Pediatric Dental Journal最新文献

{"title":"Clinical evaluation of the remineralizing effect of a mouthguard and paste containing S-PRG filler on white spot lesions","authors":"Keito Yoshiyasu,&nbsp;Noriko Wakamatsu,&nbsp;Mituo Iinuma,&nbsp;Issei Saitoh","doi":"10.1016/j.pdj.2023.01.001","DOIUrl":"10.1016/j.pdj.2023.01.001","url":null,"abstract":"<div><h3>Objectives</h3><p>White spot lesions (WSLs) are frequently observed on young permanent teeth. The aim of this clinical study was to evaluate the remineralizing effect of paste and a mouthguard containing surface pre-reacted glass-ionomer (S-PRG) filler by observing and measuring lesion area.</p></div><div><h3>Materials and methods</h3><p>A total of 14 children (age range, 8–16 years) with WSLs involving 74 teeth attending Asahi University Medical &amp; Dental Center were examined. Color- and size-matching stickers (Cas Match™, Bear Medic) were photographed with involved teeth. Mouthguards made of an S<em>-</em>PRG filler-containing ethylene-vinyl acetate sheet (sample; SHOFU) with S-PRG filler-containing paste (PRG Pro-Care Gel®; SHOFU) (PRG MG-Paste group) or without paste (PRG MG group; control) were applied to WSLs at bedtime.</p></div><div><h3>Results</h3><p><span>No teeth required restoration due to caries progression during the experimental period. Mean reductions in lesion area at 6 months after treatment in the PRG MG-Paste group and PRG MG group were 1.66 ± 1.84 mm</span>² and 0.81 ± 1.27 mm², respectively. Significant differences were observed between groups (<em>p</em> &lt; 0.05). No significant difference in area reduction was seen between kinds of teeth involved, although significant differences in area reduction were observed among individual subjects.</p></div><div><h3>Conclusion</h3><p>These results suggest that combined use of S-PRG filler-containing paste and a mouthguard is effective for remineralization of WSLs observed on numerous teeth.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"33 1","pages":"Pages 25-32"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42911942","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":"Investigation of the mechanism of chewing movement in children with developmental insufficiency of oral function","authors":"Risa Ikeda ,&nbsp;Akemi Utsumi ,&nbsp;Akiko Ishizaki ,&nbsp;Chihiro Ota ,&nbsp;Satoko Yamaguchi ,&nbsp;Shouji Hironaka ,&nbsp;Takahiro Funatsu","doi":"10.1016/j.pdj.2023.02.001","DOIUrl":"10.1016/j.pdj.2023.02.001","url":null,"abstract":"<div><h3>Aim</h3><p>We have previously reported that questionnaires and tongue pressure measurements are useful in the study of developmental insufficiency of oral function (DIOF). This study aimed to characterize the masticatory muscle activity of DIOF in children using electromyography to contribute to the future diagnosis and treatment of the disease.</p></div><div><h3>Methods</h3><p>This study included 41 children (16 boys and 25 girls) aged 5–6 years. A cordless electromyograph was attached to the shallow masseter muscle, and the participants freely chewed the chewing check gum 60 times in the chair-sitting position. The activity of the masseter muscle was recorded for 60 bites.</p></div><div><h3>Results</h3><p>The chewing cycle, maximal peak interval, and right-sided masseter muscle were found to be predominantly lower in the DIOF group than in the non-DIOF group. No significant differences were observed in the duration of chewing time and chewing interval between the two groups.</p></div><div><h3>Conclusions</h3><p>The electromyography measurements, as well as the comparison of muscle activity between the working and non-working sides, were found to be useful for the evaluation and treatment of DIOF.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"33 1","pages":"Pages 61-68"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42426207","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":"Adverse Childhood Experiences and utilization of dental care: A cross sectional study of children in the United States","authors":"Héctor E. Alcalá ,&nbsp;Amanda Ng ,&nbsp;Nicholas Tkach ,&nbsp;Maylene Navarra","doi":"10.1016/j.pdj.2022.09.003","DOIUrl":"10.1016/j.pdj.2022.09.003","url":null,"abstract":"<div><h3>Objectives</h3><p>To examine the relationship between Adverse Childhood Experiences (ACEs) and utilization and delay of dental care among children.</p></div><div><h3>Methods</h3><p>Using data from the 2018–2019 National Survey of Children's Health (n = 53,963) we examined the association between ACEs and 1) dental health; 2) use of dental care; 3) use of preventive dental care; 4) delaying needed dental care. Logistic regressions were used to calculate odds of each outcome, with nine ACEs and the cumulative number of ACEs as the independent variables each in separate models.</p></div><div><h3>Results</h3><p>After accounting for confounders, most ACEs were associated with higher odds of having poorer dental health. Similarly, most ACEs were associated with lower odds of using dental care and higher odds of delaying needed dental care.</p></div><div><h3>Conclusions</h3><p>This study expands the research showing a deleterious impact of ACEs on utilization of health care by showing that dental care is also adversely impacted. Efforts must be undertaken to improve access to dental care for children with a history of ACEs.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"32 3","pages":"Pages 204-210"},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49175949","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 status of patients with inherited bone marrow failure syndromes","authors":"Cansu Ozsin Ozler ,&nbsp;Seyma Mustuloglu ,&nbsp;Mustafa Cemaloglu ,&nbsp;Melek Dilek Turgut ,&nbsp;Meryem Uzamis Tekcicek ,&nbsp;Fatma Gumruk ,&nbsp;Sule Unal Cangul","doi":"10.1016/j.pdj.2022.06.003","DOIUrl":"10.1016/j.pdj.2022.06.003","url":null,"abstract":"<div><h3>Introduction/aim</h3><p><span><span>Inherited bone marrow failure syndromes (IBMFS), including </span>Fanconi anemia<span><span><span> (FA), Diamond-Blackfan anemia (DBA) and congenital neutropenia (CN), are rare diseases related to impaired hematopoiesis in different hematopoietic </span>cell lineages in the bone marrow. Oral health may be impaired in these patients related to the disease itself, due to </span>cytopenia, or related to the </span></span>drugs<span> the patients use, such as glucocorticoids. The present research was aimed to present the oral health status of patients with IBMFS.</span></p></div><div><h3>Methods</h3><p>This descriptive study was conducted with 27 children and adolescents (11 FA,9 DBA,7 CN). The data was collected via a structured and pre-tested questionnaire and by oral-dental examination clinically and, if needed, radiographically. Dental caries was evaluated with “Decayed, Missing, Filled Tooth/Surface indices (dmft/s, DMFT/S)” and “International-Caries-Detection-and-Evaluation-System-(ICDAS-II)”. The patients' oral hygiene and gingival health status were recorded with “plaque and gingival index”, respectively. Statistical analysis was carried out by using Statistical-Package-for-the-Social-Sciences-Version-20.0.</p></div><div><h3>Results</h3><p><span>Of all groups, 54% were found to have no regular teeth brushing habits; 21 patients (77.8%) had initial or cavitated dental caries according to ICDAS–II–index-system. There are various oral mucosal lesions (aphthous lesions, dry chipped lips, </span>angular cheilitis<span><span>, leukoplakia, hairy and geographic tongue) and dental abnormalities (microdontia, </span>taurodontism<span><span>, rotation, ankylosis<span>, hypoplastic teeth, germ deficiency, cingulum hypertropia, </span></span>dens invaginatus, pulp stones) were detected.</span></span></p></div><div><h3>Conclusions</h3><p>Extensive dental caries, gingival inflammation and inadequate oral hygiene status, showed the necessity of early dental visits. Adopting regular dental counseling as part of the multi-disciplinary team approach for patients with IBMFS is necessary to ensure better general and oral health.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"32 3","pages":"Pages 151-159"},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47172418","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":"Erosive effect of beverages on surface hardness and ultra-structure of deciduous teeth enamel","authors":"Abla Arafa ,&nbsp;Sahab Salah Filfilan ,&nbsp;Hoda A. Fansa","doi":"10.1016/j.pdj.2022.08.001","DOIUrl":"10.1016/j.pdj.2022.08.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To assess the erosive potential of commonly used beverages on the surface micro-hardness and ultra-structure of deciduous teeth enamel.</p></div><div><h3>Materials and methods</h3><p><span>A total of 52 human extracted deciduous molars were subjected to erosive challenge by cyclic immersion in four beverages: G1: artificial saliva, G2: strawberry-flavored milk, G3: orange juice, and G4: carbonated drink-Pepsi, for a 28- day pH cycling protocol. The enamel surface micro-hardness (SMH), and surface topography using a scanning electron microscope (SEM) were assessed at baseline, after two- and four-weeks of the erosive challenge. The SMH findings were statistically analyzed using the SPSS program at </span><em>p ≤</em> 0.05 significance.</p></div><div><h3>Results</h3><p>The pH of G4 and G3 showed significantly highly acidic pH. Both G4 and G3 showed the lowest SMH by four-week erosive challenge. By two-week erosive challenge, groups were ranked according to SMH as follows; G4 &lt;G3 &lt;G2 &lt;G1. However, SMH of both G4 and G3 yielded significantly lower values compared to G2 and G1 by four weeks. The SEM of G4 and G3 depicted advanced alteration of surface enamel with increased erosive challenge exposure time.</p></div><div><h3>Conclusion</h3><p>Carbonated soft drink (Pepsi) and orange juice showed high erosive potentiality affecting the enamel surface of deciduous teeth while milk-based beverage showed no difference from the artificial saliva.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"32 3","pages":"Pages 186-192"},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49500040","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 localization of the mandibular lingula in children: A retrospective CBCT study","authors":"Şelale Özel ,&nbsp;Aliye Tuğçe Gürcan","doi":"10.1016/j.pdj.2022.07.002","DOIUrl":"10.1016/j.pdj.2022.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to evaluate the anatomical localization of mandibular lingula in children aged between 6 and 18.</p></div><div><h3>Methods</h3><p>In this study, 192 children were included. Patients were divided into three groups according to the age range as follows: aged 6 to 9, aged 9 to 13 and aged 14 to 18. cone-beam computed tomography (CBCT) was used for linear measurements. Six reference points were measured to lingula in the study: posterior, anterior and inferior aspect of the ramus, sigmoid<span> notch, occlusal<span> plane and distal aspect of the first molar.</span></span></p></div><div><h3>Results</h3><p>In children aged 6–9 years, 10–13 years and 14–18 years; mean distances to the distal surface of the mandibular first molar<span> were 23.27 mm, 28.71 mm, 36.26 mm, respectively. The lingula moved in a superior direction with age. Mean distance to the occlusal plane were 0.575 mm, 0.96 mm, 2.61 mm in patients aged 6–9 years, 10–13 years, 14–18 years; respectively. Mean distances from the sigmoid notch among children at 6–9 age, 10–13 age and 14–18 age were found to be 14.49 mm, 17.81 mm and 19.62 mm; respectively.</span></p></div><div><h3>Conclusion</h3><p>Mandibular lingula was nearly the same level with occlusal plane aged between 6 and 14 (0.77 mm). In children 14–18 aged, lingula was approximately 2.61 mm above the occlusal plane. The parameters were found to be different in gender. It was found that the measurements were higher in males.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"32 3","pages":"Pages 171-175"},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43719807","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":"Can herbal products be alternative root canal irrigation solutions in primary teeth? An in vitro study","authors":"Semih Ercan Akgun ,&nbsp;Ipek Arslan ,&nbsp;Sema Aydinoglu ,&nbsp;Dilara Nil Gunacar ,&nbsp;Sengul Alpay Karaoglu ,&nbsp;Emine Yurteri ,&nbsp;Seyma Suyabatmaz","doi":"10.1016/j.pdj.2022.09.001","DOIUrl":"10.1016/j.pdj.2022.09.001","url":null,"abstract":"<div><h3>Objectives</h3><p><span>To evaluate antimicrobial properties<span> and smear layer removal efficiency of various plant extracts and apple cider </span></span>vinegar (AV).</p></div><div><h3>Methods</h3><p><span>A total of 112 primary molars roots were randomly divided into two groups (n = 56) for antimicrobial test and infected with </span><em>E faecalis</em> and <em>Candida albicans</em> then divided again into 7 groups (n = 8) as physiological saline (PS), NaOCI, white tea (WT), <em>Helichrysum arenarium</em> (HA), AV, <em>Citrus lemon</em><span> (CL), and Anzer thyme (AT). Disinfecting abilities were measured with ImageJ. In the smear layer removal efficiency test, prepared 70 roots were divided into 7 groups (n = 10) as in the antimicrobial test also 2 subgroups were designed as with or without EDTA usage (n = 5). All samples were examined under SEM. Open dentin tubule percentage was evaluated with ImageJ.</span></p></div><div><h3>Results</h3><p><span>HA and CL showed higher antibacterial activity against </span><em>E. faecalis</em><span> than PS (p = 0.038, p = 0.009) Antifungal activity of AV against </span><em>C. albicans</em> was higher than saline (p &lt; 0.001). AV in the coronal third and CL in the middle third removed more smear layer than saline and NaOCI (p &lt; 0.05). In the coronal region, HA and AV showed similar smear layer removal efficacy to NaOCl + EDTA (p &gt; 0.05). CL, HA, and AV presented statistically similar results to NaOCl + EDTA in smear layer removal efficacy in the middle region (p &gt; 0.05).</p></div><div><h3>Conclusions</h3><p>CL and AV have antimicrobial efficacy against <em>E. faecalis</em> and <em>C. albicans</em> respectively and smear layer removal activity.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"32 3","pages":"Pages 193-203"},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44265970","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":"Effects of mouthguard and paste containing S-PRG filler on remineralization of artificial subsurface carious lesions","authors":"Keito Yoshiyasu,&nbsp;Noriko Wakamatsu,&nbsp;Mituo Iinuma,&nbsp;Issei Saitoh","doi":"10.1016/j.pdj.2022.07.003","DOIUrl":"10.1016/j.pdj.2022.07.003","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this in vitro study was to evaluate the remineralization effects of ethylene-vinyl acetate (EVA) sheet (sample; SHOFU) and paste (PRG Pro-Care Gel®; SHOFU) containing surface pre-reacted glass-ionomer (S-PRG) filler.</p></div><div><h3>Materials and methods</h3><p>Extracted human premolars were decalcified to create subsurface carious lesions on the buccal side. Decalcified tooth specimens were then covered by EVA sheets with two different S-PRG filler contents either with application of paste (PRG MG-Paste and EVA MG-Paste groups) or without application of paste (PRG MG and EVA MG groups), then immersed in a remineralization solution. Control group teeth were not covered with any mouthguard and did not receive application of paste. Micro-CT (μCT) images of the teeth before and after the remineralization process were obtained to compare mineral gains. The percentage remineralization (%R) of each group was calculated using the mineral density (MD) profile from μCT. The microstructure of the tooth surface was observed under scanning electron microscopy, and constituent elements were examined using an electron probe micro-analyzer.</p></div><div><h3>Results</h3><p>The PRG MG group showed a significantly higher %R than the Control or EVA MG groups. The PRG MG-Paste group showed a significantly higher %R than the PRG MG group. In the PRG MG-Paste group, small precipitations were observed on tooth surface, and silica and aluminum were detected.</p></div><div><h3>Conclusion</h3><p>The combination use of S-PRG filler containing EVA sheet and PRG Pro-Care Gel exhibits a synergetic effect on remineralization of pre-cavitation carious lesions.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"32 3","pages":"Pages 160-170"},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55222539","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 remineralizing potential of hydroxyapatite, phosphopeptide-amorphous calcium phospahate and fluoride dentifrices using SEM/EDX analysis: A randomized controlled in-vitro study","authors":"Elis Mutlu ,&nbsp;Mikail Ozdemir ,&nbsp;Koray Gencay","doi":"10.1016/j.pdj.2022.07.001","DOIUrl":"10.1016/j.pdj.2022.07.001","url":null,"abstract":"<div><h3>Aim</h3><p><span>The aim of this study is to evaluate remineralization efficiency of hydroxyapatite (HA) containing </span>dentifrices<span> comparing to phosphopeptide-amorphous calcium phosphate (CPP-ACP) and fluoride (F) containing dentifrices using scanning electron microscope (SEM) and energy dispersive spectrometry (SEM/EDX).</span></p></div><div><h3>Material and methods</h3><p>3 × 3 mm²<span><span> areas on the buccal surfaces of extracted primary second molars were divided vertically into 3 sections as </span>demineralization<span>, control and remineralization surfaces. Control surfaces (1/3 middle) coated without any application. 1/3 left and right surfaces were subjected to demineralization solution. After this application 1/3 right surfaces were coated as demineralization surfaces. Then teeth were randomly separated in 3 groups (n = 10): group HA (Natural toothpaste, Splat®, Russia); Group CPP-ACP (MI Paste ONE®, GC, U.S.); group F (Oral-B® Kids, Oral-B, Germany). 1/3 right surfaces were brushed with dentifrices twice a day for one week with pH cycle. Coatings were removed. Surface evaluations were conducted by SEM and EDX. Mann Whitney U and Kruskal Wallis tests were used for statistical analysis.</span></span></p></div><div><h3>Results</h3><p>Both atomic (at%) and weight (wt%) percentages of P values were statistically significant for F group in remineralization surfaces comparing to demineralization surfaces. Ca at%, P at% and P wt% values were statistically significant for CPP-ACP group in remineralization surfaces. P at% and P wt% values for F group were higher in remineralization surfaces compared to all.</p></div><div><h3>Conclusion</h3><p>Remineralization was observed in all groups. Most homogeneous surface features were seen in group CPP-ACP.</p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"32 3","pages":"Pages 176-185"},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42762188","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":"Occurrence of subcutaneous emphysema during a caries filling procedure: A case report","authors":"Takashi Kikuiri ,&nbsp;Kureha Saito ,&nbsp;Airi Iida ,&nbsp;Yoshitaka Yoshimura ,&nbsp;Yasutaka Yawaka ,&nbsp;Tetsuo Shirakawa","doi":"10.1016/j.pdj.2022.06.002","DOIUrl":"10.1016/j.pdj.2022.06.002","url":null,"abstract":"<div><p><span>Subcutaneous emphysema can occur during </span>dental treatment<span><span>. In this study, we describe a rare case in which subcutaneous emphysema has developed and extended to the sternum<span><span> during the filling of a mandibular second molar in a 14-year-old girl. The patient was hospitalized immediately to prevent infection and was discharged 4 days later without infection or other complications. Subcutaneous emphysema extending to the sternum rarely occurs during routine dental procedures such as filling teeth. However, enlargement of subcutaneous emphysema can lead to fatal complications such as </span>pneumothorax<span>, cardiac tamponade, </span></span></span>tracheal compression<span>, and mediastinitis. Serious risks are associated with inducing subcutaneous emphysema, and appropriate care is necessary immediately after its onset.</span></span></p></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"32 3","pages":"Pages 211-215"},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48805540","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}