European Archives of Paediatric Dentistry最新文献

Purpose: The aim of this study was to investigate the potential for pulp revascularization in relation to patient age at the time of injury following luxation injury of mature anterior permanent teeth.

Materials and methods: A total of 93 teeth from 70 patients were included. The patients were divided into subgroups based on their age at the time of the injury.

Statistics: the Aalen-Johansen method was used to estimate the risks of pulp canal obliteration (PCO) and pulp necrosis (PN). The absolute 2 year risks of PCO and PN were obtained with cause-specific Cox regression and reported separately for each cohort, standardised to age at injury and degree of repositioning.

Results: For the group younger than 15 years of age, the risk of PN after 12 months was 62.3% [95% CI 44.9; 79.7] in the cohort from 1972 to 1980 and 28.6% [95% CI 4.9; 52.2] in the cohort from 2012 to 2020. For the age group 16-20 years, the risk of PN after 12 months was 66.7 [95% CI 40.0;93.3] in the cohort from 1972 to 1980 and 25% [95% CI 0.0;55.0] in the cohort from 2012 to 2020. For the age group between 21 and 25, the risk of PN after 12 months was 66.7% [95% CI 40.0; 93.3] in the cohort from 1972 to 1980 and 55.6% [95% CI 23.1; 88.0] in the cohort from 2012 to 2020.

Conclusion: There is potential for pulp revascularization in mature anterior teeth with lateral luxation in patients up to 25 years of age. The risk of PN appears to increase with age.

Purpose: The present umbrella review aimed to synthesize and critically assess the methodological and reporting quality of previous systematic reviews about the potential relationship between obesity or overweight and caries dental experience in pediatric patients.

Method: Electronic database and manual searches were conducted in PubMed, Embase, and Cochrane Library up to July 2023. The risk of bias assessment of eligible systematic reviews was performed using the Risk Of Bias In Systematic reviews (ROBIS) tool. A systematization of the results was carried out in order to understand the possible relationship between the two conditions.

Results: Electronic and manual searches identified 136 titles and abstracts. After the removal of duplicates, 15 full-text articles were assessed for eligibility. Six studies were excluded, resulting in 8 systematic reviews and 1 scoping review that met the inclusion criteria. Five were systematic reviews without meta-analysis and the rest were conducted with quantitative analysis.

Conclusion: Conflicting findings to date from this umbrella review suggest that the relationship between obesity and dental caries in children is still inconclusive and likely to be complex.

Objective: To evaluate whether the presence of dental caries in the primary anterior teeth of 1- and 2-year-old babies can predict the occurrence of severe dental caries in the primary posterior teeth of these children after a 3-year follow-up.

Methodology: This cohort study was carried out with 99 children and their guardians who were assessed at the beginning of the study and reassessed after 3 years. Severe caries in posterior tooth at the 3-year follow-up is the dependent variable. Caries in anterior tooth at baseline is the main independent variable. Other independent variables are family income, mother's education, oral hygiene, night oral hygiene, sucrose consumption, and history of toothache. Descriptive analysis, chi-square test, and Poisson regression were performed.

Results: The incidence of severe caries in posterior tooth was 3.33 times higher in children with caries in anterior tooth at baseline (95% CI 2.06-5.37). Children who belonged to lower-income families both at baseline and at follow-up (RR: 2.75; 95% CI 1.40-5.39), who did not perform night-time oral hygiene at baseline (RR: 1.76; 95% CI 1.10-2.80) and who had a frequency of sucrose consumption equal to or greater than twice a day, both at baseline and at follow-up (RR: 4.07; 95% CI 2.03-8.19) had a higher risk of developing severe dental caries in posterior deciduous teeth.

Conclusion: Children with dental caries in primary anterior teeth when they were babies have a higher incidence of severe caries in posterior teeth.

Background: Oral health plays a critical role in overall well-being, particularly among adolescents, including those with intellectual disabilities. Caregivers, particularly mothers, play an essential role in guiding and supporting these adolescents in maintaining good oral health. This study examined the oral health problems and challenges faced by children with intellectual disabilities from the perspective of their mothers.

Methods: Semi-structured interviews were conducted with 22 mothers of intellectually disabled adolescents aged 12-18 years in Pondicherry, India. A purposive sampling method was employed to gather information-rich insights from a diverse group of mothers. The interviews were guided by an interview protocol that included open-ended questions about the challenges in maintaining oral health, experiences with dental care providers, and perceived need for support. Thematic analysis was conducted to identify and interpret key themes.

Results: The study identified six key themes affecting the oral health of adolescents with intellectual disabilities from maternal perspectives: physical and behavior challenges, limited access to specialized dental care, financial constraints, lack of professional support and education, emotional and psychological impact on mothers, and social stigma and isolation.

Conclusion: The identified themes highlight the need for comprehensive and multifaceted interventions to address the physical, logistical, financial, educational, and emotional challenges. By understanding and addressing these barriers, healthcare providers, policymakers, and support organizations can improve oral health outcomes and the overall quality of life for adolescents with intellectual disabilities and their families.

Purpose: Dens evaginatus (DE) is characterised by the presence of a tubercle projection, which when fractured may lead to pulpal pathology. The aim of this study was to assess prevalence of DE in the local population and the long-term outcomes of asymptomatic DE premolars managed with tubercle grinding and composite overlay.

Methods: This is a retrospective cohort study of 9-year-old Singaporean children. The primary outcome was the success of prophylactic management of asymptomatic DE premolars with a single session of tubercle grinding and composite overlay, as determined by the absence of clinical signs or symptoms. The factors associated with survival of DE premolars treated were evaluated using Cox proportional hazard regression.

Results: The prevalence of DE among Singaporean children was 7.1% (12,677/178,801). DE premolars were more prevalent among females (56.1%) and those of Chinese ethnicity (87.1%). At the tooth level, 26,875 asymptomatic DE premolars were prophylactically managed with tubercle grinding and composite overlay and 2471 DE premolars did not receive any intervention. The mean review period was 46.2 ± 20.2 months. The success rate for DE premolars that received the intervention was significantly higher (p  < 0.001) at 98.9% versus 94.1% in untreated DE premolars. Cox proportional hazard regression revealed that mandibular second premolars (p  < 0.001), DE premolars with fractured tubercles at the time of diagnosis (p  < 0.001) and children of Chinese ethnicity (p  = 0.002) were significantly associated with a higher risk of failures.

Conclusion: The prophylactic management of asymptomatic DE premolars with a single-session tubercle grinding and composite overlay is a successful treatment option.

Purpose: Oral health-related quality of life (OHRQoL) of children with autism following an oral preventive regimen (ASDsP) was compared to that of children with autism without a preventive regimen (ASDsNP) and of neurotypical peers (NT).

Methods: An online survey was carried out using the Parental/Caregiver Perception Questionnaire (P-CPQ) and the Family Impact Scale (FIS). Scores were assigned to items, with the total score ranging from 0 to 120 (worst QoL). The median scores were compared amongst groups using the Mann-Whitney and Kruskal-Wallis tests. A multivariate linear regression assessed the relationship between questionnaire scores and demographical variables.

Results: Overall, 168 questionnaires from the ASDsP and the ASDsNP groups, respectively, and 336 from the NT group were selected ASDsP compared to ASDsNP showed lower P-CPQ Emotional wellbeing, FIS Emotion (p < 0.01) and Conflict (p < 0.05), and FIS total score (p < 0.01). In addition, they were less nervous (p < 0.05), shy (p < 0.01), with better sleep (p < 0.05), and with happier parents (p < 0.01). Compared to NT, ASDsP showed higher P-CPQ + FIS, P-CPQ, and FIS total scores (p < 0.01) and P-CPQ Functional limitation, Social wellbeing (p < 0.01), Emotional wellbeing (p < 0.05), and FIS Activity, Emotion and Conflict (p < 0.01).

Conclusion: The preventive regimen reduces parental stress, improving the quality of life of children and families.

Purpose: To depict and evaluate the characteristics, engagement, content, and quality of YouTube videos containing information about silver diamine fluoride (SDF).

Methods: A total of 200 YouTube™ videos were selected and screened, and the video characteristics and engagement indicators were recorded. They were then reviewed for consistency with current professional guidelines on this topic. Two independent reviewers scored the videos using a customized 8-point scoring and 5-point Global Quality Scale (GQS) to assess the content information and the overall quality of each video. These videos were further classified into good, moderate, and poor videos. Kruskal-Wallis, Chi-squared, and Spearman's correlation tests were used for the statistical analysis.

Results: 110 videos met the inclusion criteria. The median total content score was 3 (IQR = 4) and the median GQS score was 2 (IQR = 2). Less than half (n = 49; 45.5%) of the videos were uploaded by healthcare professionals. The video content was classified as good (n = 26; 23.64%), moderate (n = 43; 39.09%), and poor (n = 41; 37.27%). Good-quality videos have a significantly higher information content score than the other groups (P = 0.001). A strong correlation was found between the total content score and GQS score (rho = 0.970, P = 0.001). Longer duration, higher interaction index, and recent upload are associated with higher content and quality scores.

Conclusion: A considerable number of videos are available on YouTube about SDF treatment and are attracting public interest. The content and quality of these videos vary widely and are related to several factors.

Purpose: There have been limited reports on hearing impaired (HI) children's oral health, but no data on their dental fear. The aim of this study was to assess dental fear and caries prevalence in HI children and adolescents.

Methods: Upon ethical approval, all elementary and junior/senior high schools for the HI in Greece were invited to participate in the study. Students were asked to fill in the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS). High school students additionally answered the Modified Dental Anxiety Scale (MDAS). Both questionnaires were translated into sign language by the same licensed interpreter. Caries prevalence was evaluated by dmfs/DMFS indices. Statistics by SPSS Statistics 28 (IBM) included parametric and non-parametric tests (significance at p ≤ 0.05).

Results: 33 elementary and 53 junior/senior high school students (mean age = 10.89 ± 2.63 and 16.23 ± 1.33 years, respectively) participated in the study. Means of CFSS-DS were 24.1 ± 9.9 and 26.9 ± 10.5, respectively. Mean MDAS (high school students) was 11.3 ± 4.7. Mean dmfs was 2.5 ± 5.2 for elementary and mean DMFS was 3.5 ± 5.4 for elementary and 7.3 ± 9.0 for high school students, higher than similar-age general population. Dental fear was not significantly associated to age, gender, severity of hearing impairment (HI) or caries prevalence.

Conclusion: HI children present similar dental fear values, but higher caries prevalence compared to similar-age Greek hearing population.

Purpose: Glass ionomer fissure sealant (GIS) and fluoride varnish (NaFV) are two preventive interventions applicable to pre-school children. However, their application effects on young children's behaviour are understudied. The study compared the effects of GIS and NaFV applications on dental anxiety (DA), cooperativeness and pain level in pre-school children when applied to primary second molars in outreach settings.

Methods: Four hundred and thirteen children were recruited for the study, out of which 228 were allocated to NaFV group whilstand 185 allocated to the GIS group. One calibrated examiner screened and randomly allocated the children into either group. Another calibrated examiner recorded the children's DA level and cooperativeness with Frankl Behaviour Rating Scale (FBRS) and Venham Behaviour Rating Scale (VBRS) throughout the treatment period. Subjects self-reported their pain levels using Wong-Baker Faces Scale (WBFS).

Results: Significant difference in postoperative anxiety was found using VBRS, with children in NaFV group having more positive scores post-treatment (p = 0.016). Only the type of preventive interventions significantly affected postoperative DA and patient cooperation (p = 0.032), whereas no other clinical findings and socio-demographic factors significantly influenced the children's behaviour postoperatively.

Conclusion: NaFV application is associated with less DA and more cooperative behaviour in pre-school children compared to GIS application although similar pain levels were recorded.