International journal of paediatric dentistry最新文献

{"title":"Dental Pediatric Radiology: Toward a Comprehensive and Multidisciplinary Field","authors":"Tulin Tasdemir, Katibe Tugce Temur","doi":"10.1111/ipd.70102","DOIUrl":"10.1111/ipd.70102","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"723-724"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217702","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 Various Pain Control Methods in Managing MIH—A Systematic Review and Meta-Analysis","authors":"Mohammed B. Q. Alfarra,&nbsp;Tarun Walia,&nbsp;Mawada Abdelmagied,&nbsp;Elias Berdouses,&nbsp;Raghavendra Shetty,&nbsp;Kusai Baroudi,&nbsp;Raghad Hashim,&nbsp;Murugan Muthu","doi":"10.1111/ipd.70107","DOIUrl":"10.1111/ipd.70107","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pain management in children with molar–incisor hypomineralisation (MIH) presents a significant challenge, as affected teeth often respond poorly to local anaesthesia due to altered enamel and heightened pulp sensitivity. Overcoming these difficulties is crucial to achieving effective dental outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the effectiveness of pharmacological, desensitising and behavioural strategies for pain control in children and adolescents with MIH.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic search of multiple electronic databases identified studies published between 2001 and 2024. Eligible designs included randomised controlled trials, randomised crossover studies and clinical trials. Risk of bias was assessed using Cochrane RoB 2 and ROBINS-I V2 tools and certainty of evidence graded with GRADEpro. A random-effects meta-analysis was conducted to assess anaesthetic success with 4% articaine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirteen studies were selected, with six included in the meta-analysis. Pooled success rates for 4% articaine were 0.849 for inferior alveolar nerve block and 0.915 for intraosseous injection. Findings suggest improved anaesthetic success compared with 2% lidocaine. Pre-emptive ibuprofen, laser desensitisation and virtual reality distraction also showed benefits for reducing pain and anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Current evidence suggests that an individualised, multimodal approach may improve pain management in children with MIH. However, further high-quality comparative studies are needed to guide clinical protocols.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>PROSPERO Registration: CRD42024474840</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"628-645"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345488","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":"Correction to “Effectiveness of a message service on child oral health practice via a social media application: A randomized controlled trial”","authors":"","doi":"10.1111/ipd.70105","DOIUrl":"10.1111/ipd.70105","url":null,"abstract":"<p>\u0000 <span>Choonhawarakorn, K.</span>, <span>Kasemkhun, P.</span>, and <span>Leelataweewud, P.</span> “ <span>Effectiveness of a message service on child oral health practice via a social media application: A randomized controlled trial</span>,” <i>International Journal of Paediatric Dentistry</i>, <span>35</span>, no. <span>2</span> (<span>2025</span>): <span>446</span>–<span>455</span>, https://doi.org/10.1111/ipd.13256.\u0000 </p><p>In the original article, an error was identified in two sections, namely the <i>Materials and Methods</i> section and the <i>Ethics Statement</i>.</p><p>The ethics approval number was <i>incorrectly</i> stated as follows:</p><p>“The study was approved by the Institutional Review Board of Dentistry/Faculty of Pharmacy, Mahidol University (No. MU-DT/PY-IRB 2022/DT083).”</p><p>The <i>correct</i> statement of both sections should read as follows:</p><p>“The study was approved by the Institutional Review Board of the Faculty of Dentistry/Faculty of Pharmacy, Mahidol University (No. MU-DT/PY-IRB 2022/042.2608).”</p><p>For reference, the official ethics approval certificates have been provided in the Additional File to confirm the correct ethics approval number (for verification purposes only and not for publication).</p><p>The authors apologize for this error and confirm that it does not affect the scientific conclusions of the article in any way.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345502","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":"Oral and Gut Microbiota in Individuals With Autism Spectrum Disorder: A Pilot Case–Control Study","authors":"Airi Iida,&nbsp;Yuki Toyota,&nbsp;Tatsuki Itagaki,&nbsp;Yasutaka Yawaka,&nbsp;Akira Hasebe","doi":"10.1111/ipd.70095","DOIUrl":"10.1111/ipd.70095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Recent studies suggest that gut microbiota play important roles in individuals with autism spectrum disorder (ASD), potentially influencing the development and severity of the condition. Oral bacteria may be directly or indirectly involved in the biological and symptomatic aspects of ASD through their effect on gut microbiota.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This pilot study aimed to characterise compositional alterations in the oral and gut microbiota of individuals with ASD and to identify bacterial taxa in saliva and faeces that may serve as potential microbial indicators of ASD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Salivary and faecal samples were collected from 10 individuals with ASD and 10 typically developing controls. The oral and gut microbiota were evaluated using 16S ribosomal RNA marker-gene sequencing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results and Conclusion</h3>\u0000 \u0000 <p>Distinct features of the oral and gut microbiota were identified that differed between individuals with ASD and typically developing controls. Based on linear discriminant analysis effect size, the relative abundances of the genera <i>Neisseria</i> were higher in the oral microbiota of the ASD groups, whereas the genera <i>Faecalibacterium</i> were enriched in the gut microbiota. These findings highlight the potential relevance of the oral–gut–brain axis in ASD. Additionally, non-invasive sampling of saliva and faeces may be utilised for early ASD screening.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"646-656"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837718","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":"Dental and Dentofacial Findings in a Child With CHOPS Syndrome Managed Under General Anesthesia","authors":"Ceyda Kerimoglu,&nbsp;Merve Hayriye Kocaoglu,&nbsp;Nurhan Ozalp","doi":"10.1111/ipd.70100","DOIUrl":"10.1111/ipd.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>CHOPS syndrome is an extremely rare genetic disorder characterized by cognitive impairment, coarse facial features, heart defects, obesity, pulmonary involvement, and skeletal dysplasia. Although systemic features have been described, dental and dentofacial manifestations have not been previously reported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>An 11-year-old male diagnosed with CHOPS syndrome was referred with multiple dental caries. Extraoral examination revealed midface hypoplasia, thick eyebrows, broad forehead, large ears, and coarse facial appearance. Intraoral findings included a narrow and high palatal vault, enamel hypoplasia, and multiple carious lesions. Panoramic radiography demonstrated reduced bone mineralization and agenesis of all second premolars and Tooth 47. Due to limited cooperation associated with cognitive impairment, comprehensive dental treatment was performed under general anesthesia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This report highlights previously unrecognized oral and craniofacial features of CHOPS syndrome and emphasizes the importance of multidisciplinary planning and safe anesthetic management in affected children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"730-734"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015549","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":"Increasing Diagnosis of Enamel Hypomineralisation in a Sample of More Than 70 000 Children in the City of Zurich: Repeated Cross-Sectional Prevalence Analyses and a Retrospective Longitudinal Cohort Analysis","authors":"Timo Saxer,&nbsp;Safa Gharaviroudsari,&nbsp;Valeria Diener,&nbsp;Daniel Wiedemeier","doi":"10.1111/ipd.70110","DOIUrl":"10.1111/ipd.70110","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The prevalence of molar-incisor hypomineralisation (MIH) has garnered increasing attention, with a likely association to hypomineralised second primary molars (HSPM).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To elucidate the prevalence of MIH and its association with HSPM.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This retrospective observational study combined repeated cross-sectional analyses with a retrospective longitudinal cohort analysis of over 70 000 children (851 685 observations) attending public schools in Zurich, Switzerland (2005–2019). Hypomineralised lesions in second primary and first permanent molars were assessed. Prevalence rates and sex differences were calculated using annual age-specific cross-sectional samples. Logistic and log-binomial regressions complemented by machine learning algorithms explored the longitudinal association between HSPM and MIH in children with records both at ages 5–7 and ≥ 8.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>HSPM prevalence in five-year-olds increased from 5% to 13% between 2005 and 2019. Hypomineralised permanent first molars in eight-year-olds increased from 12% to 21%. Children with HSPM were approximately twice as likely to develop hypomineralised permanent molars (OR = 2.3; 95% CI: 2.1–2.5; PR = 1.9; 95% CI: 1.7–2.0).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This large dataset confirms increasing HSPM and MIH diagnosis in Zurich between 2005 and 2019 and supports HSPM as a useful clinical indicator for elevated MIH risk. Limitations include study retrospectivity and potential examiner variability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"715-722"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390908","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":"Cross-Cultural Adaptation, Reliability and Validity of the Short Version of the Parenting Styles and Dimensions Questionnaire (PSDQ) for Spanish Populations","authors":"María Angeles Velló-Ribes,&nbsp;María Dolores Casaña-Ruiz,&nbsp;Ana Amparo Zaragoza-Fernández,&nbsp;Juan Ignacio Aura-Tormos,&nbsp;Jose María Montiel-Company,&nbsp;Montserrat Catalá-Pizarro","doi":"10.1111/ipd.70098","DOIUrl":"10.1111/ipd.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To translate, culturally adapt, and validate the short version of the Parenting Styles and Dimensions Questionnaire for use in Spanish populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted with parents of children aged 3–14 years attending private dental clinics, primary healthcare centers, and a university dental clinic. The adaptation process included forward translation, reconciliation, back-translation, expert review, and pilot testing. Psychometric evaluation of 334 valid responses was performed. Exploratory factor analyses examined the seven parenting dimensions and Baumrind's three parenting styles, and internal consistency was assessed using Cronbach's alpha.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Spanish version showed satisfactory structural validity, replicating the three parenting styles (authoritative, authoritarian, permissive) and a coherent seven-dimension structure after removing three items (25, 26, 28) to improve reliability. Subscale internal consistency was acceptable (<i>α</i> = 0.84 authoritative; 0.74 authoritarian; 0.63 permissive). The authoritative style was most prevalent (<i>M</i> = 4.35, SD = 0.45). The final instrument included 29 items and showed improved reliability (<i>α</i> = 0.548).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The short PSDQ was successfully translated and culturally adapted for Spanish-speaking parents, demonstrating adequate validity and reliability. The validated instrument provides a practical and culturally appropriate tool for assessing parenting behaviors, with applications in research, clinical practice, and pediatric dentistry.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"667-678"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856301","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":"Re: Effects of Preoperative Immersive and Non-Immersive Virtual Reality Exposure on Dental Anxiety in Children: A Randomised Controlled Trial","authors":"Adam Lowenstein,&nbsp;Rodrigo dos Santos Pereira,&nbsp;Carlos Fernando Mourão","doi":"10.1111/ipd.70103","DOIUrl":"10.1111/ipd.70103","url":null,"abstract":"","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"725-726"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148225138","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":"Association Between Exclusive Breastfeeding and Mixed Feeding With Craniofacial Growth in Infants Aged 0–6 Months: A Prospective Longitudinal Study","authors":"Laila Yaned González Bejarano,&nbsp;Nelson Alirio Cruz Gutiérrez,&nbsp;Luz Mery Hernández Molina,&nbsp;Beatriz Villamizar Carvajal","doi":"10.1111/ipd.70101","DOIUrl":"10.1111/ipd.70101","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Further studies are needed to better characterize the association between craniofacial growth and feeding methods in infants aged 0–6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the longitudinal association between feeding modality (exclusive breastfeeding versus mixed feeding) and craniofacial growth in infants aged 0–6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Study Design</h3>\u0000 \u0000 <p>Observational, analytical, longitudinal cohort study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Subjects</h3>\u0000 \u0000 <p>A total of 120 infants were evaluated four times.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcome Measures</h3>\u0000 \u0000 <p>Nine craniofacial variables were assessed: four width, two height, and three depth measurements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Statistical Analysis</h3>\u0000 \u0000 <p>Growth increments were estimated by feeding type, and linear mixed models were used to assess associations with craniofacial development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Exclusively breastfed infants showed greater increases in anthropometric and craniofacial measures compared with mixed feeding. Significant differences were observed in total craniofacial height (3.50 ± 0.08 vs. 3.25 ± 0.01 cm; <i>p</i> = 0.046), anterior facial height (2.08 ± 0.40 vs. 1.76 ± 0.07 cm; <i>p</i> = 0.016), maxillary depth (2.33 ± 0.04 vs. 2.21 ± 0.11 cm; <i>p</i> = 0.007), and mandibular depth (2.55 ± 0.02 vs. 2.41 ± 0.12 cm; <i>p</i> = 0.040).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Exclusive breastfeeding was associated with greater craniofacial growth from 0 to 6 months compared with mixed feeding, supporting its role in early craniofacial development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 5","pages":"679-688"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163238","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 and In Vitro Performance of Bioflx Crowns in Primary Teeth: A Systematic Review.","authors":"Sara Faisal Hamdy, Redhwan Saleh Al-Gabri, Omer Abd Al-Aziz Al-Wahbi, Abeer Sharafuddin, Mokhtar Al-Domeni, Abdelrahman Fadag, Sadeq Altayyar, Hanan Omar AboAlrejal, Husam Alofi, Ahmed Yaseen Alqutaibi","doi":"10.1111/ipd.70111","DOIUrl":"https://doi.org/10.1111/ipd.70111","url":null,"abstract":"<p><strong>Background: </strong>Stainless steel crowns (SSCs) are the standard for restoring severely damaged primary teeth, but esthetic concerns and metal hypersensitivity have driven interest in alternatives. Bioflx crowns (BFCs) are flexible, metal-free restorations with uncertain comparative performance.</p><p><strong>Aim: </strong>To evaluate the clinical and in vitro performance of BFCs versus SSCs, zirconia crowns (ZrCs), and other pediatric crown systems (Figaro, PEEK, Edelweiss, and graphene-based).</p><p><strong>Design: </strong>This PRISMA-based systematic review searched PubMed/MEDLINE, Scopus, Web of Science, Cochrane, Embase, and Google Scholar. Comparative clinical and in vitro studies were included. Risk of bias was assessed using Cochrane ROB-2 and modified CONSORT tools.</p><p><strong>Results: </strong>Twenty-six studies (nine clinical and 17 in vitro) were included. BFCs showed variable fracture resistance, favorable stress distribution, and less antagonist enamel wear than ZrCs, but lower, cement-dependent retention compared with SSCs. Clinically, BFCs demonstrated high short-term survival (> 90%), comparable gingival health, and higher parental satisfaction, with an overall low-to-moderate risk of bias.</p><p><strong>Conclusions: </strong>Bioflx crowns show promising short-term performance as an esthetic prefabricated option for primary teeth. Although SSCs remain superior in retention with conventional cementation, and Hall technique support is not yet validated for BFCs, BFCs offer esthetic, antagonist-preserving, and clinical efficiency advantages. Evidence remains limited, warranting cautious interpretation and long-term RCTs. Trial Registration This systematic review was prospectively registered in PROSPERO (CRD420251083036).</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520105","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}