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What do Brazilian paediatric dentists know about bruxism in children? Cross-sectional study. 巴西儿童牙医对儿童磨牙症了解多少?横断面研究。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-01 Epub Date: 2024-08-16 DOI: 10.1007/s40368-024-00929-z
A K M de Sena, M de Sá Nass, I O Castro, P Corrêa-Faria

Purpose: Little is known about the knowledge of paediatric dentists on bruxism in children. The aim of this cross-sectional study was to assess the knowledge of paediatric dentists on the concept, associated factors of bruxism and management of sleep bruxism (SB) in children'.

Methods: An electronic questionnaire was sent to paediatric dentists in the state of Goiás, Brazil. Information was collected on (1) characteristics of the participants; (2) the concept of bruxism; (3) diagnosis; (4) associated factors; (5) strategies for the management of SB; and (6) updated knowledge on bruxism in children. The data were analysed descriptively.

Results: Fifty-seven paediatric dentists participated (10.7% of the total number of professionals). A high level of agreement was found with statements on the concepts of SB (94.7%) and awake bruxism (96.5%). The main strategy for the diagnosis was the combination of a parental report and a clinical examination (79.0%). Most participants indicated that bruxism is associated with anxiety/stress (96.5%), screen use (93%), airway obstruction (91.2%), and sleep apnoea (91.2%). In suspected cases of bruxism, the dentists would send the child for assessment by other health care providers (87.7%). The management options frequently indicated were the use of an occlusal splint, aromatherapy, and homeopathy. More than 70% of them considered themselves to be updated on the issue and sought information through scientific articles and discussions with colleagues.

Conclusion: Paediatric dentists have knowledge on the concept of bruxism and associated factors. However, further information is needed on the management of this condition in children.

目的:人们对儿童牙科医生关于儿童磨牙症的知识知之甚少。这项横断面研究旨在评估儿科牙医对磨牙症的概念、相关因素以及儿童睡眠磨牙症(SB)治疗方法的了解程度:向巴西戈亚斯州的儿科牙医发送了一份电子问卷。收集的信息包括:(1) 参与者的特征;(2) 磨牙症的概念;(3) 诊断;(4) 相关因素;(5) 处理 SB 的策略;(6) 有关儿童磨牙症的最新知识。对数据进行了描述性分析:57名儿童牙医参加了此次调查(占专业人员总数的10.7%)。他们对 SB(94.7%)和清醒磨牙症(96.5%)概念的表述高度一致。诊断的主要策略是结合家长报告和临床检查(79.0%)。大多数参与者表示,磨牙症与焦虑/压力(96.5%)、屏幕使用(93%)、气道阻塞(91.2%)和睡眠呼吸暂停(91.2%)有关。在怀疑有磨牙症的情况下,牙医会让儿童接受其他医护人员的评估(87.7%)。常用的治疗方法包括使用咬合夹板、芳香疗法和顺势疗法。超过 70% 的牙医认为自己了解这方面的最新情况,并通过科学文章和与同事的讨论来获取信息:结论:儿童牙医对磨牙症的概念和相关因素有所了解。结论:儿童牙医对磨牙症的概念和相关因素有所了解,但还需要进一步了解儿童磨牙症的治疗方法。
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引用次数: 0
Assessment of overall caries risk and mode of birth delivery in infants and children with and without ECC: a cross-sectional study. 一项横断面研究:评估患有和未患有婴幼儿龋齿的婴幼儿的总体龋齿风险和分娩方式。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-27 DOI: 10.1007/s40368-024-00946-y
G Felsypremila, K C Vignesh, M S Muthu, C D Mohanapriya, Charmine Pricilla, T Gayathri

Purpose:  The study assessed the caries risk in infants and children with and without early childhood caries (ECC) using American Academy of Pediatric Dentistry Caries Risk Assessment Tool (AAPD CRAT) and identified the association between caries risk and mode of birth delivery.

Methods:  This cross-sectional study included 96 infants and children with all maxillary and mandibular primary anterior teeth and at least two primary molars erupted clinically in the oral cavity. The details on the mode of birth delivery were noted in a preformed template along with the demographic details, followed by caries risk assessment (CRA) to assess the caries risk of an individual. The outcome assessment for overall caries risk was performed for the ECC and non-ECC group and compared against the mode of birth delivery. Descriptive statistics were performed for all the study variables (gender, overall caries risk, mode of birth delivery, and term of delivery). The Chi-square test was used to compare the categorical variables between the two groups (ECC and non-ECC groups).

Results:  The high caries risk category contributed to 52.1% and 68.8% in the ECC and non-ECC groups, respectively. The prevalence of vaginal mode of delivery was 41.7% and 52.1% in the ECC and non-ECC groups, respectively. Caries risk increases with increasing age and the non-ECC group shows more risk (68.8%) than the ECC group. In comparison with the variables against the groups (ECC and non-ECC), Chi-square test revealed that only the term of delivery (p value = 0.035) and overall caries risk (p = 0.045) showed statistically significant difference.

Conclusion:  The proportion of high caries risk subjects was significantly more in the non-ECC groups. Children delivered by the C-section mode showed high caries risk (66.7%) when compared with the vaginal mode of delivery (53.3%). A validated CRAT for predicting caries risk is required.

目的:该研究使用美国儿科牙科学会龋病风险评估工具(AAPD CRAT)评估了患有和未患有儿童早期龋病(ECC)的婴幼儿的龋病风险,并确定了龋病风险与分娩方式之间的关联: 这项横断面研究包括96名婴幼儿,他们的上颌和下颌初级前牙全部萌出,口腔中至少有两颗初级磨牙临床萌出。研究人员在预先制作的模板中记录了分娩方式的详细信息以及人口统计学详细信息,随后进行了龋病风险评估(CRA),以评估个体的龋病风险。对ECC组和非ECC组的总体龋齿风险进行结果评估,并与分娩方式进行比较。对所有研究变量(性别、总体龋齿风险、分娩方式和产期)进行了描述性统计。对两组(ECC 组和非 ECC 组)之间的分类变量进行了卡方检验: 结果:龋齿高风险组在 ECC 组和非 ECC 组中分别占 52.1%和 68.8%。ECC组和非ECC组的阴道分娩率分别为41.7%和52.1%。龋齿风险随着年龄的增长而增加,非幼儿保育组的龋齿风险(68.8%)高于幼儿保育组。在对各组(ECC 组和非 ECC 组)的变量进行比较时,卡方检验(Chi-square test)显示,只有分娩时间(p 值 = 0.035)和总体龋齿风险(p = 0.045)显示出统计学上的显著差异: 结论:龋齿风险高的受试者比例在非ECC组中明显更高。结论:与阴道分娩方式(53.3%)相比,剖腹产方式分娩的儿童龋齿风险较高(66.7%)。需要一种经过验证的 CRAT 来预测龋齿风险。
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引用次数: 0
Perceptions, attitudes, and clinical experiences of Brazilian dental practitioners towards molar incisor hypomineralisation: a cross-sectional study. 巴西牙科医生对臼齿切牙低矿化的看法、态度和临床经验:一项横断面研究。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-12 DOI: 10.1007/s40368-024-00945-z
Thamirys da Costa Rosa, Larissa Ribeiro Spinelli, Fernanda Mafei Felix da Silva, Marcelo de Castro Costa, Aline de Almeida Neves

Purpose: To evaluate perceptions, attitudes, and clinical experience of Brazilian dental practitioners regarding molar incisor hypomineralisation (MIH).

Methods: An online survey with 27 questions, covering professional profile data, perceptions, and knowledge on clinical management of MIH, was employed. Descriptive analyses, chi-square, Fisher's exact, and Cramer's V tests were used.

Results: Sample comprised 100 participants, equally distributed between those working in private or public sectors. Most private sector practitioners had 21-30 years of clinical experience (28%) and master's degree (50%), while most public sector practitioners had 11-20 years of clinical experience (32%) and a PhD degree (32%). Most participants (86%) recognized MIH in their practice. Statistically significant differences were observed in frequency (p = 0.001), incidence (p = 0.039), and lesion type (p = 0.043) between practitioners from both sectors. Uncertainly in management was reported by 49%, mainly in public sector. For mild MIH in incisors, no treatment was chosen (43%), and the treatment longevity was the only significant factor reported (p = 0.012). In cases of mild MIH in first permanent molars (FPMs), 51% of respondents opted to keep the affected tissue and apply fissure sealant. Glass ionomer (GI) restoration was commonly indicated for FPMs with severe MIH with moderate loss of structure and sensitivity (38%). In cases with substantial structural loss and pulpal involvement, the most chosen treatment was endodontic intervention combined with preformed crowns.

Conclusion: Brazilian dental practitioners face MIH in clinical practice. Although, public sector professionals are less confident in diagnosis and treatment, no significant differences in treatment preferences between public and private sector dental practitioners were identified.

目的:评估巴西牙科医生对磨牙切牙低矿化(MIH)的看法、态度和临床经验:方法: 采用在线调查的方式,共设置了 27 个问题,涵盖专业概况数据、对 MIH 的看法和临床管理知识。采用描述性分析、卡方检验、费雪精确检验和克拉默V检验:样本由 100 名参与者组成,其中私营和公共部门从业人员各占一半。大多数私营机构从业人员拥有 21-30 年的临床经验(28%)和硕士学位(50%),而大多数公共部门从业人员拥有 11-20 年的临床经验(32%)和博士学位(32%)。大多数参与者(86%)在实践中承认 MIH。两个行业的从业人员在发病频率(p = 0.001)、发病率(p = 0.039)和病变类型(p = 0.043)方面均存在明显的统计学差异。49%的医生表示对治疗方法不确定,主要集中在公共部门。对于门牙轻度MIH,43%的患者没有选择任何治疗方法,而治疗时间的长短是唯一的重要因素(p = 0.012)。对于第一恒磨牙(FPM)的轻度MIH,51%的受访者选择保留受影响的组织并使用窝沟封闭剂。玻璃离聚体(GI)修复通常适用于结构和敏感性中度丧失的重度MIH第一恒磨牙(38%)。在结构严重受损和牙髓受累的病例中,选择最多的治疗方法是牙髓治疗结合预成冠:结论:巴西的牙科医生在临床实践中面临着MIH问题。结论:巴西牙科医生在临床实践中面临着MIH的问题,虽然公共部门的专业人员对诊断和治疗的信心不足,但在治疗偏好方面,公共部门和私营部门的牙科医生没有发现明显的差异。
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引用次数: 0
Artificial intelligence progress in the diagnosis of oral mucosal lesions: implications for pediatric dental health. 人工智能在诊断口腔黏膜病变方面的进展:对儿童牙科健康的影响。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-10 DOI: 10.1007/s40368-024-00944-0
E Veseli
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引用次数: 0
Comparing the technical quality and clinical outcomes of root canal treatment on immature permanent incisors in children: a retrospective evaluation of three bioceramic plug materials. 比较儿童未成熟恒切牙根管治疗的技术质量和临床效果:对三种生物陶瓷堵塞材料的回顾性评估。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-10 DOI: 10.1007/s40368-024-00941-3
Christopher C Donnell, Pathanjali Kandiah

Purpose: To assess the technical quality and clinical outcomes of non-surgical endodontic treatment of immature permanent incisor teeth with three different bioceramic plug materials and highlight variables which may influence treatment and quality outcomes.

Methods: This cross-sectional analysis forms part of a retrospective service evaluation of the technical quality and clinical outcome of orthograde root canal treatment carried out in the Paediatric Dentistry Department of Charles Clifford Dental Hospital (United Kingdom). Twenty-five cases were identified chronologically, using the electronic patient record system, for three bioceramic plug materials: Mineral Trioxide Aggregate (MTA), Biodentine, and TotalFill Putty. All radiographs were analysed using standard conditions. Intra- and inter-examiner agreement was calculated using Kappa and weighted Kappa tests. Data were collected using a data collection tool, entered into Microsoft Excel, and analysed using descriptive statistics, exploratory analysis with Chi-squared tests, and multivariable analyses (logistic regression).

Results: At 12-month review, the success rate for each apexification material was MTA (84%), Biodentine (88%), and TotalFill Putty (92%). MTA had the highest frequency of post-operative coronal discolouration, with Biodentine most associated with apical extrusion. A number of variables and trends that affect the clinical outcome were identified, including the presence of pre-operative resorption, the number of operators involved in treatment, the number of appointments to complete treatment, as well as how non-use of local anaesthetic during apical plug placement had no adverse effect on technical quality or clinical outcome.

Conclusions: MTA, Biodentine, and TotalFill Putty are highly effective apexification materials which produce excellent clinical outcomes. As such, logistical and situational factors, such as continuity of care from operators with increased levels of experience, skill and ability, rather than material choice, may be more prognostic regarding the technical quality and clinical outcome of immature endodontic treatment. Further high-quality evidence is required.

目的:评估使用三种不同的生物陶瓷塞材料对未成熟恒切牙进行非手术根管治疗的技术质量和临床结果,并强调可能影响治疗和质量结果的变量:本横断面分析是英国查尔斯-克利福德牙科医院儿童牙科对正交根管治疗的技术质量和临床结果进行的回顾性服务评估的一部分。利用电子病历系统,按时间顺序确定了 25 个病例的三种生物陶瓷塞材料:三种生物陶瓷塞材料分别是:三氧化矿物质骨料 (MTA)、Biodentine 和 TotalFill 粘合剂。所有射线照片均采用标准条件进行分析。使用 Kappa 和加权 Kappa 检验计算检查者内部和检查者之间的一致性。使用数据收集工具收集数据,输入 Microsoft Excel,并使用描述性统计、基于卡方检验的探索性分析和多变量分析(逻辑回归)进行分析:在12个月的复查中,每种顶点强化材料的成功率分别为MTA(84%)、Biodentine(88%)和TotalFill Putty(92%)。MTA 术后冠状变色的频率最高,而 Biodentine 与牙根尖挤出的关系最大。研究发现了一些影响临床结果的变量和趋势,包括术前是否存在吸收、参与治疗的操作者人数、完成治疗的预约次数,以及在根尖塞置入过程中不使用局麻药对技术质量或临床结果有何不利影响:结论:MTA、Biodentine 和 TotalFill Putty 是非常有效的根尖化材料,能产生极佳的临床效果。因此,在未成熟牙髓治疗的技术质量和临床结果方面,后勤和环境因素,如经验、技术和能力水平提高的操作者的连续性治疗,而不是材料的选择,可能更具有预后意义。我们需要更多高质量的证据。
{"title":"Comparing the technical quality and clinical outcomes of root canal treatment on immature permanent incisors in children: a retrospective evaluation of three bioceramic plug materials.","authors":"Christopher C Donnell, Pathanjali Kandiah","doi":"10.1007/s40368-024-00941-3","DOIUrl":"https://doi.org/10.1007/s40368-024-00941-3","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the technical quality and clinical outcomes of non-surgical endodontic treatment of immature permanent incisor teeth with three different bioceramic plug materials and highlight variables which may influence treatment and quality outcomes.</p><p><strong>Methods: </strong>This cross-sectional analysis forms part of a retrospective service evaluation of the technical quality and clinical outcome of orthograde root canal treatment carried out in the Paediatric Dentistry Department of Charles Clifford Dental Hospital (United Kingdom). Twenty-five cases were identified chronologically, using the electronic patient record system, for three bioceramic plug materials: Mineral Trioxide Aggregate (MTA), Biodentine, and TotalFill Putty. All radiographs were analysed using standard conditions. Intra- and inter-examiner agreement was calculated using Kappa and weighted Kappa tests. Data were collected using a data collection tool, entered into Microsoft Excel, and analysed using descriptive statistics, exploratory analysis with Chi-squared tests, and multivariable analyses (logistic regression).</p><p><strong>Results: </strong>At 12-month review, the success rate for each apexification material was MTA (84%), Biodentine (88%), and TotalFill Putty (92%). MTA had the highest frequency of post-operative coronal discolouration, with Biodentine most associated with apical extrusion. A number of variables and trends that affect the clinical outcome were identified, including the presence of pre-operative resorption, the number of operators involved in treatment, the number of appointments to complete treatment, as well as how non-use of local anaesthetic during apical plug placement had no adverse effect on technical quality or clinical outcome.</p><p><strong>Conclusions: </strong>MTA, Biodentine, and TotalFill Putty are highly effective apexification materials which produce excellent clinical outcomes. As such, logistical and situational factors, such as continuity of care from operators with increased levels of experience, skill and ability, rather than material choice, may be more prognostic regarding the technical quality and clinical outcome of immature endodontic treatment. Further high-quality evidence is required.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298646","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}
引用次数: 0
Comparative evaluation of cranberry extract and sodium fluoride as mouth rinses on S. mutans counts in children: a double-blind randomized controlled trial. 蔓越莓萃取物和氟化钠漱口水对儿童口腔中变异杆菌数量的比较评估:双盲随机对照试验。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-03 DOI: 10.1007/s40368-024-00939-x
K Bansal, A Shamoo, S Mohapatra, M Kalaivani, P Batra, V P Mathur, A Srivastava, R Chaudhry

Background: Recently, research in the field of caries prevention is emphasizing upon identification of edible non-toxic compounds that can interfere with the formation of cariogenic biofilm.

Aim: This trial aimed to assess the effectiveness of non-dialyzable material (NDM) containing cranberry mouth rinse (C-MR) on the Streptococcus mutans (S. mutans) counts and compare with that of a sodium fluoride (F-MR) mouth rinse.

Methods: 280 children (8-12 years old) were enrolled in this double-blind single center, parallel, one-month, IRB/IEC approved non-inferiority trial. The participants fulfilling the inclusion criteria were randomly allocated into one of the two groups: C-MR and F-MR. All participants were given verbal and written instructions about at-home mouth-rinsing regimen under parental supervision for a month. Dental plaque samples were collected before and after a month of mouth-rinsing and subjected to culture techniques. S. mutans counts were assessed and compared in both groups. Primary outcome was the difference in the S. mutans counts between two interventions. Both intention-to-treat (ITT) and per-protocol analysis were carried out using two-sample t test with equal variance.

Results: The mean S. mutans counts (after log transformation) in C-MR group were: 14.66 (90% CI 14.4,14.9) at baseline and 12.85 (90% CI 12.5, 13.2) colony-forming units/ml (CFU/ml) at one-month post intervention (p = 0.001); while these counts were 14.69 (90% CI 14.5, 14.9) at baseline and 12.71 (90% CI 12.3, 13.1) at one-month intervention in F-MR groups (p = 0.001). ITT analysis showed an inter- group difference of 0.14 CFU/ml (90% CI - 0.32,0.59) in post-SM counts between groups (p = 0.629).

Conclusion: The study demonstrated that the cranberry mouth rinse was non-inferior to the fluoride mouth rinse in terms of S. mutans levels change. Cranberry-based mouth rinse can be used effectively to reduce the S. mutans counts in children.

Trial registration: Registration number in case of Clinical Trials-CTRI/2019/05/019395.

背景:目的:本试验旨在评估含有蔓越莓的非二硝基材料(NDM)漱口水(C-MR)对变异链球菌(S. mutans)计数的有效性,并与氟化钠漱口水(F-MR)进行比较。方法:280 名儿童(8-12 岁)参加了这项经 IRB/IEC 批准的双盲、单中心、平行、为期一个月的非劣效性试验。符合纳入标准的参与者被随机分配到两组中的一组:C-MR组和F-MR组。所有参与者都在家长的监督下接受了为期一个月的有关居家漱口方法的口头和书面指导。在漱口一个月前后收集牙菌斑样本并进行培养。评估并比较两组的变异杆菌数量。主要结果是两种干预措施之间变异杆菌数量的差异。采用等方差双样本 t 检验法进行意向治疗(ITT)和按协议分析:结果:C-MR 组的平均 S. mutans 计数(对数变换后)为 14.66(90% CI):基线时为 14.66(90% CI 14.4,14.9),干预后一个月时为 12.85(90% CI 12.5,13.2)个菌落形成单位/毫升(CFU/ml)(P = 0.001);而 F-MR 组的基线时和干预后一个月时的平均菌落形成单位/毫升数分别为 14.69(90% CI 14.5,14.9)和 12.71(90% CI 12.3,13.1)(P = 0.001)。ITT 分析表明,各组间的后SM计数差异为 0.14 CFU/ml (90% CI - 0.32,0.59)(p = 0.629):研究结果表明,就变异单胞菌水平的变化而言,蔓越莓漱口水并不比氟化物漱口水差。蔓越莓漱口水可有效降低儿童的变异杆菌数量:临床试验注册号:CTRI/2019/05/019395。
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引用次数: 0
A comparison of conventional sodium fluoride varnish and nano-sodium fluoride varnish regarding enamel microhardness of deciduous teeth: an in-vitro study. 传统氟化钠清漆与纳米氟化钠清漆在乳牙釉质微硬度方面的比较:体外研究。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-31 DOI: 10.1007/s40368-024-00942-2
F Jahanimoghadam, E F Gisour, M Ranjbar, P Amdjadi, T Dehesh, M Tabatabaei Rad

Introduction: Dental caries is the most common chronic disease worldwide, and various forms of fluoride are considered useful preventive tools. The production of nanoscale materials can significantly improve their mechanical and chemical properties. The present study compared the microhardness of primary tooth enamel after applying sodium fluoride varnish (conventional) and nano-sodium fluoride varnish.

Materials and methods: Sixty-eight sound canine teeth were selected in this experimental study. The teeth were mounted so that the buccal surface was exposed. A 3 × 3 mm square was obtained on the buccal surface of the crown of each tooth. Enamel surfaces were polished using sandpaper in the presence of water as a coolant. The samples were randomly divided into four groups (n = 17): G1, conventional 5% NaF; G2, 1% nano-NaF; G3, 5% nano-NaF; G4, control. The initial microhardness was measured. Before surface treatment with different fluoride compounds, the samples were placed in a demineralizing solution for two days, and the microhardness of all the samples was re-measured. Then G1, G2, and G3 were treated with the fluoride type specified for each group, and G4 was treated as a control (without treatment). Finally, pH cycling was applied, and the microhardness was measured again. Data were analyzed with SPSS 20, using Repeated measure ANOVA and post-hoc Tukey tests. P < 0.05 was considered significant.

Results: Repeated measure ANOVA showed that microharness of G1, G2, G3, and G4 was statistically significant different. Tukey tests showed that the microhardness of G1, G2, and G3 were not significantly different. However, these three groups exhibited significantly more microhardness than the control group (P = 0.024, P = 0.027, and P = 0.010).

Conclusion: There was no significant differences in enamel microhardness of deciduous teeth between conventional 5% NaF,1% nano-NaF and 5% nano-NaF.

导言:龋齿是全球最常见的慢性疾病,各种形式的氟化物被认为是有用的预防工具。纳米级材料的生产可显著改善其机械和化学特性。本研究比较了涂抹氟化钠清漆(传统)和纳米氟化钠清漆后基牙釉质的微硬度:本实验研究选取了 68 颗健全的犬齿。将牙齿安装好,露出颊面。在每颗牙齿牙冠的颊面获得一个 3 × 3 毫米的正方形。在有水作为冷却剂的情况下,用砂纸打磨牙釉质表面。样本随机分为四组(n = 17):G1,常规 5% NaF;G2,1% 纳米 NaF;G3,5% 纳米 NaF;G4,对照组。测量初始显微硬度。在使用不同氟化物进行表面处理之前,将样品放入脱矿物质溶液中两天,然后重新测量所有样品的显微硬度。然后用各组指定的氟化物类型处理 G1、G2 和 G3,将 G4 作为对照组(未处理)。最后,进行 pH 循环,再次测量显微硬度。数据用 SPSS 20 进行分析,采用重复测量方差分析和事后 Tukey 检验。P 结果:重复测量方差分析表明,G1、G2、G3 和 G4 的显微硬度在统计学上有显著差异。Tukey 检验表明,G1、G2 和 G3 的显微硬度差异不大。然而,这三个组的显微硬度明显高于对照组(P = 0.024、P = 0.027 和 P = 0.010):结论:传统的 5%NaF、1% 纳米 NaF 和 5%纳米 NaF 在乳牙釉质显微硬度方面没有明显差异。
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引用次数: 0
Stress levels amongst Turkish dental students, general dentists and paediatric dentists during performing paediatric dentistry: a questionnaire-based cross-sectional study. 土耳其牙科学生、普通牙医和儿童牙医在进行儿童牙科治疗时的压力水平:一项基于问卷的横断面研究。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-30 DOI: 10.1007/s40368-024-00940-4
T Tokgöz Kaplan

Purpose: This study aimed to evaluate stress levels and stressors amongst dental students, general dentists and paediatric dentists treating paediatric patients.

Methods: This study was conducted on 664 dentistry students, general dentists and paediatric dentists in Turkey. Data were collected through an online questionnaire consisting of demographic characteristics and the Pedodontic Practice Stress Scale (PPSS). Stressors when treating paediatric patients were compared between the groups. The scores obtained from the questionnaire were analysed. Compliance with normal distribution was analysed according to Kurtosis-Skewness values. One-way analysis was used to compare the scale scores (p < 0.050).

Results: Of the participants, 74.54% were female and 25.46% were male. The females showed a significantly higher level of stress, compared to the males (p = 0.001).When compared according to the level of education, the mean total stress scores did not differ (p = 0.211), but the mean complication score was found to be statistically significantly higher in paediatric dentists (p = 0.001). In addition, the lowest mean stress score was found in dental students. Statistically significant differences were found in all sections of the PPSS scale in terms of the ability to manage a paediatric patient as an adult patient and the importance of knowing child psychology theories.

Conclusion: Factors, such as the educational status, the number of patients treated, the behaviour of the patient's relatives and the potential to communicate with them, cause variable stress in dental students and general and specialist dentists working with children.

目的:本研究旨在评估牙科学生、普通牙医和儿科牙医在治疗儿科患者时的压力水平和压力源:这项研究的对象是土耳其的 664 名牙科学生、普通牙医和儿童牙医。数据是通过在线问卷收集的,其中包括人口统计学特征和儿童牙科实践压力量表(PPSS)。对各组在治疗儿科患者时的压力因素进行了比较。对从问卷中获得的分数进行了分析。根据 Kurtosis-Skewness 值分析是否符合正态分布。采用单因子分析来比较量表得分(P 结果:74.54%的受试者认为自己的压力大于正常值,而74.54%的受试者认为自己的压力大于正常值:74.54%的参与者为女性,25.46%为男性。与男性相比,女性的压力水平明显更高(p = 0.001)。根据受教育程度进行比较,压力总分的平均值没有差异(p = 0.211),但发现儿童牙医的并发症平均值在统计学上明显更高(p = 0.001)。此外,牙科学生的平均压力得分最低。在 PPSS 量表的所有部分中,将儿科患者作为成人患者管理的能力以及了解儿童心理学理论的重要性方面均存在统计学意义上的明显差异:结论:教育状况、治疗的病人数量、病人亲属的行为以及与他们沟通的可能性等因素会给牙科学生、从事儿童工作的普通牙医和专科牙医造成不同程度的压力。
{"title":"Stress levels amongst Turkish dental students, general dentists and paediatric dentists during performing paediatric dentistry: a questionnaire-based cross-sectional study.","authors":"T Tokgöz Kaplan","doi":"10.1007/s40368-024-00940-4","DOIUrl":"https://doi.org/10.1007/s40368-024-00940-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate stress levels and stressors amongst dental students, general dentists and paediatric dentists treating paediatric patients.</p><p><strong>Methods: </strong>This study was conducted on 664 dentistry students, general dentists and paediatric dentists in Turkey. Data were collected through an online questionnaire consisting of demographic characteristics and the Pedodontic Practice Stress Scale (PPSS). Stressors when treating paediatric patients were compared between the groups. The scores obtained from the questionnaire were analysed. Compliance with normal distribution was analysed according to Kurtosis-Skewness values. One-way analysis was used to compare the scale scores (p < 0.050).</p><p><strong>Results: </strong>Of the participants, 74.54% were female and 25.46% were male. The females showed a significantly higher level of stress, compared to the males (p = 0.001).When compared according to the level of education, the mean total stress scores did not differ (p = 0.211), but the mean complication score was found to be statistically significantly higher in paediatric dentists (p = 0.001). In addition, the lowest mean stress score was found in dental students. Statistically significant differences were found in all sections of the PPSS scale in terms of the ability to manage a paediatric patient as an adult patient and the importance of knowing child psychology theories.</p><p><strong>Conclusion: </strong>Factors, such as the educational status, the number of patients treated, the behaviour of the patient's relatives and the potential to communicate with them, cause variable stress in dental students and general and specialist dentists working with children.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113435","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}
引用次数: 0
Restricted tongue mobility and ankyloglossia in 6-8-year-old Vietnamese school children: prevalence and association with tongue strength and endurance. 6-8 岁越南学龄儿童舌头活动受限和踝舌症:发病率及其与舌头力量和耐力的关系。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-29 DOI: 10.1007/s40368-024-00938-y
D A Hoang, T M Nguyen, T Jagomägi

Purpose: Generating adequate tongue pressure against the hard palate requires full-range mobility of the tongue. The study aimed to (1) determine the prevalence of restricted tongue mobility and ankyloglossia and (2) determine whether, in children with restricted tongue mobility, their condition also affects tongue pressure.

Methods: A cross-sectional study of healthy 6-8-year-old children from primary schools in central Vietnam was conducted in 2019. Restricted tongue mobility and ankyloglossia were graded using the tongue range of motion ratio (TRMR), with the tongue-tip-to-incisive papillae (TIP) for the anterior tongue tip and lingual-palatal suction (LPS) for the posterior two-thirds of the tongue. Tongue strength and tongue endurance were measured by the Iowa Oral Pressure Instrument. Statistical analysis investigated the associations between tongue mobility and tongue pressure measurement.

Results: Five hundred twelve children (46.5% female, mean age 7.2 ± 0.2 years) were assessed. The prevalence of anterior ankyloglossia and restricted mobility was 17.5%, with 16.2% cases of less than 50% mobility and 1.3% cases of less than 25% mobility. The prevalence of posterior ankyloglossia and restricted mobility with less than 30% mobility was 28.9%. Anterior restricted mobility was not a predictor of reduced tongue pressure. Posterior restricted mobility in LPS was independently associated with tongue strength but not tongue endurance.

Conclusion: Restrictions of posterior tongue mobility in ankyloglossia are more frequent than restrictions in anterior tongue mobility. Reduced tongue strength is related to mobility and the severity of restrictions in the posterior tongue. These findings suggest that restricted posterior tongue mobility may affect tongue muscle weakness.

目的:要使舌头对硬腭产生足够的压力,需要舌头具有全方位的活动能力。本研究旨在:(1)确定舌头活动受限和踝舌症的发病率;(2)确定舌头活动受限的儿童的情况是否也会影响舌压:方法:2019 年对越南中部小学 6-8 岁的健康儿童进行了一项横断面研究。采用舌运动范围比(TRMR)对舌活动受限和踝舌进行分级,舌尖-incisive乳头(TIP)代表舌前部,舌-腭吸力(LPS)代表舌后部的三分之二。舌头力量和舌头耐力由爱荷华州口腔压力测试仪测量。统计分析研究了舌头活动度与舌压测量之间的关联:共评估了 512 名儿童(46.5% 为女性,平均年龄为 7.2 ± 0.2 岁)。前方强直性舌炎和活动受限的发病率为 17.5%,其中 16.2% 的患儿活动度低于 50%,1.3% 的患儿活动度低于 25%。后方踝舌炎和活动受限的发病率为28.9%,其中活动度低于30%的占16.2%,低于25%的占1.3%。前方活动受限并不是舌压降低的预测因素。LPS的后方活动度受限与舌强度有独立关联,但与舌耐力无关:结论:强直性舌后位活动受限比舌前位活动受限更为常见。舌强度的降低与舌后活动度和限制的严重程度有关。这些发现表明,舌后活动受限可能会影响舌肌无力。
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引用次数: 0
Desensitization treatment in MIH-affected teeth: a systematic review. 受 MIH 影响的牙齿的脱敏治疗:系统综述。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-13 DOI: 10.1007/s40368-024-00934-2
Ebba Hjertberg, Adnan Hajdarević, Birgitta Jälevik

Purpose: The present systematic review aims to summarize the current evidence regarding various treatment modalities and their results when dealing with hypersensitivity in teeth with Molar-Incisor Hypomineralization (MIH).

Methods: Systematic searches were conducted in PubMed and Scopus using the search terms "MIH AND Hypersensitivity AND treatment." Studies involving children aged 6-18 years diagnosed with MIH and exhibiting hypersensitivity were considered for inclusion. The outcomes examined included clinical, behavioral, and psychosocial treatment options for reducing hypersensitivity. A meta-analysis was performed for six of the included articles, and the I2 value was calculated to determine heterogeneity.

Results: A total of eight articles met the inclusion criteria for this review, with six eligible for the meta-analysis. Various treatment modalities, such as dental mousse, sealing, laser therapy, and crown therapy, demonstrated significant reductions in hypersensitivity individually (p < 0.05).

Conclusion: The treatment methods that offer the most effective reduction in hypersensitivity are sealing with resin composite or glass ionomer cement for mild cases of MIH, while crown therapy is more effective for severe cases of MIH. However, the small number of participants and short follow-up times limit the strength of these conclusions.

目的:本系统性综述旨在总结在处理臼齿嵌合体低矿化(MIH)牙齿过敏症时各种治疗方法及其效果的现有证据:方法:在 PubMed 和 Scopus 中使用 "MIH、过敏、治疗 "进行系统检索。涉及 6-18 岁确诊为 MIH 并表现出过敏症的儿童的研究均被考虑纳入。研究结果包括降低过敏性的临床、行为和社会心理治疗方案。对纳入的六篇文章进行了荟萃分析,并计算了 I2 值以确定异质性:共有八篇文章符合本综述的纳入标准,其中六篇符合荟萃分析的条件。各种治疗方法,如牙科摩丝、封闭、激光治疗和牙冠治疗,都能显著降低单个患者的超敏反应(p 结论:最能有效降低过敏性的治疗方法是用树脂复合材料或玻璃离子粘结剂封闭轻度 MIH 病例,而牙冠疗法对重度 MIH 病例更有效。然而,由于参与人数少、随访时间短,这些结论的力度受到限制。
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引用次数: 0
期刊
European Archives of Paediatric Dentistry
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