European Archives of Paediatric Dentistry最新文献

Purpose: Literature search shows that there is less evidence of the association between snack parenting styles and dental caries. This study aimed to assess the snack parenting style of mothers of children aged 7-8 years and its association with the dental caries status of their children.

Methods: This study used a sequential mixed-method approach. In the quantitative phase, the Parenting around SNAcking Questionnaire (P-SNAQ) was used to assess the snack parenting style of mothers. DMFT/deft indices were used to record the dental caries status of their children. In the qualitative phase, in-depth face-to-face interviews were conducted. Through a thematic approach, codes and themes were derived.

Results: A total of 600 mother-child pairs participated. Autonomy support was the most common type of snack parenting style (n = 283). There was no significant association between snack parenting style and children's dental caries status. Five themes were derived: (1) Scenarios of snacking; (2) Parental factors affecting snacking; (3) Snack intake influencers; (4) Unhealthy strands; (5) Healthy alternatives.

Conclusion: Snack parenting styles did not influence the dental caries status of children. Those who had snack regulations at home or school were more likely to prefer healthy snacks. Mothers expressed the need for branded healthy snacks.

Purpose: Molar-incisor hypomineralisation (MIH) impacts children's oral health and quality of life, but research on the stomatognathic system of unilateral cases, remains limited. This study evaluated the effects of unilateral MIH on the stomatognathic system in children, focusing on postural and masticatory activities and occlusal force contacts.

Methods: In this cross-sectional observational study, 28 children (mean age: 8.21 years) were divided into two groups: without MIH (CG) and with unilateral MIH (MIHG). Electromyography (EMG) evaluated the activity of masseter and temporalis muscles during various jaw postures and habitual chewing. Occlusal force contacts were measured using T-SCAN®. Comparisons were made between groups and sides. Statistical analysis employed the Shapiro-Wilk test, Wilcoxon signed-rank test, and paired t-test, with a significance level of 5%.

Results: EMG data demonstrated increased muscle hyperactivity in MIHG compared to CG at rest for the left temporalis muscle on the contralateral side (p < .001), during left laterality for the right temporalis muscle on the ipsilateral side (p = 0.04), and habitual chewing of soft food for the left temporalis muscle on the contralateral side (p = 0.02). Greater voluntary contraction was observed on the unaffected side in MIHG for the temporalis muscle at rest (p = 0.01) and the masseter muscle during right laterality (p = 0.02). No significant differences were found in occlusal force measurements between groups or sides.

Conclusions: This study indicates that unilateral MIH is associated with increased muscle hyperactivity in the contralateral temporalis and masseter muscles, without significant differences in occlusal force.

Aim: The aim was to investigate the salivary amino acid profile in children with protein-energy undernutrition (PEU) and its association with caries experience in the presence of other risk factors.

Methods: The study had a cross-sectional design and was carried out with 122 children (12-71 months old), classified according to their level of undernutrition (mild-GI, n = 22; moderate-GII, n = 53) or healthy controls (GC, n = 47). The children were categorized based on the presence of caries into caries-experienced groups (ceos > 0, 22 CG, 12 GI and 18 GII) and caries-free groups (ceos = 0, 25 CG, 10 GI and 36 GII). Total unstimulated and stimulated saliva were collected to determine amino acids and Streptococcus mutans, respectively.

Results: Eighteen amino acids were associated with PEU. Undernutrition and caries experience influenced the presence of the following amino acids: L-anserine, asparagine, ethanolamine, gamma-aminobutyric acid, and norleucine. Asparagine was a significant predictor of a lower probability of caries experience in a logistic regression model.

Conclusions: Salivary amino acids are associated with undernutrition in children, and the presence of asparagine in saliva relates to a lower caries risk.

Purpose: To qualitatively analyse English-language Facebook comments pertaining to amber necklaces, aiming to explore user experiences, perceptions, and beliefs.

Methods: A sample of 1000 comments, totalling 2309 sentences, was collected via CrowdTangle. Sociodemographic details and the time elapsed since comment were also recorded. Using QDAMiner software, a single investigator manually performed deductive content analysis, categorising each sentence based on a predefined list from the "Seeking Health-Related Information Online" model. WordStat software was employed to assess word clouds and cluster analyses.

Results: The majority of comments originated from white users (88.5%), females (92%), and residents of the United Kingdom (35.8%). Key terms included "teething," "amber," "baby," and "love," with "teething" central in four identified clusters on the main map. Predominantly, sentences were categorised as "information is useful or potentially useful" (25.29%) and "positive experiences from using the amber necklace" (17.11%). Over time, there was an increase in comments categorised as "receiver's doubts related to information" and "acquisition or intention to acquire the necklace." Conversely, comments related to safety concerns, fear of accidents, dentist contraindication, and information quality decreased.

Conclusion: Facebook users actively engage with amber necklace content, frequently sharing positive experiences and recommending its use to other parents. Notably, concerns about associated risks appeared to diminish over time.

Purpose: Optical properties of recent aesthetic restorative materials must maintain an acceptable appearance throughout their functional lifetime. This study aimed to assess the changes in translucency and colour of recent resin-based restorative materials after exposure to beverages commonly consumed by children.

Methods: An experimental in-vitro study on 48 discs specimens prepared from; Group I: Filtek Z250 XT (Nanohybrid), Group II: Cention N (Alkasite bulkfill), and Group III: SDR flow Plus (Flowable bulkfill). The prepared disc specimens were randomly assigned into 4 subgroups (n = 12) according to the immersion solution: Subgroup A (control): distilled water, B: Coca-Cola, C: chocolate milk, and D: Orange juice. Translucency and colour measurements were done before immersion (baseline) and on day 30 of exposure. Statistical analysis involved Two Way Repeated Measures ANOVA and Kruskal-Wallis test.

Results: The statistical analysis revealed that the restorative material, immersion time, and immersion solution had a significant effect on the change in translucency (p < 0.0001*, p < 0.0001*, p = 0.001*, respectively). Regarding colour changes, different immersion solutions had a statistically significant effect on Filtek Z250 XT and Cention N (p < 0.0001*). Distilled water and Coca-Cola were found to have a significant effect on colour change for all restorative materials investigated (p < 0.0001*, p = 0.003*).

Conclusion: the optical properties of resin-based restorative materials used in paediatric dentistry were notably affected by prolonged exposure to beverages commonly consumed by children.

Aim: To determine the frequency and characteristics of Dense Bone Islands (DBIs) in a paediatric population residing in Chandigarh, India.

Methodology: A total of 3614 orthopantomographs (OPG) of children between the age group of 6-18 years were collected from the database of patients who underwent panoramic radiography for routine dental treatment during the period of 2018-2020. The shape, location of the lesion, and relationship of the Dense Bone Island with the tooth were identified. Data analysis was performed using IBM SPSS Statistics for Windows, Version 25.0. Categorical variables were compared using the Chi-square test with Yate's correction. p < 0.05 was considered statistically significant.

Results: DBIs were identified in 165 OPGs resulting in a prevalence of 4.56% out of which 92.1% were in the mandible and only 7.9% in the maxilla (p < 0.001). Most were of those aged between 13 and 18 years. More than half of the lesions had apical (32%) relationship with the tooth and only 14% were identified separately. Most of the DBIs were round or oval shaped (75.8%) and the rest were irregularly shaped (p < 0.001).

Conclusion: The prevalence of DBIs was lower in the younger children and diagnosis is often incidental during routine radiological examination. They do not seem to elicit any signs with clinical significance, but regular follow up is necessary to differentiate these from other benign or malignant osteoblastic entities.

Aims: To evaluate and compare the efficacy of manual toothbrush, audio-tactile performance (ATP) method, and musical toothbrush on plaque control and oral hygiene maintenance in visually impaired children.

Methods and results: The current observational study included 60 visually impaired children aged 9-16 years who were randomly divided into 3 groups, each with 20 children receiving oral hygiene instructions in different modes: Group 1 (Control) manual toothbrush, Group 2 (ATP) audio-tactile performance method with a manual toothbrush, and Group 3 musical toothbrush. Both manual (groups 1 and 2) and musical toothbrushes (Group 3) were changed after 3 months for better efficiency. Oral hygiene index simplified (OHI-S) and Rustogi Modified Navy Plaque Index (RMNPI) plaque scores were recorded at baseline, at the end of 1, 3, and 6 months. The collected data were statistically analysed using SPSS version 21. The intra- and inter-group comparisons were analysed using one-way ANOVA, and the multiple group comparisons were analysed using the Tukey HSD test. In intragroup comparisons from baseline to 6 months, both OHI-S and RMNPI plaque scores were reduced for group 3, only OHI-S plaque scores were reduced for group 2. Intergroup comparisons revealed a statistically high significant difference in OHI-S plaque scores from baseline to 6 months and RMNPI plaque scores from 1 to 6 months.

Conclusion: The motivation and education with musical toothbrushes and audio-tactile performance (ATP) method could aid in the improvement of oral hygiene maintenance of visually impaired children.