{"title":"Nasal bone modification compared to normal growth after rapid maxillary expansion anchored onto deciduous teeth: a CBCT retrospective study.","authors":"M Rosa, G Manti, P Lucchi, S Mutinelli","doi":"10.23804/ejpd.2024.2330","DOIUrl":"10.23804/ejpd.2024.2330","url":null,"abstract":"<p><strong>Background: </strong>The present study was designed to evaluate the enlargement of the nasal bone as side effect when a treatment with a Haas rapid maxillary expander is performed in early mixed dentition.</p><p><strong>Methods: </strong>The CBCT imaging of 36 children (mean age 8,4; SD,1,5) were retrospectively selected and then traced in order to evaluate the change in the nasal bone (primary outcome) and in the maxilla (secondary outcome). Five distances and one angle were measured: upper and lower nasal bone width (UNBw and LNBw) as well as its inclination (NBi), and the maxillary bone at the level of infraorbital foramen (IOFw), the nasolacrimal duct (NLDd), and greater palatine foramina (PFd). The sample was divided in a treatment group (26 subjects; 14 males; 12 females; mean age 8,0; SD 0,9), comprising children who underwent to a rapid maxillary expansion, and a control group (10 subjects; 7 males; 3 females; mean age 9,3; SD 2,3) including untreated children homogeneous for dental age to the treated subjects. Measurements were performed at baseline or before the treatment (T0), and after 2 years (T1).</p><p><strong>Conclusion: </strong>The transversal modification induced with a rapid maxillary expansion was limited to the maxilla without involving the nasal bones when the treatment was performed in early mixed dentition. The changes recorded in the nasal bones seem to be the same of what happens during normal growth.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"310-317"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399766","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":"Black Stains in Children: A New Classification and an Innovative Flowchart for Management and Recurrence Prevention.","authors":"N Zerman","doi":"10.23804/ejpd.2024.2310","DOIUrl":"10.23804/ejpd.2024.2310","url":null,"abstract":"<p><strong>Aim: </strong>Exogenous black pigmentations, commonly referred to as black stains (BS), are an acquired oral pathology, prevalent among children. The condition is characterized by black punctiform spots that are distributed variably on the lingual and vestibular surfaces of both deciduous and permanent teeth. These spots are predominantly located on the cervical third of the crown but can also be found on the middle third, until the crown third, of the affected tooth's crown. These stains present a therapeutic challenge due to their high recurrence rate and the often-insufficient oral hygiene practices among children and their caregivers. Although general dentists may not be familiar with the classification of BS, the clinical diagnosis of this condition is typically straightforward. There is still no consensus among researchers regarding the prevalence of BS, and the etiopathogenesis of this condition remains not fully understood. Although BS are not a serious pathology, many children and their families experience significant embarrassment, anxiety, and negative psychological effects due to the condition. Recent literature on the treatment of BS indicates that a universally effective clinical protocol has not yet been established. This study introduces a new classification based on therapeutic approach and a flow chart designed to assist paediatric dentists in managing BS with a focus on preventing recurrence.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"277-283"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282408","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":"Fracture Resistance of Space Maintainers Produced Using 3D Printable Materials.","authors":"N Aktaş, D Atabek","doi":"10.23804/ejpd.2024.2104","DOIUrl":"10.23804/ejpd.2024.2104","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate the fracture resistance of space maintainers (SMs) produced using 3D-printable materials (metal, resin and polyetheretherketone [PEEK]) after thermal aging and compare them with conventional space maintainers.</p><p><strong>Methods: </strong>A standardised typodont model for paediatric dentistry was utilised, and band and loop space maintainers were designed digitally using computer-aided design (CAD) technology. Four groups were established: Conventional, 3D printed metal, 3D printed resin, and 3D printed PEEK. Fracture resistance was assessed after 10,000 thermal cycles, simulating oral conditions. Fracture tests were conducted using a universal testing machine, applying vertical force to the band and loop junction until fracture. Statistical analyses were performed using one-way ANOVA and the Tukey HSD test (P<0.05).</p><p><strong>Conclusion: </strong>Although the fracture resistance values showed that metal, resin, and PEEK 3D printed band and loop space maintainers can be acceptable clinically, the permanent resin may be preferable to printable material because of their aesthetic properties.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"266-270"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119312","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":"https://doi.org/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":"1"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","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}
{"title":"Combined surgical luxation and orthodontic traction treatment of a severely infraoccluded primary molar with deep caries: a case report and literature review.","authors":"W Jiang, M Wang, M Shen, J Han, L Xu, Z Wu","doi":"10.23804/ejpd.2024.2235","DOIUrl":"https://doi.org/10.23804/ejpd.2024.2235","url":null,"abstract":"<p><strong>Background: </strong>Infraocclusion refers to a tooth located below the occlusal surface compared to adjacent teeth long after it should have reached occlusion. Ankylosis is frequently associated with the infraocclusion of primary molars, but it is challenging to distinguish between the two conditions. Surgical luxation and orthodontic traction have been applied for the treatment of ankylosed, infraoccluded permanent teeth, but reports on primary molars are scarce.</p><p><strong>Case report: </strong>A 5-year-old boy presented with a severely infraoccluded primary mandibular second molar with deep caries. A partial pulpotomy was performed to treat the affected tooth when the pulp was exposed after caries removal. A combination of surgical luxation and orthodontic tractionwas performed for the affected tooth, and after 5 months, the tooth successfully erupted to the occlusal level. During the follow-up period of two years, no complications were observed.</p><p><strong>Conclusion: </strong>This report identified that surgical luxation, in conjunction with orthodontic traction, is effective and feasible for severely infraoccluded primary teeth. Additionally, partial pulpotomy may be an alternative for vital pulp therapy on primary teeth.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142389044","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":"Segmental maxillary osteotomy in cleft lip and palate patients: a stepwise planning in the orthodontic pre-surgical preparation with Invisalign.","authors":"M C Meazzini, L P Demonte, L Autelitano","doi":"10.23804/ejpd.2024.2112","DOIUrl":"10.23804/ejpd.2024.2112","url":null,"abstract":"<p><strong>Aim: </strong>To show the potential of Invisalign in multi-segmental Le Fort I preparation with the aid of an occlusogram-like method.</p><p><strong>Methods: </strong>Nine patients treated with Invisalign before segmental osteotomy of the maxilla (study sample) were matched for diagnosis, surgical procedure, and complexity of orthodontic preparation with nine patients treated with fixed appliances (control sample). A superimposition technique was adapted to complement the Invisalign software to carry out an appropriate ClinCheck in segmental pre-surgical treatments. The correct pre-surgical positions of the maxillary teeth were guided with the use of virtual added curves that followed the lower arch. The number of impressions needed in both groups to reach adequate pre-surgical coordination of the segmented arches was compared.</p><p><strong>Conclusion: </strong>With the aid of the proposed superimposition method, during the digital simulation of presurgical movements, clear aligner therapy appears to be an effective treatment even in patients with skeletal discrepancies and craniofacial anomalies involving the need for segmental Le Fort I osteotomies. More sophisticated software will certainly be implemented in the future.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"224-229"},"PeriodicalIF":2.2,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787620","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}
C Salerno, A Allam, S Cirio, A Malerba, A C Ionescu, G M Tartaglia, G Campus, M G Cagetti
{"title":"Survival of different caries managements in children with autism and unaffected peers: a retrospective cohort study.","authors":"C Salerno, A Allam, S Cirio, A Malerba, A C Ionescu, G M Tartaglia, G Campus, M G Cagetti","doi":"10.23804/ejpd.2024.2151","DOIUrl":"10.23804/ejpd.2024.2151","url":null,"abstract":"<p><strong>Aim: </strong>Dental caries is a common oral disease in children with special needs such as those with autism spectrum disorders (ASDs). The aim is to assess whether the type and survival of three caries management, conventional resin restorations (CR), ART technique (ART) and SDF application without caries removal (SDF), in primary teeth carried out at the Pediatric Dentistry Department of San Paolo Hospital (University of Milan) differed between children with ASDs and unaffected peers.</p><p><strong>Methods: </strong>Data from a convenience sample of children with and without ASDs, who have received dental care for caries in primary teeth from January 2019 to June 2022, were analysed. Medical history, age, sex, teeth treated, and type of treatment were collected from dental charts. Data on success and minor and major failures of each treatment were also collected. Two survival analysis were performed, one considering both major and minor failures, a second considering only major failures. Cox Proportional Hazards multivariate logistic models were run to assess factors associated with failures. The statistical significance was set at 5% (p< 0.05).</p><p><strong>Conclusion: </strong>In children with autism, the different techniques for approaching caries lesions seem to have the same probability of success. Therefore, the choice of treatment should be patient-oriented rather than lesion-oriented. In unaffected children, the gold standard always seems to be traditional restorative treatment.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"214-223"},"PeriodicalIF":2.2,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579287","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 Farronato, R Crispino, F C Tartaglia, A M Bulfamante, C Maspero
{"title":"Primary Headache Relief in Paediatric Patients Following Rapid Maxillary Expansion: a Prospective Study and Cephalometric Changes Analysis.","authors":"M Farronato, R Crispino, F C Tartaglia, A M Bulfamante, C Maspero","doi":"10.23804/ejpd.2024.2238","DOIUrl":"10.23804/ejpd.2024.2238","url":null,"abstract":"<p><strong>Background: </strong>Primary headaches (PH) are a group of disorders greatly impairing quality of life, highly prevalent in growing population. Previous studies suggested a rhinogenic involvement in PH episodes. Modifications of nasal cavities and septum take place during rapid maxillary expansion (RME). This study aims to investigate the role of skeletal modifications due to RME on PH episodes.</p><p><strong>Methods: </strong>Sixty-eight growing patients (30/38 MF 7-12 y.o 9.2 ± 1.3 SD) were enrolled. All the selected sample patients reported at least 12 PH episodes in the previous year and were diagnosed with maxillary constriction to be treated with RME. Changes in PH episodes before and after this orthodontic procedure were analysed using paired t-tests. Correlations between age and PH episodes were assessed using Spearman correlation coefficients. Correlations between cephalometric changes and PH episodes were investigated using paired t-tests.</p><p><strong>Conclusion: </strong>RME produces significant modifications in maxillary and nasal width and lower nasal length and decreased monthly episodes of PH significantly. It can be supposed and inferred that RME has beneficial effects on PH in growing patients.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"238-243"},"PeriodicalIF":2.2,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579286","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":"Autotransplantation of an inverse impacted dilacerated incisor: a case report with 11-year follow-up.","authors":"B Sen Yavuz, E Cekmegeli, A Mentes","doi":"10.23804/ejpd.2024.2017","DOIUrl":"10.23804/ejpd.2024.2017","url":null,"abstract":"<p><strong>Background: </strong>Dilaceration can lead to impaction of maxillary incisors, resulting in both aesthetic and functional problems. This case report presents the multidisciplinary approach to managing an inverse impacted dilacerated left lateral incisor in a 9-year-old male patient.</p><p><strong>Case report: </strong>The orthodontic alignment of the remaining three incisors was achieved within six months. After using the diode laser to remove the gingiva covering the right lateral incisor during alignment process, a lingual button was bonded. The primary left canine and the impacted permanent left lateral incisor were extracted by raising the full-thickness mucoperiosteal flap, followed by the transplantation of the dilacerated lateral incisor into its correct position, splinted to the adjacent central incisors using composite resin. Root canal treatment was performed after the apical plug was created with mineral trioxide aggregate. The composite splint was removed after three weeks, and a new bracket was bonded to the left lateral incisor. It was left passively for 18 months until the permanent canines started to erupt. Light orthodontic forces were then applied for six months, and a passive eruption was expected over three months to properly position the canines within the dental arch. After an 11-year follow-up, the incisor displayed no clinical symptoms, although radiographic examination revealed external resorption in the long-term.</p><p><strong>Conclusion: </strong>This case demonstrates the successful and fast autotransplantation of an immature inverse impacted dilacerated incisor, highlighting the long-term clinical success and favorable aesthetic outcomes.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"25 ","pages":"183-187"},"PeriodicalIF":2.2,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157796","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":"Effectiveness of silver diamine fluoride in arresting early childhood caries: a randomised controlled clinical trial.","authors":"R K ElGhandour, M M H ElTekeya, A A Sharaf","doi":"10.23804/ejpd.2024.2052","DOIUrl":"10.23804/ejpd.2024.2052","url":null,"abstract":"<p><strong>Aim: </strong>Evaluate the effectiveness of biannual 38% SDF in arresting early childhood caries (ECC) compared to atraumatic restorative treatment (ART).</p><p><strong>Methods: </strong>One hundred children (aged 2-5 years) with ECC were (2-5 years) divided equally and randomly into two groups. Test group: 38% SDF biannually; Control group: ART. The primary outcome was caries arrestarrest, which was assessed at the 3,6,9, and 12 months interval. Oral health- related quality of life (OHRQoL) was evaluated at base line and after 12 months using the Parental-Caregiver Perceptions Questionnaire (P-CPQ) and Family Impact Scale (FIS).</p><p><strong>Conclusion: </strong>SDF was considerably more effective in arresting ECC after 12 months compared to ART. An overall significant improvement of OHRQoL was reported for both groups with SDF being faintly superior to ART.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"202-207"},"PeriodicalIF":2.2,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418447","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}