JOURNAL OF DENTISTRY FOR CHILDREN最新文献

Interdisciplinary Evaluation of Pediatric Airway Assessment Using Brodsky and Mallampati Classifications. 使用Brodsky和Mallampati分类的儿科气道评估的跨学科评估。

IF 0.5

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2025-05-15

Nadia Khan, Evelina Kratunova, Carmen Simion, Sahar Alrayyes, Christine D Wu, Hajwa Kim

{"title":"Interdisciplinary Evaluation of Pediatric Airway Assessment Using Brodsky and Mallampati Classifications.","authors":"Nadia Khan, Evelina Kratunova, Carmen Simion, Sahar Alrayyes, Christine D Wu, Hajwa Kim","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To assess the interrater agreement and reliability of pediatric airway assessments using the Brodsky and Mallampati classifications among pediatric dentistry residents, pediatric dentistry faculty and anesthesiologists. This study also aimed to determine the consistency of sedation decisions and the impact of clinical experience on classification reliability. Methods: A cross-sectional study was conducted with 50 participants who evaluated 17 pediatric airway videos, grading tonsillar obstruction using the Brodsky scale and oropharyngeal visibility using the Mallampati classification. Sedation decisions were recorded as binary outcomes. Assessments were completed twice, seven days apart, for intra-rater reliability. Interrater agreement was measured using Kendall's W and Fleiss' Kappa, while reliability was assessed using the intraclass correlation coefficient (ICC). Statistical differences between groups were analyzed using Kruskal-Wallis and Wilcoxon rank-sum tests. Results: The Brodsky scale demonstrated moderate to good interrater reliability, with anesthesiology faculty showing the highest agreement (ICC=0.627 to 0.612), followed by the dental faculty (ICC=0.654). Residents maintained moderate reliability (ICC=0.578 to 0.536). The Mallampati classification showed lower reliability, with anesthesiology faculty declining from moderate agreement (ICC=0.365) to poor agreement (ICC=0.209) between surveys. Sedation decisions had moderate agreement, with Fleiss' Kappa values of 0.467 for anesthesiology faculty, 0.407 for dental faculty and 0.371 for residents. Conclusions: The Brodsky scale was more reliable than the Mallampati classification, especially among experienced clinicians. The Mallampati classification showed greater variability. Structured training and clear protocols are necessary to improve airway assessment consistency and sedation safety.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 2","pages":"71-77"},"PeriodicalIF":0.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978095","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}

引用次数: 0

Long-term Follow-up of Apexogenesis, Root Canal Obliteration and External Replacement Resorption Following Tooth Replantation. 牙齿再植后根尖发生、根管堵塞及外置物吸收的长期随访研究。

IF 0.5

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2025-05-15

Paulo Nelson-Filho, Raquel Assed Bezerra da Silva, Marco Fiori-Júnior, Daniella Dos Anjos Rodrigues Barauna, Marcos Samuel Azulay, Fabr Cio Kitazono de Carvalho, Alexandra Mussolino de Queiroz, Léa Assed Bezerra da Silva, Francisco Wanderley Garcia Paula-Silva

{"title":"Long-term Follow-up of Apexogenesis, Root Canal Obliteration and External Replacement Resorption Following Tooth Replantation.","authors":"Paulo Nelson-Filho, Raquel Assed Bezerra da Silva, Marco Fiori-Júnior, Daniella Dos Anjos Rodrigues Barauna, Marcos Samuel Azulay, Fabr Cio Kitazono de Carvalho, Alexandra Mussolino de Queiroz, Léa Assed Bezerra da Silva, Francisco Wanderley Garcia Paula-Silva","doi":"","DOIUrl":"","url":null,"abstract":"Dental replantation is the treatment of choice for tooth avulsion; however, complications such as root canal obliteration, pulp necrosis and tooth resorption can arise, influenced by factors like extra-alveolar time and the storage medium in which the tooth was maintained. This case report discusses a seven-year-old child who experienced a traumatic avulsion of a permanent maxillary right central incisor with incomplete root formation. While the tooth was successfully replanted and both pulp vitality and complete root formation (apexogenesis) were initially maintained, the tooth later developed root canal obliteration and ankylosis, followed by external replacement root resorption. The tooth was extracted after six years due to advanced root resorption, leading to the placement of a space maintainer during childhood. Subsequently, an osseointegrated dental implant with a ceramic crown was placed. A 10-year follow-up post-implant installation demonstrated successful oral rehabilitation 20 years after the trauma. This case highlights the importance of long-term follow-up and a multidisciplinary approach in treating severely traumatized permanent teeth.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 2","pages":"85-90"},"PeriodicalIF":0.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978052","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}

引用次数: 0

Prevalence of Signs and Symptoms Associated Prevalence of Signs and Symptoms Associated A Longitudinal Birth Cohort Study. 体征和症状相关患病率体征和症状相关患病率一项纵向出生队列研究

IF 0.5

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2025-05-15

Jhunjhunwala Garima, Farheen Sultan, Morankar Rahul, Vijay Prakash Mathur, Anu Thukral, Nitesh Tewari, Shivam Pandey, Kalpana Bansal

{"title":"Prevalence of Signs and Symptoms Associated Prevalence of Signs and Symptoms Associated A Longitudinal Birth Cohort Study.","authors":"Jhunjhunwala Garima, Farheen Sultan, Morankar Rahul, Vijay Prakash Mathur, Anu Thukral, Nitesh Tewari, Shivam Pandey, Kalpana Bansal","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To evaluate the prevalence of teething problems throughout the period of primary tooth eruption. Methods: This birth cohort study was conducted in two phases: Phase one (evaluation of teething symptoms among newly recruited infants) and Phase two (evaluation of teething symptoms among newly recruited infants and follow-up evaluation among infants recruited in Phase one). The study included an evaluation of infants born in a tertiary health care hospital using a hybrid design of telephonic conversation/video calling and clinical examination. The data were collected by one trained and calibrated evaluator and recorded in a self-designed form with validated measures of teething problems. Results: A total of 525 infants and parents participated. Teething problems were most prevalent at nine months of age (67.1 percent), followed by 12 months (50.1 percent)and 15 months (43.6 percent). Finger-sucking was the most common teething problem at six months (14 percent), nine months (81 percent), and 12 months (61.1 percent)of age. Incisor eruption was most associated with teething problems (72.5 percent), followed by canines (39.4 percent), first molars (36.9 percent) and second molars (24.9 percent). A significant correlation was seen between maternal education and maternal occupation and the parent-reported prevalence of teething problems (P<0.05). Conclusions: Almost two-thirds of the parents reported one or more teething problems at nine months coinciding with incisor eruption, whereas half also reported teething problems at 12 months. A significant correlation was seen between maternal education, maternal occupation and the prevalence of teething problems.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 2","pages":"63-70"},"PeriodicalIF":0.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978068","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}

引用次数: 0

Significant Bleeding Event Secondary To Maxillary Labial Frenectomy. 上颌唇系带切除术后继发的重大出血事件。

IF 0.5

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2025-05-15

Brandon Linaksita, Hetal Desai, Olivia Dalzell, Vanessa Bouskill, Manuel Carcao, Gabriella A Garisto

引用次数: 0

Antibiotic-Prescribing Practices of Pediatric Dentists in a University Setting. 在大学设置儿科牙医抗生素处方实践。

IF 0.5

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2025-05-15

Evelina Kratunova, Justin Baik, David Avenetti, Flavia Lamberghini, Heng Wang, Michael Han

{"title":"Antibiotic-Prescribing Practices of Pediatric Dentists in a University Setting.","authors":"Evelina Kratunova, Justin Baik, David Avenetti, Flavia Lamberghini, Heng Wang, Michael Han","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To assess antibiotic-prescribing practices at a university-based pediatric dental clinic, evaluating adherence to the American Academy of Pediatric Dentistry (AAPD) best practice recommendations. It aimed to determine the appropriateness of antibiotic selection, dosing, frequency and duration, and identify factors associated with inappropriate prescriptions. Methods: A retrospective cross-sectional study of electronic health records was conducted for patients aged zero to 17 years who received antibiotics for odontogenic infections or related dental conditions over 27 months, including a three-month COVID-19-related clinic closure. Data on patient demographics, clinical diagnoses, prescribed antibiotic type, dosage, administration frequency and duration were analyzed. Adherence to the AAPD prescribing recommendations was assessed and statistical analyses, including chi-square tests and logistic regression models, identified factors linked to inappropriate prescribing. Cohen's kappa statistics determined intra- and inter-examiner reliability. Results: Among 279 patient records, adherence to AAPD guidelines was 61.6 percent. Inappropriate prescriptions were significantly more frequent in younger children aged zero to seven years and medically compromised patients, with the latter twice as likely to receive an inappropriate prescription (P=0.0033, odds ratio [OR]=2.15). Infections involving permanent teeth were associated with a higher likelihood of prescribing errors (P=0.0353, OR=1.95). Weight-based dosing errors occurred in 6.5 percent of cases, mostly due to underdosing. The COVID-19 pandemic reduced overall prescriptions, but the proportion of inappropriate prescriptions remained unchanged. Conclusions: Antibiotic prescribing in pediatric dentistry showed moderate adherence to AAPD guidelines, with inappropriate prescriptions influenced by patient age, medical status and tooth type. Strengthening antibiotic stewardship and provider education is necessary to improve prescribing practices.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 2","pages":"78-84"},"PeriodicalIF":0.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978131","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}

引用次数: 0

Digital Prosthetic Rehabilitation for a Pediatric Patient: A Different Approach. 数字假肢康复的儿科患者：不同的方法。

IF 0.5

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2025-05-15

Sarah Abdullah Alrumaim, Salma Ghazi Alharbi, Shahad Abdulrahman Aljarafi, Dania Bahdila, Mohanad Atwa, Abdullah Almushayt

引用次数: 0

In Vitro Evaluation of EndoCem Premix Mineral Trioxide Aggregate Microhardness in Primary Molar Pulpotomies. 原生磨牙切齿术中牙髓预混矿三氧化二矿团聚体显微硬度的体外评价。

IF 0.5

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2025-05-15

Reem Aldosary, Evelina Kratunova, Majd Alsaleh, Hajwa Kim, Satish Alapati

{"title":"In Vitro Evaluation of EndoCem Premix Mineral Trioxide Aggregate Microhardness in Primary Molar Pulpotomies.","authors":"Reem Aldosary, Evelina Kratunova, Majd Alsaleh, Hajwa Kim, Satish Alapati","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To evaluate the influence of commonly used restorative materials, including zinc oxide eugenol (ZOE), resin-modified glass ionomer cement (RMGIC) and stainless steel crowns (SSC), on the setting reaction (measured by microhardness) of Endo-Cem Premix Mineral Trioxide Aggregate (PMTA) when used as a pulpotomy agent. Methods: Fifty extracted primary molars had a pulpotomy with a three-millimeter layer of EndoCem PMTA applied to the pulpal floor. Specimens were divided into five groups: group one (control), EndoCem with a moistened cotton pellet; group two, EndoCem with RMGIC; group three, EndoCem with ZOE; group four, EndoCem with RMGIC and SSC; and group five, EndoCem with ZOE and SSC. Teeth were incubated at 37 degrees Celsius and 100 percent humidity for 24 hours. Microhardness was measured at depths of one, two and three millimeters using a Knoop hardness tester. Statistical analyses included analysis of variance and Tukey's post hoc tests (significance at P<0.05). Results: EndoCem PMTA demonstrated effective setting across all experimental groups, with an overall mean Knoop hardness number (KHN) of 65.71±9.98. Group four showed the highest mean KHN (72.66±6.34 at three mm), while the control had the lowest KHN (58.42±11.26 at one mm). Groups three and four had significantly higher KHN than the control group (P<0.01). Microhardness values remained consistent across depths, with the highest values observed at three millimeters. Conclusions: EndoCem PMTA sets reliably, regardless of the restorative material, supporting its application in single-visit pulpotomy procedures. The use of ZOE or RMGIC with SSC further enhanced its mechanical properties.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 2","pages":"50-56"},"PeriodicalIF":0.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978133","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}

引用次数: 0

Dental Pulp Calcification Among Young Cancer Survivors: A Cross-Sectional Exploratory Study. 年轻癌症幸存者牙髓钙化：一项横断面探索性研究。

IF 0.5

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2025-05-15

Morankar Rahul, Mohammad Atif, Sameer Bakhshi, Shalini Gupta, Richa Mishra, Shuvadeep Ganguly, Deepam Pushpam, Shubham Sahni, Nitesh Tewari, Vijay Prakash Mathur

{"title":"Dental Pulp Calcification Among Young Cancer Survivors: A Cross-Sectional Exploratory Study.","authors":"Morankar Rahul, Mohammad Atif, Sameer Bakhshi, Shalini Gupta, Richa Mishra, Shuvadeep Ganguly, Deepam Pushpam, Shubham Sahni, Nitesh Tewari, Vijay Prakash Mathur","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: Several studies have evaluated the effects of cancer-related chemo-radiation on developing teeth, leading to disturbances in the formation of enamel and dentin, affecting the crown and root. However, their impact on dental pulp has not been well explored. The purpose of this study was to evaluate dental pulp calcification among young cancer survivors. Methods: This was a cross-sectional observational study consisting of 240 participants, each among cases and controls. It comprised an evaluation of orthopantomograms of cancer survivors prescribed as part of the follow-up evaluation under the cancer survivorship program. Patients with a confirmed diagnosis of malignancy (with a baseline diagnosis at 21 years of age or younger) who completed cancer treatment, as well as a long-term survivor (i.e., they remained cancer-free for two years), were included. Similarly, controls included were free from dental caries or any other systemic condition that could affect the dental pulp calcification. Results: The prevalence of dental pulp calcification was 24.1 percent (95 percent confidence interval [95% CI=19.15 to 30) among young cancer survivors, whereas among controls it was 8.3 percent (95% CI=5.43 to 12.57), which was statistically significant (P< 0.01). The multivariate regression analysis revealed 2.54 odds of having dental pulp calcification among survivors with initiation of anticancer therapy at the age of five years or younger, and 2.08 odds among those who received chemotherapy and radiation compared to chemotherapy alone. Conclusion: There was an increased likelihood of dental pulp calcification among young cancer survivors, especially when radiation was combined with chemotherapy and initiated at a young age.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 2","pages":"57-62"},"PeriodicalIF":0.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978111","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}

引用次数: 0

Peripheral Odontogenic Fibroma in a Child. 儿童外周牙源性纤维瘤1例。

IF 0.4

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2025-01-15

Matheus de Castro Costa, Nayara Neryde Oliveira Cunha, Lísia Aparecida Costa Gonçalves, Noé Vital Ribeiro, Felipe Fornias Sperandio, Sara Ferreira Dos Santos Costa, Marina Lara de Carli

{"title":"Peripheral Odontogenic Fibroma in a Child.","authors":"Matheus de Castro Costa, Nayara Neryde Oliveira Cunha, Lísia Aparecida Costa Gonçalves, Noé Vital Ribeiro, Felipe Fornias Sperandio, Sara Ferreira Dos Santos Costa, Marina Lara de Carli","doi":"","DOIUrl":"","url":null,"abstract":"Peripheral odontogenic fibroma (POdF) is a rare and benign mesenchymal odontogenic tumor that stands out as a distinctive entity. It is predominantly found in the gingiva and can present as a diagnostic challenging lesion due to its potential resem- blance to reactive oral lesions. The purpose of this report is to describe a case of a POdF in a 10-year-old child and highlight the importance of recognizing this lesion in the pediatric population. This report also explores the essential diagnostic differentials that clinicians should consider when examining a palpable soft tissue nodule with a firm consistency. Radiographically, well-defined small radiopacities were visible within the lesion, which was indicative of calcified structures. A complete surgical excision was done and histopathological analysis was diagnostic of POdF. The presence of calcifications exhibiting an osteoid/cementoid appearance was confirmed within the lesion. There were no signs of recurrence noted during the 16-month postoperative follow-up period. This case underscores the significance of PodF, which may be included in the differential diagnosis of gingival lesions in pediatric patients.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 1","pages":"21-26"},"PeriodicalIF":0.4,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031833","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}

引用次数: 0

Resolution of Pediatric Mandibular Langerhans Cell Histiocytosis Post-Biopsy. 小儿下颌骨朗格汉斯细胞组织细胞增多症的活检后诊断。

IF 0.4

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2025-01-15

Olivia Dalzell, Paniz Paniz Haghighi, Frederic Rochon, Albert J Haddad, Anita Nagy, Gabriella Amneris Garisto

引用次数: 0