Pediatric dentistry最新文献

{"title":"Evaluation of Breastfeeding and Formula Feeding on Childhood Caries Experience: National Health and Nutrition Examination Survey, 2015-2018.","authors":"Wen Cheng, Maya Govindaraj, Robert O Wright, Maaike van Gerwen, Rosalind J Wright, Aderonke A Akinkugbe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> This study evaluated associations among breastfeeding duration and combined breast/formula feeding on childhood dental caries. <b>Methods:</b> This was a cross-sectional study of 3- to 6-year-old children (n =1,256) in the National Health and Nutrition Examination Survey, 2015-2018. Duration of breastfeeding and breast/formula feeding were assessed through structured interviews. Caries experience was assessed as having at least 1 decayed and filled tooth. Survey-weighted logistic regression adjusted for confounders evaluated associations. <b>Results:</b> The average maternal age at delivery was 28 years (standard error=0.28). About half (49.7%) of the children were girls. Thirty-eight percent of the children were breastfed for no more than 6 months, 20% for more than 6 to 12 months, and approximately 9% were breastfed for more than 12 to 18 months and over 18 months, while 24% were exclusively formula-fed. Relative to children breastfed for no more than 6 months, those breastfed for longer than 18 months had a nonsignificant covariate-adjusted caries experience odds (odds ratio [OR]=1.55, 95 percent confidence interval [95% CI]=0.80 to 3.01). Relative to children who were exclusively breastfed, those who were nonconcurrently breastfed/formula-fed (ie, there was no overlap in breastfeeding and formula feeding) had higher covariate-adjusted caries experience odds (OR=3.01, 95% CI=1.18 to 7.67). <b>Conclusions:</b> Nonconcurrent breast/formula feeding was associated with increased dental caries prevalence. Additional studies are needed to confirm these results and evaluate underlying mechanisms.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 3","pages":"177-182"},"PeriodicalIF":1.7,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating AI Chatbots in Enhancing Care for Pediatric Dental Trauma.","authors":"Daniel Kohanghadosh, Farhad Yeroshalmi, Lisa Van Eyndhoven, Victor Badner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the effectiveness of artificial intelligence (AI)-powered chatbots in providing reliable guidance for the management of acute pediatric dental trauma. <b>Methods:</b> A comparative analysis was conducted between August 2024 and April 2025 using 5 prominent AI chatbots: ChatGPT-4, Google Gemini, Perplexity, Claude-2, and Llama, assessing 23 frequently asked questions on pediatric dental trauma. Responses were evaluated on accuracy across 4 domains: dental diagnosis, treatment, follow-up, and medical follow-up. The study simulated clinical scenarios without involving human participants. <b>Results:</b> Chatbot performance in dental diagnosis and treatment was consistent with no significant variation. However, significant differences were noted in dental follow-up (P=0.036), and medical follow-up had low validity. <b>Conclusions:</b> Chatbots can be reliable tools for preliminary parental guidance in pediatric dental trauma. However, inconsistencies in follow-up recommendations and medical guidance limit their use as independent tools. They should be considered as supportive aids rather than replacements for clinical expertise.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 3","pages":"183-186"},"PeriodicalIF":1.7,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221522","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 Perceived Impact of California Sedation Legislation on Clinical Practices in Pediatric Dentistry.","authors":"Jung-Wei Chen, Esther Lee","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess California pediatric dentists' perspectives on Senate Bill 501 (SB 501) and its impact on sedation practice in pediatric dentistry. <b>Methods:</b> An electronic survey was delivered to all 818 members of the California Society of Pediatric Dentistry. The 18-question survey inquired about the participants' demographic information, sedation experience, and insights about the changes made by SB 501. Data were anal- yzed using frequency distribution and chi-squared analyses (P<0.05). <b>Results:</b> A total of 124 pediatric dentists responded to the survey (15.2% response; 78.7% had previously applied for a sedation permit, while 21.3% did not. Among the 96 respondents with a previous sedation permit, 83% reported that SB 501 impacted their practices. Additionally, 72.9% of the respondents with previous sedation experience hold an active permit, and 53.1% are currently using oral sedation in-office. The top barriers linked to SB 501 were the cost of hiring a second Pediatric Advanced Life Support (PALS)-certified support personnel dedicated to patient monitoring (34.5%), the requirement to complete 20 sedation cases for each age category to obtain pediatric endorsements (26.2%), other reasons (18.2%), application fees (15.5%), and continuing education requirements (3.6%). <b>Conclusions:</b> Based on these findings, new sedation permit regulations in California in 2022 have significantly impacted pediatric sedation practices. A marked decrease in sedation permit holders may lead to diminished access to care for pediatric patients. Many respondents urged the revision of this legislation to better support offering safe and effective sedation care.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 3","pages":"161-168"},"PeriodicalIF":1.7,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221536","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":"Protecting Advocacy's Clout.","authors":"Homa Amini, Paul S Casamassimo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 3","pages":"159"},"PeriodicalIF":1.7,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221497","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":"Parental and Child Mental Health Impairment and Child Dental Care Utilization Ages 5 to 17 Years in the United States.","authors":"Ziwei Chen, Lindsay N Overhage, Jennifer Cully, Anupama Tate","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> This study investigated the associations between parental and child mental health (MH) impairment on child dental care utilization. <b>Methods:</b> This study used US nationally representative data from the 2017 to 2021 Medical Expenditure Panel Survey (n =13,762). The associations were assessed using Pearson's chi-squared test and logistic regressions. Regressions controlled for age, sex, race/ethnicity, family income, year, geographic region, dental insurance, parental age, single-parent household, and number of children in the household. <b>Results:</b> Parental MH impairment was associated with lower odds of overall dental care, with an odds ratio (OR) of 0.87 (95% confidence interval [95% CI]=0.77 to 0.99, P=0.04), preventive care (OR=0.86, 95% CI=0.76 to 0.98, P=0.02), higher odds of restorative care use (OR=1.39, 95% CI=1.15 to 1.67, P=0.001). These associations were most significant in children with parental MH impairment but no MH care: overall dental care (OR=0.85, 95% CI=0.73 to 0.98; P=0.03), preventive care (OR=0.84, 95% CI=0.72 to 0.97; P=0.02), restorative care (OR=1.46, 95% CI=1.18 to 1.8, P<0.001). <b>Conclusions:</b> Parental mental health impairment was associated with lowered odds of preventive care use but increased odds of restorative care use in children. Parental MH care is a potential protective factor in promoting oral health care in children. Further investigation is needed to develop interventions to promote parental MH and child oral health.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 3","pages":"187-202"},"PeriodicalIF":1.7,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221468","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":"Comparative Evaluation of Compressive Strength, Microhardness, and Wear Resistance in Preformed Resin Polymer, Stainless Steel, and Zirconia Crowns.","authors":"Amol Suresh Patil, Tayaba M H Silotry, Abhinav Liladhar Talekar, Bilal Shaikh, Bhagyashree Salunkhe, William Waggoner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the physical and mechanical properties of 3 types of preformed crowns used in pediatric dentistry. <b>Methods:</b> Thirty crowns each were used for 3 study groups: Group 1-BioFlx^® Crowns (BFCs); Group 2-stainless steel crowns (SSCs); and Group 3-preformed zirconia crowns (PZCs). The crowns (mandibular right second molar, size 4) were cemented on identical 3D printed teeth models. These were then mounted in acrylic blocks for the assessment of wear, compressive strength, and microhardness. <b>Results:</b> A significant difference (<i>P</i> ≤ 0.05) was observed in the compressive strength of the crowns evaluated. The highest compressive strength was seen in SSCs, followed by BFCs, and the lowest with PZCs. The difference in the microhardness of the 3 crowns was significant (<i>P</i> ≤ 0.001), with the highest demonstrated by PZCs, followed by SSCs, and the lowest with BFCs. The wear rate was found to be highest with SSCs, followed by PZCs, and lowest with BFCs. <b>Conclusion:</b> Stainless steel crowns and preformed zirconia crowns demonstrate high compressive strength and microhardness respectively, while BioFlx® Crowns showed the highest wear resistance of the 3 crowns tested.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 3","pages":"194-200"},"PeriodicalIF":1.7,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221516","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 Association Between Exclusive Breastfeeding, Bottle-Feeding, and Oral Rothia on Early Childhood Caries.","authors":"Andrea Szeto, Mohd Wasif Khan, Vivianne Cruz de Jesus, Robert Balshaw, Anil Menon, Betty-Anne Mittermuller, Thiago Hl Baltus, Prashen Chelikani, Robert J Schroth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To investigate associations between feeding practices and the prevalence of oral Rothia, at the species and genus level, with early childhood caries (ECC). <b>Methods:</b> A total of 438 children were included in this cross-sectional study. A questionnaire was completed by the parent of each participant. Based on the feeding history, participants were classified as exclusively breastfed, exclusively bottle-fed, or mixed (both feeding). Supragingival plaque samples were collected, and 16S rRNA sequencing was used to assess Rothia genus and species' relative abundances. The association between feeding practices and Rothia prevalence with ECC was analyzed using multivariable logistic regression. <b>Results:</b> Low relative abundance of Rothia aeria was significantly associated with ECC, whereas there were no significant associations between the relative abundance of Rothia dentocariosa or Rothia mucilaginosa with caries status. Feeding practices were not associated with ECC. However, bedtime bottle use, bedtime snacking, living in a rural area, older age, use of fluoridated toothpaste, and having less-educated guardians were significantly associated. <b>Conclusions:</b> The findings suggest that low relative abundances of Rothia aeria and Rothia (genus) are associated with early childhood caries. Social environment and bedtime habits were also associated with ECC; however, feeding practices were not. Prospective studies examining Rothia and feeding practices with ECC would be beneficial to understand the relationship between Rothia and ECC and to help reach a consensus on the effect of different feeding practices on ECC risk.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 3","pages":"169-176"},"PeriodicalIF":1.7,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221570","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":"Age-Specific Radiation Dose Distributions in Pediatric Intraoral Radiography: A Monte Carlo Analysis Across Developmental Stages.","authors":"Berkant Sezer, Gamze Coşan Ata, Hakan Eren","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> This study quantified age-specific differences in organ and effective doses during intraoral radiography in pediatric patients, with emphasis on identifying developmental stages associated with increased radiation exposure to critical organs. <b>Methods:</b> Monte Carlo simulations were performed using PCXMC 2.0 software for 3 pediatric age groups (5, 10, and 15 years), representing key developmental stages. Simulated full-mouth intraoral radiographic series used 4 exposure combinations: 60 kilovolt peak (kVp)/3 milliampere (mA), 60 kVp/6 mA, 70 kVp/3 mA, and 70 kVp/6 mA. Organ dose distributions and total effective doses were calculated according to the 2007 recommendations of the International Commission on Radiological Protection. One-way analysis of variance with post hoc tests assessed differences between groups. <b>Results:</b> Clear age-dependent variations in organ and effective radiation doses were observed. The 5-year-old group showed the highest effective doses (62.4 to 129.6 microsieverts [μSv]), despite fewer exposures. The 10-year-olds had the lowest doses (37.2 to 76.8 μSv). Thyroid doses in 5-year-olds were 3.2 times higher than in older groups (P<0.001), due to anatomical proximity. Bone surface doses were similar in 5 and 15-year-olds but lower in 10-year-olds. These trends persisted across exposure combinations, though optimized settings (60 kVp/3 mA) reduced doses by over 50%. <b>Conclusions:</b> Age significantly influences radiation dose in pediatric dental imaging, with 5-year-olds receiving higher organ doses, especially to the thyroid. These findings stress the importance of age-specific protection strategies beyond adjusting exposure settings, emphasizing the developmental stage in radiation safety.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 3","pages":"199-208"},"PeriodicalIF":1.7,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221530","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":"Diagnostic Assessment of Ankyloglossia and Association With Infant Feeding Challenges: A Systematic Review and Meta-Analysis-Part 1.","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 M Stark, Harlyn K Susarla, Jennifer Thomas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess the diagnostic criteria for restrictive lingual frenum and the association with feeding difficulties in mother-infant dyads. <b>Methods:</b> The protocol was registered with PROSPERO (CRD42024482618). Ovid MEDLINE, CINAHL, Embase, and Cochrane Library databases were searched from 1946 to May 2025 for studies meeting inclusion criteria. The population included mother-infant dyads with or without feeding difficulties, where infants had a restrictive frenum. Outcomes measured included diagnostic accuracy of tools assessing ankyloglossia and the association of ankyloglossia with feeding difficulties. Fourteen reviewers screened studies, performed data extraction, and assessed risk of bias using risk of bias and Office of Health Assessment and Translation tools. A Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach determined the quality of evidence. <b>Results:</b> Fourteen out of 20 included studies qualified for analysis, examining 5 ankyloglossia-specific diagnostic tools. For diagnosing ankyloglossia, the Bristol Tongue Assessment Tool/Tongue-tie and Breastfed Babies Assessment Tool (BTAT/TABBY) demonstrated high discriminative accuracy (AUC ROC=0.95, >2000 clinical cases), acceptable internal consistency (α=0.708) and strong correlation with the Hazelbaker Assessment Tool for Lingual Frenulum Function (HATLFF, r=0.89). Ten of the included studies examining feeding difficulties showed a trend favoring association with restrictive lingual frenum. Infants with ankyloglossia had a higher odds of maternally reported feeding difficulties (pooled OR= 5.57, 95% CI 0.44-70.02), though the effect did not reach statistical significance (P=0.18) and heterogeneity was substantial (I 2=96%). <b>Conclusion:</b> Very-low certainty evidence supports the use of standardized anatomical and functional (tongue mobility) assessments for restrictive lingual frenum. A consistent direction of association between restrictive lingual frenum and feeding difficulties was observed across studies, though pooled estimates did not reach statistical significance.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 2","pages":"82-68E"},"PeriodicalIF":1.7,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793998","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":"A Comparison of Immediate Monomer Release of 3D Printing Materials and Poly(methyl methacrylate) Used in Pediatric Dentistry.","authors":"Yu-Chen Cheng, Jui-Min Su, Jungyi Alexis Liu, Hung-Chi Liao, Guangyu Zhang, Christopher Perry, Jung-Wei Chen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To compare the monomer leaching of 3D-printed denture base materials (NextDent® Denture 3D+ [D3D]) and orthodontic base material (NextDent® Ortho Flex [OF]) with conventional poly-methyl methacrylate (PMMA) resins at 5 time points. <b>Methods:</b> Fifteen standardized samples (N=5 /group) of D3D, OF, and PMMA materials were submerged in artificial saliva for 48 hours. The solutions were extracted, and the monomer release rate and amount were measured using high-performance liquid chromatography (HPLC) at 0, 8, 16, 24, and 48 hours. One-way analysis of variance, independent t-tests, and post-hoc least significant difference tests were used to compare monomer release rates and amounts across different time intervals and materials. <b>Results:</b> Methyl methacrylate was detected in the PMMA group at 0.0034 wt%, which is below the ISO threshold (<4.5 wt%). Significant differences were observed in monomer release rates and patterns among the groups (P<0.001). The highest monomer release occurred within the first 8 hours and decreased drastically over time (P<0.001). Among 3D printing groups, the OF group exhibited a higher release rate than the D3D group at all time points (0, 8, 16, 24, and 48 hours; P <0.001). The D3D group maintained a consistently low release rate. <b>Conclusions:</b> The levels of monomer release in this in vitro study would be considered safe for use in pediatric dentistry. Due to the highest monomer release occurring within the first 8 hours, it is recommended that appliances be delivered at least 8 hours after fabrication to minimize initial exposure.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"48 2","pages":"113-E70"},"PeriodicalIF":1.7,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794018","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}