International journal of paediatric dentistry最新文献

{"title":"Oral health assessment of newly diagnosed oncology patients—Who are we missing?","authors":"L. Roocroft, C. Dixon, A. Shepherd, C. Hood","doi":"10.1111/ipd.13246","DOIUrl":"10.1111/ipd.13246","url":null,"abstract":"<p>An estimated 1:500 children are diagnosed with cancer each year.<span><sup>1</sup></span> When assessed on a global scale, there is a higher incidence of childhood cancer in countries of a high human development index (HDI), compared to that of a low development index (LDI).<span><sup>2</sup></span></p><p>In the UK, all children are treated at designated specialist Principal Treatment Centres (PTC), including Royal Manchester Children's Hospital (RMCH), to standardise clinical care and follow-up.<span><sup>3</sup></span> Approximately 120 new malignant disease diagnoses are seen per year at RMCH from across the region, all of whom require a range of treatment modalities including chemotherapy, radiotherapy, proton beam therapy, stem cell transplant and surgical management.<span><sup>4</sup></span></p><p>The Royal College of Surgeons England has recommended that all children diagnosed with cancer should have access to dental care, including a full initial assessment with radiographs at time of diagnosis, before commencement of treatment.<span><sup>4</sup></span> Paediatric dental units working with oncology centres should have a mechanism of notification for new patients.<span><sup>5</sup></span></p><p>During oncology treatment, oral care can become neglected with changes in oral health routines, particularly for children undergoing inpatient treatments.<span><sup>6</sup></span> Additional nutritional intake requirements and oral manifestations such as mucositis and opportunistic infections further impact oral health and increase caries risk. Poor oral health can adversely impact oncology treatment, increasing morbidity risk and length of inpatient hospital stays.<span><sup>3</sup></span> Furthermore, long-term oral complications following curative cancer treatments may require specialist-led care for oral rehabilitation in future.</p><p>Following an urgent general anaesthetic procedure for a child receiving cancer treatment with severe dental decay, it became apparent that not all newly diagnosed oncology patients at RMCH were referred for a baseline dental assessment at time of diagnosis. Analysis of the previous month highlighted multiple urgent ward visits for dental assessments for patients in pain who were unknown to the department and had not seen a dental practitioner for assessment prior to commencing cancer treatment. This highlighted a clinical need to improve dental care for this cohort, and thus provided stimulus for this quality improvement project which was conducted using the Plan-Do-Study Act (PDSA) model.</p><p>Improvements were made in each PDSA cycle for referral of children to the DHU at the point of cancer diagnosis, with an overall improvement of 48%. With 90% (<i>n</i> = 36) of children referred in Cycle 3, this improvement was felt to be supported by the integration of direct electronic referral into the new Trust wide electronic record system (Epic™). Previous cycles required an electronic document referral to be sent ","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 S1","pages":"59-62"},"PeriodicalIF":2.3,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13246","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140040","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":"Virtual clinics in paediatric dentistry","authors":"Alexandra Lyne, Joe Noar","doi":"10.1111/ipd.13245","DOIUrl":"10.1111/ipd.13245","url":null,"abstract":"<p>During the COVID-19 pandemic, the National Health Service (NHS) had to adapt and innovate in ways to provide clinical care. A traditional healthcare model, where patients travel to a clinical building for their care, or a clinician travelled to the patients' home, was not possible. Instead, many Trusts established or expanded virtual ways of providing care; the patient and clinician connect remotely, via telephone, video call, or written communication.</p><p>Beyond the pandemic, virtual clinics and wards have become a routine part of NHS healthcare, with benefits for patients, staff, and the environment.<span><sup>1</sup></span></p><p>Dental procedures cannot be carried out virtually, so in this paper we refer to appointments that are for assessment, treatment planning, or review. In the speciality of paediatric dentistry, where patients have rapidly evolving dentitions and undergo rapid change, there is a high need for these types of appointments.</p><p>The aim of this paper is to highlight different formats of virtual clinics that are relevant to the field of paediatric dentistry, using example cases and quality improvement data from the virtual clinics at the Eastman Dental Hospital.</p><p>Virtual clinics can take many forms, and the value of different clinic types may depend on the case-mix for each paediatric dentistry service. All virtual clinics can be conducted in a clinical room, in a non-clinical room, or remotely.</p><p>For any appointment or interaction, appropriate patient documentation will need to be completed, such as clinical notes, letters, requesting follow up appointments, coding, and recording the referral-to-treat outcome. The authors also suggest asking parents to send in patient photographs in advance of a virtual clinic, as this aids the diagnostic value of the appointment.</p><p>For the sake of simplicity, the term ‘parent’ is used to refer to the adult most likely to accompany the patient and have parental responsibility. This is not the case for every patient, and so the term ‘parent’ should be substituted with the appropriate adult(s) for each child or young person.</p><p>Virtual working can have benefits for patients, parents, and staff. They are also associated with less costs both financially and environmentally. Admittedly, except for A&G, they require a similar amount of time as face-to-face appointments.</p><p>When planning a virtual clinic, a clear standard operating procedure should be written, and all stakeholders included to identify the important issues to be managed. This could include personnel, funding, administrative support, as well as the physical location and hardware required to run the virtual service. Each part of the pathway should be assessed from referrer to clinician to hospital capacity. The virtual service must fit in with the existing clinical service, recognising the clinical and administrative time needed.</p><p>Once this is in place, then clear guidance should be produced so that ","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 S1","pages":"52-58"},"PeriodicalIF":2.3,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13245","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140042","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":"From the editor","authors":"","doi":"10.1111/ipd.13244","DOIUrl":"https://doi.org/10.1111/ipd.13244","url":null,"abstract":"<p>I am pleased to share with you this 4th edition of the BSPD Quality Improvement Briefing, which includes a collection of novel quality improvement projects in paediatric dentistry. This year's invited article on ‘Virtual clinics in paediatric dentistry’ has been authored by two leading innovators and experts in the area: Alexendra Lyne and Joe Noar. This excellent paper will provide a practical guide to setting up virtual clinics and advise on the use of quality improvement projects to continuously improve the standard of patient care in this format.</p><p>Once again, I am grateful to the many authors who submitted papers on a range of topics demonstrating their commitment to quality improvement. My heartfelt thanks to all our reviewers who kindly provided their time and expertise to deliver a comprehensive peer review for the papers submitted: Clarissa Dale, Carly Dixon, Chris Donnell, Maryam Ezzeldin, Julia Hurry, Clare Hutchison, Shrita Lakhani, Jessica Large, Emma Morgan, Rachel Osborne, Charlotte Schofield, Jessica Talbot, Laura Timms, Chris Wallace and Scott Wright.</p><p>I am thankful to my deputy editor Armaana Ahmad and assistant editor Claudia Heggie for their continued enthusiasm, support and commitment; producing this publication is truly a team effort. As my term as the editor if the Quality Improvement Briefing now comes to an end, I wish Armaana every success as she takes on this role. I am confident that the publication will continue to flourish and develop under her leadership in the coming years.</p><p>I hope you find enjoyment and value in reading this edition of the Quality Improvement Briefing.</p><p>\u0000 <b>IN THIS ISSUE</b>\u0000 </p><p>1. Virtual clinics in paediatric dentistry</p><p>\u0000 <i>Alexandra Lyne &amp; Joe Noar</i>\u0000 </p><p>2. Oral health assessment of newly diagnosed oncology patients—Who are we missing?</p><p>\u0000 <i>L. Roocroft, C. Dixon, A. Shepherd &amp; C. Hood</i>\u0000 </p><p>3. Improving dental trauma management in primary care: A team-based approach</p><p>\u0000 <i>V. Stevens</i>\u0000 </p><p>4. Dental screening pathway for paediatric nephrology patients: A service development and evaluation</p><p>\u0000 <i>C. K. Wallace &amp; V. Hind</i>\u0000 </p><p>5. Development of a virtual orthodontic advice pathway in a community dental service</p><p>\u0000 <i>J. Zhao, D. Rosentha, J. Tomson, H. Patel &amp; A. Ahmad</i>\u0000 </p><p><b>Editor:</b> Cheryl Somani</p><p><b>Deputy Editor:</b> Armaana Ahmad</p><p><b>Assistant Editor:</b> Claudia Heggie</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 S1","pages":"51"},"PeriodicalIF":2.3,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13244","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142152297","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":"Development of a virtual orthodontic advice pathway in a community dental service","authors":"J. Zhao,&nbsp;D. Rosenthal,&nbsp;J. Tomson,&nbsp;H. Patel,&nbsp;A. Ahmad","doi":"10.1111/ipd.13249","DOIUrl":"10.1111/ipd.13249","url":null,"abstract":"&lt;p&gt;Whittington Health Dental Service (WHDS) provides specialist-led community-based paediatric dental services across 13 London boroughs. Virtual advice and guidance pathways were introduced for all specialties, to ensure patients can access specialist advice when necessary, across all of WHDS's 23 clinics.&lt;/p&gt;&lt;p&gt;Paediatric patients with compromised first permanent molars (cFPMs) often require orthodontic advice before commencing treatment.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; This would have involved referral to a local orthodontic practice, taking 9–12 months to receive advice, and sometimes contributed to delayed care and patients being unable to receive treatment within the ideal treatment window.&lt;/p&gt;&lt;p&gt;In July 2021, WHDS collaborated with Dr Hemant Patel (HP), lead orthodontist of Angle House Orthodontics (AHO), to address this problem by introduction of the Rapid Orthodontic Advice Request (ROAR) pathway. AHO, is a group of 13 specialist orthodontic practices based across the same geographical location as WHDS and is one of the main orthodontic providers for these patients. The ROAR pathway involves the referring dentist sending a clinical summary with orthodontic photographs and radiographs to HP via email. HP would review the information and provide the advice needed to commence their dental treatment in the CDS, without the child having to wait for a face-to-face orthodontic appointment. The ROAR pathway is not commissioned, and it is therefore crucial to evaluate the pathway for effectiveness to minimise the number of referrals, such that HP's time, offered via goodwill, is used efficiently.&lt;/p&gt;&lt;p&gt;WHDS also provide a separate virtual advice pathway for specialist paediatric dentistry, the Paediatric Dental Advice Clinic (PDAC). It was noted that some patients were being referred through both pathways and involving the paediatric dental team in the ROAR pathway could improve efficiency.&lt;/p&gt;&lt;p&gt;A log of all ROAR requests is stored on an encrypted Microsoft Excel® (Microsoft Corporation, Redmond, USA) spreadsheet. The pathway was assessed through a SE in July 2022. Actions were taken to improve the virtual advice pathway to incorporate screening from the specialist paediatric dental team and a second SE was conducted in November 2023 to reassess the pathway (Table 1).&lt;/p&gt;&lt;p&gt;As services nationwide consider methods of incorporating virtual advice and guidance into their clinical pathways, these evaluations show the benefits of having a combined paediatric and orthodontic advice pathway. Paediatric screening of the orthodontic advice requests also provided an opportunity for teaching and upskilling the wider dental team.&lt;/p&gt;&lt;p&gt;Referrers highly valued feedback and advice from the paediatric team to improve their orthodontic referrals. Paediatric screening increased the time taken to receive advice from a maximum of 10–32 days. The longer response times coincided with periods of staff leave, and although the overall time for advice increased, it was still a","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"34 S1","pages":"71-73"},"PeriodicalIF":2.3,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13249","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140038","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":"Development and validation of Tamil version of CARIES-QC questionnaire among socially marginalized school children in Chennai City.","authors":"Mohammed Meera Riyaz, Shyam Sivasamy, Preetha Elizabeth Chaly","doi":"10.1111/ipd.13262","DOIUrl":"https://doi.org/10.1111/ipd.13262","url":null,"abstract":"<p><strong>Background: </strong>The Caries Impacts and Experiences Questionnaire for Children (CARIES-QC), which was developed to assess dental caries-specific Child Oral Health Related Quality of Life (COHRQoL), has been translated into few world languages.</p><p><strong>Aim: </strong>To develop and validate the Tamil version of Caries Impacts and Experience Questionnaire for Children (CARIES-QC).</p><p><strong>Design: </strong>This cross-sectional study was conducted among socially marginalized school children in Chennai City. The initial translation of the English CARIES-QC questionnaire to Tamil was made by two independent translators followed by an expert committee discussion to derive a prefinal version of the Tamil questionnaire. Subsequently, content validation was performed by bilingual subject experts followed by preliminary pilot testing among 30 school children aged 8-10 years studying in Adidravidar Welfare High School, Chennai, to produce the final version of the questionnaire. Convergent validity, discriminant validity, and test-retest reliability of the translated questionnaire were tested among 191 children.</p><p><strong>Results: </strong>The content validation process revealed that the translated version had relevant questions and content coverage (Scale-wise Content Validity Index score = .91). The children with and without dental caries had mean CARIES-QC scores of 5.39 + 3.7 and 3.71 + 5.1, respectively, and their statistically significant difference (p-value = .04) between them indicates the scale's satisfactory discriminant validity. The Cronbach's alpha was .87 indicating the questionnaire's good internal consistency.</p><p><strong>Conclusion: </strong>The newly developed Tamil CARIES-QC questionnaire is a valid and reliable tool for assessing COHRQoL among Tamil-speaking school children.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125591","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":"Impact of manual dexterity on toothbrushing efficacy in typically developing children: A cross-sectional study.","authors":"J Jasmin Winnier, Shilpa S Naik, Ashveeta Shetty, Diksha Patil, Sonal Tandel, Priya Gore","doi":"10.1111/ipd.13260","DOIUrl":"https://doi.org/10.1111/ipd.13260","url":null,"abstract":"<p><strong>Background: </strong>Manual dexterity includes gross motor skills (GMS) and fine motor skills (FMS). Literature reports manual dexterity as a contributing factor for improved oral hygiene and that the required dexterity for toothbrushing develops above 8 years of age. Research suggests grip force, movement speed, and motor coordination should be assessed to improve knowledge on kinetics of brushing teeth.</p><p><strong>Aim: </strong>To assess the impact of manual dexterity on toothbrushing efficacy in 7 to 12 year old children.</p><p><strong>Design: </strong>The cross-sectional study included 150 typically developing 7-12 year old children. Oral health status was recorded using the Decayed, Missing, and Filled Teeth index. GMS and FMS were evaluated using the MInnesota Manual Dexterity Test (MMDT) and Archimedes spiral test (AST), respectively. Toothbrushing efficacy was determined by Turesky modification of Quigley-Hein Plaque Index- difference in mean scores from before and after toothbrushing.</p><p><strong>Results: </strong>Assessment of GMS, FMS, and toothbrushing efficacy using ANOVA showed a significant increase with age (p value: 0.000); unpaired t-test showed an association of toothbrushing efficacy with GMS and FMS irrespective of age (p value: 0.000).</p><p><strong>Conclusion: </strong>Manual dexterity was significantly associated with toothbrushing efficacy in typically developing children. AST, a simple test to determine FMS, may help paediatric dentists to guide parents on the supervision of toothbrushing for their child.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080229","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":"Orthodontic aligner therapy outcomes in children with autism spectrum disorder","authors":"Stephanie A. Meuffels,&nbsp;Anne Marie Kuijpers-Jagtman,&nbsp;Stephen T. H. Tjoa,&nbsp;Paola L. Carvajal Monroy","doi":"10.1111/ipd.13257","DOIUrl":"10.1111/ipd.13257","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with autism spectrum disorder (ASD) face unique challenges in oral care. Aligner therapy offers a promising alternative to conventional approaches for this patient group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate orthodontic aligner therapy outcomes in children with ASD using the Peer Assessment Rating (PAR) Index and the Index of Complexity, Outcome, and Need (ICON), and to investigate whether concomitant disorders affect ICON, PAR scores, and treatment duration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Two calibrated observers assessed digital dental casts and intraoral pictures of 37 children with ASD before (T0) and after (T1) their treatment. At T0, the participants' average age was 12.9 years (SD = 1.68); at T1, post-therapy, the average age was 14.9 years (SD = 1.51). All participants underwent orthodontic aligner therapy. Statistical methods employed in this study included descriptive analysis, Wilcoxon tests, and univariate linear regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Posttreatment, median ICON scores decreased significantly from 74 to 14, and median PAR scores from 36 to 8 (<i>p</i> &lt; .0001), demonstrating “excellent to substantial” improvement in 89.2% (<i>n</i> = 33) of the children. Comorbidities, present in 62% of patients, did not significantly affect treatment duration (22.6 ± 11.02 months).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Children with ASD significantly benefit from orthodontic aligner therapy, emphasizing the need for tailored orthodontic care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 2","pages":"456-467"},"PeriodicalIF":2.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13257","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897429","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":"Lack of testing and adherence to optimized low-dose CBCT protocols for children","authors":"Andy Wai Kan Yeung,&nbsp;Benjamin Salmon,&nbsp;Anne Caroline Oenning","doi":"10.1111/ipd.13253","DOIUrl":"10.1111/ipd.13253","url":null,"abstract":"&lt;p&gt;It takes a lot of effort and resources to conduct experiments to compare and determine the best low-dose CBCT protocol(s) for children with an optimized balance between the diagnostic value (image quality) and radiation safety (radiation dose) according to the ALADAIP (As Low as Diagnostically Acceptable being Indication-oriented and Patient-specific) principle.&lt;span&gt;&lt;sup&gt;1, 2&lt;/sup&gt;&lt;/span&gt; It would be highly beneficial if the academic and clinical communities actively examined and applied the original studies that established these low-dose CBCT protocols. On February 22, 2024, we searched for the literature through the Web of Science Core Collection with the following search string: Topic—(pediatric OR paediatric OR child*) AND CBCT AND (low-dose OR “low dose” OR optimi*). The search string identified papers that mentioned these words and their derivatives in the title, abstract, and keywords. The search yielded 77 original articles. Studies were included if they tested multiple scanning protocols, recruited human subjects or used phantom heads, and evaluated the image quality with either subjective or objective measurements. Studies were excluded if they were not written in English. After screening their titles and abstracts, we identified five studies that established low-dose CBCT protocols for various indications in paediatric patients: Hidalgo Rivas et al. (2015), EzEldeen et al. (2017), Oenning et al. (2019), Brasil et al. (2019), and Ito et al. (2023).&lt;span&gt;&lt;sup&gt;3-7&lt;/sup&gt;&lt;/span&gt; An additional study by Lemberger et al. (2023)&lt;span&gt;&lt;sup&gt;8&lt;/sup&gt;&lt;/span&gt; was identified by hand searching. No study was removed due to language issues (i.e., non-English).&lt;/p&gt;&lt;p&gt;The protocols advocated by these studies were surely very different in terms of the parameter settings, due to the different CBCT units as well as the different diagnostic indications tested, but they share common findings: The current and exposure time (mAs) can be reduced while maintaining sufficient image quality for clinical task in children. In this era of evidence-based dentistry, paediatric patients would benefit much more if such protocols were repeatedly tested and validated (and fine-tuned) by different research teams. Then, these protocols could be readily translated into daily clinical practice with steadfast evidence instead of being preliminary recommendations. In addition, the literature indicates that imaging performance and radiation dose outcomes in CBCTs cannot be directly extrapolated across different CBCT models due to significant variations in technical characteristics and clinical diagnostic efficacy.&lt;span&gt;&lt;sup&gt;9&lt;/sup&gt;&lt;/span&gt; There is an urgent need for additional studies that use consistent methodologies to test new machines and protocols. In particular, only Lemberger et al. (2023) was a clinical study, whereas the other five were phantom head studies. More clinical studies would be beneficial, because the subjective image quality assessment based on real patient","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 1","pages":"7-10"},"PeriodicalIF":2.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897428","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":"Special education teachers' involvement and perceived barriers to delivering oral health education for students with disabilities—A cross-sectional study","authors":"Faris Yahya I. Asiri,&nbsp;Marc Tennant,&nbsp;Estie Kruger","doi":"10.1111/ipd.13258","DOIUrl":"10.1111/ipd.13258","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dental caries is prevalent among children, including those with disabilities. Although the World Health Organization recommends school-based oral health promotion (OHP) programmes involving teachers, limited research has explored teachers' roles and perspectives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess special education teachers' involvement and difficulties regarding oral health education (OHE), attitudes towards OHP and barriers to oral healthcare access for students with disabilities (SWDs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This descriptive cross-sectional study, conducted in Al-Ahsa, Saudi Arabia, involved 264 special education teachers using a validated, self-administered questionnaire, and descriptive and analytical statistics were used for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Only 39% of teachers incorporated OHE into their teaching, and just 20.8% received training for OHE delivery. Teachers showed strong support for integrating OHE into the curriculum (84.1%) and a no-sugar policy (78%). There was, however, less support for school-based toothbrushing (39%). OHE barriers included insufficient resources (56.1%), limited knowledge (29.2%) and misconceptions about primary teeth removal (47.4%). The three most common barriers to oral healthcare access were extended waiting lists (75.0%), long waiting times (73.1%) and fear of dental equipment (67.4%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights the need for collaboration between healthcare professionals, educators and parents to enhance OHE and reinforce OHP for SWDs within special education and beyond.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 2","pages":"468-479"},"PeriodicalIF":2.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897430","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":"Effectiveness of a message service on child oral health practice via a social media application: A randomized controlled trial","authors":"K. Choonhawarakorn,&nbsp;P. Kasemkhun,&nbsp;P. Leelataweewud","doi":"10.1111/ipd.13256","DOIUrl":"10.1111/ipd.13256","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early establishment of healthy oral health behaviours is important to reduce early childhood caries risk. Two-way social media applications can economically assist caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the effectiveness of a LINE™ messaging service (MS) on promoting good oral health behaviors in Thai children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>One hundred and ninety caregiver–child dyads (children aged 6–36 months) who attended a university dental hospital and two other hospitals were randomly assigned to receive age-appropriate dental health education via MS or through traditional on-site visits. Infographic posters, video clips, and supportive messages were delivered weekly to the MS group. Parental oral health knowledge and children's oral health status and practice were assessed at baseline and 6-month follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The MS group showed significantly better scores in feeding habits (<i>p</i> = .034) and toothbrushing practice (<i>p</i> = .007). Parental knowledge increased in both groups; however, knowledge increased significantly in the control group (<i>p</i> = .001). Both groups exhibited improvements in the debris score but not in caries progression. The caregivers rated both methods as high to the highest satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The MS yielded comparable outcomes to traditional dental visits in promoting oral health behaviours.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"35 2","pages":"446-455"},"PeriodicalIF":2.3,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.13256","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893335","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}