International journal of paediatric dentistry最新文献

{"title":"Dental Caries in Permanent Molars of Children Previously Treated With Silver Fluoride Gel/Sodium Fluoride Varnish in Their Primary Dentition: A Retrospective Cohort Study.","authors":"Tania Carola Padilla Cáceres, Jorge Luis Castillo, Claudia Mariela Vera Reyes, Marilynn Rothen, Lloyd L Mancl, Peter Milgrom","doi":"10.1111/ipd.70139","DOIUrl":"10.1111/ipd.70139","url":null,"abstract":"<p><strong>Introduction: </strong>Children with more caries in the primary dentition have been observed to have greater caries risk in the permanent dentition. In a previous trial, we determined lesion arrest in primary teeth, where 38% SDF gel and 2.5% NaF varnish were applied sequentially. This follow-up study determined the prevalence of children with any caries in untreated first permanent molars.</p><p><strong>Materials and methods: </strong>The design was a retrospective cohort. Participants were drawn from five Centros Educativos Iniciales, Puno, Peru. Examinations were conducted 19 months after the second treatment. Any caries prevalence (D_2-4MFS > 0) and D_2-4MFS were compared between groups.</p><p><strong>Results: </strong>The exposed group was 219 children in the initial trial; the unexposed group was in the same classes but did not participate. 181/237 (76.4%) children treated at baseline were followed up; 104 unexposed children were examined. Prevalence of any caries in first permanent molars was lower in exposed children (4.4%, 95% CI 1.4, 10) compared to unexposed (66.6%, 95% CI 53.6, 77.2; p < 0.001). D_2-4MFS in first permanent molars was lower in the exposed (median [IQR] = 0 [0, 0]) vs. unexposed (median [IQR] = 1 [0, 3]; p < 0.001).</p><p><strong>Discussion: </strong>Children who received two sequential applications of SDF gel/NaF varnish at 3-4y were observed to have fewer caries in first permanent molars at 6-7 y than unexposed children.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725897","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 Perceptions of Analgesic Ice Cream as a Post-Extraction Therapeutic Modality in Children: A Mixed-Methods Study.","authors":"Harshini Ravichandran, Deepa Gurunathan, Sharath Asokan","doi":"10.1111/ipd.70136","DOIUrl":"10.1111/ipd.70136","url":null,"abstract":"<p><strong>Background: </strong>Poor compliance with conventional oral analgesics can compromise post-extraction pain management in children. Understanding parental perceptions of innovative therapeutic approaches may support the development of acceptable postoperative pain management strategies.</p><p><strong>Aim: </strong>To assess parental perceptions regarding the potential use of analgesic ice cream as a postdental extraction therapeutic modality for children using a mixed-method approach.</p><p><strong>Design: </strong>An explanatory sequential mixed-method study was conducted among 421 parents using a validated questionnaire (Cronbach's α = 0.82), followed by semi-structured interviews with 26 parents. Quantitative data were analyzed using descriptive statistics, Chi-square tests, and binary logistic regression, while qualitative data underwent thematic analysis.</p><p><strong>Results: </strong>Most parents showed favorable perceptions toward analgesic ice cream, with 72.2% expressing willingness to use it following dental extraction. Perceived benefits included improved compliance, ease of administration, and enhanced postoperative comfort. Key concerns involved safety, dosage accuracy, and overconsumption. Qualitative findings supported these perceptions while highlighting the importance of professional recommendation, clear instructions, and scientific validation.</p><p><strong>Conclusion: </strong>Parents generally perceived analgesic ice cream as a potentially acceptable adjunct to postoperative pain management in children. However, concerns regarding safety, dosage regulation, and professional guidance warrant consideration in future formulation development and clinical evaluation.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722899","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":"Toothbrush Design and Developmental Characteristics Influencing Plaque Removal in 7-Year-Old Children: A Randomized Crossover Trial.","authors":"Ece Baysan Maşızade, Ezgi Baltacı, Nazlı Durmuş, Selçuk Korkmaz, Neslihan Özveren","doi":"10.1111/ipd.70137","DOIUrl":"https://doi.org/10.1111/ipd.70137","url":null,"abstract":"<p><strong>Background: </strong>Evidence comparing toothbrush designs and the influence of children's developmental abilities on brushing performance is limited.</p><p><strong>Aim: </strong>To compare the plaque-removal efficacy of three toothbrush types in 7-year-old children and to assess whether developmental characteristics affect brushing performance.</p><p><strong>Design: </strong>This single-blind, randomized, three-period crossover clinical trial included 60 typically developing 7-year-old children. Participants used a conventional manual, triple-headed manual, and rechargeable powered toothbrush in randomized order with washout periods. Plaque was assessed using the modified Quigley-Hein Plaque Index and the Approximal Plaque Index. Developmental characteristics were evaluated using the parent-reported Five-to-Fifteen questionnaire.</p><p><strong>Results: </strong>Mean plaque reduction differed significantly among toothbrush types. Powered (1.833 ± 0.705) and triple-headed manual toothbrushes (1.802 ± 0.678) achieved greater plaque reduction than the conventional manual toothbrush (1.310 ± 0.563; both p < 0.001), with no difference between powered and triple-headed brushes (p = 0.963). Approximal plaque removal was highest with the powered toothbrush, reaching 75% complete removal on posterior vestibular surfaces (p ≤ 0.016). Children with gross motor difficulties showed lower reduction with the powered toothbrush than children without such difficulties (p = 0.048).</p><p><strong>Conclusion: </strong>Powered and triple-headed toothbrushes are more effective than conventional manual brushes in 7-year-old children, with equivalent efficacy. Exploratory analyses suggest gross motor skills may influence powered toothbrush performance, warranting confirmation in adequately powered studies.</p><p><strong>Trial registration: </strong>The study was registered retrospectively with the Australian New Zealand Clinical Trials Registry (ANZCTR; ACTRN12626000023358).</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706629","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":"Oral Rhabdomyomatous Hamartoma in a Paediatric Patient: Case Report a Rare Lesion.","authors":"Érika Machado do Carmo Albuquerque, Letícia Albuquerque Rodrigues, Gislayne Nunes de Siqueira, Marcelo Bonifácio da Silva Sampieri, Filipe Nobre Chaves, Denise Hélen Imaculada Pereira de Oliveira","doi":"10.1111/ipd.70138","DOIUrl":"https://doi.org/10.1111/ipd.70138","url":null,"abstract":"<p><strong>Background: </strong>Rhabdomyomatous hamartoma is a rare congenital lesion, usually described on the face and neck and infrequently found in the oral cavity. Because its clinical presentation is non-specific, histopathological examination plays a fundamental role in establishing the final diagnosis and determining appropriate therapeutic management.</p><p><strong>Case report: </strong>An 8-year-old male patient presented with a submucosal nodule on the left lateral border of the tongue. The initial diagnostic hypothesis was dermoid cyst; however, histopathological examination revealed thick, interlacing bundles of skeletal striated muscle, compatible with rhabdomyomatous hamartoma.</p><p><strong>Conclusion: </strong>Although rare, rhabdomyomatous hamartoma should be considered in the differential diagnosis of oral nodules in children. Histopathological confirmation is essential for accurate diagnosis and as a guide to treatment, helping to avoid unnecessary interventions and ensuring proper management of the lesion.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701209","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":"Dietary Advice in Dental Practice for Young Adolescents to Prevent Dental Caries: A Scoping Review.","authors":"Kodikara Arachchige Mihiri Madhuka Gunasinghe, Renya Nambi Subramaniyan, Wendy Cheung, Paula Moynihan","doi":"10.1111/ipd.70133","DOIUrl":"https://doi.org/10.1111/ipd.70133","url":null,"abstract":"<p><strong>Introduction: </strong>A scoping review of dietary advice for caries prevention in adolescents in high income English-speaking countries was conducted.</p><p><strong>Objective: </strong>To identify and appraise dietary advice for dental settings in government or private sector.</p><p><strong>Method: </strong>Dentistry and Oral Sciences database was searched from 2015 to September 2023. Papers published between 2015 and 2021 were identified from an existing review of nutrition practices not reporting dietary advice. A MEDLINE, CINAHL, Embase search (2021-September 2023) was also conducted. An advanced Google searches of relevant professional and dental commercial websites was conducted.</p><p><strong>Results: </strong>Ten of 1257 identified papers were included, containing 17 topics of dietary advice: most common was to drink water (5/10), and keep sugars to mealtimes (4/10). Twenty-nine out of 63 national professional organisation yielded 18 topics of advice. Other websites (88 of 90) presented 14 topics of advice. Most common was 'drink water' (28/29 professional, 50/88 other websites) and 'drink milk' (18/29 professional, 28/88 other websites). Information on sugars thresholds ranged from 6 to 18.75 teaspoons/day. Definitions of 'low sugar' ranged from 5 to 15 g/100 g.</p><p><strong>Conclusion: </strong>In HIC English-speaking countries, the most common dietary advice for caries prevention in adolescents promotes water and milk and discourages sugars in-between meals. Confusion exists on sugars thresholds and what constitutes 'low sugar'.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148689193","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":"Salivary Fluoride Concentrations and Fluoride Intake After Toothbrushing With and Without Rinsing Using Sodium Fluoride Toothpaste: A Crossover Trial in 6-Year-Old Children","authors":"Thanya Sitthisettapong,&nbsp;Nitiporn Thaisiam,&nbsp;Thamonwan Phooamornrat,&nbsp;Patarasaya Soontornruengyot,&nbsp;Jakratham Wongmuneeworn","doi":"10.1111/ipd.70096","DOIUrl":"10.1111/ipd.70096","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Brushing with fluoride-containing toothpaste without rinsing significantly increases salivary fluoride concentration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To compare the effects of rinsing versus non-rinsing after toothbrushing with 1500 ppm fluoride (ppmF) toothpaste on salivary fluoride concentration up to 90 min and fluoride intake in 6-year-old children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A crossover clinical trial was conducted in 18 healthy 6-year-old children. Children brushed their teeth with 1500 ppmF toothpaste (0.6 g) with rinsing (WR) or without rinsing (WOR) in a three-day washout period. Unstimulated saliva was collected at baseline and at 1, 5, 15, 30, 60, and 90 min after toothbrushing. Salivary fluoride concentration was measured using an ion-specific electrode. Fluoride intake was also determined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The geometric mean salivary fluoride concentration was significantly higher in WOR than in WR over time (<i>p</i> = 0.023). Pairwise comparisons at specific time points showed a significant difference at 1-min post-brushing (<i>p</i> &lt; 0.001). Fluoride intake was significantly greater in WOR than in WR (0.216 ± 0.046 vs. 0.176 ± 0.056 mgF; <i>p</i> = 0.012).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Toothbrushing with 1500 ppmF toothpaste without rinsing produced higher fluoride intake and total fluoride exposure (AUC) due to a large initial peak; however, salivary fluoride concentrations were comparable between rinsing methods from 5 min onward and remained caries-preventive for up to 90 min.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"657-666"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856250","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 a Community-Based Preventive Oral Health Program on Oral Health-Related Quality of Life in School-Aged Children","authors":"Ji-Soo Song","doi":"10.1111/ipd.70108","DOIUrl":"10.1111/ipd.70108","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although community-based programs are implemented to promote children's oral health, evidence regarding their impact on oral health-related quality of life (OHRQoL) remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate changes in OHRQoL among schoolchildren following participation in a community-based oral health program and to identify factors associated with post-intervention OHRQoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This observational pre–post study included 668 schoolchildren in Seoul, South Korea, participating in the Student Dental Home Program. OHRQoL was assessed before and after the program using the Korean COHIP-SF 19. Changes in scores were analyzed using paired <i>t</i>-tests, and factors associated with post-intervention OHRQoL were examined using ANCOVA and linear regression analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Total scores increased significantly (mean difference 3.7, 95% CI 3.3–4.1; Cohen's <i>d</i> = 0.66). Significant increases were observed across all subscales, with the largest effect in the Oral Health subscale (<i>d</i> = 0.81). In the simple regression analyses, spontaneous tooth pain, gingival bleeding, halitosis, and malocclusion were associated with lower scores. In the multivariable model, malocclusion remained the only factor independently associated with lower scores (B −0.66, 95% CI−1.37 to −0.01, <i>p</i> = 0.048).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>OHRQoL scores increased following participation in a community-based oral health program. Malocclusion remained independently associated with lower post-intervention OHRQoL after baseline adjustment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"706-714"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148360798","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":"Management of Mandibular Fractures in Infants and Neonates: A Narrative Review of Growth Preservation, Functional Recovery, and Safeguarding","authors":"Mohd Ridzuan Mohd Razi,&nbsp;Nabilah Sawani Harith","doi":"10.1111/ipd.70097","DOIUrl":"10.1111/ipd.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mandibular fractures in infants and neonates are rare and present distinct diagnostic and management challenges. Most evidence is derived from isolated case reports and small series, and no age-specific guidance exists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A narrative synthesis was conducted using 26 English-language publications (1985–2025) reporting 50 mandibular fractures in children aged ≤ 12 months, including 10 neonates. PubMed (MEDLINE), Scopus and Google Scholar were searched. Data were extracted using the CARE framework to ensure consistency in documenting clinical findings, imaging, management and safeguarding. Themes were organised around diagnosis, imaging, treatment approaches and growth considerations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifty fractures were identified, with a slight male predominance. Falls were the main cause in older infants, while traumatic delivery predominated in neonates. Among 53 fractures with a documented site, symphyseal/parasymphyseal fractures were most frequent (62.3%). Of 36 cases with reported management, 75% were managed conservatively and 25% surgically. Over 90% of cases with follow-up demonstrated normal growth. Safeguarding procedures were documented in 30.7% of reports.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Favourable outcomes depend on preserving periosteal integrity, supporting function and performing safeguarding assessments when indicated. Diagnosis should be guided primarily by clinical examination, with selective imaging, and management should prioritise conservative, growth-preserving approaches.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"619-627"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837707","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":"Microstructural Analysis of Carious Lesion Progression Beneath Hall Technique and Conventional Stainless-Steel Crowns in Children","authors":"Carolina Loch,&nbsp;Dorothy H. Boyd,&nbsp;Paul Richter,&nbsp;Imtithal Al-Mahruqi,&nbsp;Maryam Al-Adawi,&nbsp;Miqat Al-Sabahi,&nbsp;Shahad Alismaily,&nbsp;Lyndie A. Foster Page","doi":"10.1111/ipd.70104","DOIUrl":"10.1111/ipd.70104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stainless-steel crowns (SSC) are a common restorative option for preserving tooth tissue damaged by caries in primary molars. The Hall Technique (HT) is an SSC restorative approach using no local anaesthesia, tooth preparation or caries removal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To compare carious lesion progression, biomechanical and chemical properties in exfoliated primary molars treated with HT and conventional SSC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A descriptive laboratory study was conducted with teeth treated with HT SSC and conventional SSC (control).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Radiographic lesion progression was observed in half of the samples, occurring in 47% of HT SSCs and 55% of conventional SSC. The concentration of P and Ca or minor elements such as Na and Mg was similar between HT SSC and conventional SSC. Hardness values of enamel, dentine and carious lesion were slightly lower for HT SSC than conventional SSCs. Elastic modulus values for enamel and dentine were slightly higher in conventional SSC, while HT SSC had higher elastic modulus for the lesion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Teeth treated with HT SSCs and conventional SSCs demonstrated similar lesion progression, elemental composition and mechanical properties, suggesting no clear differences between the treatment approaches within the limitations of the sample size and design of this study.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"689-697"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148338509","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":"Clinical Comparison of School-Based Dental Sealant Programme Among Different Caries-Risk School Children: A 5-Year Follow-Up Study","authors":"Yodsapat Paemanukornruk,&nbsp;Piyada Gaewkhiew,&nbsp;Yaowaluk Ngoenwiwatkul","doi":"10.1111/ipd.70106","DOIUrl":"10.1111/ipd.70106","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Limited evidence supports the sealant application for children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess the association between dental sealant and caries occurrence on first permanent molars among children with different caries risks after 5-year follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This ambispective (retrospective-prospective) cohort study retrieved data from dental sealant programmes conducted in 2019 and 2024 in Bangkok. Students who participated in the programme during first grade (P1) in 2019 and sixth grade (P6) in 2024 and had at least one sound first permanent molar at baseline were included and categorised based on the number of untreated carious teeth in P1: high-risk (&gt; 2 teeth), moderate-risk (1–2 teeth) and low-risk (no carious teeth). Logistic regression analyses were used to compare caries occurrence between students with at least one sealed first permanent molar and those without for each caries risk group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six-hundred-ninety-five students with 2198 sound first permanent molars were analysed. Sealants did not show a significant caries-preventive effect in low-and-moderate-caries-risk groups. The high-risk group, those with at least one sealed tooth, had a significantly lower risk of developing caries (adjusted OR = 0.48; 95% CI: 0.29–0.80; <i>p</i> = 0.005).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Dental sealants are significantly associated with lower caries occurrence, particularly in high-risk children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"698-705"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345435","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}