J F Gómez-Clavel, A I García-Villegas, G Ayala-Alejos, A García-Muñoz, P Nieto-Sánchez, Á E González-Aragón-Pineda
{"title":"Study on the treatment of permanent molars affected by molar-incisor hypomineralisation: survey of Mexican dentists.","authors":"J F Gómez-Clavel, A I García-Villegas, G Ayala-Alejos, A García-Muñoz, P Nieto-Sánchez, Á E González-Aragón-Pineda","doi":"10.23804/ejpd.2026.2626","DOIUrl":"10.23804/ejpd.2026.2626","url":null,"abstract":"<p><strong>Aim: </strong>The present study describes the therapeutic options for first permanent molars with hypomineralisation among Mexican dentists.</p><p><strong>Methods: </strong>We used a cross-sectional design in which we surveyed Mexican dentists through an electronic questionnaire. The questionnaire consisted of 20 questions, divided into two sections. The first section collected demographic data. The second section consisted of eight questions and focused on presenting a clinical MIH case documented with photographs and radiograph.</p><p><strong>Conclusion: </strong>Despite the high incidence of MIH in Mexico, the surveyed dentists showed deficiencies in terms of the knowledge that should accompany clinical competence for the treatment of molars with MIH.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"196-200"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148344271","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":"Closing the gap between evidence and practice.","authors":"L Paglia, S Colombo","doi":"10.23804/ejpd.2026.27.03.01","DOIUrl":"https://doi.org/10.23804/ejpd.2026.27.03.01","url":null,"abstract":"<p><p>For decades, the scientific community has produced guidelines, consensus statements, and shared recommendations. The literature on the prevention of early childhood caries is extensive, robust, and consistent. Yet epidemiological data have not improved in proportion to the effort invested. Early childhood caries remains one of the most prevalent chronic diseases worldwide. Evidently, a substantial gap persists between knowledge and practice. The issue does not lie in the quality of the evidence. Rather, it lies in the assumption, too often implicit, that dissemination alone is sufficient to translate evidence into action. We have produced rigorous and well-argued documents, assuming that their intrinsic strength would be enough to modify behaviours. It is not. Between recommendations and everyday practice lies a divide that no consensus statement, in isolation, can bridge. A shift in perspective is therefore required. Not less research, but different research: fewer studies on what is already known to be effective, and greater focus on how to make such interventions genuinely adoptable in vulnerable contexts-among families with limited time and difficult access, within the constraints of brief paediatric consultations, and in healthcare systems operating under pressure and with limited resources. Evidence-based medicine has taught us to ask whether an intervention is effective; today, we must add an equally critical question: how can we ensure its actual implementation? Alongside evidence of efficacy, we therefore need evidence-based implementation, capable of identifying the conditions, organisational frameworks, and engagement strategies that render interventions feasible in routine practice. Implementation science is not a secondary discipline; it is the missing one. Idealism without pragmatism produces literature. Pragmatism guided by ideals produces health. Paediatric prevention requires the latter, and the scientific community, if it is to remain true to its mission, cannot afford to overlook it. Knowledge without change is insufficient; it is merely nostalgia.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"27 3","pages":"166-167"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886762","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 Alqadi, L Qubbaj, B Saleh, M Al-Najdawi, En Haswa, Em Haswa
{"title":"Efficacy of 38% Silver Diamine Fluoride (SDF) versus Atraumatic Restorative Treatment (ART) in Arresting Dental Caries in Paediatric Patients: A Systematic Review and Meta-Analysis.","authors":"A Alqadi, L Qubbaj, B Saleh, M Al-Najdawi, En Haswa, Em Haswa","doi":"10.23804/ejpd.2026.2496","DOIUrl":"10.23804/ejpd.2026.2496","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the clinical efficacy of 38% Silver Diamine Fluoride (SDF) in arresting dental caries in paediatric patients in comparison to Atraumatic Restorative Treatment (ART) or placebo.</p><p><strong>Materials: </strong>This systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO (ID: 596949). A thorough search of PubMed, Scopus, and Cochrane databases was conducted, retrieving 1366 studies. Duplicates were removed, yielding 892 unique records. Screening by title and abstract reduced this number to 96 studies, and after full-text review, 6 RCTS met the inclusion criteria. Data extraction and risk of bias assessment were performed using the Cochrane Risk of Bias Tool. Meta-analysis was conducted using Review Manager (RevMan) software 8.7.0, applying a random-effects model to account for variability across studies, and a sensitivity analysis was performed.</p><p><strong>Conclusion: </strong>38% SDF is an effective intervention for halting dental caries in paediatric patients, slightly outperforming ART. Both interventions may be considered for paediatric patients. Further standardised research with extended follow-up is needed.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"232-239"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728505","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}
M N Pereira Friggi, M Mori, E Eduarda Fernandes, D F L Molica Oliveira, S de Mello Rode
{"title":"Occlusal contact points at maximal intercuspal position in primary dentition.","authors":"M N Pereira Friggi, M Mori, E Eduarda Fernandes, D F L Molica Oliveira, S de Mello Rode","doi":"10.23804/ejpd.2026.2696","DOIUrl":"https://doi.org/10.23804/ejpd.2026.2696","url":null,"abstract":"<p><strong>Aim: </strong>The intercuspal position of deciduous dentition was investigated.</p><p><strong>Methods: </strong>A total of 389 patients aged 4.5 to 5.5 years were evaluated and among them, 30 were selected according to the inclusion criteria with clinically normal dental occlusion. Using clinical and photographic analyses of dental contacts, a tracing of both the inferior and superior arches of the deciduous dental anatomy (occlusogram) and the coincidental occlusal points was achieved.</p><p><strong>Conclusion: </strong>Observations also showed that the contact between the second molars exhibits morphofunctional anchorage in the mesiodistal direction.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"27 ","pages":"1"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577409","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}
P Lucchi, R Gatto, A Rizzato, G Zambon, S Sivolella, E Stellini, M Rossi, S Mazzoleni, F S Ludovichetti
{"title":"ICR: A Simplified Caries Risk Assessment Tool for Paediatric Patients.","authors":"P Lucchi, R Gatto, A Rizzato, G Zambon, S Sivolella, E Stellini, M Rossi, S Mazzoleni, F S Ludovichetti","doi":"10.23804/ejpd.2026.2560","DOIUrl":"https://doi.org/10.23804/ejpd.2026.2560","url":null,"abstract":"<p><strong>Aim: </strong>In paediatric dentistry, it is essential to investigate the individual risk factors for caries development and to assign each patient a risk category for the onset of new lesions. This approach is crucial to planning personalised preventive and therapeutic strategies. This study aims to develop a simple and reproducible caries risk assessment index, designed for daily use by dental hygienists and assistants to support consistent monitoring of patients' caries risk in clinical practice.</p><p><strong>Materials: </strong>This cross-sectional observational study was conducted following a comprehensive literature review to identify evidence-based caries risk indicators. A simplified caries risk assessment tool was developed and structured into a colour-coded evaluation grid. The tool was tested in a paediatric clinical setting on 494 patients aged 0-16 years, of whom 417 met the inclusion criteria and were analysed. Each assessment was completed by a dentist, dental assistant or dental hygienist after standardised training. Descriptive statistics were applied to evaluate the distribution of risk scores and associated variables.</p><p><strong>Conclusion: </strong>The simplified tool demonstrated good applicability in routine paediatric care and enabled consistent identification of individual caries risk profiles. Its ease of use and visual scoring system make it suitable for implementation in daily practice, including by trained non-dental personnel, supporting preventive strategies and early intervention.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430384","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":"Use of a Glass Ionomer Sealant in Permanent First Molars affected by Molar Hypomineralisation: A 12-Month Clinical Study.","authors":"V Luppieri, A Pecori, M P Concas, M Cadenaro","doi":"10.23804/ejpd.2026.2720","DOIUrl":"https://doi.org/10.23804/ejpd.2026.2720","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the survival rate and clinical status of a glass ionomer (GI) sealant in hypomineralised permanent first molars (PFMs), as well as to assess the occurrence of post-eruptive breakdown (PEB) and measure dentin hypersensitivity in the sealed molars over a 12-month follow-up period.</p><p><strong>Methods: </strong>Fifty-two hypomineralised PFMs, with at least two-thirds of their crown erupted, exhibiting opacities on the occlusal surface, no caries or PEB, were sealed using a GI sealant (GC Fuji Triage®). Clinical evaluation was performed using the United States Public Health Service (USPHS) criteria. PEB was clinically diagnosed. In-office dentin hypersensitivity to thermal stimuli (air spray) was measured using the Wong-Baker Faces Pain Rating Scale (WBFPRS); at-home hypersensitivity to thermal (eating/drinking cold foods/beverages) and mechanical (brushing) stimuli was assessed by interviewing the patients. PFMs were evaluated at baseline, immediately after treatment and at 3-, 6-, and 12-month follow-ups.</p><p><strong>Conclusion: </strong>Fully retained GI sealants were effective in preventing secondary caries and reducing dentin hypersensitivity in hypomineralised PFMs; however, they did not prevent PEB.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"27 ","pages":"1"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577368","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":"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":"97-102"},"PeriodicalIF":3.4,"publicationDate":"2026-06-10","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":"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":"103-107"},"PeriodicalIF":3.4,"publicationDate":"2026-06-10","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}
V Lanteri, A Abate, A Bruni, S Bellesia, P Bellini, A Ugolini
{"title":"Translational insights into diet consistency, masticatory efficiency, and posterior crossbite: potential implications for craniofacial development and general health.","authors":"V Lanteri, A Abate, A Bruni, S Bellesia, P Bellini, A Ugolini","doi":"10.23804/ejpd.2025.2403","DOIUrl":"10.23804/ejpd.2025.2403","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the association between dietary consistency, masticatory patterns, and the presence of posterior crossbite in growing patients, and to explore potential preventive strategies.</p><p><strong>Background: </strong>Maxillary constriction, frequently associated with posterior crossbite, presents challenges to craniofacial development. Modern dietary habits, characterised by softer food textures, reduce masticatory demand, potentially contributing to maxillary hypoplasia. However, the translational impact of dietary consistency on general health and craniofacial development remains underexplored.</p><p><strong>Methods: </strong>A case-control study was conducted with 106 participants divided into two groups: case (posterior crossbite) and control (non-crossbite). Dietary habits were assessed through a validated questionnaire that categorised foods by consistency. Masticatory cycles were analysed using a kinesiograph to identify normal, reverse, and atypical patterns. Statistical analyses included chi-square tests and regression models, with significance set at p < 0.05.</p><p><strong>Conclusion: </strong>This study confirms a significant association between dietary consistency, masticatory patterns, and posterior crossbite. The findings underscore the role of dietary texture in craniofacial development, highlighting the importance of preventive dietary strategies to support both craniofacial growth and general health. Further longitudinal studies are recommended to validate these findings and guide translational orthodontic interventions.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"121-126"},"PeriodicalIF":3.4,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483629","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}
N Zerman, L Paglia, R Silva, E Bonfadelli, R De Manzoni, A Pardo, F Zotti, N Tomizioli, F S Ludovichetti, E Spinas
{"title":"Replantation after avulsion of permanent teeth: clinical procedures and adherence of cases reports to IADT Guidelines: a scoping review.","authors":"N Zerman, L Paglia, R Silva, E Bonfadelli, R De Manzoni, A Pardo, F Zotti, N Tomizioli, F S Ludovichetti, E Spinas","doi":"10.23804/ejpd.2025.2344","DOIUrl":"10.23804/ejpd.2025.2344","url":null,"abstract":"<p><strong>Aim: </strong>Avulsive trauma to permanent teeth is a critical dental emergency, particularly in children and adolescents, where timely intervention is essential for preserving aesthetics, function, and psychological well-being. This scoping review evaluates clinical adherence to the International Association of Dental Traumatology (IADT) guidelines for the replantation of avulsed permanent teeth, with a specific focus on the 2012 and 2020 versions. A comprehensive search of PubMed, Scopus, and Web of Science yielded 812 records, from which 92 studies were included after rigorous screening. Findings indicate that while adherence to IADT guidelines is generally observed, a greater alignment with the 2012 guidelines persists even in cases reported after the 2020 update. Adaptations of the guidelines were common, often reflecting case-specific considerations. Despite the IADT's standardized framework, long-term outcomes for replanted teeth remain unpredictable, with failure rates ranging from 55% to 96%. Key challenges include complications like ankylosis and root resorption, particularly in delayed replantation. These issues underscore the need for enhanced focus on long-term management and prognosis in future guideline updates. The review highlights the critical role of replantation in preserving aesthetics, functionality, and psychological stability, especially for adolescents in developmental stages. However, limitations in current guidelines regarding long-term care and medico-legal clarity necessitate revisions to address complications, future prosthetic needs, and comprehensive follow-up protocols. Structured guidelines have significantly advanced the management of dental avulsions, yet further research and refinement are essential to improve outcomes and provide clearer medico-legal guidance, ensuring optimal care for affected patients.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"145-152"},"PeriodicalIF":3.4,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625639","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}