E Bardellini, M G Gulino, S Pini, S Fontana, M Febbrari, A Majorana
{"title":"Integrating occlusion, vision, and posture: a multidisciplinary approach to paediatric malocclusion.","authors":"E Bardellini, M G Gulino, S Pini, S Fontana, M Febbrari, A Majorana","doi":"10.23804/ejpd.2025.2385","DOIUrl":"10.23804/ejpd.2025.2385","url":null,"abstract":"<p><strong>Case report: </strong>This case report presents a comprehensive postural evaluation of a 9-year-old paediatric patient with unilateral right crossbite and an associated visual defect. Postural assessments were performed using a vertical laser line (VLL) and a baropodometric-stabilometric platform, revealing significant postural alterations, including cervical extension, increased dorsal kyphosis, pelvic rotation, and an asymmetrical distribution of plantar load. The Romberg test indicated a visual system dysfunction, confirmed by ophthalmologic and orthoptic examinations, which identified mild myopic astigmatism and convergence insufficiency. The patient underwent two years of treatment with the Mouth Slow Balance (MSB) functional appliance, combined with corrective lenses and orthoptic exercises. Post-treatment evaluations demonstrated substantial improvements, including correction of the crossbite, normalization of visual function, improved head and body posture, and balanced plantar load distribution. The Romberg Index returned to physiological values, confirming restored visual influence on postural control. This case underscores the importance of a multidisciplinary approach involving dental, postural, and ophthalmologic evaluations in addressing occlusal and visual dysfunctions. Early identification and intervention can prevent compensatory postural adaptations, optimise craniofacial growth, and enhance the overall quality of life in paediatric patients.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"236-240"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483628","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}
L Lardani, S Bagattoni, M R Giuca, E Carli, V Di Taranto, M Moscati, M Beretta, M Cadenaro, S Caruso, P De Fabianis, R Del Conte, R Gatto, G Marzo, L Paglia, G Gallusi
{"title":"SIOI Policy on Molar Incisor Hypomineralisation.","authors":"L Lardani, S Bagattoni, M R Giuca, E Carli, V Di Taranto, M Moscati, M Beretta, M Cadenaro, S Caruso, P De Fabianis, R Del Conte, R Gatto, G Marzo, L Paglia, G Gallusi","doi":"10.23804/ejpd.2025.26.03.02","DOIUrl":"https://doi.org/10.23804/ejpd.2025.26.03.02","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.</p><p><strong>Methods: </strong>This Policy is based on a comprehensive review of the highest-quality scientific literature available over the past 20 years, including systematic reviews, meta-analyses, evidencebased guidelines, expert recommendations, manuscripts and best clinical practices. A bibliographic search was conducted using PubMed®/MEDLINE, using keywords such as: molarincisor hypomineralisation, molar hypomineralisation, enamel defect, hypomineralised molars, hypomineralised second primary molars, dental developmental defects. Search filters included: publication date (since 2001), language (English), fulltext availability, study type (systematic review, meta-analysis, clinical trial, evidence-based guidelines, manuscripts), species (humans), and age (child: birth-18 years). Additional references were obtained through citation tracking of key publications. Final recommendations were developed by combining the best available scientific evidence with clinical expertise and consensus from a multidisciplinary panel of paediatric dental specialists.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"26 3","pages":"248-251"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947554","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}
S Bagattoni, I Gozzi, C Lunardon, M R Gatto, G Piana, L Lardani
{"title":"Orthodontic Bands for Preventing Post-Eruptive Breakdown in Molars Affected by Molar Incisor Hypomineralisation.","authors":"S Bagattoni, I Gozzi, C Lunardon, M R Gatto, G Piana, L Lardani","doi":"10.23804/ejpd.2025.2380","DOIUrl":"10.23804/ejpd.2025.2380","url":null,"abstract":"<p><strong>Aim: </strong>Evaluating the effectiveness of orthodontic bands luted with glass-ionomer cement (GIC) in preventing dental caries and PEB in extensively yellow-brown defective MIH-FPMs.</p><p><strong>Background: </strong>First Permanent Molars affected by Molar Incisor Hypomineralisation (MIH-FPMs) are susceptible to post-eruptive breakdown (PEB) and caries.</p><p><strong>Conclusion: </strong>Orthodontic bands with GIC and stringent preventive measures can effectively maintain MIH-FPMs for at least 18 months, allowing the postponement of more comprehensive restorative approaches.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"212-217"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004104","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 Ortu, M Severino, S Di Nicolantonio, A Carrafiello, S Cova, R Gatto, A Monaco
{"title":"Comparison between removable devices in palatal expansion: a randomised open label clinical trial.","authors":"E Ortu, M Severino, S Di Nicolantonio, A Carrafiello, S Cova, R Gatto, A Monaco","doi":"10.23804/ejpd.2025.2230","DOIUrl":"10.23804/ejpd.2025.2230","url":null,"abstract":"<p><strong>Aim: </strong>Posterior crossbite is a very frequent malocclusion in the Caucasian population and is most often associated with hypoplasia or retrusion of the upper jaw. Treatment involves palatal expansion with the use of fixed or removable orthodontic devices. The aim of the present study is to compare two different devices used in expansion: the Eptamed Equilibrator elastodontic device (series 00) with the Schwartz plate, which is traditionally used in palatal expansion.</p><p><strong>Materials: </strong>70 children (30 boys and 40 girls, average age: 11 ± 1 years) were recruited and divided into a test group and a control group. The test group underwent palatal expansion with the elastodontic device, the control group with the Schwartz plate. Controls were carried out at 6 months and 12 months after the start of treatment. The distance between the cusps of the first upper premolars was taken as the reference or the width between the second deciduous molars. For statistical analysis, the t-test or Wilcoxon signed-rank test for continuous variables and chi-square test or Kruskal-Wallis test for categorical variables were used.</p><p><strong>Conclusion: </strong>The Eptamed Equilibrator device allows palatal expansion like that achieved with traditional expansion devices, but with greater comfort and greater compliance for patients.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"241-246"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751698","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}
R Aiuto, M Adobes Martin, L Marquez Martinez, E Garcia Miralles, I Pelissero, A Alvarado Lorenzo, M Dioguardi, D Re, D Garcovich
{"title":"Comparison of conventional and digital impression techniques in children up to 9 years: a multicentric crossover study on time, preference, and comfort in relation to gag reflex and dental fear.","authors":"R Aiuto, M Adobes Martin, L Marquez Martinez, E Garcia Miralles, I Pelissero, A Alvarado Lorenzo, M Dioguardi, D Re, D Garcovich","doi":"10.23804/ejpd.2025.2438","DOIUrl":"10.23804/ejpd.2025.2438","url":null,"abstract":"<p><strong>Aim: </strong>Digital applications are transforming dental practice, from diagnosis to treatment planning. In this context, digital impression-taking is becoming an increasingly prevalent method. This study aimed to evaluate the comfort and efficiency of digital impression-taking compared to classic alginate impressions. Additionally, the study explored the correlation between comfort, dental fear, and the gag reflex.</p><p><strong>Methods: </strong>Means and standard deviations were used to describe the data, and paired t-tests compared time and comfort between impression methods. Pearson's and Spearman's correlation coefficients analysed relationships between comfort, dental fear, and the gag reflex. A nonparametric Spearman model further examined the association between discomfort levels in both techniques.</p><p><strong>Conclusion: </strong>Digital impressions in young paediatric patients are more time-efficient and preferred over classic alginate impressions. Both observed and self-reported comfort are greater with digital impressions, and patient discomfort is strongly correlated with dental fear.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"202-207"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144552706","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 Inchingolo, A M Inchingolo, G Latini, C Pezzolla, I Trilli, R Sardano, A Palermo, A D Inchingolo, G Dipalma
{"title":"Analysis of microbiota in black stain of children and its impact on caries risk. A systematic review.","authors":"F Inchingolo, A M Inchingolo, G Latini, C Pezzolla, I Trilli, R Sardano, A Palermo, A D Inchingolo, G Dipalma","doi":"10.23804/ejpd.2024.2191","DOIUrl":"10.23804/ejpd.2024.2191","url":null,"abstract":"<p><strong>Aim: </strong>Black stain (BS) is a peculiar discoloration often observed on the teeth of paediatric patients, particularly prevalent in certain populations. This systematic review aims to analyze the composition of the microbiota associated with BS and its potential implications for caries risk. A acomprehensive search was conducted across multiple databases (PubMed, Scopus, Web of Science) to identify relevant studies published up to January 2024. Eligible studies were those investigating the microbiological profile of BS patients compared to non-black stain individuals, with a focus on cariogenic species and overall microbial diversity. Data extraction and synthesis were performed following PRISMA guidelines. The screening phase ended with selecting 14 publications for this work. The review explores the association between the microbiota of BS patients and caries prevalence or severity. Synthesising current evidence sheds light on the potential role of the microbiota in BS formation and its influence on caries susceptibility. Understanding these microbial dynamics may inform preventive strategies and therapeutic interventions tailored to mitigate caries risk in populations affected by BS. This review underscores the significance of further research to elucidate the complex relationship between BS, oral microbiota, and dental caries.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"192-200"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827851","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":"Associations between overprotective parenting and children's cooperation during dental treatment, toothbrushing behaviour and dental caries experience.","authors":"E Geuns, M de Jong-Lenters, D Duijster","doi":"10.23804/ejpd.2025.2296","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2296","url":null,"abstract":"<p><strong>Aim: </strong>This study explored the association between overprotective parenting and children's behaviour during dental treatment, toothbrushing behaviour and children's dental caries experience in the Netherlands.</p><p><strong>Conclusion: </strong>Overprotective parenting is significantly associated with more disruptive behaviour of children during dental treatment and more difficult toothbrushing behaviour.</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":"145184891","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 Luppieri, G D Bayrak, T Buttazzoni, D Tabakcilar, M Giangreco, S S Kuvvetli, M Cadenaro
{"title":"Prevalence and Clinical Patterns of Molar-Incisor Hypomineralisation (MIH) and Hypomineralised Second Primary Molars (HSPM) in Italian and Turkish Children Aged 6-16: an epidemiological comparative cross-sectional study.","authors":"V Luppieri, G D Bayrak, T Buttazzoni, D Tabakcilar, M Giangreco, S S Kuvvetli, M Cadenaro","doi":"10.23804/ejpd.2025.2384","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2384","url":null,"abstract":"<p><strong>Aim: </strong>To define MIH prevalence, HSPM co-presence, and delineate MIH/HSPM clinical patterns in Italian and Turkish children.</p><p><strong>Background: </strong>Molar Incisor Hypomineralisation (MIH) and Hypomineralised Second Primary Molars (HSPM) are worldwide spread developmental enamel defects, with an increasing number of cases.</p><p><strong>Methods: </strong>840 children (390 Italian, 450 Turkish) aged 6-16 years old were examined by two calibrated dentists. MIH and HSPM were diagnosed according to the European Academy of Pediatric Dentistry (EAPD) criteria. HSPM co-presence was evaluated in MIH-affected children having at least one second primary molar (SPM). The MIH/HSPM charting format for primary and permanent dentitions (long form) was used to record hypomineralised teeth.</p><p><strong>Conclusion: </strong>MIH prevalence was similar in Italy and Turkey; HSPM was lower in Turkish children. More epidemiological standardised studies on large cohorts of subjects are needed.</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":"145184905","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":"A decade of progress: biliometric analysis of trends and developments in early childhood caries research.","authors":"X Lin, Y Zhang, K Han, L Yu, H Shi","doi":"10.23804/ejpd.2025.2395","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2395","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries (ECC) is the most common oral disease in children, and its causes are complex and diverse, which has a serious impact on children's physical and mental health. Over the past decade, a large number of studies have investigated ECC in depth, and bibliometrics can reveal its research trends within specific fields.</p><p><strong>Materials: </strong>ECC-related publications published in the last decade were retrieved from the Web of Science database. The publication year, country, institution, author, journal and keywords were visualised by using CiteSpace and VOSviewer software.</p><p><strong>Conclusion: </strong>Through bibliometric analysis, this study delineated a comprehensive landscape of ECC research hotspots and potential trends, which provided necessary information for relevant decision makers to make decisions. At the same time, it also helped researchers in this field to conduct in-depth exploration and exchanges in the clinical and academic fields, and jointly committed to ECC research, and ultimately improved the oral health of young children.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575105","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":"https://doi.org/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":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","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}