Meltem Oghan Turkoglu, Engin Sacu, Goktug Yerse, Gaye Nur Cakır, Vildan Turgut, Neslihan Tekce, Safa Tuncer, Mustafa Demirci
{"title":"Investigation of the relationship between caries predisposition and salivary characteristics.","authors":"Meltem Oghan Turkoglu, Engin Sacu, Goktug Yerse, Gaye Nur Cakır, Vildan Turgut, Neslihan Tekce, Safa Tuncer, Mustafa Demirci","doi":"10.26650/eor.20251584130","DOIUrl":"10.26650/eor.20251584130","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to investigate the relationship between Decayed, Missing, and Filled Teeth (DMFT) scores, caries activity, and salivary characteristics (flow rate, pH, and buffering capacity) in patients admitted to the Department of Restorative Dentistry at Kocaeli University Faculty of Dentistry.</p><p><strong>Materials and methods: </strong>This study included 44 patients aged 18-50 years, classified into high and low caries risk groups, who presented to our clinic. A DMFT score above 8 and the presence of at least two active carious lesions with cavitation (ICDAS II Categories 5 or 6) were considered criteria for the high caries risk group. Conversely, patients with five or fewer carious or restored teeth and no active caries were classified as low caries risk. Saliva samples were collected prior to any restorative procedures. Salivary flow rate, pH, and buffering capacity were measured using the Saliva-Check Buffer Kit (GC Europe, Leuven, Belgium). The correlation between caries activity and salivary buffering capacity was analyzed using ANOVA and Kruskal-Wallis tests. Tukey's and Mann-Whitney U tests were applied for pairwise comparisons.</p><p><strong>Results: </strong>The highest buffering capacity was observed in the high-risk group aged 25-50 years, while the lowest was found in the high-risk group aged 18-25 years (p = 0.028). No statistically significant difference was found between the groups in terms of both unstimulated and stimulated salivary flow rates.</p><p><strong>Conclusion: </strong>In the absence of pathological conditions, a physiologically low salivary flow rate does not appear to significantly influence caries risk. A meaningful relationship between salivary factors and caries risk becomes evident only when salivary flow is severely reduced.</p>","PeriodicalId":41993,"journal":{"name":"European Oral Research","volume":"60 1","pages":"113-120"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356952","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":"The relationship of facial vertical development with skeletal maturation and dental age.","authors":"Ceyla Demirer, Gülşilay Sayar","doi":"10.26650/eor.20251575129","DOIUrl":"10.26650/eor.20251575129","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine whether there is a correlation between three different types of vertical facial development, chronological age, skeletal maturation, and dental maturation.</p><p><strong>Materials and methods: </strong>Lateral cephalometric, panoramic, and hand-wrist radiographs of 150 orthodontic patients (75 males and 75 females; mean ages 13.54 and 13.74 years, respectively) were analyzed. Skeletal maturation was determined using the Greulich-Pyle atlas method via hand and wrist bones. Dental maturation was assessed using the Demirjian Index on the left mandibular canines, first premolars, second premolars, and second molars. The SN-GoMe angle was evaluated on lateral cephalometric radiographs.</p><p><strong>Results: </strong>A statistically significant difference in median skeletal age between genders was found in the hyperdivergent group (p = 0.024), with females showing more advanced skeletal age than males. A significant positive correlation between chronological age and skeletal age was observed in both the hypodivergent (p < 0.001) and hyperdivergent (p < 0.001) groups. In the normodivergent group, a very strong correlation between chronological and skeletal age was also found (p < 0.001). Additionally, significant gender-based differences were noted in the development of the canine (p = 0.003) and first premolar (p = 0.048) teeth in the hyperdivergent group.</p><p><strong>Conclusion: </strong>Maturational stages may differ between males and females of the same chronological age attending orthodontic clinics, largely due to gender-based developmental differences. Chronological and skeletal ages are compatible; however, vertical facial parameters should also be considered in growth and development assessments.</p>","PeriodicalId":41993,"journal":{"name":"European Oral Research","volume":"60 1","pages":"31-37"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143849","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 bibliometric analysis of the top 100 most-cited case reports and case series in dentistry.","authors":"Anastasia Fardi, Konstantinos Kodonas, Christos Gogos","doi":"10.26650/eor.20251569367","DOIUrl":"10.26650/eor.20251569367","url":null,"abstract":"<p><strong>Purpose: </strong>Case reports are observational descriptive studies presenting unusual clinical conditions, rare disease occurrences, or introduction of novel treatment strategies. The present study aimed to identify and analyze 100 top-cited case reports/series in dentistry using bibliometric and science mapping analysis.</p><p><strong>Materials and methods: </strong>The Web of Science database was used to retrieve top-cited case studies published in dentistry from inception until April 28, 2024. Basic bibliometric information was obtained. Biblioshiny and VOSviewer tools were employed to conduct thematic map and author keyword, title, and abstract terms analysis to elucidate the research trends. Elsevier Scopus and PubMed databases were used to crossmatch citations.</p><p><strong>Results: </strong>The 100 top-cited case studies were published in 26 journals, originating from 25 countries, and collectively accumulated 23100 citations from 1967 to 2019. The citation counts ranged from 1368 to 123, 1673 to 41, and 1325 to 4 in the WoS, Scopus, and PubMed databases, respectively. The Journal of Periodontology first presented 20 articles and 4156 citations, followed by the Journal of Endodontics with eleven articles and 2247 citations. USA led in terms of countries while the University of Bern was the leading institution with 20 articles.</p><p><strong>Conclusion: </strong>Although a great variation of the topics covered was documented, case reports in the field of dental implantology, periodontal regeneration, oral pathology, regenerative endodontic, and guided bone regeneration aspects had been the mainstay of the top-cited list.</p>","PeriodicalId":41993,"journal":{"name":"European Oral Research","volume":"60 1","pages":"18-24"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144266","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}
Ana Ferreira, Cristina Trigo Cabral, Ernesto Fonseca, Marta Relvas
{"title":"Prevalence of gingival recession in university students: a systematic review.","authors":"Ana Ferreira, Cristina Trigo Cabral, Ernesto Fonseca, Marta Relvas","doi":"10.26650/eor.2025152900","DOIUrl":"10.26650/eor.2025152900","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review aims to comprehensively assess the prevalence, extent, severity, and distribution of gingival recession (GR) among university students. Recognizing that GR rep-resents a significant periodontal concern with aesthetic and functional consequences, this review focuses on a young demographic that is underrepresented in epidemiological surveys.</p><p><strong>Materials and methods: </strong>Following the PRISMA guidelines and a pre-registered protocol, a structured search strategy was designed and executed across PubMed, Web of Science, Cochrane, and EBSCO databa-ses, targeting studies published over the last 20 years. Eligibility was defined using the PICO framework: Population: university students; Intervention/Exposure: presence of GR; Comparison: absence of GR; Outcome: prevalence rates. The Joanna Briggs Institute (JBI) critical appraisal checklists were used to assess methodological quality and risk of bias across various study designs, including cross-sectional, cohort, case-control, and randomized controlled trials.</p><p><strong>Results: </strong>Out of 299 initially identified articles, nine met the inclusion criteria, encompassing a total of 1,619 participants. The design of the included studies revealed considerable heterogeneity in sampling, measurement methods, and reported prevalence, which ranged widely from 29.4% to 82.6%. Risk factors linked to GR included age, gender, oral hygiene practices, brushing technique and force, occlusal interferences, and anatomical factors.</p><p><strong>Conclusion: </strong>This systematic review demonstrates a high prevalence of gingival recession among university students, underscoring the importance of targeted preventive strategies and educational interventions in this population. Future well-designed longitudinal studies are needed to clarify causality and inform tailored prevention programs.</p>","PeriodicalId":41993,"journal":{"name":"European Oral Research","volume":"60 1","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12877772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143302","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":"Effects of three final irrigation solutions with chelation properties on the erosion and mineral content of root canal dentin.","authors":"Diatri Nari Ratih, Henytaria Fajrianti, Nunuk Purwanti, Silva Eliana Aspriyanti","doi":"10.26650/eor.20251575429","DOIUrl":"10.26650/eor.20251575429","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the effects of three final irrigation solutions with chelation properties [ethylenediaminetetraacetic acid (EDTA), novel silver citrate (NSC), and nanochitosan] on root canal dentin erosion and mineral content (calcium-to-phosphorus ratio (Ca/P ratio).</p><p><strong>Materials and methods: </strong>A total of 28 premolars were used and assigned to four groups (n = 7): Group 1 17% EDTA; Group 2: NSC; Group 3: 0.2% nanochitosan; Group 4: saline (control). Each group was finally irrigated with a volume of 1 ml/min until the total final irrigation was performed for 5 min using a 30-gauge side vented needle, and the needle was inserted 1 mm shorter than the working length. Irrigation solution pH was netral. Each tooth was then divided into two parts: mesial and distal. The mesial section was evaluated for root canal dentin erosion, whereas the distal section was analyzed for the Ca/P ratio. Each section was evaluated at three levels (coronal, middle, and apical) of the root canal. Data on root canal erosion were analyzed using the Kruskal-Wallis and Mann-Whitney U tests, whereas the Ca/P ratio was analyzed using one-way ANOVA and Tukey's test.</p><p><strong>Results: </strong>The EDTA-treated group exhibited the highest erosion, whereas the nanochitosan-treated group exhibited the lowest erosion of the root canal dentin (p<0.05). The nanochitosan-treated group exhibited the highest Ca/P ratio, whereas the EDTA-treated group exhibited the lowest ratio (p<0.05). The apical level had the highest Ca/P ratio but the lowest erosion compared with the other levels (p<0.05).</p><p><strong>Conclusion: </strong>Nanochitosan demonstrated the lowest erosion and highest Ca/P ratio at all root canal dentin levels. Therefore, nanochitosan can potentially be used as a final irrigation solution.</p>","PeriodicalId":41993,"journal":{"name":"European Oral Research","volume":"60 1","pages":"38-44"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144257","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}
Sultan Büşra Ay Kartbak, Mehmet Birol Özel, Muhammet Çakmak
{"title":"Performance evaluation of deep learning models for overbite classification on cephalometric radiographs.","authors":"Sultan Büşra Ay Kartbak, Mehmet Birol Özel, Muhammet Çakmak","doi":"10.26650/eor.20251689033","DOIUrl":"10.26650/eor.20251689033","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this study was to evaluate and compare the effectiveness of different deep learning algorithms in classifying overbite based on lateral cephalometric radiographic images.</p><p><strong>Materials and methods: </strong>This study was conducted using lateral cephalometric radiographs of 1062 patients. Overbite values were measured via WebCeph, and the radiographs were categorized into three groups (Overbite 1, Overbite 2, and Overbite 3) based on cephalometric measurements. Six deep learning models (ResNet101, DenseNet201, EfficientNetV2-B0, ConvNetBase, EfficientNet-B0, and a Hybrid Model) were employed to classify the radiographs. Model performance was evaluated using various metrics, including F1-score, accuracy, precision, recall, mean absolute error (MAE), Cohen's Kappa coefficient, and area under the ROC curve (AUC-ROC). Additionally, confusion matrices and Grad-CAM visualizations were generated to further interpret the models' decision-making processes.</p><p><strong>Results: </strong>All deep learning models employed in this study achieved classification accuracies exceeding 85%. Among them, the EfficientNet B0 and Hybrid models yielded the highest accuracy rates, whereas the ConvNetBase model demonstrated the lowest performance in terms of classification accuracy.</p><p><strong>Conclusion: </strong>The findings of this study highlight the potential of deep learning models to accurately and reliably classify cephalometric overbite categories without the need for conventional cephalometric analysis.</p>","PeriodicalId":41993,"journal":{"name":"European Oral Research","volume":"60 1","pages":"92-97"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356927","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":"Maxillary tuberosity dimensions and tooth movement magnitude during distalisation using mini-implants: a preliminary tomographic study.","authors":"A Sumathi Felicita, T N Uma Maheshwari","doi":"10.26650/eor.20251510919","DOIUrl":"10.26650/eor.20251510919","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to determine whether changes in the dimensions of the maxillary tuberosity influence the distalisation of maxillary teeth using mini-implants.</p><p><strong>Materials and methods: </strong>Ten young orthodontic patients requiring mild to moderate proclination of the maxillary anterior teeth were studied. Distalisation of the maxillary teeth was achieved using a retractive force of 200 grams applied bilaterally to a 0.018\"x0.022\" stainless steel wire, with mini-implants located at the mucogingival junction. The dimensions of the maxillary tuberosity namely mesiodistal length, vertical height, and buccolingual width were measured using CBCT. The maxillary incisor proclination was measured on lateral cephalograms at T1 (before distalisation) and T2 (six months later). Statistical analysis included Spearman rank correlation analysis and Wilcoxon signed-rank tests.</p><p><strong>Results: </strong>At T2, the mesiodistal length and the vertical height of the maxillary tuberosity showed a statistically significant decrease in dimension. The change in buccolingual width and the amount of anterior teeth retraction and distalisation of the first molar showed a statistically significant positive correlation suggesting that an increased remodelling of the maxillary tuberosity in the buccolingual dimension was associated with a greater magnitude of distalisation of the maxillary dentition. A positive correlation existed between the mesiodistal length at T1 and the amount of anterior retraction, suggesting that a greater mesiodistal length of the maxillary tuberosity at T1 corresponds to a greater amount of anterior retraction.</p><p><strong>Conclusion: </strong>The dimensions of the maxillary tuberosity appear to influence the distalisation of the maxillary teeth with mini-implants.</p>","PeriodicalId":41993,"journal":{"name":"European Oral Research","volume":"59 3","pages":"202-209"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12604024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507477","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":"Assessment of internet data on orthodontic treatment and oral hygiene in the Marmara region using Google Trends:a methodological study.","authors":"Hande Uzuncibuk, Meltem Tekbaş Atay","doi":"10.26650/eor.20251527862","DOIUrl":"10.26650/eor.20251527862","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine the relationship between Google Trends (GT) data on orthodontics and oral hygiene terms from 2019, 2020, and 2021 and the gross domestic product (GDP) and population of cities in the Marmara Region.</p><p><strong>Materials and methods: </strong>GDP, population, and GDP per capita data for Turkiye and the Marmara Region were collected. Using GT, searches for orthodontics, brackets, clear aligners, orthodontic toothbrush, toothpaste, and tooth decay were analyzed for 2019-2021. GT values for Turkiye and Marmara cities were recorded. The Kruskal-Wallis test was used for group comparisons, followed by Dunn's test for identifying significant differences. Spearman's rho correlation analysis assessed relationships between parameters.</p><p><strong>Results: </strong>In 2021, the GT score for toothpaste was significantly higher than in 2019-2020 (p < 0.05). In 2019, clear aligner and tooth decay GT scores showed a positive, significant correlation with GDP (p < 0.05). In 2020 and 2021, braces, clear aligner, and tooth decay GT scores also correlated positively with GDP (p < 0.05). A consistent positive correlation between clear aligner and dental caries was observed across all three years (p < 0.05).</p><p><strong>Conclusion: </strong>GT data demonstrate its potential as a valuable tool for epidemiological research, digital data management, and evidence-based analysis. Findings suggest that individuals in higher GDP provinces are more likely to search for advanced orthodontic treatment, particularly clear aligners.</p>","PeriodicalId":41993,"journal":{"name":"European Oral Research","volume":"59 3","pages":"172-178"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12596757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490364","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":"Which intracranial plane can be used instead of the true horizontal plane?","authors":"Merve Gonca, Busra Beser Gul, Zubeyde Kantemur","doi":"10.26650/eor.20251501479","DOIUrl":"10.26650/eor.20251501479","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate the reliability of the Frankfort horizontal (FH), sella-nasion horizontal (SN-h), optic, and orbitooccipital planes by assessing their variabilities relative to a true horizontal line (TrH) in Class 1, 2, and 3 patients.</p><p><strong>Materials and methods: </strong>Eighty-one pre-treatment lateral cephalometric radiographs (LCRs) (27 each from Class 1, Class 2, and Class 3 based on ANB (°) were taken in the natural head position (NHP). NHP was created using a laser level creating the true vertical line and the TrH perpendicular to the true vertical. The inclinations of the anatomic reference planes were compared with the TrH.</p><p><strong>Results: </strong>The orbitooccipital and FH planes were closest to the TrH, with mean values of -0.55 ± 3.26 and -0.60 ± 3.67, respectively. The mean value for the SN-h was 3.33 ± 4.40, whereas the mean value for the optic plane was 4.46 ± 4.58. The ranges were high for all anatomic planes: -9.03° to 8.22° for the FH plane, -8.79° to 6.49° for the orbitooccipital plane, -9.87° to 13.16° for the SN-h, and -4.21° to 16.43° for the optic plane. No significant differences were found in relation to skeletal patterns (orbitooccipital plane; p=0.05, FH plane: p=0.115, SN-h; p=0.156, optic plane; p=0.063, respectively). Regarding sex, there was a significant difference in the optic plane in only Class 1 females (p=0.024).</p><p><strong>Conclusion: </strong>The FH and orbitooccipital planes are not the same TrH, but they are the closest reference planes. Variations in reference planes affect diagnosis and therapy.</p>","PeriodicalId":41993,"journal":{"name":"European Oral Research","volume":"59 3","pages":"210-216"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12604105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507440","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}
Asli Topaloglu, Berk Senguler, Ekin Dogan, Venus Seyedoskuyi
{"title":"Accuracy and dental anxiety assessment of digital impression among pediatric patients.","authors":"Asli Topaloglu, Berk Senguler, Ekin Dogan, Venus Seyedoskuyi","doi":"10.26650/eor.20251398454","DOIUrl":"10.26650/eor.20251398454","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was twofold. First, it sought to compare the inter-canine distance measured on digital models generated by a digital scanner with those obtained from cast models made using alginate impressions of pediatric patients. Second, it aimed to compare the level of dental anxiety associated with the two impression techniques.</p><p><strong>Materials and methods: </strong>The study population consisted of 50 patients aged 9-13 years who visited the Department of Pedodontics for dental treatment. Both alginate and digital impressions were taken consecutively for each patient. The five-point Facial Image Scale (FIS) was administered at baseline and after each impression technique. Pulse rate and oxygen saturation levels were measured, and the highest values were recorded. Inter-canine distances were measured on digital models, plaster casts, and intraorally (the latter serving as the gold standard). The two impression methods were compared in terms of dental anxiety and measurement accuracy. The Kruskal-Wallis H test was used to compare data between groups.</p><p><strong>Results: </strong>Digital measurements were significantly higher than intraoral and alginate measurements, while intraoral and alginate measurements did not differ significantly. When FIS scores were compared, the alginate impression method resulted in higher mean scores than the digital method, indicating a higher level of dental anxiety (p = 0.026). There was no statistically significant difference between the two methods in terms of oxygen saturation levels (p = 0.27). However, the mean pulse rates recorded during the alginate impressions were significantly higher than those recorded during the digital impressions (p = 0.001).</p><p><strong>Conclusion: </strong>The digital impression method may be preferred over alginate impressions to enhance treatment adherence in children by offering a more patient-friendly approach.</p>","PeriodicalId":41993,"journal":{"name":"European Oral Research","volume":"59 3","pages":"217-221"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12604104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507448","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}