M Protzenko, C A Viana de Araújo, S M de Carvalho Gonzalez, F Rolemberg Riba, T Protzenko, J Llerena Junior
{"title":"Contributing Factors for Angle's Class III Phenotype in Crouzon Syndrome.","authors":"M Protzenko, C A Viana de Araújo, S M de Carvalho Gonzalez, F Rolemberg Riba, T Protzenko, J Llerena Junior","doi":"10.23804/ejpd.2025.2207","DOIUrl":"10.23804/ejpd.2025.2207","url":null,"abstract":"<p><strong>Aim: </strong>Crouzon syndrome (CS) is a rare genetic condition characterised by craniofacial malformations due to mutations in the FGFR2 gene. This study aimed to evaluate the contributing factors for Angle's Class III malocclusion in patients with CS through cephalometric analysis. Six patients with confirmed CS diagnosis were included in the study. Cephalometric measurements were performed using CT scans and compared to established norms. Pathogenic variants in the FGFR2 gene were identified in all patients. Phenotypic and cephalometric characteristics were assessed in each patient. Results showed consistent craniofacial abnormalities, including midface retrusion, mandibular prognathism, and malocclusion. Cephalometric analysis revealed specific patterns indicating growth deficiency at the posterior base of the skull, maxillary retroposition, and an anterior accommodation of the mandibular condyles in the glenoid fossa. These findings provide valuable insights into the underlying factors contributing to Angle's Class III malocclusion in patients with Crouzon syndrome.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E Boccalari, M Serafin, M Grandinetti, A Caprioglio
{"title":"Orthodontics meets otorhinolaryngology: a collaborative approach to otitis media prevention.","authors":"E Boccalari, M Serafin, M Grandinetti, A Caprioglio","doi":"10.23804/ejpd.2025.2413","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2413","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the role of orthodontic and craniofacial orthopaedic interventions in the prevention and management of otitis media with effusion (OME), focusing particularly on rapid maxillary expansion (RME) and its implications for Eustachian tube function.</p><p><strong>Methods: </strong>A comprehensive search was conducted in PubMed, Embase, and Web of Science using a structured combination of MeSH terms by two expert researchers from inception to December 2024. Randomised and non-randomised prospective studies involving pediatric patients (2-18 years) with chronic OME were included. The effectiveness of preventive measures was compared with alternative treatments or no interventions. Study quality was assessed using the ROBINS-I v2 tool.</p><p><strong>Conclusion: </strong>RME emerges as a promising preventive option for managing OME particularly in patients with orthodontic indications. By addressing structural contributors to Eustachian tube dysfunction, RME improves middle ear health and complements otolaryngological interventions. Integrating orthodontic and otolaryngological strategies represents an effective multidisciplinary approach to reducing OME incidence and recurrence. Further studies are needed to confirm the long-term stability and the generalisability of these observed benefits.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of the Neonatal/Natal Teeth in Children: A Retrospective Observational Study.","authors":"M Belevcikli, E Hazar Bodrumlu","doi":"10.23804/ejpd.2025.2434","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2434","url":null,"abstract":"<p><strong>Aim: </strong>It is rare for teeth to be visible in the mouth at birth or shortly after birth, whether they are additional teeth or primary teeth that have erupted early. If there is excessive mobility, the tooth must be extracted to avoid the risk of aspiration. The aim of this study was to evaluate the characteristics of these teeth and their effects on the developing dentition in children with natal/neonatal tooth extraction.</p><p><strong>Methods: </strong>Out of a total of 26 patients in the study, 22 were contacted by phone and 16 of them came for a follow-up visit. At the patients' follow-up appointments, the stage of dental development, amount of space and the presence of any dental anomalies were assessed.</p><p><strong>Conclusion: </strong>Knowing the characteristics of natal-neonatal teeth, their differential diagnosis, what should be considered in treatment options, and the problems that may arise after extraction of these teeth provides an advantage in the management of these teeth, which is a rare condition.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145291535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reliability and validity of artificial intelligence-based innovative digital scale for the assessment of anxiety in children.","authors":"R M Shetty, T Walia, O Ts Osman","doi":"10.23804/ejpd.2024.1937","DOIUrl":"10.23804/ejpd.2024.1937","url":null,"abstract":"<p><strong>Aim: </strong>To assess the reliability and validity of an AI-based, innovative digital scale for the assessment of dental anxiety in children.</p><p><strong>Background: </strong>Dental anxiety still persists as a potential problem in managing the child in the dental office. There is a need to develop a gold standard scale to measure anxiety in children incorporating newer technology. An innovative self-reported scale known as RMSDigital Anxiety Scale (RMS-DAS) incorporating artificial intelligence (AI) was developed.</p><p><strong>Methods: </strong>Seventy-six children (aged 4-12 years) were included in the reliability group. The RMS-DAS test score was recorded on Day 1 where the child was asked to click on the expression produced by AI that matches his/her anxiety level the most at that moment. RMS-DAS retest score was recorded after 7 days. The validity group included 140 children. The anxiety scores were recorded using three scales; RMS-DAS, RMS-Pictorial Scale (RMS-PS) and Facial Image Scale (FIS) during the same visit where the child was asked to click on the expression that matches his/her anxiety level the most at that moment. Reliability was assessed by the internal consistency using Cronbach's alpha and the test-retest was assessed using paired t-test, scatterplot, and coefficient correlation. The validity of RMS-DAS was assessed by correlating it with RMS-PS and FIS using Spearman's correlation coefficient.</p><p><strong>Conclusion: </strong>RMS-DAS is a reliable and valid scale that can be used as a new digital tool to assess children's dental anxiety.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"25 ","pages":"175-184"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reduction of Dental Anxiety in Children Using Virtual Reality: A Randomised Controlled Trial.","authors":"Y Kasimoglu, E Alpaycetin, G Ince, E B Tuna Ince","doi":"10.23804/ejpd.2024.2109","DOIUrl":"10.23804/ejpd.2024.2109","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this research is examining the effectiveness of Virtual Reality (VR) in the reduction of dental anxiety in children with novel methods.</p><p><strong>Methods: </strong>The three arm parallel-group randomised clinical study was conducted in children aged 6-10 years. Pulpotomy procedure was performed on randomised 90 selected children (n=30 in each group; AG: group applied active distraction using VR glasses, PG: group applied passive distraction, i.e., watching cartoons on a screen mounted onto a dental unit, CG: control group). Before and after the procedure, children were administered Facial Pain Scale (FIS), Children's Fear Rating Scale (CFSS-DS) and Frankl Behaviour Rating Scale (FBRS). The pulse rate was measured to check the anxiety levels of all treated children at five different time points. Statistical significance was determined as p<0.05.</p><p><strong>Conclusion: </strong>VR has been found to positively contribute to the performance of children in adapting to dental treatment. The VR application aims to create positive attitude in children by providing them a safe atmosphere and becoming a useful tool in the dental profession.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"185-191"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The European Journal of Paediatric Dentistry achieves Q1 status: a strategic advancement in specialised dental publishing.","authors":"L Paglia, S Colombo","doi":"10.23804/ejpd.2025.26.03.01","DOIUrl":"10.23804/ejpd.2025.26.03.01","url":null,"abstract":"<p><p>The European Journal of Paediatric Dentistry (EJPD) has attained a significant milestone by entering the first quartile (Q1) in the 2024 Journal Citation Reports (JCR), curated by Clarivate Analytics, in both the \"Dentistry, Oral Surgery & Medicine\" and \"Paediatrics\" categories\". This dual recognition is a rare and significant achievement for a journal exclusively devoted to paediatric dentistry, underscoring its growing influence within both the dental and broader medical research communities. Since its initial inclusion in the Journal Citation Reports (JCR) in 2010, the European Journal of Paediatric Dentistry has demonstrated a consistent trajectory of growth. In 2015, with an Impact Factor (IF) of 0.421, the journal entered a phase of strategic consolidation marked by renewed editorial leadership and a refined scientific focus [Clarivate, 2024]. This evolution led to a steady and measurable increase in bibliometric performance, culminating in an Impact Factor of 2.7 in 2024. EJPD's ascent into Q1 status is thus not only a reflection of increased citations but also of enhanced selectivity, stringent peer review, and alignment with international standards of scientific publishing. The editorial workflow has been strengthened through the adoption of advanced manuscript handling systems, facilitating a more efficient and transparent peer-review process. This infrastructure supports rigorous scientific scrutiny, ensuring the publication of high-quality, evidence-based content. Moreover, the journal's early and proactive adoption of the Open Access model has significantly broadened its readership and facilitated global dissemination of its published research [Livas et al. 2018; García et al. 2022]. EJPD has established itself as a platform for high-impact contributions in key domains of paediatric oral health, including: maternal and paediatric dentistry, early childhood caries, prevention strategies behavioural and psychological management in paediatric patients craniofacial growth and developmental disorders dental trauma and restorative protocols in the paediatric population interdisciplinary research linking dentistry with nutrition, paediatrics, epidemiology, developmental medicine The journal has consistently prioritised research with clinical applicability, thereby serving not only the academic community but also informing best practices among paediatric dental practitioners worldwide. Of particular note is the journal's sustained commitment to the promotion of oral health and preventive medicine. Despite the universally acknowledged value of prevention in public health, current bibliometric analyses reveal that less than 6% of the global scientific literature addresses behavioural determinants of chronic disease prevention-a proportion that has been declining since 2015 [Stival et al. 2025]. EJPD has countered this trend by systematically integrating preventive perspectives into its editorial focus, with special attention to the mater","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"26 3","pages":"171-172"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A Cuozzo, L Mauriello, V Iorio-Siciliano, A Blasi, F Riccitiello, L Ramaglia
{"title":"Regeneration of new periodontal attachment following surgical removal of a Peripheral Giant Cell Granuloma in a young patient: an 8-year follow-up.","authors":"A Cuozzo, L Mauriello, V Iorio-Siciliano, A Blasi, F Riccitiello, L Ramaglia","doi":"10.23804/ejpd.2025.2237","DOIUrl":"10.23804/ejpd.2025.2237","url":null,"abstract":"<p><strong>Background: </strong>Peripheral Giant Cell Granuloma (PGCG) is a rare benign lesion of the oral cavity originating from periosteum and gingival connective tissue, associated to local irritant and/or traumatic factors. Clinically PGCG appears as a painless swelling lesion with a smooth surface, brown red or purple in colour, ranging from few millimeters to 3-4 centimeters. The aim of this case report is to demonstrate the complete periodontal and bone regeneration after elimination of traumatic factors and surgical therapy.</p><p><strong>Case report: </strong>A 12-year-old female patient complained a gingival swelling in region 2.1, following an orthodontic therapy. Following a careful evaluation of data collected by anamnesis and clinical and radiograph exams, the surgical excision of the lesion was scheduled. PGCG was confirmed by histological analysis. Finally, a series of follow up at one-, two-, three-, and eight-year were scheduled.</p><p><strong>Conclusion: </strong>The long-term follow-ups seem to demonstrate that the surgical removal of a PGCG associated with bone resorption and deep periodontal pockets caused by development of the lesion may lead to the regeneration of new periodontal attachment for both the infrabony and the suprabony component of the periodontal pocket.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"208-211"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F S Ludovichetti, A G Signoriello, A Gracco, R Lo Giudice, P Lucchi, E Stellini, S Mazzoleni
{"title":"Impact of Secondhand Smoke from Conventional Cigarettes, IQOS, and E-Cigarettes on Children's Oral Health: A Cross-Sectional Study.","authors":"F S Ludovichetti, A G Signoriello, A Gracco, R Lo Giudice, P Lucchi, E Stellini, S Mazzoleni","doi":"10.23804/ejpd.2025.2386","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2386","url":null,"abstract":"<p><strong>Aim: </strong>Secondhand smoke (SHS) is a major public health concern, especially for children, who are particularly vulnerable to its harmful effects. Although alternative smoking devices like IQOS and e-cigarettes are marketed as harm reduction tools, their impact on paediatric oral health remains underexplored. This study evaluates the effects of SHS from conventional cigarettes, IQOS, and e-cigarettes on cotinine levels in gingival crevicular fluid and the risk of dental caries in children.</p><p><strong>Materials: </strong>A cross-sectional study was conducted involving 160 children aged 3 to 14 years, categorised into four groups based on exposure: SHS from conventional cigarettes, SHA (secondhand aerosol) from IQOS, e-cigarettes, and a no-smoking control group. Each group included 40 participants, ensuring an equal distribution across exposure conditions. Children in the SHS/SHA groups were exclusively exposed to emissions from a single product type (cigarettes, IQOS, or e-cigarettes) to isolate product-specific effects. Cotinine levels were measured using liquid chromatography-tandem mass spectrometry (LC-MS/MS), and dental caries were assessed via the Decayed-Missing-Filled Teeth (DMFT) index. Parental smoking habits, oral health behaviours, and environmental factors were recorded through a questionnaire. Statistical analyses included one-way ANOVA, Kruskal-Wallis tests, and Spearman's correlation.</p><p><strong>Conclusion: </strong>SHS exposure from all sources negatively impacts children's oral health, with conventional cigarettes posing the greatest risk. While IQOS and e-cigarettes reduce SHS exposure compared to conventional cigarettes, they still result in measurable nicotine absorption and increased caries risk. Public health strategies and clinical interventions should prioritise creating smoke-free environments and raising awareness about the risks of SHS/SHA from all nicotine-containing products on paediatric health.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W F B Oune, C H Splieth, H Modawi, J Schmoeckel, M S Mourad
{"title":"Satisfaction with dental treatment performed under nitrous oxide sedation: prospective questionnaire-based study.","authors":"W F B Oune, C H Splieth, H Modawi, J Schmoeckel, M S Mourad","doi":"10.23804/ejpd.2025.2352","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2352","url":null,"abstract":"<p><strong>Aim: </strong>Nitrous oxide sedation is an effective and safe pharmacological behaviour management technique that has been used in dentistry for many decades. The aim of this study was to assess the patients', accompanying adults' and dentists' satisfaction with dental treatment under nitrous oxide sedation.</p><p><strong>Materials: </strong>This questionnaire-based study was conducted at the Department of Preventive and Pediatric Dentistry at the University of Greifswald in Germany. A questionnaire was distributed to eligible patients (n=51), accompanying adults and treating dentists. The opinions of accompanying adults and dentists were assessed by means of Visual Analogue Scale (VAS).</p><p><strong>Conclusion: </strong>Most patients, accompanying adults, and dentists expressed high satisfaction with dental treatment under nitrous oxide, as it effectively enhanced the cooperation making the treatment in the majority of cases possible and more acceptable.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How does the frequency of dental visits affect future dental health?","authors":"S Pock, R B Stieger, P Drabo, B Cvikl","doi":"10.23804/ejpd.2025.2277","DOIUrl":"10.23804/ejpd.2025.2277","url":null,"abstract":"<p><strong>Background: </strong>This study investigates the impact of increased dental visits on children's dental health outcomes over a seven-year period. It assesses whether services such as consultations, X-rays, treatments for stomatitis, fillings, and extractions lead to better dental health, specifically focusing on the condition of the first permanent molars following comprehensive dental remediation.</p><p><strong>Materials: </strong>A retrospective study was conducted using data from the Vienna Public Health Insurance (ÖGK-W). The cohort included all children born in 2008 and 2009 who underwent extensive deciduous tooth rehabilitation in 2013. Inclusion criteria required each child to have received at least five dental procedures - including fillings and extractions - within a single quarter. The study comprised 465 patients, 196 females and 269 males. A score of 1 was assigned if restorative treatment was needed on any of the four molars, and a score of 0 if no treatment was required. This outcome was correlated with the frequency of dental visits over the seven-year period.</p><p><strong>Conclusion: </strong>The study underscores the importance of regular dental check-ups and comprehensive preventive care in maintaining children's oral health. The findings demonstrate that proactive and frequent dental consultations, combined with proper oral hygiene education, can significantly delay or prevent the need for tooth remediation. This emphasises the critical role of preventive dental care and the need for continued emphasis on regular dental visits to improve long-term oral health in children.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"224-228"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}