European Archives of Paediatric Dentistry最新文献

{"title":"Content validity of a novel instrument to measure oral health-related quality of life in intellectually disabled children.","authors":"D Anusha, S Keingadarane, D J Caplan, S Sivasamy","doi":"10.1007/s40368-025-01031-8","DOIUrl":"10.1007/s40368-025-01031-8","url":null,"abstract":"<p><strong>Introduction: </strong>Oral health significantly impacts the quality of life, particularly in vulnerable populations such as children with intellectual disabilities (ID). Existing oral health-related quality of life (OHRQoL) instruments often fail to address the unique challenges faced by these children. This study aimed to develop and validate a novel instrument tailored to assess OHRQoL in intellectually disabled children aged 12-18 years.</p><p><strong>Materials and methods: </strong>The instrument was developed through a comprehensive process involving a literature review and thematic analysis of qualitative interviews with 22 mothers of intellectually disabled adolescents. Content validity was assessed using a panel of five experts from paediatric dentistry, public health dentistry, and research. Content Validity Ratio (CVR) and Content Validity Index (CVI) methods were employed to evaluate individual items and overall scale validity. Items with CVR ≥ 0.99 and I-CVI ≥ 0.78 were retained.</p><p><strong>Results: </strong>Out of 39 items, 37 achieved a CVR of 1.00, indicating strong consensus on their relevance. The overall S-CVI/UA was 0.864, and S-CVI/Ave was 0.986, reflecting excellent content validity. Two items with CVR scores of 0.2 were excluded. The overall clarity, relevance, and comprehensiveness scores were 2.89, 2.87, and 2.89, respectively.</p><p><strong>Conclusion: </strong>The instrument demonstrates excellent content validity and comprehensively addresses oral health-related quality of life (OHRQoL) challenges in children aged 12-18 years with intellectual disabilities in the Pondicherry City, India. However, considering potential cultural and age-related differences, further studies are warranted to validate its applicability across diverse populations and younger age groups.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"915-922"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020093","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":"Development and evaluation of an early childhood caries prediction model: a deep learning-based hybrid statistical modelling approach.","authors":"S Z Eusufzai, N B Jamayet, S Ahmed, M B Islam, W M A W Ahmad, M K Alam","doi":"10.1007/s40368-025-01046-1","DOIUrl":"10.1007/s40368-025-01046-1","url":null,"abstract":"<p><strong>Purpose: </strong>An effective Deep learning (DL) based Early Childhood Caries (ECC) prediction model is crucial for early detection of ECC. This study aims to develop and evaluate a deep learning (DL) based hybrid statistical model for ECC prediction.</p><p><strong>Methods: </strong>The study employed a computational cross-sectional design, conducted over a three-year period from March 2021 to March 2024. Data analysis was carried out using a hybrid statistical approach that integrated bootstrap methods, Logistic Regression Modelling (LRM), and Multilayer Feed-Forward Neural Networks (MLFFNN). The sample comprised 157 parent-child pairs, providing a robust dataset for examining the research questions.</p><p><strong>Results: </strong>In the current study, the predictors named, \"mother's education\" (β₁: 0.423; p < 0.25), \"parent's knowledge of bottle-feeding habit during sleep can cause tooth decay\" (β₂: -1.264; p < 0.25), \"attitude towards the importance of oral health as general health\" (β₄: -1.052; p < 0.25) and \"parent's self-reported oral pain among their children\" (β₅: -2.107; p < 0.25) showed significant association with ECC. For this model, the Mean Absolute Deviation (MAD) was 0.02211, Predictive Mean Squared Error (PMSE) was 0.07909, and the accuracy level was 99.98%. No significant difference was observed from the t-test between the actual values and the predicted values of the model (p > 0.05).</p><p><strong>Conclusion: </strong>It has been shown that this unique deep learning-based ECC prediction model appears an effective tool with high accuracy and interpretability for ECC prediction. After implementing the oral health intervention program, focusing on the potential predictors of ECC obtained from this innovative model, policymakers could be able to evaluate their prediction models comparing their results with the findings of the current study. This comparison will guide them in understanding, designing, and implementing a more effective intervention program for ECC prevention.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"953-964"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054567","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":"Antibacterial effect, antiadherence, and antiacidogenicity properties of a dental varnish containing silver nanoparticles: an in vitro study.","authors":"C Butrón-Téllez Girón, I De Alba-Montero, L O Hernández-Arteaga, A Garrocho-Rangel, F Ruiz","doi":"10.1007/s40368-025-01048-z","DOIUrl":"10.1007/s40368-025-01048-z","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the present in vitro study was to synthesize and characterize green silver nanoparticles using Larrea tridentata leaf extract as a reducing and stabilizing agent and combining the nanoparticles with a commercial fluoride varnish (Fluor Protector^®) to evaluate the antibacterial activity in the production of acid and the adhesion of Streptococcus mutans and Lactobacillus acidophilus.</p><p><strong>Methods: </strong>Silver nanoparticles were synthesized by green synthesis using Larrea tridentata leaf extract as a reducing and stabilizing agent and characterized by UV-Vis spectroscopy, dynamic light scattering (DLS), and transmission electron microscopy (TEM). Minimum inhibitory and bactericidal concentrations were determined using microdiluted plates. Antibacterial activity compared using disc diffusion. Adhesion and acidogenicity tested on deciduous teeth, divided into experimental (fluoride varnish with silver nanoparticles) and control (fluoride varnish) groups. Microorganism adhesion quantified on enamel, pH readings after 24-h incubation. Analyzed using ANOVA, Tukey's test, and Mann-Whitney U.</p><p><strong>Results: </strong>Fluoride varnish with silver nanoparticles showed better antibacterial activity than nanoparticles and varnish alone. Fluoride varnish with silver nanoparticles was more effective compared to fluoride varnish in inhibiting the adhesion and pH decreases of Streptococcus mutans and Lactobacillus acidophilus on the sound enamel, with statistically significant differences (p < 0.001).</p><p><strong>Conclusions: </strong>Fluoride varnish with silver nanoparticles has a good antibacterial effect for inhibiting the adhesion and production of acid being is important in the prevention and the initial stages of dental caries.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"799-809"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041049","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":"Mouthwash use in children and adolescents: should parents be worried?","authors":"E Veseli, E Breznica","doi":"10.1007/s40368-024-00991-7","DOIUrl":"10.1007/s40368-024-00991-7","url":null,"abstract":"","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"813-814"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910780","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":"Do clinical caries-preventive interventions applied to expectant mothers affect caries-related parameters in their children? A systematic review.","authors":"Farida Abdunabi, Mawlood Kowash, Miltiadis A Makrygiannakis, Eleftherios G Kaklamanos","doi":"10.1007/s40368-025-01025-6","DOIUrl":"10.1007/s40368-025-01025-6","url":null,"abstract":"<p><strong>Purpose: </strong>To assess whether caries-preventive clinical interventions targeted exclusively to expectant mothers reduce caries experience or various surrogate parameters associated with caries activity in their children.</p><p><strong>Method: </strong>Seven databases were searched for randomised clinical trials until November 2024. Studies assessing clinical caries-preventive measures in healthy expectant mothers and comparing them to placebo, other, or no interventions. Outcomes measured in children included caries experience and surrogate parameters (e.g., S. mutans levels), patient-reported, and socioeconomic data. Non-randomized studies as well as, behavioural and educational interventions were excluded. Risk of bias was assessed using the Cochrane Collaboration's RoB 2 tool.</p><p><strong>Results: </strong>Out of the 2149 studies identified, only 5 studies were included. Two of them presented with low risk of bias, whereas there were some concerns for the other three. The assessed outcomes included either caries experience directly (percentage of caries active children, DMFT, DMFS, dmft, dmfs) or the Streptococcus mutans levels. Children in the experimental groups showed significantly lower S. mutans levels compared to controls. Regarding caries levels, the results were contradictory. The supplementation of calcium in expectant mothers resulted in caries reductions in their offsprings, while sodium fluoride with potassium iodine topical applications or vitamin D supplementation were not shown to be effective.</p><p><strong>Conclusion: </strong>Clinical caries-preventive interventions applied to expectant mothers might result in reduced S. mutans levels in their children. Further studies are warranted to provide additional evidence, especially with regards to caries experience.</p><p><strong>Registration: </strong>Research Registry: reviewregistry1047.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"633-644"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988206","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":"Graphene in dentistry: transformative applications and innovations.","authors":"G Ayyakannu Sundaram","doi":"10.1007/s40368-024-00990-8","DOIUrl":"10.1007/s40368-024-00990-8","url":null,"abstract":"","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"811-812"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923625","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":"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":"695-708"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","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 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":"10.1007/s40368-025-01016-7","url":null,"abstract":"","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"609-610"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","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":"Association between maternal depression and early childhood caries in rural southern Brazil: a population-based cross-sectional study.","authors":"A V Camerini, A E R Silva, C A Feldens, R D Meucci, S O M Prietsch","doi":"10.1007/s40368-025-01047-0","DOIUrl":"10.1007/s40368-025-01047-0","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the present study was to investigate the association between maternal depressive symptoms and Early Childhood Caries (ECC) in children residing in rural communities in southern Brazil.</p><p><strong>Methods: </strong>A population-based cross-sectional study was conducted with 236 children aged 1-5 years and their mothers. Mothers answered the Patient Health Questionnaire (PHQ-9) addressing depressive symptoms and a structured questionnaire investigating demographic, socioeconomic and behavioural characteristics. The mothers and children underwent oral health examinations using the WHO criteria (DMFT and dmft index, respectively). The outcome was the occurrence of ECC (dmft ≥ 1) and the main exposure was symptoms of maternal depression. Poisson regression with robust variance was used to estimate prevalence ratios and 95% confidence intervals adjusted for potential confounding variables.</p><p><strong>Results: </strong>Overall, 37.7% of the children had ECC and 21.5% of the mothers had symptoms of depression. The prevalence of ECC was significantly higher among children of mothers with depressive symptoms (52.0%) compared to those of mothers without symptoms (34.6%). The multivariate analysis showed that the likelihood of ECC was nearly 50% higher in children whose mothers presented depressive symptoms (PR = 1.46; 95% CI 1.04-2.05) compared to those with mothers without depressive symptoms.</p><p><strong>Conclusion: </strong>The symptoms of maternal depression increased the likelihood of ECC in preschool children living in a rural area.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":" ","pages":"791-797"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990597","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":"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":"759-768"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","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}