Dentistry Journal最新文献

{"title":"Artificial Intelligence and Digital Workflow in Craniofacial Bone Tissue Engineering: From Cone-Beam Computed Tomography (CBCT) to Personalized Bioceramic Implants.","authors":"Amirhossein Bahador, Seyed Ali Mostafavi Moghaddam, Hamid Mojtahedi, Lotfollah Kamali Hakim, Hamid Tebyaniyan","doi":"10.3390/dj14090558","DOIUrl":"10.3390/dj14090558","url":null,"abstract":"<p><p><b>Background:</b> Reconstruction of craniofacial bone defects caused by tumor removal, infection, congenital anomalies, or trauma remains a major challenge. Recent advances in artificial intelligence (AI), digital imaging, and additive manufacturing have enabled personalized treatment strategies. This review discusses AI-driven workflows from cone-beam computed tomography (CBCT) image acquisition to implant fabrication using patient-specific bioceramics. <b>Methods:</b> Several electronic databases were searched, including Scopus, PubMed, ScienceDirect, and Web of Science. A peer-reviewed article published between 2015 and 2026 was considered for inclusion. This review provides an overview of AI applications in craniofacial tissue engineering, including CBCT image segmentation, three-dimensional reconstruction, virtual surgical planning, computer-aided design/computer-aided manufacturing (CAD/CAM), topology optimization, finite element analysis, and three-dimensional bioceramic scaffold printing. <b>Results:</b> AI improves accuracy, efficiency, and reproducibility of craniofacial reconstructions when used in conjunction with AI-assisted workflows. Through automated image segmentation and anatomical modeling, operator dependence can be reduced, and predictive algorithms can optimize biomechanical properties. CAD/CAM and 3D printing are used to manufacture bioceramic implants with controlled porosity, mechanical integrity, and enhanced osteoconductive properties. AI-driven predictive models have demonstrated potential for supporting material selection, manufacturing quality control, and treatment planning; however, their ability to reliably predict long-term postoperative outcomes requires further validation through prospective clinical studies. Data standardization, algorithm transparency, regulatory approval, clinical trial validation, and ethical considerations remain challenges. <b>Conclusions:</b> AI, CBCT imaging, computational modeling, and advanced bioceramic manufacturing are being combined to create an end-to-end digital workflow for personalized reconstruction. Clinical studies must be conducted prospectively to maximize the therapeutic potential of these technologies.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"14 9","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149037045","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":"Recent Advances in Caries Prevention and Non-Invasive Management: From Ecological Modulation to Precision Interventions.","authors":"Yanfei Yin, Wenxia Li, Wei Zhang, Ying Huang, Lingying Fan, Xiaolin Wei, Dongyang Ma","doi":"10.3390/dj14090555","DOIUrl":"10.3390/dj14090555","url":null,"abstract":"<p><strong>Background: </strong>Dental caries remains a globally prevalent biofilm-mediated disease driven by microbial dysbiosis and progressive enamel demineralization. The traditional \"drill and fill\" paradigm has increasingly given way to biologically informed preventive frameworks emphasizing ecological management.</p><p><strong>Methods: </strong>This narrative review synthesizes 134 studies (2016-2026) retrieved from PubMed, Web of Science, Scopus, and Google Scholar to evaluate emerging caries prevention strategies across three domains.</p><p><strong>Results: </strong>Three interrelated domains of advancement were identified. First, microbial ecological modulation-including probiotics, prebiotics, and targeted antimicrobial peptides-aims to restore oral microbiome homeostasis by disrupting cariogenic virulence without eliminating commensal flora. Second, nanomaterial-based targeted interventions utilizing stimuli-responsive carriers and biofilm-penetrating nanoparticles enable site-specific drug delivery with enhanced therapeutic efficacy. Third, precision-guided strategies incorporating caries risk assessment models and salivary biomarker diagnostics facilitate individualized prevention protocols.</p><p><strong>Conclusions: </strong>These findings demonstrate a fundamental paradigm shift from indiscriminate microbial eradication to equilibrium-driven, ecology-centered disease management. Future directions include AI-assisted personalized prevention, chairside microbiome diagnostics, and smart responsive biomaterials for sustained caries control.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"14 9","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036936","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":"Effects of STAMP Techniques and Conventional Carving on Marginal Adaptation of Class I Composite Resin Restorations: An In Vitro Study.","authors":"Benjamin Allen Bingham, Suchunya Rose Bumrung, Hassan Ziada, Neamat Hassan Abubakr","doi":"10.3390/dj14090554","DOIUrl":"10.3390/dj14090554","url":null,"abstract":"<p><p><b>Background</b>: Accurate reproduction of occlusal anatomy is a critical determinant of the clinical performance of posterior composite restorations. The present study compares marginal adaptation in Class I composite restorations completed using a Kool-Dam STAMP, a flowable-composite STAMP, or conventional hand-carving techniques. <b>Methods</b>: Sixty extracted caries-free molars were randomly allocated to three experimental groups (n = 20). Two fixed marginal sites per tooth (mesial and distal) were measured at four measurement time points: immediately after restoration, before thermocycling, and after 10,000, 30,000, and 50,000 cumulative thermal cycles (5 °C/55 °C; 20 s dwell time). The two site-level values were averaged within each tooth for the primary analysis. A linear mixed-effects model included technique, measurement time point, and the technique-by-time-point interaction, with a random intercept for tooth. <b>Results</b>: No significant interaction was observed between restorative technique and measurement time point, indicating that changes in marginal gap over time were not statistically significant among the three techniques (likelihood-ratio χ²(6) = 1.43, <i>p</i> = 0.964). The overall effect of the technique was also not significant (χ²(2) = 1.26, <i>p</i> = 0.532). In contrast, marginal-gap measurements increased considerably across the four measurement time points (χ²(3) = 218.52, <i>p</i> < 0.001), indicating progressive increases in marginal gaps with thermal ageing. Following the Holm adjustment, no pairwise comparisons between techniques at any individual time point achieved statistical significance. <b>Conclusions</b>: In the present in vitro study, no statistically significant differences in marginal-gap values were detected among the Kool-Dam STAMP, flowable-composite STAMP, and conventional hand-carving techniques. The study was not designed to demonstrate equivalence or noninferiority; therefore, the absence of a statistically significant difference should not be interpreted as evidence that the techniques are equivalent. These findings suggest that the STAMP approach may be a useful technique for reproducing occlusal morphology while maintaining marginal fit. However, further clinical studies are needed to confirm its long-term performance in vivo.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"14 9","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036886","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":"Soft Skills in the Training of Future Dentists: Perceptions and Perspectives of Final-Year Students.","authors":"Cristina Gena Dascalu, Magda-Ecaterina Antohe, Diana Tatarciuc, Roxana Ionela Vasluianu, Cristina Iordache, Anca Vitalariu, Odette Elena Luca, Georgeta Liliana Foia","doi":"10.3390/dj14090552","DOIUrl":"10.3390/dj14090552","url":null,"abstract":"<p><p>The practice of contemporary dentistry requires not only technical skills but also the development of soft skills, such as communication, empathy, and ethical and professional values. Although the importance of these skills is increasingly recognized, the perceptions of dental students in Romania regarding their relevance to their future professional practice remain insufficiently explored. <b>Objectives</b>: The study aimed to assess the perceptions of final-year students at the Faculty of Dentistry in Iași regarding the importance of soft skills, in relation to their demographic characteristics, professional motivations, and preferences regarding their future practice settings, as well as to identify distinct profiles through cluster analysis. <b>Material and Methods</b>: The study included 205 students in their fourth through sixth years at the Faculty of Dentistry in Iași, who anonymously completed a 26-item questionnaire rated on a Likert scale from 1 to 5. The statistical analysis included the chi-square test, Ward's method, and k-means clustering. <b>Results</b>: Ethical and professional values, artistic skills, and empathy were most frequently rated as \"very important.\" Female students assigned significantly higher scores than male students to empathy, ethical and professional values, personal characteristics, and communication (<i>p</i> < 0.05-0.001). Professional independence, financial stability, and professional prestige were the main motivations for career choice. Cluster analysis identified four distinct profiles, with significant differences based on gender, professional motivations, and preferences regarding future practice. <b>Conclusions</b>: Students place a high value on soft skills, with differences based on gender and professional profile. The results support the integration of these skills into university education, to complement specialized clinical training.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"14 9","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036914","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":"Subjective Xerostomia and Chairside Salivary Dysfunction in Institutionalized Older Adults: Concordance and Exploratory Derivation of a Five-Item Short Form.","authors":"Mădălina Monica Bicheru, Andreea Zamfirescu, Elena Preoteasa, Adrian Iustin Georgevici, Nicolae Vladimir Bicheru, Cristina Teodora Preoteasa","doi":"10.3390/dj14090557","DOIUrl":"10.3390/dj14090557","url":null,"abstract":"<p><p><b>Background/Objectives</b>: In institutionalized older adults, we examined the concordance between self-reported xerostomia and chairside salivary dysfunction and explored whether a smaller subset of Xerostomia Inventory items could retain comparable screening performance. <b>Methods</b>: This cross-sectional study included institutionalized older adults. The 11-item Xerostomia Inventory was compared with a six-marker chairside whole-saliva panel, with all variables scaled 0 (normal) to 1 (pathological). We measured how closely symptoms tracked each objective marker, how well the questionnaire identified hyposalivation, and whether fewer questions could be comparable with the full 11-item inventory. <b>Results</b>: The study included 90 participants, with a mean age of 79.5 years; 55.6% were women. Symptoms tracked every marker in the expected direction (correlation τ-b 0.32 to 0.62). The questionnaire identified objective hyposalivation with an area under the ROC curve of 0.87 (95% CI 0.78-0.96) and substantial chance-corrected agreement (Cohen's κ 0.69, 95% CI 0.51-0.87). A five-item short form reproduced the objective findings as well as the full questionnaire did (cross-validated R² 0.56 ± 0.03 versus 0.56). <b>Conclusions</b>: In this high-prevalence institutional cohort, self-reported symptoms agreed with graded salivary function more closely than the older discordance literature would suggest, though still within the range of recent studies rather than beyond it. A five-item subset, chosen for its alignment with the objective salivary axis rather than for internal consistency, recovered as much as the full inventory, which points to a short, function-oriented score as a plausible first-stage screen. We would treat this short form as a candidate first-stage screening approach that requires external validation, rather than as a replacement for objective salivary assessment or as a validated replacement for the Xerostomia Inventory.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"14 9","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036916","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":"Advancing Geriatric Dental Education: A Scoping Review of Barriers and Facilitators in Undergraduate Curricula.","authors":"Alice Kit Ying Chan, Lindsey Lingxi Hu, Joanna Cheuk Yan Hui, Chun Hung Chu","doi":"10.3390/dj14090548","DOIUrl":"10.3390/dj14090548","url":null,"abstract":"<p><p><b>Background:</b> Geriatric dentistry prepares dentists to care for an aging population. Yet, its integration into undergraduate curricula remains inconsistent. <b>Objectives:</b> To map evidence on the barriers to and facilitators of the implementation and development of undergraduate geriatric dental education. <b>Methods:</b> A scoping review was conducted using systematic searches of PubMed, Scopus, and Embase for English-language original research articles published from 1 January 2016 onward. Two reviewers screened titles, abstracts, and full texts independently against eligibility criteria. Studies were included if they examined barriers and/or facilitators related to undergraduate geriatric dental education. Data were extracted independently and synthesized descriptively to identify themes and evidence gaps. No critical appraisal was performed. <b>Results:</b> This review identified 1376 studies and included 11 studies, including seven cross-sectional and four cohort studies. Barriers clustered into three themes: structural and workforce-related barriers (resource constraints and a lack of equipped/trained staff), curricular and regulatory barriers (overcrowded curricula and a lack of curriculum guidelines), and interprofessional and attitudinal barriers (limited interprofessional collaboration and negative attitudes among students and teaching staff towards older adults). Facilitators were grouped into three themes: pedagogical and experiential learning strategies (didactic teaching, clinical training, extramural exposure, simulation-based training, and communication training), curricular and policy enablers (integrated curricula and national guidelines), and institutional and faculty support (staff support). <b>Conclusions:</b> This review identifies the multifaceted, modifiable educational, institutional, and policy factors that influence the implementation and development of geriatric dental education. By consolidating the existing evidence, this review provides a foundation for curriculum development and policy planning to prepare graduates to deliver age-responsive oral healthcare.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"14 9","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149037016","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":"Prosthesis Survival, Complications, and Maintenance of Telescopic-Crown-Retained Removable Dental Prostheses and Root-Cap-Retained Overdentures: A Retrospective Cohort Study.","authors":"Anastasia Timoschenko, Lea Stoilov, Michael Marder, Helmut Stark, Norbert Enkling, Dominik Kraus, Milan Stoilov","doi":"10.3390/dj14090545","DOIUrl":"10.3390/dj14090545","url":null,"abstract":"<p><p><b>Objectives:</b> To compare prosthesis survival, complication-free survival, and maintenance-free survival between telescopic-crown-retained dentures (TCDs) and root-cap-retained overdentures with ball attachments (RCDs), and to evaluate associated clinical factors. <b>Methods:</b> This retrospective single-center cohort study included 654 unique patients, each contributing one eligible prosthesis (406 TCDs and 248 RCDs). Mean follow-up was 4.15 years for TCD and 2.75 years for RCD. Time-to-event outcomes were analyzed using Kaplan-Meier methods and multivariable Cox regression. Adjusted analyses were restricted to prostheses supported by one to three abutments. <b>Results:</b> Unadjusted prosthesis survival was higher for TCD (<i>p</i> = 0.0001), whereas prosthesis type was not clearly associated with loss after adjustment (RCD vs. TCD: HR = 1.28; 95% CI: 0.75-2.19). Single-abutment support and, in sensitivity analysis, point-like support were associated with higher loss hazards. The higher adjusted complication hazard for RCD was attenuated in sensitivity analysis. RCDs were consistently associated with earlier maintenance (average HR = 1.75; 95% CI: 1.43-2.13), with exploratory analyses suggesting a greater difference during early follow-up and among single-abutment prostheses. <b>Conclusions:</b> The support situation appears more relevant to prosthesis loss than the retention concept alone. RCDs show earlier first documented maintenance requirements, whereas evidence for an independent difference in complication risk is model-dependent.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"14 9","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036890","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":"Predictors of Dental Needle Bevel Deformation: Gauge, Insertion Frequency, and Length as Key Determinants.","authors":"Osama Zakaria","doi":"10.3390/dj14090544","DOIUrl":"10.3390/dj14090544","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Dental needles are used routinely for local anaesthesia, but repeated insertion, needle selection, and operator handling may all compromise tip integrity. This study assessed bevel deformation, biological debris, and manual bending in used dental needles collected during undergraduate clinical practice. Their associations with needle dimensions, insertion frequency, injection technique, and operator seniority were also examined. <b>Methods:</b> 192 discarded needles were collected from fourth-, fifth-, and sixth-year students and dental interns after routine local anaesthesia procedures at an academic dental hospital. Each needle was examined under stereomicroscopy. Needle bevels were classified as intact, outward bending, or inward bending; biological debris and manual bending were also recorded. Predictors of bevel deformation were identified by multivariable logistic regression. <b>Results</b>: Bevel deformation was present in 93 of 192 needles. Thirty-gauge needles showed higher odds of deformation than 27-gauge needles (OR = 2.54, <i>p</i> = 0.004), and each additional insertion further increased the odds (OR = 1.98, <i>p</i> = 0.016); once gauge was accounted for, needle length was not an independent predictor. Intended bone contact showed no association with deformation. Outward bending predominated among deformed tips (63.4% vs. 36.6% inward), and biological debris was detected on 16.1% of needles. Manual bending was more frequent among interns than students (OR = 3.67, <i>p</i> = 0.007). <b>Conclusions:</b> Used dental needles frequently exhibited bevel deformation, particularly with 30-gauge needles and after repeated insertions. The occurrence of deformation even in the absence of intentional bone contact further supports strict single-use practices and careful needle handling during local anaesthesia. Although the higher frequency of manual needle bending observed among interns should be interpreted cautiously, this finding highlights a potential area for targeted operator training and further investigation.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"14 9","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036897","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":"Membrane Fixation and Graft Persistence in Pre-Extraction Buccal Overbuilding: A Split-Mouth Histological Study in Dogs.","authors":"Takahisa Iida, Shunsuke Baba, Giovanna Iezzi, Ermenegildo Federico De Rossi, Fernando Maria Muñoz Guzon, Karol Alí Apaza Alccayhuaman, Daniele Botticelli","doi":"10.3390/dj14090547","DOIUrl":"10.3390/dj14090547","url":null,"abstract":"<p><p><b>Background:</b> Buccal overbuilding may support the buccal contour before tooth extraction, but the effect of collagen membrane fixation on graft stability remains unclear. This study evaluated whether pin fixation influences buccal ridge dimensions and graft persistence in a pre-extraction dog model. <b>Methods:</b> In six Beagle dogs, bovine bone mineral was grafted bilaterally at the mandibular first molar region without tooth extraction and covered with a native collagen membrane, fixed with titanium pins at test sites and left unfixed at control sites. After three months, histological measurements were performed. The primary outcome was buccal bone width at 2 mm apical to the cemento-enamel junction. <b>Results:</b> Buccal bone width was 1.02 ± 0.30 mm in the Pin group and 0.89 ± 0.37 mm in the No-pin group. The mean paired difference was 0.13 mm (95% CI: -0.55 to 0.81 mm; <i>p</i> = 0.6875). The combined outer mineralized contour measured 1.06 ± 0.37 mm and 0.95 ± 0.42 mm, respectively. Residual graft occupied 19.4 ± 6.9% of the standardized buccal region in the Pin group and 8.7 ± 6.6% in the No-pin group. <b>Conclusions:</b> Membrane fixation did not significantly improve buccal bone width after three months. The greater residual-graft fraction in the Pin group was exploratory and requires confirmation in studies including tooth extraction and subsequent implant placement.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"14 9","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149037138","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":"Development and Validation of a Patient-Reported Outcome Questionnaire for Children Undergoing Removable Orthodontic Treatment.","authors":"Panaite Tinela, Carmen Diana Nicoleta Savin, Ana Sîrghie, Teona Ana-Maria Tudorici, Irina Bamboi, Anca Rapis, Ana Nemțoi, Ciprian-Iulian Axinte, Carina Ana-Maria Balcos","doi":"10.3390/dj14090543","DOIUrl":"10.3390/dj14090543","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Patient-reported outcome measures (PROMs) complement clinical indicators in orthodontics, yet validated instruments for children undergoing removable orthodontic treatment remain limited. This study aimed to develop and validate a questionnaire assessing compliance and physical discomfort, psychosocial impact, and perceived support. <b>Methods</b>: A cross-sectional validation study included 250 children and adolescents (<14 years) treated with removable orthodontic appliances, regardless of treatment duration. The 14-item questionnaire was evaluated for internal consistency (Cronbach's alpha), reliability (intraclass correlation coefficient, ICC), item discrimination (ANOVA), and construct validity using exploratory factor analysis with Varimax rotation. Sampling adequacy was assessed using the Kaiser-Meyer-Olkin (KMO) measure and Bartlett's test of sphericity. <b>Results</b>: Internal consistency was satisfactory (Cronbach's alpha: 0.747-0.823), with corrected item-total correlations above 0.30. ICC values indicated moderate reliability for single measures and good reliability for average measures. The KMO value was 0.713, and Bartlett's test was significant (<i>p</i> < 0.001). Three factors explained 58.69% of the total variance, representing psychosocial impact, compliance/discomfort, and perceived support. <b>Conclusions</b>: The questionnaire demonstrated satisfactory reliability and construct validity for assessing patient-reported outcomes in children undergoing removable orthodontic treatment. It provides a practical instrument for evaluating compliance and physical discomfort, psychosocial impact, and perceived support in both clinical practice and research.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"14 9","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149037071","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}