European Archives of Paediatric Dentistry最新文献

{"title":"Interdisciplinary management of patients with special healthcare needs undergoing dental treatment in a tertiary care hospital setting in Germany: a retrospective study.","authors":"N Schulz-Weidner, M Hofmann, C Uebereck, N Krämer, M A Schlenz, V Becker, F Edinger, D Leicht, M F Müller, T S Zajonz","doi":"10.1007/s40368-025-01023-8","DOIUrl":"10.1007/s40368-025-01023-8","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this retrospective study was to analyse the dental and medical parameters, including peri- and postoperative management and complications, of patients with special healthcare needs receiving dental treatment in a tertiary care hospital setting.</p><p><strong>Methods: </strong>A total of 154 patients (mean age 7.8 ± 4.1 years) who received dental treatment under general anaesthesia or analgosedation at the Department of Paediatric Dentistry of the XXX University in XXXXXXX between 2021 and 2023 were divided into the following diseases: metabolic disease, nervous system disorder, congenital heart disease, tumour disease, gastroenterological disease, genetic syndrome, pulmonology disease and coagulopathy. Caries experience (dmf-t/DMF-T), type of anaesthesia and pre- and perioperative parameters were recorded.</p><p><strong>Results: </strong>Regardless of disease, all children showed higher caries experience in the primary dentition compared to permanent dentition (mean ± standard deviation; 6.44 ± 4.85/2.01 ± 3.87). Most of the children suffered from genetic syndrome, followed by congenital heart and metabolic disease. Dental treatment was mostly performed under general anaesthesia. 92.2% of those patients were intubated orotracheally and 66.9% received antiemetics. The complication rate was lower than 3%.</p><p><strong>Conclusions: </strong>Data show that special healthcare needs patients regardless of kind of disease are highly affected by caries and require dental treatment. Most dental restorations were performed under general anaesthesia. Regardless of disease and type of anaesthesia, the complication rate was low, which underlines the high clinical relevance of adequate dental care under general anaesthesia for this vulnerable patient group.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"547-557"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731486","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 prophylactic antibiotics protocols in paediatric dental treatment under general anaesthesia in two Saudi-Arabian Hospitals: a quasi-study.","authors":"A Al-Namankany","doi":"10.1007/s40368-025-01026-5","DOIUrl":"10.1007/s40368-025-01026-5","url":null,"abstract":"<p><strong>Purpose: </strong>While the use of antibiotics could increase the development of antibiotic-resistant microorganisms, yet, it is a standard protocol in some hospitals. Therefore, the purpose of this study was to debate this protocol by assessing the effects of prophylactic antibiotics in paediatric dental rehabilitation under general anaesthesia.</p><p><strong>Methods: </strong>This is a quasi-study comparing existing healthy (n = 46) children aged between 3 and 6 years at two hospitals in Saudi Arabia to assess the effects of prophylactic antibiotics in paediatric dental rehabilitation under general anaesthesia. The infection condition was identified by measuring fever, and periapical lesions.</p><p><strong>Results: </strong>No significant differences were reported in both terms. Infections in terms of fever (P = 0.295), the results revealed that 95.7% of children in the antibiotic group had no infections, whereas in the no-antibiotic group, 87% showed no infections. In terms of periapical lesions, 87.0% of the first group exhibited no periapical lesions (P = 0.343), while 8.7% had \"1\" (vertical bone defects or both), and 4.3% fell into the \"2\" category. Similarly, in the control group, 87.0% showed no periapical lesions, while 13.0% had infections.</p><p><strong>Conclusion: </strong>Within the limitations of the present quasi-study in two Saudi-Arabian hospitals, it has been shown that although prophylactic antibiotics are still routine in some hospitals, their use is not justified in paediatric dental rehabilitation under general anaesthesia. Updating the relevant protocols in such operations is strongly recommended.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"571-579"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054188","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":"Letter to the editor-in-chief regarding the manuscript \"Oral health among children participating in an extended home visiting programme-a case‒control study,\" a methodological misnomer.","authors":"M E Özden, B Doğu Kaya, P Yilmaz Atali","doi":"10.1007/s40368-025-01022-9","DOIUrl":"10.1007/s40368-025-01022-9","url":null,"abstract":"","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"407-408"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598068","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":"The effect of combined surgical-orthodontic treatment on the periodontal health of labially maxillary impacted canines: a systematic review of split-mouth studies.","authors":"A Xenou, I Pouliezou, A Mitsea, I Konstantinidis, D G Goulis, I Sifakakis","doi":"10.1007/s40368-025-01027-4","DOIUrl":"10.1007/s40368-025-01027-4","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aims to systematically review the literature on the effect of combined surgical-orthodontic treatment on the periodontal health of labially maxillary impacted canines, comparing the results between the three available surgical approaches, open and closed eruption technique and apically positioned flap.</p><p><strong>Methods: </strong>Seven electronic databases and three registers were searched until September 2024 and lists of references from relevant publications were screened to identify studies (randomised (RCTs) / controlled clinical trials (CCTs) and observational) assessing the periodontal status of labially maxillary impacted canines after combined surgical-orthodontic treatment. Participants consisted of medically and periodontally healthy individuals with labially impacted canines and their untreated contralaterals as comparison. The outcomes assessed were plaque accumulation, gingival inflammation, gingival recession, probing pocket depth, keratinised gingiva width, attached gingiva width, and crestal bone loss. The risk of bias was evaluated using the ROBINS-I tool for the CCTs and Newcastle-Otawa tool for the observational studies.</p><p><strong>Results: </strong>A total of 1829 studies were identified, and seven were included in the review (one CCT and six observational studies). All evaluated soft tissue periodontal parameters had the most negative outcomes after excisional uncovering, however these findings did not reach clinical significance. When closed eruption technique or an apically positioned flap was performed, the periodontal outcomes were similar to those of untreated teeth.</p><p><strong>Conclusions: </strong>This review found no clinically significant adverse effects on the periodontium after combined surgical-orthodontic treatment of labially impacted maxillary canines. Further high-quality, low-bias clinical trials are needed to assess post-treatment periodontal status.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"465-481"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017904","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":"Quantum dots in dental applications: paving the way for a promising future.","authors":"V Venkatachalam","doi":"10.1007/s40368-024-00954-y","DOIUrl":"10.1007/s40368-024-00954-y","url":null,"abstract":"","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"601-602"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510390","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 among children participating in an extended home visiting programme-a case‒control study.","authors":"I Brännemo, J Norman, T Kvist, L Lindberg, G Tsilingaridis","doi":"10.1007/s40368-025-01009-6","DOIUrl":"10.1007/s40368-025-01009-6","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate whether an extended home visiting programme by child health nurses and parent counsellors can prevent caries and improve oral health habits in children from low socioeconomic backgrounds.</p><p><strong>Methods: </strong>All families in Sweden are offered one home visit when the child is two weeks old. The extended home visiting programme included five extra home visits between two and fifteen months of age where every visit had a specific theme (child safety, feeding, attachment/interaction, parenthood, social network, and self-care). Toothbrush and toothpaste, together with oral health information, were given around eight months of age. Clinical examinations and oral health habit questionnaires were conducted at 12, 24, and 36 months of age. The International Caries Detection and Assessment System was used to assess caries, and the results were compared to those of an age-matched control group following the standard child health care programme.</p><p><strong>Results: </strong>Significantly (p < 0.05) more children had caries at 36 months of age in the intervention group (32.8%) than in the control group (10.1%). The intervention group had significantly (p < 0.05) more plaque and a greater frequency of sweet snacks and drinks. In the intervention group, significantly (p < 0.05) more parents were under the age of 25 and foreign-born. Significantly (p < 0.001) more foreign-born parents were born in high-income countries in the control group compared to the intervention group.</p><p><strong>Conclusion: </strong>The extended home visiting programme did not improve the prevalence of caries or oral health habits in this cohort. However, since the groups differed in socioeconomic factors, the results should be interpreted with caution.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"517-525"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450514","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":"Comments on a recently published systematic review \"Splinting in the management of dental trauma in the primary dentition: a systematic review\".","authors":"A Sharma, P Venkatesan, R Eswari, A Sanguida","doi":"10.1007/s40368-025-01015-8","DOIUrl":"10.1007/s40368-025-01015-8","url":null,"abstract":"","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"605-607"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606404","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":"Evaluating the evidence-based potential of six large language models in paediatric dentistry: a comparative study on generative artificial intelligence.","authors":"Anastasia Dermata, Aristidis Arhakis, Miltiadis A Makrygiannakis, Kostis Giannakopoulos, Eleftherios G Kaklamanos","doi":"10.1007/s40368-025-01012-x","DOIUrl":"10.1007/s40368-025-01012-x","url":null,"abstract":"<p><strong>Purpose: </strong>The use of large language models (LLMs) in generative artificial intelligence (AI) is rapidly increasing in dentistry. However, their reliability is yet to be fully founded. This study aims to evaluate the diagnostic accuracy, clinical applicability, and patient education potential of LLMs in paediatric dentistry, by evaluating the responses of six LLMs: Google AI's Gemini and Gemini Advanced, OpenAI's ChatGPT-3.5, -4o and -4, and Microsoft's Copilot.</p><p><strong>Methods: </strong>Ten open-type clinical questions, relevant to paediatric dentistry were posed to the LLMs. The responses were graded by two independent evaluators from 0 to 10 using a detailed rubric. After 4 weeks, answers were reevaluated to assess intra-evaluator reliability. Statistical comparisons used Friedman's and Wilcoxon's and Kruskal-Wallis tests to assess the model that provided the most comprehensive, accurate, explicit and relevant answers.</p><p><strong>Results: </strong>Variations of results were noted. Chat GPT 4 answers were scored as the best (average score 8.08), followed by the answers of Gemini Advanced (8.06), ChatGPT 4o (8.01), ChatGPT 3.5 (7.61), Gemini (7,32) and Copilot (5.41). Statistical analysis revealed that Chat GPT 4 outperformed all other LLMs, and the difference was statistically significant. Despite variations and different responses to the same queries, remarkable similarities were observed. Except for Copilot, all chatbots managed to achieve a score level above 6.5 on all queries.</p><p><strong>Conclusion: </strong>This study demonstrates the potential use of language models (LLMs) in supporting evidence-based paediatric dentistry. Nevertheless, they cannot be regarded as completely trustworthy. Dental professionals should critically use AI models as supportive tools and not as a substitute of overall scientific knowledge and critical thinking.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"527-535"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477136","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":"Fracture resistance and failure-modes of endocrowns with two margin designs (butt versus shoulder) in primary molars: an in vitro study.","authors":"S Saji, K Bansal, V Jain, V P Mathur, N Tewari, R Morankar","doi":"10.1007/s40368-025-01017-6","DOIUrl":"10.1007/s40368-025-01017-6","url":null,"abstract":"<p><strong>Purpose: </strong>A newer design of crowns known as Endocrowns was introduced for endodontically treated teeth. The aim of this in vitro study was to compare fracture resistance and failure modes of two margin preparation for computer-aided design/computer-aided manufacturing (CAD-CAM) fabricated polymethyl methacrylate (PMMA) endocrowns for primary molars.</p><p><strong>Methods: </strong>Twenty extracted human primary molars were pulpectomized and restored with composite resin as per the standard protocol. Half the samples were prepared for endocrown with butt margin whilst the other half were given shoulder margin. The prepared teeth were scanned using a CADCAM scanner, and endocrowns were fabricated, cemented using glass ionomer luting cement, and subjected to thermocycling and chewing simulations. Samples were subjected to fracture resistance (FR) test using a universal testing machine and failure modes were assessed. Data were analysed using the Kruskal-Wallis and Chi-square test.</p><p><strong>Results: </strong>Mean FR was 1230.6 ± 305.4 N for butt-margin endocrowns and 1355.1 ± 293.9 N in shoulder margin design (p = 0.08). For the failure mode, most samples showed less than half of the crown lost (Class II) in Group 1 and severe fracture of the crown or tooth (Class V) in Group 2. However, there was no statistically significant difference between the two designs of endocrowns (p = 0.91) for the failure modes.</p><p><strong>Conclusions: </strong>The study concluded that the margin designs did not affect the fracture resistance and the failure modes of the PMMA endocrowns in primary molars. In vivo studies are needed to ascertain the long-term efficacy of PMMA endocrowns in endodontically treated primary molars.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"537-545"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587641","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":"Knowledge, attitudes and preferences of parents/guardians regarding dental treatment of their children's primary teeth: a questionnaire cross-sectional study.","authors":"C Ninou, K Seremidi, A Agouropoulos, W Papaioannou, S Gizani","doi":"10.1007/s40368-025-01002-z","DOIUrl":"10.1007/s40368-025-01002-z","url":null,"abstract":"<p><strong>Purpose: </strong>Assess the knowledge and attitudes of parents/guardians regarding their children's oral health and their preferences regarding the treatment of carious primary teeth.</p><p><strong>Methods: </strong>A cross-sectional study including the completion of a questionnaire by parents/guardians of healthy children aged 2-12 years attending the Department of Pediatric Dentistry (NKUA). Data were collected through 35 questions regarding demographic characteristics of the participants, oral hygiene and dietary habits, and parents' knowledge of the importance of oral health and primary teeth. Treatment preferences were assessed through clinical scenarios accompanied by colored clinical photographs. Results were presented in frequency tables and comparisons with specific child and parent-characteristics were evaluated using chi-squared and Fisher's exact test.</p><p><strong>Results: </strong>Parents were mainly females (73%), married (81%), aged > 40 years (56%), and high school graduates (57%). Most children brushed alone (56%), twice (48%) daily, with a manual toothbrush (65%) and consumed sugary snacks daily (38%). More than two-thirds of parents recognized the relationship between oral hygiene and general health (82%) and the importance of primary teeth (72%). Almost all parents would like to restore their children's asymptomatic (94%) and symptomatic (98%) primary teeth, with pulp therapy and stainless-steel crowns being the treatment of choice (58%). The decision on treatment about cavitated/non-cavitated primary teeth was not correlated with any of the parental or child-related factors. Acceptance of minimally invasive treatments was higher among highly educated parents and parents of boys.</p><p><strong>Conclusion: </strong>Insight into parents' perceptions and preferences regarding the treatment of primary teeth is necessary and should be considered during treatment planning.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"507-516"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068832","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}