{"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}
G Boschi, I Tonni, M Beretta, F Federici Canova, S Bonetti, D Dalessandri
{"title":"Modified ZeroExpander for patients with MIH and HSPM.","authors":"G Boschi, I Tonni, M Beretta, F Federici Canova, S Bonetti, D Dalessandri","doi":"10.23804/ejpd.2025.2423","DOIUrl":"10.23804/ejpd.2025.2423","url":null,"abstract":"<p><strong>Background: </strong>Hypomineralisation of the first permanent molars (MIH) and second deciduous molars (HSPM) is an increasingly prevalent structural problem in paediatric patients. At the same time, the transverse palatal deficit is frequently found in that age group and necessitates early intervention. The purpose of this work is to present three new designs of the ZeroExpander, specifically developed for patients with hypomineralised teeth, which would otherwise be challenging to engage during orthodontic treatment.</p><p><strong>Case report: </strong>The ZeroExpanders for hypomineralised teeth are customized devices, digitally designed and produced from technopolymer. They feature overlay bands that fit over the hypomineralised teeth, combined with bioactive cements that facilitates continuous remineralisation of the dental enamel. These devices apply light forces within a pre-programmed, automatic expansion framework. Three examples of ZeroExpanders are presented: one for patients with both MIH and HSPM, one for MIH alone, and one for HSPM alone. Additionally, a case is illustrated where a patient with MIH in the early permanent dentition was successfully treated.</p><p><strong>Conclusion: </strong>The modified ZeroExpanders help preserve the integrity of both directly and indirectly involved hypomineralised teeth, including those in the lower arch. The workflow is effective and efficient, and they have the same level of effectiveness as the standard ZeroExpanders in terms of achieving the programmed expansion.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"114-120"},"PeriodicalIF":3.4,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526995","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":"Evaluation of Dentist Preferences Among Children Aged 3-10 Years.","authors":"M Sahin, O P Gonulal","doi":"10.23804/ejpd.2025.2402","DOIUrl":"10.23804/ejpd.2025.2402","url":null,"abstract":"<p><strong>Aim: </strong>To determine children's expectations regarding their dentist preferences, considering age and sex differences, and evaluate the results in terms of their communication with dentists.</p><p><strong>Methods: </strong>This study included 250 paediatric patients aged 3-10 years who presented to the Mersin University Pediatric Dentistry Clinic. Patients without comprehension or speech problems who were willing to participate were selected. The questionnaire consisted of 10 questions, with age-appropriate, easy-to-understand visuals created using the artificial intelligence-assisted Midjourney program.</p><p><strong>Conclusion: </strong>Physical appearance influences first impressions and is crucial in determining dentist preferences. In order to enhance communication and cooperation, it is recommended to consider children's preferences for a dentist who is of the same sex, young, wearing a white coat, greeting them sitting down, using protective equipment, and wearing different colours of uniforms based on age.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"108-113"},"PeriodicalIF":3.4,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144552707","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}
I Gómez-Ríos, V Saura-López, A Pérez-Silva, C Serna-Muñoz, A J Ortiz-Ruiz
{"title":"Application of machine learning for data analysis in paediatric dentistry: a systematic review.","authors":"I Gómez-Ríos, V Saura-López, A Pérez-Silva, C Serna-Muñoz, A J Ortiz-Ruiz","doi":"10.23804/ejpd.2025.2288","DOIUrl":"10.23804/ejpd.2025.2288","url":null,"abstract":"<p><strong>Aim: </strong>The study aims to assess whether the application of machine learning (ML) for database analysis enhances the approach to oral diseases in the paediatric population.</p><p><strong>Materials: </strong>Dental caries affects 514 million children worldwide. Artificial intelligence (AI), particularly ML, has seen increased utilisation in medicine and dentistry, handling data beyond human capacity to discern patterns and make predictions. PubMed, Web of Science, Scopus, and Lilacs databases were searched. Topics covered include the impact of oral health on adolescents' quality of life, predictors of early childhood caries and of the need of second treatment under deep sedation, and the effectiveness of preventive dental services.</p><p><strong>Methods: </strong>Twenty articles meeting eligibility criteria were analyzed for quality using the QUADAS-2 scale. The systematic review adhered to the PRISMA statement, yielding 20 articles out of 1945 initially screened. Fourteen articles focused on caries prediction, highlighting socio-demographic, behavioural, and biological predictors. ML analysis revealed that children with early caries lesions incur higher costs for insurers, with those receiving sealants and fluoride demonstrating greater cost savings.</p><p><strong>Conclusion: </strong>ML algorithms can identify patterns in large datasets, enhancing approaches to paediatric oral diseases. Their integration into research and educational programs is recommended. Methodological guidelines and quality scales specific to such studies are necessary for improved scientific evidence.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"127-137"},"PeriodicalIF":3.4,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157519","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":"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":"90-96"},"PeriodicalIF":3.4,"publicationDate":"2026-06-10","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}
A Kovalčík, P Kamínková, K Tichá, M Kovalská, K Langová, M Miklasová
{"title":"Prevalence and Risk Factors of Early Childhood Caries in the Olomouc region, Czech Republic. A Cross-sectional Epidemiological Study.","authors":"A Kovalčík, P Kamínková, K Tichá, M Kovalská, K Langová, M Miklasová","doi":"10.23804/ejpd.2026.2633","DOIUrl":"10.23804/ejpd.2026.2633","url":null,"abstract":"<p><strong>Aim: </strong>The study aims to determine the Early Childhood Caries (ECC) prevalence in the Olomouc region, Czech Republic, and to evaluate the associated risk factors in a group of children aged up to six years.</p><p><strong>Methods: </strong>A cross-sectional epidemiological study on ECC prevalence and risk factors was conducted in the Olomouc region, Czech Republic, from January to December 2024. The cohort involved 104 children aged up to six years who received a dental examination in their kindergartens, following parental written informed consent and a questionnaire completion. ECC prevalence was assessed, and risk factors were identified after data processing and analysis.</p><p><strong>Conclusion: </strong>Despite existing preventive measures, ECC prevalence remains high, indicating the need for more targeted prevention addressing the main risk factors, such as consumption of sweet and sour beverages, and lower family income in families. Conversely, oral hygiene from the eruption of the first tooth, positively related to the prevalence of ECC, should be promoted.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148344302","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}