International Journal of Clinical Pediatric Dentistry最新文献

{"title":"Early Childhood Caries and Oral Hygiene Practices in Preschool Children in Dubai: A Cross-sectional Study.","authors":"Noura Bin Hussain, Anas Salami, Manal Al Halabi, Iyad Hussein, Amar Khamis Hassan, Mawlood Kowash","doi":"10.5005/jp-journals-10005-3549","DOIUrl":"10.5005/jp-journals-10005-3549","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to assess the oral health status of preschool children in Dubai, United Arab Emirates, with a specific focus on their brushing habits, the prevalence of dental caries, and gingival health.</p><p><strong>Materials and methods: </strong>A cross-sectional observational study was conducted among children under 6 years of age attending pediatric dental clinics at Dubai Academic Health Corporation (DAHC). Clinical examinations were performed using the International Caries Detection and Assessment System (ICDAS), oral debris index (ODI), gingival index (GI), and calculus index (CI) to evaluate oral hygiene and gingival condition. A structured questionnaire was administered to parents or guardians to gather data on brushing habits, including supervision status, frequency, and technique.</p><p><strong>Results: </strong>A total of 145 children were screened (51% male; mean age 4.06 ± 0.88 years). Extensive dental caries was prevalent, with most children presenting ICDAS scores equivalent to ICDAS codes 5 and 6. Treatments commonly included preformed metal crowns (PMCs) and extractions. Gingival health was generally mild, with a mean GI score of 0.19, while the mean ODI score of 1.05 indicated fair oral hygiene. Brushing supervision was common, primarily by mothers, though unsupervised brushing was also reported. Children who were regularly supervised during brushing tended to show better oral hygiene and lower gingival inflammation.</p><p><strong>Conclusion: </strong>Preschool children in Dubai exhibit a high prevalence of dental caries and mild gingival inflammation. Brushing habits, particularly the presence of supervision, play a crucial role in maintaining oral hygiene. These findings highlight the need for targeted oral health education and preventive strategies to improve brushing practices and reduce caries risk in early childhood.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"863-868"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713737","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}

{"title":"<i>In Vitro</i> Comparative Study of Antimicrobial Activity of Chia Seeds (<i>Salvia hispanica</i>) with Fennel Seeds (<i>Foeniculum vulgare</i>) and 0.2% Chlorhexidine Against <i>Streptococcus mutans</i>.","authors":"Supraja Ganeshan, Pranav Nayan Dave, Prasad Musale, Aditi Bulbule, Saurabh Mirgal, Saloni Gautam","doi":"10.5005/jp-journals-10005-3542","DOIUrl":"10.5005/jp-journals-10005-3542","url":null,"abstract":"<p><strong>Background: </strong>Caries is a dental disease caused by pathogenic bacteria, such as <i>Streptococcus mutans</i>, which produces the enzyme glucosyltransferase (GTF), essential for the formation of glucan. Chia (<i>Salvia hispanica</i>) and fennel (<i>Foeniculum vulgare</i>) seeds are well-known seeds due to their antibacterial activity, but there is limited research linking the antibacterial activity of these seeds to their effectiveness against <i>Streptococcus mutans</i>.</p><p><strong>Aim: </strong>In this investigation, the aim is to assess the comparative antimicrobial potency of <i>S. hispanica</i> (chia) and <i>F. vulgare</i> (fennel) seed extracts versus 0.2% chlorhexidine in inhibiting <i>S. mutans</i>.</p><p><strong>Materials and methods: </strong>Aqueous extracts of chia seeds and fennel seeds were prepared through cold maceration, and the resulting crude residue was collected. A 0.2% chlorhexidine solution was used as the negative control. <i>S. mutans</i> was cultured on Brain Heart Infusion (BHI) agar, and wells were created in the agar plates into which 100 µL of each extract was introduced. Antimicrobial activity was assessed by measuring the zone of inhibition and minimum inhibitory concentration (MIC) for group I: chia seeds (100%), group II: fennel seeds (100%), group III: chia seeds (50%), group IV: fennel seeds (50%), group V: chia seeds (25%), group VI: fennel seeds (25%), and group VII: chlorhexidine (0.2%). Statistical analysis was performed using the Kruskal-Wallis test, followed by pairwise comparisons utilizing the Mann-Whitney U test.</p><p><strong>Results: </strong>Chia seed and fennel seed extracts both exhibited antimicrobial properties; however, fennel seed extract showed significantly higher activity against <i>S. mutans</i> compared to chia seed extract (<i>p</i> = 0.050), as determined by statistical analysis.</p><p><strong>Conclusion: </strong>This study's observations point to the viability of herbal extracts as a practical alternative to conventional antimicrobial products.</p><p><strong>Clinical significance: </strong>The use of synthetic antimicrobial agents has led to side effects and the development of antimicrobial resistance due to improper usage. In contrast, herbal extracts may offer safer and more effective alternatives, provided they are backed by scientifically validated evidence.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"814-819"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713952","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}

{"title":"Evaluation of the Increase in Dentinal Barrier Thickness Formed by Indirect Pulp Treatment with Two Different Indirect Pulp Capping Agents in Primary Molars: A Randomized Controlled Trial.","authors":"Janaki Shaji, R Balagopal Varma, J Suresh Kumar, Parvathy Kumaran, Arun Mamachan Xavier, Malini Venugopal, T Nishna","doi":"10.5005/jp-journals-10005-3592","DOIUrl":"10.5005/jp-journals-10005-3592","url":null,"abstract":"<p><strong>Aims and background: </strong>Indirect pulp treatment (IPT) is a conservative approach to preserving pulp vitality in primary molars with deep carious lesions. This study aimed to compare the increase in dentinal barrier thickness following IPT using two different materials, SafeEndo BioStructure MTA Putty and VOCO Calcimol LC, over a 6-month period.</p><p><strong>Materials and methods: </strong>A single-blinded, parallel-group, randomized controlled clinical trial was conducted among children aged 5-8 years requiring IPT. Eligible teeth were randomly allocated into two groups: Group I and group II. Following caries excavation and restoration, dentinal thickness was measured radiographically at baseline, 3 months, and 6 months using CorelDRAW software (version 13) digital analysis. Data were analyzed using the Mann-Whitney <i>U</i> test and repeated measures analysis of variance (ANOVA). The trial was registered in the Clinical Trial Registry of India (CTRI/2024/11/076988).</p><p><strong>Results: </strong>At baseline, the mean dentin thickness was 0.62 ± 0.25 mm in group I and 0.48 ± 0.20 mm in group II (<i>p</i> = 0.98). At 3 months, increments were 0.70 ± 0.11 mm (group I) and 0.16 ± 0.14 mm (group II; <i>p</i> = 0.93). From 3 to 6 months, both groups showed an additional mean increase of 0.04 ± 0.01 mm (<i>p</i> = 0.49). Over the entire 6 months, the cumulative increase was 0.11 ± 0.02 mm (group I) and 0.10 ± 0.02 mm (group II; <i>p</i> = 0.45). Intragroup analysis revealed significant increases in dentin thickness over time for both groups (<i>p</i> ≤ 0.02).</p><p><strong>Conclusion: </strong>Both SafeEndo BioStructure MTA and VOCO Calcimol LC effectively promoted dentinal barrier formation in primary molars, with no statistically significant difference between the two materials over 6 months. Most dentin deposition occurred within the first 3 months, followed by a slower maturation phase.</p><p><strong>Clinical significance: </strong>The results of this trial will contribute to existing knowledge on IPT agents in pediatric dentistry, guide clinical decision-making, and potentially reduce the need for invasive treatments.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"874-880"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713704","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}

{"title":"A Comparative Evaluation of Xylitol, Sorbitol, and Isomalt-containing Candies and Their Effects on Salivary pH and Salivary Flow Rate in Children Aged 6-12 Years: An <i>Ex Vivo</i> Study.","authors":"Takhellambam Arjun Singh, Swati Dwivedi, Vinod Kumar Upadhyay, Ahsan Abdullah, Sofia Mukhtar, Mohammed Ahmed","doi":"10.5005/jp-journals-10005-3545","DOIUrl":"10.5005/jp-journals-10005-3545","url":null,"abstract":"<p><strong>Background: </strong>Dental caries is one of the most widespread oral health problems in children, often resulting from the interaction between dietary sugars, oral bacteria, and salivary factors. Saliva plays a key role in protecting teeth by neutralizing acids and supporting remineralization. However, when children consume sugary foods and drinks-particularly those with sucrose-it can cause the salivary pH to drop, increasing the risk of tooth decay. Sugar substitutes such as xylitol, sorbitol, and isomalt are widely used in preventive dental care, but their effects on children's salivary pH and flow rate remain poorly understood.</p><p><strong>Aim: </strong>This study aimed to evaluate and compare the effects of candies containing xylitol, sorbitol, and isomalt on salivary pH and salivary flow rate in children aged 6-12 years using an <i>ex vivo</i> model.</p><p><strong>Materials and methods: </strong>A total of 100 healthy children were randomly divided into four equal groups (<i>n</i> = 25): xylitol, sorbitol, isomalt, and control. Salivary samples were collected at four time points: before and after consuming a sweetened beverage, after the intervention (candy or water rinse), and 15 minutes postintervention. Salivary pH was measured using a calibrated digital pH meter, and flow rate was assessed by weighing collected saliva with a portable electronic scale. Children were kept under standard conditions to minimize variability, and a double-blinded approach was used. Data were analyzed using SPSS v25 and STATA v15, with statistical significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>All three polyol groups showed a significant improvement in salivary pH and flow rate after intervention when compared to the control group. Xylitol demonstrated the strongest ability to restore and buffer salivary pH, followed by isomalt and sorbitol. Sorbitol, however, produced the highest increase in salivary flow. At 15 minutes postintervention, pH levels in the polyol groups returned close to baseline, whereas the control group's pH remained low.</p><p><strong>Conclusion: </strong>Xylitol-containing candies proved to be the most effective overall, improving both salivary pH and flow-critical factors in reducing the risk of caries. Sorbitol and isomalt also showed beneficial effects, particularly in stimulating saliva. These findings support the targeted use of sugar-free polyol candies as part of caries-prevention strategies in children.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 7","pages":"828-832"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713889","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}

{"title":"Comparative Evaluation of Using Binaural Noise and Virtual Reality in Dental Management of Anxious Children: An <i>In Vivo</i> Study.","authors":"Praveen K Bali, Tanya Sinha, Mallikarjuna Kenchappa, K P Bharath, Deeksha Sharma, Deepti V Balehosur","doi":"10.5005/jp-journals-10005-3521","DOIUrl":"10.5005/jp-journals-10005-3521","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate the effectiveness of virtual reality (VR) and binaural noise as distraction techniques for managing dental anxiety in pediatric patients.</p><p><strong>Subjects and methods: </strong>Forty-four healthy children aged 5-8 years, with mild-to-moderate anxiety (Frankle's rating 2 and 3), participated. Each child was exposed to three different distraction methods on separate visits: (1) control (no aid), (2) binaural noise, and (3) VR. Anxiety levels were measured using Venham's picture test and pulse oximetry before and after local anesthesia (LA).</p><p><strong>Statistical analysis: </strong>The values were recorded in Microsoft Excel sheets, and the data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 27 software. Analysis of the data between groups was carried out using repeated measures analysis of variance (RANOVA) to analyze the effects of intervention, Chi-square test, and paired <i>t</i>-test for differences between groups.</p><p><strong>Results: </strong>Both VR and binaural noise significantly reduced anxiety compared to the control group. The VR group showed the most pronounced reduction in pulse rate and Visual Analog Scale (VAS) scores, indicating lower anxiety and stress. The binaural noise group showed moderate anxiety reduction, whereas the control group experienced a significant increase in anxiety post-LA. Statistical analysis confirmed VR's superior effectiveness in reducing anxiety.</p><p><strong>Conclusion: </strong>VR was the most effective in reducing dental anxiety, likely due to its immersive, multisensory experience. Binaural noise also reduced anxiety but to a lesser extent. The study suggests that nonpharmacological techniques, particularly VR, can significantly improve pediatric dental care by reducing anxiety and enhancing the treatment experience for young patients.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"693-696"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608296","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}

{"title":"Comparative Assessment of Behavior, Anxiety, Pulse Rate, and Pain Perception in Children Using Different Local Anesthesia Delivery Systems: A Randomized Controlled Trial.","authors":"Sonam Yadav, Natasha Gambhir, Nidhi Gupta, Divya Singh, Priyanka Sachdeva","doi":"10.5005/jp-journals-10005-3590","DOIUrl":"10.5005/jp-journals-10005-3590","url":null,"abstract":"<p><strong>Background: </strong>Local anesthesia (LA) remains fundamental to effective pain control in invasive dental procedures. However, the act of administering LA can itself be a source of anxiety, particularly among pediatric patients, which may in turn influence their pain perception. Technological advancements, such as computer-controlled LA delivery systems, have emerged as innovative alternatives designed to enhance patient comfort and potentially reduce the pain and anxiety associated with conventional injection techniques.</p><p><strong>Aim: </strong>To compare and evaluate behavior, anxiety, pulse rate, and pain perception in children using StarPen, VibraJect, and conventional syringe systems.</p><p><strong>Materials and methods: </strong>In this parallel-group randomized controlled trial, a total of 150 children (aged 6-10 years) undergoing inferior alveolar nerve block (IANB) were randomly divided into three groups (<i>n</i> = 50 each): Group A (StarPen), group B (VibraJect), and group C (conventional syringe). Pain, anxiety, pulse rate, and behavior were evaluated during and after injection using the Face, Legs, Activity, Cry, Consolability (FLACC) scale, Venham's Anxiety Scale (VAS), a pulse oximeter, and Frankl's Behavior Rating Scale (FBRS), respectively.</p><p><strong>Results: </strong>StarPen demonstrated the most favorable outcomes, significantly reducing pain (mean FLACC: 1.19 ± 0.55), anxiety (mean Venham: 0.58 ± 0.54), and pulse rate (mean: 105.09 ± 4.37 bpm) compared to VibraJect and conventional syringe groups (<i>p</i> < 0.001). Behavioral assessments showed the least post-treatment decline in cooperation with StarPen, suggesting improved procedural tolerance. VibraJect also offered measurable benefits over traditional syringes but was less effective than StarPen.</p><p><strong>Conclusion: </strong>StarPen demonstrated superior outcomes across all evaluated parameters, supporting its efficacy as a behavior-management tool and pain-minimizing device in pediatric dentistry.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"763-769"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608304","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}

{"title":"Comparison of Mechanical and Surface Properties of Glass Ionomer, Resin-modified Glass Ionomer, and Alkasite Restorative Materials.","authors":"Saurabh Kumar, Runki Saran, Kalyana Chakravarthy Pentapati","doi":"10.5005/jp-journals-10005-3529","DOIUrl":"10.5005/jp-journals-10005-3529","url":null,"abstract":"<p><strong>Background: </strong>Glass ionomer cements (GIC) have long been favored for their fluoride release, chemical bonding, and biocompatibility. However, the inferior mechanical properties of these cements limit their clinical applications in high-stress bearing areas. Recently, alkasite materials have emerged as promising bioactive restoratives combining conventional materials' benefits with superior mechanical strength and ion release.</p><p><strong>Objective: </strong>To compare the mechanical [compressive strength (CS) and surface hardness (SH)] and surface properties [surface roughness (SR)] of a newly introduced alkasite material, Cention Forte, with GIC and \"resin-modified glass ionomer cement\" (RMGIC).</p><p><strong>Materials and methods: </strong>Samples of specific dimensions were made using three different restorative materials (Cention Forte, GC Fuji 2 Gold Label, and GC Fuji II LC). CS was measured using a universal testing machine, whereas a Vickers hardness tester and a profilometer were used to determine their SH and SR, respectively.</p><p><strong>Results: </strong>GIC exhibited the lowest CS, SH, and the most significant SR. In contrast, Cention Forte demonstrated the highest CS of all materials tested. No significant differences between Cention Forte and GC Fuji II LC regarding SH or SR were noted.</p><p><strong>Conclusion: </strong>Cention Forte offered the best combination of strength, hardness, and smoothness, making it ideal for stress-bearing posterior restorations where both durability and aesthetics are desired.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"758-762"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608278","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}

{"title":"Role of Immunological Markers in Diagnosis, Prognosis, and Treatment of Early Childhood Caries and Adult Caries: A Systematic Review.","authors":"Vishnu Priya Veeraraghavan, Ullas Mony, Gamal Othman, Bashayer Khalid Alskait","doi":"10.5005/jp-journals-10005-3520","DOIUrl":"10.5005/jp-journals-10005-3520","url":null,"abstract":"<p><strong>Background: </strong>Dental caries is a common oral health problem that affects people all over the world. To detect and treat it early on, it is important to have a thorough understanding of its genesis and potential biomarkers.</p><p><strong>Objective: </strong>The objective of this systematic review is to answer the question: \"Is there any role of immune status in the development of dental caries among children and adults, and is there any potential in using immunological markers for diagnosis, prognosis, and treatment of this condition?\"</p><p><strong>Design: </strong>From 2016 to 2024, a thorough search approach adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria was used across several datasets (PROSPERO: CRD42024612045). To find pertinent publications, a total of 2,723 articles were searched using keywords associated with dental caries, immunity, and interventions. The inclusion criteria included papers that addressed the connection between immunity and the development of caries, interventions, and results, including alterations in basal metabolic rate (BMR), weight gain in patients, improvements in quality of life, and recurrence of carious lesions. Two reviewers independently extracted the data, assessed its quality, and assessed the risk of bias using validated instruments such as the Cochrane Risk of Bias tool and the Newcastle-Ottawa Scale.</p><p><strong>Results: </strong>The evaluation encompassed 10 articles in all, demonstrating noteworthy correlations between immunological indicators and dental caries. Results point to a favorable correlation between salivary immunoglobulin A (IgA) levels and the number of carious teeth, as well as an increase in proinflammatory cytokine concentrations in dental caries patients. Furthermore, the pulp tissue of dental caries patients has different bacterial communities and higher expression of proinflammatory cytokines, suggesting a possible connection between immune activation and dysbiosis.</p><p><strong>Conclusion: </strong>The findings highlight the significance of immune status/immunological indicators in the diagnosis and treatment of dental caries, emphasizing the necessity for additional study to corroborate these conclusions and improve treatment and preventative dental care practices.</p><p><strong>Clinical relevance: </strong>This work has got great relevance to pediatric dentists. The current work highlights a possible link between the immune status and the development of caries in pediatric and adult patients as well as the potential of immunological markers in the diagnosis, prognosis, and treatment of dental caries in both pediatric and adult patients.</p><p><strong>Prospero registration number: </strong>CRD42024612045.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"779-793"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621649","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}

{"title":"Knowledge, Attitudes, and Practices of Pediatric Nurses in Dubai Regarding Oral Health Care: A Cross-sectional Study.","authors":"Aisha Almemari, Manal Al Halabi, Iyad Hussein, Anas Salami, Amar Hassan Khamis, Mawlood Kowash","doi":"10.5005/jp-journals-10005-3525","DOIUrl":"10.5005/jp-journals-10005-3525","url":null,"abstract":"<p><strong>Background: </strong>Oral health care is a crucial part of nursing for pediatric patients. General pediatric nurses need appropriate knowledge to provide effective preventive care, yet oral health is often overlooked and insufficiently integrated into daily practice.</p><p><strong>Aim: </strong>To assess the oral health knowledge, attitudes, and practices of nurses caring for pediatric patients in Dubai.</p><p><strong>Materials and methods: </strong>A cross-sectional study using a validated questionnaire gathered socio-demographic data and assessed pediatric dental knowledge and attitudes. A 5-point Likert scale evaluated opinions on preventing children's oral diseases and willingness to pursue further oral health education. Knowledge and attitude scores were calculated; Mann-Whitney U and Kruskal-Wallis tests assessed associations.</p><p><strong>Results: </strong>Among 125 nurses, the mean knowledge score was 69.5%. Female nurses and those over 30 years had significantly higher scores (<i>p</i> < 0.05). Most nurses performed oral care screenings for hospitalized children, but over half rarely assessed orthodontic appliances or preventive programs for children with special health care needs. Only 33.6% recognized xylitol's anticaries role, and 63.2% knew the recommended age for a first dental visit. Despite 57.6% perceiving nursing-led oral care as ineffective, 86.9% requested hands-on training, and 84.2% sought further education.</p><p><strong>Conclusion: </strong>Pediatric nurses in Dubai demonstrate adequate theoretical oral health knowledge but notable practice gaps. Structured training programs and integration of oral health into pediatric nursing protocols could enhance preventive practices, strengthen early detection and referral, and help reduce the high prevalence of early childhood caries in the UAE.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"740-746"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608283","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}

{"title":"Quality Assessment of KEDOO Criteria and Coll and Sadrian Criteria in Evaluation of Root Canal Obturation:A Comparative Study.","authors":"Mehak Behal, Ruchika Kundra, Mebin George Mathew, Shaila Masih","doi":"10.5005/jp-journals-10005-3528","DOIUrl":"10.5005/jp-journals-10005-3528","url":null,"abstract":"<p><strong>Aim and background: </strong>The success of pulpectomy in primary teeth depends significantly on the quality of root canal obturation. While the Coll and Sadrian criteria have traditionally been used to evaluate obturation at the tooth level, they do not assess individual canal fill quality or detect voids. The recently introduced KEDOO classification offers a canal-specific approach. This study aimed to compare the diagnostic performance of the KEDOO classification with the traditional Coll and Sadrian criteria in assessing obturation quality in primary molars.</p><p><strong>Methods: </strong>A retrospective observational study was conducted using digital periapical radiographs of pulpectomized primary molars from children aged 4-9 years. Each radiograph was evaluated using both the Coll and Sadrian criteria and the KEDOO classification. The Coll and Sadrian criteria assessed obturation at the level of the entire tooth, whereas the KEDOO classification evaluated each canal separately and also identified the presence of voids. Chi-square analysis was used to compare the classifications, and intrarater reliability was measured using Cohen's kappa.</p><p><strong>Results: </strong>Out of 234 retrieved radiographs, 132 met the inclusion criteria and were analyzed. According to the Coll and Sadrian criteria, 62% of mandibular and 77.4% of maxillary molars were classified as optimally filled. In contrast, the KEDOO classification showed lower optimal fill rates at the canal level: 32.9 and 49.4% for mandibular mesial and distal canals, and 35.8, 32.1, and 69.8% for maxillary mesial, distal, and palatal canals, respectively. Voids were detected in 49.4% of mandibular and 50.9% of maxillary molars. Intrarater reliability was perfect for Coll and Sadrian (<i>κ</i> = 1.00) and almost perfect for KEDOO (<i>κ</i> = 0.815).</p><p><strong>Conclusion: </strong>The KEDOO classification provides a more detailed, canal-specific, and diagnostically sensitive evaluation of obturation quality in primary teeth. As it evaluates each canal individually and detects voids, it offers improved precision over traditional methods.</p><p><strong>Clinical significance: </strong>Incorporating the KEDOO classification into pediatric endodontic practice may enhance the accuracy of obturation assessment, enable early detection of suboptimal fillings, and contribute to improved long-term treatment outcomes.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"19 6","pages":"752-757"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608269","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}