International journal of paediatric dentistry最新文献

Background: Alveolar lymphangioma is a rare condition that commonly develops on the alveolar ridge of Black male neonates. It typically presents as a bluish, dome-shaped swelling smaller than 1 cm on the posterior alveolar ridge of the mandible or/and maxilla, that allows it to be diagnosed clinically. Most previously reported cases of alveolar lymphangioma report spontaneous resolution, and biopsy is seldom performed unless the lesion becomes symptomatic or interferes with feeding.

Case report: We report a case of oral alveolar lymphangioma on the anterior maxillary alveolar ridge of an 11-day-old infant of non-black descent. The lesion presented as a pedunculated, reddish, lobular mass in the anterior maxilla. Given its atypical presentation and the potential for feeding difficulties, an excisional biopsy was performed. The diagnosis was confirmed histologically through biopsy and supported by immunohistochemical staining.

Conclusion: This case expands the understanding of alveolar lymphangioma by reporting it in a non-Black neonate with an unusual location and appearance, emphasising the need for excisional biopsy to rule out other potential oral lesions, especially neoplasms.

Background: The study introduces novel camouflage sleeves for the 'Dental Syringe Camouflage Technique' (DSCT) as a distraction tool to reduce dental anxiety and pain in paediatric patients while evaluating its efficacy.

Aim: To evaluate the efficacy of DSCT using light-/dark-coloured sleeves to reduce needle-associated anxiety and pain in paediatric dental patients.

Design: A single-blinded, randomized clinical trial with 76 children aged 6-9 years, divided into control and experimental groups. The experimental group was further divided based on sleeve colour. Anxiety was assessed using a self-reported scale, and vital signs were monitored. Local anaesthesia (LA) was administered using conventional dental syringes (CoDSs) or camouflaged dental syringes (CaDSs). Postintervention, self-reported pain was also recorded. Data analysis compared groups and pre- and postintervention observations.

Results: A significant reduction in children's self-reported anxiety was observed in the experimental group compared to the control, with no significant differences in perceived pain. Children with lighter sleeves showed a greater decrease in anxiety scores than those with darker ones.

Conclusions: Camouflage sleeves for LA syringes reduced anxiety during administration but did not significantly impact reported pain. Lighter sleeves were more effective. No significant changes were observed in pulse rate (PR) or blood pressure (BP) with the use of CaDSs.

Background: Oral health outcomes are closely linked to the completion of necessary dental treatment.

Hypothesis or aim: This study seeks to determine the socio-demographic characteristics of children and adolescents and the clinical factors contributing to the noncompletion of necessary dental treatments within a 12-month period at Monash Health Dental Services in Melbourne, Victoria.

Design: Data were collected from seven public health dental sites, capturing all patients younger than 18 years who visited Monash Health Dental Services within a 12-month period.

Results: Of the 7160 children who attended the dental clinics, 24.2% did not complete dental treatment. The majority (79.4%) were between 5 and 17 years of age, with each additional year of age increasing the probability of having an incomplete course of care (CoC). Participants receiving 'Preventive' CoCs were less likely to have incomplete treatments, while Aboriginal and Torres Strait Islander peoples, those who spoke languages other than English or Dari and patients needing interpreters were more likely to have incomplete treatments. Attendees of the different dental clinics had differing odds of noncompletion. The model explained 11.3% of the variance in predicting noncompletion.

Conclusion: This analysis underscored the complex interplay between socio-demographic, enabling factors and clinical circumstances that contribute to incomplete CoCs.

Background: Luxation injuries to the predecessors can cause sequelae in the permanent successors.

Aim: To describe and analyze sequelae in permanent successors according to the child's age at the time of different luxation traumas (concussion, subluxation, extrusion, lateral luxation, intrusion and avulsion) in the primary dentition compared with matched controls.

Design: A retrospective analysis of 206 patients with 360 potentially damaged permanent teeth (PDPT) and 1057 permanent control teeth was performed. The PDPT was sorted into three age groups. The relative risk and level of significance (p = 0,05) of diffuse opacities, demarcated opacities, hypoplasia, and malformations were analyzed using Fischer's exact test and SPSS (version 29.0.1.0 (171), SPSS Inc. IBM Company).

Results: Hypoplasia and malformations occurred more often in the 0-2-years group and were related to lateral luxation, intrusion, and avulsion injuries in the primary dentition. Demarcated and diffuse opacities occurred in all age groups and were related to subluxation, extrusion, lateral luxation, intrusion, and avulsion injuries. The risk was found to be more than seven times greater in trauma subgroups compared to controls.

Conclusion: The younger the child is at the time of traumatic dental injury and the more extensive the luxation injury is, the greater the risk of developing a sequela.

Background: Dental pain is a public health problem that exerts a negative impact on the quality of life of children.

Aim: To determine the causal factors of dental pain in preschool children.

Design: A prospective cohort study was conducted with a random sample of 151 children aged from one to three and their parents/guardians for a period of 3 years in Brazil. Dental pain was investigated using the Brazilian version of the Dental Discomfort Questionnaire (DDQ-B) at baseline and follow-up for the calculation of incidence. The participants were examined clinically for dental caries using the International Caries Detection and Assessment System (ICDAS) and traumatic dental injury was investigated using the criteria proposed by Andreasen. Sociodemographic, economic and food consumption characteristics were investigated during baseline and in the three-year follow-up. Data analysis involved descriptive statistics and Poisson regression analyses.

Results: The incidence of dental pain was 14.6%. The incidence of caries (RR = 3.47; 95% CI: 1.05-11.47) and the absence of dental treatment (RR = 2.81; 95% CI: 1.33-5.97) were associated with a higher incidence of dental pain.

Conclusion: The incidence of dental caries and the lack of dental treatment recommended at baseline were risk factors for a greater incidence of dental pain in preschool children.

Background: Caries in primary teeth remain a common health issue.

Aim: To identify oral health behaviours which significantly affect dental caries in children aged 5-6 years.

Design: A national cross-sectional study of 1892 children integrated dental examinations and a questionnaire regarding socio-economic factors and oral health habits. Caries indices were calculated. The analyses included t- and chi-square tests, Spearman's correlation, bivariate and multivariate logistic regression (p < 0.05).

Results: The majority of children (79.3%) had caries; mean dmft was 4.68 ± 4.05; dmfs-9.12 ± 10.74 and ft/ft. + dt-0.20 ± 0.31. There were correlations between mother's education, her knowledge of oral health, financial burden, the frequency of dental appointments and the treatment (p < 0.001). The dmft indices were correlated with postponing dental appointments and presenting with pain. The association between the treatment index, oral hygiene habits (parental-supervised toothbrushing twice a day, using fluoridated toothpaste) and dietary practices (restrictions of sugar intake, fruit juices and starchy foodstuffs) was found, even after socio-economic confounding factors were introduced.

Conclusion: The first years of a child's life are a period when the foundations of adult lifestyle choices are shaped. Parents should be aware of the importance of dental visits, nutritional counselling and proper oral care. The assessment of risk factors related to families is indispensable when prophylactic programmes are implemented.

Background: Teledentistry has supplemented current dental healthcare systems and has been proven effective in pediatric dentistry.

Aim: To investigate the feasibility and acceptability of a virtual pediatric dentistry clinic (VC).

Design: This mixed methods study used an explanatory sequential design. First, a quantitative survey assessed parental satisfaction with VC. The second phase involved two parts: (1) qualitative semi-structured interviews with parents and (2) ten observations of virtual appointments were conducted to aid in findings' triangulation.

Results: Forty-five VC were conducted with children and parents. Thirty-six parents (80%) were highly satisfied, while nine (20%) had low satisfaction. Fourteen semi-structured interviews were conducted with seven highly satisfied and seven minimally satisfied parents. Eight themes emerged: (1) VC indication; (2) VC outcome; (3) new experience; (4) improvements in the child's behavior; (5) VC limitations; (6) skepticism about delivery of care; (7) convenience and accessibility; and (8) reduction in transportation cost and time. VC observation findings were triangulated with the results from the interviews, which showed that low-satisfaction parents reported pain, facial cellulitis, and complex cases that needed immediate treatment at dental clinics.

Conclusion: Teledentistry is a feasible complement to the continuum of care, enabling remote triage and consultation as needed, and is highly accepted by parents.