European journal of paediatric dentistry最新文献

{"title":"Dental pain in children: pharmacological management.","authors":"A Mohn, A Maggitti, R Tripodi, F Chiarelli, A Cosi, D Tripodi","doi":"10.23804/ejpd.2025.2190","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2190","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of dental pain is relatively high across the global population, primarily attributable to dental caries. School-age children and adolescents with caries, particularly those with caregivers from lower socioeconomic backgrounds, are more likely to experience dental pain. In very young children, pain modulation is not yet fully developed; thus, inadequate pain management may cause pain memory formation which can lead to altered pain responses later in life.</p><p><strong>Materials: </strong>This review aims to provide an overview of the management of dental pain in children with pulpitis. To achieve this goal, a search was conducted in PubMed using relevant keywords. The literature investigation focused on the pharmacological management of paediatric pulpitis, including the treatment of associated complications.</p><p><strong>Conclusion: </strong>Dental pain represents a significant public health concern. Pain due to endodontic emergency is different in younger children and should to be assessed with the use of an appropriate scales and treated with NSAID and/or acetoaminophen. The combination of ibuprofen and acetaminophen at fixed doses appears to be a viable option for dental pain treatment, although further randomised controlled trials (RCTs) are needed for confirmation. Antibiotics should only be used in cases involving local and/or systemic infectious complications. Opioids are not recommended for managing dental pain. Antibiotic prophylaxis is necessary only in selected cases and should not overshadow primary prevention, which remains the only true option for reducing the development of dental complications. Antibiotic Stewardship Programs (ASPs) could play a significant role in reducing inappropriate antibiotic prescriptions.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957649","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":"Dental Diseases in Premature Infants: A Pilot Study on Delayed Tooth Eruption During the First 12 Months of Life.","authors":"N Cenzato, G Di Iasio, G Menozzi, S Gangi, C Agostoni, C Maspero","doi":"10.23804/ejpd.2025.2436","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2436","url":null,"abstract":"<p><strong>Background: </strong>Preterm birth is one of the leading causes of neonatal morbidity and mortality globally. Premature infants have a higher risk of developing a range of complications, including dental conditions. This pilot study aims to examine delayed tooth eruption in premature infants in the first twelve months of life, in order to identify any correlations between prematurity and early dental problems.</p><p><strong>Materials: </strong>A longitudinal study was conducted on premature infants of the Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Regina Elena Clinic, Milan, Italy comparing 2 groups of patients. The group of premature infants (group test) was evaluated between 6 and 9 months (T1) and at 12 months (T2), compared with a second group (control group) of healthy infants, born at term, between 6 and 12 months. Data were collected through clinical examinations, considering variables such as gestational age and birth weight. A descriptive statistical analysis was conducted by calculating the mean, mode, median, and standard deviation for variables such as corrected age, chronological age, and the number of teeth in both groups (premature and full-term infants). The Mann-Whitney U test was also used to verify significant differences in the median between the test and control groups.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810819","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":"Effects of Medication on Asthma and the Development of Caries Cavities in Children Aged 3-15 at Luz Hospital in Lisbon, Portugal.","authors":"R C Santa Bárbara, A Veloso Duran, F Guinot","doi":"10.23804/ejpd.2024.2231","DOIUrl":"10.23804/ejpd.2024.2231","url":null,"abstract":"<p><strong>Aim: </strong>To examine the impact of medication on asthma treatment and the occurrence of caries cavities in children aged 3 to 15 years old (Luz Hospital in Lisbon, Portugal). The frequency of caries cavities in 3 different groups was examined. In addition, the possible association of caries cavities with different asthmatic medication was also assessed.</p><p><strong>Background: </strong>Asthma and caries cavities affect many children worldwide. Investigating the connection between asthma medication and the development of caries cavities is important for enhancing asthma treatment while reducing oral health risks. Exploring the relationship between asthma medication and caries cavities is compelling due to the limited number of conclusive studies on the subject.</p><p><strong>Materials: </strong>A descriptive observational study was conducted on children aged 3 to 15 years old, who attended the immunology-allergology and dentistry services at the Luz Hospital in Lisbon, Portugal. between January 2021 and February 2022. The sample was divided into 3 groups (medicated asthmatics, unmedicated asthmatics, and healthy children without asthma). An intraoral examination was performed to collect the DMFT index (decayed, missing, and filled teeth) to assess the presence of caries cavities. Clinical and dietary data were supplemented with a questionnaire and medical history in all groups. All variables used were qualitative and described using absolute frequencies and percentages.</p><p><strong>Conclusion: </strong>These results showed that anti-asthmatic medications may influence the development of caries cavities. The occurrence of caries cavities is more prominent in medicated asthmatic children when compared to unmedicated asthmatic children.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"55-60"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142389045","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":"Clinical Evaluation of Contemporary Ion Releasing Restorative Materials in Primary Molars Subjected to Selective Caries Removal: a randomised clinical trial.","authors":"Z B Bodur, Z Z Ciftci, A Cengiz, H Karayilmaz","doi":"10.23804/ejpd.2025.2241","DOIUrl":"10.23804/ejpd.2025.2241","url":null,"abstract":"<p><strong>Aim: </strong>This randomised controlled trial compared the clinical effectiveness of four ion-releasing restorative materials in the proximal cavities of primary molars that underwent selective caries removal.</p><p><strong>Conclusion: </strong>Although the superiority of materials over each other could not be proven in this study, Fuji II LC appears to be more successful in terms of retention.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"61-68"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363865","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":"Effects of oral hygiene motivation strategies in paediatric patients with autism.","authors":"E Carli, M Miceli, S Romilio, F Pardossi, M R Giuca, R Izzetti","doi":"10.23804/ejpd.2024.2285","DOIUrl":"10.23804/ejpd.2024.2285","url":null,"abstract":"<p><strong>Aim: </strong>This study assessed the effectiveness of technological aids (video modelling) versus verbal and demonstrative motivation for improving oral hygiene in paediatric patients with autism spectrum disorder (ASD).</p><p><strong>Materials: </strong>Consecutive patients with ASD were enrolled. Data on brushing frequency, snack intake frequency, plaque index, gum index, and Frankl scale were collected at baseline. After a tooth scaling session, patients were randomly assigned to two groups: Group 1 (G1) received live brushing instructions, while Group 2 (G2) received an oral hygiene motivation video via email, created using the video modelling strategy. A follow-up evaluation was conducted after three months, with all parameters measured again for comparison.</p><p><strong>Conclusion: </strong>Video modelling is an effective tool for motivating oral hygiene in patients with ASD, demonstrated by significant improvements in most measured parameters for the video modelling group.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"69-72"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827856","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":"Laser and remineralising agents in dental erosion: a systematic review and meta-analysis.","authors":"A Pardo, A Butera, A Signoriello, M Marchiori, V Fiorini, N Branz, A Scribante, G Lombardo","doi":"10.23804/ejpd.2024.2158","DOIUrl":"10.23804/ejpd.2024.2158","url":null,"abstract":"<p><strong>Aim: </strong>This systematic review aimed to evaluate, by means of statistical comparison between selected studies, the effectiveness of laser irradiation on dental erosion applied alone or in combination with anti-erosive agents (fluoride, Acidulated phosphate fluoride APF and CPP-amorphous calcium fluoride phosphate CPP-ACFP), through optical profilometry and microhardness measurement.</p><p><strong>Methods: </strong>The searching strategy was conducted according to the International PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, to answer research ques-tions regarding the effectiveness of lasers used in the context of dental erosion (such as Nd:YAG, CO2, Er:YAG, Er,Cr:YSGG, Diode, and Argon Ion lasers). A comprehensive and unrestricted sys-tematic searching was performed using the electronic databases of PubMed and Cochrane Library, for all articles published up to the end of January 2023. The review record was registered by the International prospective register of systematic reviews (PROSPERO) under the identification number CRD408639.</p><p><strong>Conclusion: </strong>Change in microhardness for the lasers group, irrespective of the type of laser used in the sample, was significantly greater compared with the one in the control group. Regards microhardness, the combination of Laser and APF gel showed promising results compared to APF gel agent.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"37-46"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364930","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":"Paedodontic preformed crowns in primary teeth and relative degree of dental wear.","authors":"A G Signoriello, E Stellini, R Bertolini, L Pezzato, P Positello, A A Gracco, S Mazzoleni, F S Ludovichetti","doi":"10.23804/ejpd.2024.2013","DOIUrl":"10.23804/ejpd.2024.2013","url":null,"abstract":"<p><strong>Aim: </strong>Prosthetic rehabilitation of deciduous teeth in paediatric age using pre-formed crowns has been considered one of the best methods of dental restoration since their introduction. Their main advantages are related to durability, longevity and a low rate of recurrent cavities. Since stainless steel crowns do not coincide with aesthetic needs of parents and patients, preformed paedodontic crowns made of zirconia and nano-hybrid composite was introduced. The aim of the study is to evaluate the degree of wear on the enamel and on themselves of the different paedodontic crowns.</p><p><strong>Materials: </strong>Nine bovine teeth and nine paedodontic crowns for deciduous molars were selected for the study, three of which in zirconia, three in nano-hybrid composite and three in stainless steel. Wear test was carried out on the Rtech™ Instruments tribometer applying a force of 50 N. After that, both the bovine teeth and the paedodontic crowns were observed using a stereo microscope (Zeiss Stemi C-500) and a scanning electron microscope (SEM, Cambridge Stereoscan 440). The areas of wear were calculated with a software [ImageJ, version 1x, Wayne Rasband, Maryland, USA].</p><p><strong>Conclusion: </strong>Pre-formed paediatric crowns in zirconia, nano-hybrid composite and stainless steel are a valid aid for the restoration of deciduous teeth and do not compromise the physiological wear characteristic of the phases of the dental exchange. The stainless steel crown is preferable for the restorations in the posterior sectors as its behaviour is the most similar to that of a natural tooth. Zirconia and nano-hybrid composite crowns showed an inversely proportional behaviour between their wear volume and that of the opposing tooth.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"25 ","pages":"19-23"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075660","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":"Effects On Palatal Surface Area In Mixed Dentition Patients Treated With Leaf Expander And Rapid Palatal Expander, Compared To Untreated Subjects: A Randomised Clinical Trial.","authors":"A Ugolini, A Bruni, A Abate, F Pistoni, M Donelli, V Quinzi, F Silvestrini Biavati, V Lanteri","doi":"10.23804/ejpd.2024.2208","DOIUrl":"10.23804/ejpd.2024.2208","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate palatal surface effects induced by LE and RPE, alongside spontaneous changes in an untreated group, and to compare differences in canine and molar inclination among the three groups.</p><p><strong>Materials: </strong>This randomised clinical trial aimed to compare digital models pre- and post-treatment over 12 months in patients receiving tooth-borne Leaf Expander® (LE) and tooth-borne Hyrax-type maxillary expander (RPE) treatments, alongside untreated patients. Analysis included 24 LE patients (13 males, 11 females, mean age 8.5±1.5), 22 RPE patients (10 males, 12 females, mean age 7.9±1.6), and 17 untreated subjects (7 males, 10 females, mean age 8.1±1.2). Inclusion criteria comprised indications for maxillary expansion treatment, mixed dentition, CVMS ≤ 3, erupted first molars, and good oral hygiene. Digital models were obtained using an intraoral scanner pre- and post-treatment. Palatal surface, segmented into anterior, median, and posterior zones, and canine/molar inclination were measured at T0-T1 using VAM software as the primary and secondary endpoint. Statistical analyses involved paired-sample T-tests for intra-group comparisons and ANOVA tests with Bonferroni correction for inter-group comparisons.</p><p><strong>Conclusion: </strong>No significant difference in palatal surface increment was found between the two experimental groups (LE and RPE); both demonstrated a significant increase in palatal surface. The greatest increment occurred in the median palate zone for both experimental groups. The increment in the untreated control group was not significant. Furthermore, the RPE group showed a greater inclination of permanent molars compared to those treated with LE, indicating that expansion with lighter and continuous forces may lead to fewer dental side effects.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"48-54"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364929","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":"Paediatric smiles: the power of a multidisciplinary team.","authors":"L Paglia, S Colombo","doi":"10.23804/ejpd.2025.26.01.01","DOIUrl":"10.23804/ejpd.2025.26.01.01","url":null,"abstract":"<p><p>The main objective of Paediatric Dentistry, and even before that of Maternal and Child Dentistry, is not only to cure, but to promote and safeguard the general health and well-being of the child in its complexity and in harmony with his or her present and future daily life needs. This implies that, in order to deal effectively with conditions, the expertise of a single specialist is often not sufficient. A comprehensive and integrated view of child health is best achieved through collaboration between several professionals. Each brings their own expertise, yet they are all bound by a shared goal: the well-being of the young patient. It is crucial for us dentists also to consider whether the oral problem is secondary to conditions of a different nature, acting at the root of the problem where possible, or at least with the aim of early interception for certain conditions that are currently not preventable, such as dental hard tissue dysplasia, such as MIH (Molar Incisor Hypomineralisation) or upper jaw contraction that is affected by both genetically determined and epigenetic or environmental factors, or in the case of patients with special needs Adopting a multidisciplinary approach is as essential as it is successful in guaranteeing comprehensive and customised care for young patients and their families. Only by integrating different skills, points of view and perspectives can we truly take care of the global wellbeing of our young patients, for the health of the next generations. One would certainly think that possibly such extensive attention at a very young age might seem excessive and wasteful! Perhaps it is worth reading the Minsk Declaration (WHO, 2015) in which it is emphasised that 'a child who is cared for, nurtured, stimulated and protected at an early stage of life becomes an adult with better life chances, better cognitive and physical development, higher educational achievement and greater productivity'. Therefore, the protection of maternal and child health becomes a priority objective of health policy, and the political choices of governments must develop strategic actions for its promotion. Within the priority actions to be undertaken in national frameworks are included the promotion of high-quality preconception information and services as well as pregnancy support, the promotion, support and protection of breastfeeding, the support of families in the development of parenting skills, and the promotion of universal health coverage for maternity care, thereby achieving enormous socio-economic benefits from the health investments made in the first 1000 days of life. And so the interdisciplinary team for paediatric dentistry no longer appears unjustified but is, on the contrary, essential to achieve these goals!</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"1 26","pages":"2-3"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499981","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":"EJPD 2025 Policies: SIOI Policy on Direct Restorative Materials in Paediatric Dentistry.","authors":"V Luppieri, M Cadenaro, M R Giuca, V Di Taranto, M Moscati, S Bagattoni, M Beretta, S Caruso, P De Fabianis, R Del Conte, L Lardani, R Gatto, G Marzo, L Paglia, G Gallusi","doi":"10.23804/ejpd.2025.26.01.03","DOIUrl":"10.23804/ejpd.2025.26.01.03","url":null,"abstract":"<p><strong>Aim: </strong>The Italian Society of Paediatric Dentistry (SIOI) is committed to encourage all dental practitioners to provide safe and updated prevention and treatment strategies for oral diseases in paediatric patients. SIOI promotes quality communication and information to parents and caregivers for prevention and awareness of oral diseases in the paediatric population. The purpose of this SIOI Policy is to provide dental professionals with comprehensive guidance on paediatric restorative materials, ensuring that treatment decisions are based on the latest and highest-quality scientific evidence.</p><p><strong>Methods: </strong>This Policy is based on a review of the most recent and highest-quality dental literature i.e. reviews, systematic reviews, meta-analyses, recommendations and Best Practices from professional organisations over the last 10 years. An extensive electronic bibliographic search was conducted using PubMed®/MEDLINE with the following keywords: paediatric restorative dentistry, dental materials, dental restorations, dental caries, dental caries therapy, dental amalgam, composite resins, adhesive systems, glass ionomer cements, compomers, and bioactive materials. The following additional filters were applied: publication date (10 years), text availability (full text), article type (review, systematic review, and meta-analysis), species (humans), age (child: birth-18 years), and article language (English). One hundred forty-three articles met these criteria. Articles were screened by reading titles and abstracts.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"26 1","pages":"81-84"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499984","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}