{"title":"Caregivers' Questions About Pediatric Dentistry: A Conversation With ChatGPT.","authors":"Fabio Gregorio Arriola-Pacheco","doi":"10.1111/ipd.13298","DOIUrl":"https://doi.org/10.1111/ipd.13298","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255655","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":"Decision Making on Caries Management in Children and Adolescents Among Thai Dentists.","authors":"Kanyanan Ramayasinpong, Siriruk Nakornchai, Varangkanar Jirarattanasopha","doi":"10.1111/ipd.13297","DOIUrl":"https://doi.org/10.1111/ipd.13297","url":null,"abstract":"<p><strong>Background: </strong>The International Caries Classification and Management System (ICCMS) advocates for nonsurgical approaches in early carious lesions and minimally invasive restorations in advanced cases.</p><p><strong>Aim: </strong>This study investigated Thai dentists' adherence to ICCMS guidelines for managing caries in children and adolescents and explored factors influencing their decisions.</p><p><strong>Design: </strong>A web-based questionnaire collected demographic information and routine treatment preferences for various stages of carious lesions from participants. Descriptive statistics and regression analyses were employed to examine relationships between management strategies and demographics.</p><p><strong>Results: </strong>A total of 442 dentists participated. Their agreement with ICCMS guidelines for occlusal caries ICDAS 2, 3, and 4 in primary dentition was 39.6%, 53.9%, and 42.5%, respectively, and in permanent dentition was 34.4%, 46.8%, and 39.6%, respectively. The agreement rate with ICCMS guidelines for approximal caries RA1, RA2, RA3, and RB4 in primary dentition was 69.6%, 78.0%, 12.4%, and 99.5%, respectively, and in permanent dentition was 70.8%, 68.3%, 19.0%, and 97.7%, respectively. Factors associated with restorative treatment decisions included years since graduation, postgraduate education, and practice type.</p><p><strong>Conclusions: </strong>Participants did not comply well with ICCMS recommendations for occlusal caries, some employed destructive techniques instead of noninvasive approaches. However, most participants followed ICCMS guidelines for approximal caries, except for RA3 stage.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074606","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":"Effect of Low-Level Laser Acupuncture and Microcurrent Electrical Stimulation on Gag Reflex in Children During Dental Impression: A Randomized Controlled Clinical Trial.","authors":"Sara Salah, Saswan Hafez, Marwa Baraka","doi":"10.1111/ipd.13296","DOIUrl":"https://doi.org/10.1111/ipd.13296","url":null,"abstract":"<p><strong>Background: </strong>Dental impressions are crucial in pediatric dentistry, but exaggerated gagging can obstruct this process. Various methods have been proposed to manage the gag reflex (GR).</p><p><strong>Aim: </strong>This study aimed to evaluate and compare the effectiveness of laser acupuncture and electroacupuncture in controlling children's GR.</p><p><strong>Design: </strong>A three-armed randomized controlled trial was conducted with 63 patients aged 6-9, with excessive GR, scheduled for dental impressions. Participants were assigned to one of three groups: low-level laser (n = 21), microcurrent stimulation with a Meridian pen (n = 21), and a control group with a deactivated pen (n = 21). Gag preventive index (GPI) was taken, and dental anxiety was assessed using the Facial Image Scale (FIS), pulse rate (PR), and blood oxygen saturation (SaO<sub>2</sub>). Significance was set at p < 0.05.</p><p><strong>Results: </strong>All interventions influenced GPI scores. The Meridian pen and laser groups achieved better GPI scores (p < 0.001) than the control group. FIS scores between the Meridian pen and laser groups were comparable, differing significantly from the control group (p < 0.001). The Meridian pen and laser groups showed greater reductions in PR (p < 0.001) and higher SaO<sub>2</sub> post-intervention (p < 0.001).</p><p><strong>Conclusion: </strong>The Meridian pen and laser outperformed the control group, demonstrating effectiveness in enhancing physiological and subjective measures.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT06422286.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023332","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}
Heba M Elkhodary, Najat M Farsi, Shereen M Abdelmeguid, Khaled A Elbanna, Maha R Alshehri, Mariam B Aldajani, Ghalia Y Bhadila
{"title":"Marginal Gap Distance and Dynamic Fatigue Performance of Esthetic Crowns for Primary Teeth.","authors":"Heba M Elkhodary, Najat M Farsi, Shereen M Abdelmeguid, Khaled A Elbanna, Maha R Alshehri, Mariam B Aldajani, Ghalia Y Bhadila","doi":"10.1111/ipd.13294","DOIUrl":"https://doi.org/10.1111/ipd.13294","url":null,"abstract":"<p><strong>Background: </strong>The growing demand for esthetic restorative materials highlights the need to evaluate their marginal accuracy and fracture resistance to ensure optimal clinical outcomes for primary molars.</p><p><strong>Aim: </strong>The aim was to assess the vertical marginal gap distance and fracture resistance of esthetic restorative materials after cyclic loading.</p><p><strong>Design: </strong>Forty extracted primary molars were randomly divided into four groups: Group I, stainless steel veneered crowns with tooth-colored material; Group II, prefabricated monolithic zirconia crowns; Group III, yttria-partially stabilized zirconia computer-aided design/computer-aided manufacturing (CAD/CAM) crowns; and Group IV, hybrid ceramic CAD/CAM crowns. A stereomicroscope was used to measure the vertical marginal gap distance. The fracture resistance was then evaluated by applying cyclic loading.</p><p><strong>Results: </strong>Group I (1710 μm) exhibited the highest total median vertical marginal gap distance, followed by Groups II, III, and IV (418.3, 341.7, and 86.7 μm, respectively; with an overall statistically significant difference, p < 0.001). Regarding fracture resistance, Group III exhibited the best performance (2018.5 ± 236.0 N), followed by Groups II, IV, and I (1185.4 ± 326.1, 782.8 ± 278.5, and 728.3 ± 247.4 N, respectively). The CAD/CAM crowns exhibited better marginal gap distances than the prefabricated crowns. The CAD/CAM hybrid ceramic crowns exhibited better marginal accuracy than the CAD/CAM zirconia crowns.</p><p><strong>Conclusions: </strong>Zirconia crowns showed promising results regarding marginal adaptation, whereas hybrid ceramics showed promising results regarding fracture resistance.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033123","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":"Postoperative Pain Following Vital Pulp Therapy in Carious Permanent Teeth of Children and Adolescents: A Prospective Cohort Study.","authors":"Parattanan Pradittapong, Papimon Chompu-Inwai, Nattakan Chaipattanawan, Areerat Nirunsittirat, Phichayut Phinyo, Chanika Manmontri","doi":"10.1111/ipd.13292","DOIUrl":"https://doi.org/10.1111/ipd.13292","url":null,"abstract":"<p><strong>Background: </strong>Vital pulp therapy (VPT) is one of the treatments recommended for vital deep carious permanent molars. However, postoperative pain remains underexplored in children and adolescents who have undergone VPT.</p><p><strong>Aim: </strong>This study investigated the incidence, intensity, duration, temporal pattern, and analgesic intake of postoperative pain following VPT in children and adolescents. Additionally, factors associated with postoperative pain incidence were explored.</p><p><strong>Design: </strong>A prospective cohort study was conducted in 159 patients aged 6-18 years, involving 174 VPT-treated teeth. Pain intensity, measured with the Wong-Baker FACES Pain Scale (WBFPS), and analgesic intake were recorded daily for 7 days post treatment.</p><p><strong>Results: </strong>Over the 7-day period, 40.23% of patients experienced postoperative pain. Mean pain intensity decreased from 3.43 ± 1.96 on Day 1 to 1.26 ± 1.71 on Day 2. About 52.86% of patients were pain-free between Days 1 and 2, and over 97% were pain-free by Day 7. Analgesics were taken by 25.86% of patients. Compared with the protective liners group, the more invasive types of VPT were associated with higher odds of pain.</p><p><strong>Conclusion: </strong>Postoperative pain following VPT was common; however, it was mild, controllable with analgesics, and resolved in most patients. The more invasive VPT types were linked to an increased incidence of pain.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005345","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}
Dina Hamdy, Stefanie Amend, Susanne Lücker, Roland Frankenberger, Norbert Krämer
{"title":"Effect of Application Mode and Aging on Microtensile Bond Strength of Universal Adhesives to Enamel of Primary Teeth.","authors":"Dina Hamdy, Stefanie Amend, Susanne Lücker, Roland Frankenberger, Norbert Krämer","doi":"10.1111/ipd.13293","DOIUrl":"https://doi.org/10.1111/ipd.13293","url":null,"abstract":"<p><strong>Background: </strong>Limited reports are available regarding bonding of universal adhesives to primary teeth' enamel.</p><p><strong>Aim: </strong>To evaluate the effect of application mode and aging on microtensile bond strength (μTBS) of universal adhesives to primary enamel.</p><p><strong>Design: </strong>Ninety-six human primary molars were randomly assigned to three groups: SU: Scotchbond Universal (3M); CU: Clearfil Universal Bond Quick (Kuraray Noritake); iBU: iBond Universal (Heraeus Kulzer), then subdivided according to phosphoric acid etching time into three subgroups (SG): SG1: 0s; SG2: 15s; SG3: 30s. Samples were incubated for 24 h, while separate samples for SG1 & SG2 were aged for 6 months. After μTBS testing, light microscope was used for evaluating failure patterns and SEM for the adhesive interface. Data were analyzed using linear mixed model and post hoc tests (p < 0.05).</p><p><strong>Results: </strong>Selective etching increased μTBS of universal adhesives to enamel (p < 0.001) without significance between 15 and 30 s etching (p > 0.05). Six-month aging significantly reduced the μTBS of SU in SG2 (p < 0.014) when compared to 24 h aging.</p><p><strong>Conclusions: </strong>Selective etching with phosphoric acid remains the gold standard for bonding universal adhesives to primary teeth enamel. While etching time showed no significant effect on immediate μTBS, aging may affect the μTBS of SU applied on 15 s etched enamel.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005341","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":"Comparative Analysis of Dental Treatment for Children With and Without Special Healthcare Needs at Academic Dental Hospitals in South Africa.","authors":"Nancy Njoroge, Phumzile Hlongwa, Ansuyah Magan","doi":"10.1111/ipd.13295","DOIUrl":"https://doi.org/10.1111/ipd.13295","url":null,"abstract":"<p><strong>Background: </strong>Children with special healthcare needs (CSHCN) experience higher unmet dental treatment needs than their healthy peers (NSHCN).</p><p><strong>Aim: </strong>We compared dental treatment received by CSHCN and NSHCN at academic dental hospitals in South Africa (SA).</p><p><strong>Design: </strong>Clinical records of 1-16-year-old children who had dental treatment under general anaesthetic (GA) between 2017 and 2023 were reviewed. Descriptive analyses were performed, and the Chi-square/Fisher's exact test used to analyse the categorical variables.</p><p><strong>Results: </strong>Four hundred records (CSHCN: 116 [29%] and NSHCN: 284 [71%]) were analysed. The median age at assessment was 5 years (IQR: 3-6.5). CSHCN were older than NSHCN, (p < 0.001). More CSHCN (52.6%) than NSHCN (25.4%) were referred from primary health centres, (p < 0.001). Caries was the main dental diagnosis. Multiple extractions were done in 54.7% of CSHCN < 6 years and 52.8% of 6-11-year-old NSHCN. Restorative treatment was performed in 26.1% of 6-11-year-old CSHCN and 27.2% of NSHCN < 6 years.</p><p><strong>Conclusions: </strong>Most of the CSHCN and NSHCN who needed GA were young with extensive caries. Treatment provided to both groups was primarily extractions, perhaps due to late presentation and limited resources. Timely preventative strategies for children at risk of caries could enhance oral health and reduce the burden of GA in SA.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005337","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}
Nourhan M Aly, Mona K El Kashlan, Nicolas Giraudeau, Maha El Tantawi
{"title":"Children's Acceptance of Intraoral Cameras and Smartphones for Caries Detection: A Randomized Controlled Clinical Trial.","authors":"Nourhan M Aly, Mona K El Kashlan, Nicolas Giraudeau, Maha El Tantawi","doi":"10.1111/ipd.13291","DOIUrl":"https://doi.org/10.1111/ipd.13291","url":null,"abstract":"<p><strong>Background: </strong>Teledentistry can improve access to care, but children's acceptance of different imaging techniques is underexplored.</p><p><strong>Aim: </strong>The aim of this study was to assess children's acceptance of intraoral cameras and smartphones for caries detection.</p><p><strong>Design: </strong>A randomized controlled trial was conducted in rural Egyptian nurseries, with children aged ≤ 6 years randomized into intraoral camera or smartphone groups. Behavior during imaging was assessed using four indicators: fear, mouth-opening difficulty, opposition, and cooperation, with a total score calculated from their sum. Imaging time was recorded, and mood was assessed using the Positive and Negative Affect Scale. Linear regression assessed associations between behavior and time with technique and mood, adjusting for confounders.</p><p><strong>Results: </strong>The study included 508 children, mean (SD) = age 4.54 [1.04] years. Children in the intraoral group showed higher fear and difficulty keeping their mouths open, with lower overall behavior scores (mean [SD] = 16.64 [2.95] vs. 17.18 [3.06], B = -1.05, p < 0.001). The intraoral camera required less time (mean [SD] = 3.62 [1.49] vs. 5.33 [2.82] minutes, B = -1.56, p < 0.001). Positive mood improved behavior (B = 0.25, p < 0.001), while negative mood increased time (B = 0.30, p < 0.001) and worsened behavior (B = -0.64, p < 0.001).</p><p><strong>Conclusion: </strong>Smartphones improved behavior, while intraoral cameras were more time-efficient. Device choice should balance efficiency with child comfort.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT06019884.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142906746","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":"Is Teledentistry as Effective as Clinical Dental Diagnosis in Pediatric Patients?","authors":"Müge Erbay Mola, Dilşah Çoğulu, Ece Eden, Aslı Topaloğlu","doi":"10.1111/ipd.13290","DOIUrl":"https://doi.org/10.1111/ipd.13290","url":null,"abstract":"<p><strong>Background: </strong>Teledentistry integrates telecommunications with dental practice, facilitating the exchange of clinical information and images for remote dental consultation and treatment planning. This approach enables dental care access across long distances, addressing the need for flexible healthcare solutions.</p><p><strong>Aim: </strong>This study aimed to evaluate the effectiveness of teledentistry compared to clinical in-person dental diagnosis in pediatric patients during the COVID-19 pandemic.</p><p><strong>Design: </strong>The study sample consisted of 200 children aged 3-13 years, each undergoing both teledentistry-based and in-person clinical dental diagnosis. Caries index scores, including DMFT/dmft and DMFS/dmfs, as well as the identification of specific dental conditions such as molar incisor hypomineralization (MIH), black tooth staining, periodontal disease, dental trauma, and orthodontic anomalies, were recorded in both diagnostic settings. Statistical analysis was conducted using chi-square, Wilcoxon, and Fisher's Exact tests.</p><p><strong>Results: </strong>The mean age of participants was 7.86 ± 2.40 years. Caries index scores (DMFT/dmft, DMFS/dmfs) showed compatibility between teledentistry and clinical diagnoses. While \"d/D, f/F, ds/DS, fs/FS\" scores were observed to be higher in clinical diagnoses compared to teledentistry, the difference was not statistically significant (p > 0.05). Scores for \"m/M\" and \"ms/MS\" were identical in both diagnostic methods. Additionally, the prevalence of dental anomalies, including MIH, black tooth staining, periodontal disease, dental trauma, and orthodontic anomalies, was comparable across both diagnostic approaches.</p><p><strong>Conclusion: </strong>Findings suggest that teledentistry serves as an effective alternative to clinical in-person diagnosis for pediatric dental consultations and treatment planning, demonstrating comparable accuracy in identifying caries and dental anomalies in children.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894514","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}
Sepideh Samadi, Mohammad Pooyan Jadidfard, Bahareh Tahani
{"title":"Parents' Willingness-to-Pay for Fissure Sealant and Fluoride Varnish Therapy in Public and Private Pediatric Clinics.","authors":"Sepideh Samadi, Mohammad Pooyan Jadidfard, Bahareh Tahani","doi":"10.1111/ipd.13285","DOIUrl":"https://doi.org/10.1111/ipd.13285","url":null,"abstract":"<p><strong>Aim: </strong>This study employed the willingness-to-pay (WTP) method to investigate parents' valuation of fissure sealant (FS) and fluoride varnish (FV) therapy.</p><p><strong>Design: </strong>This cross-sectional analytical study was conducted in 2021 among 100 parents. The maximum WTP were collected using payment cards, an originally developed validated and reliable questionnaire, educational videos, and a hypothetical scenario. The data were analyzed using ANOVA, t-test, Pearson correlation coefficient, and linear regression tests (α = 0.05).</p><p><strong>Results: </strong>The mean (±SD) WTP was 245 700 (±158 756.24) and 232380.0 (±166 561.71) IR Tomans for FS and FV, respectively. WTP was significantly higher among parents who visited private clinics (p < 0.05) and government employees. Both in the whole sample and in the public group, parents without supplemental insurance had lower WTP values. The WTP values elicited through the payment card method (p = 0.014) and the open-ended question (p = 0.031) for fathers with educational attainment below a high school diploma were significantly lower. There was no significant difference between the WTP values for these two therapies. Income level of the parents was the main indicator in the regression models, especially for WTP values of FS.</p><p><strong>Conclusions: </strong>The demographic and socioeconomic conditions of parents as well as their insurance status were associated with the WTP values.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846469","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}