{"title":"The 100 Most Cited Articles in Paediatric Dentistry: What Has Changed?","authors":"C Salerno, S Cirio, A Allam, M Mazur, M G Cagetti","doi":"10.23804/ejpd.2026.2783","DOIUrl":"https://doi.org/10.23804/ejpd.2026.2783","url":null,"abstract":"<p><strong>Aim: </strong>To identify and analyse the 100 most-cited articles published in paediatric dentistry journals, providing an updated bibliometric overview of the field and comparing findings with previous analysis.</p><p><strong>Methods: </strong>The Web of Science database was searched up to January 2026 to identify the most-cited papers published in paediatric dentistry journals. The top 100 articles were selected and analysed for citation count, publication year, source journal, geographic distribution, authorship, study design, and thematic area. Co-occurrence network analysis was performed using VOSviewer.</p><p><strong>Conclusion: </strong>Compared with the 2019 analysis, citation thresholds have risen substantially, systematic reviews have replaced cross-sectional studies as the dominant design, MIH has emerged as a leading research theme, and geographic disparities in citation accumulation persist and warrant attention.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"27 2","pages":"154-163"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270921","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":"Research in paediatric dentistry: the paradox of reviews without trials.","authors":"S Colombo, L Paglia","doi":"10.23804/ejpd.2026.27.02.01","DOIUrl":"10.23804/ejpd.2026.27.02.01","url":null,"abstract":"<p><p>Bibliometrics is not an exercise in academic vanity, but a diagnostic tool: it measures not only how much we produce, but what we choose to study - and what we leave behind. Over the past two decades, scientific output in paediatric dentistry has grown exponentially. More articles, greater visibility, broader internationalisation. Yet a higher volume of publications does not automatically translate into improved clinical decision-making. Bibliometric analyses reveal a polarised discipline: cariology and orofacial development predominate, whilst emerging topics such as molar-incisor hypomineralisation (MIH) are steadily gaining ground. This is a predictable, yet telling distribution: what is common tends to be studied; what is complex tends to be avoided. The critical issue, however, is methodological. Amongst the most highly cited works, reviews - both systematic and narrative - vastly outnumber randomised clinical trials (RCTs), which remain marginal and are frequently methodologically weak. Even when present, RCTs demonstrate notable limitations, with reporting quality that remains insufficient. The outcome is a paradox: increasingly sophisticated syntheses constructed upon limited primary data. Meta-analyses cite meta-analyses; clinical guidelines are based on reviews of reviews. The evidence pyramid thus risks resting on fragile foundations, yielding descriptive rather than decisional evidence. This is not a matter of quantity, but of direction. Without a determined investment in robust primary studies, growth risks becoming self-referential. The literature continues to describe problems far more readily than it tests solutions. A further concern relates to representativeness: research today is concentrated in a limited number of countries, yet it is widely acknowledged that children's oral health is profoundly influenced by local contexts. A truly mature discipline must therefore critically appraise how inclusive its knowledge base is, and whether it adequately represents diverse realities. Bibliometrics thus offers a clear picture: paediatric dentistry is productive, yet still limited in its capacity to generate decisive evidence. The challenge is not to publish more, but to produce better. What is needed is not further reviews of weak data, but sufficiently robust primary data to render fewer reviews necessary. In this context, scientific journals play a pivotal role. Editorial choices shape the direction of research: prioritising methodologically sound studies - even those that may be less readily 'citable' - means directly influencing the future quality of evidence. For editors, reviewers, and authors alike, the responsibility is tangible: to shift the emphasis towards studies capable of genuinely guiding clinical practice. Because the true indicator of a discipline's maturity is not what it publishes, but what it is able to demonstrate - and to change.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"27 2","pages":"86"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270912","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 Maroni, E Aroni, L Boschini, E Lipani, C Dettori, A Verdecchia, E Spinas
{"title":"Autotransplantation as a Therapeutic Approach for Canine Inclusion and Transmigration in Adolescent Patients: A Case Report.","authors":"M Maroni, E Aroni, L Boschini, E Lipani, C Dettori, A Verdecchia, E Spinas","doi":"10.23804/ejpd.2026.2572","DOIUrl":"https://doi.org/10.23804/ejpd.2026.2572","url":null,"abstract":"<p><strong>Background: </strong>Bony inclusion of permanent teeth refers to the failure of a tooth to erupt within the expected timeframe, commonly affecting upper and lower canines. The etiology remains debated, with genetic factors and eruption guidance disturbances being the primary hypotheses.</p><p><strong>Case report: </strong>This case report describes the management of a 13.6-year-old male patient presenting with impacted upper and lower canines (1.3, 2.3, 3.3) and transmigration of tooth 3.3. The patient exhibited a Class I malocclusion, midline deviations, and significant dento-dental discrepancies, mainly due to conoid lateral incisors. The treatment plan included orthodontic treatment to create adequate space, followed by autotransplantation of teeth 2.3 and 3.3. The autotransplantation procedure involved atraumatic extraction, careful preparation of the recipient site, and minimal extra-alveolar time to preserve periodontal ligament vitality. After 18 months of treatment, the patient achieved a stable Class I occlusion, with optimal positioning of the impacted canines, improved smile aesthetics, and centered midlines. However, root resorption was observed in tooth 3.3, requiring endodontic treatment. Despite this complication, the overall result was functionally and aesthetically successful.</p><p><strong>Conclusion: </strong>This case highlights the effectiveness of dental autotransplantation as a viable therapeutic option for impacted canines in growing patients, providing both functional and aesthetic benefits.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257965","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":"Beneficial and risk effects of topic fluoride before and after 6 years old.","authors":"S Daniele","doi":"10.23804/ejpd.2026.27.02.02","DOIUrl":"10.23804/ejpd.2026.27.02.02","url":null,"abstract":"<p><p>This letter to editor would emphasise the position about topic fluoride into a choorte of children between 0-6 years of age after media messages, personal conviction by social media appeared in the last year about adverse fluoride effects in the topical application. After the preview letter to editor about the negative effects of water added with fluoride when had been highlighted that the hypothetical harmful effect of fluoride on intellectual quotient IQ of children is mainly an USA question because in Europe water is not fluoridated except for little areas of european's countries. Topic fluoride is safe and is a most strategy to carious lesion development if used in the correct modalities. No adverse effect of topic fluoride is possible to adress for yuong adult (> 18 yo) and 6 years old children. In that situation is suggest from paediatric scientific academy and ministerial guide lines to use the maximun concentration of fluoride permitted from European law and World Health Organisation WHO indications into toothpaste and mouthrinse (1500 ppm) for at home for oral hygiene. For children of age lower than 6 years old attention must be payed also for topic fluoride because an excess and not precise measurement of plasmatic fluoride may expose the children to dental fluorosis disease. In particullary the age from 0-2 years old is the most critically because during this stage some of the most important permanent teeth such first molars and incisor perform the mineralisation of protein matrix secreted by ameloblast during amelogenisis. Dose (rise o pea size) and toothpaste fluoride concentration (1000 ppm) are suggested from European Accademy of Paediatric Dentistry EAPD into a policy document and is highligted supervison of parents during at home children oral hygiene to avoid accidental ingestion of toothpate [Toumba et al., 2019]. Parents, Dentist and Paediatric must be pay attention about fluoride concentration of human use potable water and water to prepare the children food whilst there's not information about fluoride concentration into the child food. We just know that fish, tea and potatos peel are rich in fluoride. Avoid the final water rinse after toothbrush with fluoride toothpate is favourable as UK's National Health Service suggest to extend the contact time between fluoride and the dental enamel in order to form Fluoroapatite F-Ap more acid resistent than Hydroxiapatite HAp. We are talking about split the excess of foam at the end of toothbrushing and is very unlikely that this procedures could increase the fluoride concentration in the children lower 6 years old and expose those to dental fluorosis risk [Parakaw et al., 2024].</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"27 2","pages":"87"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270972","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 Durán Contreras, A de la Hoz Calvo, P Beltri Orta, E Gomez García, I Thuissard Vasallo
{"title":"Three-dimensional craniofacial and airway morphology in paediatric patients with 22q11.2 deletion syndrome: a CBCT study with correlation to velopharyngeal dysfunction.","authors":"G Durán Contreras, A de la Hoz Calvo, P Beltri Orta, E Gomez García, I Thuissard Vasallo","doi":"10.23804/ejpd.2026.2596","DOIUrl":"https://doi.org/10.23804/ejpd.2026.2596","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to analyse the three-dimensional craniofacial and pharyngeal airway morphology in paediatric patients with 22q11.2 deletion syndrome (22q11.2DS) using cone-beam computed tomography (CBCT) and to evaluate its correlations with velopharyngeal dysfunction (VPD).</p><p><strong>Methods: </strong>Twenty-eight Spanish children aged 6-17 years were included: 14 with genetically confirmed 22q11.2DS and 14 non-syndromic controls. CBCT was used to obtain linear, angular, and volumetric measurements of the airway. VPD was assessed through oral and nasal examination, flexible nasopharyngoscopy, and perceptual speech evaluation.</p><p><strong>Conclusion: </strong>VPD was associated with airway narrowing and cranial base angulation. These findings highlight the utility of CBCT for 3D craniofacial and airway assessment in paediatric patients with 22q11.2DS.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148162253","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 Esposito, M Ruberto, L Nucci, G R Umano, G Messina, F Femiano, M Gnazzo, C Costanza, B Gallai, M Carotenuto
{"title":"Trapped Between Fatigue and Feelings: How Paediatric OSAS Affects Physical Activity and Emotion Recognition.","authors":"M Esposito, M Ruberto, L Nucci, G R Umano, G Messina, F Femiano, M Gnazzo, C Costanza, B Gallai, M Carotenuto","doi":"10.23804/ejpd.2026.2567","DOIUrl":"https://doi.org/10.23804/ejpd.2026.2567","url":null,"abstract":"<p><strong>Aim: </strong>To investigate emotion recognition abilities in paediatric patients affected by obstructive sleep apnea syndrome (OSAS) and explore related neurocognitive alterations.</p><p><strong>Methods: </strong>Fifty children aged 6-11 years diagnosed with OSAS and 50 matched controls underwent polysomnography, emotion recognition testing (TEC), and physical activity monitoring. Neurocognitive assessments included analysis of brain morphology, EEG activity, and metabolic markers from previous literature.</p><p><strong>Conclusion: </strong>OSAS in children negatively impacts emotion recognition and neurocognitive functions due to brain structural and functional alterations. These findings support the need for early diagnosis and treatment to mitigate cognitive and emotional deficits associated with paediatric OSAS.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148204515","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":"Factors associated with survival of primary teeth pulpotomies: a practice-based study.","authors":"P Rajavaara, A Nyberg, H Vähänikkilä, M Laitala","doi":"10.23804/ejpd.2026.2439","DOIUrl":"https://doi.org/10.23804/ejpd.2026.2439","url":null,"abstract":"<p><strong>Aim: </strong>To investigate factors associated with survival of pulpotomies on primary molars in a primary healthcare setting.</p><p><strong>Methods: </strong>The data were collected from an electronic patient record system. Dental files of patients who received a pulpotomy procedure on a primary molar between Jan 2015 and Dec 2017 at the primary health care clinics in the City of Oulu, Finland, were included. The follow-up period lasted until May 28th, 2020. For the analysis, the study population was grouped into three different age groups: younger than 6 years of age, 6-9 years of age and older than 9 years of age.</p><p><strong>Conclusion: </strong>It seems that pulpotomies are often performed at primary health care clinics without adequate initial diagnosis or it is made to teeth tested non-vital, teeth with severe pain and even to necrotic teeth. These results suggest that more education about this manner is needed for dentists who work with child patients.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766115","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":"Caries Activity Tests and Associated Factors among 3-5-Year-Old Preschool Children in Zhao County, Hebei Province, China.","authors":"X Lin, Z Ma, H Wang, F Cao, C Zhao, X Wang, H Shi","doi":"10.23804/ejpd.2024.2212","DOIUrl":"10.23804/ejpd.2024.2212","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate the caries activity (CA) and its caries status in children aged 3-5 years in Zhao County, Hebei province, China and to explore the related factors.</p><p><strong>Methods: </strong>Cariostat caries activity test and oral examination were performed on children aged 3-5 years old in Zhao county, Hebei province by a stratified sampling. A questionnaire survey was used to analyze the CA-related factors and the receiver operating characteristic curve (ROC) was to evaluate the diagnostic value of Cariostat caries activity test in children with early childhood caries (ECC).</p><p><strong>Conclusion: </strong>The caries status among preschool children in Zhao county of Hebei province was serious. The higher the mean dmft of children, the greater the CA value. Mother's educational level and children's diet and lifestyle habits were closely related to CA. The Cariostat caries activity test has good efficacy in diagnosing ECC with high sensitivity and specificity.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"5-12"},"PeriodicalIF":2.2,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582273","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 Dusio, J de Nova, A Hernández Guevara, G Feijóo García
{"title":"Tooth agenesis and dental development in a Spanish population: a retrospective cross-sectional study.","authors":"F Dusio, J de Nova, A Hernández Guevara, G Feijóo García","doi":"10.23804/ejpd.2025.2160","DOIUrl":"10.23804/ejpd.2025.2160","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this retrospective cross-sectional study conducted in a Spanish population, was to determine whether dental development is delayed in paediatric patients with agenesis. The comparative analysis of the average difference between chronological and dental age was carried out to assess the validity of maturation tables for the Spanish population. The study examined the potential influence of the following variables: sex, number of agenesis, location of the agenesis. CONCLUSION: Dental development in the studied sample representing Spanish population, is notably more delayed in children with agenesis, particularly among girls, despite earlier development. Dental development occurred earlier than expected. Dental development was studied using Demirjian's method with conversion tables for the Spanish population. Imprecise data was obtained in patients with agenesis as chronological age did not correspond to dental age. However chronological and dental age difference was minimal in patients without agenesis, determining the validity of the maturation tables for the Spanish population in this group of patients. Ultimately, the study concluded that later dental development of children with agenesis is influenced by gender, number of agenesis and location (posterior, lower).</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"13-22"},"PeriodicalIF":2.2,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499978","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}
D Fantozzi, T Doldo, C Luzi, S Grandini, C Marruganti
{"title":"Neurocognitive abilities in children affected by sleep breathing disorders. A systematic review and meta-analysis of case control-studies.","authors":"D Fantozzi, T Doldo, C Luzi, S Grandini, C Marruganti","doi":"10.23804/ejpd.2023.1818","DOIUrl":"10.23804/ejpd.2023.1818","url":null,"abstract":"<p><strong>Aim: </strong>Different experimental approaches have demonstrated that children with sleep breathing disorders (SBD) exhibit neurocognitive and behavioural impairment. The present systematic review and meta-analysis aims to quantify neurocognitive deficit disorders in mouth breathing paediatric patients by summarising relevant case-controls studies. Neurocognitive assessment was undertaken with WISC.</p><p><strong>Methods: </strong>A search strategy was developed on electronic databases including Medline (Pubmed), Scopus, Scileo; Cochrane library from 2000 to June 2022 for published studies analysing neurocognitive skills in children with SBD compared to healthy control groups. The review was performed according to the PRISMA protocol and articles were selected according to the established inclusion and exclusion criteria. The Weighted Mean Differences (95% Confidence Intervals) were calculated between results obtained in WISC tests in SBD patients and healthy subjects.</p><p><strong>Conclusion: </strong>Our results confirmed that SBD affected children performed worse than healthy children in terms of quite all the cognitive domains investigated.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"86-95"},"PeriodicalIF":2.2,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9299469","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}