K Seremidi, S Gizani, M Anderson, G Dahllöf, M Barr-Agholme, S Parekh, G Tsilingaridis
{"title":"Best clinical practise guidance for oral health care management of long-term childhood cancer survivors (CCS): an EAPD policy document.","authors":"K Seremidi, S Gizani, M Anderson, G Dahllöf, M Barr-Agholme, S Parekh, G Tsilingaridis","doi":"10.1007/s40368-025-01037-2","DOIUrl":"https://doi.org/10.1007/s40368-025-01037-2","url":null,"abstract":"<p><strong>Purpose: </strong>The European Academy of Paediatric Dentistry (EAPD) has developed this best clinical practice guidance to help clinicians manage the oral health of long-term childhood cancer survivors.</p><p><strong>Methods: </strong>An expert group conducted a systematic review of the relevant literature on oral health care management of long-term childhood cancer survivors (CCS). The workshop was held during the corresponding EAPD interim seminar in Prague in May 2023. Several clinical based recommendations and statements were agreed upon, and gaps in our knowledge were identified.</p><p><strong>Results: </strong>The evidence regarding prevalence was limited to retrospective studies of moderate to good quality. Oral hygiene of CCS was worse compared to healthy individuals, showing higher values for gingival and plaque indices. Similarly, survivors had increased caries risk with higher mean dmft/DMFT and dt/DT values. The most common radiographic defects were impaired root growth in the permanent teeth and tooth agenesis. Enamel developmental defects, microdontia, and hypodontia were also commonly diagnosed. Age at start of treatment was identified as a risk factor, for the development of microdontia, tooth agenesis, and root defects in patients treated at age <3 years. The type of treatment also appeared to influence the risk, as an increased prevalence of dental caries and a higher frequency of root malformations were found in patients who had undergone concomitant radiation therapy, although evidence was limited. Treatment duration was not found to be a risk factor.</p><p><strong>Conclusion: </strong>These guidelines provide recommendations for dental management for childhood cancer survivors defined as children and adolescents up to the age of 19 years, regardless of age at initial diagnosis and treatment initiation.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034065","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}
D Balli, P Lambrou, P Athanasiadou, A E Zarkadi, A Arhakis, V Boka, K Arapostathis
{"title":"The effect of needle demonstration during local anaesthesia on the child's dental fear, pain perception and behaviour: a randomised controlled trial.","authors":"D Balli, P Lambrou, P Athanasiadou, A E Zarkadi, A Arhakis, V Boka, K Arapostathis","doi":"10.1007/s40368-025-01034-5","DOIUrl":"https://doi.org/10.1007/s40368-025-01034-5","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the current study is to evaluate the possible effects of the sight of the dental needle as part of the \"Tell-Show-Do\" technique on children's fear, pain perception and behaviour, during anaesthesia administration.</p><p><strong>Methods: </strong>A total of 60 4-8 year-old children with no previous experience of local anaesthesia (LA), in need of restorations under LA, were randomly assigned in G1:Hiding-Needle-Technique (HN-T) and G2:Showing-Needle-Technique (SN-T). Children's Fear Survey Schedule-Dental Subscale, Wong-Baker Faces Pain Rating Scale (WBFPS), Frankl Behaviour Scale and heart rate (HR) were used.</p><p><strong>Results: </strong>Objective evaluation of fear, using heart rate, was significantly higher for G1:(HN-T) compared to G2:(SN-T) during demonstration at the first appointment (p value = 0.013) and needle insertion at both appointments (p value = 0.08, p value = 0.04 respectively). No statistically significant relationship was found between the two groups regarding WBFPS questionnaire and Frankl Behaviour Rating Scale.</p><p><strong>Conclusions: </strong>The sight of the needle was not found to affect reported fear. Statistical increases in HR were observed in children, independent of age and gender. Changes in HR indicated that not viewing the needle elicited greater fear than seeing it, for children aged 4 to 8 years when \"Tell-Show-Do\" is used. Pain perception and behaviour were not affected.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041067","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}
D Rabelo-Costa, A C F Paiva, J M Bittencourt, L P Martins, G S Silva, S M Paiva, C B Bendo
{"title":"The RMS-Pictorial Scale: cross-cultural adaptation and validation for Brazilian children and adolescents.","authors":"D Rabelo-Costa, A C F Paiva, J M Bittencourt, L P Martins, G S Silva, S M Paiva, C B Bendo","doi":"10.1007/s40368-025-01044-3","DOIUrl":"https://doi.org/10.1007/s40368-025-01044-3","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to perform the cross-cultural adaptation and validation of the RMS-Pictorial Scale (RMS-PS) for use with Brazilian children and adolescents.</p><p><strong>Methods: </strong>The RMS-PS was developed to measure self-perceived dental anxiety in children. The photographs of Brazilian children reproducing the faces of the original scale were taken and discussed by a Committee of Experts. The first step was to produce four versions of the scale (a white girl, a black girl, a white boy, and a black boy) to guarantee the representativeness of the population. The scale was tested in two pre-tests before the definition of the final version of each one. An original form (5 faces) for 7-14-year-old children and adolescents a short form (3 faces) for 4-6-year-old children were developed. Sixty children and adolescents (mean age = 7.67) responded to the RMS-PS, the Facial Image Scale (FIS) and the Children's Fear Survey Scale-Dental Subscale (CFSS-DS). Statistical analyses included a descriptive analysis, the Intraclass Correlation Coefficients (ICC), the Spearman correlation, and the Mann-Whitney test.</p><p><strong>Results: </strong>Test-retest reliability showed a good correlation for the children's self-reporting of the B-RMS-PS across the two-week interval (ICC = 0.791; 95% CI 0.673-0.870). Convergent validity was confirmed by the correlation between the B-RMS-PS and the FIS (r = 0.524, p < 0.001). The children with proxy-report dental anxiety had greater B-RMS-PS scores than those without anxiety (p = 0.010) supporting discriminant validity.</p><p><strong>Conclusion: </strong>The B-RMS-PS showed good psychometric characteristics, being reliable and valid to be used with Brazilian children and adolescents.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041781","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":"Gender disparities regarding invited speakers in paediatric dentistry congresses: Are we closing the gap?","authors":"Ε D Berdouses, D Koletsi, K Taoufik, K Kavvadia","doi":"10.1007/s40368-025-01029-2","DOIUrl":"https://doi.org/10.1007/s40368-025-01029-2","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the present cross-sectional study was to evaluate the representation of female scientists as invited speakers at two major paediatric dentistry congresses, the European Academy of Paediatric Dentistry (EAPD) and the American Academy of Pediatric Dentistry (AAPD), held between 2016 and 2023. A secondary aim was to explore association with lecture topic- or scientist-related characteristics.</p><p><strong>Methods: </strong>The gender of all invited speakers was identified through electronically searching of scientific programmes and abstract books of the EAPD and the AAPD Congresses held between 2016 and 2023. Variables assessed were year of the congress, the continent of origin of the invited scientist, the type of meeting (congress or interim seminar) and lecture topic.</p><p><strong>Results: </strong>A total of 462 lectures were included in the assessment and the overall representation of female scientists was 44.2%. Since 2016, yearly representation of female invited speakers exceeded in number that of male only twice, in 2021 (59.4%) and in 2023 (53.7%). For the EAPD, invited female lecturers were 41.1%, while for the AAPD Congress was 46.3%. There was equal representation of female and male speakers in seminars (50% each), although this type of meeting is solely organised by the EAPD. Pain management (62.5%), insurance (54.8%), paediatrics (55.6%) and orthodontics (52.4%) were the only thematic regions where female speakers outnumbered their male counterparts. Univariable and multivariable analyses did not reveal any overall significant association between invited speaker gender and year, congress or continent of authorship (p-value > 0.05 in all cases).</p><p><strong>Conclusion: </strong>Women' voice representation at major paediatric dentistry congresses was found to improve, however, efforts for further improvement should persist to establish balanced representation.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046190","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}
G F Rodrigues, Í M Carneiro, T C da Costa, P A C Marques, F Barja-Fidalgo, A Fonseca-Gonçalves
{"title":"Influence of knowledge about silver diamine fluoride on the acceptance and perception of Brazilian children's guardians: a randomized controlled clinical trial.","authors":"G F Rodrigues, Í M Carneiro, T C da Costa, P A C Marques, F Barja-Fidalgo, A Fonseca-Gonçalves","doi":"10.1007/s40368-025-01040-7","DOIUrl":"https://doi.org/10.1007/s40368-025-01040-7","url":null,"abstract":"<p><strong>Purpose: </strong>This randomized controlled clinical trial evaluated the influence of guardians' prior knowledge about silver diamine fluoride (SDF), through the application of an instructional video, on their acceptance and perception of its use in children.</p><p><strong>Methods: </strong>The children's guardians responded to a questionnaire containing questions about the use of SDF. They were randomized into groups: test, received prior information about SDF through a video; control, did not receive prior information. As answer options (yes/maybe/no) for each question, scores were assigned (0-2). The lower the total score (0-24), the better the acceptance and perception. X<sup>2</sup> and Mann-Whitney tests were used for comparisons between groups.</p><p><strong>Results: </strong>Eighty-two participants were included (test, n = 42; control, n = 40). The total score was 6.98 (± 4.33) in the test group and 8.45 (± 4.87) in the control (p = 0.683). Considering the use of SDF in anterior teeth, the test group showed better acceptance (p = 0.027).</p><p><strong>Conclusion: </strong>The prior knowledge about the SDF did not, generally, influence the acceptance and perception of the guardians. However, regarding anterior teeth, there was better acceptance and perception by those who received the video about SDF.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053223","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}
Ola B Al-Batayneh, Tamara Halasa, Serene Badran, Mohammad A Albatayneh, Heba Jafar Sabbagh, Yousef S Khader
{"title":"The impact of maternal stress on non-syndromic clefts: a retrospective case-control study.","authors":"Ola B Al-Batayneh, Tamara Halasa, Serene Badran, Mohammad A Albatayneh, Heba Jafar Sabbagh, Yousef S Khader","doi":"10.1007/s40368-025-01035-4","DOIUrl":"https://doi.org/10.1007/s40368-025-01035-4","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the effect of COVID-19 related maternal psychological stress (MS) in the first trimester of pregnancy on non-syndromic orofacial-clefts (NSOFCs).</p><p><strong>Methods: </strong>This retrospective case-control cross-sectional study included infants who were born during the COVID-19 pandemic. Sample size was determined based on differences in MS and their effect on clefts etiology. Infants were divided into two groups: cases (with NSOFCs) and controls (healthy); two controls were selected for each case, matched by gender and residence. Data was collected from mothers through phone-based questionnaires which consisted of three parts: demographics, risk factors, and maternal stress using the Life Events Questionnaire (LEQ) and Fear of COVID-19 Scale (FCV-19S). Descriptive statistics, correlations and logistic regression were done, level of significance was set at (P ≤ 0.05).</p><p><strong>Results: </strong>The final sample included 192 infants: (64 cases, 128 controls), mostly females, born full-term, with normal weight (55.2%, 72.9%, and 62.5%, respectively). Mothers ages were 19-41 years. Prevalence of NSOFCs was 1.41 birth per 1000 live births. The LEQ showed that changing residence (P = 0.012) and overall stress (P = 0.019) were significant factors for mothers in both groups. Regression analysis showed that low gestational age of the infant (P = 0.009), lack of folic acid intake during the first trimester (P = 0.037), parental consanguinity (P = 0.019) and maternal stress due to COVID-19 pandemic (P = 0.039) were risk factors for NSOFCs.</p><p><strong>Conclusion: </strong>Despite limitations of reliance on self-reported MS, this study suggests that maternal stress is a risk factor for NSOFCs. More studies need to be conducted addressing MS during prenatal and perinatal periods.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024754","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}
S Horsophonphong, S Roytrakul, K Lertruangpanya, N Kitkumthorn, R Surarit
{"title":"Proteomic analysis of dental pulp from deciduous teeth in comparison to permanent teeth: an in-vitro study.","authors":"S Horsophonphong, S Roytrakul, K Lertruangpanya, N Kitkumthorn, R Surarit","doi":"10.1007/s40368-025-01043-4","DOIUrl":"https://doi.org/10.1007/s40368-025-01043-4","url":null,"abstract":"<p><strong>Purpose: </strong>The aims of this study were to identify proteomic profiles of dental pulp from deciduous teeth and compare the profiles of the two dentitions.</p><p><strong>Methods: </strong>Teeth that were caries-free and had normal pulp conditions were collected from twelve healthy individuals. The obtained teeth consisted of deciduous teeth (n = 6) and permanent teeth (n = 6). Proteins were extracted from pulp tissue and then analysed using liquid chromatography-tandem mass spectrometry. MaxQuant was used to identify and quantify proteins from raw mass spectrometry data of the collected deciduous and previously analysed permanent dental pulp. Differentially expressed proteins (DEPs) between the dental pulp of the two dentitions were identified by a statistical analysis conducted using Metaboanalyst with criteria P-value < 0.05 and fold change > 2.</p><p><strong>Results: </strong>A total of 3,636 proteins were identified in the dental pulp of deciduous teeth. The biological process functional classifications of these proteins were primarily concerned with cellular process, biological regulation, metabolic process and response to stimulus. Dental pulp protein profiles differed significantly between deciduous and permanent teeth, with 736 proteins being differentially expressed, the majority of which were highly expressed in the pulp of deciduous teeth. Pathway analysis indicated DEPs to be involved in tumour necrosis factor (TNF) signalling, nuclear factor kappa B signalling, and odontoclast/osteoclast differentiation.</p><p><strong>Conclusion: </strong>While the dental pulp of deciduous and permanent teeth shares some characteristics, there are also significant differences in protein expression, with the TNF signalling pathway and odontoclast/osteoclast differentiation being promoted in the dental pulp of deciduous teeth.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041050","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":"Clinical evaluation of pediatric zirconia crowns cemented with two luting cements: a 12 months split-mouth randomised controlled trial.","authors":"T Bani-Hani, R B Abu-Abbas, A K Tabnjh","doi":"10.1007/s40368-025-01036-3","DOIUrl":"https://doi.org/10.1007/s40368-025-01036-3","url":null,"abstract":"<p><strong>Background: </strong>Several treatment options have been proposed for restoring primary teeth in children. Recently, Zirconia crowns have been introduced as an esthetic option and gained wide popularity. However, the literature is still limited regarding the clinical outcomes and luting techniques of these crowns. The aim of this study was to compare the clinical efficacy of using Glass Ionomer Cement (GIC) versus self-adhesive resin cement with anterior zirconia crowns.</p><p><strong>Materials and methods: </strong>This was a split-mouth randomised clinical trial that involved healthy three-to-five-year-old children with carious primary incisors that required restoration with zirconia crowns. Pair-matched incisors were randomly assigned to receive either resin cement or GIC for crown cementation. Crowns were clinically evaluated for retention, and gingival condition at 1-week, 1-,3-, 6- and 12-month recall appointments.</p><p><strong>Results: </strong>Twenty-six children were enrolled in the study with a total of 42 pair-matched incisors (i.e. 84 teeth). Follow-up durations ranged from 12 to 30 months. Over the study period, only one patient experienced crown debonding in the GIC group. Maximum retention (100%) was reported for both GIC and resin cement groups after 12 months. Regarding gingival health, no statistically significant difference was found in the gingival index scores between the two cement types at all follow-up points.</p><p><strong>Conclusion: </strong>The effect of the type of cement is likely to be clinically insignificant. GIC could be considered a valid alternative to the resin-based cement for zirconia crowns in primary teeth.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004478","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}
L V Moreira, G F Machado, M L Ramos-Jorge, P S Mourão, J Ramos-Jorge, I B Fernandes
{"title":"Longitudinal assessment of factors associated with dental caries on the first permanent molars: a prospective clinical study in Brazilian children.","authors":"L V Moreira, G F Machado, M L Ramos-Jorge, P S Mourão, J Ramos-Jorge, I B Fernandes","doi":"10.1007/s40368-025-01042-5","DOIUrl":"https://doi.org/10.1007/s40368-025-01042-5","url":null,"abstract":"<p><strong>Purpose: </strong>The first molars are frequently the first permanent teeth to erupt in the oral cavity, and their premature loss can significantly affect a child's oral health. This study aimed to identify determinants of dental caries on the first permanent molars among schoolchildren.</p><p><strong>Methods: </strong>A longitudinal study was conducted with 122 mother-child pairs from the Brazilian city of Diamantina. The children were evaluated at three instants: first, between 1 and 3 years of age (T1), then, 3 years after the initial assessment (T2), and finally, 6 years after the initial assessment (T3). Socioeconomic data, child habits, visible plaque, and dental caries (assessed through International Caries Detection and Assessment System [ICDAS-II]) were collected at all three time points.</p><p><strong>Results: </strong>The incidence of dental caries in the first permanent molars was 70.5% and was associated with the presence of caries at T1 (RR = 1.41; 95% CI 1.08-1.84) and T2 (RR = 1.58; 95% CI 1.12-2.22). The following variables at both T1 and T2 were also significantly associated with caries incidence: a high number of income dependents (RR = 1.66; 95% CI 1.17-2.35) and low brushing frequency (RR = 1.77; 95% CI 1.27-2.46). Yet, the persistence of low brushing frequency from T2 to T3 (RR = 1.32; 95% CI 1.05-1.65) was also associated with the incidence of caries.</p><p><strong>Conclusions: </strong>The incidence of dental caries in the first permanent molars was associated with prior caries experience, low toothbrushing frequency, and schoolchildren belonging to families with a high number of income dependents. These findings highlight the importance of early preventive interventions and socioeconomic considerations in addressing childhood dental caries.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050900","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":"Deep carious lesion management in vital primary teeth: approach and practice of dental practitioners in Jordan.","authors":"A Alqadi, N A Taha","doi":"10.1007/s40368-025-01039-0","DOIUrl":"https://doi.org/10.1007/s40368-025-01039-0","url":null,"abstract":"<p><strong>Purpose: </strong>Diverse treatment modalities are available for managing deep caries in primary dentition, with a growing interest in minimally invasive approaches. It remains unclear which treatment modality is applied by dentists in daily practice. This study aimed to explore the general dental practitioners' (GDP), and paediatric dentists' (PD) approaches to managing deep caries in primary molars.</p><p><strong>Methods: </strong>An online questionnaire was distributed using the Google Form survey tool to dentists across Jordan. Descriptive data analysis was performed. Chi-square was used to analyse correlations (P < 0.05).</p><p><strong>Results: </strong>A total of 376 responses were analysed. Almost two-thirds of participants were GDPs (58.8%), 23.4% were PDs, 14.1% were paediatric PGs and 3.7% were academics. For asymptomatic teeth, indirect pulp capping (IPC) was the most opted treatment among all participants (N = 129; 34.3%) followed by the Hall technique (N = 70;18.6%). IPC and Hall techniques were significantly more selected by PDs (P < 0.001). For teeth with symptoms of reversible pulpitis, most participants preferred pulpotomy (N = 152; 40.4%), followed by IPC (N = 125; 33.2%). IPC was significantly more selected by PDs (P < 0.001). For teeth with symptoms of irreversible pulpitis, pulpotomy was preferred by most participants (N = 263; 69.9%).</p><p><strong>Conclusion: </strong>The PD approach favours less invasive biologically based interventions for managing asymptomatic and reversibly inflamed primary molars. GDPs require further education on less invasive biologically based interventions.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041004","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}