Background: Various scanning methods aim to reduce intraoral scanner errors, yet no specific approach targets paediatric patients.
Aim: Evaluate continuous (C) and noncontinuous (NC) scanning patterns' impact on the trueness and duration of paediatric digital impressions.
Design: A standard pedodontic typodont model was scanned with a Trios 4 Move+ IOS using four scanning strategies. C1 and C2 followed continuous scanning from the right molars, with different directions. NC1 scanned noncontinuously from the right molar, with breaks every four teeth. NC2 began at the right primary incisor, with breaks after every three teeth. Each scan, performed five times by one researcher, was timed. Industrial scanning provided reference data. Deviations were analyzed using the MIXED procedure.
Results: NC1 had higher deviations in the lower jaw, whereas C1 and NC1 showed higher deviations in the upper jaw (p < .001). C1 had significantly higher deviations in the upper jaw than the lower jaw (p = .041). NC2 had the longest scanning time in both upper and lower jaws (p = .002).
Conclusion: Paediatric digital impressions benefit from starting at the anterior and incorporating breaks, although this increases scanning time.
{"title":"Effect of scanning strategies on trueness and time efficiency of digital impression on paediatric models.","authors":"Dilara Şeyma Alpkılıç-İşsever, Müge Tokuç","doi":"10.1111/ipd.13274","DOIUrl":"https://doi.org/10.1111/ipd.13274","url":null,"abstract":"<p><strong>Background: </strong>Various scanning methods aim to reduce intraoral scanner errors, yet no specific approach targets paediatric patients.</p><p><strong>Aim: </strong>Evaluate continuous (C) and noncontinuous (NC) scanning patterns' impact on the trueness and duration of paediatric digital impressions.</p><p><strong>Design: </strong>A standard pedodontic typodont model was scanned with a Trios 4 Move+ IOS using four scanning strategies. C1 and C2 followed continuous scanning from the right molars, with different directions. NC1 scanned noncontinuously from the right molar, with breaks every four teeth. NC2 began at the right primary incisor, with breaks after every three teeth. Each scan, performed five times by one researcher, was timed. Industrial scanning provided reference data. Deviations were analyzed using the MIXED procedure.</p><p><strong>Results: </strong>NC1 had higher deviations in the lower jaw, whereas C1 and NC1 showed higher deviations in the upper jaw (p < .001). C1 had significantly higher deviations in the upper jaw than the lower jaw (p = .041). NC2 had the longest scanning time in both upper and lower jaws (p = .002).</p><p><strong>Conclusion: </strong>Paediatric digital impressions benefit from starting at the anterior and incorporating breaks, although this increases scanning time.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Eruption of primary teeth is associated with local and systemic manifestations. Understanding the global prevalence is necessary to formulate the standard guidelines for management.
Aim: To evaluate the global prevalence of problems associated with teething in infants and children aged 0-36 months.
Design: PubMed, LILACS, Web of Science, Scopus, and EMBASE were searched on May 31, 2023, and it was updated on January 31, 2024. Gray literature and reference search were performed. Cross-sectional, case-control, and cohort studies done in hospital or community settings, reporting the prevalence of signs and symptoms during the eruption of primary teeth in infants aged 0-36 months, were included. Two reviewers extracted data using a pre-piloted sheet. Data were analyzed and pooled by using random-effects meta-analyses.
Results: Twenty-five studies were included. The global prevalence of teething problems was 80.0% (95% confidence interval [CI]: 67.8-89.9). The most common local symptom was increased biting (65.9%, 95% CI 37.5-89.3), and irritability (60.7%, 95% CI 50.6-70.3) was the most common general symptom.
Conclusion: The pooled prevalence of teething problems was estimated to be 80%. There was a variability in the prevalence of teething problems based on geographic location.
{"title":"Global prevalence of teething problems in infants and children-A systematic review and meta-analysis.","authors":"Jhunjhunwala Garima, Vijay Prakash Mathur, Nitesh Tewari, Morankar Rahul, Farheen Sultan, Partha Haldar, Kalpana Bansal, Ashish Datt Upadhyay","doi":"10.1111/ipd.13272","DOIUrl":"https://doi.org/10.1111/ipd.13272","url":null,"abstract":"<p><strong>Background: </strong>Eruption of primary teeth is associated with local and systemic manifestations. Understanding the global prevalence is necessary to formulate the standard guidelines for management.</p><p><strong>Aim: </strong>To evaluate the global prevalence of problems associated with teething in infants and children aged 0-36 months.</p><p><strong>Design: </strong>PubMed, LILACS, Web of Science, Scopus, and EMBASE were searched on May 31, 2023, and it was updated on January 31, 2024. Gray literature and reference search were performed. Cross-sectional, case-control, and cohort studies done in hospital or community settings, reporting the prevalence of signs and symptoms during the eruption of primary teeth in infants aged 0-36 months, were included. Two reviewers extracted data using a pre-piloted sheet. Data were analyzed and pooled by using random-effects meta-analyses.</p><p><strong>Results: </strong>Twenty-five studies were included. The global prevalence of teething problems was 80.0% (95% confidence interval [CI]: 67.8-89.9). The most common local symptom was increased biting (65.9%, 95% CI 37.5-89.3), and irritability (60.7%, 95% CI 50.6-70.3) was the most common general symptom.</p><p><strong>Conclusion: </strong>The pooled prevalence of teething problems was estimated to be 80%. There was a variability in the prevalence of teething problems based on geographic location.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Dental practitioners must develop feasible and evidence-based strategies to help parents/caregivers successfully implement daily oral hygiene measures among their children with autism spectrum disorder (ASD).
Aim: This scoping review aimed to explore challenges faced by parents/caregivers while performing routine oral hygiene care among their children with ASD.
Design: A methodological framework recommended by Arksey and O'Malley and reporting guidelines prescribed by PRISMA-ScR were adopted. A database search was conducted across PubMed, Scopus, Web of Science, EMBASE, and ClinicalKey, to identify articles that addressed challenges faced by parents/caregivers while performing routine oral hygiene care for their children with ASD.
Results: The search yielded 4934 articles. Following the inclusion/exclusion criteria, nine articles were included in this scoping review. A qualitative analysis of included articles following the PICOS coding criteria revealed major themes. These consisted of various home oral hygiene practices followed by parents/caregivers, and challenges faced by them during home oral hygiene care owing to underlying sensory, behavioral, physical, and/or functional problems experienced by their children with ASD.
Conclusion: Challenges experienced by parents/caregivers of children with ASD were numerous, which resulted in deviations from routine oral hygiene practices from recommended guidelines for the prevention of dental caries.
{"title":"A scoping review on parental/caregiver challenges in maintaining oral hygiene among children with autism spectrum disorder.","authors":"Karuna Yarmunja Mahabala, Anuradha Dutt, Ramya Shenoy, YingMin Lee, Charisma Thimmaiah, Sham Bhat, Anupama Nayak, Ashwin Rao","doi":"10.1111/ipd.13268","DOIUrl":"https://doi.org/10.1111/ipd.13268","url":null,"abstract":"<p><strong>Background: </strong>Dental practitioners must develop feasible and evidence-based strategies to help parents/caregivers successfully implement daily oral hygiene measures among their children with autism spectrum disorder (ASD).</p><p><strong>Aim: </strong>This scoping review aimed to explore challenges faced by parents/caregivers while performing routine oral hygiene care among their children with ASD.</p><p><strong>Design: </strong>A methodological framework recommended by Arksey and O'Malley and reporting guidelines prescribed by PRISMA-ScR were adopted. A database search was conducted across PubMed, Scopus, Web of Science, EMBASE, and ClinicalKey, to identify articles that addressed challenges faced by parents/caregivers while performing routine oral hygiene care for their children with ASD.</p><p><strong>Results: </strong>The search yielded 4934 articles. Following the inclusion/exclusion criteria, nine articles were included in this scoping review. A qualitative analysis of included articles following the PICOS coding criteria revealed major themes. These consisted of various home oral hygiene practices followed by parents/caregivers, and challenges faced by them during home oral hygiene care owing to underlying sensory, behavioral, physical, and/or functional problems experienced by their children with ASD.</p><p><strong>Conclusion: </strong>Challenges experienced by parents/caregivers of children with ASD were numerous, which resulted in deviations from routine oral hygiene practices from recommended guidelines for the prevention of dental caries.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cleber Paradzinski Cavalheiro, Carolina Lopes da Silva, Vicente Castelo Branco Leitune, Fernando Borba de Araujo, José Carlos Pettorossi Imparato, Tathiane Larissa Lenzi
BackgroundUse of flowable resin composites for ocluso‐proximal restorations in primary molars could improve cervical adaptation, and reduce the failure risk.AimTo investigate the fracture strength of occluso‐proximal restorations in primary teeth using different flowable resin composites (as an intermediate layer or entire cavity) and a conventional resin composite (incremental technique).DesignTwo standardized occluso‐proximal cavities were prepared on mesial and distal surfaces of 50 sound primary molars. The teeth were randomly assigned into five groups (n = 10): 2 mm Filtek Bulk Fill Flow + Z350 XT; 4 mm Filtek Bulk Fill Flow; 2 mm Z350 XT Flow + Z350 XT; 4 mm Z350 XT Flow; and Z350 XT inserted by incremental technique. All restored teeth were subjected to cariogenic challenge and then submitted to fracture strength test. The failure pattern of each specimen was categorized as reparable or irreparable/need for replacement based on the World Dental Federation (FDI) criteria. Fracture strength means were submitted to one‐way ANOVA and Tukey's post hoc tests. Failure pattern was analyzed descriptively.ResultsThere was no statistically significant difference on fracture strength among groups (p = .48). A similar distribution of reparable (35%–40%) and irreparable (60%–65%) failures was observed among groups.ConclusionBased on a laboratorial setting, the use of different flowable resin composites (as an intermediate layer or entire cavity) may be an option to restore occluso‐proximal cavities in primary molars.
目的研究使用不同的可流动树脂复合材料（作为中间层或整个牙洞）和传统树脂复合材料（增量技术）进行基牙咬合近端修复的断裂强度。这些牙齿被随机分为五组（n = 10）：2 mm Filtek Bulill Flow + Z350 XT；4 mm Filtek Bulill Flow；2 mm Z350 XT Flow + Z350 XT；4 mm Z350 XT Flow；Z350 XT 以增量技术插入。所有修复后的牙齿都接受了致龋挑战，然后进行了断裂强度测试。根据世界牙科联盟（FDI）的标准，每个试样的失效模式被分为可修复或不可修复/需要更换。对断裂强度平均值进行单因素方差分析和 Tukey 后检验。结果各组间的骨折强度差异无统计学意义（p = .48）。结论基于实验室环境，使用不同的可流动树脂复合材料（作为中间层或整个龋洞）可能是修复初级磨牙咬合近端龋洞的一种选择。
{"title":"Is use of flowable resin composite an option for occluso‐proximal restorations in primary teeth? A fracture strength analysis","authors":"Cleber Paradzinski Cavalheiro, Carolina Lopes da Silva, Vicente Castelo Branco Leitune, Fernando Borba de Araujo, José Carlos Pettorossi Imparato, Tathiane Larissa Lenzi","doi":"10.1111/ipd.13270","DOIUrl":"https://doi.org/10.1111/ipd.13270","url":null,"abstract":"BackgroundUse of flowable resin composites for ocluso‐proximal restorations in primary molars could improve cervical adaptation, and reduce the failure risk.AimTo investigate the fracture strength of occluso‐proximal restorations in primary teeth using different flowable resin composites (as an intermediate layer or entire cavity) and a conventional resin composite (incremental technique).DesignTwo standardized occluso‐proximal cavities were prepared on mesial and distal surfaces of 50 sound primary molars. The teeth were randomly assigned into five groups (<jats:italic>n</jats:italic> = 10): 2 mm Filtek Bulk Fill Flow + Z350 XT; 4 mm Filtek Bulk Fill Flow; 2 mm Z350 XT Flow + Z350 XT; 4 mm Z350 XT Flow; and Z350 XT inserted by incremental technique. All restored teeth were subjected to cariogenic challenge and then submitted to fracture strength test. The failure pattern of each specimen was categorized as reparable or irreparable/need for replacement based on the World Dental Federation (FDI) criteria. Fracture strength means were submitted to one‐way ANOVA and Tukey's post hoc tests. Failure pattern was analyzed descriptively.ResultsThere was no statistically significant difference on fracture strength among groups (<jats:italic>p</jats:italic> = .48). A similar distribution of reparable (35%–40%) and irreparable (60%–65%) failures was observed among groups.ConclusionBased on a laboratorial setting, the use of different flowable resin composites (as an intermediate layer or entire cavity) may be an option to restore occluso‐proximal cavities in primary molars.","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"50 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142266284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caio César da Silva Barros, César Luis Porpino Santos da Silva Júnior, Deborah Gondim Lambert Moreira, Anna Ellyse Grant de Oliveira, Éricka Janine Dantas da Silveira, Roseana de Almeida Freitas, Patrícia Teixeira de Oliveira
Background: Several lesions can affect the oral and maxillofacial region, with trends influenced by lifestyle and age.
Aim: To investigate the occurrence of oral and maxillofacial lesions in paediatric patients assisted in an oral medicine diagnostic service in Brazil over 20 years.
Design: A retrospective cross-sectional study was performed in an oral medicine diagnostic service (1999-2019). Data included sex, age, anatomic site, and diagnosis from clinical records of children (0-9 years) and adolescents (10-19 years). Lesions were diagnosed through clinical examination. Biopsy and histopathologic examination were performed when necessary.
Results: Among 10 530 records, 702 (6.67%) were from patients aged 0-19 years diagnosed with oral or maxillofacial lesions. A high frequency of females was observed (58.1%). Reactive/inflammatory lesions were the most common group of lesions (45.2%), followed by abnormalities of teeth/developmental defects (17.8%) and pulpal and periapical diseases (8.5%). Mucocele/ranula was the most common lesion in children (29.3%) and adolescents (25.3%). Lips were the most affected anatomic sites.
Conclusion: Most lesions were benign, and mucocele/ranula was the most frequent. Our results did not differ from those of histopathological-based studies, but they provided information on the occurrence of oral and maxillofacial lesions to dentists and paediatricians.
{"title":"Children and adolescents assisted in a referral oral medicine diagnostic service: 20 years of experience in Brazil.","authors":"Caio César da Silva Barros, César Luis Porpino Santos da Silva Júnior, Deborah Gondim Lambert Moreira, Anna Ellyse Grant de Oliveira, Éricka Janine Dantas da Silveira, Roseana de Almeida Freitas, Patrícia Teixeira de Oliveira","doi":"10.1111/ipd.13269","DOIUrl":"https://doi.org/10.1111/ipd.13269","url":null,"abstract":"<p><strong>Background: </strong>Several lesions can affect the oral and maxillofacial region, with trends influenced by lifestyle and age.</p><p><strong>Aim: </strong>To investigate the occurrence of oral and maxillofacial lesions in paediatric patients assisted in an oral medicine diagnostic service in Brazil over 20 years.</p><p><strong>Design: </strong>A retrospective cross-sectional study was performed in an oral medicine diagnostic service (1999-2019). Data included sex, age, anatomic site, and diagnosis from clinical records of children (0-9 years) and adolescents (10-19 years). Lesions were diagnosed through clinical examination. Biopsy and histopathologic examination were performed when necessary.</p><p><strong>Results: </strong>Among 10 530 records, 702 (6.67%) were from patients aged 0-19 years diagnosed with oral or maxillofacial lesions. A high frequency of females was observed (58.1%). Reactive/inflammatory lesions were the most common group of lesions (45.2%), followed by abnormalities of teeth/developmental defects (17.8%) and pulpal and periapical diseases (8.5%). Mucocele/ranula was the most common lesion in children (29.3%) and adolescents (25.3%). Lips were the most affected anatomic sites.</p><p><strong>Conclusion: </strong>Most lesions were benign, and mucocele/ranula was the most frequent. Our results did not differ from those of histopathological-based studies, but they provided information on the occurrence of oral and maxillofacial lesions to dentists and paediatricians.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Hypohidrotic ectodermal dysplasia (HED) is a hereditary disorder with agenesis of ectodermal derivatives, causing oligodontia or anodontia. Dentures are needed to improve the patients' mastication.
Aim: This study aimed at preliminarily evaluating the masticatory function changes in Chinese individuals with HED after prosthetic rehabilitation from childhood to adolescence.
Design: This longitudinal study enrolled 10 HED patients. Data were collected during childhood and adolescence, respectively. The healthy children and adolescents were recruited as the control group. The surface electromyography (EMG) of masseter (MM) and anterior temporalis (TA) muscles during clenching and chewing were recorded. The EMG activity, asymmetry index (As), activity index (Ac), and chewing cycle were analyzed. The masticatory efficiency was measured by spectrophotometry with subjective masticatory ability assessed by a questionnaire.
Results: The EMG activities and masticatory efficiency of HED patients during childhood and adolescence were mostly lower with a higher As (p < .05). The chewing process enhanced the TA activity and balanced the As of HED adolescents (p > .05). The HED adolescents showed a more prevalent TA activity (p < .05).
Conclusion: The masticatory function of the growing HED patients was functionally inferior to the dentate individuals with a narrowed gap from childhood to adolescence.
{"title":"Masticatory function in growing individuals with hypohidrotic ectodermal dysplasia: A longitudinal study.","authors":"Meili Ding, Yanfeng Kang, Man Qin, Junxia Zhu","doi":"10.1111/ipd.13271","DOIUrl":"https://doi.org/10.1111/ipd.13271","url":null,"abstract":"<p><strong>Background: </strong>Hypohidrotic ectodermal dysplasia (HED) is a hereditary disorder with agenesis of ectodermal derivatives, causing oligodontia or anodontia. Dentures are needed to improve the patients' mastication.</p><p><strong>Aim: </strong>This study aimed at preliminarily evaluating the masticatory function changes in Chinese individuals with HED after prosthetic rehabilitation from childhood to adolescence.</p><p><strong>Design: </strong>This longitudinal study enrolled 10 HED patients. Data were collected during childhood and adolescence, respectively. The healthy children and adolescents were recruited as the control group. The surface electromyography (EMG) of masseter (MM) and anterior temporalis (TA) muscles during clenching and chewing were recorded. The EMG activity, asymmetry index (As), activity index (Ac), and chewing cycle were analyzed. The masticatory efficiency was measured by spectrophotometry with subjective masticatory ability assessed by a questionnaire.</p><p><strong>Results: </strong>The EMG activities and masticatory efficiency of HED patients during childhood and adolescence were mostly lower with a higher As (p < .05). The chewing process enhanced the TA activity and balanced the As of HED adolescents (p > .05). The HED adolescents showed a more prevalent TA activity (p < .05).</p><p><strong>Conclusion: </strong>The masticatory function of the growing HED patients was functionally inferior to the dentate individuals with a narrowed gap from childhood to adolescence.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amira Abdelhafeez Elkhatib, Yousr Nader Mowafy, Tamer A. M. Ghoneim
BackgroundFear and anxiet are significant barriers of dental care in children. Sedation emerged as a valuable behaviour guidance technique to manage uncooperative children.AimTo evaluate the sedative and behavioral effectiveness of midazolam administered via nebulizer in comparison with intranasal atomizer in the behavior management of anxious children during dental treatment.Study DesignTwo‐arm randomized clinical trial with 68 children (3–5 years) assigned to receive nebulized midazolam (NEB MDZ) and atomized intranasal midazolam (AIN MDZ) during dental treatment. The onset time, sedation levels, and behavior of children were documented. The data were analyzed using the Wilcoxon signed‐rank test and Mann–Whitney U tests.ResultsSignificant differences between the two groups in terms of onset time, sedation level, and behavior of children during the dental treatment. AIN MDZ was associated with a significantly faster onset time compared with NEB MD, (p < .001). Children who received NEB MDZ exhibited deeper levels of sedation compared with AIN MDZ group (p = .02). During the administration of local anesthesia, notable statistical differences were observed between the behavior of the two groups (p = .02).ConclusionsMidazolam administered via either nebulizer or intranasal atomizer was the effective route of administration and proved effective in the management of anxious children undergoing dental treatment. AIN MDZ, however, exhibited a faster onset time, whereas children receiving NEB MDZ demonstrated superior behavior compared with those receiving AIN MDZ.
{"title":"Sedative and behavioral effects of atomized intranasal midazolam in comparison with nebulized midazolam for children undergoing dental treatment: A randomized clinical trial","authors":"Amira Abdelhafeez Elkhatib, Yousr Nader Mowafy, Tamer A. M. Ghoneim","doi":"10.1111/ipd.13261","DOIUrl":"https://doi.org/10.1111/ipd.13261","url":null,"abstract":"BackgroundFear and anxiet are significant barriers of dental care in children. Sedation emerged as a valuable behaviour guidance technique to manage uncooperative children.AimTo evaluate the sedative and behavioral effectiveness of midazolam administered via nebulizer in comparison with intranasal atomizer in the behavior management of anxious children during dental treatment.Study DesignTwo‐arm randomized clinical trial with 68 children (3–5 years) assigned to receive nebulized midazolam (NEB MDZ) and atomized intranasal midazolam (AIN MDZ) during dental treatment. The onset time, sedation levels, and behavior of children were documented. The data were analyzed using the Wilcoxon signed‐rank test and Mann–Whitney <jats:italic>U</jats:italic> tests.ResultsSignificant differences between the two groups in terms of onset time, sedation level, and behavior of children during the dental treatment. AIN MDZ was associated with a significantly faster onset time compared with NEB MD, (<jats:italic>p</jats:italic> < .001). Children who received NEB MDZ exhibited deeper levels of sedation compared with AIN MDZ group (<jats:italic>p</jats:italic> = .02). During the administration of local anesthesia, notable statistical differences were observed between the behavior of the two groups (<jats:italic>p</jats:italic> = .02).ConclusionsMidazolam administered via either nebulizer or intranasal atomizer was the effective route of administration and proved effective in the management of anxious children undergoing dental treatment. AIN MDZ, however, exhibited a faster onset time, whereas children receiving NEB MDZ demonstrated superior behavior compared with those receiving AIN MDZ.","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"25 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142194183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Graça Maria Lopes Mattos, Cayara Mattos Costa, Adriana Santos Malheiros, Miriam Batalha Maciel, Daniela Bassi‐Dibai, Meire Coelho Ferreira, Rudys Rodolfo De Jesus Tavarez
BackgroundSickle cell anemia (SCA) is the most common hemoglobinopathy in Brazil and worldwide and is part of a group of chronic genetic diseases resulting from abnormalities in the structure of hemoglobin.AimTo evaluate the impact of oral health conditions on the quality of life (QoL) of children and adolescents with SCA.DesignThis is a cross‐sectional study with a sample of 76 children and adolescents aged 8–14 years. For inclusion, they were required to have a diagnosis of HbSS SCA in their medical records, without a pain crisis or any dental emergency in the last three months. The children and adolescents with SCA were from Hematology and Hemotherapy Center of Maranhão. Demographic characteristics, socioeconomic status, oral hygiene, caries, malocclusion, and oral health‐related quality of life (OHRQoL) were assessed. OHRQoL was assessed using the Child Perceptions Questionnaire. Descriptive statistics, Student's t and Mann−Whitney tests were performed (α = 5%).ResultsBrown race was the most prevalent for both age groups (8–10 years—63.2% and 11–14 years—57.9%). Predominant monthly family income for both age groups was below $106. Visible plaque and gingival bleeding were higher in children aged 8–10 years. Dental caries significantly impacted the QoL of adolescents through the domain “oral symptom” (p = .031). Malocclusion significantly impacted the QoL of adolescents (“total score,” p = .026; “social well‐being”, p = .045).ConclusionOral health impairment negatively affected the QoL of adolescents with SCA.
{"title":"Impact of oral health conditions on the quality of life of children and adolescents with sickle cell anemia: A cross‐sectional study","authors":"Graça Maria Lopes Mattos, Cayara Mattos Costa, Adriana Santos Malheiros, Miriam Batalha Maciel, Daniela Bassi‐Dibai, Meire Coelho Ferreira, Rudys Rodolfo De Jesus Tavarez","doi":"10.1111/ipd.13266","DOIUrl":"https://doi.org/10.1111/ipd.13266","url":null,"abstract":"BackgroundSickle cell anemia (SCA) is the most common hemoglobinopathy in Brazil and worldwide and is part of a group of chronic genetic diseases resulting from abnormalities in the structure of hemoglobin.AimTo evaluate the impact of oral health conditions on the quality of life (QoL) of children and adolescents with SCA.DesignThis is a cross‐sectional study with a sample of 76 children and adolescents aged 8–14 years. For inclusion, they were required to have a diagnosis of HbSS SCA in their medical records, without a pain crisis or any dental emergency in the last three months. The children and adolescents with SCA were from Hematology and Hemotherapy Center of Maranhão. Demographic characteristics, socioeconomic status, oral hygiene, caries, malocclusion, and oral health‐related quality of life (OHRQoL) were assessed. OHRQoL was assessed using the Child Perceptions Questionnaire. Descriptive statistics, Student's <jats:italic>t</jats:italic> and Mann−Whitney tests were performed (<jats:italic>α</jats:italic> = 5%).ResultsBrown race was the most prevalent for both age groups (8–10 years—63.2% and 11–14 years—57.9%). Predominant monthly family income for both age groups was below $106. Visible plaque and gingival bleeding were higher in children aged 8–10 years. Dental caries significantly impacted the QoL of adolescents through the domain “oral symptom” (<jats:italic>p</jats:italic> = .031). Malocclusion significantly impacted the QoL of adolescents (“total score,” <jats:italic>p</jats:italic> = .026; “social well‐being”, <jats:italic>p</jats:italic> = .045).ConclusionOral health impairment negatively affected the QoL of adolescents with SCA.","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"44 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142194185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jiajia Zheng, Meili Ding, Shanshan Zhang, Yulan Ren, Quan Wen
BackgroundVital pulp therapy is gaining traction in dental practice, especially for young patients.AimTo evaluate the outcomes of partial pulpotomy in permanent molars of children diagnosed with irreversible pulpitis (IP) using iRoot BP Plus.DesignA total of 94 permanent molars in 88 patients, aged 6–15 years, with symptoms of IP, were treated with partial pulpotomy, using iRoot BP Plus as the pulp capping agent. The treated teeth underwent clinical and radiographic assessments at 1, 6, 12, 18, and 24 months postoperative. The outcomes were determined based on clinical and radiographic criteria by calibrated examiners.ResultsThe success rates were 98.4% (63/64), 93.2% (41/44), and 89.7% (26/29) at the 6‐month, 12‐month, and 24‐month follow‐up. By the end of this study, the median follow‐up period was 15.1 months, and the estimated survival rate was 95.2% at 24 months. Gender, root maturity, and number of missing walls had no significant effect on success rates. Six molars were failed, and root canal therapy (RCT) was applied.ConclusionsPartial pulpotomy for permanent molars with IP in young patients using iRoot BP Plus as pulp capping material achieved high success. This method presents a viable alternative to apexification and RCT for treating vital, inflamed molars with IP in children.
背景牙髓治疗在牙科临床中越来越受到重视，尤其是对年轻患者。目的评估使用iRoot BP Plus对确诊患有不可逆牙髓炎（IP）的儿童恒磨牙进行部分牙髓切断术的效果。设计使用iRoot BP Plus作为牙髓封闭剂，对88名年龄在6-15岁、有IP症状的患者的94颗恒磨牙进行了部分牙髓切断术。接受治疗的牙齿在术后 1、6、12、18 和 24 个月接受了临床和放射学评估。结果在 6 个月、12 个月和 24 个月的随访中，成功率分别为 98.4%（63/64）、93.2%（41/44）和 89.7%（26/29）。研究结束时，中位随访时间为 15.1 个月，24 个月时的存活率估计为 95.2%。性别、牙根成熟度和缺失壁数量对成功率没有明显影响。结论使用 iRoot BP Plus 作为牙髓覆盖材料对年轻患者的恒磨牙进行部分牙髓切断术取得了很高的成功率。这种方法是治疗儿童患有根尖炎的重要恒磨牙的一种可行的替代方法。
{"title":"Outcomes of partial pulpotomy in permanent molars of children with irreversible pulpitis: A prospective cohort study","authors":"Jiajia Zheng, Meili Ding, Shanshan Zhang, Yulan Ren, Quan Wen","doi":"10.1111/ipd.13267","DOIUrl":"https://doi.org/10.1111/ipd.13267","url":null,"abstract":"BackgroundVital pulp therapy is gaining traction in dental practice, especially for young patients.AimTo evaluate the outcomes of partial pulpotomy in permanent molars of children diagnosed with irreversible pulpitis (IP) using iRoot BP Plus.DesignA total of 94 permanent molars in 88 patients, aged 6–15 years, with symptoms of IP, were treated with partial pulpotomy, using iRoot BP Plus as the pulp capping agent. The treated teeth underwent clinical and radiographic assessments at 1, 6, 12, 18, and 24 months postoperative. The outcomes were determined based on clinical and radiographic criteria by calibrated examiners.ResultsThe success rates were 98.4% (63/64), 93.2% (41/44), and 89.7% (26/29) at the 6‐month, 12‐month, and 24‐month follow‐up. By the end of this study, the median follow‐up period was 15.1 months, and the estimated survival rate was 95.2% at 24 months. Gender, root maturity, and number of missing walls had no significant effect on success rates. Six molars were failed, and root canal therapy (RCT) was applied.ConclusionsPartial pulpotomy for permanent molars with IP in young patients using iRoot BP Plus as pulp capping material achieved high success. This method presents a viable alternative to apexification and RCT for treating vital, inflamed molars with IP in children.","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"62 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142194186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Richard Campbell, Brigitte Trego, Elizabeth S. Gosnell, Matthew Fenchel, Jennifer L. Cully, Jue Wang
BackgroundThere are limited published data on maximum mouth opening (MMO) for children with cleft lip or palate (CLP) or craniofacial anomalies (CFA).AimTo report MMO of patients with CLP or CFA compared with non‐affected controls.DesignRetrospective cross‐sectional review of electronic medical and dental records. Patients with CLP or CFA with recorded MMO, height, and weight were included and compared with a non‐affected control individuals seen during orthodontic screening. Outcome measures included MMO, recorded in millimeters of inter‐incisal distance, age, height, weight, and sex.ResultsPatients with CLP or CFA (n = 376) were matched by age and body mass standardized index (BMIz) to the non‐affected pool (n = 376). The affected group had a MMO of 43.14 mm (±7.1 mm) compared with the control group MMO of 48.01 mm (±7.6 mm) with a statistically significant difference of −4.86 mm (p < .0001). Specifically, MMO of the unilateral cleft group is 4.26 mm smaller than that of non‐affected controls (p < .0001). MMO of the bilateral cleft group is 3.65 mm smaller than that of non‐affected controls (p = 0.0063).ConclusionsMMO for patients with CLP was significantly smaller as compared to non‐affected controls. This study helps establish MMO values for children with CLP and CFA.
{"title":"Maximum mouth opening in patients with cleft lip and palate or craniofacial anomalies compared with non‐affected controls: A cross‐sectional study","authors":"Richard Campbell, Brigitte Trego, Elizabeth S. Gosnell, Matthew Fenchel, Jennifer L. Cully, Jue Wang","doi":"10.1111/ipd.13259","DOIUrl":"https://doi.org/10.1111/ipd.13259","url":null,"abstract":"BackgroundThere are limited published data on maximum mouth opening (MMO) for children with cleft lip or palate (CLP) or craniofacial anomalies (CFA).AimTo report MMO of patients with CLP or CFA compared with non‐affected controls.DesignRetrospective cross‐sectional review of electronic medical and dental records. Patients with CLP or CFA with recorded MMO, height, and weight were included and compared with a non‐affected control individuals seen during orthodontic screening. Outcome measures included MMO, recorded in millimeters of inter‐incisal distance, age, height, weight, and sex.ResultsPatients with CLP or CFA (<jats:italic>n</jats:italic> = 376) were matched by age and body mass standardized index (BMIz) to the non‐affected pool (<jats:italic>n</jats:italic> = 376). The affected group had a MMO of 43.14 mm (±7.1 mm) compared with the control group MMO of 48.01 mm (±7.6 mm) with a statistically significant difference of −4.86 mm (<jats:italic>p</jats:italic> < .0001). Specifically, MMO of the unilateral cleft group is 4.26 mm smaller than that of non‐affected controls (<jats:italic>p</jats:italic> < .0001). MMO of the bilateral cleft group is 3.65 mm smaller than that of non‐affected controls (<jats:italic>p</jats:italic> = 0.0063).ConclusionsMMO for patients with CLP was significantly smaller as compared to non‐affected controls. This study helps establish MMO values for children with CLP and CFA.","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"23 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142194184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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