Pediatric dentistry最新文献

Changes in Body Mass Index Following Dental Surgery to Treat Early Childhood Caries in Preschool Children. 学龄前儿童早期龋齿手术治疗后体重指数的变化。

IF 1.7

Pediatric dentistry Pub Date : 2026-07-15

Shaan Sareen, Mariah Arches, Victor H K Lee, Vivianne Cruz de Jesus, Betty-Anne Mittermuller, Tara Kennedy, Robert J Schroth

{"title":"Changes in Body Mass Index Following Dental Surgery to Treat Early Childhood Caries in Preschool Children.","authors":"Shaan Sareen, Mariah Arches, Victor H K Lee, Vivianne Cruz de Jesus, Betty-Anne Mittermuller, Tara Kennedy, Robert J Schroth","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To investigate changes in body mass index (BMI) following surgery to treat severe early childhood caries (S-ECC). Methods: Children no older than 71 months of age undergoing surgery to treat S-ECC were recruited into a prospective cohort study in Manitoba, Canada. Heights and weights were measured at baseline (day of surgery) and follow-up (minimum of 3 months after treatment) to calculate BMI z-scores. Both the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) classification systems were used to determine BMI health status. Descriptive statistics, bivariate analyses, change tests, and regression models were used. Results: Overall, 150 parti- cipants were recruited (mean age=47.7±14.2 months), and 104 children returned for follow-up. Mean BMI z-scores increased significantly (5.8±2.7 months; P<0.001) following surgery. Based on the WHO classification, 44% of children remained healthy based on BMI following surgery (43% for CDC), while 30% declined from the healthy to unhealthy category based on the WHO classification at follow-up (29% for CDC). Those with a household income of less than $28,000 (CAD) were more likely to be at an unhealthy BMI (P=0.01). Conclusions: Children in this study experienced a significant increase in BMI and a decline in health at follow-up. Early childhood caries and BMI share similar risk factors. Lower family income was associated with worse health after surgery when controlling for other variables. Children undergoing surgery for S-ECC would benefit from dietary, lifestyle, and physical activity interventions to improve both overall and oral health.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 4","pages":"295-300"},"PeriodicalIF":1.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835842","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

Adolescent Primary Care Utilization Following Human Papillomavirus Vaccination Through Medical-Dental Integration. 通过医疗-牙科一体化接种人乳头瘤病毒疫苗后青少年初级保健的利用。

IF 1.7

Pediatric dentistry Pub Date : 2026-07-15

Natalie Shelden, McKenzie Hanigan, Ileana Barron, Kristin Breslin, Jessica Jack

引用次数: 0

A Comparative Analysis of US State Pediatric Dental Moderate Enteral Sedation Regulations. 美国国家儿童牙科中度肠内镇静法规的比较分析。

IF 1.7

Pediatric dentistry Pub Date : 2026-07-15

Alyssa Moy, Travis Nelson, Stephen Wilson, Thomas Tanbonliong

{"title":"A Comparative Analysis of US State Pediatric Dental Moderate Enteral Sedation Regulations.","authors":"Alyssa Moy, Travis Nelson, Stephen Wilson, Thomas Tanbonliong","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To compare moderate enteral sedation regulations across the 50 US states and evaluate alignment with the American Academy of Pediatrics/American Academy of Pediatric Dentistry (AAPD) and the American Dental Association (ADA) guidelines. Methods: An online review of all state dental sedation laws was conducted from January to June 2025. Extracted variables include permit type, renewal interval, site visit, and education requirements. State regulations were compared with the AAPD Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures and the ADA Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students.Results: Forty-eight states (96%) require a permit to administer moderate enteral sedation. The most common renewal interval is 2 years (58%), and two-thirds of states require 1 to 5 annual continuing education hours. Twenty states (40%) require a pediatric endorsement. Nearly all states (98%) mandate advanced life-support training for pediatric patients. More than half (64%) require an initial site visit, and 50% require regular emergency drills. Educational standards vary, though 60 didactic hours and 20 cases are most common. Most states (86%) require Basic Life Support (BLS) for monitoring personnel, and 56% require at least 2 individuals during procedures. Conclusions: Despite increased alignment with published sedation guidelines in recent decades, significant variability persists among state permit definitions and requirements. These findings highlight the need for standardized, evidence-based state dental practice acts that clearly define sedation depths, routes, and training requirements.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 4","pages":"280-299"},"PeriodicalIF":1.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835810","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

Comparative Assessment of Generative Artificial Intelligence Platforms in Providing Multilingual Pediatric Dental Postoperative Instructions: A Mixed-Method Study. 生成式人工智能平台在提供多语言儿童牙科术后指导中的比较评估：一项混合方法研究。

IF 1.7

Pediatric dentistry Pub Date : 2026-07-15

Shahbaz Katebzadeh, Michelle Ochedzan, Gylis Booz, Suhong Tong, Kaci Pickett-Nairne, Chaitanya P Puranik

{"title":"Comparative Assessment of Generative Artificial Intelligence Platforms in Providing Multilingual Pediatric Dental Postoperative Instructions: A Mixed-Method Study.","authors":"Shahbaz Katebzadeh, Michelle Ochedzan, Gylis Booz, Suhong Tong, Kaci Pickett-Nairne, Chaitanya P Puranik","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To comparatively evaluate the accuracy, readability, and concision (word count) of 7 generative artificial intelligence platforms (GenAIs) that developed multilingual postoperative instructions (POIs) for pediatric dental procedures. Methods: Standard prompts were developed and uploaded to 7 trained or untrained GenAIs to create POIs for 5 pediatric dental procedures in 3 languages: English, Spanish, and Polish. Two masked, calibrated, bilingual, simulated parents assessed the accuracy, clarity, cultural neutrality, and language appropriateness of 70 GenAI-developed POIs using an ordinal scale (AI-instructify) for each language pair (English-Spanish, English-Polish). The readability, understandability, actionability, and concision of GenAIs were calculated using evidence-based indices, and the data were statistically evaluated (a =0.05). Results: Trained GenAIs improved the accuracy and readability of multilingual POIs (P<0.05). POIs in English consistently received higher AI-instructify scores than POIs in Spanish and Polish. However, POIs from untrained GenAIs or in the Polish language were concise (lower word count) as compared to those in English and Spanish languages (P<0.001). Most POIs received a score indicating they were \"easily\" or \"fairly easily\" readable, understandable, and actionable at a sixth-grade level (the standard literacy level for the US population). Conclusions: Trained generative artificial intelligence platforms produced accurate, readable postoperative instructions. Despite generic content, GenAIs showed promise in generating multi-lingual instructions suitable for diverse populations with lower health literacy.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 4","pages":"264-272"},"PeriodicalIF":1.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835865","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

CDT 2027 Dental Case Management Code for Pediatric-to-Adult Transition Services. CDT 2027儿科到成人过渡服务牙科病例管理规范。

IF 1.7

Pediatric dentistry Pub Date : 2026-07-15

Rohit Nair, Noorpreet Kaur, Robert Rada, Dan Burch, Abidin Hakan Tuncer, Orpheus Triplett, Michelle Ziegler, Michael Chan, Jeffery Johnston, Nicholas Gagner, Laura Holena, Jacob Dent, Maria Lozada

引用次数: 0

Virtual Reality in Pediatric Dental Anxiety Management: A Systematic Review. 虚拟现实在儿童牙科焦虑管理中的应用：系统综述。

IF 1.7

Pediatric dentistry Pub Date : 2026-07-15

Maria Clara Fernandes Ribeiro Dantas, Quézia Soares de Paula, Rebeca Vidal Capelupi, Nayari Valero Quintana, Flávia Almeida Ribeiro Scalioni

{"title":"Virtual Reality in Pediatric Dental Anxiety Management: A Systematic Review.","authors":"Maria Clara Fernandes Ribeiro Dantas, Quézia Soares de Paula, Rebeca Vidal Capelupi, Nayari Valero Quintana, Flávia Almeida Ribeiro Scalioni","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To determine if virtual reality (VR) is associated with reduced dental anxiety in neurotypical children and children with special health care needs compared with usual care or other distraction methods. Methods: This systematic review was conducted following PRISMA 2020 guidelines and was prospectively registered in PROSPERO (CRD420251126502). A comprehensive search was performed in August 2025 in PubMed, Scopus, LILACS, CAPES, Cochrane Library, ClinicalTrials. gov, and Google Scholar without language or date restrictions. Reference lists of relevant publications were also hand-searched. Two reviewers independently extracted data on study populations, dental procedures, VR type, comparators, outcomes, and findings, with discrepancies resolved by consensus. Risk of bias was assessed using RoB 2 for randomized trials and ROBINS-I for nonrandomized trials; certainty of evidence was evaluated using GRADE. Results: A total of 23 studies met the inclusion criteria. Evidence indicates that VR is consistently associated with a reduction in dental anxiety and improved cooperative behavior in neurotypical children and children with autism spectrum disorder. Findings for children with attention-deficit/hyperactivity disorder, mild intellectual disabilities, or children who are deaf or hard of hearing were heterogeneous and showed mixed or modest effects. Pain outcomes varied significantly across studies, precluding clear conclusions. Conclusions: Virtual reality appears to be a promising adjunct for managing pediatric dental anxiety, particularly in neurotypical children and those with autism spectrum disorder. However, heterogeneity of study designs and limited evidence for other disability groups currently restrict routine clinical implementation. Further rigorous trials are needed to clarify effectiveness across diverse pediatric populations.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 4","pages":"242-249"},"PeriodicalIF":1.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835886","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

Evidence-Based Clinical Practice Guideline for Assessment and Management of Ankyloglossia in Infants With Breastfeeding Difficulties. 母乳喂养困难婴儿强直性咬紧带评估与处理循证临床实践指南。

IF 1.7

Pediatric dentistry Pub Date : 2026-07-15

Vineet Dhar, Abdullah A Marghalani, Homa Amini, Tegwyn Brickhouse, Erica Caffrey, Jayakumar Jayaraman, Martha Ann Keels, Anna Messner, Kimberly K Patterson, Nikhila Raol, Poojan Shrestha, Christopher Stark, Harlyn K Susarla, Jennifer Thomas

{"title":"Evidence-Based Clinical Practice Guideline for Assessment and Management of Ankyloglossia in Infants With Breastfeeding Difficulties.","authors":"Vineet Dhar, Abdullah A Marghalani, Homa Amini, Tegwyn Brickhouse, Erica Caffrey, Jayakumar Jayaraman, Martha Ann Keels, Anna Messner, Kimberly K Patterson, Nikhila Raol, Poojan Shrestha, Christopher Stark, Harlyn K Susarla, Jennifer Thomas","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To provide evidence-based recommendations for managing infants with restrictive lingual frenum and breastfeeding difficulties. Methods: Recommendations were informed by 2 recent systematic reviews regarding outcomes such as the diagnostic criteria for ankyloglossia, association of ankyloglossia with feeding difficulties, and evidence for surgical release of the lingual frenum. The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach guided consensus on problem prioritization, certainty of evidence, benefit-risk balance, patient values, acceptability, and feasibility. Results: Twelve conditional recommendations were developed addressing the diagnosis and management of symptomatic ankyloglossia. Both anatomical and functional assessments were advised for a comprehensive assessment of the tongue. Evidence suggested an association between restrictive lingual frenum and feeding difficulties and potential benefits of frenotomy on feeding in carefully selected cases. This document provides guidance on preferred surgical techniques, postoperative care, and counseling regarding possible adverse events, aiming to support clinical decision making for dental professionals. Conclusions: All recommendations were conditional and grounded in very low-certainty evidence, underscoring the need for high-quality research. Clinicians should engage in multidisciplinary, shared decision making with parents to determine the most appropriate intervention from available options, incorporating the family's values and preferences.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 4","pages":"250-263"},"PeriodicalIF":1.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835906","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

Effect of Discoloration Reducing Agents on Dentin Remineralization After Silver Diammine Fluoride Treatment. 还原剂对氟二胺银处理后牙本质再矿化的影响。

IF 1.7

Pediatric dentistry Pub Date : 2026-07-15

Demet Balkan, Merve Akcay

{"title":"Effect of Discoloration Reducing Agents on Dentin Remineralization After Silver Diammine Fluoride Treatment.","authors":"Demet Balkan, Merve Akcay","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To compare the effects of different agents on the reduction of discoloration and remineralization potential in artificial-dentincaries lesions treated with silver diammine fluoride (SDF). Methods: A total of 120 caries-free primary-molars were divided into 6 groups as follows: SDF-only: 38% SDF as the positive control; SDF+KI: SDF followed by potassium iodide (KI); SDF+HP: SDF followed by 40% hydrogen peroxide (HP); SDF+KI+HP: SDF followed by KI and then HP; SDF+GSH: SDF premixed with 20% glutathione (GSH); and SDF+GSH+KI: SDF premixed with GSH followed by KI. Following application of the materials to the artificial-dentincaries lesions, the samples were subjected to a 7-day pH-cycling protocol. Microhardness testing, spectrophotometry, and confocal laser scanning microscopy were used to analyze changes in the dentin. Data were analyzed using Kruskal-Wallis, Friedman, and Bonferroni tests (P<0.05). Results: All groups exhibited post-treatment increases in surface microhardness from the demineralized state (P<0.001), and post-treatment hardness values approached baseline (sound dentin; P>0.05). Betweengroup comparisons revealed no differences in post-treatment surface microhardness (P=0.454) or lesion depth (P=0.113). However, the SDF+HP group showed lower lesion fluorescence (P<0.001). Spectrophotometric analyses revealed that the KI (approximately 54%) and HP (approximately 41%) subgroups reduced post-treatment discoloration compared to the SDF-only group (P<0.001). Conclusions: None of the tested combinations had a negative effect on the remineralization capacity of silver diammine fluoride under the evaluated parameters. Potassium iodide and hydrogen peroxide effectively reduced SDF-related discoloration, improving its esthetic acceptability without compromising its therapeutic efficacy.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 4","pages":"288-294"},"PeriodicalIF":1.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835912","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

Pediatric Dental Providers' Experiences With Parent Refusal of Radiographic Imaging. 儿童牙科医生对父母拒绝放射成像的经验。

IF 1.7

Pediatric dentistry Pub Date : 2026-07-15

Andrea Akabike, Courtney M Hill, Gulaiim Almatkyzy, Paul Casamassimo, Chelsea Fosse, Travis Nelson, Peggy P Lee, Donald L Chi

{"title":"Pediatric Dental Providers' Experiences With Parent Refusal of Radiographic Imaging.","authors":"Andrea Akabike, Courtney M Hill, Gulaiim Almatkyzy, Paul Casamassimo, Chelsea Fosse, Travis Nelson, Peggy P Lee, Donald L Chi","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To investigate pediatric dental providers' experiences with parent radiographic imaging refusal and identify practice and parent characteristics associated with refusal. Methods: American Academy of Pediatric Dentistry (AAPD) members were invited via email in October and November 2024 to participate in an online questionnaire about radiograph imaging refusal (intraoral, extraoral, and cone beam computed tomography [CBCT]). Chi-square tests identified factors associated with refusal. Results: A total of 695 of 8,295 dental providers responded to the survey (8.4%). Most were women (60.7%) and White (71.8%). Between 9% and 23% reported parent radiographic imaging refusal as a big or medium-sized problem (intraoral=23%; extraoral=12%; CBCT=9%). Intraoral and extraoral refusal was more commonly reported by private practice providers (versus community health centers or university/hospitals) and providers treating fewer than 50% Medicaid-insured patients (versus more than 50% Medicaid-insured patients; P<0.05). Providers reported that parents who refused bitewing radiographs also tended to refuse fluoride and immunizations. Most providers (87.6%) continued to use lead shielding because of the belief that it improves acceptance of radiographs (71.9%). Conclusions: Parent intraoral radiography refusal is a commonly reported challenge in dentistry and highlights the importance of developing chairside strategies aimed at supporting parent decision-making and timely dental disease diagnosis and treatment.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 4","pages":"273-285"},"PeriodicalIF":1.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835893","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

Trends in the Emergence of Permanent Dentition: A Retrospective Analysis of Adolescents From 1980 to 2020. 恒牙发育趋势：1980 ~ 2020年青少年的回顾性分析。

IF 1.7

Pediatric dentistry Pub Date : 2026-05-15

Dawson K Buettner, Qingzhao Yu, Nubaira Rizvi, Richard W Ballard, Paul C Armbruster

{"title":"Trends in the Emergence of Permanent Dentition: A Retrospective Analysis of Adolescents From 1980 to 2020.","authors":"Dawson K Buettner, Qingzhao Yu, Nubaira Rizvi, Richard W Ballard, Paul C Armbruster","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: This study investigated whether the age of permanent tooth emergence in US adolescents has shifted over the past 40 years and whether these changes vary by gender or race. Methods: A retrospective review of clinical records from 751 patients aged 9 to 16 years was conducted across three cohorts: 1978 to 1982, 1998 to 2002, and 2018 to 2022. Intraoral photographs were analyzed to assess the presence of maxillary and mandibular canines, premolars, and second molars at half-year intervals. Logistic regression modeled the probability of tooth presence based on age, cohort, gender, and race. Results: Median age of tooth emergence was found to be earlier by 0.5 to 0.9 years for most teeth. Compared to 1980, the odds of tooth presence were significantly higher in 2000 (odds ratio [OR]=1.75) and 2020 (OR=3.01), indicating a consistent trend toward earlier emergence. Females demonstrated significantly earlier emergence than males (OR equals 0.63), and Black children exhibited higher odds of tooth presence compared to White and Hispanic peers. Conclusions: This study provides evidence of a trend toward earlier emergence of permanent dentition in a US adolescent population. Gender and racial differences suggest that emergence timing is influenced by both biological and environmental factors.","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 3","pages":"208-213"},"PeriodicalIF":1.7,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221578","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