{"title":"Oral findings in a patient with Alexander disease: A case report","authors":"Musashi Sawada , Chihiro Takasaki , Satoshi Tokura , Yasutaka Yawaka","doi":"10.1016/j.pdj.2024.06.002","DOIUrl":"10.1016/j.pdj.2024.06.002","url":null,"abstract":"<div><div><span>Alexander disease<span> (AxD) is a rare neurodegenerative disorder caused by mutation of the </span></span>glial fibrillary acidic protein<span><span> gene. AxD is characterized by severe motor impairment, intellectual disability, epilepsy, megalencephaly, and </span>seizures<span><span><span>. Although palatal tremor and palatal myoclonus<span> have been reported, no other oral findings in AxD patients have been described. Here, we report oral findings from house call dentistry for a 14-year 3-month-old child with AxD. Intraoral findings included </span></span>gingival hyperplasia<span><span>, partially impacted teeth, delayed eruption, </span>enamel hypoplasia<span><span>, macroglossia, anterior </span>open bite, and low </span></span></span>tongue posture. This is the first report of oral findings for an AxD patient.</span></span></div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 182-185"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Differences in perception of general anesthesia for pediatric dental treatment between pediatric dentists and dental anesthesiologists in Japan","authors":"Tomoka Matsumura , Shigeru Maeda , Tsutomu Iwamoto , Takehiko Iijima","doi":"10.1016/j.pdj.2024.06.001","DOIUrl":"10.1016/j.pdj.2024.06.001","url":null,"abstract":"<div><h3>Introduction</h3><div><span><span>In Japan, the use of general anesthesia for </span>dental treatment (GAD) is common in patients with intellectual disabilities. However, GAD in uncooperative </span>pediatric patients without intellectual disabilities is uncommon.</div></div><div><h3>Aim</h3><div>This study aimed to test the hypothesis that the variance in acceptance of GAD between pediatric dentists and dental anesthesiologists contributed to its limited use in uncooperative children.</div></div><div><h3>Materials and methods</h3><div>A questionnaire-based survey was administered to dentists certified by the Japanese Society of Pediatric Dentistry (JSPD) and the Japanese Society of Dental Anesthesiologists (JDSA). The questionnaire included questions regarding the implementation and understanding of general anesthesia and sedation in children. The responses from both groups were compared.</div></div><div><h3>Results</h3><div>The results showed that 63% of the JDSA group believed that restraints in dental treatment negatively affect intellectual development, compared to only 37% of the JSPD group. Additionally, 84% of the JDSA group preferred GA as it avoids interruption of treatment for uncooperative pediatric patients, compared to only 42% of the JSPD group.</div></div><div><h3>Conclusion</h3><div>Dental anesthesiologists and pediatric dentists have different perceptions of GAD, and more communication is needed to establish optimal indications for GAD in pediatric patients.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 101-105"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Current knowledge regarding infective endocarditis prevention among dentists affiliated with the Japanese Society of Pediatric Dentistry","authors":"Tatsuya Akitomo , Tamami Kadota , Yuko Iwamoto , Rena Okawa , Takahiro Ohara , Masao Daimon , Chisato Izumi , Kenichi Yanagita , Ryota Nomura , Kazuhiko Nakano","doi":"10.1016/j.pdj.2024.09.001","DOIUrl":"10.1016/j.pdj.2024.09.001","url":null,"abstract":"<div><div>Infective endocarditis (IE) is a potentially fatal condition caused by bacterial growth on heart valves. Bacteremia-inducing dental procedures are key factors contributing to IE development. Congenital heart disease, the most common risk factor for IE in children, may require antibiotic prophylaxis before invasive dental procedures. In Japan, guidelines for IE prevention were updated in 2018 (The JCS2017 guidelines). However, the current understanding of IE prevention among Japanese dentists remains unclear. We invited members of the Japanese Society of Pediatric Dentistry to participate in a survey regarding IE prevention; in total, 313 responses were received. Over 90% of respondents administer antibiotics for IE prevention, and nearly 80% limit prophylaxis to patients at high risk for IE. Most respondents indicated that invasive dental procedures require antibiotic prophylaxis only in patients at risk for IE. More than 80% of dentists reported using oral amoxicillin as a prophylactic antibiotic, and approximately 60% administered a 50 mg/kg dose to pediatric patients 1 h before a dental procedure. Over 70% of respondents administered antibiotic prophylaxis based on guidelines or advice from medical doctors. Our findings demonstrate that most dentists affiliated with the Japanese Society of Pediatric Dentistry understand appropriate antibiotic administration protocols for IE prevention in accordance with the JCS2017 guidelines, indicating a high level of interest in preventing dental procedure-related IE.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 129-135"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dilek Demir Kösem , Murat Bektaş , Neşe Ataman Bor , Harun Aşan
{"title":"The effect of virtual reality glasses used in dental treatment on anxiety and fear in children: A randomized controlled study","authors":"Dilek Demir Kösem , Murat Bektaş , Neşe Ataman Bor , Harun Aşan","doi":"10.1016/j.pdj.2024.09.003","DOIUrl":"10.1016/j.pdj.2024.09.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Virtual reality glasses can be used as a distraction method in dental practices for children. This study was carried out to evaluate the effect of virtual reality glasses used during tooth extraction and extirpation treatment under local anesthesia on anxiety and fear in children aged 7–10 years.</div></div><div><h3>Methods</h3><div>This study is a randomized controlled trial. The sample of the study consisted of 120 seven to ten-year-old children, including 60 in the EG and 60 in the CG, who received tooth extraction and extirpation treatment in the pediatric dental clinic. Data collection tools included the Children's Fear Scale, the Child Anxiety Scale-State. Data were analyzed using the Chi-square test, <em>t</em>-test, Shapiro-Wilk, mean and percentage distributions.</div></div><div><h3>Results</h3><div>The assessments made by the researcher and the children indicated a statistically significant difference between experimental and control groups in terms of their mean anxiety and fear scores following tooth extraction and extirpation treatment (p < 0.001). After tooth extraction and extirpation treatment, it was determined that the children in the EG had lower mean anxiety and fear scores than the children in the CG.</div></div><div><h3>Conclusion</h3><div>It was found that virtual reality glasses used during tooth extraction and extirpation treatment in children aged 7–10 years were effective in reducing their anxiety and fear levels. Virtual reality glasses can be used as a distracting method to relieve children's anxiety and fears during dental treatment procedures.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 136-142"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nguyen Hoai An, Vo Truong Nhu Ngoc, Tran Hau Bau, Nguyen Hoang Anh, Dang Trieu Hung
{"title":"Lower lip abscess by foreign body embedded after facial trauma and application of ultrasound in diagnosis: A case report","authors":"Nguyen Hoai An, Vo Truong Nhu Ngoc, Tran Hau Bau, Nguyen Hoang Anh, Dang Trieu Hung","doi":"10.1016/j.pdj.2024.10.003","DOIUrl":"10.1016/j.pdj.2024.10.003","url":null,"abstract":"<div><div>Oral and maxillofacial trauma frequently results in both hard and soft tissue injuries. This case report presents a 3-year-old patient who developed a lower-lip abscess due to foreign bodies two months post-trauma. Clinical examination revealed swollen masses in the skin and mucosa of the lower lip. After diagnosing the abscess, the foreign body was removed, leading to full recovery. This case emphasizes the importance of thorough clinical examination, detailed medical history, appropriate paraclinical testing, and the use of ultrasound as a superior diagnostic tool, given its safety, non-invasiveness, and diagnostic efficacy, especially when X-rays are inconclusive.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 3","pages":"Pages 196-200"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ricardo Alves Meireles , José Eugênio Teixeira Rocha , Juliana Ribeiro Francelino Sampaio , Francisco Claudeni Pereira de Sousa , Henrique Douglas Melo Coutinho , Roberto Flávio Fontenelle Pinheiro Júnior
{"title":"Treatment of pattern III with maxillary protraction supported by mini-implants (MAMP technique)","authors":"Ricardo Alves Meireles , José Eugênio Teixeira Rocha , Juliana Ribeiro Francelino Sampaio , Francisco Claudeni Pereira de Sousa , Henrique Douglas Melo Coutinho , Roberto Flávio Fontenelle Pinheiro Júnior","doi":"10.1016/j.pdj.2024.11.004","DOIUrl":"10.1016/j.pdj.2024.11.004","url":null,"abstract":"<div><div>In the type III facial growth pattern, craniofacial disharmony is observed, which may be a maxillary retrusion or mandibular advancement as the most diagnosed postures. This case report aims to report the use of the technique (MAMP) in a patient, who is diagnosed with a growing type III facial and skeletal pattern, as well as its efficacy and adverse effect. For the treatment, the hybrid palatine circuit breaker with mini implants were used, associated with mini mandibular implants, joined by class III elastic. Obtaining satisfactory skeletal result for treatment of pattern III in patients in the final phase of growth.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"35 1","pages":"Article 100333"},"PeriodicalIF":0.6,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the combined effect of type of instrumentation systems and obturating materials on the outcome of pulpectomized primary molars-A comparative randomized clinical trial","authors":"K.L. Girish Babu, Kavyashree Gururaj Hebbar","doi":"10.1016/j.pdj.2024.05.002","DOIUrl":"10.1016/j.pdj.2024.05.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The application of rotary instrumentation is successful in removing the smear layer and significantly decreasing the root canal microflora, along with superior and consistent obturation in primary teeth. The obturating materials are effective against resistant root canal microflora due to their antimicrobial properties. <strong>Aim</strong>: To evaluate and compare the combined effect of the type of instrumentation and obturating material on the outcome of pulpectomized primary molars.</p></div><div><h3>Methods</h3><p>A total of 288 selected primary molars were randomly divided into three treatment groups (Group KS, HS and MF), according to the type of instrumentation used for cleaning and shaping of the root canals. Each group consisted of 96 teeth. In the groups KS, HS and MF, root canal instrumentation was carried-out with Kedo-SG Blue pediatric rotary files, HERO Shaper rotary files, and manual NiTi K-files, respectively. Following instrumentation, these three groups were further subdivided into 3 subgroups consisting of 32 teeth each and obturated using zinc oxide eugenol, Endoflas®, and DiaPex Plus®. The quality of the root filling was assessed immediately and evaluated both clinically and radiographically over a two-year period.</p></div><div><h3>Results</h3><p>The quality of obturation was superior in the root canals instrumented with rotary file systems compared to manual files. The success rate was not statistically significant on the combination of different types of instrumentation file systems and obturating materials at the end of follow-up period.</p></div><div><h3>Conclusion</h3><p>The outcome of pulpectomized teeth is not significantly influenced by the advanced physical characteristics of rotary files and the chemical and biological qualities of the obturating materials.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 2","pages":"Pages 77-86"},"PeriodicalIF":0.8,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship between early childhood caries and parents' knowledge and attitudes towards primary teeth","authors":"Esra Sahin, Ebru Hazar Bodrumlu","doi":"10.1016/j.pdj.2024.05.001","DOIUrl":"10.1016/j.pdj.2024.05.001","url":null,"abstract":"<div><h3>Introduction</h3><p>This study aims to assess the correlation between parents' knowledge of primary teeth and early childhood caries (ECC).</p></div><div><h3>Methods</h3><p>A study questionnaire consisting of 27 statements was presented to the parents of 500 children aged 0–6 years to obtain their responses. The dmft (decayed, missed, and filled teeth) index values of the children were also recorded.</p></div><div><h3>Results</h3><p>The average number of correct answers was 16.41. There was a statistically significant difference in the relationship between parents' knowledge levels and their children's ECC diagnoses. The knowledge levels of parents whose children did not have caries were found to be higher (p < 0.001). There was a statistically significant relationship between the parents' knowledge level and their gender, educational status, occupation, income status, and child's age (p < 0.05).</p></div><div><h3>Conclusion</h3><p>Increased parental knowledge of the importance of primary teeth has a positive relationship with a child's oral health, which can be influenced by sociodemographic characteristics.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 2","pages":"Pages 70-76"},"PeriodicalIF":0.8,"publicationDate":"2024-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"High-performance silica-containing professional mechanical tooth-cleaning paste that effectively adsorbs pigments","authors":"Tatsuya Akitomo , Satoru Kusaka , Mariko Kametani , Chieko Mitsuhata , Shuhei Naka , Michiyo Matsumoto-Nakano , Kazuhiko Nakano , Ryota Nomura","doi":"10.1016/j.pdj.2024.03.004","DOIUrl":"10.1016/j.pdj.2024.03.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Pastes for professional mechanical tooth cleaning (PMTC) that contain abrasive ingredients can damage the surface of a tooth. A PMTC paste containing silica was recently developed as an adsorption material.</p></div><div><h3>Materials and methods</h3><p>We assessed the effectiveness with regard to on stain deposition of a novel PMTC paste containing high-performance silica (HPS) comprising porous ultra-fine particles. We also compared the pigment adsorption capability of HPS with that of ordinary silica.</p></div><div><h3>Results</h3><p>When PMTC solutions were added to hydrated lime stained with coffee or rooibos tea, a PMTC solution containing HPS was more effective with regard to stain removal than other PMTC solutions without HPS. In addition, stain-preventive effect of the PMTC paste containing HPS was also higher than that of the PMTC paste without HPS. When HPS and ordinary silica were immersed in food-coloring additives, HPS was more adasorptive than ordinary silica, especially with regard to high-molecular-weight pigments. Furthermore, HPS was significantly more adsorptive than ordinary silica 5 min after exposure to coffee and 24 h after exposure to rooibos tea (<em>P</em> < 0.05).</p></div><div><h3>Conclusion</h3><p>Our results suggest that PMTC paste containing HPS effectively adsorbs pigments and can remove staining and prevent stain deposition without polishing teeth.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 2","pages":"Pages 62-69"},"PeriodicalIF":0.8,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral health practices and challenges facing parents of autistic children in the Western Cape (2021)","authors":"Rayan Omer , Nadia Mohamed , Craig Peck","doi":"10.1016/j.pdj.2024.03.001","DOIUrl":"10.1016/j.pdj.2024.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Periodontal status and oral hygiene practices are found to be deficient in autistic children. This is attributed to challenges in oral health practices at home and the ability to provide dental treatment in the clinic.</p></div><div><h3>Aim</h3><p>The aim of this research was to identify and understand parental challenges regarding oral health practices of autistic children at home and to identify the barriers related to dental treatment.</p></div><div><h3>Methods</h3><p>This cross-sectional study included 54 parents of Autism Spectrum Disorder (ASD) children attending autism support group centres in the Western Cape. Data collection was completed through a structured online questionnaire. The questionnaire was comprised of socio-demographics, pharmacotherapeutic treatment of the child, oral health challenges faced by parents at home, and oral health challenges in the dental clinic.</p></div><div><h3>Results</h3><p>Parental assistance of children during daily tooth brushing was reported by 59% of participants and the absence of flossing was particularly evident (90.7%). In the dental clinic, 58% of the parents described the child's behaviour as uncooperative. The majority of parents reported irregular visits to the dentist with extractions being the most commonly performed procedure. Options for treatment under sedation or general anaesthesia were more readily acceptable among parents of autistic children.</p></div><div><h3>Conclusion</h3><p>Findings suggest that children with ASD require long-term assistance with daily oral hygiene practices. The clinical environment represents an anxiety-provoking space and the uncooperative behaviour of children with ASD is the main barrier to dental treatment.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"34 2","pages":"Pages 55-61"},"PeriodicalIF":0.8,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0917239424000119/pdfft?md5=dc6fa57aabd62fafdef2e2ef5611a091&pid=1-s2.0-S0917239424000119-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140268653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}