Pediatric dentistry最新文献

{"title":"Sunrise, High Noon, Sunset.","authors":"Martha Wells, Chelsea Fosse, Paul Casamassimo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 1","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618068","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}

{"title":"Hall Crown Technique Use Among USA Pediatric Dentists.","authors":"Nicholas M Carlson, LaQuia A Walker-Vinson, Brian J Sanders, Sondos Albadri, Jeffrey A Dean","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To examine the provider acceptance and clinical usage of the Hall technique (HT) among active pediatric dental members of the American Academy of Pediatric Dentistry ([AAPD] pediatric dentist member). <b>Methods:</b> A 19-item web-based survey was distributed to all AAPD pediatric dentist members using Qualtrics^®. This survey-based questionnaire was available from January 2024 to March 2024, included questions regarding demographics, and explored various clinical scenarios and the likelihood of a clinician to utilize the HT. <b>Results:</b> Of 6,960 emailed surveys, 520 completed surveys (eight percent) were analyzed. Fifty-one percent of AAPD pediatric dentist members consider HT only as an alternative option when unable to provide a conventional restoration. Providers were most likely to use HT on interproximal cavitated caries lesions (P<0.001), and were more likely to place HT crowns on patients with a Frankl 1-2 compared to a Frankl 3-4 behavior score, regardless of tooth type (P<0.001). Younger pediatric dentists were more likely to treatment plan HT crowns (P<0.05). <b>Conclusions:</b> Most AAPD pediatric dental members prefer to place a conventional restoration rather than a HT stainless steel crown. There is an increased likelihood among providers to plan for the HT when the patient demonstrates poor behavior and is reluctant to treatment. Younger pediatric dentists are more likely to use the HT.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 1","pages":"18-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618067","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}

{"title":"The Effects of Curodont^TM Application on Human Gingival Fibroblasts.","authors":"John Christopher Schmidt, Thomas E Lallier, Jeffrey Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the cytotoxicity of Curodont^TM (an alternative tooth varnish that promotes remineralization of incipient lesions using a self-assembling peptide P11-4) on soft tissue concerning gingival fibroblasts (GF) and assess survivability, proliferation, and attachment compared to silver diammine fluoride (SDF) and fluoride varnish (FV) as controls. <b>Methods:</b> Assessment of cell proliferation, survivability, and attachment was accomplished by studying the effects of varying concentrations of Curodont^TM on gingival fibroblasts. Proliferation, survivability, and attachment were measured using Calcein-AM (a fluorescent dye that labels only living cells) via a microplate reader. <b>Results:</b> SDF at 0.1 percent concentrations led to complete GF cell death within 24 hours. In contrast, GF displayed near complete cell survival when exposed to FV at up to five percent con- centrations. GF displayed a significant reduction in cell survival at a one percent concentration of Curodont^TM. Curodont ^TM also significantly reduced cell attachment reduction at concentrations of two percent. Cell proliferation was significantly reduced by FV at a concentration of one percent and for Curodont^TM at 0.5 percent. Curodont^TM at a concentration of two percent led to a change in cell morphology including a reduction in cell attachment and spreading, while FV did not significantly alter cell morphology. <b>Conclusions:</b> Based on this in vitro study: Curodont^TM is less cyto- toxic than SDF but more cytotoxic than FV. Curodont^TM, even at low concentrations, significantly reduced cell survival, cell proliferation, and cell adhesion. Thus, Curodont^TM may have more detrimental effects on exposed gingival connective tissue than FV.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 1","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618069","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}

{"title":"Are developmental and intellectual disabilities the same, similar of different?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618133","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}

{"title":"<i>In Vitro</i> Silver and Fluoride Release from Silver Diammine Fluoride-Treated Caries Lesions.","authors":"Yasmi O Crystal, Fernanda M Cervantes, Rutvik Patel, Timothy G Bromage, Sasan Rabieh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this in vitro study was to investigate the release of silver and fluoride ions from caries lesions treated with silver diammine fluoride (SDF), with and without using a light-emitting diode (LED) curing light, the use of which increases silver penetration into the lesion. <b>Methods:</b> Eighteen extracted primary molars with natural caries lesions were divided into four groups: (1) one-minute SDF (n equals six); (2) 40-second SDF + 20-second LED (n equals six); (3) untreated control (n equals three); and (4) 20-second LED control (n equals three). Samples were immersed in artificial saliva for 0.5 hours, one hour, 24 hours, and one, two, and four weeks. Silver and fluoride concentra- tions were analyzed using si-ICP-MS and F-ISE, respectively. Statistical analyses were done using the Mann-Whitney U-test and Wilcoxon signed rank exact test. <b>Results:</b> At 0.5 hours, mean and median concentrations of silver and fluoride in Group 1 were statistically higher than those in Group 2 (P=0.015 for silver and P=0.026 for fluoride), and significantly higher than the rest of the time points (P=0.03 for all comparisons). Groups 3 and 4 had no detectable amounts of silver or fluoride. <b>Conclusions:</b> Applying a light-emitting diode light after silver diammine fluoride appli- cation leads to a substantial reduction in the release of silver and fluoride into the surrounding medium compared to a one-minute SDF application after 0.5 hours. These in vitro findings, while statistically significant, indicate a trend that requires further investigation to assess clinical relevance.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 1","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618132","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}

{"title":"Association of Nutritional Status and Oral <i>Veillonella</i> With Caries Status in Preschool Children in Manitoba.","authors":"Victor H K Lee, Vivianne Cruz de Jesus, Betty-Anne Mittermuller, Nathan C Nickel, Prashen Chelikani, Robert J Schroth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To gain a greater understanding of the relationship between oral Veillonella, nutrition, and early childhood caries (ECC). <b>Methods:</b> A case-control design was used. A total of 158 children (83 with ECC, 75 caries-free) were recruited in Winnipeg, Manitoba, Canada, from March 2019 to November 2020. Nutritional profiles were determined using NutriSTEP^® (Nutrition Screening Tool for Every Preschooler and Toddler). Bacterial presence was assessed using relative abundance data from 16S rRNA gene amplicon sequencing of plaque samples. A multivariable logistic regression model was used to estimate the association of ECC with NutriSTEP^® scores and oral Veillonella. <b>Results:</b> Caries-affected children tended to be older, Indigenous, and established residents, have less-educated parents (parents/caregivers), and live in rural/remote areas (P<0.05). Caries-affected children had higher total NutriSTEP^® scores than caries-free children (23.7±6.8 versus 21.1±6.6; P=0.008). Caries-affected children ate fewer vegetables, consumed more fast food, and ate too little/too much during the day (P<0.05). Children with abundant Veillonella dispar (odds ratio [OR] equals 4.21, 95 percent confidence interval [95% CI] equals 2.03 to 8.74) and Veillonella parvula (OR equals 2.33, 95% CI equals 1.10 to 4.91) with higher NutriSTEP^® scores (OR equals 1.04, 95% CI equals 0.99 to 1.10; and OR equals 1.08, 95% CI equals 1.02 to 1.14, respectively) were more likely to have ECC. <b>Conclusions:</b> The findings reflect the importance of V. dispar and V. parvula for dental caries and support a tentative association between oral Veillonella, nutrition, and early childhood caries. Children with abundant Veillonella and greater nutritional risk may be more susceptible to ECC.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 1","pages":"41-49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618134","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}

{"title":"Caregivers' Experiences with Oral Health Care of Foster Children in North Carolina: A Qualitative Study.","authors":"Sungmin Sohn, Martha Ann Keels, Rocio B Quiñonez, Michael Roberts, Elise Sarvas, Paul Mihas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To identify the oral health needs of foster children and barriers to dental care perceived by caregivers in North Carolina. <b>Methods:</b> Based on a semi-structured questionnaire, interviews were completed via video conferencing platform. Interviews were audio-recorded and transcribed, and descriptive thematic analysis was conducted via MAXQDA software to derive recurring themes from the data. <b>Results:</b> Thirty foster parents were interviewed. Lack of comprehensive medical and dental history of the foster child was a common concern. Fifty percent reported their foster child had untreated caries upon home placement. Lack of providers accepting Medicaid, limited time in caregivers sched-ules, managing school absences, and lengthy travel distances were identified as barriers to care. Many caregivers reported having experienced challenges with obtaining consent for dental treatment from their child's legal guardians. Caregivers of older teenagers shared concerns re-garding orthodontic care and aging out of Medicaid benefits. <b>Conclusions:</b> The experiences and concerns of caregivers highlighted in this study present various opportunities for governmental services, foster agencies, dental providers, and educators to improve the oral health experience for foster children. Additionally, understanding perceived barriers to care may encourage better utilization of dental Medicaid benefits.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 1","pages":"11-17"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618065","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}

{"title":"Effect of Prolonged Exposure to Beverage on Color Stability and Surface Roughness of Tooth-Colored Restorative Materials.","authors":"Ellin Choi, Jung-Wei Chen, So Ran Kwon, Roberto Savignano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this in vitro study was to compare color stability and surface roughness of different tooth-colored restorative materials commonly used in pediatric dentistry after prolonged immersion into grape juice. <b>Methods:</b> Forty disc specimens were prepared using pink opaquer (PO), pink opaquer with composite resin (DUAL), composite resin (COMP), and resin-modified glass ionomer (RMGI) of two-mm thickness. 3D-printed wells were fabricated in CD4 shade. After specimens were placed into the wells and the margin was sealed, specimens were immersed in grape juice. Color and surface roughness were measured at baseline, 24 hours, one week, and four weeks. Color measurements were made using a Vita Easyshade^® spectrophotometer. A contact-type profilometer was used for surface roughness measurements. <b>Results:</b> There was a significant difference in color stability and surface roughness among the materials used (one-way analysis of variance, P<0.001) from baseline to 24 hours, one week, and four weeks in the following order: ΔE for PO (3.79) <COMP (10.85) ≈ DUAL (14.31) <RMGI (49.05) and Ra for PO (0.072 μm) ≈ DUAL (0.074 μm) ≈ COMP (0.075 μm) <RMGI (0.225 μm). ΔE for all materials was above 2.7 and Ra for RMGI was above 0.2 μm. <b>Conclusions:</b> Even though all restorative materials are susceptible to staining, pink opaquer, pink opaquer with composite resin, and composite are stable in terms of surface roughness after long-term immersion into grape juice. Resin-modified glass ionomer is not stable in both color stability and surface roughness.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 1","pages":"24-29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618066","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}

{"title":"Sleep apnea in children and the risk of unexpected post-surgery admissions for nonotolaryngologic surgery.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purposes of this study were to access the prevalence of obstructive sleep apnea (OSA) in pediatric patients receiving nonotolaryngo-logic ambulatory surgery and to evaluate the probable association of OSA with the unexpected post-surgery hospital admission of these patients. As a retrospective cohort study data was gathered from the Pediatric Health Information System (PAIS) beginning January 1, 2010 and ending August 31, 2022. The patient population for the study included children less than 18 years old, who had nonotolaryngologic ambulatory surgery, with unexpected admissions which were described as equal or greater than one day of postoperative stay. Patients excluded from the study had diagnoses of sleep disordered breathing, cleft lip or palate needing repair, and snoring. Pediatric patients included in the study totaled 855,832 with 63 percent reported as male. For children diagnosed with OSA having unexpected post non-otolaryngologic surgery admissions 43.3 percent were ages six to 12 years, 35 percent were two to five years and 21.7 percent were equal or greater than 13 years. Study group findings recorded that 39,467 (4.6 percent) of the total children in the study experienced unexpected post-surgery admissions. From this total, 599 (4.0 percent) of the children had evidence of OSA, and needed unexpected post-surgery admission, while 38,828 (5.0 percent) had no evidence of OSA. Of the children with evidence of OSA, 544 (9.4 percent) had a known diagnosis of OSA. The odds risk for unexpected post-surgery admission for children with OSA was 2.56 times that of those without OSA (95%, CI 1.32-2.83; P<.001), this finding presented OSA as a significant risk factor. Also, over the time of the study there had been a less than four-fold increase of 0.4 percent in 2010 to 1.7 percent in 2022 (P trends <.001) in the number of children with OSA requiring unexpected post-surgery admissions after nonotolaryngologic ambulatory surgery. Knowledge of this information should help in patient selection for ambulatory surgery, decrease unexpected post-surgery admissions, increase family and patient satisfaction and patient safety and decrease the use and cost of healthcare resources.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 6","pages":"394"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560547","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}

{"title":"Effectiveness of Single Visit Dentist-Led Cognitive Behavioral Therapy on Dental Fear and Anxiety in Children: A Randomized Control Trial.","authors":"Chandrakantha Balaraman, Sharath Asokan, Geetha Priya Pollachi-Ramakrishnan, Yogesh Kumar Thoppe Dhamodharan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the effectiveness of single-visit dentist-led cognitive behavioral therapy (CBT) in reducing dental fear and anxiety (DFA) and improving cooperation in children aged six to eight years undergoing dental treatment with and without local anesthesia (LA). <b>Methods:</b> Seventy-six children (six to eight years) with a Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) score of 38 or higher, needing dental treatment, either with LA (N equals 38) or without LA (n equals 38), were randomly divided into two groups: Group I received conventional behavior guidance techniques (control), and Group II received CBT. Dental procedures were video recorded. Anxiety and cooperation were assessed using Venham's clinical anxiety scale (VCAS) and Venham's clinical cooperation scale (VCCS), respectively. Pre-operative and post-operative pulse rate and CFSS-DS scores were recorded. <b>Results:</b> CBT significantly reduced CFSS-DS scores in children undergoing dental treatment with LA (P<0.001) and without LA (P=0.003). Post-operative VCAS and VCCS scores were comparatively lower in children who received CBT, irrespective of the treatment. Additionally, CBT significantly lowered VCCS scores in children undergoing treatment with LA (P=0.046). <b>Conclusion:</b> Cognitive behavioral therapy effectively reduced dental fear and anxiety in children undergoing dental treatment with and without local anesthesia and is a feasible behavior management strategy.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 6","pages":"400-406"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560519","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}