International journal of paediatric dentistry最新文献

{"title":"Translation and Validation of Telugu Version of the Caries Impacts and Experiences Questionnaire for Children (CARIES-QC).","authors":"Jagadeeswara Rao Sukhabogi, Dolar Doshi, Sasikala Jummala","doi":"10.1111/ipd.70033","DOIUrl":"https://doi.org/10.1111/ipd.70033","url":null,"abstract":"<p><strong>Introduction: </strong>The pivotal role of self-reported measures in clinical caries data and children's oral health-related quality of life cannot be ignored.</p><p><strong>Aim: </strong>This study aimed to assess the psychometric properties of the Telugu-translated caries impacts and experiences questionnaire for children (CARIES-QC/Te) among 12-year-old schoolchildren in Hyderabad city.</p><p><strong>Methods: </strong>The forward-backward translated CARIES-QC/Te was pilot tested in 30 children. The tested questionnaire was administered to 598 children, followed by a clinical oral examination to evaluate dental caries. Internal consistency was determined using Cronbach's α and intraclass correlation. The factor structure of CARIES-QC/Te was analyzed using exploratory factor analysis (EFA). Furthermore, the questionnaire was correlated with a global rating question to assess its convergent validity. In addition, discriminant validity was evaluated based on the presence or absence of dental caries.</p><p><strong>Results: </strong>The mean CARIES-QC/Te score was 0.43 ± 0.60, and the mean caries experience for the study population was 1.8 ± 0.81. Based on the global rating question, Cronbach's α score and intraclass correlation coefficient for overall CARIES-QC/Te were 0.934 and 0.881, respectively. The polychoric correlation matrix of the CARIES-QC/Te questionnaire ranged from 0.424 to 0.652. The EFA results of CARIES-QC/T suggested a one-factor solution and explained 51.7% of the total variance. Moreover, CARIES-QC/Te demonstrated good discriminant validity for those with and without dental caries.</p><p><strong>Conclusion: </strong>The results indicate that CARIES-QC/Te exhibits good validity and acceptable reliability and could benefit public health research in Telugu-speaking populations.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080706","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":"Challenges and Limitations of Multimodal Large Language Models in Interpreting Pediatric Panoramic Radiographs.","authors":"Yuichi Mine, Yuko Iwamoto, Shota Okazaki, Taku Nishimura, Eimi Tabata, Saori Takeda, Tzu-Yu Peng, Ryota Nomura, Naoya Kakimoto, Takeshi Murayama","doi":"10.1111/ipd.70029","DOIUrl":"https://doi.org/10.1111/ipd.70029","url":null,"abstract":"<p><strong>Background: </strong>Multimodal large language models (LLMs) have potential for medical image analysis, yet their reliability for pediatric panoramic radiographs remains uncertain.</p><p><strong>Aim: </strong>This study evaluated two multimodal LLMs (OpenAI o1, Claude 3.5 Sonnet) for detecting and counting teeth (including tooth germs) on pediatric panoramic radiographs.</p><p><strong>Design: </strong>Eighty-seven pediatric panoramic radiographs from an open-source data set were analyzed. Two pediatric dentists annotated the presence or absence of each potential tooth position. Each image was processed five times by the LLMs using identical prompts, and the results were compared with the expert annotations. Standard performance metrics and Fleiss' kappa were calculated.</p><p><strong>Results: </strong>Detailed examination revealed that subtle developmental stages and minor tooth loss were consistently misidentified. Claude 3.5 Sonnet had higher sensitivity but significantly lower specificity (29.8% ± 21.5%), resulting in many false positives. OpenAI o1 demonstrated superior specificity compared to Claude 3.5 Sonnet, but still failed to correctly detect subtle defects in certain mixed dentition cases. Both models showed large variability in repeated runs.</p><p><strong>Conclusion: </strong>Both LLMs failed to achieve clinically acceptable performance and cannot reliably identify nuanced discrepancies critical for pediatric dentistry. Further refinements and consistency improvements are essential before routine clinical use.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075274","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":"Effectiveness of Sign Language-Based Cartoon Oral Health Education Among Hearing-Impaired Children in Damascus City, Syria: A Randomized Controlled Trial.","authors":"Alemar Ghannam, Louei Nahas, Mayssoon Dashash, Hasan Alzoubi","doi":"10.1111/ipd.70035","DOIUrl":"https://doi.org/10.1111/ipd.70035","url":null,"abstract":"<p><strong>Background: </strong>Hearing-impaired children face unique communication and learning challenges, requiring tailored oral health education.</p><p><strong>Aim: </strong>This study assessed the effectiveness of a custom-designed sign language cartoon film in improving oral hygiene knowledge and practices among hearing-impaired children.</p><p><strong>Design: </strong>A randomized controlled trial included 90 children aged 6-12, divided equally into an intervention group receiving the cartoon-based education and a control group with no intervention. Baseline assessments covered audiometry, plaque and gingival indices, and oral health knowledge/practices via questionnaire. Follow-ups occurred at 6 and 12 weeks. Data were analyzed using nonparametric tests.</p><p><strong>Results: </strong>Baseline variables showed no significant group differences (p > 0.05). Postintervention, the intervention group demonstrated significantly higher oral health knowledge (12.38 ± 1.14 vs. 1.64 ± 1.17; p < 0.001, Cohen's d = 9.3). At 12 weeks, plaque (0.34 ± 0.40 vs. 2.21 ± 0.53; p < 0.001, Cohen's d = 3.98) and gingival index scores (0.10 ± 0.28 vs. 1.86 ± 0.54; p < 0.001, Cohen's d = 4.09) were significantly lower in the intervention group compared to the controls.</p><p><strong>Conclusions: </strong>Sign language cartoon films effectively enhance oral hygiene knowledge and practices in hearing-impaired children, highlighting the value of inclusive, innovative health education methods for this underserved group.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069685","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":"Can ChatGPT-4.5 Accurately Identify Teeth? A Cross-Sectional Comparison With Dental Students and Parents.","authors":"Merve Ozdemir, Hamide Comert","doi":"10.1111/ipd.70034","DOIUrl":"https://doi.org/10.1111/ipd.70034","url":null,"abstract":"<p><strong>Background: </strong>Differentiating between primary and permanent teeth is a critical component of oral health knowledge, influencing both preventive care and clinical decisions. With the growing use of artificial intelligence (AI) in healthcare and education, its role in supporting learning is of increasing interest.</p><p><strong>Aim: </strong>This study evaluated the diagnostic accuracy and internal consistency of ChatGPT-4.5 in classifying primary versus permanent teeth using intraoral photographs, compared to senior dental students and parents.</p><p><strong>Methods: </strong>A comparative cross-sectional study was conducted involving 130 participants (65 senior dental students and 65 parents). ChatGPT-4.5 was also evaluated. An online survey with 16 intraoral images showing multiple teeth was used. Participants classified each tooth as either primary or permanent. Responses were reviewed by two pediatric dentistry experts. Accuracy was analyzed using ANOVA and Tukey's HSD test (p < 0.05). Internal consistency was assessed using Cronbach's alpha.</p><p><strong>Results: </strong>ChatGPT-4.5 (82.9%) and dental students (82.1%) showed similar accuracy, while parents performed significantly lower (74.8%). A significant difference was found in posterior tooth classification (p = 0.009), favoring students. ChatGPT demonstrated good consistency (α = 0.74).</p><p><strong>Conclusion: </strong>ChatGPT may be a useful tool in dental education and parental guidance, especially when professional access is limited.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033123","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":"QIB Editorial","authors":"","doi":"10.1111/ipd.70012","DOIUrl":"https://doi.org/10.1111/ipd.70012","url":null,"abstract":"&lt;p&gt;It is a pleasure to introduce the fifth edition of the BSPD Quality Improvement Briefing. This year's collection showcases a range of thoughtful and impactful quality improvement initiatives, each reflecting our profession's commitment to improving the safety, accessibility and effectiveness of care for children and young people.&lt;/p&gt;&lt;p&gt;We open with an invited article by Dr Greig Taylor, who offers a nuanced exploration of the relationship between quality improvement and research, illustrated through a case study on the management of compromised first permanent molars.&lt;/p&gt;&lt;p&gt;I would like to extend my sincere thanks to all authors who submitted their work, particularly those who undertook evaluations and audits alongside clinical responsibilities. I am also grateful to our reviewers—Erin Giles, Rosamund Johnson, Hiba Al-Diwani, Charlotte Schofield, Chris Wallace, Emma Morgan, Maryam Ezzeldin, Susan Stokes, Chris Donnell, Carly Dixon, Jessica Talbot, Greig Taylor, Clarissa Dale and Shrita Lakhani—for their time and expertise in supporting the peer review process.&lt;/p&gt;&lt;p&gt;I am indebted to Cheryl Somani and Helen Rogers, former editors of this publication, for their guidance and mentorship in preparing me for this role. Finally, my heartfelt thanks go to Assistant Editors Claudia Heggie and Laura Timms for their insight, precision and steadfast support throughout the editorial process.&lt;/p&gt;&lt;p&gt;As paediatric dental professionals, we are advocates for children—not only in the clinical care we provide but in the way we design, evaluate and improve the systems that support them. I hope this edition reflects that shared purpose and the collective commitment of our specialty to driving meaningful change.&lt;/p&gt;&lt;p&gt;Armaana Ahmad&lt;/p&gt;&lt;p&gt;\u0000 &lt;i&gt;Editor, Quality Improvement Briefing&lt;/i&gt;\u0000 &lt;/p&gt;&lt;p&gt;\u0000 &lt;b&gt;Invited article: Quality improvement and research—can they work synergistically?&lt;/b&gt;\u0000 &lt;/p&gt;&lt;p&gt;\u0000 &lt;i&gt;G. D. Taylor&lt;/i&gt;\u0000 &lt;/p&gt;&lt;p&gt;A reflective and practical discussion exploring the conceptual and practical boundaries between quality improvement and research.&lt;/p&gt;&lt;p&gt;\u0000 &lt;b&gt;Enhancing the pathway for patients with additional needs&lt;/b&gt;\u0000 &lt;/p&gt;&lt;p&gt;\u0000 &lt;i&gt;E. Weston &amp; S. Dunkley&lt;/i&gt;\u0000 &lt;/p&gt;&lt;p&gt;This two-cycle service evaluation demonstrates the impact of digital flagging and adapted assessment tools on care quality for children requiring reasonable adjustments.&lt;/p&gt;&lt;p&gt;\u0000 &lt;b&gt;Developing a dental pre-assessment pathway to improve theatre utilisation and quality care&lt;/b&gt;\u0000 &lt;/p&gt;&lt;p&gt;\u0000 &lt;i&gt;C. Schofield, K. O'Donnell, M. Dalton, R. Homer &amp; L. Radley&lt;/i&gt;\u0000 &lt;/p&gt;&lt;p&gt;This project introduces a local protocol for anaesthetist pre-assessment referrals, leading to reduced cancellations and improved general anaesthetic pathway efficiency.&lt;/p&gt;&lt;p&gt;\u0000 &lt;b&gt;Expanding access to photobiomodulation treatment for paediatric oncology patients in Glasgow&lt;/b&gt;\u0000 ","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 S1","pages":"S46-S47"},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144929496","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":"Audit on the Use of Radiographs Prior to Stainless Steel Crown Placement","authors":"Jenna Shah,&nbsp;Caitlin Saunders,&nbsp;Danielle Grady","doi":"10.1111/ipd.70011","DOIUrl":"https://doi.org/10.1111/ipd.70011","url":null,"abstract":"&lt;p&gt;Stainless steel crowns (SSC) are a valuable restorative option in paediatric patients due to their high clinical effectiveness [&lt;span&gt;1-3&lt;/span&gt;]. Literature has suggested reduced failure rates in SSC placed with hall and conventional techniques for primary molars versus restorations such as glass ionomer cement (GIC), composite and amalgam [&lt;span&gt;1&lt;/span&gt;]. In order to appropriately plan treatment, teeth need to be assessed for suitability for SSC placement, which includes pre-operative radiographs [&lt;span&gt;2&lt;/span&gt;]. Radiographs can be used in the assessment of contraindications to SSC placement [&lt;span&gt;1-3&lt;/span&gt;] such as there being no sound band of dentine between carious lesions and the pulp [&lt;span&gt;2&lt;/span&gt;] and evidence of radiographic pulpal involvement or infection [&lt;span&gt;3&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;To assess and improve compliance of clinicians within a community dental service in taking preoperative radiographs prior to placing stainless steel crowns.&lt;/p&gt;&lt;p&gt;UK national clinical guidelines for SSCs advise taking pre-operative radiographs prior to placement on primary molars [&lt;span&gt;1&lt;/span&gt;]. This standard has been adapted to account for the patient groups (e.g., pre-cooperative patients) treated in the community dental service where radiographs may not be possible.&lt;/p&gt;&lt;p&gt;In assessing Question 3, the relevant medical history was reviewed for factors that could have affected the ability to take radiographs, including learning disabilities, autism spectrum disorder and behavioural or mental health conditions. When assessing Question 4, possible written justification for not attempting radiographs included if the patient was a pre-cooperative child or if the teeth being crowned were hypomineralised non-carious teeth.&lt;/p&gt;&lt;p&gt;Individual clinician data for the first cycle was collected in order to allow for individual feedback to be provided to staff members if required, and this was emailed across if the staff member asked for their data but was anonymised for analysis and presentation of results.&lt;/p&gt;&lt;p&gt;Data collection for both cycles was conducted using an electronic Audit Management and Tracking (AMAT) proforma. Between the first and second cycle of the audit, an action plan was implemented. A retrospective second cycle audit was conducted between 25 February 2023 and 25 February 2024 using the same methods as the first cycle.&lt;/p&gt;&lt;p&gt;In the first cycle of the audit, 11 clinicians and 161 crowns were audited, while in the second cycle, 11 clinicians and 174 crowns were audited. The results of both cycles are summarised in Table 1.&lt;/p&gt;&lt;p&gt;Within the first cycle, there was no relevant medical history noted. Within the second cycle, there were three patients whose medical history was deemed to have contributed to issues with cooperation with radiographs prior to crown placement. Two of these patients had two crowns placed each, leading to a total of five crowns. This involved two crowns placed on a patient with autism, pathological demand avoidance and devel","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 S1","pages":"S70-S72"},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144929438","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":"Editorial BSPD Supplement 2025","authors":"Chris Vernazza","doi":"10.1111/ipd.70005","DOIUrl":"https://doi.org/10.1111/ipd.70005","url":null,"abstract":"<p>I have mixed emotions as I write my final BSPD supplement as BSPD honorary editor. As ever, it has been a privilege to see the vibrant culture of sharing best practice in clinical work, quality improvement, and research in our specialty, evidenced in the abstracts for our annual conference and the Quality Improvement Bulletin contained in this supplement. However, I am of course sad to be leaving behind the role of honorary editor of BSPD. I have greatly enjoyed working alongside members of the BSPD executive and council to improve the oral health of children and can now count my executive colleagues as lifelong friends. The role has given me the opportunity to be involved in a great breadth of activity related to paediatric dentistry and meet many amazing people. I wish my successor, Professor Richard Balmer, every success as he takes up the reins and can only hope he enjoys it as much as I have.</p><p>The abstracts will be presented at our much anticipated conference, to be held in London, under the leadership of Local Organising Committee chair, Dr Dania Siddik. Dr Ursula Devalia will commence her term as president during the conference which has the theme of ‘Foundations for the Future’, an apt strapline for much of this supplement which shows off some of the new talent and rising stars of our profession, which illustrates a bright future! I would especially like to thank members of the Conference Abstracts and Prizes Committee for their very hard work in reviewing the abstracts and in advance for their judging of the prize competitions as well as Jade Lawson at our conference organisers, Fitwise, for her work in administering all of the abstract processes.</p><p>As ever, I am indebted to the editorial team for our Quality Improvement Briefing, under the new leadership of Dr Armaana Ahmad. Armaana and the rest of the QIB team, Dr Laura Timms and Dr Claudia Heggie, have curated an excellent set of articles that will provide inspiration for quality improvement across the United Kingdom and beyond. I hope you enjoy reading the supplement, and thank you to BSPD for the opportunity to serve the speciality over the last 5 years.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 S1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144929495","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":"Quality Improvement and Research: Can They Work Synergistically?","authors":"G. D. Taylor","doi":"10.1111/ipd.70014","DOIUrl":"https://doi.org/10.1111/ipd.70014","url":null,"abstract":"&lt;p&gt;Quality improvement (QI) and research are both essential and necessary for advancing patient care. Unfortunately, they are often misinterpreted for one another, which can lead to ethical, practical, and regulatory challenges [&lt;span&gt;1&lt;/span&gt;]. Despite these two activities serving distinct purposes, they can work synergistically and form part of a translational continuum of evidence-informed practice and innovation [&lt;span&gt;2&lt;/span&gt;]. It is not uncommon that QI reveals questions that are worthy of formally researching.&lt;/p&gt;&lt;p&gt;This article will explore what QI and research are, and how they can be misinterpreted. This will be followed by a brief discussion on how they can co-exist, using a case study focusing on the management of compromised first permanent molars (cFPM), to demonstrate this.&lt;/p&gt;&lt;p&gt;Quality improvement is an overarching term used to describe a systematic continuous approach to improving healthcare outcomes. Once a problem is identified, QI processes work towards findings solutions that aim to improve service provision, and ultimately patient outcomes [&lt;span&gt;2&lt;/span&gt;]. Rather than a single method, QI methods include audit, service evaluation and quality improvement project (QIP). Research, in contrast, is hypothesis-driven, methodologically rigorous, and designed to generate findings that are generalisable beyond the local context [&lt;span&gt;3&lt;/span&gt;]. Research requires ethical approval (rather than local oversight in QI) and is governed by strict standards to ensure their reliability and validity. The three QI approaches and research will now be discussed in more detail.&lt;/p&gt;&lt;p&gt;Research and QI approaches are frequently conflated. This could have significant ramifications given the ethical and legal requirement differences between the two.&lt;/p&gt;&lt;p&gt;As described above, research tests a new idea and aims to generate generalisable evidence [&lt;span&gt;3, 5&lt;/span&gt;]. Any project that meets these criteria is research. Labelling research as ‘QI’ incorrectly is relatively common [&lt;span&gt;2, 5&lt;/span&gt;]. It is likely to be naivety; however, it can be deliberate to avoid the ethical and regulatory scrutiny required in research studies [&lt;span&gt;5&lt;/span&gt;]. Any project that tests a novel intervention (e.g., success of restorative material) or collects new knowledge from patients (e.g., opinions on discolouration following placement of silver diamine fluoride) is research, and should be treated as such. Incorrectly labelling a research project as a QI initative runs the risk of ethical breaches, especially if patient data is used without appropriate consent. Similarly, findings may be invalid as the methods employed are likely not to be as robust and rigorous as they should be. In contrast, research can be labelled incorrectly, when in fact it is QI. In these cases, it is often a mistake; however, it could be that clinical teams wish to promote the project as research, instead of QI, as it seems more prestigious or publishable [&lt;span&gt;5&lt;/span&gt;]. Misinterpreting QI as ","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 S1","pages":"S48-S51"},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144929498","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":"Dental Experience of Children With Cleft Lip and/or Palate by 12 Months","authors":"R. Sladden,&nbsp;H. Wilson,&nbsp;R. Bennett,&nbsp;A. Hollis","doi":"10.1111/ipd.70007","DOIUrl":"https://doi.org/10.1111/ipd.70007","url":null,"abstract":"&lt;p&gt;Cleft lip and/or palate (CLP) affects approximately 1.7 per 1000 live births [&lt;span&gt;1&lt;/span&gt;]. Children with CLP face a significantly higher risk of dental anomalies, caries and delayed development, requiring early preventive dental care [&lt;span&gt;1&lt;/span&gt;]. These children may have differences in the number, size, shape and timing of tooth eruption, as well as enamel defects [&lt;span&gt;1&lt;/span&gt;]. In response, national CLP standards recommend that preventive dental advice be provided by 6 months [&lt;span&gt;2&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Furthermore, a national initiative by BSPD for all children, ‘Dental Check by 1’ (DCBy1), encourages parents and guardians to take their baby to the dentist by age one to enable preventive advice [&lt;span&gt;3&lt;/span&gt;]. There are limited published data regarding access to dental care for children and young people (CYP) under cleft services following the COVID-19 pandemic. Pre-pandemic data from the South-West Cleft Service (SWCS) reported that 92% of children were registered with a general dental practitioner (GDP) [&lt;span&gt;4&lt;/span&gt;]. This did not, however, appear to translate into adequate preventive care. Since the pandemic, dental access for this population has worsened. A national survey conducted between July 2023 and February 2024 (as yet unpublished) found that nearly one-third of families under SWCS experienced difficulties accessing dental services.&lt;/p&gt;&lt;p&gt;In light of this, an audit was undertaken to evaluate whether children with CLP under SWCS received timely preventive care and dental contact in line with national standards.&lt;/p&gt;&lt;p&gt;A two-cycle retrospective audit was conducted. Children were identified from cleft birth lists held by SWCS.&lt;/p&gt;&lt;p&gt;This audit demonstrated dental access issues for CYP with experience of CLP. Difficulties accessing dental care included long waiting times and finding a dental home. Regular dental attendance is associated with less caries experience and a better oral health-related quality of life, so long-term solutions must be found [&lt;span&gt;6&lt;/span&gt;]. In cycle 2, dental awareness and the provision of preventative advice improved significantly, largely due to the content of the telephone contact and wider provision of the cleft dental pack.&lt;/p&gt;&lt;p&gt;Many parents or carers that were offered an appointment with the cleft dental team were willing to travel to Bristol for this and had concerns they wished to discuss, such as dental development (the path or sequence of eruption, absence of teeth and position), gingival overgrowth and maxillary labial frenum abnormality. This highlighted the importance of early engagement with cleft dental services. The introduction of telephone contact at 6 months increased the percentage of patients seen by a dentist, despite GDP visits falling, through appointments made with the cleft dental team at Bristol Dental Hospital instead. This was not a viable option for all patients. In cycle 2, as locality data were collected, we identified that three families declined the offer of an a","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 S1","pages":"S66-S69"},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144930088","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":"Expanding Access to Photobiomodulation Treatment for Paediatric Oncology Patients in Glasgow","authors":"Mairead Hennigan,&nbsp;Scott Wright,&nbsp;Owens Iguodala,&nbsp;Gillian Richardson,&nbsp;Paul McLaughlin,&nbsp;Jill Phillips","doi":"10.1111/ipd.70009","DOIUrl":"https://doi.org/10.1111/ipd.70009","url":null,"abstract":"&lt;p&gt;Oral mucositis (OM) is one of the most frequent side effects of cancer treatment. It is associated with intense oral pain, eating and swallowing difficulties, bacteraemia, opioid prescription, increased enteral or parenteral nutrition requirements, extended in-patient hospital stays, interruptions to cancer treatment, and a higher 100-day mortality [&lt;span&gt;1, 2&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Photobiomodulation treatment (PBM) refers to the application of a range of non-ionising red and near-infrared light sources to positively influence cellular metabolism. PBM has an anti-inflammatory effect, wound healing properties, and promotes analgesia in patients with OM [&lt;span&gt;3&lt;/span&gt;]. PBM is recommended for use in children by the Paediatric Oncology Group of Ontario (POGO) in clinical practice guidance in OM prevention [&lt;span&gt;4&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;The Royal Hospital for Children, Glasgow (RHC) is a Principal Treatment Centre for paediatric oncology, led by oncologists and haematologists, with Advanced Nurse Practitioners (ANPs) having a vital role in the patient's treatment journey. RHC was an early adopter of PBM in the United Kingdom [&lt;span&gt;5&lt;/span&gt;], with treatment delivered by the paediatric dentistry team using a class 3B laser since 2012 primarily on an inpatient basis. It has been empirically embraced by paediatric oncology patients, parents, and staff who report it to be easy and beneficial, with frequent requests for treatment and positive feedback from families [&lt;span&gt;6&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;The &lt;i&gt;LaserPen&lt;/i&gt; from Reimers &amp; Janssen GmbH is operated in continuous wave (CW) mode at a wavelength of 810 nm with an output power of 500 mW. At the time of writing, PBM is delivered at RHC as a treatment for established mucositis rather than for prevention. The local protocol for delivery of PBM is dictated by mucositis severity according to the World Health Organisation (WHO) oral mucositis scale. The protocol specifies the total laser energy (J) to be delivered to each mucositis-affected area of the mouth and throat. Full details of this protocol have been published previously [&lt;span&gt;6&lt;/span&gt;]. Class 3B lasers are potentially harmful to the eyes, and safety precautions must be taken. Locally, the agreed standards include laser safety training for PBM providers, eye protection for all people present for PBM delivery, and designated laser-safe rooms with window coverings and signage on external doors.&lt;/p&gt;&lt;p&gt;Existing guidance does not specify which staff groups should deliver PBM and this has been highlighted as a barrier to its use [&lt;span&gt;5&lt;/span&gt;]. At the outset of this evaluation, PBM was delivered solely by the paediatric dentistry team, limited to 9-5 pm Monday to Friday (excluding public holidays). Patient/parent feedback through local service questionnaire, indicated desire for wider access to PBM—‘Usually [my son's] mucositis would occur at [the] weekend and I just wish it [PBM] was available at the weekends as he's in pain all weekend then has instant relief afte","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 S1","pages":"S59-S62"},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144930089","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}