European Archives of Paediatric Dentistry最新文献

{"title":"Management strategies for pulpitis in vital permanent teeth in children and adolescents: a systematic review and meta-analysis of randomized clinical trials.","authors":"S Asgary, S Shamszadeh, A Shirvani","doi":"10.1007/s40368-025-01021-w","DOIUrl":"https://doi.org/10.1007/s40368-025-01021-w","url":null,"abstract":"<p><strong>Purpose: </strong>Vital pulp treatment (VPT), including pulp capping and pulpotomy, is a conservative approach designed to maintain pulp vitality and health in reversible and partially irreversible pulpitis cases, particularly in children and adolescents with immature or mature permanent teeth. Despite extensive research, the comparation of various VPTs remains uncertain. This study evaluated the efficacy of different VPT techniques and capping materials, including calcium hydroxide (CH), mineral trioxide aggregate (MTA), and other pulp-protecting agents (PPA), and explored heterogeneity across trials, particularly with respect to pulp status (reversible vs. irreversible) and coronal restorations, using meta-regression analysis.</p><p><strong>Methods: </strong>A systematic review and meta-analysis, adhering to PRISMA guidelines, was conducted through a comprehensive search in PubMed and Scopus up to August 2024. The PICO framework was used to define the inclusion criteria: Population (children/adolescents with vital permanent teeth diagnosed with pulp inflammation), Intervention (various VPTs), Comparison (different PPAs and restoration types), and Outcome (success rates based on clinical/radiographic criteria). Odd ratios (ORs) were calculated using random-effects models. Statistical heterogeneity was assessed using the I² test. Meta-regression analysis was performed to explore the influence of co-interventions on the success rate (P < 0.05).</p><p><strong>Results: </strong>Nineteen randomized controlled trials involving 1183 participants were included. The meta-analysis revealed no significant difference between CH and MTA/PPA at 6 months (OR = -0.62; P = 0.26); however, at 12 months, CH demonstrated a significantly lower success rate compared to MTA/PPA (OR = -1.34; P = 0.01). Meta-regression analysis indicated that factors such as pulp status, restoration type, and VPT techniques did not significantly predict treatment success.</p><p><strong>Conclusions: </strong>The findings suggest that various VPT techniques utilising MTA/PPA are effective for managing reversible/irreversible pulpitis in mature/immature permanent teeth in children/adolescents. In contrast, CH is less favourable and not recommended for VPT. These results reinforce the growing evidence supporting the use of MTA and other evidence-supported PPAs over CH for long-term success in VPTs.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674485","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 sensor-based stress detection in paediatric dentistry: methodological considerations and future directions.","authors":"C M Ardila, P K Yadalam","doi":"10.1007/s40368-025-01016-7","DOIUrl":"https://doi.org/10.1007/s40368-025-01016-7","url":null,"abstract":"","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626462","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":"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":"https://doi.org/10.1007/s40368-025-01015-8","url":null,"abstract":"","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-11","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":"Asparagine in saliva with a lower risk of early childhood caries in undernourished children.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.1007/s40368-025-01019-4","DOIUrl":"https://doi.org/10.1007/s40368-025-01019-4","url":null,"abstract":"","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606425","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":"https://doi.org/10.1007/s40368-025-01022-9","url":null,"abstract":"","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","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":"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":"https://doi.org/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":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-07","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":"Harmful oral habits in childhood: a global bibliometric analysis.","authors":"K Cardoso, B B Souza, A O Rocha, C M Santana, M Bolan, M Cardoso","doi":"10.1007/s40368-024-00995-3","DOIUrl":"https://doi.org/10.1007/s40368-024-00995-3","url":null,"abstract":"<p><strong>Objective: </strong>Quantitative analysis of all articles on harmful oral habits through a bibliometric review.</p><p><strong>Methodology: </strong>The search was conducted on August 08, 2024 using the Web of Science database. All papers addressing the topic were included without language or date restrictions. Editorials, conferences, and meeting abstracts were excluded. From the selected articles, the following data were extracted: number of citations in Web of Science, year and journal of publication, impact factor (IF-2022), study design, type of deleterious habit and study objective, country, continent, institution, author, and keywords. Data analysis was performed using SSPS and VOSviewer software.</p><p><strong>Results: </strong>208 articles were included. Publications occurred between 1983 and 2024. The most cited article had 123 citations. The journals with the highest number of publications were the Journal of Clinical Pediatric Dentistry (n = 11) and the journal with the highest IF was the International Journal Oral Science (IF-14.9). There was observed a higher prevalence of observational study designs (n = 178), non-nutritive sucking habits (n = 151), and an association between harmful oral habits and malocclusion (n = 93). Most articles originated in the European continent (n = 77), the most prevalent country was Brazil (n = 61), with emphasis on the University of São Paulo (n = 8). The most frequent author was Paiva SM (n = 8).</p><p><strong>Conclusion: </strong>This global analysis reveals greater interest in occlusal damage and non-nutritive sucking habits. The participation of observational studies is more prevalent.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558284","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":"Comparison of retention rates of silver nanoparticles-based fissure sealant and conventional resin-based sealant: a one-year randomized clinical trial.","authors":"S Svetha, K Bansal, V P Mathur, N Tewari, R Morankar, M Kalaivani","doi":"10.1007/s40368-025-01014-9","DOIUrl":"https://doi.org/10.1007/s40368-025-01014-9","url":null,"abstract":"<p><strong>Background: </strong>Limited clinical evidence is currently available on the retention rates of the silver-nanoparticles filled pit and fissure sealant in permanent molars.</p><p><strong>Aim: </strong>To compare the retention rates of a resin-based sealant with silver-nanoparticles with that of a conventional resin-based sealant on permanent molars in children.</p><p><strong>Methods: </strong>A split-mouth design was used. Six to fourteen years old children (n = 150) reporting to a tertiary care hospital were recruited. A total of 264 pairs of permanent molars were subjected to one of the two interventions-A-Resin-based sealant without silver-nanoparticles (Helioseal F plus sealant); B-resin-based sealant with silver-nanoparticles (e-pit and fissure sealant). Sealants were applied using a standardized technique by a single-blinded operator. Primary outcome was the retention of the sealants and secondary outcomes were the presence or absence of caries, surface roughness, marginal integrity and discoloration of the sealant material. Follow-up evaluations were conducted at 6- and 12-months by two blinded evaluators. Data were analysed using the Chi-square test and p-value less than 0.05 was considered to be significant.</p><p><strong>Results: </strong>At 12 months, 224 pairs of permanent molars were available for analysis. The test sealant, e-Pit and fissure sealant performed better in terms of retention (68.3% of sealants with silver-nanoparticles retained as compared to 53.6% of resin-based sealants Helioseal F plus; p = 0.001), surface roughness, marginal integrity and sealant discoloration (p < 0.05). The occurrence of caries did not differ significantly between the two groups (p = 0.391).</p><p><strong>Conclusion: </strong>The study concluded that e-pit and fissure sealant with silver-nanoparticles had a better retention rate as compared to the Helioseal F plus sealant but caries occurrence was not different between the two groups.</p><p><strong>Trial registration number: </strong>CTRI/2022/05/042622.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558283","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":"Effectiveness and predictive factors of nitrous oxide and oxygen inhalation sedation for paediatric dental procedures: a retrospective cohort study of Thai children.","authors":"P Poonyarit, N Chaipattanawan, C Manmontri, P Chompu-Inwai, A Nirunsittirat, P Phinyo","doi":"10.1007/s40368-025-01013-w","DOIUrl":"https://doi.org/10.1007/s40368-025-01013-w","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effectiveness and predictive factors of nitrous oxide and oxygen inhalation sedation (NOIS) in Thai paediatric dental patients.</p><p><strong>Methods: </strong>A retrospective chart review of children receiving dental treatments under NOIS between March 2022 and August 2024 was conducted. A sedation session was evaluated as effective when the Overall Houpt Behaviour Rating Scale was greater than or equal to 4 and there were no acute adverse events from NOIS during or within 24 h of sedation. Predictive factors were assessed using the Poisson regression with robust error variance and generalised estimating equations.</p><p><strong>Results: </strong>A total of 224 sedation sessions from 134 Thai patients aged 3-12 years were included. Of these sessions, 86.2% were considered effective. In the multivariable analysis, previous NOIS experience and the child's preoperative anxiety level were associated with the effectiveness of NOIS. The risk ratio for effective sedation was 13% higher for children with prior NOIS experience compared to those undergoing NOIS for the first time (RR: 1.13, 95% CI 1.02-1.25, p value < 0.05). In addition, the risk ratio for effective sedation in non-anxious children was 41% higher than for extremely anxious children (RR: 1.41, 95% CI 1.07-1.86, p value < 0.05).</p><p><strong>Conclusion: </strong>NOIS is safe and effective for dental treatment in Thai children, with minimal adverse events. Its effectiveness is particularly pronounced in children who have prior experience with NOIS and present as non-anxious.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544171","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":"https://doi.org/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":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477136","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}