T Cantile, A Valletta, E Salza, F Riccitiello, S Lombardi, M Quaraniello, A Riccitiello
{"title":"Self-inflicted oral-dental mutilations (SIODMs) in paediatric patients: a systematic review of case reports and case series.","authors":"T Cantile, A Valletta, E Salza, F Riccitiello, S Lombardi, M Quaraniello, A Riccitiello","doi":"10.23804/ejpd.2025.2213","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2213","url":null,"abstract":"<p><strong>Aim: </strong>Self-inflicted oral-dental mutilations (SIODMs) are the result of an intentional or unintentional action that leads to anatomical and functional damage to the soft and hard tissues of the oral cavity. In paediatric patients they can be associated with both organic and functional diseases. A systematic review was conducted aiming to consolidate and integrate the existing knowledge on SIODM in paediatric patients.</p><p><strong>Methods: </strong>Literature search, study design and data analysis were performed in accordance with PRISMA guidelines. The research question was structured using the PICO framework (PROSPERO n° CRD42023433727).</p><p><strong>Conclusion: </strong>This is the first systematic review aimed to synthesize the findings of studies on SIODM in paediatric patients. The extensive heterogeneity of underlying diseases, anatomical sites and nature of mutilation, as well as of the proposed treatments, make SIODM in paediatric population a challenging clinical field, in which only a multidisciplinary approach can provide adequate know-how in terms of prevention and therapeutic interventions.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002590","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 Spinas, L Carboni, S Cordaro, G Lopponi, T Mallus, N Zerman
{"title":"Intrusive luxation lesions in permanent teeth: a Literature review and an up to date on the possibilities of approaches with the orthodontic repositioning technique.","authors":"E Spinas, L Carboni, S Cordaro, G Lopponi, T Mallus, N Zerman","doi":"10.23804/ejpd.2024.25.04.03","DOIUrl":"https://doi.org/10.23804/ejpd.2024.25.04.03","url":null,"abstract":"","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"25 4","pages":"331-335"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767482","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 D'oria, S Bettocchi, V De Cosmi, M Paglia, S Colombo, S Scaglioni, C Agostoni, M Beretta, F Braiotta, C Berti, L Paglia
{"title":"Risk factors for Early Childhood Caries in Italian preschoolers: A cross-sectional analysis.","authors":"V D'oria, S Bettocchi, V De Cosmi, M Paglia, S Colombo, S Scaglioni, C Agostoni, M Beretta, F Braiotta, C Berti, L Paglia","doi":"10.23804/ejpd.2024.2289","DOIUrl":"10.23804/ejpd.2024.2289","url":null,"abstract":"<p><strong>Aim: </strong>Early childhood caries (ECC) represent a relevant public health issue in paediatric population globally. The current study aimed to investigate the main risk factors of this condition.</p><p><strong>Methods: </strong>This is a cross-sectional study carried out at the Child Dentistry Clinics of the Istituto Stomatologico Italiano, Milan, Italy, including patients aged 12-71 months and their parents. Demographical data, anthropometric measurements, oral hygiene and health assessment, and children's eating habits were collected.</p><p><strong>Conclusion: </strong>Our findings, according to recommendations, suggest that the prevention of ECC needs to begin in infancy. Oral health providers, physicians, nurses, and other health care personnel play an important role in educating parents about their child's oral and dental care and food choices.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"271-276"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125104","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}
J Abanto, S Diaz Cárdenas, A Veloso Duran, M Garza, V Reis Brigato, F Guinot
{"title":"Association between socioeconomic factors, attitudes and beliefs regarding the primary dentition and caries in children aged 1-5 years of Brazilian and Colombian parents.","authors":"J Abanto, S Diaz Cárdenas, A Veloso Duran, M Garza, V Reis Brigato, F Guinot","doi":"10.23804/ejpd.2024.2102","DOIUrl":"10.23804/ejpd.2024.2102","url":null,"abstract":"<p><strong>Aim: </strong>To compare how parents' attitudes, knowledge, and sociodemographic characteristics influence untreated early childhood caries in infants and preschoolers in Brazil and Colombia.</p><p><strong>Background: </strong>Dental caries is a prevalent chronic disease affecting children worldwide. However, little research has explored the connection between parents' knowledge, attitudes, and beliefs about oral health and the occurrence of dental caries in their children's primary teeth.</p><p><strong>Materials: </strong>Oral health information was evaluated in children aged 3 to 5 years with a questionnaire covering sociodemographic and socioeconomic variables, family information and questions about health knowledge and child's and parents' oral health. In addition, oral examinations have been carried out to determine the prevalence of untreated dental caries. A p-value of 0.05 and 95% reliability level were considered statistically significant.</p><p><strong>Conclusion: </strong>Untreated caries in infants and preschoolers are influenced by socioeconomic status, maternal education, sugar consumption, oral hygiene, and parents' beliefs about primary dentition.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"258-265"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418446","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 E Salvati, G Marzo, M Palermiti, M Romano, V Quinzi
{"title":"Compound odontoma and impaction of the lower left deciduous canine in a 4-year-old child: diagnosis and treatment.","authors":"S E Salvati, G Marzo, M Palermiti, M Romano, V Quinzi","doi":"10.23804/ejpd.2024.2281","DOIUrl":"10.23804/ejpd.2024.2281","url":null,"abstract":"<p><strong>Background: </strong>Odontomas are the most common odontogenic tumours, often considered hamartomas rather than true neoplasms. These mixed tumours consist of fully differentiated dental tissues, including enamel, dentin, cementum, and pulp. Odontomas can be classified into compound and complex types. While typically asymptomatic, they are often discovered during routine radiographic examinations for delayed tooth eruption. The management of odontomas generally involves surgical removal, which is effective in resolving associated dental impactions.</p><p><strong>Case report: </strong>We present the case of a healthy 4-year-old child who presented with the absence of the lower left deciduous canine (tooth 7.3) in the dental arch. Radiographic examination revealed multiple radiopaque masses indicative of a compound odontoma associated with the unerupted deciduous canine. Following detailed imaging and surgical planning, the odontoma was successfully enucleated under conscious sedation with nitrous oxide. The surgical procedure was performed without extracting the retained canine. Post-operative follow-up at two weeks showed excellent healing, and at seven months, partial eruption of the canine was observed, confirming the odontoma's role in impeding its eruption.</p><p><strong>Conclusion: </strong>This case underscores the importance of early diagnosis and management of odontomas to prevent potential impaction of associated teeth. The successful surgical removal of the odontoma facilitated the spontaneous eruption of the lower left deciduous canine, highlighting the effectiveness of early intervention. Conscious sedation with nitrous oxide proved to be a valuable tool in managing the young patient, ensuring cooperation and comfort during the procedure. Early identification and treatment of odontomas are crucial for promoting normal dental development and preventing future malocclusions.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"297-301"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460977","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":"Childhood obesity, sugar, and Early Childhood Caries: the sweet trap.","authors":"S Colombo, L Paglia","doi":"10.23804/ejpd.2024.25.04.01","DOIUrl":"https://doi.org/10.23804/ejpd.2024.25.04.01","url":null,"abstract":"<p><p>What drives our irresistible attraction to foods like chocolate, fries, or a warm apple pie? Sugar intake triggers the brain's dopamine system, creating a sense of reward that unconsciously conditions a preference for foods that satisfy cravings. Over time, this weakens attraction to healthier, low-fat and low-sugar foods. This response shares characteristics with addiction, sparking the concept of \"food addiction.\" For early humans, this reward-driven behaviour was advantageous, motivating them to seek high-calorie foods essential for survival when food was scarce. Today, however, it fuels a global surge in obesity and diabetes the real \"killer\" of our times. Additionally, a study on fruit flies (Drosophila melanogaster) found that a sugar-heavy diet reduces sensitivity to sweetness, leading to increased consumption. This phenomenon, like \"desensitisation\" in humans, suggests that high sugar intake may promote obesity by altering taste perception and reward circuits [May et al., 2019]. The link between sugar-rich diets, obesity, and public health is a critical concern for healthcare professionals, policymakers, and the sustainability of the western healthcare system. A 2024 study published in BMJ [Lara-Castor et al., 2024] revealed that from 1990 to 2018, the consumption of sugar-sweetened beverages (SSBs) in children and adolescents (aged 3-19) from 185 countries rose by 23%, paralleling a global rise in obesity rates in this age group (Fig. 1). The findings highlighted a range of consumption levels influenced by factors like age, parental education, and urban living; however, the overall increase calls for national and targeted approaches to reduce SSB intake. Exactly like the prevalence of overweight (including obesity) among children and adolescents aged 5-19 has risen dramatically from just 8% in 1990 to 20% in 2022. While just 2% of children and adolescents aged 5-19 was obese in 1990 (31 million young people), by 2022, 8% of children and adolescents were living with obesity (160 million young people) [GBD 2019 Risk Factors Collaborators 2020; Okunogbe et al., 2022] (Fig. 2) [Ritchie and Roser, 2017]. Establishing good habits early is vital, as children are highly receptive to new behaviours. Notably, paediatric prevention begins even in the womb [Paglia 2017; Paglia, 2019]: a 2021 Canadian study [Laforest-Lapointeet al, 2021] linked maternal consumption of artificial sweeteners during pregnancy to an increased risk of infant obesity. By examining the gut microbiomes of 100 infants, researchers found that artificial sweetener intake could influence infant gut health and body mass index in the first year of life. The effects of sugar thus begin before birth and extend into early childhood. In Italy, added sugars are often introduced into infants' diets before 12 months, and delayed oral hygiene practices worsen the risks. Parental obesity further correlates with a higher incidence of Early Childhood Caries (ECC), emphasizing the need ","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"25 4","pages":"254-255"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767478","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 Remy, Y Godio-Raboutet, G Captier, P Burgart, P Bonnaure, L Thollon, L Guyot
{"title":"Characterisation of the very young child's palatal vault growth pattern: how do its size and shape evolve?","authors":"F Remy, Y Godio-Raboutet, G Captier, P Burgart, P Bonnaure, L Thollon, L Guyot","doi":"10.23804/ejpd.2023.1663","DOIUrl":"10.23804/ejpd.2023.1663","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to characterise the palatal vault evolution during the first years of life, both in terms of shape and size.</p><p><strong>Materials: </strong>The study sample was composed of 168 healthy children aged less than 4 years. Twenty-one measurements of distances and 6 angles were taken from 7 fixed landmarks set on the palatal vaults 3D surfaces reconstructed from CT-scans. To analyse only the shape evolution, the \"sizefree\" log-shape ratio of those measurements were computed and the global shape of the palatal vault and their transversal curve were plotted. Statistical analyses were performed to highlight the shape and size differences separately.</p><p><strong>Conclusion: </strong>The shape and size evolution of the palatal vault during the first years of life was not only correlated with deciduous dentition development. We assumed that the progressive orofacial muscles activation and tongue movements in the oral cavity may also explain these results as they induced strains on the palatal vault, warping it in various ways.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"2 24","pages":"318-326"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10544650","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 Capotosti, G I Baroncelli, S Ligori, E Zampollo, M R Giuca, E Carli
{"title":"The care of the patient with X-linked hypophosphatemic rickets.","authors":"I Capotosti, G I Baroncelli, S Ligori, E Zampollo, M R Giuca, E Carli","doi":"10.23804/ejpd.2024.25.04.02","DOIUrl":"https://doi.org/10.23804/ejpd.2024.25.04.02","url":null,"abstract":"<p><strong>Aim: </strong>X-linked hypophosphatemic rickets (XLH) is characterised by severe skeletal deformities and dental abnormalities. The aim of this work is to examine the prevalence of abscesses, the features of pulp chambers, and the biochemical and histological signs of the disease.</p><p><strong>Methods: </strong>Pulp chambers size, shape, and morphology were assessed by orthopantomography in XLH patients (n = 24, age 5.8 ± 1.6 years) and in sex and age-matched healthy controls (n = 23, age 6.2 ± 1.4 years). Histological analysis of the dentin of the primary teeth by Hematoxylin-eosin and Massontrichromic Goldner-blue aniline staining was then performed, comparing the results with those obtained in healthy controls.</p><p><strong>Conclusion: </strong>Enlarged pulpal chambers with altered shape and morphology affect most XLH patients, setting them up for periapical abscesses with fistulas occurred without any history of trauma or dental decay. Patients with XLH should be considered high-risk patients. It is important to treat and manage them early by a multidisciplinary approach.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"25 4","pages":"329-330"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767484","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 Bhatia, A K Subramanian, N Ramasamy, M Di Blasio, V Ronsivalle, M Cicciù, G Minervini
{"title":"Evaluation of treatment outcomes with passive presurgical infant orthopaedics in patients with non-syndromic cleft lip and or palate: A systematic review conducted according to PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions.","authors":"N Bhatia, A K Subramanian, N Ramasamy, M Di Blasio, V Ronsivalle, M Cicciù, G Minervini","doi":"10.23804/ejpd.2024.2056","DOIUrl":"10.23804/ejpd.2024.2056","url":null,"abstract":"<p><strong>Aim: </strong>The primary goal of the present comprehensive systematic review is to assess the treatment results attained through PSIO in individuals with NSCLP, as well as to explore its effectiveness. This will be accomplished by examining a range of existing published studies that focus on patient groups who have undergone PPIO.</p><p><strong>Materials: </strong>A comprehensive search strategy was devised by a single author for each database without language restrictions. The databases searched were PubMed, Cochrane library Google Scholar, Web of Science and Scopus. The search period was limited to the years 2001 to 2023. Duration and study design filter was used. Furthermore, conference proceedings, abstracts, and reference lists of relevant studies were sought to obtain additional records.</p><p><strong>Conclusion: </strong>The examined protocols for passive presurgical infant orthopaedics (PPIO) in individuals with CLP typically did not reveal notable treatment outcomes when compared to a lack of treatment across a range of domains. These domains encompass feeding patterns, facial aesthetics, maxillary dentoalveolar factors, cephalometric measurements, speech and language-related aspects, dental arch alignments, economic assessments, as well as occurrences of adverse effects or complications associated with applied appliances or procedures.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"302-309"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733767","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 Cenzato, F Cazzaniga, F Masserini, B Baldini, L Colombo, M Fumagalli, C Maspero
{"title":"Comparison of facial features in fetuses and newborns following natural delivery with cephalic presentation: a pilot study","authors":"N Cenzato, F Cazzaniga, F Masserini, B Baldini, L Colombo, M Fumagalli, C Maspero","doi":"10.23804/ejpd.2024.2286","DOIUrl":"10.23804/ejpd.2024.2286","url":null,"abstract":"<p><strong>Background: </strong>Malocclusions are usually diagnosed around 3-4 years of age according to specific criteria. The purpose of this protocol is to validate a method to understand how the type of delivery can influence the development of malocclusions.</p><p><strong>Materials: </strong>This pilot study, conducted at the Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico of Milan, evaluated the relationship between the type of delivery, fetal presentation, and the presence of malocclusions in children. The sample included 5 healthy term newborns, all born to healthy mothers with uncomplicated pregnancies by vaginal delivery. Measurements were taken, via ultrasound, at the 37th week of gestation (T0) and on the second day of life (T1), using a craniometer, caliper and goniometer, including head circumference, lower facial angle, frontonasal angle, labial fissure length, and interpupillary distance.</p><p><strong>Conclusion: </strong>The results suggest that further research is necessary to better understand the influence of delivery mode and fetal presentation on the development of malocclusions. This study represents an important first step, highlighting the need for larger samples and more in-depth investigation methods to obtain more conclusive results.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"284-289"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119311","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}