Yuqin Liew, Shijia Hu, Chin-Ying S Hsu, Tammy S H Lim, David H Y Tan, Tze Lee Tan, Yu Fan Sim, Catherine H L Hong
{"title":"Paediatricians' and Primary Care Physicians' Ability to Assess Caries Risk in Singaporean Children Aged 2 Years and Below.","authors":"Yuqin Liew, Shijia Hu, Chin-Ying S Hsu, Tammy S H Lim, David H Y Tan, Tze Lee Tan, Yu Fan Sim, Catherine H L Hong","doi":"10.1111/ipd.13323","DOIUrl":"https://doi.org/10.1111/ipd.13323","url":null,"abstract":"<p><strong>Background: </strong>It is desirable for doctors to conduct caries risk assessment (CRA) and evaluate the child's need for dental referral as medical visits in the first year of life surpass dental visits.</p><p><strong>Aim: </strong>This study aimed to evaluate physicians' proficiencies in performing CRA and risk-based dental referrals.</p><p><strong>Design: </strong>The study involved a self-administered questionnaire that elicited participants' demographics and perceptions regarding oral health-related activities as well as responses to questions pertaining to CRA and referral recommendations via four clinical vignettes (vignettes 1 and 3: low caries risk, vignettes 2 and 4: moderate/high caries risk) of children aged ≤ 2 years.</p><p><strong>Results: </strong>Participants performed better at CRA than for referral recommendation (p < 0.001). Including a clinical photograph (vignettes 3 and 4) did not improve the accuracy of CRA responses and instead significantly reduced the correct CRA responses for vignette 3 (before: 90.5%, after: 81.7%, p = 0.033). Though for vignette 3, there was an increase in participants making the recommendation to refer for dental evaluation (before: 34%, after: 86%) after being shown the clinical photograph.</p><p><strong>Conclusion: </strong>Doctors were proficient at determining caries risk but less sure when deciding if a dental referral was required.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142638","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}
Yong Kwon Chae, Sungwon Ryu, Hyo-Seol Lee, Sung Chul Choi, Ok Hyung Nam
{"title":"Relationship Between Smartphone Use and Traumatic Tooth Fractures in Korean Adolescents.","authors":"Yong Kwon Chae, Sungwon Ryu, Hyo-Seol Lee, Sung Chul Choi, Ok Hyung Nam","doi":"10.1111/ipd.13322","DOIUrl":"https://doi.org/10.1111/ipd.13322","url":null,"abstract":"<p><strong>Background: </strong>With the increasing rate of smartphone use among adolescents, smartphone addiction has become a social issue, causing reduced attention. This may make adolescents more susceptible to traumatic dental injuries (TDIs).</p><p><strong>Aim: </strong>To assess the association between smartphone use and TDIs among Korean adolescents.</p><p><strong>Design: </strong>This study used open-source data from the 2023 Korea Youth Risk Behavior Survey. This study included responses from 52 875 Korean adolescents. Information on demographics, weekly smartphone use, weekly exercise days, and tooth fracture experiences in the past year was collected and analyzed.</p><p><strong>Results: </strong>The mean smartphone use per week was 2146.91 ± 1276.60 min in all participants, and the frequency of tooth fractures was 9.3% in extremely low users, 10.1% in low users, 11.1% in excessive users, and 13.6% in extremely excessive users. Logistic regression analysis revealed that higher smartphone usage time correlated with a greater risk of tooth fracture by increasing odd ratios for low, excessive, and extremely excessive users compared to excessively low users.</p><p><strong>Conclusions: </strong>Within the limitations of this study, increased smartphone use was associated with higher rates of tooth fracture in Korean adolescents. This finding suggests the potential role of smartphone use in contributing to TDIs.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119617","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}
Kacper Nijakowski, Jakub Jankowski, Milan Drobac, Maira Kopbayeva, Muhammad Qasim Javed, Olga Bekjanova, Ömer Hatipoğlu, Anna Lehmann
{"title":"Choice Preferences of Direct Composite Restorations in Paediatric Patients: A Multinational Survey From 13 Countries.","authors":"Kacper Nijakowski, Jakub Jankowski, Milan Drobac, Maira Kopbayeva, Muhammad Qasim Javed, Olga Bekjanova, Ömer Hatipoğlu, Anna Lehmann","doi":"10.1111/ipd.13317","DOIUrl":"https://doi.org/10.1111/ipd.13317","url":null,"abstract":"<p><strong>Background: </strong>Dentists often choose composites for permanent restorations, but using them in children is challenging due to moisture control issues and time-consuming procedures, especially with uncooperative young patients.</p><p><strong>Aim: </strong>Our survey aimed to evaluate dentists' preferences in selecting resin-based composite restorations for paediatric patients, considering both clinical and aesthetic factors.</p><p><strong>Design: </strong>The validated online questionnaire was developed in English in May 2023. A 10-item survey was designed for both general dentists and specialists. The questions addressed demographic characteristics (e.g., gender, specialisation) and the use of composite materials in paediatric patients, depending on the patient's age and the type of tooth being treated.</p><p><strong>Results: </strong>A total of 1830 dentists from 13 countries participated in the survey. Respondents rarely used composite materials in primary teeth (59.7%). In anterior permanent teeth, composite materials were applied in 81.0% of patients aged 8 years and 90.9% of patients aged between 8 and 12 years. In posterior permanent teeth, they were used in 81.7% and 89.5% of patients in these age groups, respectively. Composite restorations were reported most frequently in permanent teeth of patients over 12 years of age (94.9%).</p><p><strong>Conclusions: </strong>The use of resin composite in paediatric patients increases progressively with age, particularly in permanent teeth and older children.</p><p><strong>Significance statement: </strong>The proper selection of direct composite restorations in children and adolescents, minimising potential complications after restorative procedures, is crucial for maintaining the integrity of the dentine-pulp complex in young teeth.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101829","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":"The Need for Better Knowledge Dissemination in Times of Fluoride Hesitancy.","authors":"Fabio Arriola-Pacheco","doi":"10.1111/ipd.13321","DOIUrl":"https://doi.org/10.1111/ipd.13321","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012021","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}
Luciana Dalsochio, Anelise Fernandes Montagner, Tamara Kerber Tedesco, Tamires Timm Maske, Françoise Hélène van de Sande
{"title":"Experiences and Parents' Perceptions Regarding Dental Interventions Performed on Their Children: A Qualitative Systematic Review.","authors":"Luciana Dalsochio, Anelise Fernandes Montagner, Tamara Kerber Tedesco, Tamires Timm Maske, Françoise Hélène van de Sande","doi":"10.1111/ipd.13318","DOIUrl":"https://doi.org/10.1111/ipd.13318","url":null,"abstract":"<p><strong>Background: </strong>Understanding the viewpoints of parents of children regarding dental interventions can enhance clinical practices and play a pivotal role in evaluating the acceptability of treatment recommendations.</p><p><strong>Aim: </strong>To explore the experiences and perceptions of parents regarding minimally invasive dentistry and invasive dental interventions for caries prevention and management in their children.</p><p><strong>Design: </strong>A systematic search strategy was performed to identify qualitative studies that assessed the phenomenon of interest in October 2022, updated in April 2024. The studies' methodological quality was evaluated, and the final synthesised findings were graded (ConQual). Data were analysed using a meta-aggregative approach.</p><p><strong>Results: </strong>Sixteen studies were included. There were four synthesised key findings: family-centred care components identified in the dental attendance, aspects of interventions and settings that facilitated their acceptability, influence of oral health conversations and instructions on parents' behaviour, and barriers that persist. Confidence in the synthesised findings was rated as moderate-high. Parents mentioned aspects concerning the professionals, the impact of information on behavioural changes, the acceptability of dental interventions, expectations, criticisms and difficulties.</p><p><strong>Conclusion: </strong>The dentist's attitude is a crucial aspect of parents' experience and can influence the acceptability of interventions and the change in behaviours related to oral health.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023581","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}
Su Lin Quak, Huei Jinn Tong, Catherine Hsu Ling Hong, Mary Foong Fong Chong, Monty Duggal, Zubair Amin, Xiaoli Gao
{"title":"Perspectives and Influences of Intergenerational Caregivers on Cariogenic Feeding Practices in Childhood: A Qualitative Study.","authors":"Su Lin Quak, Huei Jinn Tong, Catherine Hsu Ling Hong, Mary Foong Fong Chong, Monty Duggal, Zubair Amin, Xiaoli Gao","doi":"10.1111/ipd.13320","DOIUrl":"https://doi.org/10.1111/ipd.13320","url":null,"abstract":"<p><strong>Background: </strong>Grandparental influences on child feeding practices that impact oral health remain under-investigated.</p><p><strong>Aim: </strong>Explore perspectives and influences of intergenerational caregivers on cariogenic feeding practices in children.</p><p><strong>Design: </strong>This qualitative study is based on phenomenological approach. Data collection involved in-depth interviews with parent(s) and grandparent(s) from the same family.</p><p><strong>Results: </strong>Thematic saturation was achieved after 26 interviews (13 families) with 13 mothers, 13 grandmothers and one grandfather. Three themes were generated: (1) Intergenerational differences in milk feeding practices-Grandparents had strong preference for formula milk. They advocated formula milk feeding beyond infancy and sometimes encouraged cariogenic comfort feeding habits; (2) Transgenerational influences on snacking practices-Parents' and grandparents' own cariogenic snacking habits encouraged the child's cariogenic snack intake. Grandparents occasionally used sugary treats to reinforce their special identity as grandparents; and (3) Impact of new information sources versus grandparental input-Information sources influencing child feeding practices differed between generations; parents relied on social media (rather than grandparental advice) while grandparents drew from past experiences. However, grandmothers who were actively involved in food preparation had considerable influence on child feeding practices.</p><p><strong>Conclusion: </strong>Practitioners and policymakers should actively engage grandparents to provide them with appropriate information on avoiding cariogenic feeding practices.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971242","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}
Arun Kumar Natarajan, Manikandan Ekambaram, Emma Jane Cooper, Jessica Emily Bruce-Jones, Libby Alice Collett, Riley Edward Thoroughgood, Arlia Rebekah Zhuo-Lin Schurr, William Murray Thomson
{"title":"Sustainability of Improvement in Oral-Health-Related Quality of Life Following Dental Treatment Under General Anaesthetic: The Role of Family Functioning.","authors":"Arun Kumar Natarajan, Manikandan Ekambaram, Emma Jane Cooper, Jessica Emily Bruce-Jones, Libby Alice Collett, Riley Edward Thoroughgood, Arlia Rebekah Zhuo-Lin Schurr, William Murray Thomson","doi":"10.1111/ipd.13319","DOIUrl":"https://doi.org/10.1111/ipd.13319","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries (ECC) impacts both children and their families.</p><p><strong>Aim: </strong>To characterise improvement in oral-health-related quality of life (OHRQoL) among young children undergoing treatment for ECC under general anaesthesia (GA) and its association with family functioning.</p><p><strong>Design: </strong>Pre-test/post-test design, with OHRQoL measured before treatment and then at 1, 6, and 12 months post-treatment, using the P-CPQ8 and the FIS8. Family functioning was measured before treatment, using the 12-item General Functioning (GF12) subscale of the McMaster Family Assessment Device.</p><p><strong>Results: </strong>Of the 353 recruited participants, 300 (85.0%) underwent comprehensive dental treatment, with the remainder undergoing extractions only. Just over half were reassessed after 1 month, with that falling to 42.8% and 35.4% at 6 and 12 months, respectively. Only one in five participated in all four assessments. Improvements in P-CPQ8 and FIS8 scores from baseline showed large effect sizes. Those with poorer family functioning did not have higher P-CPQ8 and FIS8 scores after treatment, but younger children did.</p><p><strong>Conclusion: </strong>Treating cases of ECC under GA leads to marked OHRQoL improvements that remain detectable 1 year later, but those do not tend to be greater in better-functioning families.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004230","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}
Dorota Olczak-Kowalczyk, Marcin Studnicki, Anna Turska-Szybka
{"title":"Factors Associated With Dental Caries in Primary Teeth of 5- and 6-Year-Old Polish Children.","authors":"Dorota Olczak-Kowalczyk, Marcin Studnicki, Anna Turska-Szybka","doi":"10.1111/ipd.13316","DOIUrl":"https://doi.org/10.1111/ipd.13316","url":null,"abstract":"<p><strong>Background: </strong>Caries in primary teeth remain a common health issue.</p><p><strong>Aim: </strong>To identify oral health behaviours which significantly affect dental caries in children aged 5-6 years.</p><p><strong>Design: </strong>A national cross-sectional study of 1892 children integrated dental examinations and a questionnaire regarding socio-economic factors and oral health habits. Caries indices were calculated. The analyses included t- and chi-square tests, Spearman's correlation, bivariate and multivariate logistic regression (p < 0.05).</p><p><strong>Results: </strong>The majority of children (79.3%) had caries; mean dmft was 4.68 ± 4.05; dmfs-9.12 ± 10.74 and ft/ft. + dt-0.20 ± 0.31. There were correlations between mother's education, her knowledge of oral health, financial burden, the frequency of dental appointments and the treatment (p < 0.001). The dmft indices were correlated with postponing dental appointments and presenting with pain. The association between the treatment index, oral hygiene habits (parental-supervised toothbrushing twice a day, using fluoridated toothpaste) and dietary practices (restrictions of sugar intake, fruit juices and starchy foodstuffs) was found, even after socio-economic confounding factors were introduced.</p><p><strong>Conclusion: </strong>The first years of a child's life are a period when the foundations of adult lifestyle choices are shaped. Parents should be aware of the importance of dental visits, nutritional counselling and proper oral care. The assessment of risk factors related to families is indispensable when prophylactic programmes are implemented.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017169","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}
Astrid Carolina Valdivia-Tapia, Anderson Takeo Hara, Frank Lippert
{"title":"Prevention of Dental Demineralization by Fluoride Toothpastes Followed by Fluoride-Free Mouthwashes: A TMR-D Conventional and Single-Section Technique Study.","authors":"Astrid Carolina Valdivia-Tapia, Anderson Takeo Hara, Frank Lippert","doi":"10.1111/ipd.13315","DOIUrl":"https://doi.org/10.1111/ipd.13315","url":null,"abstract":"<p><strong>Background: </strong>The use of fluoride-free mouthwashes (FFM) can adversely affect the anticaries benefits of fluoride toothpaste.</p><p><strong>Aim: </strong>This study investigated (i) the impact of FFM on the anticaries benefits of fluoride toothpaste and (ii) differences in enamel-lesion assessment between two TMR techniques.</p><p><strong>Design: </strong>The study followed a 2 (technique) × 2 (toothpaste) × 4 (mouthwash) factorial design. Toothpaste (1100 ppm F) contained either NaF or SnF<sub>2</sub>. Mouthwashes contained CPC or EOs. Control mouthwashes were DIW and not washed after toothpaste. Two TMR techniques, conventional specimens and single sections of enamel (n = 8), were utilized. During the 5-day/pH cycling, the specimens with artificial caries-like lesions were treated two times/day with toothpaste/1 min, followed by mouthwash/30s. There was a 4 h demineralization/day. Integrated mineral loss (ΔΔZ) and lesion depth (ΔL) were determined. Data were analyzed using three-way ANOVA.</p><p><strong>Results: </strong>There was no statistically significant interaction between the three factors for ΔΔZ (p = 0.894) or ΔL (p = 0.410) and no difference between toothpaste for ΔΔZ (p = 0.977) or ΔL (p = 0.507). However, mouthwashes affected ΔΔZ and ΔL (both p < 0.001). The non-wash group resulted in the most remineralization. The technique did not affect ΔΔZ (p = 0.973).</p><p><strong>Conclusion: </strong>Fluoride-free mouthwashes may decrease the remineralization potential of fluoride toothpaste, and the single-section technique is a suitable alternative in caries research. Pediatric dentists can emphasize proper hygiene and parental guidance in supervising children's brushing/rinsing.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023699","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":"Socio-Demographic Factors Influencing Noncompletion of Dental Treatment Among Children in Public Oral Health Care Service.","authors":"Kelsey Ingram, Rodrigo Mariño, Ramini Shankumar","doi":"10.1111/ipd.13314","DOIUrl":"https://doi.org/10.1111/ipd.13314","url":null,"abstract":"<p><strong>Background: </strong>Oral health outcomes are closely linked to the completion of necessary dental treatment.</p><p><strong>Hypothesis or aim: </strong>This study seeks to determine the socio-demographic characteristics of children and adolescents and the clinical factors contributing to the noncompletion of necessary dental treatments within a 12-month period at Monash Health Dental Services in Melbourne, Victoria.</p><p><strong>Design: </strong>Data were collected from seven public health dental sites, capturing all patients younger than 18 years who visited Monash Health Dental Services within a 12-month period.</p><p><strong>Results: </strong>Of the 7160 children who attended the dental clinics, 24.2% did not complete dental treatment. The majority (79.4%) were between 5 and 17 years of age, with each additional year of age increasing the probability of having an incomplete course of care (CoC). Participants receiving 'Preventive' CoCs were less likely to have incomplete treatments, while Aboriginal and Torres Strait Islander peoples, those who spoke languages other than English or Dari and patients needing interpreters were more likely to have incomplete treatments. Attendees of the different dental clinics had differing odds of noncompletion. The model explained 11.3% of the variance in predicting noncompletion.</p><p><strong>Conclusion: </strong>This analysis underscored the complex interplay between socio-demographic, enabling factors and clinical circumstances that contribute to incomplete CoCs.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969840","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}