{"title":"Accidental Attachment of a Foreign Object to an Infant's Alveolar Ridge.","authors":"Jung-Wei Chen, Anupama Grandhi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case describes an emergency situation with a 10-month-old infant who presented with a sizable, smooth-surfaced, dome-shaped oral lesion. Upon examination, the pediatric dentist discovered a piece of a toy, embedded in the alveolar ridge. The purpose of this case report is to raise awareness about intraoral foreign body embedment in infants, highlighting the potential risks associated with popular toys that can break, adhere to the alveolar ridge and pose choking hazards. Pediatric dentists should advise parents to prevent infants from chewing on toys due to safety concerns.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 3","pages":"154-156"},"PeriodicalIF":0.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727123","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}
Luana Mota Kort-Kamp, Maria Luiza Costabeber Perin, Mariana Farias da Cruz Zefiro, Patrícia C M Robbs, Natália O Lucena, Jonatas C Esteves, Carina M Silva-Boghossian, Gloria Fernanda Castro
{"title":"Dental Rehabilitation with Implants in a Pediatric Patient with Ectodermal Dysplasia.","authors":"Luana Mota Kort-Kamp, Maria Luiza Costabeber Perin, Mariana Farias da Cruz Zefiro, Patrícia C M Robbs, Natália O Lucena, Jonatas C Esteves, Carina M Silva-Boghossian, Gloria Fernanda Castro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this report is to describe a seven year-old boy diagnosed with hypohidrotic ectodermal dysplasia who was rehabilitated with dental implants and partial removal prosthesis. The patient had only three dental elements: primary maxillary right first molar and primary maxillary right and left canines. The patient underwent treatment under general anesthesia in a hospital setting. Two dental implants were placed in the mandibular arch to support a dental prosthesis. Due to the COVID-19 pandemic, there was a prolonged period before continuing with the rehabilitative phase. Upon resumption, peri-implant mucositis was observed. Through professional and home plaque control measures, peri-implant tissue health was restored. A removable prosthesis was fabricated for the maxillary arch and O-ring attachments were used for the mandibular prosthesis. Given the patient's growth, prostheses may need to be replaced approximately every six months until growth is complete.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 3","pages":"144-149"},"PeriodicalIF":0.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727152","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}
Ítallo Lins Paes de Araújo, Monalisa da Nóbrega Cesarino Gomes, Érick Tássio Barbosa Neves, Ramon Targino Firmino, Saul Martins Paiva, Matheus de França Perazzo, Ana Flávia Granville-Garcia
{"title":"Socioeconomic and Dental Factors Associated with Oral Health-Related Quality of Life in Brazilian Preschoolers: Structural Modeling Analysis.","authors":"Ítallo Lins Paes de Araújo, Monalisa da Nóbrega Cesarino Gomes, Érick Tássio Barbosa Neves, Ramon Targino Firmino, Saul Martins Paiva, Matheus de França Perazzo, Ana Flávia Granville-Garcia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To assess the direct and indirect effects of oral conditions, family income, child's sex, history of toothache and dental visits on oral health-related quality of life (OHRQoL) of children, according to parents. <b>Methods:</b> A cross-sectional study was conducted with 843 pairs of parents and children aged three to five years of age, in Campina Grande, Paraíba, Brazil. Parents answered a questionnaire with sociodemographic and socioeconomic questions, and their children's use of services and experience of toothache, as well as the Brazilian Scale of Impact on Oral Health in Early Childhood. Three researchers examined for the presence of dental caries, dental trauma and malocclusion. Descriptive and confirmatory factor analyses were conducted to validate the measurement models and constructs. The analysis accounted for confounding factors to ensure precise estimates of the relationships among variables. Structural equation modeling was employed to examine both direct and indirect associations between variables. <b>Results:</b> Absence of dental visits (β =-0.332; 95 percent confidence interval [95% CI]:- 0.471 to -0.193; <i>P</i> <0.001) and toothache (β =-0.748; 95% CI:0.588 to 0.883; <i>P</i> <0.001) directly impacted OHRQoL negatively. Family income (β =0.689; 95% CI: 0.518 to 0.859; <i>P</i> <0.001) and anterior open bite (β =-0.339; 95% CI:-0.613 to -0.184; <i>P</i> <0.001) had indirect effects mediated by dental caries (β =0.748; 95% CI: 0.748 to 0.883; <i>P</i> <0.001). <b>Conclusion:</b> Both direct and indirect factors affect the OHRQoL of preschoolers, emphasizing the importance of considering oral health conditions and socioeconomic factors to evaluate and improve their quality of life.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 3","pages":"110-117"},"PeriodicalIF":0.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727176","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}
Gina Weissman, Francis B Mimouni, Evelina Kratunova, Shlomo Elbahary
{"title":"Maxillary Labial Frenulum: A Scoping Review of Classification, Diagnosis and Evidence-Based Treatment.","authors":"Gina Weissman, Francis B Mimouni, Evelina Kratunova, Shlomo Elbahary","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The maxillary labial frenulum (MLF) has been implicated in clinical concerns, including breastfeeding difficulties, midline diastema and oral hygiene challenges. Despite multiple classification systems, a lack of consensus persists regarding the clinical significance of MLF variations and indications for surgical intervention. This review evaluates existing classification systems, diagnostic approaches and treatment considerations to provide an evidence-based framework for clinical decision-making. <b>Methods:</b> A literature search was conducted using PubMed, Scopus and EMBASE. Studies were screened through a multi-phase process and their quality was assessed using the Critical Appraisal Skills Program. <b>Results:</b> Sixteen studies met the inclusion criteria. Classification systems varied widely, with limited clinical applicability. Midline diastema often resolves naturally, questioning the necessity of early frenectomy. Surgical intervention is only advised when MLF impedes oral hygiene or contributes to orthodontic relapse. <b>Conclusions:</b> Variability in the classification and management of the MLF may contribute to inconsistent clinical decisions. Evidence-based guidelines are needed to support appropriate intervention and reduce the risk of unnecessary procedures.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 3","pages":"118-128"},"PeriodicalIF":0.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727119","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":"Dental Manifestations and Clinical Implications of Diamond-Blackfan Anemia.","authors":"Jade Quearney, Carolyn Kerins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Diamond-Blackfan anemia is a rare inherited bone marrow failure syndrome. It is part of a group of genetic disorders characterized by a decrease in red blood cells due to bone marrow malfunction. It affects five to seven live births per million per year. Pediatric patients are typically diagnosed within the first year of life; however, clinical manifestations can present at any age. Advances in molecular testing have increased the ability to identify Diamond-Blackfan anemia variants in adults. Patients with the disease have a wide range of features, including distinct physical characteristics; however, there is limited literature highlighting the dental manifestations and implications of the disease. Therefore, the purpose of this case report is to review the literature on Diamond-Blackfan anemia and highlight the unique challenges that dental practitioners may face in the delivery of dental care.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 3","pages":"150-153"},"PeriodicalIF":0.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727103","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":"Child Abuse and Neglect Mandated Reporting Educational Requirements for Dental Licensure Across the United States.","authors":"Sandra Battista, Stephanie Deutsch, Katheryn Goldman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To understand mandatory educational requirements for child abuse and neglect (CAN) recognition and mandated reporting for dentists to obtain and renew dental licensure in the United States (US).<b>Methods:</b> Publicly available state websites, dental board documents and the American Academy of Pediatric Dentistry's website outlining requirements for dental licensure in the US were reviewed for specifically designated mandated reporting or CAN educational requirements as prerequisites to obtain either initial or renewal of licensure to practice dentistry within the jurisdiction. For inclusion in the study, CAN education had to be listed as a requirement specific to obtaining and renewing dental licensure, not just a general mandated reporting education suggested or required by the state.<b>Results:</b> Four of 50 states (Illinois, Iowa, New York and Pennsylvania) and the District of Columbia require a mandatory educational course on CAN and reporting to obtain a dental license. Four states (Illinois, Iowa, Maryland and Pennsylvania) and the District of Columbia require a mandatory educational course on CAN to renew a license.<b>Conclusions:</b> This study suggests that more US states should implement a requirement for dental professionals to take a mandatory educational course on CAN recognition and reporting to obtain and renew dental licensure. This education should be specific to dentistry and dental practice settings to best prepare professionals to report suspected abuse and/or neglect.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 3","pages":"137-143"},"PeriodicalIF":0.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727162","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}
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":"<p><p><b>Purpose:</b> 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. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusions:</b> 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.</p>","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}
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":"<p><p>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.</p>","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}
{"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":"<p><p><b>Purpose:</b> To evaluate the prevalence of teething problems throughout the period of primary tooth eruption. <b>Methods:</b> 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. <b>Results:</b> 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). <b>Conclusions:</b> 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.</p>","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}
Brandon Linaksita, Hetal Desai, Olivia Dalzell, Vanessa Bouskill, Manuel Carcao, Gabriella A Garisto
{"title":"Significant Bleeding Event Secondary To Maxillary Labial Frenectomy.","authors":"Brandon Linaksita, Hetal Desai, Olivia Dalzell, Vanessa Bouskill, Manuel Carcao, Gabriella A Garisto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Maxillary frenectomies are invasive surgical procedures that are increasingly being performed in dental clinics to address functional and esthetic concerns. The purpose of this case report is to describe a 16-month-old boy who presented with oral bleeding lasting over 12 hours following a laser maxillary labial frenectomy, which eventually led to a diagnosis of severe hemophilia A. This case highlights the importance of thorough patient assessment, including the need to rule out systemic conditions, such as coagulopathies, prior to frenectomies. This report also raises concerns about the number of frenectomies being performed despite insufficient evidence to support their routine use.</p>","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":"92 2","pages":"96-100"},"PeriodicalIF":0.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978106","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}