{"title":"Do Psychosocial Resources Mitigate the Impact of Adverse Childhood Experiences in Oral Health-Related Quality of Life Among Adolescents","authors":"Thaís Gioda Noronha-Ramos, Jessica Klöckner Knorst, Thiago Machado Ardenghi, Bruno Emmanuelli, Bruna Brondani, Fernanda Tomazoni","doi":"10.1111/ipd.70081","DOIUrl":"10.1111/ipd.70081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adverse childhood experiences (ACEs) are associated with poorer general and oral health outcomes, but the psychosocial mechanisms underlying these associations remain unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study is to assess whether perceived social support and sense of coherence (SOC) moderate the association between ACEs and oral health-related quality of life (OHRQoL) among adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional study nested within a cohort of 406 adolescents aged 14–18 years from southern Brazil. OHRQoL was measured using the Child Perceptions Questionnaire (CPQ11-14), ACEs by the Adverse Childhood Experiences–International Questionnaire (ACE-IQ), perceived social support by a proxy question, and SOC by the 13-item Sense of Coherence Scale (SOC-13). Sociodemographic and behavioral variables were included as covariates. Poisson regression was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Adolescents exposed to ACEs and reporting low perceived social support had CPQ11-14 scores 1.48 (95% CI 1.26–1.74) times higher than peers without ACEs and with high support. Those with ACEs and low SOC had scores 2.5 times higher (95% CI 2.22–2.80). Adolescents with ACEs but higher perceived social support or SOC levels also exhibited higher CPQ11-14 scores, although with smaller impacts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings emphasize that psychosocial factors, such as perceived social support and SOC, may buffer the impact of ACEs on OHRQoL in adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 4","pages":"515-521"},"PeriodicalIF":2.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499006","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}
Siddhesh Ajgaonkar, Amarshree A. Shetty, Kavita Rai
{"title":"Weighted Blankets for Special Children: A Randomized Crossover Trial Investigating Effects on Dental Anxiety and Physiological Responses","authors":"Siddhesh Ajgaonkar, Amarshree A. Shetty, Kavita Rai","doi":"10.1111/ipd.70085","DOIUrl":"10.1111/ipd.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Dental anxiety poses a major challenge in managing children with intellectual and developmental disabilities (IDD), often exacerbated by sensory sensitivities. Weighted blankets, through deep touch pressure (DTP) stimulation, are believed to reduce stress via parasympathetic activation. This study evaluated the effectiveness of weighted blankets in reducing dental anxiety in children with mild IDD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A randomized crossover trial was conducted on 42 children (aged 6–14 years) with mild IDD. Custom-made weighted blankets (10% of body weight, filled with kitchen grains) were used. Participants attended two appointments 1 month apart—Group 1 received the blanket first, while Group 2 served as control, with roles reversed in the second visit. Physiological (pulse rate, blood pressure, oxygen saturation) and behavioral (Venham's Anxiety Rating Scale) parameters were recorded at baseline and during Atraumatic Restorative Treatment (ART).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Use of weighted blankets significantly reduced anxiety and physiological markers across both groups. Group 1 showed reductions in systolic/diastolic pressure (1.99/1 mmHg), pulse rate (4 bpm), improved oxygen saturation (+2.99%), and decreased anxiety scores (0.99). Group 2 showed similar trends when the blanket was introduced.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Weighted blankets offer a safe, non-pharmacological option to manage dental anxiety in children with mild IDD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>Clinical trial registration – Indian was done (CTRI/2023/06/054290) dated 26/06/2023</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 4","pages":"595-604"},"PeriodicalIF":2.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815334","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":"Same-Day Cancelations in Pediatric Patients Scheduled for Dental Restorations Under Deep Sedation: A One-Year Retrospective Analysis","authors":"Yasemin Akçaalan, Merve Hayriye Kocaoğlu","doi":"10.1111/ipd.70080","DOIUrl":"10.1111/ipd.70080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Same-day cancellations in pediatric dental sedation disrupt care delivery and lead to inefficient use of healthcare resources; however, their frequency and associated factors are underreported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To quantify same-day cancellation frequency and examine associations with potentially modifiable factors, including age and sedation session time, in relation to inadequate fasting and recent upper respiratory infection (URI) symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This single-center retrospective study reviewed children aged 2–14 years scheduled for dental treatment under sedation between August 2024 and August 2025. Same-day cancellations were included, while cases planned under general anesthesia and those with incomplete records were excluded. Cancellation reasons were categorized as inadequate fasting, recent URI symptoms, or other causes. Group comparisons were performed using Chi-square or Fisher's exact tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 763 scheduled patients, 86 were cancelled on the day of the procedure (11.3%). Recent URI symptoms accounted for 51.2% of cancellations, inadequate fasting for 26.7%, and other reasons for 22.1%. No differences were observed by sex, month, or season. Fasting-related cancellations were more frequent in the 13:30 session (<i>p</i> = 0.007). Cancellation reasons differed by age group (<i>p</i> = 0.017).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Recent URI symptoms and inadequate fasting were the most commonly observed reasons for same-day cancellation, with notable associations with age and session timing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 4","pages":"522-529"},"PeriodicalIF":2.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147511871","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}
Lara Ribeiro Feitosa Duailibe, Alanna Barros de Arruda, Patrick Pereira Garcia, Cyrene Piazera Silva Costa, Meire Coelho Ferreira
{"title":"Perception of Parents Regarding Oral Health-Related Quality of Life of Children With Epidermolysis Bullosa: A Cross-Sectional Study","authors":"Lara Ribeiro Feitosa Duailibe, Alanna Barros de Arruda, Patrick Pereira Garcia, Cyrene Piazera Silva Costa, Meire Coelho Ferreira","doi":"10.1111/ipd.70087","DOIUrl":"10.1111/ipd.70087","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Epidermolysis bullosa (EB) is a rare disorder characterized by recurrent blisters on the skin and oral mucosa, occurring spontaneously or after minor trauma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Evaluate the oral health status of children with EB and parents' perceptions of its impact on their child's and family's quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional study with age-matched groups was conducted with 42 children (14 with EB and 28 without EB), aged 2–10 years, along with their parents/guardians. Participants were recruited from a reference center and a school clinic. Data demographic and socioeconomic were collected. Oral health-related quality of life (OHRQoL) was measured using the Parental-Caregiver Perceptions Questionnaire (P-CPQ—short form) and Family Impact Scale (FIS). Oral examination included evaluation of gingival condition, malocclusions, dental caries, and oral lesions. Statistical analysis included Chi-square, Mann–Whitney, <i>t</i>-test, and Kruskal–Wallis tests (<i>α</i> = 5%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Children with EB had significantly higher gingival and plaque indices (<i>p</i> = 0.001; <i>p</i> < 0.001). Parents reported worse OHRQoL for children with EB, especially in “oral symptoms” and “functional limitations” (<i>p</i> < 0.001). FIS scores were similar between groups (<i>p</i> > 0.05). Oral lesions were significantly associated with poorer OHRQoL (<i>p</i> = 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Oral lesions were responsible for impacts experienced in children's daily lives, with significant negative effects occurring through symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 4","pages":"530-539"},"PeriodicalIF":2.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147592229","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":"Role of Artificial Intelligence in Pediatric Dentistry: An Umbrella Review","authors":"Ishika Garg, Shikha Gupta, Sunita Gupta","doi":"10.1111/ipd.70084","DOIUrl":"10.1111/ipd.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Artificial intelligence (AI) is increasingly applied in pediatric dentistry for caries detection, risk prediction, anomaly identification, and treatment planning. However, the quality, consistency, and overlap of evidence from existing systematic reviews have not been comprehensively evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To synthesize evidence from systematic reviews on AI in pediatric dentistry, focusing on diagnostic performance, methodological quality, and overlap of primary studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed/MEDLINE and the Cochrane Database of Systematic Reviews were searched up to 31 August 2025. Methodological quality was assessed using AMSTAR-2, and overlap was quantified using the corrected covered area (CCA) with the GROOVE tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven systematic reviews (109 primary studies) were included—four on early childhood caries, one each on dental anomalies, cleft lip and palate, and caries risk prediction. AI, particularly convolutional neural networks for imaging, achieved pooled sensitivities and specificities of 80%–83% and Area Under the Curve (AUCs) of 0.87–0.91. Most reviews were of low or critically low quality due to lack of protocol registration and limited bias assessment. GROOVE analysis indicated moderate overlap (CCA = 8.27%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>AI demonstrates promising diagnostic performance in pediatric dentistry, particularly for image-based tasks, but current evidence remains preliminary and should be interpreted with caution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>PROSPERO registration number: CRD420251142904</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 4","pages":"556-566"},"PeriodicalIF":2.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147638730","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}
Arwa M. Ghoneim, Karin M. L. Dowidar, Dalia M. Talaat
{"title":"Effectiveness of Digital Versus Conventional Impression on Discomfort and Dental Anxiety in Preschool Children (Randomised Controlled Clinical Trial)","authors":"Arwa M. Ghoneim, Karin M. L. Dowidar, Dalia M. Talaat","doi":"10.1111/ipd.70088","DOIUrl":"10.1111/ipd.70088","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Alginate impressions are often distressing for preschoolers and challenging for those with gag reflexes, making intraoral scanners a preferable alternative.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess and compare discomfort, dental anxiety, behaviour, and procedure time between intraoral scanning and alginate impressions in preschoolers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Sixty-six children aged 4–6 years were randomly allocated into two equal groups: digital impressions using an intraoral scanner (Group I) or conventional alginate impressions (Group II). Discomfort was assessed by the operator using a Visual Analogue Scale (VAS) and by children using a modified emoji-based VAS. Dental anxiety was measured using the Facial Image Scale (FIS), behaviour using Venham's Behaviour Rating Scale (VBRS), and procedure time was recorded with a digital stopwatch.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The digital impression group experienced significantly lower discomfort scores (<i>p</i> < 0.001), more cooperative behaviour (<i>p</i> = 0.025), and shorter procedure time (<i>p</i> < 0.001) compared with the conventional impression group. No statistically significant difference in dental anxiety was observed before and after digital scanning (<i>p</i> = 0.257), nor before and after alginate impression taking (<i>p</i> = 0.065).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Intraoral scanners appear to offer a more comfortable and quicker alternative for dental impressions in cooperative preschool children at their first dental visit, leading to better behavioural outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrials.gov identifier: NCT06623851</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 4","pages":"540-548"},"PeriodicalIF":2.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147592194","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":"Lived Experiences of Tooth Hypersensitivity in Children With Molar Incisor Hypomineralisation","authors":"Joana Monteiro, Fiona Gilchrist, Helen Rodd","doi":"10.1111/ipd.70093","DOIUrl":"10.1111/ipd.70093","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with molar incisor hypomineralisation (MIH) can suffer from intense tooth hypersensitivity (TH), which may adversely affect various aspects of their emotional, social, and functional wellbeing. As TH diagnostic tools are primarily adapted from adult research, there is a clear need for a deeper understanding of MIH-TH from a child-centred perspective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore how children with MIH perceive and experience TH within the context of their daily lives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Following ethical approval, audio-recorded, semi-structured interviews were conducted with children with MIH, aged between 6- and 16-years-old, followed by iterative thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen children were included (10 girls and 7 boys) with a mean age of 9 years and 7 months. All children had severe MIH, with between 1 and 10 affected teeth. Five main themes emerged: description of TH, triggers for TH, impact of TH, responses to TH, and <i>experience within the dental context and setting</i>. Children used rich language to convey their experiences of TH and its various impacts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Children with MIH described their experiences of TH, highlighting its considerable impact on their daily lives. Data from this study will inform the development of a TH-specific measurement tool for this patient group.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 4","pages":"605-616"},"PeriodicalIF":2.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815337","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":"Associations Between Oral Health Related Outcomes and Electronic Cigarette Use in Young People: A Scoping Review","authors":"Jessica Tran, Hollie Bendotti, Moya Vandeleur","doi":"10.1111/ipd.70090","DOIUrl":"10.1111/ipd.70090","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Vaping is prevalent among youth, but its effects on oral health remain poorly understood. Exposure to harmful chemicals and nicotine during this critical developmental period raises concerns for long-term oral health impacts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This scoping review synthesizes available evidence regarding oral health related outcomes of e-cigarette use in youth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An electronic search was conducted in MEDLINE (PubMed), CINAHL, Embase, and Web of Science for studies examining associations between vaping and oral health in people aged 12 to 24 years. Studies were limited to English, with no date restrictions. Title and abstracts were screened, with full-text review by two independent reviewers. Data extraction was completed by one reviewer and reviewed by all team members. Results were reported according to PRIMSA-ScR.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven studies met inclusion criteria. Associations between vaping and dental caries, xerostomia, gingival conditions, oral lesions, and fractured teeth were observed. Alterations to salivary and microflora composition were also reported. Despite these risks, knowledge of the adverse effects of vaping among youth was low.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although vaping is associated with various negative oral health-related outcomes in young people, the evidence is limited. Longitudinal studies with objective clinical measures are required to further clarify harm in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 4","pages":"577-584"},"PeriodicalIF":2.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698351","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}
Natalie Arshat, Fabio Arriola-Pacheco, Nashat Cassim, Maria Mylopoulos, Wendy Wardlaw, Glen Rodgers, Herenia P. Lawrence
{"title":"Healthcare Providers' Perspectives on Teledentistry Use in Supporting Oral Care of First Nations Children: A Qualitative Study","authors":"Natalie Arshat, Fabio Arriola-Pacheco, Nashat Cassim, Maria Mylopoulos, Wendy Wardlaw, Glen Rodgers, Herenia P. Lawrence","doi":"10.1111/ipd.70089","DOIUrl":"10.1111/ipd.70089","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Facilitating pediatric oral healthcare access in remote First Nations communities in Canada is a challenge due to costs, accessibility, and provider availability. A diverse healthcare workforce confronts this task and could benefit from teledentistry utilization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Understand the perspectives of healthcare providers in remote First Nations communities on the potential benefits of teledentistry to improve access to pediatric oral healthcare.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative descriptive study design was used to elaborate on the experiences of community-based healthcare providers. Semi-structured, one-on-one interviews were conducted virtually. Thematic analysis was applied to interview transcripts, which were then organized and categorized into recurring themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Dental professionals, nurses, and a paramedic participated in the study. Themes that emerged included “facilitating interprofessional collaboration, documentation, and communication”; “mitigating burden for patients and the system”; “delivering education”; and “concerns with feasibility.” Knowledge mobilization feedback from community members was confirmatory of the results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings suggest that teledentistry can be beneficial in supporting healthcare providers serving remote First Nations communities, where access to and sustainability of oral healthcare are a challenge. The favored response to teledentistry reflects that this medium could aid in addressing the management of the considerable levels of oral disease among the pediatric population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 4","pages":"567-576"},"PeriodicalIF":2.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689908","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}
Avi Zini, Lital Zecharyahu, Shirya Teitelbaum, Renzo Alberto Ccahuana-Vasquez, Hans Timm, Julie Grender, Esti Davidovich
{"title":"Plaque Reduction Efficacy of an Advanced Electric Toothbrush Compared with a Manual Toothbrush Among 6- to 10-Year-Old Children: Results From a 4-Week Randomised Controlled Trial","authors":"Avi Zini, Lital Zecharyahu, Shirya Teitelbaum, Renzo Alberto Ccahuana-Vasquez, Hans Timm, Julie Grender, Esti Davidovich","doi":"10.1111/ipd.70086","DOIUrl":"10.1111/ipd.70086","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>An advanced oscillating-rotating (OR) electric toothbrush was developed to help improve plaque control for paediatric patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess plaque reduction efficacy of an advanced OR electric toothbrush compared with a manual toothbrush among children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This was a 4-week randomised, controlled, two-treatment, parallel-group, examiner-blind clinical study. Sixty children, 6–10 years of age, were randomly assigned to a test group: 1) Advanced OR electric toothbrush (Oral-B iO2 with Gentle Care brush head) or a control group: 2) Manual toothbrush (Paro Junior Soft). Both groups brushed twice daily with a fluoridated dentifrice. Plaque was assessed at baseline and 4 weeks using the Turesky modification of the Quigley-Hein Plaque Index. Data were analysed with ANCOVA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixty participants were enrolled (30/group); mean (SD) age 7.7 (±1.33) years. Fifty-eight children completed the trial. At week 4, the test group had 51% greater whole mouth plaque reduction compared with the control group (0.67 versus 0.44; p = 0.003). The test group also had statistically significantly greater plaque reductions (<i>p</i> ≤ 0.021) than the control group in lingual, buccal, approximal, and molar subregions, ranging from 42%–64% greater.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The advanced OR electric toothbrush produced significantly greater plaque reductions compared with a manual toothbrush among a paediatric population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":"36 4","pages":"585-592"},"PeriodicalIF":2.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ipd.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771098","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}