Journal of dentistry最新文献

{"title":"Corrigendum to \"Evaluating the accuracy of 16 intraoral scanners against 3 laboratory scanners and 2 conventional techniques in a partial implant situation: An in vitro study\" [Journal of Dentistry, Available online 27 February 2026, 106591].","authors":"Emre Diker, Hakan Terzioglu","doi":"10.1016/j.jdent.2026.106965","DOIUrl":"10.1016/j.jdent.2026.106965","url":null,"abstract":"","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"106965"},"PeriodicalIF":5.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a toothpaste containing titanium tetrafluoride and chitosan on enamel and dentin demineralization in an in vitro microcosm biofilm model.","authors":"Monique Malta Francese, Rafaela Ricci Kim, Julia Pereira Bicalho, Hannah Zomignan Barros, Mariele Vertuan, Ana Carolina Magalhães","doi":"10.1016/j.jdent.2026.107029","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107029","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the anticariogenic effect and antibacterial activity of a titanium tetrafluoride (TiF₄)/chitosan (Ch) toothpaste on enamel and dentin demineralization in an in vitro microcosm biofilm model.</p><p><strong>Methods: </strong>Microcosm biofilm was produced from human saliva mixed with McBain saliva (0.2% sucrose) on bovine enamel and dentin for three days (5% CO₂, 37°C). The treatments were applied as slurry (1 × 60 s/day): 1) TiF₄/Ch (1400 ppm F⁻, 0.5% chitosan, 75% deacetylation, 500 mPas, pH 4.5); 2) TiF₄ (1400 ppm F^-, pH 4.5); 3) Ch (0.5% chitosan, 75% deacetylation, 500 mPas, pH 4.5); 4) Elmex® Caries Protection (GABA, Switzerland, 1450 ppm F^- as AmF, pH 4.5, positive control); 5) placebo (pH 7.0, negative control); and 6) phosphate-buffered saline (PBS, pH 7.2). Colony-forming units (CFU) count was performed for total microorganisms, Lactobacillus spp., and Streptococcus mutans/S. sobrinus. Demineralization was measured by transverse microradiography (TMR). Data were compared using Kruskal-Wallis/Dunn test (p < 0.05).</p><p><strong>Results: </strong>In enamel biofilm, TiF₄/Ch significantly reduced Streptococcus mutans/S. sobrinus compared to placebo, whereas in dentin biofilm, this effect was observed only for TiF₄ alone compared to both placebo and PBS. In enamel, TiF₄/Ch showed the lowest values of the integrated mineral loss (ΔZ) and lesion depth (LD), differing from Chitosan, Placebo and PBS groups. In dentin, similar performance was found for TiF₄ and Elmex® on ΔZ, but not on LD (Elmex® was similar to placebo). No performance difference was observed between TiF₄ and TiF₄/Ch under this model.</p><p><strong>Conclusions: </strong>In conclusion, toothpastes containing TiF₄ were able to reduce enamel and dentin demineralization in an in vitro microcosm biofilm model.</p><p><strong>Clinical relevance: </strong>TiF₄/Ch toothpaste reduced enamel and dentin demineralization under the present in vitro model, supporting its anticaries potential.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107029"},"PeriodicalIF":5.8,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive Accuracy of Caries Risk Assessment: A Systematic Review.","authors":"Rafikah Hasyim, Philip Eburne, Wahyuni Suci Dwiandhany, Praveen Sharma, Upen Patel, Melissa Grant","doi":"10.1016/j.jdent.2026.107016","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107016","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the predictive accuracy of single-factor, multi-factor, and machine learning-based caries risk assessment (CRA) methods in predicting caries risk among children and adults, updating the 2015 review.</p><p><strong>Data: </strong>The review was reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020, supplemented by relevant items adapted for prognostic accuracy reviews. Paired sensitivity and specificity data were extracted, and 2 × 2 contingency tables were reconstructed where necessary.</p><p><strong>Source: </strong>PubMed, Web of Science, Cochrane Library, Embase, and Scopus were searched from February 2015 to July 2025.</p><p><strong>Study selection: </strong>Studies evaluating CRA methods with a minimum 1-year follow-up and sufficient data to reconstruct a 2 × 2 table were included. Of the 7,332 records identified, 30 studies met the inclusion criteria; 16 contributed to the meta-analysis.</p><p><strong>Results: </strong>The full Cariogram in children demonstrated pooled sensitivity 72.10% and specificity 69.96%. Caries Management by Risk Assessment (CAMBRA) yielded a sensitivity of 67.65% and a specificity of 58.96% with substantial heterogeneity. The American Academy of Paediatric Dentistry (AAPD) CRA showed high sensitivity (95.56%) but very low specificity (5.12%), suggesting it may be more suitable for initial screening than for definitive risk stratification. Past caries experience demonstrated moderate predictive accuracy. Machine learning showed potential but lacked sufficient data for pooling.</p><p><strong>Conclusions: </strong>CRA methods demonstrate moderate predictive accuracy, with substantial variability across populations, tools, and study designs.</p><p><strong>Clinical significance: </strong>CRA methods should be used alongside clinical judgement. Further prospective validation and incorporation of objective biomarkers may improve future caries risk prediction.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107016"},"PeriodicalIF":5.8,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to \"Patient, Tooth, and Dentist Characteristics Associated with Multi-Visit Nonsurgical Root Canal Treatment: Findings from the National Dental Practice-Based Research Network\" [Journal of Dentistry 175 (2026) 106949].","authors":"Rahma Mungia, Ellen Funkhouser, Alan S Law, Donald R Nixdorf, Stanley H Asensio Ll, Grace T Chu, Gregg H Gilbert","doi":"10.1016/j.jdent.2026.106995","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.106995","url":null,"abstract":"","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"106995"},"PeriodicalIF":5.8,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A digital index for positioning and cyanoacrylate stabilization of an acellular dermal matrix in root coverage surgery: A technical proof of concept.","authors":"Enrico Zara, Fernando Zarone, Roberto Sorrentino, Carlo Raffone, Francesco Gianfreda, Gennaro Ruggiero","doi":"10.1016/j.jdent.2026.107015","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107015","url":null,"abstract":"<p><strong>Objective: </strong>To describe a technical proof-of-concept workflow using a patient-specific digital index as a physical intraoperative reference for positioning a porcine acellular dermal matrix and limited peripheral application of an n-butyl-2-cyanoacrylate-methacryloxy sulfolane surgical adhesive (Glubran 2; GEM Srl, Viareggio, Italy) to maintain the clinically selected matrix position during root coverage surgery.</p><p><strong>Materials and methods: </strong>Standardized photographs and an intraoral scan were used for virtual planning. A tooth-supported matrix-positioning index was designed and fabricated by vat photopolymerization and used as a physical reference for extraoral matrix trimming and intraoperative positioning. The fully hydrated matrix was adapted within the indexed boundaries and stabilized with discrete peripheral adhesive microdroplets while the central matrix-to-bed interface was kept free of adhesive.</p><p><strong>Results: </strong>The index seated passively and provided a physical reference for the planned matrix boundaries. The matrix remained clinically stable during index removal, flap advancement, and suturing. Baseline and 1-year clinical measurements are reported for descriptive context; no quantitative index-transfer accuracy assessment was performed.</p><p><strong>Conclusions: </strong>This single-patient technical proof of concept showed that a patient-specific index could be used as an intraoperative reference for matrix positioning, with limited peripheral cyanoacrylate stabilization before flap closure.</p><p><strong>Clinical significance: </strong>A patient-specific index may provide a physical reference for planned matrix positioning, while limited peripheral cyanoacrylate may help maintain matrix stability before flap closure.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107015"},"PeriodicalIF":5.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Material selection for direct restorations: Trends among Norwegian dentists from 2015 to 2024.","authors":"Torgils Lægreid, Arne Lund, Tom Paulseth, Nils Roar Gjerdet","doi":"10.1016/j.jdent.2026.107030","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107030","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate Norwegian dentists' use of restorative materials and techniques for Class II restorations over a nine‑year period (2015-2024), following the national transition to non‑amalgam restorative dentistry.</p><p><strong>Methods: </strong>A questionnaire survey was administered to dentists attending operative dentistry continuing‑education courses at 16 locations in Norway between 2015 and 2024. Participants recorded diagnostic information, restorative procedures and materials for Class II restorations during five working days. In total, 5056 restorations from 581 dentists were included.</p><p><strong>Results: </strong>Resin-based composite was used in 94.4% of the restorations, with a strong preference for conventional composites over bulk‑fill versions. One‑third of the restorations involved multi‑material layering, most frequently with bulk‑fill flowable composites as base materials. The use of protective pulpal liners declined from 16% to 6% over time. Adoption of universal adhesives increased markedly from 10% in 2015 to 60% in 2024. Rubber dam isolation was used in 7% of the procedures, with most clinicians relying on cotton rolls or pads.</p><p><strong>Conclusions: </strong>Norwegian dentists have almost entirely transitioned to conventional composite materials for Class II restorations, with growing adoption of multi-material layering and universal adhesives. Use of pulpal liners declined substantially over the study period.</p><p><strong>Clinical significance: </strong>These findings provide a comprehensive overview of national restorative practices and highlight key trends relevant for clinical training, guideline preparation, and future research and development of restorative materials and techniques.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107030"},"PeriodicalIF":5.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tridimensional Ridge Augmentation with Digital Customized Titanium Mesh: Radiological and Histological Evaluation. A Case Series.","authors":"Franco Motta, Francesca Baldi, Fausto Fiori, Elisabetta Bellia, Domenico Baldi","doi":"10.1016/j.jdent.2026.107017","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107017","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the three-dimensional bone regeneration achieved with digitally customized titanium meshes in patients presenting Cawood and Howell Class V defects, 8 months after surgery.</p><p><strong>Methods: </strong>This retrospective clinical case series included 9 patients with severe alveolar ridge atrophy (Cawood and Howell Class V), who underwent guided bone regeneration using customized titanium meshes at 10 surgical sites (8 mandibular and 2 maxillary). Meshes were designed through a fully digital workflow based on cone-beam computed tomography (CBCT) data and manufactured using Direct Metal Laser Sintering (DMLS). This approach allowed accurate preoperative planning, optimal adaptation of the mesh, smooth and rounded margins, intrinsic stability, and reduced intraoperative time. Surgical procedures were performed with careful flap management to achieve tension-free primary closure. Clinical and histological outcomes were assessed at 8 months postoperatively.</p><p><strong>Results: </strong>No cases of mesh exposure, infection, or graft failure were observed. The mean vertical bone gain was 5.18 ± 1.82 mm, while the mean horizontal bone gain was 7.27 ± 1.74 mm. The mean regenerated bone volume was 1.25 ± 0.67 cm³. Histological analysis revealed vital, well-vascularized bone in direct contact with residual graft material.</p><p><strong>Conclusions: </strong>Within the limitations of this retrospective case series, customized titanium meshes were associated with measurable three-dimensional bone gain in Cawood and Howell Class V defects. These preliminary findings support the feasibility of this patient-specific digital approach and warrant further investigation in larger prospective studies with appropriate control groups.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107017"},"PeriodicalIF":5.8,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective associations between household secondhand smoke exposure across critical developmental windows and early childhood caries: a birth cohort study.","authors":"Chenjinyu Du, Zhihong Duan, Xuemei Ma, Su Liu, Xiaoli Zeng, Ying Zhang, Huijing Shi","doi":"10.1016/j.jdent.2026.107009","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107009","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries (ECC) is preventable, and household secondhand smoke (HSHS) is a modifiable risk factor. However, evidence regarding critical early-life exposure windows and potential sex differences in the association remains limited.</p><p><strong>Objective: </strong>To examine the associations between HSHS exposure from early fetal life to 24 months of age and ECC in preschool children, and to explore potential sex differences.</p><p><strong>Methods: </strong>Data from 2,431 mother-child pairs in the Shanghai Maternal-Child Pairs Cohort were analyzed. HSHS exposure was self-reported during early and late pregnancy and at 2, 6, and 24 months of age. ECC was clinically diagnosed at 3-5 years of age. Group-based trajectory modeling identified HSHS exposure patterns, and Cox proportional hazards models estimated associations between HSHS exposure and ECC.</p><p><strong>Results: </strong>Three distinct HSHS exposure trajectories were identified: Never Exposure (31.8%), Prenatal Decline-Postnatal Rebound (40.5%), and Persistently High Exposure (27.7%). Children in the latter two trajectories had a higher risk of ECC compared with those in the Never Exposure group (adjusted HR=1.23, 95% CI: 1.01-1.49; and adjusted HR=1.36, 95% CI: 1.12-1.66, respectively). Exposure at all assessed time points was associated with increased ECC risk, with the strongest associations observed during early pregnancy and at 24 months. Sex-stratified analyses showed significant associations among girls but not among boys.</p><p><strong>Conclusion: </strong>Early-life household secondhand smoke exposure was associated with an increased risk of early childhood caries in the overall study population, with significant associations observed among girls but not boys in sex-stratified analyses.</p><p><strong>Clinical significance: </strong>Assessment of household secondhand smoke exposure during early life may provide useful information for caries risk assessment and oral health counseling in preschool children.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107009"},"PeriodicalIF":5.8,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148879909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of Guide-Free, Mixed Reality-Assisted Patient Specific Implant Fixation for Maxillary Repositioning: A Cohort Study.","authors":"Liwei Huang, Haoning Li, Zhaokun Zhu, Yao Liu, Ruiye Bi, Ze He, En Luo","doi":"10.1016/j.jdent.2026.107013","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107013","url":null,"abstract":"<p><strong>Objective: </strong>To develop a mixed reality (MR)-assisted, guide-free workflow for patient-specific implant (PSI)-based maxillary fixation and evaluate its positioning equivalence and procedural efficiency relative to conventional guide-assisted PSI fixation.</p><p><strong>Methods: </strong>In this non-randomized cohort study, 28 patients undergoing Le Fort I osteotomy independently selected their preferred workflow after receiving detailed information on both approaches and were categorized according to the workflow received. MR navigation guided osteotomy lines and screw-hole positioning in the MR-assisted group, whereas conventional surgical guides were used in the guide-assisted group. Equivalence was assessed using two one-sided tests (TOST), with margins of ±0.5 mm for translational and ±1.0° for rotational outcomes.</p><p><strong>Results: </strong>All 90% confidence intervals (CIs) for between-group differences in translational and rotational positioning errors were entirely within the prespecified equivalence margins, supporting statistical equivalence within these bounds. Small directional offsets were observed for A-X (mean difference, -0.206 mm), UL6-Y (0.168 mm; 90% CI, 0.070-0.267 mm), and yaw (0.159°; 90% CI, 0.017-0.302°), although all remained within the equivalence margins. Preoperative preparation time and mean Le Fort I segment time were reduced in the MR-assisted group, which also required fewer intraoperative adjustments (2.29 ± 1.49 vs. 4.29 ± 1.20; P = 0.0006).</p><p><strong>Conclusion: </strong>MR-assisted, guide-free PSI fixation showed positioning outcomes statistically equivalent to guide-assisted fixation within the prespecified margins and was associated with greater procedural efficiency.</p><p><strong>Clinical relevance: </strong>MR-assisted, guide-free PSI fixation may reduce reliance on surgical guides while maintaining between-workflow positioning differences within prespecified equivalence bounds.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107013"},"PeriodicalIF":5.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148874349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral health status, oral health-related behaviours, and oral microbiota in child-mother and child-father pairs.","authors":"Ni Zhou, Yao Wu, Hai Ming Wong","doi":"10.1016/j.jdent.2026.107006","DOIUrl":"https://doi.org/10.1016/j.jdent.2026.107006","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the oral health status, oral health-related behaviours (OHB), and oral microbiota between preschool children and their parents.</p><p><strong>Methods: </strong>This cross-sectional study recruited 294 families. The caries and oral hygiene status of children and parents were assessed by calibrated dentists. Plaque samples collected from children with severe early childhood caries and their parents were analysed using 16S rRNA sequencing. OHB was collected via questionnaires. Bivariate analysis, Principal Coordinates Analysis, Binary Logistic Regression, Spearman's rank correlation, and Pearson correlation were performed.</p><p><strong>Results: </strong>Children's caries status was correlated with fathers' (r_s=0.30, 95%CI:0.10-0.47, p=0.002, n=103 pairs) and mothers' caries status (r_s=0.29, 95% CI:0.16-0.41, p< 0.001, n=215 pairs). Higher odds of caries were observed among children whose fathers (OR = 4.67, 95%CI:1.74-12.49, p = 0.002) or mothers (OR = 2.63, 95% CI:1.30-5.33, p = 0.007) had caries. The proportion of children who established favourable OHB was higher among children whose fathers (p=0.002) or mothers (p<0.001) had favourable OHB. Children's toothbrushing duration was correlated with fathers (r_s =0.58,95% CI: 0.41-0.72, p<0.001, n=78 pairs) and mothers (r_s=0.55,95% CI: 0.45-0.64, p<0.001, n=207 pairs), while snacking frequency was solely correlated with mothers (r_s=0.45,95%CI:0.33-0.56, p<0.001). Likewise, the relative abundance of Porphyromonas gingivalis (r_s = 0.45, 95% CI: 0.16, 0.68, adjusted p = 0.009) and Streptococcus sobrinus (r_s = 0.42, 95% CI: 0.12, 0.65, adjusted p = 0.021) were correlated only in child-mother pairs.</p><p><strong>Conclusion: </strong>Children's caries status, OHB, and oral microbiota were associated with those of their parents. Exploring family-centered health promotion strategies is recommended.</p><p><strong>Clinical significance: </strong>Children's caries status, establishment of favourable oral health-related behaviours, and oral microbial profiles were associated with those of their parents, particularly mothers. Early childhood caries management should focus not only on the child but also on parents. Enhancing parental engagement and family cohesion may contribute to better child health outcomes.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"107006"},"PeriodicalIF":5.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148874378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}