European journal of paediatric dentistry最新文献

{"title":"Effectiveness of prefabricated myofunctional appliances on Vertical Dimension in Children: A Systematic Review and Meta-Analysis.","authors":"A Balian, C Salerno, A Manti, V Lanteri, S Cirio, M G Cagetti","doi":"10.23804/ejpd.2025.2469","DOIUrl":"10.23804/ejpd.2025.2469","url":null,"abstract":"<p><strong>Aim: </strong>Prefabricated myofunctional appliances (PMAs) are widely adopted for correcting the sagittal and vertical dimensions during mixed dentition. Despite the effectiveness of the antero-posterior relationship has been recently evaluated, the effectiveness in correcting the vertical dimension is still uncertain. This systematic review aimed to assess the effectiveness of PMAs treatment in children with mixed dentition on the vertical dimension, including sagittal and transverse parameters that may affect the vertical dimension.</p><p><strong>Methods: </strong>PubMed, Scopus, Embase, Cochrane, Livivo, and Lilacs were searched from inception until November 5th, 2024. Selection criteria were: Randomized/non-randomized clinical studies (RCT/NRSI), prospective and retrospective cohort studies, before-and-after comparisons, and cross-sectional studies assessing PMAs treatment in mixed dentition children with deep-bite or open-bite malocclusion. The mean pre-treatment and post-treatment values of dental and/or skeletal variables and/or treatment changes as mean differences (MD)±SD, were extracted. Risk of bias was performed with Rob2 and the NHLBI quality assessment tools. Random-effect meta-analysis of MD and their 95% confidence intervals (ICs) were performed, followed by assessment of clinical relevance of significant results.</p><p><strong>Conclusion: </strong>The PMAs treatment seems to be associated with a reduction of overbite in deep-bite malocclusion, whereas the vertical skeletal pattern seems to be unaffected.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"26 4","pages":"286-297"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145741429","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":"Paediatric case of maxillary odontogenic myxoma.","authors":"L Paglia, F Braiotta, M Paglia","doi":"10.23804/ejpd.2025.2561","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2561","url":null,"abstract":"<p><strong>Background: </strong>Odontogenic tumors in children are relatively rare, and among these, intraosseous odontogenic myxoma is particularly uncommon, making up a small proportion of paediatric odontogenic tumors, with a reported incidence ranging from 8,5% to 11,6% of all cases [Forte et al., 2025]. The histopathological confirmation for a definitive diagnosis is required in all cases.</p><p><strong>Case report: </strong>A paediatric case of maxillary odontogenic myxoma is documented. This report highlights the clinical features, diagnostic challenges, therapeutic approach and follow-up protocol chosen for patient's treatment.</p><p><strong>Conclusion: </strong>To provide insights into the clinical management of OM, focusing on multidisciplinary approach and timely intervention.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145741747","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":"Biological parking concept: proposal of a modular approach for the prevention of upper impacted canine in paediatric patients.","authors":"M Beretta, F Federici Canova, A Gianolio, L Zaffarano, L Cirulli","doi":"10.23804/ejpd.2025.S07","DOIUrl":"https://doi.org/10.23804/ejpd.2025.S07","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this paper is to propose a new concept of \"biological parking\" for the prevention of upper impacted canine in the early mixed dentition, illustrating the management of palatal expansion, followed by serial extraction of first deciduous molar and than deciduous canine.</p><p><strong>Results: </strong>This approach, applied in the early mixed dentition, can obtain an important improving of the infrabony path of the canines, either in case of vestibular or palatal risk of impaction, because it promotes a guided acceleration of the eruption of the first premolar avoiding o reducing the risk of its mesial eruption and frees up space for the eruption of the canine, improving its inclination, better if associated with an open root apex. If pretreatment variables regarding the possible success of treatment on the eruption of canine are more severe, this approach can make easier the next surgical-orthodontic threrapy.</p><p><strong>Conclusions: </strong>Early maxillary expansion followed by the extraction first of the first milk molar and then of the deciduous canine, after the initial eruption of first premolars, in this exact sequence, can be effective in treating patients in early mixed dentition with risk of impacted canines.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"26 4","pages":"52-58"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145741416","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":"SIOI Policy on Sugar Intake: Limiting Free Sugars from Earliest Days of Life to Prevent Caries, Specific Non-Communicable Diseases, and Tumors.","authors":"L Paglia, G Lombardo, S Colombo, S Bettocchi, M R Giuca, V Di Taranto, M Moscati, S Bagattoni, M Beretta, M Cadenaro, S Caruso, S Cianetti, P Defabianis, R Del Conte, L Lardani, R Gatto, G Marzo, G Gallusi","doi":"10.23804/ejpd.2025.26.04.02","DOIUrl":"https://doi.org/10.23804/ejpd.2025.26.04.02","url":null,"abstract":"<p><strong>Aim: </strong>The Italian Society of Paediatric Dentistry (SIOI) is committed to encouraging the different health professionals taking care of children (e.g., paediatric dental practitioners, paediatricians, gynecologists, obstetricians, dental hygienists, and dieticians) to educate parents (up to the period of pregnancy) and caregivers to limit their children's consumption of cariogenic sugars. The purpose of this SIOI policy is to provide quality communication and information, based on the most updated scientific evidence, on the amount of free sugars (those classified as cariogenic) that can be consumed daily in the diet during the first two years of life, and then from childhood throughout life. This Policy communication aims to reduce the prevalence and severity of caries in both childhood and adulthood and, in addition, to prevent the occurrence of other specific non-communicable diseases (NCDs) that share the risk factor of excessive free sugar intake with caries. NCDs related to free sugar intake are obesity, type 2 diabetes mellitus (T2DM), non-alcoholic fatty liver disease (NAFLD), cardiovascular disease (CVD), hypertension, as well as some cancers and all-cause mortality.</p><p><strong>Methods: </strong>This policy is based on the most updated and methodologically valid evidence, drawing from data found in systematic reviews (with or without meta-analysis) as well as guidelines and policies (or any official statements/documents) promulgated by the most relevant international scientific societies in this field. The references collection was carried out by searching the PubMed®/MEDLINE electronic database using the following keyword terms: sugar, monosaccharide, disaccharide, sucrose, lactose, galactose, fructose, glucose, maltose, sweetened beverage, sweet food, dessert, snack, candy, cookies, chewing gum, chocolate, dairy products, fruit juice, honey, syrup, and molasses. Only studies and statements/documents written in English, available in their full text, and published within the last 10 years were included in this policy. No restrictions were adopted on the age, gender, and provenience of study participants. The interpretation of the literature findings and the subsequent formulation of policy recommendations were based on the consensus of a multidisciplinary expert panel of researchers and clinicians working in this field.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"26 4","pages":"332-335"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145741368","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":"Molar Incisor Hypomineralisation: State of-the-Art on Early Diagnosis and Preventive Strategies.","authors":"V Luppieri, M Cadenaro","doi":"10.23804/ejpd.2025.S09","DOIUrl":"https://doi.org/10.23804/ejpd.2025.S09","url":null,"abstract":"<p><strong>Aim: </strong>To provide an updated, evidence-based guidance on preventive strategies for MIH management.</p><p><strong>Methods: </strong>The search process was conducted on PubMed®/MEDLINE and included the most recent (last l0 years), highest-quality English-language dental literature focused on preventive strategies in MIH patients (<18 years).</p><p><strong>Results: </strong>Preventive measures - including fluoride-, casein-, calcium glycerophosphate-, arginine-based products; bioactive glasses; biomimetic hydroxyapatite; self-assembling peptides; ozone and laser therapies; silver diamine fluoride; resin infiltration; and fissure sealants are presented.</p><p><strong>Conclusion: </strong>Early diagnosis is essential for the implementation of preventive strategies. Given the absence of a standardised treatment protocol for MIH, therapeutic interventions should be carefully customised based on the severity of the condition, the patient's age, level of cooperation, and specific clinical needs. Adopting a combined preventive approach may significantly improve long-term outcomes.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"26 4 Suppl","pages":"65-70"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145741687","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":"Prevention, Early Diagnosis and Timing in Orthodontics.","authors":"V Quinzi, G Marzo, S Saccomanno","doi":"10.23804/ejpd.2025.S06","DOIUrl":"https://doi.org/10.23804/ejpd.2025.S06","url":null,"abstract":"<p><strong>Aim: </strong>To analyse the role of prevention, early diagnosis, and treatment timing in orthodontics, with a focus on preventive orthodontic treatment in the growing patient.</p><p><strong>Material and methods: </strong>A narrative literature review was performed, combined with clinical evidence. Diagnostic criteria in deciduous and mixed dentition, evaluation of occlusal indicators, oral habits, and radiographic and photographic records were analysed. Literature sources included PubMed, Scopus, and EJPD publications on prevention, early orthodontics, interceptive treatment, and treatment timing.</p><p><strong>Results: </strong>Early identification of malocclusion patterns such as cross-bites, increased overjet, and skeletal Class III discrepancies is essential for targeted interventions. Evidence demonstrates benefits in reducing traumatic risk, improving psychosocial outcomes, and simplifying future orthodontic treatment. Up to 15% of malocclusions can be completely corrected and nearly 50% improved with interceptive measures in mixed dentition. The correct timing of intervention represents a pivotal clinical variable: decisions must be based on growth status, risk evaluation, and evidence of effectiveness and predictability.</p><p><strong>Conclusion: </strong>Prevention, early diagnosis, and treatment timing are key factors in paediatric orthodontics. Timely preventive orthodontic treatment can correct skeletal and dental discrepancies, reduce trauma risk, and improve quality of life. Clinical decisions must be evidence-based and personalised, avoiding unnecessary overtreatment. Therapeutic methods must be effective and efficient in achieving the treatment goals and, above all, must not interfere with the health of growing patients.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"26 4 Suppl","pages":"49-51"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145741154","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":"Regenerative endodontic therapy in a case of external inflammatory lateral resorption following a luxation.","authors":"E Lao, E Spinas, E Cotti","doi":"10.23804/ejpd.2025.2480","DOIUrl":"https://doi.org/10.23804/ejpd.2025.2480","url":null,"abstract":"<p><strong>Background: </strong>The insurgence of external inflammatory lateral resorption (EILR) is one of the consequences of dental trauma and it can further complicate the prognosis of a compromised tooth. Long term treatment with Ca(OH)2 is the gold standard to manage EILR, and, recently, regenerative endodontic procedure (REP) has been suggested as an alternative clinical approach. The purpose of this report is to describe a case of post-traumatic EILR treated using REP.</p><p><strong>Case report: </strong>A 9 years-old girl experienced an extrusive luxation of tooth #11. At the first visit the tooth was asymptomatic and responsive to sensitivity tests. At 3 months follow-up tooth #11 did not respond to cold and EPT, showed tenderness to palpation and a non-active sinus tract on the buccal mucosa. The radiographic examination showed a stage 3 root development, and an EILR in the distal-cervical portion of the root. A REP was performed using a calcium hydroxide medication for three weeks. Upon the second appointment the tooth and periapical tissues were asymptomatic, and the sinus tract had disappeared, medication was removed, intracanal bleeding and coagulum were obtained, MTA was positioned on the coagulum, and the crown restored with composite resin. Follow-up was established every 6 months for the first 2 years, then every 12 months for the next 5 years. At two years tooth #11 shows lack of symptoms, arrest of the resorption and presence of autologous tissue at the apex and within the root canal.</p><p><strong>Conclusion: </strong>Regenerative endodontic procedures offer a less invasive option for treating immature teeth with EILR. However, the long-term effectiveness of REP is still uncertain and further studies are needed.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"26 4","pages":"268-271"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145741398","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":"Reliability and validity of artificial intelligence-based innovative digital scale for the assessment of anxiety in children.","authors":"R M Shetty, T Walia, O Ts Osman","doi":"10.23804/ejpd.2024.1937","DOIUrl":"10.23804/ejpd.2024.1937","url":null,"abstract":"<p><strong>Aim: </strong>To assess the reliability and validity of an AI-based, innovative digital scale for the assessment of dental anxiety in children.</p><p><strong>Background: </strong>Dental anxiety still persists as a potential problem in managing the child in the dental office. There is a need to develop a gold standard scale to measure anxiety in children incorporating newer technology. An innovative self-reported scale known as RMSDigital Anxiety Scale (RMS-DAS) incorporating artificial intelligence (AI) was developed.</p><p><strong>Methods: </strong>Seventy-six children (aged 4-12 years) were included in the reliability group. The RMS-DAS test score was recorded on Day 1 where the child was asked to click on the expression produced by AI that matches his/her anxiety level the most at that moment. RMS-DAS retest score was recorded after 7 days. The validity group included 140 children. The anxiety scores were recorded using three scales; RMS-DAS, RMS-Pictorial Scale (RMS-PS) and Facial Image Scale (FIS) during the same visit where the child was asked to click on the expression that matches his/her anxiety level the most at that moment. Reliability was assessed by the internal consistency using Cronbach's alpha and the test-retest was assessed using paired t-test, scatterplot, and coefficient correlation. The validity of RMS-DAS was assessed by correlating it with RMS-PS and FIS using Spearman's correlation coefficient.</p><p><strong>Conclusion: </strong>RMS-DAS is a reliable and valid scale that can be used as a new digital tool to assess children's dental anxiety.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"25 ","pages":"175-184"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402366","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":"Reduction of Dental Anxiety in Children Using Virtual Reality: A Randomised Controlled Trial.","authors":"Y Kasimoglu, E Alpaycetin, G Ince, E B Tuna Ince","doi":"10.23804/ejpd.2024.2109","DOIUrl":"10.23804/ejpd.2024.2109","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this research is examining the effectiveness of Virtual Reality (VR) in the reduction of dental anxiety in children with novel methods.</p><p><strong>Methods: </strong>The three arm parallel-group randomised clinical study was conducted in children aged 6-10 years. Pulpotomy procedure was performed on randomised 90 selected children (n=30 in each group; AG: group applied active distraction using VR glasses, PG: group applied passive distraction, i.e., watching cartoons on a screen mounted onto a dental unit, CG: control group). Before and after the procedure, children were administered Facial Pain Scale (FIS), Children's Fear Rating Scale (CFSS-DS) and Frankl Behaviour Rating Scale (FBRS). The pulse rate was measured to check the anxiety levels of all treated children at five different time points. Statistical significance was determined as p<0.05.</p><p><strong>Conclusion: </strong>VR has been found to positively contribute to the performance of children in adapting to dental treatment. The VR application aims to create positive attitude in children by providing them a safe atmosphere and becoming a useful tool in the dental profession.</p>","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":" ","pages":"185-191"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497453","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 European Journal of Paediatric Dentistry achieves Q1 status: a strategic advancement in specialised dental publishing.","authors":"L Paglia, S Colombo","doi":"10.23804/ejpd.2025.26.03.01","DOIUrl":"10.23804/ejpd.2025.26.03.01","url":null,"abstract":"&lt;p&gt;&lt;p&gt;The European Journal of Paediatric Dentistry (EJPD) has attained a significant milestone by entering the first quartile (Q1) in the 2024 Journal Citation Reports (JCR), curated by Clarivate Analytics, in both the \"Dentistry, Oral Surgery & Medicine\" and \"Paediatrics\" categories\". This dual recognition is a rare and significant achievement for a journal exclusively devoted to paediatric dentistry, underscoring its growing influence within both the dental and broader medical research communities. Since its initial inclusion in the Journal Citation Reports (JCR) in 2010, the European Journal of Paediatric Dentistry has demonstrated a consistent trajectory of growth. In 2015, with an Impact Factor (IF) of 0.421, the journal entered a phase of strategic consolidation marked by renewed editorial leadership and a refined scientific focus [Clarivate, 2024]. This evolution led to a steady and measurable increase in bibliometric performance, culminating in an Impact Factor of 2.7 in 2024. EJPD's ascent into Q1 status is thus not only a reflection of increased citations but also of enhanced selectivity, stringent peer review, and alignment with international standards of scientific publishing. The editorial workflow has been strengthened through the adoption of advanced manuscript handling systems, facilitating a more efficient and transparent peer-review process. This infrastructure supports rigorous scientific scrutiny, ensuring the publication of high-quality, evidence-based content. Moreover, the journal's early and proactive adoption of the Open Access model has significantly broadened its readership and facilitated global dissemination of its published research [Livas et al. 2018; García et al. 2022]. EJPD has established itself as a platform for high-impact contributions in key domains of paediatric oral health, including: maternal and paediatric dentistry, early childhood caries, prevention strategies behavioural and psychological management in paediatric patients craniofacial growth and developmental disorders dental trauma and restorative protocols in the paediatric population interdisciplinary research linking dentistry with nutrition, paediatrics, epidemiology, developmental medicine The journal has consistently prioritised research with clinical applicability, thereby serving not only the academic community but also informing best practices among paediatric dental practitioners worldwide. Of particular note is the journal's sustained commitment to the promotion of oral health and preventive medicine. Despite the universally acknowledged value of prevention in public health, current bibliometric analyses reveal that less than 6% of the global scientific literature addresses behavioural determinants of chronic disease prevention-a proportion that has been declining since 2015 [Stival et al. 2025]. EJPD has countered this trend by systematically integrating preventive perspectives into its editorial focus, with special attention to the mater","PeriodicalId":11930,"journal":{"name":"European journal of paediatric dentistry","volume":"26 3","pages":"171-172"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947565","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}