Journal of Clinical Pediatric Dentistry最新文献

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Comparative evaluation of probiotic solutions on surface roughness and microhardness of different restorative materials and enamel. 益生菌溶液对不同修复材料和珐琅质表面粗糙度和微硬度的比较评估
IF 1.3 4区 医学
Journal of Clinical Pediatric Dentistry Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.22514/jocpd.2024.064
Ozcan Karatas, Ebru Delikan, Ayse Tugba Erturk Avunduk
{"title":"Comparative evaluation of probiotic solutions on surface roughness and microhardness of different restorative materials and enamel.","authors":"Ozcan Karatas, Ebru Delikan, Ayse Tugba Erturk Avunduk","doi":"10.22514/jocpd.2024.064","DOIUrl":"https://doi.org/10.22514/jocpd.2024.064","url":null,"abstract":"<p><p>This research study aimed to investigate the impact of probiotic mouthwash and kefir on the surface characteristics, specifically surface roughness and microhardness, of different restorative materials, as well as permanent and deciduous tooth enamels. Thirty disc-shaped specimens were prepared from composite resin (G-ænial Posterior (GP)), polyacid-modified composite resin (compomer) (Dyract-XP (DXP)), and resin-modified glass ionomer cement (Ionoseal (IS)). Additionally, thirty specimens of enamel were obtained from permanent teeth (PT) and thirty from deciduous teeth (DT) by embedding buccal and lingual sections, acquired through vertical sectioning of 15 permanent and 15 deciduous human tooth crowns in the mesiodistal orientation within acrylic resin blocks. The specimens were then categorized into three distinct groups and immersed for 14 days in one of the following solutions: distilled water, kefir or probiotic mouthwash. The mean surface roughness values of all specimens were assessed using an atomic force microscope, while the mean surface microhardness was measured using a Vickers hardness measuring instrument. The results revealed a statistically significant difference in mean surface roughness among the various restorative materials (<i>p</i> < 0.001). Among the restorative materials, the IS material exhibited notably higher mean surface roughness values than other restorative materials and tooth enamel, while no significant differences were observed between the PT and DT groups. Importantly, the main effect of the solutions under investigation was not statistically significant (<i>p</i> = 0.208). No significant difference was found between the surface roughness values of specimens subjected to the different solutions. When evaluating the effects of materials and solutions on microhardness, the main effects of material and solution variables and the influence of material-solution interactions were statistically significant (<i>p</i> < 0.001). Taken together, these results indicate that consistent use of kefir or probiotic mouthwashes may impact the surface properties of various restorative materials and tooth enamel.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 3","pages":"107-119"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959488","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}
引用次数: 0
Effects of different irrigation activation methods on root canal treatment of primary teeth. 不同冲洗激活方法对基牙根管治疗的影响
IF 1.3 4区 医学
Journal of Clinical Pediatric Dentistry Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.22514/jocpd.2024.069
Merve Avcı, Ülkü Şermet Elbay, Sena Kaşıkçı
{"title":"Effects of different irrigation activation methods on root canal treatment of primary teeth.","authors":"Merve Avcı, Ülkü Şermet Elbay, Sena Kaşıkçı","doi":"10.22514/jocpd.2024.069","DOIUrl":"https://doi.org/10.22514/jocpd.2024.069","url":null,"abstract":"<p><p>There is currently a lack of research on the application of newly developed irrigation techniques in root canal treatment of primary teeth. This study aimed to evaluate the effects of various irrigation activation techniques on two key parameters: apical debris extrusion (ADE) and dentinal tubule penetration depth (DTPD) of the root canal filling material. A total of 96 primary mandibular second molars were randomly divided into 4 groups: Group 1-Conventional Needle Irrigation (CNI), Group 2-XP-Endo Finisher (XPF), Group 3-EndoActivator (EA), and Group 4-Passive Ultrasonic Irrigation (PUI). In all groups, the One Reci single-file system was used for root canal preparation. For ADE measurement, each group was rinsed with distilled water. For DTPD assessment, sodium hypochlorite (NaOCl) was applied. ADE quantification was performed by collecting debris in pre-weighed Eppendorf tubes. A combination of fluorescent dye and root canal filling material (DiaPex Plus) was used for root canal filling. In order to examine DTPD, horizontal cross-sections of the coronal and apical regions of the teeth were taken with a thickness of 1 mm. The maximum and mean DTPD was examined by confocal laser scanning microscopy. Data were analyzed using the Kruskal-Wallis, One-way ANOVA, and Mann-Whitney U tests (<i>p</i> = 0.05). As a result, PUI had the highest mean ADE and CNI had the lowest mean ADE, while CNI had the highest mean DTPD in both the coronal and apical regions, whereas PUI had the lowest mean DTPD in the coronal region, and EA had the lowest mean DTPD in the apical region. There were no statistically significant differences in DTPD and ADE among the four groups. Comparing intragroup maximum DTPD across all groups, it was significantly higher in the coronal region than in the apical region (<i>p</i> < 0.05). ADE and DTPD of root canal filling materials in primary teeth did not differ significantly among CNI, XPF, EA and PUI irrigation activation techniques.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 3","pages":"156-165"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959769","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}
引用次数: 0
Potential factors affecting the success rate of indirect pulp therapy in primary molars with deep caries: a retrospective study. 影响深龋小磨牙间接牙髓治疗成功率的潜在因素:一项回顾性研究。
IF 1.3 4区 医学
Journal of Clinical Pediatric Dentistry Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.22514/jocpd.2024.058
Yue Yu, Siyuan Hao, Yixin Jin, Qiong Zhang, Yan Wang, Jing Zou
{"title":"Potential factors affecting the success rate of indirect pulp therapy in primary molars with deep caries: a retrospective study.","authors":"Yue Yu, Siyuan Hao, Yixin Jin, Qiong Zhang, Yan Wang, Jing Zou","doi":"10.22514/jocpd.2024.058","DOIUrl":"https://doi.org/10.22514/jocpd.2024.058","url":null,"abstract":"<p><p>Indirect pulp therapy (IPT) is a common conservative treatment for deep dental caries. However, the potential risk factors for the prognosis of IPT have not been well studied. This study retrospectively investigated the success rate of IPT in treating primary molars with deep caries and the factors potentially affecting the two-year success rate. A total of 303 primary molars in 202 children (106 boys and 96 girls) were included in this study. These primary molars were identified as having deep caries by clinical and radiographic examinations and were treated with IPT. The factors potentially affecting the IPT success rate were analyzed after two years of follow-up. The results indicated that the two-year IPT success rate was 86% (262/303). The success rate of primary molars with and without stainless steel crowns was 96% (120/125) and 80% (142/178), respectively. Primary molars treated with stainless steel crowns showed a significantly lower risk of failure (hazard ratio (HR) = 0.18, 95% confidence interval (CI): (0.10, 0.34), <i>p</i> = 0.01). There were no significant differences in other factors, including gender (male <i>vs.</i> female), age (preschool <i>vs.</i> school age), cooperation level (Frankl 2 <i>vs.</i> 3 or 4 scales), arch type (maxillary <i>vs.</i> mandibular), tooth type (first <i>vs.</i> second primary molar), or pulp capping material (calcium hydroxide <i>vs.</i> glass ionomer cement). IPT is an effective, conservative treatment modality for primary molars with deep caries. Stainless steel crowns could significantly improve the IPT success rate.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 3","pages":"46-51"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959973","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}
引用次数: 0
Deciduous pulp tissue implantation into the root canal of mandibular incisor resulted in pulp revascularization: a case report with a 5-year follow-up. 将脱落的牙髓组织植入下颌切牙根管导致牙髓血管再造:一例随访 5 年的病例报告。
IF 1.3 4区 医学
Journal of Clinical Pediatric Dentistry Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.22514/jocpd.2024.071
Xiaoying Tang, Jiangjinjun Xu, Guangtai Song, Licheng Lai, Yan Huang
{"title":"Deciduous pulp tissue implantation into the root canal of mandibular incisor resulted in pulp revascularization: a case report with a 5-year follow-up.","authors":"Xiaoying Tang, Jiangjinjun Xu, Guangtai Song, Licheng Lai, Yan Huang","doi":"10.22514/jocpd.2024.071","DOIUrl":"https://doi.org/10.22514/jocpd.2024.071","url":null,"abstract":"<p><p>To explore a new method to implant deciduous tooth pulp into the canal of young permanent teeth with necrotic pulps and apical periodontitis for the regenerative endodontic treatment of tooth no: 41 in a 7-year-old male. Briefly, 1.5% Sodium Hypochlorite (NaOCl) irrigation and calcium hydroxide-iodoform paste were used as root canal disinfectant at the first visit. After 2 weeks, the intracanal medication was removed, and the root canal was slowly rinsed with 17% Ethylene Diamine Tetraacetic Acid (EDTA), followed by flushing with 20 mL saline and then drying with paper points. Tooth no: 72 was extracted, and its pulp was extracted and subsequently implanted into the disinfected root canal along with induced apical bleeding. Calcium hydroxide iodoform paste was gently placed over the bleeding clot, and after forming a mineral trioxide aggregate (MTA) coronal barrier, the accessed cavities were restored using Z350 resin composite. The root developments were evaluated <i>via</i> radiographic imaging at 6 months, 1 year and 5 years after treatment. Imaging and clinical analysis showed closure of the apical foramen, thickening of the root canal wall, and satisfactory root length growth. Autologous transplantation might be useful to regenerate dental pulp in necrotic young permanent teeth.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 3","pages":"171-176"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959676","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}
引用次数: 0
Micro-computed tomography (micro-CT) evaluation of root canal morphology in immature maxillary third molars. 对未成熟上颌第三磨牙根管形态的微型计算机断层扫描(micro-CT)评估。
IF 1.3 4区 医学
Journal of Clinical Pediatric Dentistry Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.22514/jocpd.2024.067
Krasimir Hristov, Ralitsa Gigova, Nataliya Gateva, Liliya Angelova
{"title":"Micro-computed tomography (micro-CT) evaluation of root canal morphology in immature maxillary third molars.","authors":"Krasimir Hristov, Ralitsa Gigova, Nataliya Gateva, Liliya Angelova","doi":"10.22514/jocpd.2024.067","DOIUrl":"https://doi.org/10.22514/jocpd.2024.067","url":null,"abstract":"<p><p>The endodontic treatment of immature permanent teeth with necrotic pulp is a significant clinical challenge. The success of regenerative endodontic procedure is highly dependent on disinfection of the root canal and an accurate anatomical knowledge of the root canal. The aim of this study was to use micro-computed tomography (micro-CT) analysis to investigate the configuration of root canals in the upper permanent third maxillary molars with incomplete root development in their coronal, apical and middle third portions. Thirty immature third permanent maxillary molars were scanned using a micro-CT system. Then, we measured the diameters and areas of the root canal in the coronal, middle and apical third of the roots. The ratio between the long and short diameter of each root canal was then calculated and the canals were divided into several groups: round, oval, long oval, flat and irregular. The round configuration was not observed in the distobuccal and mesiobuccal roots in any of their anatomical regions. Oval and long oval canals predominated in the distobuccal root. The greatest variations were observed in the mesiobuccal root, with the ribbon-shaped canal predominating in the middle region and an irregular shape in the apical region. In the coronal region of the palatal canal, the round configuration predominated; in the middle third, we observed an almost equivalent distribution between round and oval configurations; apically, the oval shape predominated. In conclusion, we observed significant complexity and variation in the morphology and configuration of root canals in immature permanent molars, thus generating additional obstacles for the success of regenerative endodontics.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 3","pages":"139-145"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959949","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}
引用次数: 0
Self-reported dental pain in Mexican schoolchildren: a national ecological study. 墨西哥学童自我报告的牙痛:一项全国生态研究。
IF 1.3 4区 医学
Journal of Clinical Pediatric Dentistry Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.22514/jocpd.2024.057
Víctor Jesús Delgado-Pérez, Elías Nahum Salmerón-Valdez, Norma Leticia Robles-Bermeo, Salvador Eduardo Lucas Rincón, Mario I Ortiz, Rubén de la Rosa-Santillana, Alejandro José Casanova-Rosado, Martha Mendoza-Rodríguez, Carlo Eduardo Medina-Solis, Gerardo Maupomé
{"title":"Self-reported dental pain in Mexican schoolchildren: a national ecological study.","authors":"Víctor Jesús Delgado-Pérez, Elías Nahum Salmerón-Valdez, Norma Leticia Robles-Bermeo, Salvador Eduardo Lucas Rincón, Mario I Ortiz, Rubén de la Rosa-Santillana, Alejandro José Casanova-Rosado, Martha Mendoza-Rodríguez, Carlo Eduardo Medina-Solis, Gerardo Maupomé","doi":"10.22514/jocpd.2024.057","DOIUrl":"https://doi.org/10.22514/jocpd.2024.057","url":null,"abstract":"<p><p>The objective of this study was to quantify the prevalence of and identify the factors associated with dental pain among elementary- and middle-school students in Mexico. An ecological study was carried out with data from the 2008 National School-based Student-Health Survey. Information on dental pain from schoolchildren (aged 5 to 16 years) was collected from public schools across the 32 states of Mexico. In the original study, a questionnaire was used to explore various factors that affect the oral and dental health status of schoolchildren. The outcome variable was the prevalence rate (for dental pain) reported at state level. Various contextual socioeconomic variables were included, in addition to dental caries. Analyses were performed using Stata software. 52.9% of interviewees were girls; 26.9% of male and female schoolchildren in Mexico experienced gum or dental pain during the period analyzed (95% Confidence Interval = 26.02, 27.77%); according to the Spearman correlation results, self-reported dental pain was unrelated (<i>p</i> > 0.05) to the socioeconomic and sociodemographic variables that make up the Gross Domestic Product (GDP) and the Human Development (HDI), as well as the marginalization and the Gini indices. However, the estimated percentages of self-reported dental pain and caries were positively correlated in the elementary- (<i>r</i> = 0.8958, <i>p</i> < 0.0001), middle-school (<i>r</i> = 0.8958, <i>p</i> < 0.0001) and total populations (<i>r</i> = 0.8542, <i>p</i> < 0.0001). Prevalence of self-reported dental pain was 28%, or about one in three, of the Mexican children and adolescents in the study sample. The state-level sociodemographic and socioeconomic risk indicators were not associated with the prevalence of dental pain. Self-reported caries was positively correlated with self-reported dental pain.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 3","pages":"37-45"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960137","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}
引用次数: 0
Alveolar bone retention following treatment of dilacerated labial inversely impacted maxillary central incisors-a retrospective study. 上颌中切牙唇侧反向影响扩张治疗后的牙槽骨保留--一项回顾性研究。
IF 1.3 4区 医学
Journal of Clinical Pediatric Dentistry Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.22514/jocpd.2024.065
Leqi Zhang, Yi Wang, Zhiqi He, Tingting Chen, Gerald Voliere, Rongdang Hu
{"title":"Alveolar bone retention following treatment of dilacerated labial inversely impacted maxillary central incisors-a retrospective study.","authors":"Leqi Zhang, Yi Wang, Zhiqi He, Tingting Chen, Gerald Voliere, Rongdang Hu","doi":"10.22514/jocpd.2024.065","DOIUrl":"https://doi.org/10.22514/jocpd.2024.065","url":null,"abstract":"<p><p>The root of late-dental-age labial inversely impacted maxillary central incisors (LIIMCIs) typically develops to severe dilacerated morphology. Therefore, reliable posttreatment periodontal estimates of orthodontic treatment prognosis would be critical to the treatment value of impacted incisors. This study aims to analyze further changes in dimensions of the alveolar bone following the closed-eruption treatment of late-dental-age dilacerated LIIMCIs. Cone beam computed tomography (CBCT) scanning data of 16 patients with unilateral dilacerated late-dental-age LIIMCIs were collected, including the pretreatment (T1) and at the 2.23 ± 0.78 years follow-up stage (T2) respectively. Patients underwent closed-eruption treatments to bring the impacted incisor into the dental arch. Dolphin imaging software was used to measure alveolar bone height labially, palatally, and proximally to the site at T1 and T2, as well as alveolar bone thicknesses at 0, 2, 4, 6 and 8 mm below the initial measurement plane (IMP). The alveolar bone heights on the impacted and contralateral sides increased from T1 to T2 (<i>p</i> < 0.05). Alveolar bone growth on both sides had no significant difference. In T2, the mean values of labial and distal alveolar heights on the contralateral sides were greater than on the impacted sides (<i>p</i> < 0.05). The mean values of total alveolar bone thicknesses on the impacted sides in T1 were significantly smaller than those on the contralateral sides in IMP-0, 2, 4, 6, 8 (<i>p</i> < 0.05). The total thicknesses on the impacted sides in T2 increased and were significantly greater than on the contralateral sides (<i>p</i> < 0.05), except for the thickness in IMP-0. The closed-eruption treatment of dilacerated late-dental-age LIIMCIs results in no significant changes to alveolar bone height, except on the labial and distal sides, with increased alveolar bone thickness, suggesting that this approach may be viable first choice therapy for non-extraction orthodontic cases.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 3","pages":"120-130"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960849","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}
引用次数: 0
Change in oral health-related behaviours of children before and after dental treatments under general anaesthesia. 全身麻醉下牙科治疗前后儿童口腔健康相关行为的变化。
IF 1.3 4区 医学
Journal of Clinical Pediatric Dentistry Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.22514/jocpd.2024.063
Mianxiang Li, Huacui Xiong, Meimei Li, Wong Wen Chee, Ke Chen
{"title":"Change in oral health-related behaviours of children before and after dental treatments under general anaesthesia.","authors":"Mianxiang Li, Huacui Xiong, Meimei Li, Wong Wen Chee, Ke Chen","doi":"10.22514/jocpd.2024.063","DOIUrl":"https://doi.org/10.22514/jocpd.2024.063","url":null,"abstract":"<p><p>This study evaluated the behavioural changes pertaining to children's oral health before and after the dental general anaesthesia (DGA), with particular focus on the factors associated with these changes. The records were collected for the children who received DGA from July 2015 to November 2016, and relevant questionnaires were obtained from their parents/guardians for the information prior to and after the DGA. The questionnaire included Early Childhood Oral Health Impact Scale (ECOHIS) and Dental Subscale of Children's Fear Survey Schedule (CFSS-DS) to investigate the changes in Oral Health-related Quality of Life (OHRQoL) and dental fear. The DGA impact on children's oral hygiene habits and oral health-related behaviours was assessed by analysing the data. The chi-square test and Mann-Whitney test were employed to evaluate the differences. Total of 141 patients (89 before DGA and 77 after DGA, 25 being common) participated in this study. There were 60 children below 5 years and 29 over 5 years before DGA, while 41 children below 5 years and 36 over 5 years after DGA. Most parents/guardians were educated above undergraduate level (59.6% before DGA, 55.8% after DGA). More children lived with grandparents (61.8% before DGA, 54.5% after DGA) than only with parents (20.2% before DGA, 26.0% after DGA). In total, 73.0% (65/89) children before DGA brushed teeth more than twice a day. This proportion increased to 90.9% after DGA (70/77, <i>p</i> = 0.03). The eating difficulty decreased after DGA according to ECOHIS (<i>p</i> = 0.01). CFSS-DS score also decreased after DGA (<i>p</i> < 0.05). After DGA, children's oral hygiene habits and oral health-related quality of life (OHRQoL) improved, children fear for dental treatment decreased, and parents became more attentive towards children oral health.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 3","pages":"94-100"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959117","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}
引用次数: 0
Classification of presence of missing teeth in each quadrant using deep learning artificial intelligence on panoramic radiographs of pediatric patients. 使用深度学习人工智能对儿科患者的全景照片进行分类,以确定每个象限是否存在缺失牙齿。
IF 1.3 4区 医学
Journal of Clinical Pediatric Dentistry Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.22514/jocpd.2024.062
Eunjin Kim, Jae Joon Hwang, Bong-Hae Cho, Eungyung Lee, Jonghyun Shin
{"title":"Classification of presence of missing teeth in each quadrant using deep learning artificial intelligence on panoramic radiographs of pediatric patients.","authors":"Eunjin Kim, Jae Joon Hwang, Bong-Hae Cho, Eungyung Lee, Jonghyun Shin","doi":"10.22514/jocpd.2024.062","DOIUrl":"https://doi.org/10.22514/jocpd.2024.062","url":null,"abstract":"<p><p>Early tooth loss in pediatric patients can lead to various complications, making quick and accurate diagnosis essential. This study aimed to develop a novel deep learning model for classification of missing teeth on panoramic radiographs in pediatric patients and to assess the accuracy. The study included patients aged 8-16 years who visited the Pusan National University Dental Hospital and underwent panoramic radiography. A total of 806 panoramic radiographs were retrospectively analyzed to determine the presence or absence of missing teeth for each tooth number. Moreover, each panoramic radiograph was divided into four quadrants, each of a smaller size, containing both primary and permanent teeth, generating 3224 data. Quadrants with missing teeth (n = 1457) were set as the experimental group, and quadrants without missing teeth (n = 1767) were set as the control group. The data were split into training and validation sets in a 4:1 ratio, and a 5-fold cross-validation was conducted. A gradient-weighted class activation map was used to visualize the deep learning model. The average values of sensitivity, specificity, accuracy, precision, recall and F1-score of this deep learning model were 0.635, 0.814, 0.738, 0.730, 0.732 and 0.731, respectively. In the experimental group, the accuracy was the highest for missing canines and premolars, and the lowest for molars. The deep learning model exhibited a moderate to good distinguishing power with a classification performance of 0.730. This deep learning model and the newly defined small sized region of interest proved adequate for classifying the presence of missing teeth.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 3","pages":"76-85"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959118","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}
引用次数: 0
Assessment of severity and mineral composition of saliva in schoolchildren with molar-incisor hypomineralization (MIH). 评估臼齿嵌合体矿化不足(MIH)学童唾液的严重程度和矿物质成分。
IF 1.3 4区 医学
Journal of Clinical Pediatric Dentistry Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.22514/jocpd.2024.024
Narmin Ismayilova, Ozge Erken Gungor, Huseyin Karayilmaz
{"title":"Assessment of severity and mineral composition of saliva in schoolchildren with molar-incisor hypomineralization (MIH).","authors":"Narmin Ismayilova, Ozge Erken Gungor, Huseyin Karayilmaz","doi":"10.22514/jocpd.2024.024","DOIUrl":"https://doi.org/10.22514/jocpd.2024.024","url":null,"abstract":"<p><p>The aim of the study was to evaluate the severity of molar incisor hypomineralisation (MIH), related oral health and investigate salivary mineral composition. The study was conducted with 50 participants aged between 6-15 years who were effected with MIH and 50 without MIH. The International Caries Detection and Assessment System (ICDAS) scores, Decayed, Missing, Filled Teeth/Surface (DMFT/S), dft/s and gingival/plaque indices were evaluated. The pH, flow rate, buffering capacity and mineral composition of saliva was measured. \"Student <i>t</i>\" test, one-way analysis of variance in repeated measurements of groups, and Tukey multiplex in subgroup comparisons was used. Kruskal-Wallis, Mann-Whitney U, Wilcoxon and chi-square tests were used to analyze qualitative data and compare groups. A total of 100 children (57 females 43 males, mean age 10.12 ± 1.85) participated in the study. There was no difference between ICDAS, DMFT/S scores, but dft/s index values were statistically significant (<i>p</i> = 0.001). The simplified oral hygiene index of MIH patients were statistically higher, but no significant differences were found in modified gingival indices (<i>p</i> = 0.52). Although the salivary pH and flow rate of the patients in the study group were lower, the buffering capacity was higher than those in the control group, but no significant difference was observed (<i>p</i> = 0.64). The mean values of phosphorus, carbon and calcium content in the saliva samples of MIH patients were higher than those of patients without MIH, and this difference was low for phosphorus (<i>p</i> = 0.76) and carbon (<i>p</i> = 0.74), but significantly higher for calcium. To the best of our knowledge, this is the first study to evaluate the association between calcium, phosphate and carbon levels in saliva of children with MIH. The significantly high amount of calcium in the saliva of patients with MIH suggests that further investigations are needed.</p>","PeriodicalId":50235,"journal":{"name":"Journal of Clinical Pediatric Dentistry","volume":"48 3","pages":"86-93"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140958870","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}
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