Nouf Alajaji, Evelina Kratunova, David Avenetti, Heng Wang, Satish Alapati
{"title":"Success of Three Materials and Influence of Behavior Guidance in Primary Molar Pulpotomies : A Retrospective Study.","authors":"Nouf Alajaji, Evelina Kratunova, David Avenetti, Heng Wang, Satish Alapati","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess the effectiveness of Biodentine<sup>™</sup> (BD), mineral trioxide aggregate (MTA) and ferric sulfate (FS) as pulpotomy agents in primary molars and evaluate the impact of behavior guidance strategies on pulpotomy success.<b>Methods:</b> In this retrospective cross-sectional study, data from 374 cases (50.5 percent male, aged two to 10 years) undergoing 469 pulpotomies at a university pediatric clinic between April 1, 2016 and January 1, 2020 were analyzed. Clinical and radiographic outcomes were evaluated by two calibrated examiners using validated criteria. Statistical analysis included descriptive statistics, logistic regression (<i>P</i> <0.05), Kaplan-Meier survival curves and Cox proportional hazard models, with inter- and intra-examiner reliability confirmed by Cohen's Kappa. <b>Results:</b> Among the materials, BD and MTA showed the highest clinical (98.5 percent and 97.9 percent, respectively) and radiographic (95.2 percent and 93.6 percent, respectively) success, significantly outperforming FS (88.9 percent and 80.9 percent, respectively). Pulpotomy failures were notably higher with the use of protective stabilization (<i>P</i> =0.002), while treatment under general anesthesia and good patient cooperation were associated with better outcomes. <b>Conclusions:</b> BD and MTA demonstrated superior effectiveness over FS for primary molar pulpotomies. The success of pulpotomy is significantly influenced by behavior guidance techniques, with less restrictive methods correlating with improved outcomes.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 3","pages":"129-136"},"PeriodicalIF":0.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916067","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":"Author Index.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 3","pages":"173-178"},"PeriodicalIF":0.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916254","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}
Adit Gadh, María F. Hernández-Nuño de la Rosa, Imran Ahson
{"title":"Trichothiodystrophy Identified in a Child with an Odontogenic Infection.","authors":"Adit Gadh, María F. Hernández-Nuño de la Rosa, Imran Ahson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Trichothiodystrophy (TTD) is a rare genetic disorder with a high mortality rate among pediatric patients, primarily as a result of related infections. Its defining clinical feature is brittle, dry hair, with broken hair shafts revealing \"tiger-tail banding\". Other common characteristics include photosensitivity, scaly skin and stunted growth. The disorder's rarity and variety of symptoms pose diagnostic challenges, yet early diagnosis and treatment can improve a patient's overall health and quality of life. The purpose of this report is to describe the case of an underweight five-year-old boy with brittle hair and scaly skin who presented to an emergency room with an active odontogenic infection and was incidentally diagnosed with TTD following genetic testing. This case illustrates the importance of evaluating patients comprehensively, while addressing their chief complaint. It also showcases the importance of involving providers across health professions in diagnosing and managing TTD and other genetic disorders in pediatric patients.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 3","pages":"146-148"},"PeriodicalIF":0.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916150","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":"Thank You to Our Reviewers.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 3","pages":"179"},"PeriodicalIF":0.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016100","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":"Glass Ionomer Cement Restoration Technique for Severe Molar Incisor Hypomineralization.","authors":"Patrícia Bittencourt Santos, Fernanda Freitas, Marina Paies, Isabelita Azevedo, Conceição Solano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The management of molar-incisor hypomineralization is challenging as the clinical appearance and individual need for treatment vary widely, with a broad spectrum of treatment modalities available. The purpose of this report is to describe the treatment of an affected, carious permanent molar using glass ionomer cement (GIC) and an occlusal replica technique. An alginate impression of the mandibular arch was done and a partial diagnostic cast was fabricated, followed by diagnostic waxing and a silicone guide. Conventional GIC was used to fill the silicone impression, which was placed on the tooth. The excess material was removed and occlusion was checked. Twelve months after the procedure, the patient did not report any symptoms, the oral hygiene was adequate and restorative material was intact.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 3","pages":"156-161"},"PeriodicalIF":0.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915704","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":"Thank You to Our Reviewers.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 3","pages":"179"},"PeriodicalIF":0.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916142","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":"Contemporary Microbiological Challenges in Pediatric Dentistry.","authors":"Kyulim Lee, Clare Conte, Paul Casamassimo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Knowledge of microbiology-related issues in dentistry is fundamental to clinical practice and patient care. The purpose of this literature review is to comprehensively describe the roles microbes play in pediatric dental practice, with a special focus on eight continuing and emerging microbiological issues related to waterline safety, dental material contamination, effects of oral bacteria on systemic health, antibiotic resistance, continuing COVID-19 findings and risks associated with animal-assisted therapies. Key points are highlighted on each topic, with current reports demonstrating microbial impacts on human health and clinical settings. Advice and risk management strategies related to patient care and clinical practice are provided.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 3","pages":"121-128"},"PeriodicalIF":0.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916256","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}
Neha K Sethi, Evelina Kratunova, Brittaney Hill, Paige Reilly
{"title":"Oral Manifestations of Vitamin C Deficiency in a Toddler.","authors":"Neha K Sethi, Evelina Kratunova, Brittaney Hill, Paige Reilly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vitamin C deficiency, colloquially known as scurvy, has become rare in modern times due to the widespread availability of ascorbic acid-rich foods. Despite this, it continues to be a concern in certain at-risk populations. The purpose of this report is to describe the case of a two-year-old girl who initially presented to a pediatric dental clinic with the chief complaint of hypertrophic gingiva and bleeding. Suspecting a systemic cause, the dental team referred the patient to a hematology clinic for further evaluation. Subsequent assessments and laboratory work confirmed a diagnosis of diet-related vitamin C deficiency. Management with supplements led to the resolution of the oral manifestations and normalization of laboratory values. This report details the clinical presentation and pathophysiology of vitamin C deficiency to assist healthcare providers in recognizing signs and symptoms, ensuring timely referral and facilitating appropriate treatment. Additionally, it underscores the importance of pediatric dentists as potentially the first clinicians to encounter such cases and their role in the multidisciplinary management of these pediatric patients.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 3","pages":"167-172"},"PeriodicalIF":0.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916045","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":"Progressive Pre-Eruptive Coronal Resorption Associated With Enamel Degeneration: A Case Series.","authors":"Carolin Olbrisch, Janine Sambale, Anahita Jablonski-Momeni, Heike Korbmacher-Steiner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this article is to present three cases of a rare phenomenon called pre-eruptive coronal resorption (PCR), which occurs in teeth with enamel degeneration. In the first case, the enamel defects occurred due to ectodermal dysplasia, which represents the first documented case of a patient with ectodermal dysplasia who underwent PCR. In the other two cases, the enamel defects occurred due to amelogenesis imperfecta. PCR typically develops asymptomatically; therefore, it is usually incidentally identified through radiological findings, as it presents diffuse degeneration originating externally from the enamel. The precise etiology and pathogenesis of PCRs have yet to be fully elucidated. However, as PCR can spread throughout the dentin and progress to the pulp, early diagnosis is crucial for preserving the affected teeth. Therefore, pediatric dentists should be aware of this pathology.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 3","pages":"162-166"},"PeriodicalIF":0.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916062","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}
Vy Vy Vu, Robert McDonough, Neeta Chandwani, Keri Discepolo
{"title":"Caregivers' Perceptions of Dental Therapists.","authors":"Vy Vy Vu, Robert McDonough, Neeta Chandwani, Keri Discepolo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To investigate caretakers' understanding of midlevel providers and determine if there is theoretical acceptance of midlevel dental therapist (DT) integration into the dental workforce. <b>Methods:</b> Validated DT integration surveys were disseminated to caregivers of pediatric medical patients in an urban teaching hospital. Subjects completed a questionnaire regarding previous care received by a midlevel medical provider and were questioned on the acceptance of a midlevel dental provider (i.e., DTs) into the dental workforce. <b>Results:</b> Two hundred two questionnaires were evaluated for recalled previous medical midlevel care (ML; 71.2 percent) and those who were unaware of ML care being provided to their child (UML; 28.7 percent). MLs were significantly in agreement with DTs performing primary tooth restorations (P<0.001), permanent tooth restorations (P=0.001), primary tooth extractions (P=0.022), and emergency treatment (P<0.001). UMLs and MLs significantly agreed that procedures be completed with the supervision of a dentist (P<0.001). <b>Conclusions:</b> Caregivers of pediatric medical patients are receptive to the concept of DTs and largely agree with them performing dental procedures. However, the dissemination of information on DTs to the public is necessary to increase awareness of their education, scope of practice and integration into the dental field.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"91 2","pages":"90-98"},"PeriodicalIF":0.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914542","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}