Journal of Clinical Pediatric Dentistry最新文献

{"title":"Practice and perception of dental practitioners in the Suva-Nausori area, Fiji on management of paediatric patients with dental anxiety.","authors":"Nirvi Lal, Kantara Tiim, Vidhant Nambiar","doi":"10.22514/jocpd.2024.140","DOIUrl":"10.22514/jocpd.2024.140","url":null,"abstract":"<p><p>Dental anxiety in children has been associated with poor oral health outcomes. Behaviour management and psychological interventions have been recognized as effective methods of reducing anxiety in children with positive long-term effects. So far, no information is available on how this issue is managed in the Fijian population. The aim is to investigate the practice and perception of dental practitioners in Suva-Nausori when managing paediatric patients with dental anxiety. A cross-sectional descriptive study was conducted using a questionnaire distributed to dental practitioners in Suva-Nausori area, Fiji. The questionnaire focused on assessment methods for identifying anxious paediatric patients, management approaches, and challenges faced by practitioners. The response rate was 80% (n = 40), with almost an equal distribution between private and public practitioners of 47% and 53% respectively. Observation-based assessment was reported as the most commonly used method for identifying dental anxiety by 79% of participants. Behaviour management techniques, particularly communication and Tell-Show-Do, were widely used by 83% of practitioners. Additionally, 17% utilised both behavioural and pharmacological techniques, with oral sedation being the most common pharmacological method (71%). Local anaesthesia was identified as the most challenging procedure for anxious children. These findings indicate that dental practitioners in the Suva-Nausori area primarily utilise behaviour management techniques and oral sedation to manage dentally anxious children, indicating a limited range of techniques. There is a need for further education and training to ensure that anxious patients receive optimal management, including options such as conscious sedation tailored to individual needs.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 6","pages":"197-204"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of stress generation in core build up-material of mutilated primary teeth: a comparative finite element analysis between BioFlx, stainless steel and zirconia crowns.","authors":"Tripti Lath, Nilesh Rathi, Vini Mehta, Viddyasagar Prabhakar Mopagar, Raju Umaji Patil, Shivyogi Hugar, Marco Cicciù, Giuseppe Minervini","doi":"10.22514/jocpd.2024.132","DOIUrl":"10.22514/jocpd.2024.132","url":null,"abstract":"<p><p>Stainless-steel crowns (SSCs) are the most durable restorative option for deciduous teeth, although they are unsightly. However, prefabricated zirconia crowns (ZCs) look more pleasant but require substantial dental preparation. Recently, BioFlx crowns have been introduced as a white-colored alternative to SSCs, providing both flexibility and aesthetics. However, clinical trials have not assessed their oral cavity load-bearing capacity and suitability for repairing severely decayed deciduous teeth. To address this gap, the present study compared the shear stresses generated by BioFlx crowns, ZCs and the gold standard SSCs when restoring extensively decayed deciduous teeth using finite element analysis (FEA). The restoration was represented by three finite element models with the identical tooth structure: BioFlx, SSC and ZC, constructed using a Trios 3 scanner and exported for analysis using ANSYS. The FEA results showed that ZCs had the maximum axial static load stress at 40.91 MPa, followed by SSCs at 39.331 MPa and BioFlx at 14.009 MPa. ZCs produced 2.932 MPa at 45°, SSCs 3.005 MPa and BioFlx 0.3227 MPa. ZCs had a maximum primary stress of 3.055 MPa at 0°, while SSCs and BioFlx had 2.3 and 0.3017 MPa, respectively. Deformation analysis revealed that under a load direction of 90°, SSCs deformed by 5.978 mm, ZCs by 5.971 mm and BioFlx by 5.971 mm. When the load was applied at an angle of 45°, SSCs deformed by 6.527 mm, ZCs by 5.444 mm and BioFlx by 5.447 mm. SSCs deformed 5.452 mm at 0° load, while ZCs and BioFlx deformed 6.472 and 6.479 mm, respectively. Based on these findings, BioFlx crowns, in combination with the underlying core material, can withstand maximum loads, suggesting that a mutilated primary posterior tooth restored with glass ionomer cement and a BioFlx crown may be a viable option for frequent clinical use.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 6","pages":"117-122"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and severity of dental caries using ICDAS in predicting treatment needs in Mexican school-age children.","authors":"Arturo Emiliano Carrillo Ortiz, Cesar Abraham Olvera Fuentes, Alvaro García Pérez, Jacqueline Adelina Rodríguez Chávez, Teresa Villanueva Gutiérrez, Hugo Marcelo Flores Ruíz, Karen Angelina Mora Navarrete","doi":"10.22514/jocpd.2024.134","DOIUrl":"10.22514/jocpd.2024.134","url":null,"abstract":"<p><p>Evaluate the prevalence and severity of caries in permanent teeth and their association with the treatment needs of 8-12-year-old Mexican schoolchildren. The cross-sectional study was conducted on 1139 8-12-year-old schoolchildren attending two public primary schools in State of Mexico. The study used the International Caries Detection and Assessment System (ICDAS) to examine the prevalence of caries and identify treatment needs in schoolchildren. Other variables considered were age, gender, oral hygiene, dental visits ≤6 months, toothbrushing frequency, and the mother's years of education. A logistic regression model was used to identify the association between independent variables and treatment needs. In all analyses, two-tailed <i>p</i> values ≤ 0.05 were considered statistically significant. The prevalence of caries lesions was 82.1% (82.2% boys <i>vs.</i> 81.9% girls) considering all lesion categories (ICDAS 1-6), while the distribution of the severity of caries was 17.9% (ICDAS 0), 13.9% (ICDAS 1-2), 28.3% (ICDAS 3-4) and 39.9% (ICDAS 5-6). The treatment needs index was 77.3%. The logistic regression model showed that the schoolchildren with moderate (ICDAS 3-4) and extensive carious (ICDAS 5-6) lesions were, respectively, 61% Odds Ratio ((OR) = 1.61; <i>p</i> = 0.036) and 77% (OR = 1.77; <i>p</i> = 0.013) more likely to present treatment needs. Other variables, such as poor oral hygiene (OR = 1.52; <i>p</i> = 0.009), the mother's low level of education (OR = 1.53; <i>p</i> = 0.007), and a lack of dental visits (OR = 1.42; <i>p</i> = 0.030) were associated with dental treatment needs. The results obtained show that the 8-12-year-old Mexican schoolchildren presented a high level of treatment needs for moderate and extensive carious lesions (ICDAS 3-6). These findings reiterate the importance of implementing oral health prevention, promotion, and intervention programs to help protect the oral health of school-age children.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 6","pages":"144-151"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meta-analysis: effects of adenoidectomy/tonsillectomy on pediatric maxillary growth development.","authors":"Ling Xu, Yingfei Zhang","doi":"10.22514/jocpd.2024.124","DOIUrl":"10.22514/jocpd.2024.124","url":null,"abstract":"<p><p>Quantitative analysis of adenoid size plays a pivotal role in experimental research, and imaging examinations are extensively employed for this purpose. This study aims to investigate the impact of adenoidectomy/tonsillectomy on the maxillary growth and respiratory outcomes of children. A comprehensive systematic search was conducted across multiple databases, including PubMed, Web of Science and Scopus, utilizing the following keywords: \"gland resection\", \"tonsillectomy\", \"mouth breathing\", \"airway obstruction\", \"low ventilation\", \"obstructive sleep apnea (OSA) syndrome\" and \"dental maxillary growth\" in articles published between January 2000 and April 2022. The eligibility criteria encompassed studies with a well-defined research question, appropriate sample size and reporting of pertinent cephalometric indices. The risk of bias was assessed using the Cochrane Risk of Bias tool. Heterogeneity between studies was evaluated using the Q test and <i>I</i>² statistics. Based on the meta-analysis of six studies, the odds ratio (OR) values for the influence of adenoidectomy/tonsillectomy on nasal line-nasion-sella line (NL-NSL) and mandibular line-nasion-sella line (ML-NSL) in children's maxillary growth were -0.84 and 0.58, respectively, with 95% confidence intervals (CI) of (-1.08, -0.61) and (0.34, 0.81). No heterogeneity was observed between studies (<i>I</i>² = 0.00% for both). In five studies, the OR values for the influence of adenoidectomy/tonsillectomy on children's maxillary growth angle formed by the sella-nasion line and line N-point A (SNA), and angle formed by the sella-nasion line and line N-point B (SNB) were -0.30 and -0.31, respectively, with 95% CI of (-0.55, -0.06) and (-0.56, -0.07). No heterogeneity was observed among studies (<i>I</i>² = 0.00% for both). The study indicated that adenoidectomy/tonsillectomy has a positive impact on the maxillary growth and respiratory issues in children.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 6","pages":"29-44"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing pediatric comfort: a comprehensive approach to managing molar-incisor hypomineralization with preemptive analgesia and behavioral strategies.","authors":"Laura-Roxana Contac, Silvia Izabella Pop, Cristina Ioana Bica","doi":"10.22514/jocpd.2024.096","DOIUrl":"10.22514/jocpd.2024.096","url":null,"abstract":"<p><p>Preemptive analgesia is an important strategy used in pediatric dentistry to intercept pain signals in neural pathways early, thus mitigating the perception of pain and enhancing overall patient comfort. Pedodontists often encounter challenges in conducting the therapy and managing uncooperative patients, when addressing enamel defects of the Molar-incisor hypomineralization (MIH) type. The aim of this study is to demonstrate the impact of preemptive analgesia on optimizing behavioral management and restorative treatment strategies for immature permanent molars exhibiting severe MIH and Treatment need index 4 (TNI), through the effective control of pain. This study comprised 27 cases with MIH level 3 Posteruptive breakdown (PEB), indicating post-eruptive enamel breakdown, with initial hypersensitivity scores exceeding 4 on the Wong-Baker Scale, was conducted over 12 months, between January 2023-January 2024. Data on pediatric patients aged between 5 years and 4 months and 7 years and 1 month with varying degrees of sensitivity in their permanent first molars before the completion of the eruption process were collected. Pain intensity was systematically evaluated at six specific time points: before and after the administration of analgesic medication as well as during restorative treatment using the Wong-Baker scale and data from the Face, Legs, Activity, Cry, Consolability index (FLACC). Statistical analysis for Wong-Baker scores and FLACC index indicated statistical significance (<i>p</i> < 0.05) for Mann-Whitney and Wilcoxon tests, respectively <i>t</i>-test. The comparison of mean scores recorded before and after preemptive analgesia during rotary instrumentation moments for the Wong-Baker index (4 > 0.29) and for the FLACC index (8.47 > 1.71) indicates the positive influence of administering ibuprofen. In conclusion, preemptive analgesia, alongside standardized anesthesia, significantly improved intraoperative pain management and behavioral outcomes.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 6","pages":"123-132"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of <i>EDARADD</i>, <i>LPO</i> and <i>ACTN2</i> genes polymorphisms in children with dental caries compared to caries-free controls.","authors":"Mohammad Hassan Lotfalizadeh, Sam Shahedi, Sepehr Kobravi, Arman Shekari, Yasin Nazari, Zahra Pirmoradi, Kasra Nazari, Mehri Safari, Forough Taheri, Farzaneh Lal Alizadeh","doi":"10.22514/jocpd.2024.135","DOIUrl":"10.22514/jocpd.2024.135","url":null,"abstract":"<p><p>Dental caries is a complex condition that results from a combination of genetic and environmental factors. Several genes have been found to play a role in teeth development and have been associated with various dental traits. In this study, our objective was to examine the potential correlation between the ectodysplasin a receptor (EDAR)-associated <i>via</i> death domain (EDARADD), Lactoperoxidase (LPO) and Actinin Alpha 2 (ACTN2) gene polymorphisms and susceptibility to dental caries. The study included a total of 600 participants, comprising 300 individuals with dental caries and 300 caries-free controls. The genotyping of the EDARADD (rs79233817), LPO (rs8178275) and ACTN2 (rs114880747) gene polymorphisms was performed using the tetra-primer amplification refractory mutation system Polymerase chain reaction (PCR) method. Individuals with dental caries were found to have a significantly higher frequency of the A allele (minor allele) for rs79233817 compared to controls. The specific single nucleotide polymorphism (SNP) (rs79233817) was associated with an increased risk of dental caries (DC) in both the co-dominant and dominant genetic models (<i>p</i>-value < 0.05). In addition, the study's findings revealed a significant association between the rs114880747 SNP and susceptibility to dental caries (<i>p</i>-value < 0.05). A higher frequency of the A allele (minor allele) of rs114880747 was observed in patients compared to the healthy controls. It is also worth mentioning that there was no association between rs8178275 susceptibility to dental caries (<i>p</i>-value > 0.05). It can be inferred that the EDARADD gene polymorphism (rs79233817) and ACTN2 gene polymorphism (rs114880747) potentially play a role in the genetic susceptibility to dental caries. To validate and delve deeper into these findings, it is necessary to conduct additional studies with larger sample sizes in diverse populations. This will help to establish the robustness of the results and further investigate the underlying mechanisms involved.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 6","pages":"152-160"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early treatment of skeletal class III malocclusion with facemask therapy in Vietnam.","authors":"Thanh Kha Ly, Lam Nguyen Le, Thao Thi Do, Khanh Phuong Vu Le","doi":"10.22514/jocpd.2024.139","DOIUrl":"10.22514/jocpd.2024.139","url":null,"abstract":"<p><p>To evaluate the effects of facemask therapy on skeletal class III malocclusion in the Vietnamese population. This interventional trial enrolled a total of 31 children, dividing them into two age groups: Children aged 7 to 9 (54.8%), who were in the pre-pubescent or early mixed dentition stages, comprised one group. The other group consisted of 14 children, representing 45.2%, who were in the mid-pubescent or late mixed dentition stage, aged 7 to 9. All of them had skeletal class III maxillary deficiency (Angle formed by the A-nasion line and B-nasion line ≤0°, Wits appraisal ≤2). The study aimed to investigate how age affects changes in lateral cephalometric measurements before and after treatment. The research involved clinical records, lateral cephalograms, and dental casts. Both qualitative and quantitative variables were evaluated using specific statistical tests. Fisher's exact test was used for qualitative variables, while paired samples <i>t</i>-tests and independent samples <i>t</i>-tests were used for quantitative variables. In cases where the data did not follow a normal distribution, the Wilcoxon test and Mann-Whitney U-test were used (<i>p</i> ≤ 0.05). The study found that using a facemask improved the skeletal, dental and soft tissues. It led to a forward movement of the maxilla and a rotation of the mandible, resulting in a better relationship between the maxilla and mandible. The upper incisors shifted from a crossbite to a positive overbite, and the upper lip protruded forward. The concave face became more prominent and aesthetically pleasing. Most individuals (80.6%) had positive outcomes, with the highest proportion among children aged 7-9 years. Based on the study's findings, the facemask was highly effective for both age groups in skeletal class III malocclusion. The group of children aged 7-9 years with maxillary deficiency was more efficacious than the group of children aged 10-12 years.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 6","pages":"187-196"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research progress of proteomics in congenital craniofacial anomalies.","authors":"Shujie Hou, Xuqin Liang, Yuhua Jiao, Boxi Yan, Kangying Liu, Hongmei Lin, Yi Ding, Huimei Huang, Jieni Zhang, Huaxiang Zhao","doi":"10.22514/jocpd.2024.122","DOIUrl":"10.22514/jocpd.2024.122","url":null,"abstract":"<p><p>Congenital craniofacial anomalies (CFAs) are among the most common birth defects, significantly affecting the appearance, oral function and mental health of patients. These anomalies are etiologically complex, involving genetics, environmental factors and gene-environment interactions. While genetic studies have identified numerous potential causal genes/risk loci for CFAs, the pathogenic mechanisms still largely remain elusive. Proteomics, the large-scale analysis of proteins, offers a comprehensive view of disease pathogenesis and their systemic effects. During the past two decades, the application of proteomics in CFA research has uncovered many biomarkers for early diagnosis and shed light on underlying mechanisms driving these anomalies. Here, we review the advancements and contributions of proteomics to congenital CFA research, outlining technological advances, novel findings from human body fluid proteomics, and integrative multi-omics approaches.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 6","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Apically extruded debris evaluation with the use of ProTaper Ultimate and TruNatomy files systems with and without glider preparation in primary tooth.","authors":"Büşra Karaağaç Eskibağlar, Merve Yeniçeri Özata","doi":"10.22514/jocpd.2024.111","DOIUrl":"https://doi.org/10.22514/jocpd.2024.111","url":null,"abstract":"<p><p>Information regarding the influence of resorption and glide paths on debris extrusion in primary teeth is lacking. Therefore, we evaluated debris extrusion with and without resorption and with and without the use of a path file in primary molar teeth prepared with ProTaper Ultimate (PTU) Prime and TruNatomy (TRN) Prime rotary file systems. Forty resorbed and forty non-resorbed primary molar teeth were collected. Both groups were divided into four subgroups (n = 10). The Eppendorf tubes were weighed pre-debris. The distal canals of the teeth were prepared with PTU Prime and TRN Prime file systems, with and without the use of path files. The debris-filled tubes were weighed, and the weight of only the extruded debris was calculated by subtraction. The data were analyzed using a three-way analysis of variance (ANOVA) test. The presence of tooth resorption significantly increased debris extrusion, and the use of a path file significantly decreased debris extrusion (<i>p</i> < 0.001). The binary and ternary interactions of the three evaluated parameters among the groups showed no significant differences in terms of the amount of debris extruded (<i>p</i> > 0.05). While debris extrusion was observed in all groups, the use of a glide path file in primary teeth before the preparation process resulted in less debris extrusion.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 5","pages":"119-124"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between risk factors, including approximal contact types and dental caries in children from low-income families. Pilot study.","authors":"Ameena Jaafar, Vineet Dhar, Kuei-Ling Hsu, Norman Tinanoff","doi":"10.22514/jocpd.2024.104","DOIUrl":"https://doi.org/10.22514/jocpd.2024.104","url":null,"abstract":"<p><p>The present cross-sectional study was conducted to evaluate various caries risk factors in children from low socio-economic groups and to assess if children with broad contacts between one or more primary molars (type I and S) should be categorized as at high caries risk. Clinical examinations were performed on 107, 3- to 10-year-old children from low socio-economic settings. Contact types along with other caries risk factors (insurance, diet, plaque, and fluoride use, and diet habits) were analyzed for effect on presence of caries lesions (prevalence) and caries experience (decayed, missing, filled teeth). 78% of the study population had dental caries lesions, with an average dmft of 5.6. Of the 277 evaluated contacts, 88% were categorized as broad contacts. Multivariate analyses failed to validate that broad contacts were a predictor of dental caries lesions. However, the analysis showed an association of insurance status, plaque index with dmft. In conclusion, the present study could not implicate broad contacts as a factor that increased caries risk in the studied population; however, it validates the importance of insurance status, plaque index, as well as diet frequency as predictors of dental caries lesions.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 5","pages":"60-68"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}