Pediatric dentistry最新文献

Identifying Post-Discharge Events in Pediatric Sedation Patients. 确定小儿镇静患者出院后的事件。

Pediatric dentistry Pub Date : 2025-03-15

Meghan Thorburn, Deniz Dishman, Aaron Glick, Katherine Pazmiño, Brett Chiquet

{"title":"Identifying Post-Discharge Events in Pediatric Sedation Patients.","authors":"Meghan Thorburn, Deniz Dishman, Aaron Glick, Katherine Pazmiño, Brett Chiquet","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To identify the incidence of parental-reported post-discharge events (PDEs) following moderate sedation and determine the sedation regimen and patient-specific factors that contribute to PDEs. Methods: Two thousand patient charts of pediatric patients who underwent sedation were screened. Information gathered from the patient record included patient body mass index (BMI), airway assessment, history of sleep-disordered breathing (SDB) symptoms, sedation medications and dosages, and parentally reported post-operative information. Results: Parents provided post-discharge information for 1,079 records (54 percent response rate). PDEs were reported for 35.2 percent of patients, with behavior issues (19.5 percent) and dental complications (17.6 percent) reported the most. Overall, more PDEs occurred in American Society of Anesthesiologists (ASA) I patients compared to ASA II patients (P<0.001) and increased as BMI increased (P=0.003) and tonsillar obstruction decreased (P=0.02). Comparing sedation regimens showed no difference in the proportion of PDEs (overall or by category; P>0.05). Patient age, ASA classification, height, BMI, Brodsky score, and sedation route influenced PDEs based on different sedation regimens and specific PDEs. Conclusions: Behavioral and dental issues are the most commonly parental-reported post-discharge events, and the rate of occurrence did not depend on the sedation regimen. The incidence of PDEs increased as body mass index increased, reinforcing the recommendation that obese patients should not sedated in the dental office, even if dosed to their lean body weight.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 2","pages":"108-113"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058488","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

Color Stability of Pediatric Prefabricated Crowns Exposed to Childhood Beverages. 儿童预制冠暴露于儿童饮料中的颜色稳定性。

Pediatric dentistry Pub Date : 2025-03-15

Brooke Wiggins, Craig Volk Vinall, Brian R Morrow, Franklin Garcia-Godoy

{"title":"Color Stability of Pediatric Prefabricated Crowns Exposed to Childhood Beverages.","authors":"Brooke Wiggins, Craig Volk Vinall, Brian R Morrow, Franklin Garcia-Godoy","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To evaluate changes in color stability and translucency for different zirconia crowns (ZRCs) following immersion in common childhood beverages. Methods: Twenty-four maxillary right central incisor ZRCs were obtained from NuSmile® Sprig, and Kinder Krowns® and randomly divided into four groups. Crowns were evaluated initially at baseline (control) with a spectrophotometer and immersed in Minute Maid® apple juice, Tum-E Yummies®, Gatorade®, and Kool-Aid® for 21 days to determine color and translucency. Mean and standard deviations were calculated for CIEDE2000 color differences (ΔE00), translucency parameter (TP00), and difference in translucency parameter (TP00). Data were analyzed using two-way repeated measures analysis of variance and the Holm-Sidak post hoc test (P<0.05). Results were interpreted using visual color difference thresholds in dentistry (perceptibility threshold [PT] equals 0.8 for the 50:50, and acceptability threshold [AT] equals AT 1.8 50:50). Likewise, TP00 values were interpreted using visual translucency difference thresholds (translucency perceptibility threshold TPT equals 0.6 for 50:50 and translucency acceptability threshold TAT equals 2.6 for 50:50). Results: Color changes for NuSmile® and Kinder Krowns® were seen at the initial time interval when exposed to Kool-Aid® or in apple juice. Sprig had its greatest change when exposed to Kool-Aid®. The greatest difference in translucency occurred with Sprig in Kool-Aid® and apple juice. All crowns experienced changes in color and translucency, exceeding the PT in at least one staining solution, but none exceeded the acceptability thresholds. Conclusion: Only slighty perceived differences in color and translucency after exposure to common childhood beverages may be observed in prefabricated pediatric zirconia crowns.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 2","pages":"90-94"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061443","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

Association of Labor-Related Medications With Molar Hypomineralization: An Experimental Study in Rats. 劳动相关药物与大鼠磨牙低矿化的关联：一项实验研究。

Pediatric dentistry Pub Date : 2025-03-15

Sonia Guzman, Emilia Acosta, Sandra Valverde, Juan R Boj, Olga Cortes

{"title":"Association of Labor-Related Medications With Molar Hypomineralization: An Experimental Study in Rats.","authors":"Sonia Guzman, Emilia Acosta, Sandra Valverde, Juan R Boj, Olga Cortes","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To evaluate the relationship between administering medications used during delivery and molar hypomineralization (MH) development in rats. The hypothesis was that exposure to specific drugs used to induce childbirth could affect dental mineralization, potentially leading to MH. Methods: An experimental study was conducted using four pregnant Sprague Dawley (SD) albino rats. The rats were divided into four groups: one rat received 0.143 mg/Kg of dinoprostone, 0.714 mg/Kg of pethidine, and 0.036 mg/Kg of haloperidol; another rat received 0.143 mg/Kg of dinoprostone alone; a third rat was administered 0.714 mg/Kg of pethidine and 0.036 mg/Kg of haloperidol; the last rat served as a control group and received no treatment. On the 25th postpartum day, molar samples were extracted from the offspring's dental pulps, preserved in 0.1 percent thymol, and analyzed using scanning electron microscopy and energy-dispersive X-ray spectroscopy to evaluate their mineral content. Statistical analysis of magnesium, calcium, phosphorus, carbon, oxygen, and the calcium/phosphorus ratio was performed using one-way analysis of variance and Mann-Whitney U-tests at a 95 percent confidence level. Results: Significant differences (P<0.001) were found in magnesium and phosphorus levels in the group administered pethidine and haloperidol, indicating a significant impact on the mineral composition of teeth. Conclusion: The results suggest that medications administered during delivery could influence dental mineralization, potentially contributing to the development of molar hypomineralization.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 2","pages":"103-107"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049566","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

Accuracy of Artificial Intelligence in Making Diagnoses and Treatment Decisions in Pediatric Dentistry. 人工智能在儿童牙科诊疗决策中的准确性。

Pediatric dentistry Pub Date : 2025-03-15

Ghalia Y Bhadila, Mody Alhomied, Abeer Mahmoud, Nada J Farsi

{"title":"Accuracy of Artificial Intelligence in Making Diagnoses and Treatment Decisions in Pediatric Dentistry.","authors":"Ghalia Y Bhadila, Mody Alhomied, Abeer Mahmoud, Nada J Farsi","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To assess the diagnostic and treatment decision-making accuracy of ChatGPT for various dental problems in pediatric patients compared to specialized pediatric dentists. Methods: This study included 12 cases, each with an average of three dental problems, resulting in a total of 36 dental problems. Successive prompts were given to ChatGPT (GPT-4), beginning with a comprehensive case presentation, followed by clinical and radiographic descriptions alongside clinical and radiographic images. Inputs for questions regarding the diagnosis and treatment were provided to the models. Accuracy was then scored based on the degree of alignment between the ChatGPT outputs and the pediatric dentistry committee decisions, which represented the control group based on their advanced training and clinical experience. Results: ChatGPT's diagnostic accuracy was 72.2 percent, with a kappa statistic of 0.69 (95 percent confidence interval [95% CI] equals 0.6 to 0.8). In detecting dental caries, ChatGPT achieved a sensitivity of 92.3 percent and a specificity of 100 percent, with positive and negative predictive values of 100 percent and 83.3 percent, respectively. ChatGPT's treatment decision accuracy was 47.2 percent with a kappa value of 0.43 (95% CI equals 0.4 to 0.6). The difference between the accuracy of ChatGPT in diagnosis and treatment decisions was statistically significant (P=0.01). Conclusions: ChatGPT achieved high diagnostic accuracy but had limited capability in making treatment decisions for pediatric dental problems. ChatGPT may serve as a secondary aid in diagnosis; however, it cannot be perceived as a reliable tool for therapeutic decision-making.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 2","pages":"73-78"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039685","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

Effects of 38 Percent Silver Diammine Fluoride on Adhesive Shear Bond Strength of Resin Composite to Permanent Dentin: A Preliminary Assessment. 38%二胺氟化银对树脂复合材料与恒牙本质剪切结合强度影响的初步评价。

Pediatric dentistry Pub Date : 2025-03-15

Mikayla Stevens, Brian R Morrow, Anne E Hill, Craig Volk Vinall, Franklin Garcia-Godoy

{"title":"Effects of 38 Percent Silver Diammine Fluoride on Adhesive Shear Bond Strength of Resin Composite to Permanent Dentin: A Preliminary Assessment.","authors":"Mikayla Stevens, Brian R Morrow, Anne E Hill, Craig Volk Vinall, Franklin Garcia-Godoy","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: The purpose of this study was to evaluate the influence of silver diammine fluoride (SDF) on shear bonding with total-etch adhesives. Methods: Thirty non-carious permanent human molars were collected and sectioned, exposing dentin that yielded two samples per tooth. Samples were mounted in resin, roughened, flattened to exposed dentine, and rehydrated (for 24 hours at 37 degrees Celsius). Fifteen samples were randomly allocated to each test group (n equals 15/gp): 3M™ Scotchbond™ Universal Plus Adhesive (SUPA), SDF+SUPA, Prime & Bond elect® Universal (PBE), and SDF+PBE. TPH Spectra® ST composite was utilized in all groups, light-cured, and rehydrated (for 24 hours at 37 degrees Celsius) before shear bond testing was performed. Maximum stress data were statistically analyzed using a two-way analysis of variance and Holm-Sidak post-hoc test (P<0.05). Results: Shear stress (MPa) were: SUPA (26.5±3.0), SDF+SUPA (25.6±7.2), PBE (21.1±5.7), and SDF+PBE (21.7±5.7). Statistically significant differences were only noted between SUPA and PBE (P=0.012). Conclusion: Within the limitations of this study, silver diammine fluoride did not affect the shear bonding of resin composite to dentin.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 2","pages":"87-89"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059515","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

Advances in Guided Enamel Regeneration: An In Vitro Comparative Study of Biomimetic and Conventional Remineralizing Agents in Primary Teeth. 引导牙釉质再生的研究进展：原生牙仿生再矿化剂与常规再矿化剂的体外比较研究。

Pediatric dentistry Pub Date : 2025-03-15

Supriya Bhatara, Mousumi Goswami, Aditya Saxena, Abhilash Gogoi, Shivya Tuli, Bhawna Saxena

{"title":"Advances in Guided Enamel Regeneration: An In Vitro Comparative Study of Biomimetic and Conventional Remineralizing Agents in Primary Teeth.","authors":"Supriya Bhatara, Mousumi Goswami, Aditya Saxena, Abhilash Gogoi, Shivya Tuli, Bhawna Saxena","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To evaluate the effectiveness of various remineralizing agents on artificially induced enamel lesions in primary teeth by a pH-cycled In Vitro model. Methods: Four remineralizing agents were tested on exfoliated/extracted primary human teeth in a pH-cycled model: fluoride varnish (FLV); casein phosphopeptide-amorphous calcium phosphate (CPP-ACP); self-assembling peptides-P11-4 (SAP); and poly(amidoamine) (PAMAM) dendrimers. Surface microhardness (SMH) improvement was quantitatively evaluated using Vickers hardness number testing, and surface morphology changes were qualitatively assessed with scanning electron microscopy. Results: Compared to SAP, PAMAM had a higher VHN value, and the difference was statistically significant (P<0.001). The comparison between the FLV and CPP-ACP groups showed a non-significant difference (P=0.56). FLV demonstrated a narrow interquartile range, underscoring its reliability. PAMAM and SAP resulted in a homogenous and smooth enamel surface, indicating successful mineral deposition. FLV and CPP-ACP showed more superficial mineral recovery. Conclusions: The In Vitro findings demonstrate each remineralizing agent's distinctive benefits and limitations in a controlled setting. Poly (amidoamine) dendrimers' standout performance suggests potential enamel repair strategies, potentially revolutionizing early carious lesion management. Fluoride varnish remains a dependable choice for clinicians, while casein phosphopeptide-amorphous calcium phosphate and self-assembling peptides-P11-4 contribute to biomimetic advancements in dentistry. Guided enamel regeneration through biomimetic approaches is aligned with minimum intervention dentistry principles and could substantially improve oral health outcomes.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 2","pages":"95-102"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034830","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

Is there an access issue with pediatric trauma care centers? 儿童创伤护理中心是否存在准入问题？

Pediatric dentistry Pub Date : 2025-03-15

Aaron R Jenson

引用次数: 0

Comparative Accuracy of Generative Artificial Intelligence Platforms on Predoctoral Pediatric Dentistry Examination. 生成式人工智能平台在儿科牙科博士前检查中的比较准确性。

Pediatric dentistry Pub Date : 2025-03-15

Shahbaz Katebzadeh, Kaci Pickett-Nairne, Paloma Reyes Nguyen, Chaitanya Prakash Puranik

{"title":"Comparative Accuracy of Generative Artificial Intelligence Platforms on Predoctoral Pediatric Dentistry Examination.","authors":"Shahbaz Katebzadeh, Kaci Pickett-Nairne, Paloma Reyes Nguyen, Chaitanya Prakash Puranik","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To determine the comparative accuracy of seven generative artificial intelligence (GenAI) platforms in answering multiple-choice questions on a predoctoral pediatric dentistry examination. This study evaluated the impact of question type and GenAI training on accuracy. Methods: In this study, 100 multiple-choice questions were answered by seven GenAIs using a standard prompt. The study included five untrained GenAIs (Llama, Gemini, Copilot, ChatGPT3.5, and ChatGPT4) and two trained GenAIs (ChatGPT3.5 and ChatGPT4). The training of GenAIs was performed using evidence-based data. The questions were categorized as knowledge-based versus critical thinking on 10 subspecialty domains. The GenAIs were asked to select one correct answer from four choices, and only the first generated response was recorded. Data were subjected to statistical analysis (alpha equals 0.05), with a passing score of 75 percent. Results: Trained ChatGPT4 had the highest accuracy score (90 percent), while untrained Copilot had the lowest accuracy score (57 percent). Only three GenAIs received a passing score (trained ChatGPT3.5, untrained and trained ChatGPT4). The average performance of these three GenAIs (87 percent) was comparable to that of dental students (89 percent). There was no difference in the accuracy of GenAI in answering knowledge-based or critical-thinking questions. Similarly, sub-specialty domain types did not impact the accuracy of GenAI. Conclusions: Newer or trained models of generative artificial intelligence have higher accuracy compared to older or untrained models of GenAI. In the future, due to high accuracy, newer or trained models of GenAI can be used as adjuncts in predoctoral pediatric dental education.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 2","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045664","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

Sunrise, High Noon, Sunset. 日出，正午，日落。

Pediatric dentistry Pub Date : 2025-01-15

Martha Wells, Chelsea Fosse, Paul Casamassimo

引用次数: 0

Hall Crown Technique Use Among USA Pediatric Dentists. 霍尔冠技术在美国儿科牙医中的应用。

Pediatric dentistry Pub Date : 2025-01-15

Nicholas M Carlson, LaQuia A Walker-Vinson, Brian J Sanders, Sondos Albadri, Jeffrey A Dean

{"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":"Purpose: 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). Methods: 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. Results: 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). Conclusions: 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.","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}

引用次数: 0