International journal of paediatric dentistry最新文献

{"title":"Development of a virtual orthodontic advice pathway in a community dental service","authors":"J. Zhao, D. Rosenthal, J. Tomson, H. Patel, A. Ahmad","doi":"10.1111/ipd.13249","DOIUrl":"10.1111/ipd.13249","url":null,"abstract":"<p>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.</p><p>Paediatric patients with compromised first permanent molars (cFPMs) often require orthodontic advice before commencing treatment.<span><sup>1</sup></span> 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.</p><p>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.</p><p>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.</p><p>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).</p><p>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.</p><p>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, Anne Marie Kuijpers-Jagtman, Stephen T H Tjoa, Paola L Carvajal Monroy","doi":"10.1111/ipd.13257","DOIUrl":"https://doi.org/10.1111/ipd.13257","url":null,"abstract":"<p><strong>Background: </strong>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><p><strong>Aim: </strong>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><p><strong>Design: </strong>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><p><strong>Results: </strong>Posttreatment, median ICON scores decreased significantly from 74 to 14, and median PAR scores from 36 to 8 (p < .0001), demonstrating \"excellent to substantial\" improvement in 89.2% (n = 33) of the children. Comorbidities, present in 62% of patients, did not significantly affect treatment duration (22.6 ± 11.02 months).</p><p><strong>Conclusion: </strong>Children with ASD significantly benefit from orthodontic aligner therapy, emphasizing the need for tailored orthodontic care.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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, Benjamin Salmon, Anne Caroline Oenning","doi":"10.1111/ipd.13253","DOIUrl":"https://doi.org/10.1111/ipd.13253","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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, Marc Tennant, Estie Kruger","doi":"10.1111/ipd.13258","DOIUrl":"https://doi.org/10.1111/ipd.13258","url":null,"abstract":"<p><strong>Background: </strong>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><p><strong>Aim: </strong>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><p><strong>Design: </strong>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><p><strong>Results: </strong>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><p><strong>Conclusion: </strong>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>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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, P Kasemkhun, P Leelataweewud","doi":"10.1111/ipd.13256","DOIUrl":"https://doi.org/10.1111/ipd.13256","url":null,"abstract":"<p><strong>Background: </strong>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><p><strong>Aim: </strong>To evaluate the effectiveness of a LINE™ messaging service (MS) on promoting good oral health behaviors in Thai children.</p><p><strong>Design: </strong>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><p><strong>Results: </strong>The MS group showed significantly better scores in feeding habits (p = .034) and toothbrushing practice (p = .007). Parental knowledge increased in both groups; however, knowledge increased significantly in the control group (p = .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><p><strong>Conclusions: </strong>The MS yielded comparable outcomes to traditional dental visits in promoting oral health behaviours.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orthodontic extrusion with fixed appliances for treatment of intrusive luxation injuries: A prospective study of 28 permanent maxillary incisors.","authors":"Jingjing Zhang, Nan Wang, Xuemei Gao, Man Qin","doi":"10.1111/ipd.13254","DOIUrl":"https://doi.org/10.1111/ipd.13254","url":null,"abstract":"<p><strong>Background: </strong>Limited evidence exists on the treatment options of tooth repositioning after intrusive luxation.</p><p><strong>Aim: </strong>The study aimed to investigate the outcomes and complications of orthodontic extrusion in treating intruded maxillary permanent incisors.</p><p><strong>Design: </strong>A prospective study was conducted involving 28 intruded maxillary permanent incisors treated with orthodontic extrusion, compared with a retrospective control group of 29 teeth that underwent spontaneous re-eruption. The success rate of tooth repositioning, as well as pulp condition, periodontal healing, and root development were assessed and compared.</p><p><strong>Results: </strong>The success rate of orthodontic extrusion was 96.4%, excluding one tooth that was ankylosed before treatment. There were no significant differences in pulp condition between the orthodontic extrusion and control groups for teeth with immature root development. Teeth with mature root development in the orthodontic group, however, showed a significantly higher rate of pulp necrosis (100%, p < .05). Periodontal healing outcomes were similar across both groups, regardless of the maturity of root development. The root length continued increasing during orthodontic extrusion treatment.</p><p><strong>Conclusions: </strong>Orthodontic extrusion treatment could effectively reposition moderately to severely intrusive permanent incisors, without increasing the risk of complications compared with spontaneous re-eruption.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878715","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":"Health and oral health literacy: A comprehensive literature review from theory to practice.","authors":"Ahmed Y Alzahrani, Omar El Meligy, Dania Bahdila, Rabab Aljawi, Nada O Bamashmous, Abdullah Almushayt","doi":"10.1111/ipd.13255","DOIUrl":"https://doi.org/10.1111/ipd.13255","url":null,"abstract":"<p><strong>Background: </strong>Health literacy (HL) refers to an individual's ability to access, understand, and apply health information to make informed decisions about their health. On the contrary, oral health literacy (OHL) focuses on an individual's ability to understand and utilize oral health information to maintain good oral health.</p><p><strong>Aim: </strong>This study presents a comprehensive literature review that explores the theoretical foundations and practical applications of HL and OHL.</p><p><strong>Design: </strong>A comprehensive search was conducted using keywords on the following databases: PubMed, Google Scholar, and Cochrane Database of Systematic Reviews.</p><p><strong>Results: </strong>The existing literature on various aspects of HL, including the most common used definitions of HL, conceptual frameworks, and consequences of limited health and OHL, was summarized. Additionally, the review discussed the significance of HL and OHL. Also, the relation between parent level of OHL and children's oral health was described. It further highlights modern approaches that have been shown in previous studies to improve the OHL of primary caregivers.</p><p><strong>Conclusions: </strong>Understanding the significance of HL and OHL is crucial in developing effective interventions that can address disparities and improve oral health outcomes for individuals of all backgrounds.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878714","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":"Assessment of space changes in the lower dental arch after the premature unit loss of a primary molar: A randomized clinical trial.","authors":"Bruna Borges de Souza, Maria Eduarda Evangelista, Juliana da Silva Pereira Andriani, Mariane Cardoso, Carla Miranda Santana, Michele Bolan","doi":"10.1111/ipd.13239","DOIUrl":"https://doi.org/10.1111/ipd.13239","url":null,"abstract":"<p><strong>Background: </strong>Premature loss of primary teeth presents a significant challenge in oral health, with conflicting views on using space maintainers.</p><p><strong>Aim: </strong>To assess mandibular arch space changes associated with premature lower primary molar (PM) loss with or without a space maintainer.</p><p><strong>Design: </strong>A randomized clinical trial with children (6-9 years old) with premature loss of a lower PM divided into two groups: control group (CG), without a space maintainer, and intervention group (IG), with a space maintainer. Dental casts were measured at baseline, 3 months, and 6 months. Linear distance; intercanine width and length; and arch width, length, and perimeter were measured. ANOVA and t-test were applied (p = .05).</p><p><strong>Results: </strong>Twenty-six patients (mean: 7.3 years; standard deviation [SD]: 0.92) were included: 14 in CG and 12 in IG. CG had a greater space loss (-0.9 mm; SD: 0.45) than IG (-0.4 mm; SD: 0.61) at 3 months (p < .05). No difference between the groups was observed after 6 months (p = .610). CG decreases space at 6 months, especially with the first permanent molars without intercuspation (-2 mm; SD: 0.71; p = .007).</p><p><strong>Conclusion: </strong>Premature lower PM loss resulted in reduced arch space loss after 6 months, regardless of a space maintainer use. CG showed more loss of space when the first permanent molars lacked intercuspal relationship.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792440","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}