Pub Date : 2024-09-01Epub Date: 2024-09-03DOI: 10.22514/jocpd.2024.111
Büşra Karaağaç Eskibağlar, Merve Yeniçeri Özata
Information regarding the influence of resorption and glide paths on debris extrusion in primary teeth is lacking. Therefore, we evaluated debris extrusion with and without resorption and with and without the use of a path file in primary molar teeth prepared with ProTaper Ultimate (PTU) Prime and TruNatomy (TRN) Prime rotary file systems. Forty resorbed and forty non-resorbed primary molar teeth were collected. Both groups were divided into four subgroups (n = 10). The Eppendorf tubes were weighed pre-debris. The distal canals of the teeth were prepared with PTU Prime and TRN Prime file systems, with and without the use of path files. The debris-filled tubes were weighed, and the weight of only the extruded debris was calculated by subtraction. The data were analyzed using a three-way analysis of variance (ANOVA) test. The presence of tooth resorption significantly increased debris extrusion, and the use of a path file significantly decreased debris extrusion (p < 0.001). The binary and ternary interactions of the three evaluated parameters among the groups showed no significant differences in terms of the amount of debris extruded (p > 0.05). While debris extrusion was observed in all groups, the use of a glide path file in primary teeth before the preparation process resulted in less debris extrusion.
有关吸收和滑行路径对基牙碎屑挤出的影响的信息还很缺乏。因此,我们对使用 ProTaper Ultimate (PTU) Prime 和 TruNatomy (TRN) Prime 旋转锉系统制备的基磨牙在有和没有吸收以及使用和不使用路径锉时的碎屑挤出情况进行了评估。收集了四十颗吸收和四十颗未吸收的基磨牙。两组均分为四个亚组(n = 10)。Eppendorf 管在去渣前称重。使用 PTU Prime 和 TRN Prime 锉系统制备牙齿的远端根管,包括使用和不使用路径锉。对装满碎屑的试管进行称重,然后通过减法计算仅挤出碎屑的重量。数据采用三方方差分析(ANOVA)检验进行分析。牙齿吸收会明显增加碎屑的挤出量,而使用路径锉会明显减少碎屑的挤出量(p < 0.001)。各组间三个评估参数的二元和三元交互作用显示,碎屑挤出量无明显差异(p > 0.05)。虽然在所有组别中都观察到了碎屑挤出,但在预备过程前在基牙中使用滑道锉可减少碎屑挤出。
{"title":"Apically extruded debris evaluation with the use of ProTaper Ultimate and TruNatomy files systems with and without glider preparation in primary tooth.","authors":"Büşra Karaağaç Eskibağlar, Merve Yeniçeri Özata","doi":"10.22514/jocpd.2024.111","DOIUrl":"https://doi.org/10.22514/jocpd.2024.111","url":null,"abstract":"<p><p>Information regarding the influence of resorption and glide paths on debris extrusion in primary teeth is lacking. Therefore, we evaluated debris extrusion with and without resorption and with and without the use of a path file in primary molar teeth prepared with ProTaper Ultimate (PTU) Prime and TruNatomy (TRN) Prime rotary file systems. Forty resorbed and forty non-resorbed primary molar teeth were collected. Both groups were divided into four subgroups (n = 10). The Eppendorf tubes were weighed pre-debris. The distal canals of the teeth were prepared with PTU Prime and TRN Prime file systems, with and without the use of path files. The debris-filled tubes were weighed, and the weight of only the extruded debris was calculated by subtraction. The data were analyzed using a three-way analysis of variance (ANOVA) test. The presence of tooth resorption significantly increased debris extrusion, and the use of a path file significantly decreased debris extrusion (<i>p</i> < 0.001). The binary and ternary interactions of the three evaluated parameters among the groups showed no significant differences in terms of the amount of debris extruded (<i>p</i> > 0.05). While debris extrusion was observed in all groups, the use of a glide path file in primary teeth before the preparation process resulted in less debris extrusion.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study compares the clinical efficacy of erbium-doped:yttrium-aluminium-garnet (Er:YAG) laser and traditional dental turbine in caries removal in children. The study cohort comprised 78 children aged 5 to 10 years with caries in two symmetrical maxillary molars. Different carious sides of the same child were randomly divided into control and observed sides. For each child, the caries on the control side were treated with a traditional dental turbine, while the observed side was treated with an Er:YAG laser. The study evaluated the use of anesthetics, pain levels, tooth hypersensitivity and the occurrence and severity of tooth fractures during caries removal with different methods. Additionally, the clinical anxiety and cooperative behavior of the children were observed. The time required for caries removal and cavity preparation by both methods was recorded, and the success rate of treatment was assessed after one year of follow-up. The results indicated a significant reduction in the use of anesthetics, pain and the incidence and severity of tooth hypersensitivity with the use of Er:YAG laser (p < 0.05). No significant difference was found in the occurrence of tooth fractures between the two groups (p > 0.05). The children treated with Er:YAG laser demonstrated better clinical anxiety levels and cooperative behavior. However, the time required for cavity preparation was longer with the use of Er:YAG laser (p < 0.05). After a 12-month follow-up, there was no significant difference in the success rate of treatment between the two groups (p > 0.05). In conclusion, compared to the traditional dental turbine, the use of Er:YAG laser improves treatment comfort and cooperation in children with caries and reduces the need for intraoperative anesthetics.
{"title":"Clinical application of Er:YAG laser and traditional dental turbine in caries removal in children.","authors":"Pinpin Xu, Cong Ren, Yinhua Jiang, Junjie Yan, Mengting Wu","doi":"10.22514/jocpd.2024.118","DOIUrl":"https://doi.org/10.22514/jocpd.2024.118","url":null,"abstract":"<p><p>This study compares the clinical efficacy of erbium-doped:yttrium-aluminium-garnet (Er:YAG) laser and traditional dental turbine in caries removal in children. The study cohort comprised 78 children aged 5 to 10 years with caries in two symmetrical maxillary molars. Different carious sides of the same child were randomly divided into control and observed sides. For each child, the caries on the control side were treated with a traditional dental turbine, while the observed side was treated with an Er:YAG laser. The study evaluated the use of anesthetics, pain levels, tooth hypersensitivity and the occurrence and severity of tooth fractures during caries removal with different methods. Additionally, the clinical anxiety and cooperative behavior of the children were observed. The time required for caries removal and cavity preparation by both methods was recorded, and the success rate of treatment was assessed after one year of follow-up. The results indicated a significant reduction in the use of anesthetics, pain and the incidence and severity of tooth hypersensitivity with the use of Er:YAG laser (<i>p</i> < 0.05). No significant difference was found in the occurrence of tooth fractures between the two groups (<i>p</i> > 0.05). The children treated with Er:YAG laser demonstrated better clinical anxiety levels and cooperative behavior. However, the time required for cavity preparation was longer with the use of Er:YAG laser (<i>p</i> < 0.05). After a 12-month follow-up, there was no significant difference in the success rate of treatment between the two groups (<i>p</i> > 0.05). In conclusion, compared to the traditional dental turbine, the use of Er:YAG laser improves treatment comfort and cooperation in children with caries and reduces the need for intraoperative anesthetics.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-09-03DOI: 10.22514/jocpd.2024.104
Ameena Jaafar, Vineet Dhar, Kuei-Ling Hsu, Norman Tinanoff
The present cross-sectional study was conducted to evaluate various caries risk factors in children from low socio-economic groups and to assess if children with broad contacts between one or more primary molars (type I and S) should be categorized as at high caries risk. Clinical examinations were performed on 107, 3- to 10-year-old children from low socio-economic settings. Contact types along with other caries risk factors (insurance, diet, plaque, and fluoride use, and diet habits) were analyzed for effect on presence of caries lesions (prevalence) and caries experience (decayed, missing, filled teeth). 78% of the study population had dental caries lesions, with an average dmft of 5.6. Of the 277 evaluated contacts, 88% were categorized as broad contacts. Multivariate analyses failed to validate that broad contacts were a predictor of dental caries lesions. However, the analysis showed an association of insurance status, plaque index with dmft. In conclusion, the present study could not implicate broad contacts as a factor that increased caries risk in the studied population; however, it validates the importance of insurance status, plaque index, as well as diet frequency as predictors of dental caries lesions.
{"title":"Associations between risk factors, including approximal contact types and dental caries in children from low-income families. Pilot study.","authors":"Ameena Jaafar, Vineet Dhar, Kuei-Ling Hsu, Norman Tinanoff","doi":"10.22514/jocpd.2024.104","DOIUrl":"https://doi.org/10.22514/jocpd.2024.104","url":null,"abstract":"<p><p>The present cross-sectional study was conducted to evaluate various caries risk factors in children from low socio-economic groups and to assess if children with broad contacts between one or more primary molars (type I and S) should be categorized as at high caries risk. Clinical examinations were performed on 107, 3- to 10-year-old children from low socio-economic settings. Contact types along with other caries risk factors (insurance, diet, plaque, and fluoride use, and diet habits) were analyzed for effect on presence of caries lesions (prevalence) and caries experience (decayed, missing, filled teeth). 78% of the study population had dental caries lesions, with an average dmft of 5.6. Of the 277 evaluated contacts, 88% were categorized as broad contacts. Multivariate analyses failed to validate that broad contacts were a predictor of dental caries lesions. However, the analysis showed an association of insurance status, plaque index with dmft. In conclusion, the present study could not implicate broad contacts as a factor that increased caries risk in the studied population; however, it validates the importance of insurance status, plaque index, as well as diet frequency as predictors of dental caries lesions.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-09-03DOI: 10.22514/jocpd.2024.103
Giuseppe Minervini, Maria Maddalena Marrapodi, Sunnypriyatham Tirupathi, Lamea Afnan, Marco Di Blasio, Gabriele Cervino, Gaetano Isola, Marco Cicciù
The aim of this systematic review is to comparatively evaluate the Triphala and chlorhexidine mouthwashes efficacies in decreasing plaque formation and gingivitis in children. With a priori-set inclusion and exclusion criteria's and relevant MeSH terms, the PubMed, Cochrane and Ovid SP were scrutinized from the year 1980 to April 2023 for prospective articles. Outcomes evaluated were plaque formation and gingivitis through Plaque index and Gingival index. Five studies were finally included and were analyzed qualitatively and quantitatively. Meta-analysis, was performed using a random effects model. Plaque index (PI) and Gingival Index (GI). There was no significant difference between reduction in the gingivitis and plaque accumulation between Triphala and chlorhexidine mouthwash groups in children (p value 0.83, 0.96).
{"title":"Comparative anti-plaque and anti-gingivitis efficiency of Triphala versus chlorhexidine mouthwashes in children: a systematic review and meta-analysis.","authors":"Giuseppe Minervini, Maria Maddalena Marrapodi, Sunnypriyatham Tirupathi, Lamea Afnan, Marco Di Blasio, Gabriele Cervino, Gaetano Isola, Marco Cicciù","doi":"10.22514/jocpd.2024.103","DOIUrl":"10.22514/jocpd.2024.103","url":null,"abstract":"<p><p>The aim of this systematic review is to comparatively evaluate the Triphala and chlorhexidine mouthwashes efficacies in decreasing plaque formation and gingivitis in children. With a priori-set inclusion and exclusion criteria's and relevant MeSH terms, the PubMed, Cochrane and Ovid SP were scrutinized from the year 1980 to April 2023 for prospective articles. Outcomes evaluated were plaque formation and gingivitis through Plaque index and Gingival index. Five studies were finally included and were analyzed qualitatively and quantitatively. Meta-analysis, was performed using a random effects model. Plaque index (PI) and Gingival Index (GI). There was no significant difference between reduction in the gingivitis and plaque accumulation between Triphala and chlorhexidine mouthwash groups in children (<i>p</i> value 0.83, 0.96).</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-09-03DOI: 10.22514/jocpd.2024.101
Satish Vishwanathaiah, Prabhadevi C Maganur, Ather Ahmed Syed, Ateet Kakti, Atlal Hassan Hussain Jaafari, Dhalia H Albar, Apathsakayan Renugalakshmi, Ganesh Jeevanandan, Zohaib Khurshid, Hosam Ali Baeshen, Shankargouda Patil
Dental caries remains a significant public health issue for children globally, leading to adverse effects on health and development. Silver diamine fluoride (SDF) is a potential preventive agent that can prevent caries progression in children. This systematic review examined the effectiveness of silver diamine fluoride in arresting caries compared to other fluorides. An electronic search of MEDLINE, PubMed, EMBASE, Cochrane, Web of Science, Scopus databases was carried out examining articles in English from 2001 to 2023. Studies included in the analysis examined the application of SDF in children and adolescents with coronal caries lesions on primary teeth or permanent first molars. Fifteen studies, involving a total of 7895 children, were incorporated. The application regimen varied across studies. Most studies in this review consistently suggested that SDF is effective in arresting caries. An annual application of SDF effectively reduced Streptococcus mutans count. Adverse effects were primarily tooth staining and less commonly, oral mucosal irritation. A majority of studies showed a high risk of bias due to methodological insufficiencies. Overall, the evidence suggests that SDF is effective in arresting dental caries in children. It offers a viable, cost-effective, and minimally invasive treatment option, particularly suitable for use in low-resource settings. However, the aesthetic concern of tooth staining with SDF use remains a challenge. Further well-designed clinical trials may provide a fuller picture of SDF which can shape public health policy and shift towards a minimally invasive treatment approach.
{"title":"Effectiveness of silver diamine fluoride (SDF) in arresting coronal dental caries in children and adolescents: a systematic review.","authors":"Satish Vishwanathaiah, Prabhadevi C Maganur, Ather Ahmed Syed, Ateet Kakti, Atlal Hassan Hussain Jaafari, Dhalia H Albar, Apathsakayan Renugalakshmi, Ganesh Jeevanandan, Zohaib Khurshid, Hosam Ali Baeshen, Shankargouda Patil","doi":"10.22514/jocpd.2024.101","DOIUrl":"https://doi.org/10.22514/jocpd.2024.101","url":null,"abstract":"<p><p>Dental caries remains a significant public health issue for children globally, leading to adverse effects on health and development. Silver diamine fluoride (SDF) is a potential preventive agent that can prevent caries progression in children. This systematic review examined the effectiveness of silver diamine fluoride in arresting caries compared to other fluorides. An electronic search of MEDLINE, PubMed, EMBASE, Cochrane, Web of Science, Scopus databases was carried out examining articles in English from 2001 to 2023. Studies included in the analysis examined the application of SDF in children and adolescents with coronal caries lesions on primary teeth or permanent first molars. Fifteen studies, involving a total of 7895 children, were incorporated. The application regimen varied across studies. Most studies in this review consistently suggested that SDF is effective in arresting caries. An annual application of SDF effectively reduced <i>Streptococcus mutans</i> count. Adverse effects were primarily tooth staining and less commonly, oral mucosal irritation. A majority of studies showed a high risk of bias due to methodological insufficiencies. Overall, the evidence suggests that SDF is effective in arresting dental caries in children. It offers a viable, cost-effective, and minimally invasive treatment option, particularly suitable for use in low-resource settings. However, the aesthetic concern of tooth staining with SDF use remains a challenge. Further well-designed clinical trials may provide a fuller picture of SDF which can shape public health policy and shift towards a minimally invasive treatment approach.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Advances in computer-aided design/computer-aided manufacturing (CAD-CAM) technologies and adhesives have enabled the use of endocrowns as an effective and conservative treatment option for restoring endodontically treated teeth in pediatric populations. Thus, this case report presents the treatment of a severely damaged premolar tooth with coronal pulpotomy and a 3D-printed endocrown restoration. A 13-year-old patient with pain due to profound caries in the left maxillary second premolar tooth was referred to the Department of Pediatric Dentistry at Gazi University in Ankara, Türkiye. Deep dentinal caries and severe tissue loss were revealed in the clinical examination. No periradicular lesions were detected in a radiographic examination, and there was no inflammation in the pulp. The selected intervention was a two-step process involving a coronal pulpotomy followed by a custom 3D-printed endocrown restoration. No clinical complications or radiographic pathologies were observed over a two-year follow-up period, and the patient was satisfied with the final esthetics and function of the restoration. 3D-printing technology can be successfully integrated into pediatric restorative dentistry and offers a conservative, efficient, and esthetically pleasing treatment option for children with severely damaged dentition.
计算机辅助设计/计算机辅助制造(CAD-CAM)技术和粘合剂的进步使得内冠成为修复儿童牙髓治疗牙齿的一种有效而保守的治疗方法。因此,本病例报告介绍了对一颗严重受损的前磨牙进行冠髓切断术和 3D 打印内冠修复的治疗方法。一名 13 岁的患者因左侧上颌第二前磨牙深度龋坏而感到疼痛,被转诊至土耳其安卡拉加齐大学儿童牙科。临床检查发现该患者患有深层牙髓龋和严重的组织缺损。放射检查未发现牙周病变,牙髓也没有炎症。所选的干预措施分为两个步骤,包括冠状牙髓切除术和定制的 3D 打印内冠修复术。在为期两年的随访中,未发现临床并发症或放射学病变,患者对修复体的最终美观和功能表示满意。3D 打印技术可以成功融入儿童牙科修复中,为牙齿严重受损的儿童提供了一种保守、高效、美观的治疗方案。
{"title":"A severely damaged premolar tooth restored with coronal pulpotomy and a 3D-printed endocrown.","authors":"Gamze Nazlı Yanar, Ceyda Başak İnal, Nagehan Aktaş, Merve Bankoğlu Güngör","doi":"10.22514/jocpd.2024.120","DOIUrl":"https://doi.org/10.22514/jocpd.2024.120","url":null,"abstract":"<p><p>Advances in computer-aided design/computer-aided manufacturing (CAD-CAM) technologies and adhesives have enabled the use of endocrowns as an effective and conservative treatment option for restoring endodontically treated teeth in pediatric populations. Thus, this case report presents the treatment of a severely damaged premolar tooth with coronal pulpotomy and a 3D-printed endocrown restoration. A 13-year-old patient with pain due to profound caries in the left maxillary second premolar tooth was referred to the Department of Pediatric Dentistry at Gazi University in Ankara, Türkiye. Deep dentinal caries and severe tissue loss were revealed in the clinical examination. No periradicular lesions were detected in a radiographic examination, and there was no inflammation in the pulp. The selected intervention was a two-step process involving a coronal pulpotomy followed by a custom 3D-printed endocrown restoration. No clinical complications or radiographic pathologies were observed over a two-year follow-up period, and the patient was satisfied with the final esthetics and function of the restoration. 3D-printing technology can be successfully integrated into pediatric restorative dentistry and offers a conservative, efficient, and esthetically pleasing treatment option for children with severely damaged dentition.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To comparatively assess the periodontal condition and oral hygiene of children and adolescents at different ages presenting with different types of orofacial clefts (OFCs). A total of 1608 patients aged 6-18 years who had not previously undergone periodontal treatment were enrolled in this study. Participants were categorized into two age groups: 6-12 years (Group I) and 13-18 years (Group II). Participants in both age groups were further classified into one of the three OFC-type subgroups: cleft lip only (without or with alveolar cleft), cleft lip and cleft palate, and cleft palate only. Periodontal health was determined by evaluating plaque formation and gingival status with reference to the Silness and Loe plaque index (PI), Loe gingival index (GI), and community periodontal index (CPI). Periodontal health and oral hygiene were not significantly different between Groups I and II for cleft type (p > 0.05). A significant difference was not observed in PI for cleft type among the groups (p > 0.05). In Group II, GI and CPI were significantly higher than in Group I (p < 0.05). According to our results, cleft type does not influence periodontal health of children and adolescents with OFCs. Age, however, influences periodontal diseases' prevalence and severity.
{"title":"Periodontal health and oral hygiene of children with orofacial clefts in Eastern China.","authors":"Cong Li, Ling-Fa Xue, Yao-Xiang Xu, Jin Yue, Jin-Ze Zhao, Wen-Lin Xiao","doi":"10.22514/jocpd.2024.107","DOIUrl":"https://doi.org/10.22514/jocpd.2024.107","url":null,"abstract":"<p><p>To comparatively assess the periodontal condition and oral hygiene of children and adolescents at different ages presenting with different types of orofacial clefts (OFCs). A total of 1608 patients aged 6-18 years who had not previously undergone periodontal treatment were enrolled in this study. Participants were categorized into two age groups: 6-12 years (Group I) and 13-18 years (Group II). Participants in both age groups were further classified into one of the three OFC-type subgroups: cleft lip only (without or with alveolar cleft), cleft lip and cleft palate, and cleft palate only. Periodontal health was determined by evaluating plaque formation and gingival status with reference to the Silness and Loe plaque index (PI), Loe gingival index (GI), and community periodontal index (CPI). Periodontal health and oral hygiene were not significantly different between Groups I and II for cleft type (<i>p</i> > 0.05). A significant difference was not observed in PI for cleft type among the groups (<i>p</i> > 0.05). In Group II, GI and CPI were significantly higher than in Group I (<i>p</i> < 0.05). According to our results, cleft type does not influence periodontal health of children and adolescents with OFCs. Age, however, influences periodontal diseases' prevalence and severity.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-09-03DOI: 10.22514/jocpd.2024.100
Alessio Danilo Inchingolo, Angelo Michele Inchingolo, Merigrazia Campanelli, Vincenzo Carpentiere, Elisabetta de Ruvo, Laura Ferrante, Andrea Palermo, Francesco Inchingolo, Gianna Dipalma
This review aimed to analyze the correlation between atypical swallowing and malocclusions and how this dysfunction can be treated. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was followed to conduct this systematic review, and the protocol was registered at International Prospective Register of Systematic Reviews (PROSPERO) with the CRD42024499707. A thorough search was conducted on PubMed, Scopus and Web of Science to find papers that discussed myofunctional and orthodontic treatment for patients with atypical swallowing and malocclusion from 01 January 2003 to 27 November 2023. The search yielded 2554 articles, of which only 12 records were selected for qualitative analysis. The analysis of these articles revealed that orofacial myofunctional therapy, criab appliance, Habit corrector™, and soft tongue restrainers are potential therapies for treating atypical swallowing and malocclusions. The tongue's position affects muscle behavior, leading to malocclusions that can be treated with various therapies, resulting in effective clinical outcomes. However, more research is required to delve deeper into the topic.
{"title":"Orthodontic treatment in patients with atypical swallowing and malocclusion: a systematic review.","authors":"Alessio Danilo Inchingolo, Angelo Michele Inchingolo, Merigrazia Campanelli, Vincenzo Carpentiere, Elisabetta de Ruvo, Laura Ferrante, Andrea Palermo, Francesco Inchingolo, Gianna Dipalma","doi":"10.22514/jocpd.2024.100","DOIUrl":"https://doi.org/10.22514/jocpd.2024.100","url":null,"abstract":"<p><p>This review aimed to analyze the correlation between atypical swallowing and malocclusions and how this dysfunction can be treated. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was followed to conduct this systematic review, and the protocol was registered at International Prospective Register of Systematic Reviews (PROSPERO) with the CRD42024499707. A thorough search was conducted on PubMed, Scopus and Web of Science to find papers that discussed myofunctional and orthodontic treatment for patients with atypical swallowing and malocclusion from 01 January 2003 to 27 November 2023. The search yielded 2554 articles, of which only 12 records were selected for qualitative analysis. The analysis of these articles revealed that orofacial myofunctional therapy, criab appliance, Habit corrector™, and soft tongue restrainers are potential therapies for treating atypical swallowing and malocclusions. The tongue's position affects muscle behavior, leading to malocclusions that can be treated with various therapies, resulting in effective clinical outcomes. However, more research is required to delve deeper into the topic.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-09-03DOI: 10.22514/jocpd.2024.108
Satish Vishwanathaiah
The accomplishment of a successful pulpectomy depends on multiple factors that involve targeted removal of the causative irritants and soft and hard tissue debris by mechanical and chemical means. Compare and evaluate the efficacy of canal preparation and volumetric filling using conventional files and two rotary file systems using cone beam computed tomography (CBCT). Thirty freshly extracted human primary second molars were randomly divided into three groups of 10 teeth each. After access opening and working length determination, pre-operative volume analysis was done using CBCT. The canals were then instrumented by either hand K-files, ProTaper rotary files or Kedo-SG Blue rotary files. Post-operative volume analysis was performed using CBCT. All the canals were obturated using Metapex and scanned again using CBCT. Mean values of the pre- and post-operative canal volumes were analyzed using one-way Analysis of Variance (ANOVA). Inter- and intra-group volumetric changes were analyzed statistically using a post hoc test. The mean difference in volume after canal preparation and obturation was the highest in the Kedo-SG Blue group, followed by the ProTaper group and the least in the hand K group (p = 0.001). Inter-group comparison showed statistically significant differences between the hand K group and ProTaper group (p = 0.001), the ProTaper group and Kedo-SG Blue group (p = 0.001), and the hand-K group and Kedo-SG Blue group (p = 0.02). The volume of preparation and obturation was the highest using Kedo-SG Blue, followed by the ProTaper file systems.
成功的牙周切除术取决于多种因素,其中包括通过机械和化学方法有针对性地清除致病刺激物和软硬组织碎屑。使用锥形束计算机断层扫描(CBCT)比较和评估使用传统锉和两种旋转锉系统进行牙管预备和体积填充的效果。将 30 颗新鲜拔出的人类初级第二磨牙随机分为三组,每组 10 颗。在打开通道和确定工作长度后,使用 CBCT 进行术前体积分析。然后使用手动 K 锉、ProTaper 旋转锉或 Kedo-SG Blue 旋转锉对牙槽骨进行器械加工。使用 CBCT 进行术后体积分析。使用 Metapex 对所有牙管进行钝化,并再次使用 CBCT 进行扫描。使用单因素方差分析(ANOVA)分析了术前和术后牙槽骨体积的平均值。使用事后检验对组间和组内的体积变化进行统计分析。Kedo-SG蓝组在牙道预备和封堵后的体积平均差异最大,其次是ProTaper组,而手K组最小(p = 0.001)。组间比较显示,手 K 组和 ProTaper 组(p = 0.001)、ProTaper 组和 Kedo-SG Blue 组(p = 0.001)以及手 K 组和 Kedo-SG Blue 组(p = 0.02)之间存在显著统计学差异。使用 Kedo-SG Blue 的预备和封堵量最大,其次是 ProTaper 文件系统。
{"title":"Comparative evaluation of clinical efficacy and volumetric changes in pulpectomized primary molars using hand K-file, ProTaper rotary file, and Kedo-SG blue file: an <i>in-vitro</i> cone beam computed tomography analysis.","authors":"Satish Vishwanathaiah","doi":"10.22514/jocpd.2024.108","DOIUrl":"https://doi.org/10.22514/jocpd.2024.108","url":null,"abstract":"<p><p>The accomplishment of a successful pulpectomy depends on multiple factors that involve targeted removal of the causative irritants and soft and hard tissue debris by mechanical and chemical means. Compare and evaluate the efficacy of canal preparation and volumetric filling using conventional files and two rotary file systems using cone beam computed tomography (CBCT). Thirty freshly extracted human primary second molars were randomly divided into three groups of 10 teeth each. After access opening and working length determination, pre-operative volume analysis was done using CBCT. The canals were then instrumented by either hand K-files, ProTaper rotary files or Kedo-SG Blue rotary files. Post-operative volume analysis was performed using CBCT. All the canals were obturated using Metapex and scanned again using CBCT. Mean values of the pre- and post-operative canal volumes were analyzed using one-way Analysis of Variance (ANOVA). Inter- and intra-group volumetric changes were analyzed statistically using a <i>post hoc</i> test. The mean difference in volume after canal preparation and obturation was the highest in the Kedo-SG Blue group, followed by the ProTaper group and the least in the hand K group (<i>p</i> = 0.001). Inter-group comparison showed statistically significant differences between the hand K group and ProTaper group (<i>p</i> = 0.001), the ProTaper group and Kedo-SG Blue group (<i>p</i> = 0.001), and the hand-K group and Kedo-SG Blue group (<i>p</i> = 0.02). The volume of preparation and obturation was the highest using Kedo-SG Blue, followed by the ProTaper file systems.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-09-03DOI: 10.22514/jocpd.2024.099
Nagehan Aktaş, Volkan Ciftci
Advancements in 3D printing technology are providing a new direction in pediatric dentistry by offering innovative solutions to traditional challenges. The remarkable expansion of 3D printing necessitates a comprehensive examination of its status and applications in the dental field, particularly in the pediatric dentistry. This review provides a comprehensive exploration of the applications of 3D printing in pediatric dental practices by drawing from a systematic search across databases, including PubMed/MEDLINE, Scopus, Web of Science, Scielo and the Cochrane Library. The search strategy employed a combination of keywords: "Digital dentistry and 3D printing", "3D printing technology in dentistry", "3D printing in pediatric dentistry" and "3D printing in pediatric dental procedures". The review encompasses a wide array of studies, including original research, cross-sectional analyses, case reports and reviews. A detailed overview is presented in regard to the use of 3D printing for master and educational models, space maintainers, prosthetic restorations, surgical guide, splint design and fracture treatment, fluoride application, autogenous dental transplantation, anterior teeth restoration, and pediatric endodontics and regenerative treatments. This review shows that 3D printing improves clinical outcomes through personalized and precise treatment options and enhances dental students' educational landscape. Areas lacking extensive research were also identified, which warrent further investigation to optimize the integration of 3D printing in pediatric dentistry. By mapping out the current landscape and future directions, the aim of this paper is to support pediatric dentists in recognizing the broad implications of 3D printing for improving patient care and advancing dental education.
3D 打印技术的进步为儿童牙科提供了一个新方向,为传统挑战提供了创新解决方案。随着3D打印技术的显著发展,有必要对其在牙科领域,尤其是儿童牙科领域的现状和应用进行全面研究。本综述通过对PubMed/MEDLINE、Scopus、Web of Science、Scielo和Cochrane图书馆等数据库的系统检索,全面探讨了3D打印在儿童牙科实践中的应用。搜索策略采用了关键词组合:"数字牙科和 3D 打印"、"牙科中的 3D 打印技术"、"儿童牙科中的 3D 打印 "和 "儿童牙科手术中的 3D 打印"。综述涵盖了大量研究,包括原创研究、横断面分析、病例报告和综述。综述详细介绍了三维打印在主模型和教学模型、空间维持器、修复体、手术导板、夹板设计和骨折治疗、氟化物应用、自体牙移植、前牙修复以及儿童牙髓病学和再生治疗中的应用。综述显示,3D 打印通过个性化和精确的治疗方案提高了临床效果,并改善了牙科学生的教育环境。同时也发现了缺乏广泛研究的领域,这些领域需要进一步调查,以优化 3D 打印在儿童牙科中的整合。通过描绘当前形势和未来方向,本文旨在帮助儿童牙科医生认识到3D打印对改善患者护理和推进牙科教育的广泛影响。
{"title":"Current applications of three-dimensional (3D) printing in pediatric dentistry: a literature review.","authors":"Nagehan Aktaş, Volkan Ciftci","doi":"10.22514/jocpd.2024.099","DOIUrl":"https://doi.org/10.22514/jocpd.2024.099","url":null,"abstract":"<p><p>Advancements in 3D printing technology are providing a new direction in pediatric dentistry by offering innovative solutions to traditional challenges. The remarkable expansion of 3D printing necessitates a comprehensive examination of its status and applications in the dental field, particularly in the pediatric dentistry. This review provides a comprehensive exploration of the applications of 3D printing in pediatric dental practices by drawing from a systematic search across databases, including PubMed/MEDLINE, Scopus, Web of Science, Scielo and the Cochrane Library. The search strategy employed a combination of keywords: \"Digital dentistry and 3D printing\", \"3D printing technology in dentistry\", \"3D printing in pediatric dentistry\" and \"3D printing in pediatric dental procedures\". The review encompasses a wide array of studies, including original research, cross-sectional analyses, case reports and reviews. A detailed overview is presented in regard to the use of 3D printing for master and educational models, space maintainers, prosthetic restorations, surgical guide, splint design and fracture treatment, fluoride application, autogenous dental transplantation, anterior teeth restoration, and pediatric endodontics and regenerative treatments. This review shows that 3D printing improves clinical outcomes through personalized and precise treatment options and enhances dental students' educational landscape. Areas lacking extensive research were also identified, which warrent further investigation to optimize the integration of 3D printing in pediatric dentistry. By mapping out the current landscape and future directions, the aim of this paper is to support pediatric dentists in recognizing the broad implications of 3D printing for improving patient care and advancing dental education.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}