families.

背景：儿童早期龋齿（ECC）对儿童及其家庭都有影响。目的：探讨在全身麻醉（GA）下接受ECC治疗的幼儿口腔健康相关生活质量（OHRQoL）的改善及其与家庭功能的关系。设计：测试前/测试后设计，使用P-CPQ8和FIS8分别在治疗前和治疗后1、6和12个月测量OHRQoL。治疗前使用麦克马斯特家庭评估装置的12项一般功能量表（GF12）测量家庭功能。结果：在353名招募的参与者中，300名（85.0%）接受了全面的牙科治疗，其余的只接受了拔牙。超过一半的人在1个月后重新评估，在6个月和12个月分别下降到42.8%和35.4%。只有五分之一的人参加了所有四项评估。P-CPQ8和FIS8评分较基线的改善显示出较大的效应量。治疗后，家庭功能较差的儿童P-CPQ8和FIS8得分没有提高，但年龄较小的儿童有。结论：在GA下治疗ECC病例可导致OHRQoL显著改善，1年后仍可检测到，但在功能较好的家庭中，这些改善并不会更大。

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引用次数: 0

Do the Clinical Practice Guidelines for Pediatric Dentistry Meet the Quality Standards? 《儿童牙科临床实践指南》是否符合质量标准？

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry

Pub Date : 2025-03-09 DOI: 10.1111/ipd.13302

Timothy Wright, Yasmi O. Crystal, Vineet Dhar, Jim Coll

引用次数: 0

Response to Letter to the Editor Regarding the Article: Effectiveness of Virtual Reality Glasses Versus White Noise on Dental Anxiety in Children With Attention-Deficit/Hyperactivity Disorder: A Randomised Controlled Clinical Trial 关于《虚拟现实眼镜与白噪音对患有注意力缺陷/多动障碍的儿童牙科焦虑的有效性：一项随机对照临床试验》一文的致编辑的回复。

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry

Pub Date : 2025-03-09 DOI: 10.1111/ipd.13308

Nahla A. Aly, Amina M. Abdelrahman, Tarek E. I. Omar, Karin M. L. Dowidar

引用次数: 0