Pub Date : 2024-12-01DOI: 10.1016/j.pdj.2024.08.002
Ahmad Abdel Hamid Elheeny , Moustafa Mohammed Sayed , Khaled Radad
Aim
The current study aimed to compare the clinical and radiographic success of potassium nitrate in polycarboxylate cement (KNO3/PCA) compared to mineral trioxide aggregate (MTA) in direct pulp capping (DPC) of carious, immature permanent molars over an 18-month follow-up.
Materials and methods
A two-armed parallel randomised trial included one hundred children with 104 M have been included and assigned equally. The success rate was evaluated clinically and radiographically. Chi-square and Fisher's exact tests were used to compare the clinical and radiographic success rates. The percentage change in radiographic parameters was tested using an independent sample t-test. The effect of time on the mean values of radiographic parameters was tested using the general linear model (GLM). A significant level was set at 5%.
Results
The overall success rates after 18 months of follow-up for KNO3/PCA and MTA were 90.4% and 92.3%, respectively (p > 0.05). Similarly, root maturation indicators showed no significant difference between the two groups over the follow-up (p > 0.05).
Conclusion
With comparable clinical and radiographic results to MTA, KNO3/PCA is an effective treatment option in the DPC of carious, immature permanent teeth.
{"title":"Potassium nitrate in polycarboxylate cement in direct pulp capping of carious, immature permanent molars: An 18-month randomised controlled trail","authors":"Ahmad Abdel Hamid Elheeny , Moustafa Mohammed Sayed , Khaled Radad","doi":"10.1016/j.pdj.2024.08.002","DOIUrl":"10.1016/j.pdj.2024.08.002","url":null,"abstract":"<div><h3>Aim</h3><div>The current study aimed to compare the clinical and radiographic success of potassium nitrate in polycarboxylate cement (KNO<sub>3</sub>/PCA) compared to mineral trioxide aggregate (MTA) in direct pulp capping (DPC) of carious, immature permanent molars over an 18-month follow-up.</div></div><div><h3>Materials and methods</h3><div>A two-armed parallel randomised trial included one hundred children with 104 M have been included and assigned equally. The success rate was evaluated clinically and radiographically. Chi-square and Fisher's exact tests were used to compare the clinical and radiographic success rates. The percentage change in radiographic parameters was tested using an independent sample <em>t-test</em>. The effect of time on the mean values of radiographic parameters was tested using the general linear model (GLM). A significant level was set at 5%.</div></div><div><h3>Results</h3><div>The overall success rates after 18 months of follow-up for KNO<sub>3</sub>/PCA and MTA were 90.4% and 92.3%, respectively (<em>p</em> > 0.05). Similarly, root maturation indicators showed no significant difference between the two groups over the follow-up (<em>p</em> > 0.05).</div></div><div><h3>Conclusion</h3><div>With comparable clinical and radiographic results to MTA, KNO<sub>3</sub>/PCA is an effective treatment option in the DPC of carious, immature permanent teeth.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 113-121"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pitt-Hopkins Syndrome (PTHS) is a rare syndrome caused by heterozygous hypomorphic or null mutation or deletion of transcription factor 4. Characteristic findings have been reported in the mouth and lips, but no studies have investigated the specific size of the teeth or dental arches.
Case presentation
We report a case of an 8-year-old girl diagnosed with PTHS at our hospital. Model analysis of the second molar eruption revealed that the central incisor and dental arch were larger than average for Japanese females.
Conclusion
PTHS patients have wider anterior teeth and dental arches, which may lead to craniofacial anomalies.
{"title":"Unique oral finding in a patient with Pitt-Hopkins Syndrome","authors":"Momoko Usuda , Tatsuya Akitomo , Yuria Asao, Meiko Tachikake, Chieko Mitsuhata, Ryota Nomura","doi":"10.1016/j.pdj.2024.11.002","DOIUrl":"10.1016/j.pdj.2024.11.002","url":null,"abstract":"<div><h3>Background</h3><div>Pitt-Hopkins Syndrome (PTHS) is a rare syndrome caused by heterozygous hypomorphic or null mutation or deletion of transcription factor 4. Characteristic findings have been reported in the mouth and lips, but no studies have investigated the specific size of the teeth or dental arches.</div></div><div><h3>Case presentation</h3><div>We report a case of an 8-year-old girl diagnosed with PTHS at our hospital. Model analysis of the second molar eruption revealed that the central incisor and dental arch were larger than average for Japanese females.</div></div><div><h3>Conclusion</h3><div>PTHS patients have wider anterior teeth and dental arches, which may lead to craniofacial anomalies.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 201-205"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.pdj.2024.08.003
Nehad M. Abd-elmonsif , Sherif Gamal
Dental treatment has been shifted towards more conservative approaches that focus on caries identification at early stage, remineralization of dental surfaces, and preservation of tooth structure. So that, newly safe alternative methods for teeth remineralization have to be created. There is minimal evidence to support the use of eggshell powder (ESP) for remineralizing enamel and Cuttlefish bone powder (CBP) as an alternative calcium source in bone replacement.The aim of this study is to evaluate the capacity of eggshell powder (ESP) and cuttlefish bone powder (CBP) solutions to remineralize early initiated demineralized lesions of enamel in permanent teeth. 40 extracted premolars were divided into four groups: Group1 (which received no treatment), Group2 (which was subjected todemineralizing solution), Group3 (which was subjected todemineralizing solution and then treated with CBP solution), and Group4 (which was subjected todemineralizing solution and then treated with ESPsolution). All groups were prepared forscanning electron microscope (SEM), X-ray microanalysis (EDAX), and microhardness evaluation. The demineralization process significantly changed the surface structure of the enamel, resulting in erosive lesions. CBP and ESP solutions both had a reparative effect, enhanced surface morphology, and increased Ca and P content and microhardness.
{"title":"Potential remineralizing effect of cuttlefish bone and eggshell Powder's on demineralized human enamel (an invitro study)","authors":"Nehad M. Abd-elmonsif , Sherif Gamal","doi":"10.1016/j.pdj.2024.08.003","DOIUrl":"10.1016/j.pdj.2024.08.003","url":null,"abstract":"<div><div>Dental treatment has been shifted towards more conservative approaches that focus on caries identification at early stage, remineralization of dental surfaces, and preservation of tooth structure. So that, newly safe alternative methods for teeth remineralization have to be created. There is minimal evidence to support the use of eggshell powder (ESP) for remineralizing enamel and Cuttlefish bone powder (CBP) as an alternative calcium source in bone replacement.The aim of this study is to evaluate the capacity of eggshell powder (ESP) and cuttlefish bone powder (CBP) solutions to remineralize early initiated demineralized lesions of enamel in permanent teeth. 40 extracted premolars were divided into four groups: Group1 (which received no treatment), Group2 (which was subjected todemineralizing solution), Group3 (which was subjected todemineralizing solution and then treated with CBP solution), and Group4 (which was subjected todemineralizing solution and then treated with ESPsolution). All groups were prepared forscanning electron microscope (SEM), X-ray microanalysis (EDAX), and microhardness evaluation. The demineralization process significantly changed the surface structure of the enamel, resulting in erosive lesions. CBP and ESP solutions both had a reparative effect, enhanced surface morphology, and increased Ca and P content and microhardness.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 122-128"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A heritable neurocutaneous condition known as Tuberous Sclerosis Complex (TSC), is characterized by multisystem involvement with multiple hamartomatous tumors, seizures, intellectual disability, and facial angiofibroma affects the human body.
Aim
We aim to study the literature and highlight all the oral and dental manifestations encountered in TSC patients.
Materials and methods
Published articles having a population of tuberous sclerosis patients with oral manifestations, regardless of age or gender, and articles written in English were included. An electronic search was conducted in the PubMed, Google Scholar, Lilac, EBSCO, and SciELO databases from 1964 to 2023. Google Scholar articles were searched and selected manually. To calculate the risk of bias, the Joanna Briggs Institute critical appraisal criteria for quality evaluation was used.
Results
A total of 37 articles were selected out of 1203 in which only case reports (CR) and cross-sectional studies (CS) [descriptive (CS-D) & analytical (CS-A)] met the eligibility criteria. The present systematic review is qualitative. The risk of bias for case reports, 35.7% (n = 10) received a low grade while 57.14% (n = 16) received a moderate grade. For cross-sectional studies, 33.3% (n = 3) received a moderate grade, while 11.1% (n = 1) received a low score. The primary oral outcomes were dental enamel pitting (60% in CR, 79% in CS-D, and 96% in CS-A). gingival growth/hyperplasia/enlargement, (63% in CR, 37.6% in CS-D, and 14% in CS-A), and intra-oral fibroma (18% in CR, 39% in CS-D, and 14% in CS-A). Other secondary oral manifestations were intra-oral hypopigmented macule (n = 3, CR), enamel hypoplasia of teeth (10% in CR, 11.7% in CS-A), dental anomalies like enamel pearl (9.9% in CS-D), odontogenic tumors like desmoplastic fibromas (n = 1, CR), odontogenic myxoma in the jaws (n = 2, CR), hemangioma of the tongue (n = 1, CR) compound odontoma (n = 1, CR), angiomyolipoma (n = 1, CR), and impacted teeth (10%, CR).
Conclusion
Dental enamel pitting, gingival hyperplasia, and intra-oral fibroma are the most common oral manifestations in TSC patients. Other features included intra-oral hypopigmented macules, enamel hypoplasia of teeth, gingival angiofibroma, and dental anomalies such as enamel pearls.
{"title":"Oral manifestations of tuberous sclerosis complex: A systematic review","authors":"Abhilash Panwar, Sangeeta Malik, Nagaraju Kamarthi, Swati Gupta, Sumit Goel, Abhinav Sharma, Khushboo Bhalla","doi":"10.1016/j.pdj.2024.06.003","DOIUrl":"10.1016/j.pdj.2024.06.003","url":null,"abstract":"<div><h3>Background</h3><div><span>A heritable neurocutaneous condition known as Tuberous Sclerosis Complex (TSC), is characterized by multisystem involvement with multiple hamartomatous tumors, </span>seizures<span>, intellectual disability, and facial angiofibroma affects the human body.</span></div></div><div><h3>Aim</h3><div>We aim to study the literature and highlight all the oral and dental manifestations encountered in TSC patients.</div></div><div><h3>Materials and methods</h3><div>Published articles having a population of tuberous sclerosis patients with oral manifestations, regardless of age or gender, and articles written in English were included. An electronic search was conducted in the PubMed, Google Scholar, Lilac, EBSCO, and SciELO databases from 1964 to 2023. Google Scholar articles were searched and selected manually. To calculate the risk of bias, the Joanna Briggs Institute critical appraisal criteria for quality evaluation was used.</div></div><div><h3>Results</h3><div>A total of 37 articles were selected out of 1203 in which only case reports (CR) and cross-sectional studies (CS) [descriptive (CS-D) & analytical (CS-A)] met the eligibility criteria. The present systematic review<span><span><span><span><span> is qualitative. The risk of bias for case reports, 35.7% (n = 10) received a low grade while 57.14% (n = 16) received a moderate grade. For cross-sectional studies, 33.3% (n = 3) received a moderate grade, while 11.1% (n = 1) received a low score. The primary oral outcomes were dental enamel pitting (60% in CR, 79% in CS-D, and 96% in CS-A). gingival growth/hyperplasia/enlargement, (63% in CR, 37.6% in CS-D, and 14% in CS-A), and intra-oral </span>fibroma (18% in CR, 39% in CS-D, and 14% in CS-A). Other secondary oral manifestations were intra-oral hypopigmented macule (n = 3, CR), </span>enamel hypoplasia<span><span> of teeth (10% in CR, 11.7% in CS-A), dental anomalies like enamel pearl (9.9% in CS-D), odontogenic tumors like desmoplastic fibromas (n = 1, CR), odontogenic </span>myxoma in the jaws (n = 2, CR), hemangioma of the </span></span>tongue (n = 1, CR) compound odontoma (n = 1, CR), </span>angiomyolipoma<span> (n = 1, CR), and impacted teeth (10%, CR).</span></span></div></div><div><h3>Conclusion</h3><div>Dental enamel pitting, gingival hyperplasia, and intra-oral fibroma are the most common oral manifestations in TSC patients. Other features included intra-oral hypopigmented macules, enamel hypoplasia of teeth, gingival angiofibroma, and dental anomalies such as enamel pearls.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 164-181"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141693422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Systemic and local problems may lead to the disruption of craniofacial growth and development during growth periods. However, no studies have demonstrated the negative effects of the coronavirus disease 2019 (COVID-19) on the development of oral function in children. In this study, we aimed to investigate whether the COVID-19 pandemic has influenced the development of oral function in children.
Materials and methods
The study participants comprised children who visited public or 58 private dental clinics after the COVID-19 pandemic. The questionnaire comprised 66 items regarding current medical conditions and lifestyle habits that are linked to oral function. The survey was a self-administered questionnaire or a web-based questionnaire using Google Forms.
Results
Compared to our 2014 survey (Nogami et al., 2014), the results of 599 children (282 boys and 317 girls; aged 3–12 years; mean age, 7.8 years, standard deviation, 2.4 years) who were included in the study showed a remarkable increase in their responses for the following questions: “Difficulty maintaining nasal breathing for more than a minute with one's mouth closed,” “incompetent lip seal,” “round shoulders,” “thick lips,” “dry lips,” “chapped lips,” “morning breath,” “inverted V-shaped upper lip,” “loose lips,” and “frequent dry mouth.”
Conclusion
Systemic and local problems can be categorized into four factors, namely (1) poor sleep habits, (2) commonly observed eating habits, (3) nasal disorders, and (4) general motor functions. Evident from the current study, the COVID-19 pandemic has negatively affected the systemic and oral health of children.
目的：全身性和局地性问题可导致生长时期颅面生长发育的中断。然而，没有研究证明2019冠状病毒病（COVID-19）对儿童口腔功能发育的负面影响。在本研究中，我们旨在调查COVID-19大流行是否影响了儿童口腔功能的发展。材料和方法研究对象为在COVID-19大流行后前往公立或58家私立牙科诊所的儿童。调查问卷包括66个项目，内容涉及与口腔功能相关的当前医疗状况和生活习惯。该调查是一份自我管理的问卷或使用谷歌表单的基于网络的问卷。结果与我们2014年的调查（Nogami et al., 2014）相比，599名儿童(282名男孩和317名女孩；3-12岁；平均年龄7.8岁，标准差2.4岁)，在以下问题上的回答显著增加：“闭着嘴保持鼻腔呼吸困难超过一分钟”，“嘴唇密封不佳”，“肩膀圆”，“嘴唇厚”，“嘴唇干”，“嘴唇干裂”，“早晨呼吸”，“倒v型上唇”，“嘴唇松弛”和“经常口干”。结论全身性和局部性问题可分为4个因素，即：(1)不良睡眠习惯，(2)常见饮食习惯，(3)鼻功能障碍，(4)一般运动功能。从目前的研究中可以明显看出，COVID-19大流行对儿童的全身和口腔健康产生了负面影响。
{"title":"Questionnaire survey on oral function during growth periods throughout Japan after the coronavirus disease 2019 pandemic","authors":"Reira Ukai , Yasutaka Kaihara , Yukiko Nogami , Asami Fukui , Akiko Ohshima , Yoko Iwase , Masahiko Terajima , Kensuke Sakata , Yuki Kiyokawa , Yuria Hori , Ryo Bando , Yusuke Ueda , Shinya Nishiguchi , Manami Matsubara , Issei Saitoh","doi":"10.1016/j.pdj.2024.11.001","DOIUrl":"10.1016/j.pdj.2024.11.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Systemic and local problems may lead to the disruption of craniofacial growth and development during growth periods. However, no studies have demonstrated the negative effects of the coronavirus disease 2019 (COVID-19) on the development of oral function in children. In this study, we aimed to investigate whether the COVID-19 pandemic has influenced the development of oral function in children.</div></div><div><h3>Materials and methods</h3><div>The study participants comprised children who visited public or 58 private dental clinics after the COVID-19 pandemic. The questionnaire comprised 66 items regarding current medical conditions and lifestyle habits that are linked to oral function. The survey was a self-administered questionnaire or a web-based questionnaire using Google Forms.</div></div><div><h3>Results</h3><div>Compared to our 2014 survey (Nogami et al., 2014), the results of 599 children (282 boys and 317 girls; aged 3–12 years; mean age, 7.8 years, standard deviation, 2.4 years) who were included in the study showed a remarkable increase in their responses for the following questions: “Difficulty maintaining nasal breathing for more than a minute with one's mouth closed,” “incompetent lip seal,” “round shoulders,” “thick lips,” “dry lips,” “chapped lips,” “morning breath,” “inverted V-shaped upper lip,” “loose lips,” and “frequent dry mouth.”</div></div><div><h3>Conclusion</h3><div>Systemic and local problems can be categorized into four factors, namely (1) poor sleep habits, (2) commonly observed eating habits, (3) nasal disorders, and (4) general motor functions. Evident from the current study, the COVID-19 pandemic has negatively affected the systemic and oral health of children.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 158-163"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.pdj.2024.08.001
Midori Kusano, Ayaka Shindo, Takafumi Ooka
Objective
Low birthweight infants (LBW) are known to have a significantly high complication rate, and mortality rate, and many of them are admitted to the Neonatal Intensive Care Unit (NICU). The purpose of this study is to assess LBW using a feeding function assessment to determine the appropriate time of acquisition of feeding function for effective support.
Methods
The subjects were 134 children, 84 LBW, 50 normal birth weight (NBW), up to 12 years old who had received multiple feeding guidance at Meikai University Hospital and a certain medical center from 2010 to 2021. The subjects were divided into two groups: LBW and NBW, and the developmental status of feeding function was examined retrospectively. From the medical records, we investigated feeding function, motor function, number of weeks of gestation, NICU admission, and tube feeding and its duration, and use of public services.
Results
Significant differences were found in the time of oral intake preparation, time of swallowing function acquisition, time of mashing function acquisition, time of self-feeding preparation, time of fixed neck, rolling over, sitting up without support, and pulling up to stand. The factor influencing both feeding function and motor function was the number of weeks of gestation, followed by public services. The common factor influencing feeding function was NICU admission, and gender was also influential during the time of preparation for self-feeding.
Conclusion
These results suggest that it is effective to provide support during the time of swallowing function acquisition.
{"title":"A retrospective study of the effect of birth status on the acquisition time of feeding function","authors":"Midori Kusano, Ayaka Shindo, Takafumi Ooka","doi":"10.1016/j.pdj.2024.08.001","DOIUrl":"10.1016/j.pdj.2024.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>Low birthweight infants (LBW) are known to have a significantly high complication rate, and mortality rate, and many of them are admitted to the Neonatal Intensive Care Unit (NICU). The purpose of this study is to assess LBW using a feeding function assessment to determine the appropriate time of acquisition of feeding function for effective support.</div></div><div><h3>Methods</h3><div>The subjects were 134 children, 84 LBW, 50 normal birth weight (NBW), up to 12 years old who had received multiple feeding guidance at Meikai University Hospital and a certain medical center from 2010 to 2021. The subjects were divided into two groups: LBW and NBW, and the developmental status of feeding function was examined retrospectively. From the medical records, we investigated feeding function, motor function, number of weeks of gestation, NICU admission, and tube feeding and its duration, and use of public services.</div></div><div><h3>Results</h3><div>Significant differences were found in the time of oral intake preparation, time of swallowing function acquisition, time of mashing function acquisition, time of self-feeding preparation, time of fixed neck, rolling over, sitting up without support, and pulling up to stand. The factor influencing both feeding function and motor function was the number of weeks of gestation, followed by public services. The common factor influencing feeding function was NICU admission, and gender was also influential during the time of preparation for self-feeding.</div></div><div><h3>Conclusion</h3><div>These results suggest that it is effective to provide support during the time of swallowing function acquisition.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 106-112"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexander disease (AxD) is a rare neurodegenerative disorder caused by mutation of the glial fibrillary acidic protein gene. AxD is characterized by severe motor impairment, intellectual disability, epilepsy, megalencephaly, and seizures. Although palatal tremor and palatal myoclonus have been reported, no other oral findings in AxD patients have been described. Here, we report oral findings from house call dentistry for a 14-year 3-month-old child with AxD. Intraoral findings included gingival hyperplasia, partially impacted teeth, delayed eruption, enamel hypoplasia, macroglossia, anterior open bite, and low tongue posture. This is the first report of oral findings for an AxD patient.
{"title":"Oral findings in a patient with Alexander disease: A case report","authors":"Musashi Sawada , Chihiro Takasaki , Satoshi Tokura , Yasutaka Yawaka","doi":"10.1016/j.pdj.2024.06.002","DOIUrl":"10.1016/j.pdj.2024.06.002","url":null,"abstract":"<div><div><span>Alexander disease<span> (AxD) is a rare neurodegenerative disorder caused by mutation of the </span></span>glial fibrillary acidic protein<span><span> gene. AxD is characterized by severe motor impairment, intellectual disability, epilepsy, megalencephaly, and </span>seizures<span><span><span>. Although palatal tremor and palatal myoclonus<span> have been reported, no other oral findings in AxD patients have been described. Here, we report oral findings from house call dentistry for a 14-year 3-month-old child with AxD. Intraoral findings included </span></span>gingival hyperplasia<span><span>, partially impacted teeth, delayed eruption, </span>enamel hypoplasia<span><span>, macroglossia, anterior </span>open bite, and low </span></span></span>tongue posture. This is the first report of oral findings for an AxD patient.</span></span></div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 182-185"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In Japan, the use of general anesthesia for dental treatment (GAD) is common in patients with intellectual disabilities. However, GAD in uncooperative pediatric patients without intellectual disabilities is uncommon.
Aim
This study aimed to test the hypothesis that the variance in acceptance of GAD between pediatric dentists and dental anesthesiologists contributed to its limited use in uncooperative children.
Materials and methods
A questionnaire-based survey was administered to dentists certified by the Japanese Society of Pediatric Dentistry (JSPD) and the Japanese Society of Dental Anesthesiologists (JDSA). The questionnaire included questions regarding the implementation and understanding of general anesthesia and sedation in children. The responses from both groups were compared.
Results
The results showed that 63% of the JDSA group believed that restraints in dental treatment negatively affect intellectual development, compared to only 37% of the JSPD group. Additionally, 84% of the JDSA group preferred GA as it avoids interruption of treatment for uncooperative pediatric patients, compared to only 42% of the JSPD group.
Conclusion
Dental anesthesiologists and pediatric dentists have different perceptions of GAD, and more communication is needed to establish optimal indications for GAD in pediatric patients.
{"title":"Differences in perception of general anesthesia for pediatric dental treatment between pediatric dentists and dental anesthesiologists in Japan","authors":"Tomoka Matsumura , Shigeru Maeda , Tsutomu Iwamoto , Takehiko Iijima","doi":"10.1016/j.pdj.2024.06.001","DOIUrl":"10.1016/j.pdj.2024.06.001","url":null,"abstract":"<div><h3>Introduction</h3><div><span><span>In Japan, the use of general anesthesia for </span>dental treatment (GAD) is common in patients with intellectual disabilities. However, GAD in uncooperative </span>pediatric patients without intellectual disabilities is uncommon.</div></div><div><h3>Aim</h3><div>This study aimed to test the hypothesis that the variance in acceptance of GAD between pediatric dentists and dental anesthesiologists contributed to its limited use in uncooperative children.</div></div><div><h3>Materials and methods</h3><div>A questionnaire-based survey was administered to dentists certified by the Japanese Society of Pediatric Dentistry (JSPD) and the Japanese Society of Dental Anesthesiologists (JDSA). The questionnaire included questions regarding the implementation and understanding of general anesthesia and sedation in children. The responses from both groups were compared.</div></div><div><h3>Results</h3><div>The results showed that 63% of the JDSA group believed that restraints in dental treatment negatively affect intellectual development, compared to only 37% of the JSPD group. Additionally, 84% of the JDSA group preferred GA as it avoids interruption of treatment for uncooperative pediatric patients, compared to only 42% of the JSPD group.</div></div><div><h3>Conclusion</h3><div>Dental anesthesiologists and pediatric dentists have different perceptions of GAD, and more communication is needed to establish optimal indications for GAD in pediatric patients.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 101-105"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Infective endocarditis (IE) is a potentially fatal condition caused by bacterial growth on heart valves. Bacteremia-inducing dental procedures are key factors contributing to IE development. Congenital heart disease, the most common risk factor for IE in children, may require antibiotic prophylaxis before invasive dental procedures. In Japan, guidelines for IE prevention were updated in 2018 (The JCS2017 guidelines). However, the current understanding of IE prevention among Japanese dentists remains unclear. We invited members of the Japanese Society of Pediatric Dentistry to participate in a survey regarding IE prevention; in total, 313 responses were received. Over 90% of respondents administer antibiotics for IE prevention, and nearly 80% limit prophylaxis to patients at high risk for IE. Most respondents indicated that invasive dental procedures require antibiotic prophylaxis only in patients at risk for IE. More than 80% of dentists reported using oral amoxicillin as a prophylactic antibiotic, and approximately 60% administered a 50 mg/kg dose to pediatric patients 1 h before a dental procedure. Over 70% of respondents administered antibiotic prophylaxis based on guidelines or advice from medical doctors. Our findings demonstrate that most dentists affiliated with the Japanese Society of Pediatric Dentistry understand appropriate antibiotic administration protocols for IE prevention in accordance with the JCS2017 guidelines, indicating a high level of interest in preventing dental procedure-related IE.
{"title":"Current knowledge regarding infective endocarditis prevention among dentists affiliated with the Japanese Society of Pediatric Dentistry","authors":"Tatsuya Akitomo , Tamami Kadota , Yuko Iwamoto , Rena Okawa , Takahiro Ohara , Masao Daimon , Chisato Izumi , Kenichi Yanagita , Ryota Nomura , Kazuhiko Nakano","doi":"10.1016/j.pdj.2024.09.001","DOIUrl":"10.1016/j.pdj.2024.09.001","url":null,"abstract":"<div><div>Infective endocarditis (IE) is a potentially fatal condition caused by bacterial growth on heart valves. Bacteremia-inducing dental procedures are key factors contributing to IE development. Congenital heart disease, the most common risk factor for IE in children, may require antibiotic prophylaxis before invasive dental procedures. In Japan, guidelines for IE prevention were updated in 2018 (The JCS2017 guidelines). However, the current understanding of IE prevention among Japanese dentists remains unclear. We invited members of the Japanese Society of Pediatric Dentistry to participate in a survey regarding IE prevention; in total, 313 responses were received. Over 90% of respondents administer antibiotics for IE prevention, and nearly 80% limit prophylaxis to patients at high risk for IE. Most respondents indicated that invasive dental procedures require antibiotic prophylaxis only in patients at risk for IE. More than 80% of dentists reported using oral amoxicillin as a prophylactic antibiotic, and approximately 60% administered a 50 mg/kg dose to pediatric patients 1 h before a dental procedure. Over 70% of respondents administered antibiotic prophylaxis based on guidelines or advice from medical doctors. Our findings demonstrate that most dentists affiliated with the Japanese Society of Pediatric Dentistry understand appropriate antibiotic administration protocols for IE prevention in accordance with the JCS2017 guidelines, indicating a high level of interest in preventing dental procedure-related IE.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 129-135"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.pdj.2024.10.003
Nguyen Hoai An, Vo Truong Nhu Ngoc, Tran Hau Bau, Nguyen Hoang Anh, Dang Trieu Hung
Oral and maxillofacial trauma frequently results in both hard and soft tissue injuries. This case report presents a 3-year-old patient who developed a lower-lip abscess due to foreign bodies two months post-trauma. Clinical examination revealed swollen masses in the skin and mucosa of the lower lip. After diagnosing the abscess, the foreign body was removed, leading to full recovery. This case emphasizes the importance of thorough clinical examination, detailed medical history, appropriate paraclinical testing, and the use of ultrasound as a superior diagnostic tool, given its safety, non-invasiveness, and diagnostic efficacy, especially when X-rays are inconclusive.
{"title":"Lower lip abscess by foreign body embedded after facial trauma and application of ultrasound in diagnosis: A case report","authors":"Nguyen Hoai An, Vo Truong Nhu Ngoc, Tran Hau Bau, Nguyen Hoang Anh, Dang Trieu Hung","doi":"10.1016/j.pdj.2024.10.003","DOIUrl":"10.1016/j.pdj.2024.10.003","url":null,"abstract":"<div><div>Oral and maxillofacial trauma frequently results in both hard and soft tissue injuries. This case report presents a 3-year-old patient who developed a lower-lip abscess due to foreign bodies two months post-trauma. Clinical examination revealed swollen masses in the skin and mucosa of the lower lip. After diagnosing the abscess, the foreign body was removed, leading to full recovery. This case emphasizes the importance of thorough clinical examination, detailed medical history, appropriate paraclinical testing, and the use of ultrasound as a superior diagnostic tool, given its safety, non-invasiveness, and diagnostic efficacy, especially when X-rays are inconclusive.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 196-200"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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