Andrew Biggadike, Penelope Shirlaw, Joanna Johnson
{"title":"Beyond the Audit Cycle: Using Quality Improvement Data to Inform Dental Commissioning","authors":"Andrew Biggadike, Penelope Shirlaw, Joanna Johnson","doi":"10.1111/ipd.70121","DOIUrl":"https://doi.org/10.1111/ipd.70121","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 S1","pages":"S38-S41"},"PeriodicalIF":2.2,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148878369","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 Flexible Commissioning on Access and Sustainability in Paediatric Dentistry","authors":"Olivia Thompson, Elizabeth O'Sullivan","doi":"10.1111/ipd.70122","DOIUrl":"https://doi.org/10.1111/ipd.70122","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 S1","pages":"S42-S44"},"PeriodicalIF":2.2,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148878309","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, Nitiporn Thaisiam, Thamonwan Phooamornrat, Patarasaya Soontornruengyot, 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> < 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, 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}
Carolina Loch, Dorothy H. Boyd, Paul Richter, Imtithal Al-Mahruqi, Maryam Al-Adawi, Miqat Al-Sabahi, Shahad Alismaily, Lyndie A. Foster Page
{"title":"Microstructural Analysis of Carious Lesion Progression Beneath Hall Technique and Conventional Stainless-Steel Crowns in Children","authors":"Carolina Loch, Dorothy H. Boyd, Paul Richter, Imtithal Al-Mahruqi, Maryam Al-Adawi, Miqat Al-Sabahi, Shahad Alismaily, 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}
Yodsapat Paemanukornruk, Piyada Gaewkhiew, Yaowaluk Ngoenwiwatkul
{"title":"Clinical Comparison of School-Based Dental Sealant Programme Among Different Caries-Risk School Children: A 5-Year Follow-Up Study","authors":"Yodsapat Paemanukornruk, Piyada Gaewkhiew, 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 (> 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}
{"title":"Will Artificial Intelligence and Digital Impressions Erode the Art of Clinical Intuition?","authors":"Abdul Rauf Badrul Hisham","doi":"10.1111/ipd.70109","DOIUrl":"10.1111/ipd.70109","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"727-728"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368444","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}