Studies have demonstrated high success rates of vital pulp therapy (VPT) in young patients; however, pulp canal calcification (PCC) is one of the most concerning complications in teeth that have undergone VPT. Currently, there is limited evidence regarding PCC in VPT-treated teeth.
Objective
This paper aimed to review the incidence of PCC and its associated complications, the factors that may influence PCC, and describe the clinical management of PCC in teeth that have undergone VPT.
Results
Previous studies have reported PCC incidences of 0%–45.0%, and factors that may be associated with the incidence and magnitude of PCC include preoperative diagnosis of the tooth, stage of root development, type of VPT, pulp dressing material, and follow-up period. However, the evidence on the complications of PCC in VPT-treated teeth is insufficient, and there is debate regarding PCC management.
Conclusions
Further research in this area will aid in the development of appropriate management strategies for PCC in VPT-treated teeth.
{"title":"Pulp canal calcification in young permanent teeth that have undergone vital pulp therapy: A review","authors":"Akarapong Boontankun, Chanika Manmontri, Nattakan Chaipattanawan, Papimon Chompu-inwai","doi":"10.1016/j.pdj.2023.05.003","DOIUrl":"10.1016/j.pdj.2023.05.003","url":null,"abstract":"<div><h3>Background</h3><p>Studies have demonstrated high success rates of vital pulp therapy (VPT) in young patients; however, pulp canal calcification (PCC) is one of the most concerning complications in teeth that have undergone VPT. Currently, there is limited evidence regarding PCC in VPT-treated teeth.</p></div><div><h3>Objective</h3><p>This paper aimed to review the incidence of PCC and its associated complications, the factors that may influence PCC, and describe the clinical management of PCC in teeth that have undergone VPT.</p></div><div><h3>Results</h3><p>Previous studies have reported PCC incidences of 0%–45.0%, and factors that may be associated with the incidence and magnitude of PCC include preoperative diagnosis of the tooth, stage of root development, type of VPT, pulp dressing material, and follow-up period. However, the evidence on the complications of PCC in VPT-treated teeth is insufficient, and there is debate regarding PCC management.</p></div><div><h3>Conclusions</h3><p>Further research in this area will aid in the development of appropriate management strategies for PCC in VPT-treated teeth.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"33 3","pages":"Pages 199-210"},"PeriodicalIF":0.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48312574","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}
To evaluate the prenatal, perinatal, and postnatal risk factors associated with hypomineralised second primary molars (HSPM) in four to seven-year-old children.
Methods
This cross-sectional study comprised 300 children (100 with HSPM and 200 controls). Four-to-seven-year-old children were selected after examining for the presence of demarcated hypomineralised lesions in second primary molars using an adapted version of the European Academy of Pediatric Dentistry (EAPD) criteria 2003. Children who exhibited signs of HSPM were selected as the subjects HSPM group), and those children without HSPM were taken as controls. Only patients with documented medical records were included to evaluate the possible risk factors. Information regarding the children's maternal health during pregnancy and postnatal health was recorded using a structured proforma.
Results
Mothers suffering from systemic illnesses during pregnancy were significantly more in the HSPM group than controls (61% vs. 13.5%; p < 0.001). Presence of early childhood illnesses (80% vs. 19.0%; p < 0.001), hospital admission more than once in three months (45% vs. 4.5%; p < 0.001), and frequent intake of antibiotics (42% vs. 4.0%; p < 0.001) were significantly more in children with HSPM than the controls.
Conclusion
A significant association between maternal illnesses during pregnancy and HSPM was observed. Children with HSPM experienced more medical conditions than their unaffected counterparts, particularly during the post-natal period.
{"title":"Prenatal, perinatal and postnatal risk factors associated with hypomineralised second primary molars – A cross-sectional study","authors":"Pavithra Devi K , Ashima Goyal , Krishan Gauba , Bhavneet Bharti , Manoj Jaiswal , Arpit Gupta , Sanjeev Kumar Singh","doi":"10.1016/j.pdj.2023.06.002","DOIUrl":"10.1016/j.pdj.2023.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the prenatal, perinatal, and postnatal risk factors associated with hypomineralised second primary molars (HSPM) in four to seven-year-old children.</p></div><div><h3>Methods</h3><p><span>This cross-sectional study comprised 300 children (100 with HSPM and 200 controls). Four-to-seven-year-old children were selected after examining for the presence of demarcated hypomineralised lesions in second primary molars using an adapted version of the European Academy of Pediatric Dentistry (EAPD) criteria 2003. Children who exhibited signs of HSPM were selected as the subjects HSPM group), and those children without HSPM were taken as controls. Only patients with documented </span>medical records were included to evaluate the possible risk factors. Information regarding the children's maternal health during pregnancy and postnatal health was recorded using a structured proforma.</p></div><div><h3>Results</h3><p>Mothers suffering from systemic illnesses during pregnancy were significantly more in the HSPM group than controls (61% vs. 13.5%; p < 0.001). Presence of early childhood illnesses (80% vs. 19.0%; p < 0.001), hospital admission more than once in three months (45% vs. 4.5%; p < 0.001), and frequent intake of antibiotics (42% vs. 4.0%; p < 0.001) were significantly more in children with HSPM than the controls.</p></div><div><h3>Conclusion</h3><p>A significant association between maternal illnesses during pregnancy and HSPM was observed. Children with HSPM experienced more medical conditions than their unaffected counterparts, particularly during the post-natal period.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"33 3","pages":"Pages 159-166"},"PeriodicalIF":0.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48132507","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 : 2023-12-01DOI: 10.1016/j.pdj.2023.06.001
Özge Anil, Yasemin Ispir
Background
Escobar Syndrome is an extremely rare disease. In this syndrome, specific craniofacial findings can be found. These findings may lead to dental pathologies. In the literature, information about the dental treatment processes of these patients is very limited.
Case Presentation
We present a case of an 8-year-old boy diagnosed with Escobar Syndrome was referred to us because of toothache and multiple caries. The patient's restorative treatment processes and dental preservation methods were planned. This planning and treatment was planned in accordance with the unique characteristics of the patient's disease.
Conclusion
As a result, we believe that it is important for our colleagues to plan the treatment processes of rare diseases specific to the individual and to share this process.
{"title":"Dental treatment process of a rare disease: A case report of Escobar syndrome","authors":"Özge Anil, Yasemin Ispir","doi":"10.1016/j.pdj.2023.06.001","DOIUrl":"10.1016/j.pdj.2023.06.001","url":null,"abstract":"<div><h3>Background</h3><p><span>Escobar Syndrome is an extremely rare disease. In this syndrome, specific craniofacial findings can be found. These findings may lead to dental pathologies. In the literature, information about the </span>dental treatment processes of these patients is very limited.</p></div><div><h3>Case Presentation</h3><p>We present a case of an 8-year-old boy diagnosed with Escobar Syndrome was referred to us because of toothache<span> and multiple caries. The patient's restorative treatment processes and dental preservation methods were planned. This planning and treatment was planned in accordance with the unique characteristics of the patient's disease.</span></p></div><div><h3>Conclusion</h3><p>As a result, we believe that it is important for our colleagues to plan the treatment processes of rare diseases specific to the individual and to share this process.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"33 3","pages":"Pages 211-215"},"PeriodicalIF":0.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55222565","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 : 2023-12-01DOI: 10.1016/j.pdj.2023.09.002
Shutaro Masuda, Yuko Fujita, Tomohiro Takeshima, Mai Fujimoto
Objective
This study aimed to establish the age at which oral function development completes in males and females, and to determine if obesity contributes to underdevelopment of oral function.
Materials and Methods
The study included 241 participants, including 121 males and 120 females aged 6 to 17 years. Following anthropometry and oral examination, maximum occlusal force, lip-closing strength, maximum tongue pressure, and masticatory performance were measured in all participants. The Rohrer Index and body mass index (BMI) were calculated using height and weight measurements, and these scores were grouped into underweight/severely underweight, normal weight, and overweight/obese categories.
Results
In males, maximum occlusal force, lip-closing strength, maximum tongue pressure, and masticatory performance increased with age. In females, maximum occlusal force, maximum tongue pressure, and masticatory performance peaked during the teenage years. Masticatory performance in the overweight/obese male group was significantly lower than in the normal weight group (p < 0.05). In females, maximum occlusal force in the underweight/severely underweight group and maximum tongue pressure in the overweight/obese group were significantly lower than in the normal weight group (both, p < 0.05).
Conclusion
Growth patterns of each oral function differ considerably between males and females. Oral functions in females typically reached their peak earlier than in males, with most functions peaking during the teenage years. Overweight/obesity contribute to the underdevelopment of oral functions in both genders. Underweight may also hinder oral function development in females.
本研究旨在确定男性和女性口腔功能发育完成的年龄，并确定肥胖是否会导致口腔功能发育不全。在进行人体测量和口腔检查后，对所有参与者的最大咬合力、闭唇力、最大舌压力和咀嚼功能进行了测量。根据身高和体重测量值计算罗尔指数和体重指数（BMI），并将这些分数分为体重不足/严重不足、体重正常和超重/肥胖三个类别。女性的最大咬合力、最大舌压力和咀嚼能力在青少年时期达到顶峰。超重/肥胖男性组的咀嚼能力明显低于正常体重组（p < 0.05）。女性中，体重不足/严重体重不足组的最大咬合力和超重/肥胖组的最大舌压力明显低于正常体重组（均为 p < 0.05）。女性的口腔功能通常比男性更早达到高峰，大多数功能在青少年时期达到高峰。超重/肥胖会导致男女口腔功能发育不全。体重过轻也会阻碍女性口腔功能的发育。
{"title":"Impact of gender and physical differences on the development of oral functions in children aged 6–17 years: A cross-sectional study","authors":"Shutaro Masuda, Yuko Fujita, Tomohiro Takeshima, Mai Fujimoto","doi":"10.1016/j.pdj.2023.09.002","DOIUrl":"10.1016/j.pdj.2023.09.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to establish the age at which oral function development completes in males and females, and to determine if obesity contributes to underdevelopment of oral function.</p></div><div><h3>Materials and Methods</h3><p>The study included 241 participants, including 121 males and 120 females aged 6 to 17 years. Following anthropometry and oral examination, maximum occlusal force, lip-closing strength, maximum tongue pressure, and masticatory performance were measured in all participants. The Rohrer Index and body mass index (BMI) were calculated using height and weight measurements, and these scores were grouped into underweight/severely underweight, normal weight, and overweight/obese categories.</p></div><div><h3>Results</h3><p>In males, maximum occlusal force, lip-closing strength, maximum tongue pressure, and masticatory performance increased with age. In females, maximum occlusal force, maximum tongue pressure, and masticatory performance peaked during the teenage years. Masticatory performance in the overweight/obese male group was significantly lower than in the normal weight group (<em>p</em> < 0.05). In females, maximum occlusal force in the underweight/severely underweight group and maximum tongue pressure in the overweight/obese group were significantly lower than in the normal weight group (both, p < 0.05).</p></div><div><h3>Conclusion</h3><p>Growth patterns of each oral function differ considerably between males and females. Oral functions in females typically reached their peak earlier than in males, with most functions peaking during the teenage years. Overweight/obesity contribute to the underdevelopment of oral functions in both genders. Underweight may also hinder oral function development in females.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"33 3","pages":"Pages 182-191"},"PeriodicalIF":0.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0917239423000435/pdfft?md5=ba71ba8804f257d9bdc438079bd7a25c&pid=1-s2.0-S0917239423000435-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135605343","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}
Dens invaginatus is a dental anomaly in which the enamel and dentin are deeply enfolded in the pulp cavity.
Case presentation
A 12-year-and-8-month-old Japanese male was diagnosed with 14 permanent teeth with dens invaginatus. We covered the premolars with glass-ionomer liner, and the pain gradually resolved. Eight months later, periapical radiographs revealed that their roots had developed, confirming the survival of the pulp.
Conclusion
The patient had not received regular check-ups, and dens invaginatus was diagnosed for the first time when pain occurred. This report highlights the importance of regular dental check-ups.
病例介绍 一名 12 岁零 8 个月大的日本男性被诊断为 14 颗恒牙内陷。我们用玻璃-离子衬垫覆盖了前臼齿，疼痛逐渐缓解。八个月后，根尖周炎 X 光片显示这些牙齿的牙根已经发育，证实了牙髓的存活。本报告强调了定期牙科检查的重要性。
{"title":"Dens invaginatus of fourteen teeth in a pediatric patient","authors":"Momoko Usuda , Tatsuya Akitomo , Mariko Kametani, Satoru Kusaka, Chieko Mitsuhata, Ryota Nomura","doi":"10.1016/j.pdj.2023.10.001","DOIUrl":"10.1016/j.pdj.2023.10.001","url":null,"abstract":"<div><h3>Background</h3><p>Dens invaginatus<span> is a dental anomaly in which the enamel and dentin are deeply enfolded in the pulp cavity.</span></p></div><div><h3>Case presentation</h3><p>A 12-year-and-8-month-old Japanese male was diagnosed with 14 permanent teeth with dens invaginatus. We covered the premolars with glass-ionomer liner, and the pain gradually resolved. Eight months later, periapical radiographs revealed that their roots had developed, confirming the survival of the pulp.</p></div><div><h3>Conclusion</h3><p>The patient had not received regular check-ups, and dens invaginatus was diagnosed for the first time when pain occurred. This report highlights the importance of regular dental check-ups.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"33 3","pages":"Pages 240-245"},"PeriodicalIF":0.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135809432","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}
Down syndrome (DS) can cause irregular dental eruption patterns and hypodontia. However, data on primary tooth eruption with DS in Japan are insufficient. Therefore, this study aimed to conduct a questionnaire survey to predict dental abnormalities in DS based on tooth eruption status.
Methods
A questionnaire survey on the age, sex, number of present teeth, and dental formula of patients with DS was conducted at facilities providing dental care for the disabled in Japan, and the results were compared with those of the Survey of Dental Diseases used as for the control survey.
Results
A total of 3656 valid responses were received. This study was analyzed according to the age group of the Survey of Dental Diseases. At 1–14 years old, the mean number of primary teeth per patient was the highest at 4 years old (19.3 teeth). The largest difference from the control survey was at 1 year old, and the difference decreased with age until 4 years. At 3–5 years old, the rate of individual primary tooth eruptions was 14.2% lower for the mandibular primary lateral incisors than that in the control survey. At 15 years old or older, the percentage of people who had persistence of primary teeth was 19.2%. The second primary molars were the most common persistent primary teeth.
Conclusion
DS is characterized by delayed tooth eruption, high incidence of missing teeth, particularly the mandibular primary lateral incisors, and persistence of primary teeth. These findings indicate the importance of developmental support and oral management.
{"title":"Survey of primary tooth eruption status of down syndrome in Japan: Comparison with the Japanese National Survey of Dental Diseases","authors":"Kazutaka Noda , Shinhachi Hanaoka , Masahiro Watanabe , Kazumi Kubota , Koji Yamauchi , Kaoru Kobayashi , Hirokatsu Harasawa , Risa Ikeda , Tomoya Yamahata , Takahiro Funatsu , Masakazu Ikeda , Yoshiharu Mukai , Shouji Hironaka","doi":"10.1016/j.pdj.2023.07.001","DOIUrl":"10.1016/j.pdj.2023.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Down syndrome (DS) can cause irregular dental eruption patterns and hypodontia. However, data on primary tooth eruption with DS in Japan are insufficient. Therefore, this study aimed to conduct a questionnaire survey to predict dental abnormalities in DS based on tooth eruption status.</p></div><div><h3>Methods</h3><p>A questionnaire survey on the age, sex, number of present teeth, and dental formula of patients with DS was conducted at facilities providing dental care for the disabled in Japan, and the results were compared with those of the Survey of Dental Diseases used as for the control survey.</p></div><div><h3>Results</h3><p>A total of 3656 valid responses were received. This study was analyzed according to the age group of the Survey of Dental Diseases. At 1–14 years old, the mean number of primary teeth per patient was the highest at 4 years old (19.3 teeth). The largest difference from the control survey was at 1 year old, and the difference decreased with age until 4 years. At 3–5 years old, the rate of individual primary tooth eruptions was 14.2% lower for the mandibular primary lateral incisors than that in the control survey. At 15 years old or older, the percentage of people who had persistence of primary teeth was 19.2%. The second primary molars were the most common persistent primary teeth.</p></div><div><h3>Conclusion</h3><p>DS is characterized by delayed tooth eruption, high incidence of missing teeth, particularly the mandibular primary lateral incisors, and persistence of primary teeth. These findings indicate the importance of developmental support and oral management.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"33 3","pages":"Pages 167-174"},"PeriodicalIF":0.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S091723942300040X/pdfft?md5=6431715afb7103dd0cf04567ca54ce5c&pid=1-s2.0-S091723942300040X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55222606","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 : 2023-12-01DOI: 10.1016/j.pdj.2023.09.003
Shunsuke Kako , Masako Tabuchi , Yuki Aoki , Takuma Sato , Hiroyuki Nawa , Ken Miyazawa
Background
Trauma to primary teeth can cause dilaceration of permanent teeth.
Case presentation
A boy aged 14 years 6 months at initial presentation had a history of dental trauma at age 4 years. Radiography revealed significant dilaceration and impaction of the maxillary left central incisor, and preservation of the tooth was judged to be infeasible. The necessity of extracting the maxillary left central incisor was supported by examination using the latest digital technology.
Conclusion
Digital technology can play an important role in deciding treatment strategies for an impacted tooth with dilaceration.
{"title":"A case of dilaceration of a permanent tooth resulting from trauma to the preceding primary tooth","authors":"Shunsuke Kako , Masako Tabuchi , Yuki Aoki , Takuma Sato , Hiroyuki Nawa , Ken Miyazawa","doi":"10.1016/j.pdj.2023.09.003","DOIUrl":"10.1016/j.pdj.2023.09.003","url":null,"abstract":"<div><h3>Background</h3><p><span>Trauma to primary teeth can cause </span>dilaceration of permanent teeth.</p></div><div><h3>Case presentation</h3><p>A boy aged 14 years 6 months at initial presentation had a history of dental trauma at age 4 years. Radiography revealed significant dilaceration and impaction of the maxillary left central incisor, and preservation of the tooth was judged to be infeasible. The necessity of extracting the maxillary left central incisor was supported by examination using the latest digital technology.</p></div><div><h3>Conclusion</h3><p><span>Digital technology can play an important role in deciding treatment strategies for an </span>impacted tooth with dilaceration.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"33 3","pages":"Pages 228-239"},"PeriodicalIF":0.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135761628","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 : 2023-10-30DOI: 10.1016/j.pdj.2023.10.003
Amanda Lin , Neeta Prabhu
Background
Stevens-Johnson Syndrome (SJS) is a rare and potentially life-threatening condition causing blistering and epithelial sloughing of the skin and mucous membranes. It is most commonly caused by infective pathogens or drugs.
Case presentation
A 14-year-old male patient presented with reduced oral intake following painful oral ulcerations secondary to a diagnosis of Mycoplasma pneumoniae-induced SJS. Treatment involved intravenous fluids, antimicrobials and analgesia, alongside atraumatic conservative management of the oral mucosa.
Conclusion
While there are no evidence-based treatment guidelines for Mycoplasma pneumoniae-induced SJS, conservative care is the cornerstone of management of paediatric presentations.
{"title":"Conservative management of Mycoplasma pneumoniae-induced Stevens Johnson syndrome in a paediatric patient: A case report","authors":"Amanda Lin , Neeta Prabhu","doi":"10.1016/j.pdj.2023.10.003","DOIUrl":"10.1016/j.pdj.2023.10.003","url":null,"abstract":"<div><h3>Background</h3><p>Stevens-Johnson Syndrome (SJS) is a rare and potentially life-threatening condition causing blistering and epithelial sloughing of the skin and mucous membranes. It is most commonly caused by infective pathogens or drugs.</p></div><div><h3>Case presentation</h3><p>A 14-year-old male patient presented with reduced oral intake following painful oral ulcerations secondary to a diagnosis of <em>Mycoplasma pneumoniae</em>-induced SJS. Treatment involved intravenous fluids, antimicrobials and analgesia, alongside atraumatic conservative management of the oral mucosa.</p></div><div><h3>Conclusion</h3><p>While there are no evidence-based treatment guidelines for <em>Mycoplasma pneumoniae</em>-induced SJS, conservative care is the cornerstone of management of paediatric presentations.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 1","pages":"Pages 46-48"},"PeriodicalIF":0.8,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0917239423000472/pdfft?md5=da6b20581357a3c54216f4340302602a&pid=1-s2.0-S0917239423000472-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136127708","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 : 2023-08-01DOI: 10.1016/j.pdj.2023.05.001
Chantal Kerbage , Anthony T. Macari , Anthony Kerbage , Nada Chedid
Introduction
Comparing oral health of cancer to non-cancer children proves that cancer and its treatment can cause oral complications.
Design
Two groups of children, 50 treated for cancer, and 51 cancer-free, at two different centers, signed informed consent forms. Both the examination of teeth, oral functions and soft tissue with a questionnaire including the patients’ demographic characteristics, medical history, dietary and oral hygiene, and changes due to the oncologic treatment allowed gathering data.
Results
The two groups had no demographic nor socio-economic differences. Dietary habits were not significantly different. Daily brushing was more frequent in cancer-free (96.1%) versus sick (76%) children. Oral hygiene was poor (34%) or very poor (24%) in cancer patients and average for non-cancer subjects (68.6%). Cancer patients had more caries, without significant differences between groups. Gingiva was healthy in 96.1% of non-cancer and 76% of cancer patients (p = 0.044). In cancer patients, intra-oral soft tissue lesions were aphtous ulcers (52.9%), candidiasis (23.5%), and herpes (17.6%). Xerostomia was significantly different (p = 0.001) between cancer (32%) and non-cancer subjects (3.9%). Chemotherapy alone is an independent predictor of poor oral health (HR 17.7, 95% CI [5.2–60.9], p < 0.001).
Conclusion
Cancer patients had poor oral health compared to non-cancer children, with insufficient knowledge concerning the relationship between oral and general health. Education programs, screenings and treatment at cancer centers may help reduce risks of complications.
将癌症儿童与非癌症儿童的口腔健康状况进行比较，证明癌症及其治疗可引起口腔并发症。设计两组儿童，50名接受癌症治疗，51名未患癌症，在两个不同的中心签署知情同意书。通过对牙齿、口腔功能和软组织的检查和问卷调查，包括患者的人口统计学特征、病史、饮食和口腔卫生以及肿瘤治疗引起的变化，可以收集数据。结果两组没有人口统计学和社会经济差异。饮食习惯差异不显著。无癌儿童(96.1%)每天刷牙的频率高于患病儿童(76%)。癌症患者的口腔卫生差(34%)或非常差(24%)，非癌症受试者的平均水平(68.6%)。癌症患者有更多的龋齿，组间无显著差异。96.1%的非癌症患者牙龈健康，76%的癌症患者牙龈健康(p = 0.044)。在癌症患者中，口腔内软组织病变主要为无孔溃疡(52.9%)、念珠菌病(23.5%)和疱疹(17.6%)。癌症患者(32%)和非癌症患者(3.9%)的口干性差异有统计学意义(p = 0.001)。单独化疗是口腔健康状况不佳的独立预测因子(HR 17.7, 95% CI [5.2-60.9]， p <0.001)。结论癌症患儿口腔健康状况较非癌症患儿差，对口腔与整体健康的关系认识不足。癌症中心的教育项目、筛查和治疗可能有助于降低并发症的风险。
{"title":"Comparison of oral health characteristics in pediatric cancer and cancer free patients: A multicenter study","authors":"Chantal Kerbage , Anthony T. Macari , Anthony Kerbage , Nada Chedid","doi":"10.1016/j.pdj.2023.05.001","DOIUrl":"10.1016/j.pdj.2023.05.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Comparing oral health of cancer to non-cancer children proves that cancer and its treatment can cause oral complications.</p></div><div><h3>Design</h3><p>Two groups of children, 50 treated for cancer, and 51 cancer-free, at two different centers, signed informed consent<span> forms. Both the examination of teeth, oral functions and soft tissue with a questionnaire including the patients’ demographic characteristics, medical history, dietary and oral hygiene, and changes due to the oncologic treatment allowed gathering data.</span></p></div><div><h3>Results</h3><p>The two groups had no demographic nor socio-economic differences. Dietary habits were not significantly different. Daily brushing was more frequent in cancer-free (96.1%) versus sick (76%) children. Oral hygiene was poor (34%) or very poor (24%) in cancer patients and average for non-cancer subjects (68.6%). Cancer patients had more caries, without significant differences between groups. Gingiva<span><span> was healthy in 96.1% of non-cancer and 76% of cancer patients (p = 0.044). In cancer patients, intra-oral soft tissue lesions were aphtous ulcers (52.9%), </span>candidiasis<span> (23.5%), and herpes (17.6%). Xerostomia was significantly different (p = 0.001) between cancer (32%) and non-cancer subjects (3.9%). Chemotherapy alone is an independent predictor of poor oral health (HR 17.7, 95% CI [5.2–60.9], p < 0.001).</span></span></p></div><div><h3>Conclusion</h3><p>Cancer patients had poor oral health compared to non-cancer children, with insufficient knowledge concerning the relationship between oral and general health. Education programs, screenings and treatment at cancer centers may help reduce risks of complications.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"33 2","pages":"Pages 139-146"},"PeriodicalIF":0.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43361100","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 Salivary Multi Test® (SMT®) was used in children with severe congenital neutropenia who were admitted to the pediatrics department of our hospital.
Case presentation
SMT® was conducted on three patients with severe congenital neutropenia. Rod and segmented neutrophil counts in the peripheral blood showed fluctuations similar to those of the “leukocyte level” in SMT®.
Conclusion
SMT®, which uses saliva samples that are non-invasive and can be easily collected, may help manage systemic diseases.
{"title":"Application of the salivary multi test in children with severe congenital neutropenia: A case report","authors":"Yuko Iwamoto , Nobuyuki Tatsukawa , Yasumasa Irie , Satoru Kusaka , Chieko Mitsuhata , Ryota Nomura","doi":"10.1016/j.pdj.2023.05.002","DOIUrl":"10.1016/j.pdj.2023.05.002","url":null,"abstract":"<div><h3>Background</h3><p>A Salivary Multi Test® (SMT®) was used in children with severe congenital neutropenia<span> who were admitted to the pediatrics department of our hospital.</span></p></div><div><h3>Case presentation</h3><p>SMT® was conducted on three patients with severe congenital neutropenia. Rod and segmented neutrophil counts in the peripheral blood showed fluctuations similar to those of the “leukocyte level” in SMT®.</p></div><div><h3>Conclusion</h3><p>SMT®, which uses saliva samples that are non-invasive and can be easily collected, may help manage systemic diseases.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"33 2","pages":"Pages 152-158"},"PeriodicalIF":0.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47162953","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号