European journal of paediatric dentistry最新文献

{"title":"Orthodontics and Myofunctional Therapy: A critical review of the best complementary treatments of orofacial dysfunctions (Part 1).","authors":"S Saccomanno, V Quinzi, D Adamo, L Coceani Paskay, R Fontanella, M Serenelli, G Marzo, L Memè","doi":"10.23804/ejpd.2026.27.01.03","DOIUrl":"10.23804/ejpd.2026.27.01.03","url":null,"abstract":"<p><strong>Aim: </strong>This critical review article illustrates the anatomo-physiological complexity of the orofacial district that makes orthodontic and myofunctional therapies naturally complementary.</p><p><strong>Methods: </strong>The evolution of the face and mouth's structures and functions intimately connects not just bones and muscles but several functions: breathing, sucking, swallowing, chewing, biting, protective mechanisms such as spitting or coughing, and parafunctions such as clenching or nocturnal bruxism. These functions (among others) are mediated by an extremely complex neural system that involves, affects, or is affected by relevant cranial nerves, the sensory-motor system, the sympathetic and parasympathetic systems, the enteric system, and the breathing system.</p><p><strong>Conclusion: </strong>This interdisciplinary approach promotes the lasting success of orthodontic treatment and supports overall body wellbeing.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"27 1","pages":"78-83"},"PeriodicalIF":3.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347857","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":"The effect of serial extractions compared to enucleations on skeletal, dental, and soft tissues: a longitudinal evaluation.","authors":"M Ferrillo, F Lerda, E Fani, F P De Luca, A De Rosa, M Rosa, G Marzo, V Quinzi","doi":"10.23804/ejpd.2026.2747","DOIUrl":"10.23804/ejpd.2026.2747","url":null,"abstract":"<p><strong>Background: </strong>Tooth size-arch length deficiencies (TSALD) malocclusions can be treated either with or without extractions in growing patients. The extraction treatments are usually recommended in severe crowding and involve the serial extractions (SEs) or the enucleation (EE) therapies. The aim of the present retrospective study was to compare the skeletal and dental effects of serial extraction and enucleation treatments in subjects with severe crowding in mixed dentition phase.</p><p><strong>Methods: </strong>Lateral cephalograms from patients who underwent orthodontic treatment involving serial extractions (SE group) or enucleations (EE group) were analysed. The matched control group (CG group) consisted of untreated subjects derived from the American Association of Orthodontists foundation (AAOF) Craniofacial Growth Legacy Collection Project. The initial lateral cephalograms were taken before the eruption of all the second molars (T0) and the second lateral cephalograms were taken after the completion of the extractions (T1). The primary outcome was the change of the vertical skeletal dimension evaluated using the SN to mandibular plane angle (SN-GoGn) angle from T0 to T1.</p><p><strong>Conclusion: </strong>Based on this longitudinal cephalometric analysis, significant reduction of SN-GoGn (about 2.3°), MMPA, and gonial angle were detected only in patients who underwent serial extractions, whereas no significant variations were detected in enucleation and control groups. IMPA, L1-Apo, and UIMx measurements did not significantly change at follow-up in all three groups, thus a lingual tipping of the incisor was not detected in both serial extraction and enucleation groups.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"27 ","pages":"138-144"},"PeriodicalIF":3.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147502950","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":"Micro and Nanoplastics in orthodontics: should we be concerned?","authors":"V Quinzi","doi":"10.23804/ejpd.2026.27.01.02","DOIUrl":"https://doi.org/10.23804/ejpd.2026.27.01.02","url":null,"abstract":"","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"27 1","pages":"3"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347830","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":"Impact of sucking habits on dental occlusion in preschool children: A cross-sectional study.","authors":"M Comella Company, L Díaz Alonso, C Lluch Llagostera, R Mayné Acién, J Abanto, A Veloso Duran, F Guinot Jimeno","doi":"10.23804/ejpd.2026.2605","DOIUrl":"10.23804/ejpd.2026.2605","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the relationship between sucking habits (such as thumb sucking and pacifier use) and dental occlusion in preschool children.</p><p><strong>Background: </strong>The functional development of the oral cavity can be altered by sucking habits in infancy. It is important to know how these can influence the development of malocclusions in the primary dentition and, consequently, can help us to prevent them or reduce the risk factors in the permanent dentition.</p><p><strong>Materials: </strong>This cross-sectional study was conducted between January 2022 to January 2023. The sample consisted of 314 patients aged 2 to 5 years attending their first visit to the Service of Paediatric Dentistry of the HM Nens Hospital, HM Hospitales in Barcelona and in the University Clinic of Dentistry of the Universitat Internacional de Catalunya. Patients with incomplete primary dentition or any diseases that hindered assessment were excluded. Data collection was performed using a questionnaire divided into three sections, covering demographic information, sucking habits, and an intraoral examination of dental occlusion. Malocclusions were assessed in the sagittal, vertical, and transversal planes.</p><p><strong>Conclusion: </strong>Breastfeeding promotes proper jaws development and reduces malocclusion risk. Breastfed children used pacifiers and digit sucking less, whereas bottle-feeding was linked to these habits. Girls showed a higher prevalence of malocclusion than boys, and respiratory issues in infancy were associated with increased malocclusion rates. No correlation was found with the type of pacifier nipple, prematurity, low birth weight, type of birth, or lingual frenulum alterations.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"27 1","pages":"73-77"},"PeriodicalIF":3.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347879","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":"Microscopic Findings in Primary Teeth Associated with Vitamin D Deficiency.","authors":"A Allam, A C Ionescu, P Savadori, V Zambelli, C Salerno, S Cirio, M G Cagetti","doi":"10.23804/ejpd.2026.2566","DOIUrl":"10.23804/ejpd.2026.2566","url":null,"abstract":"<p><strong>Background: </strong>Rickets is a medical condition caused by vitamin D deficiency, typically caused by inadequate dietary intake, limited sun exposure, or, less commonly, genetic disorders. While skeletal abnormalities are the hallmark of rickets in children, oral manifestations, such as recurrent dental abscesses occurring in the absence of carious lesions, can also be observed. This report describes the case of a child presenting with oral features suggestive of hereditary rickets, despite the lack of skeletal abnormalities and without a confirmed genetic aetiology. Histological and microstructural analyses of dental tissues played a key role in guiding the diagnosis, ultimately leading to referral to a paediatrician and confirmation of vitamin D deficiency.</p><p><strong>Case report: </strong>A 4-year-old male presented to the Emergency Dental Department of a paediatric clinic with a history of spontaneous dental abscesses. Three affected primary teeth, extracted for clinical reasons, were comprehensively analysed using micro-computed tomography, scanning electron microscopy, energy-dispersive X-ray spectroscopy, and optical microscopy. Investigations revealed an enlarged pulp chamber, pulpal calcifications, extensive interglobular dentine, and porous, hypomineralised enamel. Additionally, an irregular and poorly defined dentino-enamel junction was observed, along with abrupt spatial variations in mineral composition. The findings are consistent with defective biomineralisation. Subsequent biochemical testing confirmed vitamin D deficiency in the absence of a detectable genetic cause. The patient was supplemented with vitamin D and calcium, resulting in clinical improvement.</p><p><strong>Conclusion: </strong>Vitamin D deficiency profoundly impairs the development and mineralisation of dental hard tissues, including both enamel and dentine. These alterations compromise the structural integrity of teeth and may increase the risk of spontaneous dental abscesses. Early identification of such oral manifestations is critical for prompt diagnosis and appropriate management.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"27 1","pages":"65-72"},"PeriodicalIF":3.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347788","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":"Parental-caregivers perceptions questionnaire (P-CPQ): linguistic validation of the Italian version of the questionnaire.","authors":"A Scarpis, A De Stefani, M Basilicata, P Bollero, A Gracco, G Bruno","doi":"10.23804/ejpd.2026.2218","DOIUrl":"https://doi.org/10.23804/ejpd.2026.2218","url":null,"abstract":"<p><strong>Aim: </strong>The Parental-Caregivers Perceptions Questionnaire (P-CPQ) is designed to assess how parents or caregivers perceive the impact of children's oral health on their quality of life. The P-CPQ is particularly useful for evaluating oral health-related quality of life in patients who are unable to provide firsthand information about their oral health, such as many autistic individuals with communication impairments or varying degrees of intellectual development.</p><p><strong>Methods: </strong>The original P-CPQ consists of 31 questions divided into four domains, assessing oral symptoms, functional limitations, emotional well-being, and social well-being. The questionnaire was translated from English to Italian and administered to parents and caregivers of children aged 6 to 14 years, recruited from the University of Padua Dental Clinic. The final section of the questionnaire focused on participants' comprehension of the questionnaire, specifically evaluating its clarity, accuracy, and difficulty.</p><p><strong>Conclusion: </strong>The positive feedback registered in the comprehension part of the questionnaire, certified the good quality of the Italian translation and confirms the usefulness of the questionnaire in assessing oral health-related quality of life in paediatric patients.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146112639","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":"Developmental Changes in Pharyngeal Airway in the Male Population From Adolescence to Adulthood.","authors":"C M Chen, P J Chen, H S Chen, K J Hsu","doi":"10.23804/ejpd.2024.2098","DOIUrl":"10.23804/ejpd.2024.2098","url":null,"abstract":"<p><strong>Aim: </strong>During adolescence, there is a significant surge in height and total body mass of males. Consequently, they simultaneously experience enhancements in their circulatory and respiratory systems, which adapt to these physiological transformations. The purpose of present study was to investigate the developmental changes in male pharyngeal airway from adolescence to adulthood.</p><p><strong>Methods: </strong>Lateral cephalograms of 192 males were obtained and divided into 5 groups: early adolescence (age 10-13 years), middle adolescence (age 14-17 years), late adolescence (age 18-21 years), early adulthood (age 22-30 years), and middle adulthood (ages 31-50 years). The dimensions of pharyngeal airway spaces and the related anatomical structures were investigated. The one-way analysis of variance and Pearson correlation analysis were employed for statistical analysis.</p><p><strong>Conclusion: </strong>During middle adolescence, the pharyngeal airway seems to be nearly completed in males. A significant negative correlation was found between the ANB angle and SPS, TPS, and EPS values.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"280-285"},"PeriodicalIF":2.2,"publicationDate":"2025-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491419","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":"Weight and dental eruption: the correlation between BMI and eruption.","authors":"F Inchingolo, A D Inchingolo, L Riccaldo, S Costa, A Palermo, A M Inchingolo, G Dipalma","doi":"10.23804/ejpd.2025.2220","DOIUrl":"10.23804/ejpd.2025.2220","url":null,"abstract":"<p><strong>Background: </strong>When planning dental treatment, particularly in orthodontics, the timing and order of tooth eruption (TE) are crucial considerations. It has been noted that fluctuations in body weight have garnered increasing scientific interest due to their potential impact on TE. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. An online database search was conducted using the keywords \"dental eruption\" AND \"weight\". A total of 14 relevant papers were scrutinised. Various population and age range were employed in different studies to evaluate surface roughness, color change, and surface fracturing. Numerous studies have investigated the impact of BMI on dental eruption, with findings suggesting a positive correlation between being overweight or obese and early tooth eruption. Understanding these relationships is crucial for identifying at-risk populations and developing effective public health interventions aimed at promoting optimal oral health outcomes worldwide. Further research is needed to comprehensively unravel the underlying mechanisms and implications of these associations.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"298-305"},"PeriodicalIF":2.2,"publicationDate":"2025-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985604","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":"Parental Education From Pregnancy To Birth: a Questionnaire-based Study on Promoting Oral Health and the Prevalence of Habits in Childhood Compared with Socioeconomic Factors.","authors":"N Cenzato, M Farronato, M Lazzari, R Guarnieri, C Maspero","doi":"10.23804/ejpd.2025.2525","DOIUrl":"10.23804/ejpd.2025.2525","url":null,"abstract":"<p><strong>Aim: </strong>Maintaining oral health and preventing dental caries are crucial for overall well-being and quality of life, especially during childhood. Parental knowledge and practices play a key role in shaping children's oral health. This pilot study investigates parental knowledge and attitudes towards children's oral health and preventive practices.</p><p><strong>Materials: </strong>A cross-sectional observational study was conducted at the Family Counseling Center of Cesano Boscone, Italy, between March 2023 and September 2024. Participants were 114 parents (2 males, 112 females) of children aged 0-18 or expecting their second child. Data were collected using an anonymous online questionnaire assessing socioeconomic background, dietary habits, risky behaviours (bottle and pacifier use), oral hygiene practices, and preventive strategies.</p><p><strong>Conclusion: </strong>The findings highlight key factors influencing daily habits and preventing dental diseases in children. Socioeconomic conditions influence choices related to health, diet, and prevention. The study provides a valuable overview of family practices and potential areas for improvement in children's oral health. This study emphasises the importance of parental education in oral health prevention. The findings suggest that while breastfeeding is common, there is a need to improve the use of fluoride toothpaste and increase awareness of occlusal sealants to promote more conscious and informed health management from early childhood. Further research is needed to explore strategies for enhancing parental knowledge and promoting better oral health outcomes for children.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"26 ","pages":"322-331"},"PeriodicalIF":2.2,"publicationDate":"2025-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023032","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 the Effects of MTA Apexification and Regenerative Endodontic Therapy on Lesion Healing using Fractal Analysis: A Retrospective Study.","authors":"Y Kasimoglu, G Koyuncuoglu, S Bayrak, Z Ugur-Aydin, G Aren","doi":"10.23804/ejpd.2024.2178","DOIUrl":"10.23804/ejpd.2024.2178","url":null,"abstract":"<p><strong>Aim: </strong>A comparison between mineral trioxide aggregate (MTA) apexification and regenerative endodontic therapy (RET) in immature permanent teeth is pivotal for optimising treatment outcomes and enhancing clinical decision-making. Understanding the efficacy, limitations and long-term implications of each approach is essential for achieving predictable, successful outcomes when managing immature teeth with necrotic pulps. The aim of this retrospective study was to compare the changes in the periapical bone using fractal dimension (FD) on the periapical radiographs of patients who underwent apexification and RET.</p><p><strong>Materials: </strong>The lesion area was evaluated using fractal analysis on periapical radiographs obtained before and one year after treatment with the ImageJ program. Additionally, periapical status was classified using the periapical index (PAI). The significance level was set at 0.05.</p><p><strong>Conclusion: </strong>In the present study, we found that the changes in FD and PAI over a one-year observation period were independent of the specific root canal treatment technique used. According to the fractal analysis, neither MTA apexification nor RET with tripleantibiotic paste is superior for immature teeth with pulp necrosis resulting from dental trauma.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"306-311"},"PeriodicalIF":2.2,"publicationDate":"2025-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142727283","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}