{"title":"Developing Stakeholder-Informed Content for a Mobile Application to Prevent Early Childhood Caries Using a Theory-Driven Approach: A Qualitative Study.","authors":"Murugan Satta Muthu, Latha Nirmal, Vineet Dhar, Ankita M Saikia, Shuba Kumar, Rani Mohanraj, Pasupathy Umapathy, Kalpana Balakrishnan","doi":"10.1111/ipd.70157","DOIUrl":"https://doi.org/10.1111/ipd.70157","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries (ECC) is a major global oral health issue impacting children under 6 years of age, often resulting in a reduced quality of life.</p><p><strong>Aim: </strong>To develop content for a mobile application (app) designed to provide sustained anticipatory guidance (SAG) for ECC prevention.</p><p><strong>Design: </strong>A qualitative study involved parents of children aged 0-3 years, with and without ECC, and healthcare providers (HCPs). Data were collected through 24 semi-structured interviews (SSIs) and two focus group discussions (FGDs) with parents and 15 virtual SSIs with HCPs. Guides were developed using the Fisher-Owens model and the theory of planned behaviour that facilitated data collection. Sessions were recorded with consent, transcribed verbatim and coded using NVivo 1.7.2.</p><p><strong>Results: </strong>Thematic analysis provided insights for developing app content that comprised the domains of oral development, oral hygiene, dietary/feeding practices and fluoride adequacy. Parents (n = 38) and HCPs (n = 15) emphasised interactive features, video demonstrations, brushing reminders and culturally appropriate educational content.</p><p><strong>Conclusions: </strong>The study established a robust framework for a mobile health (mHealth) platform by providing stakeholder-informed content for a mobile app. This foundation might enhance future app development, providing SAG and evaluation.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149206906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prolonged Breastfeeding at 18 Months and Early Childhood Caries at Age 3 Years: A Population-Based Cohort Study From Japan.","authors":"Toshifumi Yodoshi","doi":"10.1111/ipd.70158","DOIUrl":"https://doi.org/10.1111/ipd.70158","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding is recommended to 2 years or beyond, but its association with early childhood caries (ECC) after infancy remains uncertain, partly because of inconsistent adjustment for confounders and reverse causation.</p><p><strong>Aim: </strong>To examine whether breastfeeding at 18 months was associated with dental caries at age 3 years.</p><p><strong>Design: </strong>Japanese check-up cohort (2014-2019). Logistic regression estimated odds ratios (ORs), adjusting for sex, regular sweetened juice consumption, screen time > 1 h/day, parental tooth-brushing assistance, single-parent household and parental employment; sensitivity analyses adjusted for or excluded those with 18-month caries.</p><p><strong>Results: </strong>Of 69 165 children, 12 788 (18.5%) were breastfeeding at 18 months. Any caries (35.9% vs. 23.7%) and severe caries (19.2% vs. 10.5%) were more common in breastfeeding children. After behavioural and socioeconomic adjustment, breastfeeding remained associated with any caries (OR 1.89, 95% CI 1.82-1.98) and severe caries (OR 2.14, 95% CI 2.03-2.26); associations persisted after adjustment for caries at 18 months (any caries OR 1.74; severe caries OR 1.87).</p><p><strong>Conclusion: </strong>Breastfeeding at 18 months was independently associated with higher odds of ECC at 3 years; reverse causation alone did not account for this. Findings support integrating targeted oral-health counselling, including avoidance of feed-to-sleep and post-feed oral cleaning, into breastfeeding support after infancy.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Subclinical Radiographic Alterations in Maxillary Central Incisors Adjacent to Impacted Mesiodens Without Clinical or Radiographic Complications: A Cone-Beam Computed Tomography Study.","authors":"Şevval Çakıcı, Safa Kurnaz, Sümeyra Akkoç","doi":"10.1111/ipd.70154","DOIUrl":"https://doi.org/10.1111/ipd.70154","url":null,"abstract":"<p><strong>Background: </strong>The subclinical effects of impacted mesiodens without clinical or radiographic complications on adjacent permanent incisors remain unclear.</p><p><strong>Aim: </strong>This study aimed to assess whether impacted mesiodens without clinical or radiographic complications are associated with quantitative radiographic changes in adjacent maxillary central incisors (MCIs).</p><p><strong>Design: </strong>This cross-sectional study analyzed cone-beam computed tomography images of 53 patients aged 10-15 years with a unilateral impacted mesiodens using an intraindividual contralateral control design. Mesiodens morphology, position, length, and minimum distance to the adjacent tooth were recorded. Root canal volume and dentin gray values were quantified in the adjacent and contralateral MCIs; associations were tested with nonparametric correlation and multivariable regression analyses (p < 0.05).</p><p><strong>Results: </strong>Adjacent MCIs showed lower canal volumes and higher dentin gray values than contralateral controls (p < 0.001). Shorter mesiodens-tooth distance was associated with greater canal volume reduction (p = 0.006) and higher dentin gray values (p = 0.002). Mesiodens length was significantly associated with root canal volume reduction (p = 0.013) but not with dentin gray values (p > 0.05), whereas no significant associations were observed for morphological or positional classifications (p > 0.05).</p><p><strong>Conclusions: </strong>Impacted mesiodens without clinical or radiographic complications may be associated with subclinical radiographic alterations in adjacent MCIs, warranting consideration beyond routine clinical and radiographic assessment.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From Intensive Care to Dental Care: Why Neonatal History Matters?","authors":"Kanupriya Rathore, Sushil Kumar Choudhary","doi":"10.1111/ipd.70155","DOIUrl":"https://doi.org/10.1111/ipd.70155","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Selin Saygili, Ahmet Eren Teker, Husna Sena Demir, Busra Mogul Bagci, Doga Naz Bahceci, Kadriye Peker, Yelda Kasimoglu
{"title":"Factors Associated With Parental Oral Health Literacy in a Clinical Sample of Turkish Preschool Children.","authors":"Selin Saygili, Ahmet Eren Teker, Husna Sena Demir, Busra Mogul Bagci, Doga Naz Bahceci, Kadriye Peker, Yelda Kasimoglu","doi":"10.1111/ipd.70147","DOIUrl":"10.1111/ipd.70147","url":null,"abstract":"<p><strong>Background: </strong>Parental oral health literacy (OHL) is a key determinant of early childhood oral health, yet its relationship with both subjective perceptions and clinical outcomes has not yet been fully elucidated.</p><p><strong>Aim: </strong>To assess the factors associated with parental OHL of Turkish preschool children, and to explore its relationships with socio-demographic variables, children's oral health behaviors, parental self-ratings of children's oral health, oral health-related quality of life (OHRQoL), clinical outcomes, and parental psychological factors.</p><p><strong>Design: </strong>This cross-sectional study included 204 healthy children aged 3-5.99 years and their parents. OHL, OHRQoL, and psychosocial variables were assessed; clinical status was evaluated via dmft and gingival index.</p><p><strong>Results: </strong>Higher OHL was significantly associated with university education (p = 0.008), stronger family sense of coherence (p = 0.002), and confidence in completing hospital forms (p = 0.048). Larger household size (p = 0.009) and higher gingival index scores (p = 0.042) were negatively associated with OHL. These variables collectively explained 22.9% of the variance in OHL (p < 0.001).</p><p><strong>Conclusions: </strong>Parental OHL is associated with educational, psychosocial, and clinical factors. These findings highlight the importance of promoting parental literacy levels through comprehensive oral health interventions.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Age-Associated Radiological Characteristics of the Gubernaculum Tract in Unerupted Maxillary Canines: A Retrospective, Computed Tomography Study.","authors":"Kozue Iwawaki-Otsuka, Masafumi Oda, Ikuko Nishida, Osamu Takahashi, Kazuya Haraguchi, Nao Wakasugi-Sato, Shinobu Matsumoto-Takeda, Shun Nishimura, Susumu Nishina, Yasuhiro Morimoto","doi":"10.1111/ipd.70146","DOIUrl":"https://doi.org/10.1111/ipd.70146","url":null,"abstract":"<p><strong>Background: </strong>The gubernaculum tract (GT) is thought to play a key role in tooth eruption, but its age-associated radiological characteristics in unerupted permanent teeth remain unclear.</p><p><strong>Aim: </strong>To evaluate age-associated radiological characteristics of the GT on computed tomography (CT) in unerupted maxillary canines in patients aged ≥ 9 years.</p><p><strong>Design: </strong>This retrospective study analyzed 314 unerupted maxillary canines from 219 patients. GT status was classified as present, remnant, or non-visualized. GT luminal diameters were measured in GT-present teeth. Associations with age, sex, and unerupted canine depth were examined.</p><p><strong>Results: </strong>GT remnants were observed in 42 teeth (13.4%). GTs were common at ages 9-11 years, whereas non-visualization predominated at ≥ 12 years. The non-visualized group was significantly older, while the remnant group showed greater unerupted canine depth. In threshold-specific multivariable analyses accounting for within-patient clustering, increasing age was associated with GT non-visualization versus remnant/present (OR = 1.10, p = 0.039), and greater unerupted canine depth with non-visualized/remnant versus present (OR = 1.11, p = 0.012). Shallower unerupted canine position was associated with larger GT luminal diameters.</p><p><strong>Conclusion: </strong>The GT showed age-associated radiological differences in unerupted maxillary canines. The remnant-type GT may represent a distinct radiological appearance in patients aged ≥ 9 years.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Débora Juliana de Araújo Lopes, Eloisa Cesario Fernandes, Jaderson Felipe Santos Dantas, Patrícia Bittencourt Santos
{"title":"Association Between Hypomineralisation of Second Primary Molars and Tooth Agenesis.","authors":"Débora Juliana de Araújo Lopes, Eloisa Cesario Fernandes, Jaderson Felipe Santos Dantas, Patrícia Bittencourt Santos","doi":"10.1111/ipd.70148","DOIUrl":"https://doi.org/10.1111/ipd.70148","url":null,"abstract":"<p><strong>Background: </strong>Hypomineralisation of second primary molars (HSPM) is an enamel defect with a multifactorial and potentially genetic aetiology. While the association between enamel defects and dental anomalies is a relatively recent area of investigation, it has not yet been explored specifically in cases of HSPM.</p><p><strong>Aim: </strong>To assess the association between HSPM and tooth agenesis (TA).</p><p><strong>Design: </strong>A retrospective cross-sectional study was performed using pre-treatment records of patients aged 7-12 years. A total of 285 patient records were evaluated. Statistical analyses were performed using the Fisher's exact test and logistic regressions.</p><p><strong>Results: </strong>A higher prevalence of TA was observed among children with HSPM-affected teeth (95% CI: 1.07-3.17, φ-coefficient: 0.238, PR: 1.84). Individuals with severe HSPM had significantly greater odds of TA (OR = 12.47; p < 0.001; 95% CI: 3.47-24.70). Patients with HSPM had a significantly higher likelihood of experiencing TA (OR = 6.97), particularly second premolar agenesis (OR = 11.80; p < 0.001; 95% CI: 2.83-49.10).</p><p><strong>Conclusion: </strong>An association was found between HSPM and TA, particularly involving mandibular second premolars. Moreover, increased HSPM severity was linked to a higher risk of developing TA.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Children's Oral Health in the Shadow of War: Priorities for Paediatric Dentistry in Conflict Settings.","authors":"Tuğba Aydoğdu, Berkant Sezer","doi":"10.1111/ipd.70149","DOIUrl":"https://doi.org/10.1111/ipd.70149","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lamis El Sharkasi, Lynne Bingle, Helen Rodd, Nicolas Martin, Samiya Subka, Chris Deery
{"title":"Matrix Metalloproteinases Inhibitory Effects of Silver Diamine Fluoride: Influence of Time and Potassium Iodide, In Vitro.","authors":"Lamis El Sharkasi, Lynne Bingle, Helen Rodd, Nicolas Martin, Samiya Subka, Chris Deery","doi":"10.1111/ipd.70145","DOIUrl":"https://doi.org/10.1111/ipd.70145","url":null,"abstract":"<p><strong>Background: </strong>Silver diamine fluoride (SDF) arrests caries, partly by inhibiting matrix metalloproteinases (MMPs). Potassium iodide (KI) is often applied after SDF to mitigate tooth darkening.</p><p><strong>Aim: </strong>This in vitro study evaluated the effects of application time and potassium iodide on SDF-mediated MMP inhibition, and assessed surface microhardness following SDF ± KI application.</p><p><strong>Design: </strong>Seventy-two carious (ICDAS score 5 or 6) dentine blocks from 34 teeth were randomly assigned to one of four groups: baseline, SDF, SDF + KI and control. Total MMP activity was measured using a colorimetric assay. For enamel lesions, surface microhardness (VHN) was assessed on 20 enamel surfaces from 10 teeth (ICDAS 2).</p><p><strong>Results: </strong>After 1 week, SDF significantly inhibited total MMP activity by 93% (p < 0.001). SDF + KI showed a lower, not statistically significant level of inhibition of 55.5% (p = 0.07). Surface microhardness of enamel caries lesions increased by 66.8% (p < 0.0001) with SDF and by 71.5% (p < 0.0001) with SDF + KI. No significant difference was observed between 1 and 3 min of SDF application.</p><p><strong>Conclusion: </strong>In this in vitro model, SDF demonstrated strong MMP inhibition, while SDF + KI showed lower numerical inhibition, suggesting that KI may attenuate the anti-MMP effect of SDF. SDF and SDF + KI produced similar increases in surface microhardness of non-cavitated enamel lesions.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nathan Zeyang-Liu, Rahul Gupta, Joseph Chiang, Jolanta Aleksejuniene
{"title":"Adherence and Attrition in Public Fluoride Varnish Programs: A Mixed-Methods Systematic Review.","authors":"Nathan Zeyang-Liu, Rahul Gupta, Joseph Chiang, Jolanta Aleksejuniene","doi":"10.1111/ipd.70144","DOIUrl":"https://doi.org/10.1111/ipd.70144","url":null,"abstract":"<p><strong>Background: </strong>Public fluoride varnish (FV) programs, often delivered as part of a multi-component oral preventive package, rely on the patient's continued participation. However, continued adherence is often poor in real-world settings.</p><p><strong>Aim: </strong>To synthesize child, family, provider, and systemic level barriers and facilitators influencing adherence and attrition in public FV programs for children < 18 years in multi-ethnic high-income countries.</p><p><strong>Design: </strong>Systematic review was conducted in accordance with PRISMA 2020. Six databases were searched for studies reporting barriers and facilitators to repeated FV applications.</p><p><strong>Results: </strong>From 3616 records, 22 studies were included. Child-level barriers included behavioral distress, sensory aversion, and temporary medical exclusions. Family-level barriers included caregiver capacity, health literacy, and mobility. Provider-level barriers included workforce constraints, training, role boundaries limiting task-sharing, and weak school/community coordination. System-level barriers included inequitable reach to high-risk groups and geographic constraints. Facilitators included culturally safe, relationship-based engagement, task-sharing, school/community-based delivery with active follow-up systems, and child-centered engagement strategies. Meta-analysis demonstrated a pooled attrition rate of 23% (95% CI 8%-43%, n = 14 455).</p><p><strong>Conclusion: </strong>Adherence and attrition in public FV programs are shaped by interacting determinants across child, family, provider, and system levels. Retention should be considered when designing and implementing these programs.</p><p><strong>Trial registration: </strong>CRD420251044425 (PROSPERO).</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}