Pub Date : 2025-09-01Epub Date: 2025-03-04DOI: 10.1111/ipd.13301
Anne-Marie Folmer, Eva Lauridsen, Josephine Solgaard Henriksen, Nuno Vibe Hermann
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.
{"title":"Sequelae in Permanent Dentition After Traumatic Dental Injury in the Primary Dentition-A Retrospective Cohort Study.","authors":"Anne-Marie Folmer, Eva Lauridsen, Josephine Solgaard Henriksen, Nuno Vibe Hermann","doi":"10.1111/ipd.13301","DOIUrl":"10.1111/ipd.13301","url":null,"abstract":"<p><strong>Background: </strong>Luxation injuries to the predecessors can cause sequelae in the permanent successors.</p><p><strong>Aim: </strong>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.</p><p><strong>Design: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":"878-887"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-03-13DOI: 10.1111/ipd.13306
Luana Viviam Moreira, Laura Jordana Santos Lima, Maria Eliza Consolação Soares, Renata Aparecida Guimarães, Joana Ramos-Jorge, Maria Letícia Ramos-Jorge, Izabella Barbosa Fernandes
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.
{"title":"Determinant Factors of Dental Pain in Preschool Brazilian Children: Three-Year Cohort.","authors":"Luana Viviam Moreira, Laura Jordana Santos Lima, Maria Eliza Consolação Soares, Renata Aparecida Guimarães, Joana Ramos-Jorge, Maria Letícia Ramos-Jorge, Izabella Barbosa Fernandes","doi":"10.1111/ipd.13306","DOIUrl":"10.1111/ipd.13306","url":null,"abstract":"<p><strong>Background: </strong>Dental pain is a public health problem that exerts a negative impact on the quality of life of children.</p><p><strong>Aim: </strong>To determine the causal factors of dental pain in preschool children.</p><p><strong>Design: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":"913-922"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624600","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}
Pub Date : 2025-09-01Epub Date: 2025-04-06DOI: 10.1111/ipd.13312
Sarah Alrumaim, Nada Farsi, Najat Farsi, Khlood Baghlaf, Deema Farsi
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.
{"title":"Feasibility and Acceptability of Pediatric Teledentistry: A Mixed-Methods Study.","authors":"Sarah Alrumaim, Nada Farsi, Najat Farsi, Khlood Baghlaf, Deema Farsi","doi":"10.1111/ipd.13312","DOIUrl":"10.1111/ipd.13312","url":null,"abstract":"<p><strong>Background: </strong>Teledentistry has supplemented current dental healthcare systems and has been proven effective in pediatric dentistry.</p><p><strong>Aim: </strong>To investigate the feasibility and acceptability of a virtual pediatric dentistry clinic (VC).</p><p><strong>Design: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Teledentistry is a feasible complement to the continuum of care, enabling remote triage and consultation as needed, and is highly accepted by parents.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":"954-963"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seema Lal-Kumar, Hem Dayal, Nuhisifa Seve-Williams, Zac Morse, Sobia Zafar
Background
The first 1,000 days of a child's life (from conception to 2 years old) are critical for optimal development and nutrition. This period can shape long-term health outcomes.
Aim
To explore feeding practices in the Cook Islands within the Bronfenbrenner's Ecological Systems Theory framework.
Design
Using qualitative ‘Korero’ methods, we interviewed 50 parents and caregivers of children under 6 years old from three islands (Rarotonga, Aitutaki and Atiu). Data were thematically analysed and mapped onto the ecological model.
Results
Participants described substantial family support for breastfeeding initiation but encountered barriers to exclusive and continued breastfeeding. Challenges included limited perinatal support, insufficient workplace accommodations for lactating mothers and rising economic pressures. Sociocultural shifts, such as increased migration and reliance on packaged foods, hindered optimal feeding practices.
Conclusion
This study highlights a need for multi-level, context-specific interventions to promote exclusive breastfeeding in the Cook Islands, recognising the interdependencies of individual, family, community and societal factors.
{"title":"The First 1000 Days of Life: Breastfeeding in The Cook Islands—An Ecological Perspective Using Bronfenbrenner's Model","authors":"Seema Lal-Kumar, Hem Dayal, Nuhisifa Seve-Williams, Zac Morse, Sobia Zafar","doi":"10.1111/ipd.70028","DOIUrl":"10.1111/ipd.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The first 1,000 days of a child's life (from conception to 2 years old) are critical for optimal development and nutrition. This period can shape long-term health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore feeding practices in the Cook Islands within the Bronfenbrenner's Ecological Systems Theory framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Using qualitative ‘Korero’ methods, we interviewed 50 parents and caregivers of children under 6 years old from three islands (Rarotonga, Aitutaki and Atiu). Data were thematically analysed and mapped onto the ecological model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants described substantial family support for breastfeeding initiation but encountered barriers to exclusive and continued breastfeeding. Challenges included limited perinatal support, insufficient workplace accommodations for lactating mothers and rising economic pressures. Sociocultural shifts, such as increased migration and reliance on packaged foods, hindered optimal feeding practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights a need for multi-level, context-specific interventions to promote exclusive breastfeeding in the Cook Islands, recognising the interdependencies of individual, family, community and societal factors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 1","pages":"67-73"},"PeriodicalIF":1.9,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954018","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}
Chanita Tunyasonti, Pat Rojmahamongkol, Apiwan Smutkeeree, Pattarawadee Leelataweewud, Varangkanar Jirarattanasopha
Background
Early childhood temperamental traits may offer insights into identifying children's susceptibility to early childhood caries (ECC) for targeted preventive interventions.
Aim
To investigate the association between child temperament, oral health-related behaviors, and ECC in 2- to 3-year-old children.
Design
This cross-sectional study of 405 child-caregiver pairs collected data through oral examinations and parent-completed questionnaires that assessed sociodemographic factors, diet, and oral hygiene practices. Child temperament was assessed using the Early Childhood Behavior Questionnaire-Very Short Form, evaluating surgency/extraversion, negative affectivity, and effortful control. Carious status was assessed using the WHO dmft index. Associations were analyzed using bivariate and multiple logistic regression.
Results
Higher effortful control scores were associated with weaning from night feeding (OR = 1.37, 95% CI [1.04, 1.78]) and cooperative brushing (OR = 1.51, 95% CI [1.07, 2.13]). Higher surgency scores were linked to frequent sweetened snacks/drinks consumption (OR = 1.30, 95% CI [1.02, 1.67]). However, ECC was not directly linked to temperament but was primarily influenced by parental factors, with effective plaque control, restricted cariogenic diet, and higher parental education being associated with reduced caries susceptibility.
Conclusions
While temperamental traits are associated with behaviors that increase ECC susceptibility, their impact on oral health can be effectively mitigated through appropriate parental care and supervision.
{"title":"Temperament and Its Association With Oral Health-Related Behaviors and Early Childhood Caries in Young Children","authors":"Chanita Tunyasonti, Pat Rojmahamongkol, Apiwan Smutkeeree, Pattarawadee Leelataweewud, Varangkanar Jirarattanasopha","doi":"10.1111/ipd.70025","DOIUrl":"10.1111/ipd.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early childhood temperamental traits may offer insights into identifying children's susceptibility to early childhood caries (ECC) for targeted preventive interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the association between child temperament, oral health-related behaviors, and ECC in 2- to 3-year-old children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This cross-sectional study of 405 child-caregiver pairs collected data through oral examinations and parent-completed questionnaires that assessed sociodemographic factors, diet, and oral hygiene practices. Child temperament was assessed using the Early Childhood Behavior Questionnaire-Very Short Form, evaluating surgency/extraversion, negative affectivity, and effortful control. Carious status was assessed using the WHO dmft index. Associations were analyzed using bivariate and multiple logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Higher effortful control scores were associated with weaning from night feeding (OR = 1.37, 95% CI [1.04, 1.78]) and cooperative brushing (OR = 1.51, 95% CI [1.07, 2.13]). Higher surgency scores were linked to frequent sweetened snacks/drinks consumption (OR = 1.30, 95% CI [1.02, 1.67]). However, ECC was not directly linked to temperament but was primarily influenced by parental factors, with effective plaque control, restricted cariogenic diet, and higher parental education being associated with reduced caries susceptibility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While temperamental traits are associated with behaviors that increase ECC susceptibility, their impact on oral health can be effectively mitigated through appropriate parental care and supervision.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 1","pages":"40-48"},"PeriodicalIF":1.9,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dens invaginatus is a developmental dental anomaly characterized by enamel folding into the dental papilla during odontogenesis. Early detection allows for appropriate management and reduces the risk of complex treatments.
Aim
This study aimed to evaluate the success and reliability of YOLOv5 and YOLOv8 deep learning models with two different labeling methods for the detection of teeth with dens invaginatus in panoramic radiographs.
Design
In this study, 656 panoramic radiographs of patients aged 8 to 18 were labeled for teeth with dens invaginatus in the anterior region using segmentation and detection methods. The labeling of the images was performed using the CranioCatch software (Eskişehir, Turkey) by two pediatric dentists.
Results
The YOLOv5 model achieved a precision, sensitivity, and F1-score of 0.945, 0.887, and 0.915 for detection, and 0.905, 0.928, and 0.916 for segmentation, respectively. The precision, sensitivity, and F1-score of the YOLOv8 model with the detection method were 0.950, 1, and 0.974, respectively, while these values were 0.940, 0.994, and 0.966 for the segmentation method.
Conclusion
It was observed that the YOLO models were successful in detecting dens invaginatus. It is believed that deep learning-supported systems could be integrated into pediatric dentistry practice and serve as a decision support mechanism.
{"title":"Detection of Dens Invaginatus on Panoramic Radiographs Using Deep Learning Algorithms","authors":"Esra Nur Akgül, Burcu Gucyetmez Topal","doi":"10.1111/ipd.70027","DOIUrl":"10.1111/ipd.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dens invaginatus is a developmental dental anomaly characterized by enamel folding into the dental papilla during odontogenesis. Early detection allows for appropriate management and reduces the risk of complex treatments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to evaluate the success and reliability of YOLOv5 and YOLOv8 deep learning models with two different labeling methods for the detection of teeth with dens invaginatus in panoramic radiographs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>In this study, 656 panoramic radiographs of patients aged 8 to 18 were labeled for teeth with dens invaginatus in the anterior region using segmentation and detection methods. The labeling of the images was performed using the CranioCatch software (Eskişehir, Turkey) by two pediatric dentists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The YOLOv5 model achieved a precision, sensitivity, and <i>F</i>1-score of 0.945, 0.887, and 0.915 for detection, and 0.905, 0.928, and 0.916 for segmentation, respectively. The precision, sensitivity, and <i>F</i>1-score of the YOLOv8 model with the detection method were 0.950, 1, and 0.974, respectively, while these values were 0.940, 0.994, and 0.966 for the segmentation method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It was observed that the YOLO models were successful in detecting dens invaginatus. It is believed that deep learning-supported systems could be integrated into pediatric dentistry practice and serve as a decision support mechanism.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 1","pages":"59-66"},"PeriodicalIF":1.9,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michèle Muller-Bolla, Caroline Delfosse, Emmanuelle Esclassan, Sibylle Vitale, François Clauss, Frederic Courson, Patrick Rouas, Dominique Droz, Clara Joseph, Thomas Trentesaux, Mathieu Marty, Arabelle Gouvernaire-vanderzwalm, Violaine Smaïl-Faugeron, Elsa Garot, Marion Strub, Magali Hernandez, Sylvie Dajean-Trutaud, Elody Aïem, Serena Lopez, Ana Miriam Velly
Objectives
This split-mouth multicentre randomized controlled trial (RCT) aimed to compare the clinical and radiographic success rates of zirconia crowns (ZCs) and stainless steel crowns (SSCs) on primary molars. Secondary objectives were to compare the study groups in terms of retention and preferences of both parents and children.
Methods
In 105 children, 210 teeth were randomized to receive either ZC or SSC. The primary outcome success rate was defined by the absence of major failure, such as signs of irreversible pulpitis or infectious complications, over a 2-year follow-up period. Secondary outcomes included retention rate and participant preference. Data were analyzed with Poisson regression, paired t-tests, and ANCOVA, with the significance level set at 5%.
Results
Success rates were comparable between the ZC and SSC groups (Rate Ratio [RR] = 0.99, 95% confidence interval [CI]:0.96–1.01, p = 0.350). Retention rate was lower for ZCs compared to SSCs (RR = 0.95, 95% CI:0.92–0.98, p = 0.001). Approximately two-thirds of parents preferred ZCs, while children did not show a clear preference for either type of crown.
Conclusions
The success rate between ZC and SSC was similar over 2 years, but ZC showed lower retention. Unlike children, parents tended to prefer ZC.
目的：本研究是一项多中心随机对照试验（RCT），旨在比较氧化锆冠（ZCs）和不锈钢冠（ssc）在初生磨牙上的临床和影像学成功率。次要目的是比较各研究组在家长和孩子的保留和偏好方面的差异。方法：105例儿童，210颗牙随机接受ZC或SSC治疗。主要结局成功率的定义是在2年的随访期间没有出现重大失败，如不可逆牙髓炎或感染性并发症的迹象。次要结果包括保留率和参与者偏好。数据分析采用泊松回归、配对t检验和方差分析，显著性水平设为5%。结果：ZC组和SSC组的成功率具有可比性（RR = 0.99, 95%可信区间[CI]:0.96-1.01, p = 0.350）。与ssc相比，ZCs的保留率较低（RR = 0.95, 95% CI:0.92-0.98, p = 0.001）。大约三分之二的家长更喜欢ZCs，而孩子们对这两种冠型都没有明显的偏好。结论：ZC和SSC在2年内的成功率相似，但ZC的保留率较低。与孩子不同，父母更喜欢ZC。
{"title":"Zirconia Preformed Paediatric Crown Versus Stainless Steel Crown in Primary Molars: A Randomized Controlled Split-Mouth Trial","authors":"Michèle Muller-Bolla, Caroline Delfosse, Emmanuelle Esclassan, Sibylle Vitale, François Clauss, Frederic Courson, Patrick Rouas, Dominique Droz, Clara Joseph, Thomas Trentesaux, Mathieu Marty, Arabelle Gouvernaire-vanderzwalm, Violaine Smaïl-Faugeron, Elsa Garot, Marion Strub, Magali Hernandez, Sylvie Dajean-Trutaud, Elody Aïem, Serena Lopez, Ana Miriam Velly","doi":"10.1111/ipd.70026","DOIUrl":"10.1111/ipd.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This split-mouth multicentre randomized controlled trial (RCT) aimed to compare the clinical and radiographic success rates of zirconia crowns (ZCs) and stainless steel crowns (SSCs) on primary molars. Secondary objectives were to compare the study groups in terms of retention and preferences of both parents and children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In 105 children, 210 teeth were randomized to receive either ZC or SSC. The primary outcome success rate was defined by the absence of major failure, such as signs of irreversible pulpitis or infectious complications, over a 2-year follow-up period. Secondary outcomes included retention rate and participant preference. Data were analyzed with Poisson regression, paired <i>t</i>-tests, and ANCOVA, with the significance level set at 5%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Success rates were comparable between the ZC and SSC groups (Rate Ratio [RR] = 0.99, 95% confidence interval [CI]:0.96–1.01, <i>p</i> = 0.350). Retention rate was lower for ZCs compared to SSCs (RR = 0.95, 95% CI:0.92–0.98, <i>p</i> = 0.001). Approximately two-thirds of parents preferred ZCs, while children did not show a clear preference for either type of crown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The success rate between ZC and SSC was similar over 2 years, but ZC showed lower retention. Unlike children, parents tended to prefer ZC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 1","pages":"49-58"},"PeriodicalIF":1.9,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775355","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}
Rafaela Lourdes de Sousa, Elisa Varela de Oliveira, Josiane Pezzini Soares, Nashalie Alencar, Jéssica Barasuol, Pablo Silveira Santos, Mariane Cardoso, Michele Bolan
Background
The relationship between primary teeth and their successors involves complex interactions that may influence the development of permanent teeth.
Aim
To evaluate alterations in permanent premolars after endodontic treatment of their primary molar predecessors.
Design
A prospective study was conducted with children initially aged 5 to 9 years, who were submitted to pulpectomy of a primary molar. The protocol involved instrumentation of root canals and obturation with a zinc oxide-eugenol paste. Follow-up examinations were performed until exfoliation of the primary molars and full eruption of the successor premolar. Permanent premolars were assessed for developmental defects of enamel, ectopic eruption, and crown rotation. Logistic regression was used to explore variables associated with these outcomes.
Results
Forty-seven children were followed up for approximately 6 years. Among the successor permanent premolars, 21.3% presented crown rotation, 10.6% ectopic eruption, 6.4% enamel hypomineralization, and 2.1% enamel hypoplasia. No statistically significant association was observed between the assessed alterations and demographic or treatment-related variables, including pulp status, interradicular lesion, root resorption, or root overfilling (p > 0.05).
Conclusion
Eruptive alterations were the most frequent findings. No association was identified between variables related to the endodontic treatment of primary molars and subsequent clinical alterations in permanent premolars.
{"title":"Assessment of Alterations in Permanent Premolars After Endodontic Treatment of Predecessor Primary Molars: A Prospective Study","authors":"Rafaela Lourdes de Sousa, Elisa Varela de Oliveira, Josiane Pezzini Soares, Nashalie Alencar, Jéssica Barasuol, Pablo Silveira Santos, Mariane Cardoso, Michele Bolan","doi":"10.1111/ipd.70024","DOIUrl":"10.1111/ipd.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The relationship between primary teeth and their successors involves complex interactions that may influence the development of permanent teeth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate alterations in permanent premolars after endodontic treatment of their primary molar predecessors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A prospective study was conducted with children initially aged 5 to 9 years, who were submitted to pulpectomy of a primary molar. The protocol involved instrumentation of root canals and obturation with a zinc oxide-eugenol paste. Follow-up examinations were performed until exfoliation of the primary molars and full eruption of the successor premolar. Permanent premolars were assessed for developmental defects of enamel, ectopic eruption, and crown rotation. Logistic regression was used to explore variables associated with these outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-seven children were followed up for approximately 6 years. Among the successor permanent premolars, 21.3% presented crown rotation, 10.6% ectopic eruption, 6.4% enamel hypomineralization, and 2.1% enamel hypoplasia. No statistically significant association was observed between the assessed alterations and demographic or treatment-related variables, including pulp status, interradicular lesion, root resorption, or root overfilling (<i>p</i> > 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Eruptive alterations were the most frequent findings. No association was identified between variables related to the endodontic treatment of primary molars and subsequent clinical alterations in permanent premolars.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 1","pages":"33-39"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Renata Kézia Pereira dos Anjos, Sara Oliveira de Lisboa, Clarissa Lopes Drumond, Júnia Maria Cheib Serra-Negra, Márcia Gomes Penido Machado, Saul Martins Paiva, Fernanda Morais Ferreira, Cristiane Meira Assunção
Background
Parents with inadequate oral health literacy (OHL) have limitations in understanding the information transmitted by health professionals and have difficulty incorporating it into their routine.
Aim
This study evaluated parents' OHL level and their ability to properly administer prescribed medication to their children.
Design
OHL was measured using the Oral Health Literacy—Adult Questionnaire. Parents (n = 171) were presented with an antibiotic bottle, dosing syringe, medication package insert, and a standard prescription. After reading, parents were instructed to measure the medication amount described, which was categorized as “correct” (±20% of recommended dose) or “error” (variation greater than ±20%). Descriptive analysis and association of independent variables with OHL were performed (chi-squared test, p ≤ 0.05).
Results
The average OHL level of parents was 11.46 (±3.03). Among parents with an adequate OHL level, only 17 (18.9%) correctly measured the amount of medication according to the package insert, and 39 (43.3%) with a prescription. Parents with inadequate OHL were 68% more likely to have a dosage error according to the package insert compared to those with adequate OHL (p = 0.031).
Conclusion
It can be concluded that regardless of the level of OHL, parents had difficulty in properly dosing the liquid medication, both from reading the package insert and the prescription.
{"title":"Is Parents Oral Health Literacy Level Associated With Ability to Dose Medication for Their Children?","authors":"Renata Kézia Pereira dos Anjos, Sara Oliveira de Lisboa, Clarissa Lopes Drumond, Júnia Maria Cheib Serra-Negra, Márcia Gomes Penido Machado, Saul Martins Paiva, Fernanda Morais Ferreira, Cristiane Meira Assunção","doi":"10.1111/ipd.70019","DOIUrl":"10.1111/ipd.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Parents with inadequate oral health literacy (OHL) have limitations in understanding the information transmitted by health professionals and have difficulty incorporating it into their routine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study evaluated parents' OHL level and their ability to properly administer prescribed medication to their children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>OHL was measured using the Oral Health Literacy—Adult Questionnaire. Parents (<i>n</i> = 171) were presented with an antibiotic bottle, dosing syringe, medication package insert, and a standard prescription. After reading, parents were instructed to measure the medication amount described, which was categorized as “correct” (±20% of recommended dose) or “error” (variation greater than ±20%). Descriptive analysis and association of independent variables with OHL were performed (chi-squared test, <i>p</i> ≤ 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average OHL level of parents was 11.46 (±3.03). Among parents with an adequate OHL level, only 17 (18.9%) correctly measured the amount of medication according to the package insert, and 39 (43.3%) with a prescription. Parents with inadequate OHL were 68% more likely to have a dosage error according to the package insert compared to those with adequate OHL (<i>p</i> = 0.031).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It can be concluded that regardless of the level of OHL, parents had difficulty in properly dosing the liquid medication, both from reading the package insert and the prescription.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 1","pages":"4-12"},"PeriodicalIF":1.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759976","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}
Anna Carolina Rye Sato Kimura, José Alcides Almeida de Arruda, Victor Zanetti Drumond, Paulo Antônio Martins-Júnior, Ricardo Alves Mesquita, Lucas Guimarães Abreu
Background
Mouth breathing may lead to changes in the oral cavity.
Aim
To compare dental caries and periodontal outcomes in children and adolescents with and without mouth breathing.
Design
This systematic review, registered in PROSPERO (CRD42024536891), included the following: Population: children and adolescents; Exposure: mouth breathing; Comparison: non-mouth breathing; Outcome: dental caries and periodontal/gingival conditions; Study design: observational studies. Electronic searches were conducted in five databases. Risk of bias was appraised using the Newcastle-Ottawa Scale.
Results
Of the 838 records identified, 11 cross-sectional studies were included. The studies showed low bias in exposure, outcomes, and statistical analyses, though few met criteria for non-response and sample size adequacy. Individuals with mouth breathing exhibited increased gingival bleeding, plaque accumulation, and gingival alterations. Associations with dental caries were observed for initial lesions and for ICDAS scores 5 and 6.
Conclusion
Mouth breathing in children and adolescents might be associated with gingival outcomes and plaque accumulation. Regarding dental caries, limited evidence suggests that the association is confined to initial and advanced lesions.
{"title":"Dental Caries and Periodontal Outcomes in Mouth-Breathing Children and Adolescents: A Systematic Review","authors":"Anna Carolina Rye Sato Kimura, José Alcides Almeida de Arruda, Victor Zanetti Drumond, Paulo Antônio Martins-Júnior, Ricardo Alves Mesquita, Lucas Guimarães Abreu","doi":"10.1111/ipd.70022","DOIUrl":"10.1111/ipd.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mouth breathing may lead to changes in the oral cavity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To compare dental caries and periodontal outcomes in children and adolescents with and without mouth breathing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This systematic review, registered in PROSPERO (CRD42024536891), included the following: <i>Population</i>: children and adolescents; <i>Exposure</i>: mouth breathing; <i>Comparison</i>: non-mouth breathing; <i>Outcome</i>: dental caries and periodontal/gingival conditions; <i>Study design</i>: observational studies. Electronic searches were conducted in five databases. Risk of bias was appraised using the Newcastle-Ottawa Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 838 records identified, 11 cross-sectional studies were included. The studies showed low bias in exposure, outcomes, and statistical analyses, though few met criteria for non-response and sample size adequacy. Individuals with mouth breathing exhibited increased gingival bleeding, plaque accumulation, and gingival alterations. Associations with dental caries were observed for initial lesions and for ICDAS scores 5 and 6.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Mouth breathing in children and adolescents might be associated with gingival outcomes and plaque accumulation. Regarding dental caries, limited evidence suggests that the association is confined to initial and advanced lesions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 1","pages":"24-32"},"PeriodicalIF":1.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753336","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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