International journal of paediatric dentistry最新文献

{"title":"Temperament and past behaviour can predict behaviour success for nitrous oxide sedation","authors":"Jeannette Ming Cheng Chua,&nbsp;Catherine Hsu Ling Hong,&nbsp;Yu Fan Sim,&nbsp;Ruth Wei Choe,&nbsp;Ishreen Kaur Dhillon,&nbsp;Shijia Hu","doi":"10.1111/ipd.13201","DOIUrl":"10.1111/ipd.13201","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is currently insufficient evidence on potential predictors of a child's behaviour with nitrous oxide (N₂O) sedation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the association between a child's temperament and behavioural outcomes during dental treatment with N₂O sedation, and the child's perception to N₂O sedation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>At the first visit (dental treatment visit), temperament was assessed using the Child Behaviour Questionnaire—Short Form and behaviour was assessed by an independent rater using the Venham Behaviour Rating Scale. At the second visit, the child's experience with N₂O sedation was elicited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventy-two healthy children aged between 36 and 95 months were recruited. Planned dental treatment was completed in 84.7% of the subjects. Venham behaviour success &lt;3 and Venham behaviour success &lt;1 were achieved in 73.6% and 33.3%, respectively. The temperament domain of effortful control was associated with Venham behaviour score <i>(ρ = −0.266, p = .024)</i> and Venham behaviour success &lt;1 <i>(OR = 3.506, 95% CI = 1.328–9.259, p = .011).</i> Baseline Frankl behaviour score was significantly associated with all behavioural outcomes. Venham behaviour success &lt;3 was significantly associated with a child reporting to have enjoyed the dental treatment visit <i>(p = .026).</i></p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Effortful control and baseline behaviour were associated with behavioural outcomes of N₂O sedation and can be used to predict a child's behaviour.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 1","pages":"68-79"},"PeriodicalIF":2.3,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904163","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":"Deep learning-based detection of irreversible pulpitis in primary molars","authors":"Tianyu Ma,&nbsp;Junxia Zhu,&nbsp;Dandan Wang,&nbsp;Zineng Xu,&nbsp;Hailong Bai,&nbsp;Peng Ding,&nbsp;Xiaoxian Chen,&nbsp;Bin Xia","doi":"10.1111/ipd.13200","DOIUrl":"10.1111/ipd.13200","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Changes in healthy and inflamed pulp on periapical radiographs are traditionally so subtle that they may be imperceptible to human experts, limiting its potential use as an adjunct clinical diagnostic feature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate the feasibility of an image-analysis technique based on the convolutional neural network (CNN) to detect irreversible pulpitis in primary molars on periapical radiographs (PRs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This retrospective study was performed in two health centres. Patients who received indirect pulp therapy at Peking University Hospital for Stomatology were retrospectively identified and randomly divided into training and validation sets (8:2). Using PRs as input to an EfficientNet CNN, the model was trained to categorise cases into either the success or failure group and externally tested on patients who presented to our affiliate institution. Model performance was evaluated using sensitivity, specificity, accuracy and F1 score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 348 PRs with deep caries were enrolled from the two centres. The deep learning model achieved the highest accuracy of 0.90 (95% confidence interval: 0.79–0.96) in the internal validation set, with an overall accuracy of 0.85 in the external test set. The mean greyscale value was higher in the failure group than in the success group (<i>p</i> = .013).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The deep learning-based model could detect irreversible pulpitis in primary molars with deep caries on PRs. Moreover, this study provides a convenient and complementary method for assessing pulp status.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 1","pages":"57-67"},"PeriodicalIF":2.3,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140898160","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":"Bone age and dental late effects in childhood cancer survivors: Radiographic findings in a Brazilian sample","authors":"Híttalo Carlos Rodrigues De Almeida,&nbsp;Cleomar Donizeth Rodrigues,&nbsp;Luiz Pedro Mendes De Azevedo,&nbsp;Aronita Rosenblatt,&nbsp;Márcia Maria Fonseca Da Silveira,&nbsp;Ana Paula Veras Sobral","doi":"10.1111/ipd.13199","DOIUrl":"10.1111/ipd.13199","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Changes in bone age and tooth development are late side effects of cancer therapy and can be identified by imaging examination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the late effects of antineoplastic treatment on bone age and dental development in childhood cancer survivors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This is a retrospective case–control study on paediatric cancer survivors of both sexes who underwent antineoplastic treatment with 5–15 years of survival. Carpal radiographs were assessed for bone age and growth curve, and panoramic radiographs were used to evaluate dental development and alterations. Carpal radiographs were analyzed using the Greulich and Pyle inspection method, and the Martins and Sakima method was used to analyze the growth curve. All tests were applied with a confidence level of 95%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study and control groups comprised 28 and 56 patients, respectively. There was no significant difference in bone age and growth curve between the study and control groups. Nonetheless, when sex was compared to chronological and bone ages, there was a significant difference in bone age (<i>p</i> = 0.019) and an underestimation in both groups and sexes in the Greulich and Pyle method. As to late dental effects, dental agenesia, microdontia, gyroversion, and unerupted teeth were found. Dental shape alterations mainly involve the root region.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Close multidisciplinary collaboration is necessary during the follow-up period of young patients who have survived cancer.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 1","pages":"45-56"},"PeriodicalIF":2.3,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856277","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":"Potential of ChatGPT in children's oral health education: A friend or foe in guidance for parents and caregivers?","authors":"Mariana Agra Monteiro,&nbsp;John Lennon Silva Cunha,&nbsp;Samuel de Carvalho Chaves-Júnior","doi":"10.1111/ipd.13196","DOIUrl":"10.1111/ipd.13196","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 1","pages":"11-12"},"PeriodicalIF":2.3,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140810032","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":"Parental acceptability of silver diamine fluoride: The UK and US experiences","authors":"Laura Timms,&nbsp;Sooji Choi,&nbsp;Zoe Marshman,&nbsp;Helen Rodd,&nbsp;Anne R. Wilson,&nbsp;Tamanna Tiwari","doi":"10.1111/ipd.13195","DOIUrl":"10.1111/ipd.13195","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>International data suggest that parents may have reservations about the use of silver diamine fluoride (SDF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aims of this study were to: (1) examine the acceptance of parents/carers towards the use of SDF for the management of caries in children's primary teeth in secondary care dental settings in the UK and the United States and (2) determine which factors may affect the acceptance of the use of SDF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This was a cross-sectional questionnaire of SDF acceptability, completed by parents of young children. It was validated and adapted to local populations. Data were analysed with descriptive and inferential statistics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 113 Sheffield parents, 73% reported that they would accept SDF treatment of children's posterior teeth, with 58% reporting this for anterior teeth. Parents having less concern about posterior aesthetics had a statistically significant effect on reported acceptance of SDF (<i>p</i> = .013). In the Colorado sample (<i>n</i> = 104), 72% reported that they would accept SDF on posterior teeth, and 58% reported that they would accept SDF on anterior teeth. Concerns about aesthetics had an effect on decreasing SDF acceptance overall (<i>p</i> = .0065) in anterior (<i>p</i> = .023) and posterior teeth (<i>p</i> = .108).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The majority of parents in the two study populations accepted the treatment using SDF. However, concern about aesthetics had an influence on acceptability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 1","pages":"13-21"},"PeriodicalIF":2.3,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140809862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Root canal conicity determination of primary second molars using nanotomography: An in vitro study","authors":"Marília Pacífico Lucisano,&nbsp;Gilmer Torres Ramos,&nbsp;Daniel José Blanco-Victorio,&nbsp;Laura Ricardina Ramírez-Sotelo,&nbsp;Ricardo Barbosa Lima,&nbsp;Paulo Nelson-Filho,&nbsp;Raquel Assed Bezerra da Silva,&nbsp;Jessica Arieta Miranda,&nbsp;Léa Assed Bezerra da Silva","doi":"10.1111/ipd.13198","DOIUrl":"10.1111/ipd.13198","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The conicity of the root canals of primary teeth is an important measure for endodontic therapies. However, determining this conicity depends on the methods employed, which requires further investigation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to determine the conicity of the root canals of the upper and lower primary second molars using nanotomography (nCT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An in vitro study was performed using nine primary second molars, both upper and lower, subjected to nCT. Comparisons between the diameters of root canals were performed between the thirds (cervical—<i>D</i>0, middle—<i>D</i>5, and apical—<i>D</i>7). The conicity (%) was determined for each root canal from cervical to apical. Data were statistically analyzed with a significance level of 5%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The conicity ranged from 2% to 8% for the upper primary second molars. Significant differences in root canal diameter between the thirds (<i>D</i>0, <i>D</i>5, and <i>D</i>7 points) were observed in the mesio- and distobuccal roots (<i>p</i> &lt; .05), but not in the palatal roots (<i>p</i> &gt; .05). For the lower primary second molars, the conicity ranged from 2% to 17%, as well as significant differences in root canal diameter between the thirds (<i>D</i>0, <i>D</i>5, and <i>D</i>7 points) were observed in all roots (distal, mesiobuccal, and mesiolingual; <i>p</i> &lt; .05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The conicity of the upper primary second molars was different from that of the lower ones, which showed a greater variability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 1","pages":"33-44"},"PeriodicalIF":2.3,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140809899","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":"Knowledge and management of molar–incisor hypomineralisation amongst dentists in The Netherlands","authors":"Foteini Papanikolaou,&nbsp;Daniela Hesse,&nbsp;David J. Manton,&nbsp;Josef J. Bruers,&nbsp;Elsa Garot,&nbsp;Clarissa Calil Bonifácio","doi":"10.1111/ipd.13197","DOIUrl":"10.1111/ipd.13197","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Molar–incisor hypomineralisation (MIH) is a frequently encountered dental condition in the clinical setting, and correct diagnosis can influence management outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess the knowledge of and attitudes towards the management of MIH amongst dentists in the Netherlands.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The study was conducted as a cross-sectional web survey. The questionnaire used included questions regarding respondent characteristics, awareness, knowledge and management of MIH and was distributed through the Royal Dutch Association for Dentistry (KNMT) to a random sample of 900 dentists. Variables were analysed using descriptive statistics, and differences between distinct groups of dentists were tested using the chi-squared test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Respondents consisted of 76.6% general dental practitioners, 9.1% paediatric dentists and 14.3% differentiated (specialist) dentists, with a 25.6% overall response rate. The majority knew the term MIH and its clinical characteristics, and could distinguish MIH from other enamel defects. Regarding aetiological factors, 76.6% reported a genetic component. In an asymptomatic case, 47.3% reported non-invasive treatments. In a mild symptomatic case, treatments from non-invasive to invasive were reported (<i>p</i> &lt; .05). In a severe symptomatic case, the majority reported invasive treatments. Two-thirds of respondents were interested in further clinical training about MIH.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Most respondents knew the term MIH and its clinical characteristics and would like further clinical training about MIH.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 1","pages":"22-32"},"PeriodicalIF":2.3,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral health status of 916 children in Tibetan settlement (Bylakuppe, India): A cross-sectional descriptive study","authors":"Giuseppina Campisi,&nbsp;Fortunato Buttacavoli,&nbsp;Bruno Neri,&nbsp;Giorgia Capocasale,&nbsp;Nicola Mauceri,&nbsp;Rodolfo Mauceri","doi":"10.1111/ipd.13193","DOIUrl":"10.1111/ipd.13193","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dietary and oral hygiene habits among integrated migrant cultural minorities can vary and could impact susceptibility to caries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to assess and compare the oral health status of Tibetan schoolchildren living in the Tibetan settlement of Bylakuppe, India, stratified by type of residence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A descriptive cross-sectional study was conducted among Tibetan schoolchildren attending nine schools in the Bylakuppe region.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study population consisted of 916 children aged 5–17: 702 (76.6%) living in secular houses (LSH) and 214 (23.4%) living in monasteries (LM). The prevalence of dental caries was 70.9%, and the mean value of decayed, missing, filled teeth for mixed and primary dentition (DMFT*; dmft) of LSH children (1.56 ± 2.34/1.74 ± 2.66) was higher than of LM ones (1.14 ± 2.34/0.83 ± 2.80; <i>p</i> &lt; .001). DMFT for LM children (1.46 ± 2.04) was slightly higher than for LSH children (1.38 ± 1.96; <i>p</i> &gt; .05). Among the sample, 99.1% had a good simplified Oral Hygiene Index (OHI) and LM children showed higher rates of good values (99.5% vs. 98.2% in LSH children). Most children needed preventive/routine dental treatment, whereas 16.6% needed urgent dental treatment. In 4.5% of children, oral mucosal lesions were present.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study confirms the high need for dental treatment in the children of the Tibetan settlement investigated.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 6","pages":"925-932"},"PeriodicalIF":2.3,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140662134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Principles and care pathways for caries management in children: IAPD Rome forum","authors":"Norman Tinanoff,&nbsp;Avijit Banerjee,&nbsp;Marilia Afonso Rabelo Buzalaf,&nbsp;Jung-Wei Chen,&nbsp;Vineets Dhar,&nbsp;Kim R. Ekstrand,&nbsp;Margherita Fontana,&nbsp;Nicola Innes,&nbsp;Hyun Koo,&nbsp;Stefan Listl,&nbsp;Edward Chin Man Lo,&nbsp;Nicoline Potgieter,&nbsp;Falk Schwendicke,&nbsp;Nikolai Sharkov,&nbsp;Svante Twetman,&nbsp;Kaaren Vargas","doi":"10.1111/ipd.13192","DOIUrl":"10.1111/ipd.13192","url":null,"abstract":"&lt;p&gt;The traditional approaches to the treatment of dental caries have focused on repairing the consequences of the caries process, the lesions, rather than addressing the disease process itself. Advances in the understanding of caries microbiology, de-/remineralization cycling, risk/susceptibility assessment, staging of lesion activity/severity, non-surgical/micro-/minimally invasive procedures and public health interventions are fundamentally changing the landscape of caries management. To facilitate the global adoption of contemporary caries management for children, international experts were convened as part of an International Association of Paediatric Dentistry (IAPD) forum in Rome, in November 2022. This expert panel met for a one-day pre-conference workshop to discuss and consider principles of cariology and care pathways to improve oral health for individuals and healthcare systems. The topics discussed included advances in the science of cariology, advances in caries management, improving oral healthcare systems and teaching caries management. Such advances are especially important for children's oral health because of the value of establishing early preventive behaviours (including caregivers), difficulties of performing procedures in young children and inequalities/inequities in children's oral health care. The topics were presented over the two-and-a-half-day congress, and the feedback was collected. This position paper presents the summarized evidence collated by the expert panel and the IAPD Board of Directors.&lt;/p&gt;&lt;p&gt;The concept of ‘caries management pathways’ in contrast to ‘dental treatment plans’ is critical to the contemporary person-focused management of dental caries, since clinical pathways yield a greater probability of success, fewer complications and more efficient use of resources.&lt;span&gt;&lt;sup&gt;18&lt;/sup&gt;&lt;/span&gt; An example of clinical caries management was suggested by Ismail and others in 2015 that emphasized the following: (1) staging lesion severity and activity; (2) assessing patient's caries risk/susceptibility status; (3) synthesizing data leading to diagnosis; (4) comprehensive caries care planning including prevention, non-operative management and tooth-preserving operative management; and (5) evaluating outcomes including further management and recall frequency.&lt;span&gt;&lt;sup&gt;19&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Primary caries management/prevention for children should begin before the initiation of disease. The evidence-based pillars for primary prevention are twice-daily toothbrushing using a fluoride-containing toothpaste, limited intake of free sugars&lt;span&gt;&lt;sup&gt;20, 21&lt;/sup&gt;&lt;/span&gt; and dental sealants where necessary.&lt;span&gt;&lt;sup&gt;22&lt;/sup&gt;&lt;/span&gt; If primary prevention fails, secondary prevention needs to target early carious lesions with advances in minimally invasive strategies, such as professionally applied fluoride and high-fluoride (1.1% NaF) toothpaste for children over age six.&lt;span&gt;&lt;sup&gt;23&lt;/sup&gt;&lt;/span&gt; Advanced cavitated lesions m","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 5","pages":"692-699"},"PeriodicalIF":2.3,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinary dentistry for complex paediatric dentalcases","authors":"Travis Nelson,&nbsp;Roozbeh Khosravi,&nbsp;Van Ramos,&nbsp;Sul K. Hong,&nbsp;Daniel Cook","doi":"10.1111/ipd.13194","DOIUrl":"10.1111/ipd.13194","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 6","pages":"701-709"},"PeriodicalIF":2.3,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675652","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}