{"title":"Abstract of the Scientific Literature.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 3","pages":"135"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328332","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 Parental Psychological Style In Children's Diet And Oral Hygiene: A CrossSectional Study Of Early Childhood.","authors":"Nara Muniz Lopes, Camila Faria Carrada, Maisa Costa Tavares, Fernanda Campos Machado, Flávia Almeida Ribeiro Scalioni","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To investigate the association between parental psychological aspects, particularly locus of control and parenting style, and children's dietary and oral hygiene behaviors. <b>Methods:</b> This cross-sectional study was conducted with parents (parent, caregiver) of children aged three to six years who were residents in the municipality of Goianá, Minas Gerais, Brazil. Parents answered a questionnaire containing sociodemographic information and information about their children's diet and oral hygiene. In addition, parents responded to the Parental Health Locus of Control Scale (PHLCS) and the Parenting Style and Dimensions Questionnaire. Data analysis included descriptive analysis and binary logistic regression to identify associations between psychological aspects and children's habits. <b>Results:</b> A total of 98 parents responded to the questionnaires, 93.9 percent of whom were mothers. The average age of children was 62.0 (±11.3) months and the majority were female (55.6 percent). An increase in parents' \"powerful others\" locus of control score was associated with a higher likelihood (odds ratio [OR] equals 1.215; 95 percent confidence interval equals 1.036 to 1.424) of children consuming sugar three or more times per day, though no significant associations were found with toothbrushing frequency. There was no association between daily toothbrushing frequency and sociodemographic criteria and psychological aspects (P>0.05). <b>Conclusions:</b> The \"powerful others\" domain of the Parental Health Locus of Control Scale of parents was associated with the frequency of their children's sugar intake but other parental psychological aspects were not associated with children's brushing frequency.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 3","pages":"157-162"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328333","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}
Shamus L Cooper, Allison C Scully, Juan F Yepes, Tim Downey, George J Eckert, Gerardo Maupome
{"title":"Retrospective Evaluation of Trends in Prefabricated Zirconia Crown Usage in Primary Teeth: A Dental Claims Review.","authors":"Shamus L Cooper, Allison C Scully, Juan F Yepes, Tim Downey, George J Eckert, Gerardo Maupome","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To establish patterns of utilization for prefabricated zirconia crowns (PZCs) compared to other full-coverage restorations. <b>Methods:</b> Analysis of dental insurance claims from 2013 to 2022 included current dental terminology (CDT) codes, date, tooth number, patient information, and dentist information. CDT codes utilized were PZCs (D2929); stainless steel crowns (SSCs; D2930), resin window SSCs (D2933); preveenered SSCs (D2934); and resin-based composite crowns (D2390). Generalized estimating equation models tested the effects of service year, provider specialty, dentition location, American Academy of Pediatric Dentistry district, pulpotomy/pulpectomy, and cost associated with full-coverage restorations. <b>Results:</b> Six and a half million claims were included. SSCs were the most used restoration. PZC usage increased over time, eventually becoming the second-most utilized (1.8 percent to 4.3 percent). PZCs were placed more by pediatric dentists on anterior teeth and cost more (P<0.001). <b>Conclusions:</b> While stainless steel crowns remain the most frequently placed full-coverage option, prefabricated zirconia crown usage steadily increased. Parental awareness may lead more practitioners to provide PZCs. Pediatric dentists place more PZCs than general dentists. PZCs also had higher costs, with usage varying between geographical regions.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 3","pages":"183-188"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328336","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":"2025 Graduate Student Research Abstracts.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The American Academy of Pediatric Dentistry (AAPD) is dedicated to the advancement of research related to improving children's oral health and the specialty of pediatric dentistry. To fulfill part of this mission, AAPD supports many research awards, grants, and fellowships. The following research abstracts have been chosen by a subcommittee of the AAPD Council on Scientific Affairs. <i>Note: These research abstracts have not been edited by the AAPD editorial staff. The abstracts are published as received from the authors, except for changes in style. Any errors in content are the responsibility of the contributors, not of Pediatric Dentistry, the journal of the American Academy of Pediatric Dentistry.</i></p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 3","pages":"191-194"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328330","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 Maria Andaló Tenuta, Letícia Cabrera Capalbo, Elaine Yamada Yoshino
{"title":"Enamel Fluoride Reactivity of Professional Fluoride Products Is Not Correlated With Their Total Fluoride Content.","authors":"Livia Maria Andaló Tenuta, Letícia Cabrera Capalbo, Elaine Yamada Yoshino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess the in vitro reactivity of professional fluoride products with tooth enamel as a function of their fluoride content. <b>Methods:</b> One water-based treatment and three varnishes (9,500-22,600 ppm F) were tested. Their total fluoride concentration and the concen- tration in their soluble fraction (after centrifugation to remove most insoluble material) were determined. Products were applied on sound and demineralized enamel slabs and immersed in flowing artificial saliva for 15 minutes or four hours following manufacturers' instructions. Fluoride reactivity was estimated by determining loosely bound fluoride concentration in enamel; fluoride released to the saliva was also determined. Correlations between total and soluble fluoride in the products and fluoride release to saliva and reactivity were tested using Pearson's correlation (r; <i>α</i> equals five percent). <b>Results:</b> Fluoride concentration in the products' soluble fraction (50±9 to 9,728±316 ppm F), but not their total fluoride concentration (9,713±184 to 22,558±272 ppm F), was significantly correlated with enamel fluoride reactivity (r equals 0.52 for sound enamel and r equals 0.83 for demineralized enamel; P<0.001). Similar positive correlations were found between the fluoride released to the artificial saliva and fluoride reactivity (r equals 0.59 for sound enamel; r equals 0.80 for demineralized enamel; P<0.001). <b>Conclusion:</b> Soluble fluoride in formulations or their ability to release fluoride are good indicators of fluoride reactivity of professional products.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 3","pages":"178-182"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328334","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}
Kimberly M P Gibbs, Kimberly J Hammersmith, Kevin G Stephenson, Jin Peng, Paul S Casamassimo, Eric M Butter, Rachel M Fenning, Robin B Steinberg-Epstein
{"title":"Oral Health Fatalism and Oral Health Self-Efficacy in Caregivers of Children With Autism Spectrum Disorder: Using Data From a Longitudinal Interventional Study.","authors":"Kimberly M P Gibbs, Kimberly J Hammersmith, Kevin G Stephenson, Jin Peng, Paul S Casamassimo, Eric M Butter, Rachel M Fenning, Robin B Steinberg-Epstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate changes over time in oral health fatalism (OHF) and oral health self-efficacy (OHSE) in the context of an intervention, in caregivers of children with autism spectrum disorder (ASD). <b>Methods:</b> This secondary analysis used questionnaire data from a parent study of 118 Medicaid-eligible families of children with ASD enrolled in a longitudinal, multi-site randomized clinical trial testing the efficacy of a novel parent training (PT) intervention relative to psychoeducational toolkit for improving home oral hygiene and dental health. OHF and OHSE belief endorsements were evaluated at baseline, three months, and six months. <b>Results:</b> At baseline, 25 percent of caregivers disagreed with the OHF-endorsing statement \"Most children eventually develop dental cavities,\" and 11 percent did not report confidence with OHSE statements. At six months, 34 percent did not endorse OHF and five percent did not report confidence with OHSE. Using the generalized linear mixed model, the percent change from baseline to six months in caregivers disagreeing with OHF and endorsing OHSE was significant (P<0.05). A repeated mea- sures analysis of variance test determined the relationship between the effects of treatment and time on OHF and OHSE. No difference was found in OHF and OHSE beliefs over time between groups (P>0.05); however, a significant effect was found on OHF change over time within subjects (P<0.05). <b>Conclusions:</b> There was no statistically significant difference in endorsement of OHF or OHSE between groups at six months. However, within all subjects, OHF beliefs became less endorsed and OHSE confidence improved over time.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 3","pages":"151-156"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328335","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}
Shivam Patel, Homa Amini, Daniel Claman, Erin Gross, Paul S Casamassimo, Beau Meyer
{"title":"A Cross-Sectional Evaluation of Pediatric Dental Sedation: Examining Post-Discharge Events, Amnestic Effects, and Parental Satisfaction.","authors":"Shivam Patel, Homa Amini, Daniel Claman, Erin Gross, Paul S Casamassimo, Beau Meyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To investigate post-oral conscious sedation adverse events, amnesia, and parental satisfaction in the pediatric dental population. <b>Methods:</b> This cross-sectional study from 2023 to 2024 evaluated enrolled subjects undergoing oral sedation at Nationwide Children's Hospital with four different drug regimens: (1) midazolam only; (2) midazolam plus hydroxyzine; (3) meperidine plus hydroxyzine; and (4) triazolam. Parents were interviewed 24 or 72 hours after discharge to discuss post-sedation-related events. <b>Results:</b> The study population (n equals 109) was pre- dominantly female (53 percent), with a mean age of 8.7 years. Inconsolable crying and amnesia were significantly associated with the sedation regimen, with midazolam only having the highest frequency of each (31.3 percent and 37.5 percent, respectively). Amnesia was significantly associ- ated with age (P<0.001), with subjects six years old or younger experiencing the highest frequency (53.9 percent). Parents' ratings of sedation experience and providers' ratings of sedation effectiveness were similar. <b>Conclusions:</b> Oral conscious sedation in pediatric dentistry comes with both positive and negative side effects. Dentists and parents can use this study's results in a shared decision framework to achieve good sedation outcomes.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 3","pages":"163-171"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328331","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}
Alina Ricalde, Jung-Wei Chen, Luana J Lim, Jungyi Alexis Liu
{"title":"<i>In Vitro</i> Color Change of Immediate Versus Delayed Placement of Resin-Modified Glass Ionomer Over Silver Diammine Fluoride-Treated Teeth.","authors":"Alina Ricalde, Jung-Wei Chen, Luana J Lim, Jungyi Alexis Liu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To investigate the color difference between groups and changes over time of resin-modified glass ionomer (RMGI) restorations placed immediately after silver diammine fluoride (SDF) treatment. <b>Methods:</b> Thirty-six specimens were prepared from extracted human third molars, had caries artificially induced, and were divided into three groups (N equals 12): (1) control group (CG): non-SDF-treated teeth restored with RMGI; (2) group one (G1): SDF-treated teeth restored immediately with RMGI; and (3) group two (G2): SDF-treated teeth stored in saliva sub- stitute for two weeks then restored with RMGI. A Vita Easyshade ® Advance 4.0 Spectrophotometer was used to determine CIE L*a*b* values of each specimen at three different time points: (1) demineralized dentin prior to SDF application (T0); (2) following restoration (T1); and (3) two weeks following restoration (T2). The color difference ( Δ E*) and color values (L*a*b*) were analyzed within and between groups. Significance was set to P<0.05. <b>Results:</b> There was no significant difference in the amount of discoloration from T1 to T2 between G1 and G2, but both were significantly different from the CG (P<0.001). At T2, however, G1 had a lower, darker, average L* value(L*equals 65.27+ 1.34), which was significantly different from G2 (L*equals 69.18 + 1.39) and CG (L*equals 79.85+ 0.99; P<0.001). Furthermore, the color difference between groups at T1 and T2 was clinically detectable ( Δ E* >2.7). <b>Conclusions:</b> A two-week delay in in-vitro resin-modified glass ionomer restoration placement over SDF arrested carious lesions resulted in a lighter restoration; however, it did not prevent or reduce color change over time.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 3","pages":"172-177"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328329","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}
James A Coll, Vineet Dhar, Marcio Guelmann, Yasmi O Crystal, Chia-Yu Chen, Abdullah A Marghalani, Shahad AlShamali, Zheng Xu, Gerald Glickman, Amber Ather, Michael Sabeti, Rachel Wedeward
{"title":"Vital Pulp Therapy in Permanent Teeth: A Systematic Review and Meta-Analyses.","authors":"James A Coll, Vineet Dhar, Marcio Guelmann, Yasmi O Crystal, Chia-Yu Chen, Abdullah A Marghalani, Shahad AlShamali, Zheng Xu, Gerald Glickman, Amber Ather, Michael Sabeti, Rachel Wedeward","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To determine factors affecting permanent tooth vital pulp therapy (VPT) success from a systematic review (SR) and metaanalyses. <b>Methods:</b> SRs of databases were completed through June 2024, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used for the certainty of evidence. <b>Results:</b> The 24-month indirect pulp treatment (IPT), direct pulp capping (DPC), partial pulpotomy (PP), and full pulpotomy (FP) successes (91 to 97 percent) were not statistically different (P=0.19) in teeth diagnosed with normal pulp/reversible pulpitis (NP/RP). IPT (94 percent) versus DPC (87 percent) success at 36 months was not significantly different when calcium silicate cement (CS) was used for DPC in teeth diagnosed with NP/RP (P=0.10). PP success versus DPC was equal (96 percent) after 24 months in teeth diagnosed with NP/RP if CS was used for DPC. Teeth exhibiting symptomatic irreversible pulpitis (SIP) were defined as exhibiting spontaneous unprovoked pain, lingering thermal pain, or referred pain, and may have periapical pathosis/involvement or not. One study's data on the five-year success rate for FP in teeth with SIP was 78 percent, and teeth without PPI showed significantly increased success (P=0.04). PP/FP success (90 percent) in teeth with SIP was not significantly different versus PP/FP success (97 percent) in NP/RP teeth (P=0.054). Selective caries removal minimized pulp exposures in teeth with deep caries diagnosed with NP/RP. For teeth diagnosed with SIP or extremely deep caries, complete caries removal is recommended to expose the pulp. If pulpal bleeding is controlled, it is recommended to perform a full pulpotomy. Hemo- stasis within six minutes likely improves pulpotomy success. Mineral trioxide aggregate was found to discolor teeth significantly more (83 percent) than Biodentine (zero percent) containing no bismuth oxide (P<0.001) PP/FP were significantly more successful for traumatic pulp exposures than DPC (<i>P</i> ≤ 0.001). Root maturity did not affect PP/FP success for NP/RP teeth. <b>Conclusions:</b> All vital pulp therapy methods are successful for teeth diagnosed with normal pulp/reversible pulpitis. Teeth diagnosed with symptomatic irreversible pulpitis can be treated successfully with a full pulpotomy.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"47 3","pages":"137-150"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328337","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}
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":"<p><p><b>Purpose:</b> 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. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusions:</b> 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.</p>","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}