{"title":"Caries Recurrence After Multiple-Visit Outpatient Dental Treatment and Potential Risk Factors in Young Children in Beijing: A Multicenter Prospective Study.","authors":"Qiong Zhou, Yue Li, Ying Li, Fangfei Zhang, Mengxing Wang, Zhiming Ren, Xiaohua Lin, Bing Wang, Qingxia Lu, Man Qin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> This study investigated caries recurrence in young children in China who received multiple-visit outpatient dental treatment, and explored potential risk factors. <b>Methods:</b> A total of 371 one-to four-year-old outpatients with caries were recruited from seven pediatric dentistry clinics in Beijing, China. Oral examinations were performed, and medical and demographic information were recorded at baseline and at three, six, nine, and 12 months. This included the number of decayed teeth (dt), decayed surfaces (ds), demographic data, plaque index, Cariostat<sup>®</sup> index, dental behavior, and oral health practices. According to caries recurrence, the children were divided into relapse and non-relapse groups, the data from which were compared to explore the potential risk factors related to caries relapse. <b>Results:</b> During the 12-month follow-up, the plaque index, Cariostat<sup>®</sup>index, and behavior score of the children significantly improved compared to the baseline (P<0.05). However, 62.26 percent of the children experienced caries recurrence. No significant differences were found in parents' education level, children's age, sex, oral health practice, plaque index, or behavior score between the relapse and non-relapse groups (P>0.05). The Cariostat<sup>®</sup> index at baseline and 12 months, frequency of sugar intake, and dt in the relapse group were significantly higher than for the non-relapse group (P<0.05). <b>Conclusions:</b> Young children's awareness and effectiveness in maintaining oral hygiene significantly improved during multiple visits. However, caries recurrence remained high, indicating that treatment and long-term maintenance of dental caries in this demographic still face considerable challenges. High frequency of sugar intake was an important risk factor for recurrence of caries.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 4","pages":"262-275"},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058855","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":"Response to the Letter to the Editor.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 4","pages":"217-218"},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058874","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}
Amjad A Almawash, Ayman M Sulimany, Latifa A Alhowaish, Abdullah S Alayad, Omar A Bawazir
{"title":"The Retention of Stainless Steel Molar Bands on BioFlx<sup>®</sup> Crowns With Different Types of Luting Cements: An <i>In Vitro</i> Study.","authors":"Amjad A Almawash, Ayman M Sulimany, Latifa A Alhowaish, Abdullah S Alayad, Omar A Bawazir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the bond strengths of stainless steel molar bands (SSMBs) on NuSmile<sup>®</sup> BioFlx<sup>®</sup> crowns (BFCs) using glass ionomer cement (GIC), resin-modified glass ionomer cement (RMGIC), self-adhesive resin cement (SARC), and zinc polycarboxylate cement (PXC). <b>Methods:</b> Eighty BFCs (size 4) and SSMBs (size 35+) were closely fit on the crowns. Four different types of luting cements (20 per group: group one-GIC; group two-RMGIC; group three-SARC; and group four-PXC) were used to cement the SSMBs onto the BFCs. The bond strength between the SSMBs and the BFCs was tested using a universal testing machine. The adhesive remnant index (ARI) was used to quantify the residual cement on the crown surface to determine the mode of bond failure. One-way analysis of variance was used to compare the mean bond strengths between the groups, and the chi-square test was used to assess the predominant site of bond failure. <b>Results:</b> The mean bond strength was highest (2.76±0.07 MPa) and lowest (1.38±0.2 MPa) in the SARC and PXC groups, respectively. The bond strength was significantly different be- tween the groups (P<0.05). Bond failures were observed more frequently at the crown-cement interface in the SARC, RMGIC, and GIC groups and at the band-cement interface in the PXC group. SARC had the lowest ARI score, and PXC had the highest. <b>Conclusion:</b> Self-adhesive resin cement significantly had the highest bond strength and the lowest adhesive remnant score after debanding, followed by resin-modified glass ionomer cement, glass ionomer cement, and zinc polycarboxylate cement, respectively.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 4","pages":"247-252"},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058878","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":"Guest Editorial.","authors":"Keri Discepolo, Paul S Casamassimo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 4","pages":"214-215"},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058863","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}
Ivette L Daly, Miguel A Simancas-Pallares, John R Christensen, Lorne D Koroluk
{"title":"Management of Luxated Permanent Incisors: A Study Between Orthodontic and Digital Repositioning.","authors":"Ivette L Daly, Miguel A Simancas-Pallares, John R Christensen, Lorne D Koroluk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> This study aimed to evaluate clinical outcomes of digitally and orthodontically repositioned permanent incisors following extrusive and lateral luxation injuries. <b>Methods:</b> In this retrospective study, patient records from 105 permanent incisors with traumatic luxation injuries that were treated by means of digital (N equals 67) or orthodontic repositioning (N equals 38) were included. The main outcome was pulpal necrosis leading to the need for endodontic therapy. Cox-proportional regression was used to estimate the association between type of treatment and the main outcome, and a Kaplan-Meier plot comparing the survival of injured teeth in each group was obtained. <b>Results:</b> Most participants were boys (62 percent) with a mean age of 10 years. Fewer teeth in the orthodontic group (n equals eight versus n equals 27 in the digital) developed pulp necrosis requiring endodontic therapy (P=0.04). Although not statistically significant, multivariate analyses revealed that teeth treated by means of orthodontic reduction are less likely to develop pulpal necrosis (hazard ratio equals 0.47; 95 percent confidence interval equals 0.2 to 1.0). <b>Conclusions:</b> Acknowledging the limitations of this study, luxated permanent incisors treated via orthodontic repositioning may exhibit more favorable outcomes. Additional studies with various injuries are needed to establish universal adoption of management guidelines.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 4","pages":"255-261"},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058862","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}
Livia Azeredo Alves Antunes, Thuanny Castilho, Walter Fialho, Thais de Oliveira Fernandes, Ludmila Silva Guimarães, Leonardo Santos Antunes
{"title":"Dental Caries Rehabilitation and Oral Health-Related Quality of Life in Children, Adolescents, and Families: An Updated Systematic Review.","authors":"Livia Azeredo Alves Antunes, Thuanny Castilho, Walter Fialho, Thais de Oliveira Fernandes, Ludmila Silva Guimarães, Leonardo Santos Antunes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To conduct a systematic review of the literature relating the influence of dental caries rehabilitation (DCR) on the oral health- related quality of life (OHRQoL) of children, adolescents, and families. <b>Methods:</b> Six databases, grey literature, Google Scholar, and manual search were accessed. Eligibility criteria (PICO) were outlined: P (population)-children, adolescents, and family; I (intervention)-DCR; C (comparison)- OHRQoL before and after DCR; O (outcome)-OHRQoL status after DCR. Two investigators independently applied the eligibility criteria, extracted qualitative data, and assessed the risk of bias. For quantitative data, a meta-analysis was conducted using the RevMan 5.4 program. The certainty of evidence was evaluated using the GRADE system. <b>Results:</b> Of 2,432 records, 35 were included, totaling 3,358 participants and 11 types of instruments. A total of 25 studies exhibited good methodological quality. The meta-analysis detected improvements in OHRQoL after DCR for children aged one to nine years (P<0.001; 95 percent confidence interval [95% CI] equals 1.47 [0.90 to 2.03]), four to nine years (P<0.001; 95% CI equals 1.23 [0.99 to 1.46]), and eight to 10 years (P<0.001; 95% equals CI 0.76 [0.46 to 1.06]), adolescents aged 11 to 15 years (P=0.03; 95% CI equals 0.75 [0.07 to 1.44]), and family from children aged one to nine years (P<0.001; 95% CI equals 1.02 [0.56 to 1.49]). However, the certainty of evidence was very low. <b>Conclusions:</b> Dental caries rehabilitation was associated with an improved oral health-related quality of life for children and adolescents aged one to 15 years and families with children aged one to nine years. This influence highlights the potential benefits of DCR interventions in reducing the negative effects of dental issues on daily life, although further research with higher-quality evidence is needed to strengthen these findings.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 4","pages":"222-242"},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058857","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":"Evaluation of Family and Behavioral Factors Associated With Intra-Articular Temporomandibular Disorders in Children and Adolescents: An Observational Cross-Sectional Study.","authors":"Mustafa Saatçi, Burcu Baş, Emine Asena Singer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To investigate the role of behavioral, familial, and psychosocial factors in the etiology of temporomandibular disorders (TMD) in children and adolescents. <b>Methods:</b> A cross-sectional observational study was conducted with 139 participants (70 TMD patients, 69 healthy controls) aged nine to 18 years and their parents. TMD diagnosis was made using the Diagnostic Criteria for TMD (DC/TMD). Psychosocial, behavioral, and familial status were evaluated using Patient Health Questionnaire-4 (PHQ-4), Oral Behavior Checklist (OBC), Child Behavior Checklist/4-18 (CBCL/4-18), Family Assessment Device (FAD), and Visual Analog Scale (VAS). Statistical analyses employed the Mann-Whitney U test, Pearson's chi-square test, and Spearman's rho correlation with a significance level of P<0.05. <b>Results:</b> TMD patients exhibited significantly higher PHQ-4, OBC, and CBCL/4-18 scores compared to controls (P<0.001). Social withdrawal and introversion problems, such as anxiety and depression, as well as extraversion scores, such as criminal and aggressive behaviors, and diligent control scores, were higher in the TMD group. FAD scores did not differ significantly between groups (P=0.315). A statistically significant positive correlation was observed between OBC and VAS scores (r equals 0.390, P=0.001). <b>Conclusion:</b> These findings suggest that psychosocial and behavioral factors may play an important role in the clinical profile of temporomandibular disorders and should be considered in their assessment and management. (Pediatr Dent 2025;47(4):240-6) Received December 23, 2024.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 4","pages":"240-246"},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058866","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":"Abstract of the Scientific Literature.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 4","pages":"221"},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058871","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}
Allison Higgins, Jin Peng, Paul S Casamassimo, Kimberly J Hammersmith, David O Danesh, Beau D Meyer
{"title":"The Association of Medical Periodicity Adherence and Early Preventive Dental Care With Subsequent Dental Utilization Among Medicaid-Insured Ohio Children.","authors":"Allison Higgins, Jin Peng, Paul S Casamassimo, Kimberly J Hammersmith, David O Danesh, Beau D Meyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the association between preventive medical and dental visits before age 30 months with dental utilization after age 30 months. <b>Methods:</b> This retrospective cohort study used Medicaid enrollment and claims data from Partners for Kids, a pediatric accountable care organization in Ohio. Medical periodicity adherence was defined by the HEDIS W30 measure, and early preventive dental care was defined as having a preventive dental visit by age 30 months. Dental utilization outcomes were measured from ages 30 months to eight years. Descriptive statistics, chi-square tests of independence, and stratified, multiple-variable logistic regression were used in the analysis. <b>Results:</b> Among 14,800 included children, 64 percent (N equals 9,322) met medical periodicity adherence and only 15 percent (N equals 2,141) met the early preventive dental care measure. Children who met both medical and dental measures had the highest frequency of caries-related treatment visits (50.3 percent, P<0.001), and had two times the odds of having a caries-related treatment visit (odds ratio equals 1.9, 95 percent confidence interval equals 1.7 to 2.1) than children who met neither measure. <b>Conclusions:</b> Medicaid-enrolled children were much more likely to complete their medical well-child visits than preventive dental visits. Physicians may be the initial source of dental care when access to dental care is limited. Promoting earlier access to dental care or integrating dental care into medical well-child visits may improve pediatric oral health.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 4","pages":"270-275"},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058877","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}