European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry最新文献

{"title":"Success rate and acceptability of conventional and modified hall crowns among children and parents: a randomised clinical trial.","authors":"Areej Alqadi, Yara Marji, Ola B Al-Batayneh","doi":"10.1007/s40368-025-01119-1","DOIUrl":"https://doi.org/10.1007/s40368-025-01119-1","url":null,"abstract":"<p><strong>Purpose: </strong>The conventional Hall technique (CHT) is a recognised biological caries management approach. A modified Hall technique (MHT) involving minimal proximal slicing recently emerged with limited evidence. This study aimed to compare the success of MHT with CHT and evaluate their acceptance among children and parents.</p><p><strong>Methods: </strong>This split-mouth randomised clinical trial involved children aged 4-9 years. Procedural pain was assessed using the SEM (sound, eye and motor) and Wong-Baker FACES Pain-Rating (WBFP) scales, and treatment duration was recorded. Parents and children completed acceptance questionnaires, while clinical and radiographic success was evaluated at 6 and 12 months.</p><p><strong>Results: </strong>N = 116 children received treatment; 100/116 attended the 6-month follow-up, and 114/116 attended the annual follow-up. Success rates were similar per technique (96% and 95.6% at 6 and 12 months, respectively) with no significant differences in success or duration (P = 1.00 and 0.114, respectively). SEM scores showed no significant difference per intervention (P = 0.298), and most children reported no pain on the WBFP scale following either intervention (66.3%). However, children (54% vs. 30%) and parents (44.7% vs. 39.5%) favoured the CHT versus MHT.</p><p><strong>Conclusion: </strong>Both techniques achieved similar outcomes, but CHT was more favourable. The decision to utilise interproximal slicing ultimately lies with the dentist and must be evaluated on a case-by-case basis.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254359","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":"Evaluation of the antimicrobial potential of fluoride-free mouthwashes against Scardovia wiggsiae.","authors":"A C Valdivia-Tapia, F Lippert, R L Gregory","doi":"10.1007/s40368-025-01116-4","DOIUrl":"https://doi.org/10.1007/s40368-025-01116-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the antimicrobial efficacy of fluoride-free mouthwashes against Scardovia wiggsiae, a key bacterium associated with fluoride-resistant dental caries. The investigation focused on bacterial growth inhibition, planktonic cell viability, and biofilm formation.</p><p><strong>Methods: </strong>Twelve commercially available fluoride-free mouthwashes with various active ingredients, including hydrogen peroxide, cetylpyridinium chloride (CPC), essential oils, and organic extracts, were tested. Minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) assays were conducted to determine bacterial growth inhibition and killing potential. Planktonic cell viability and biofilm formation assays were performed at three dilutions (1:3, 1:6, and 1:12) using a 16-h culture of S. wiggsiae. Optical density (OD) values were measured at 595 nm for planktonic cells and 490 nm for biofilms.</p><p><strong>Results: </strong>Significant variability was observed in bacterial inhibition among mouthwashes. Hydrogen peroxide- and CPC-based formulations demonstrated the strongest antimicrobial activity, significantly reducing bacterial growth, planktonic viability, and biofilm formation. Essential oil-based formulations exhibited moderate antimicrobial effects, with reduced efficacy at higher dilutions. Organic-based mouthwashes showed limited inhibition, while formulations containing zinc chloride and stabilised chlorine dioxide demonstrated the weakest effects.</p><p><strong>Conclusion: </strong>Hydrogen peroxide- and CPC-containing mouthwashes exhibited the highest antimicrobial potential against S. wiggsiae and may serve as effective fluoride-free alternatives for high-risk populations. Essential oil-based formulations provided moderate benefits, whereas zinc chloride and chlorine dioxide showed minimal efficacy. These findings underscore the importance of selecting appropriate antimicrobial agents for biofilm control and caries prevention. Further in vivo studies are necessary to validate long-term effectiveness in clinical settings.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254353","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":"Micro-CT characterisation of the furcation area in human primary molars.","authors":"Maysa Lannes Duarte, Renata Perez, Marilia Marceliano-Alves, Ricardo Tadeu Lopes, Laura Salignac de Souza Guimarães Primo, Aline de Almeida Neves","doi":"10.1007/s40368-025-01118-2","DOIUrl":"https://doi.org/10.1007/s40368-025-01118-2","url":null,"abstract":"<p><strong>Purpose: </strong>Non-instrumentation endodontic treatment precludes that an antibiotic paste, placed on the furcation area of primary molars, will be able to heal furcation lesions and treat an infected root canal. Thus, the aim of the study was to characterise the furcation area of primary molars using micro-CT.</p><p><strong>Methods: </strong>Primary molars, extracted due to pathological conditions, were scanned, and after reconstruction, dentine thickness at the furcation area was measured, resorption gaps and accessory canals were quantified, and mean grey values at the furcation were compared with two other areas of root dentine in each specimen using ImageJ.</p><p><strong>Results: </strong>Twenty-five maxillary first molars, 19 maxillary second molars, 13 mandibular first molars and 28 mandibular second molars were studied. All (n = 85; 100%) had resorption gaps, and mean dentine thickness at the furcation was 2.3 mm. Nineteen teeth (22.3%) had accessory canals, and in 16 (19.5%), these communicated the pulp chamber with the furcation. Of these, eight (42.1%) were maxillary first molars. No mandibular first molars presented accessory canals. Mean grey value of root dentine was lower (153.2 ± 18.2) than values at the furcation (157.7 ± 19.54) (Wilcoxon test, p < 0.05).</p><p><strong>Conclusion: </strong>All primary molars had resorption gaps, and in many of them, communication between the pulp chamber and the furcation area by an accessory canal was detected. Furcation areas showed higher microradiographic density values than root dentine areas.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226525","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":"Best clinical practise guidance for the use of antibiotics in children: an EAPD policy document.","authors":"S Rajasekharan, N Lygidakis, R Cauwels, D Declerck, J Monteiro, S Parekh","doi":"10.1007/s40368-025-01068-9","DOIUrl":"https://doi.org/10.1007/s40368-025-01068-9","url":null,"abstract":"<p><strong>Purpose: </strong>The European Academy of Paediatric Dentistry (EAPD) has developed this best clinical practice guidance on the use of antibiotics in pediatric dentistry, aiming to address challenges posed by antimicrobial resistance (AMR) and promote the responsible use of antibiotics.</p><p><strong>Methods: </strong>A comprehensive review of existing literature and global policies was conducted to evaluate antibiotic-prescribing practices for children. Recommendations were developed through a consensus process involving experts in pediatric dentistry during the EAPD policy workshop in Prague in May 2023.</p><p><strong>Results: </strong>The guidelines highlight the critical role of prudent antibiotic use to mitigate the growing threat of AMR. Specific recommendations include no routine antibiotic use for localized pulpitis or abscess without systemic involvement and targeted use for odontogenic infections with systemic signs. Detailed dosage protocols are provided, accounting for age, weight, and clinical context. Prophylaxis is recommended only for high-risk patients undergoing specific invasive procedures. Significant variations in national practices were noted, underlining the need for harmonized evidence-based protocols.</p><p><strong>Conclusion: </strong>These guidelines serve as a framework to optimize antibiotic use in children, emphasizing the importance of targeted prescribing practices and the implementation of preventive strategies in pediatric dental care.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215484","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":"Innovative oral hygiene strategies for children with autism spectrum disorder: a gamified app-based intervention.","authors":"Z Yerkibayeva, G Yermukhanova, K Saduakasova, Y Menchisheva, K Rakhimov, Z Abu, D Abdukalikova, N Bainazarova, A Abutalipova","doi":"10.1007/s40368-025-01115-5","DOIUrl":"https://doi.org/10.1007/s40368-025-01115-5","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the effectiveness of the \"Marzhan Tis\" mobile application in improving oral hygiene practices among children with autism spectrum disorder (ASD) and to examine its usability and correlation with learning success.</p><p><strong>Methods: </strong>A prospective, non-randomized cohort study was conducted with 90 children aged 3-18 years diagnosed with Level 1 ASD from rehabilitation centers in Almaty, Kazakhstan. Participants were divided into an intervention group (IG), which used the app for 1 month, and a control group (CG), which received standard oral hygiene instructions. Oral hygiene was assessed using the Simplified Oral Hygiene Index (OHI-S), approximal plaque index (API), and papillary-marginal-alveolar index (PMA). Adherence was measured using the modified Oral Hygiene Assessment Scale (OHAS-10), and a structured 15-item caregiver questionnaire evaluated behavioral changes and app usability. Statistical analysis included the Shapiro-Wilk test for normality, Mann-Whitney U and Wilcoxon signed-rank tests for between and within-group comparisons, Chi-square tests for categorical variables, and Pearson correlation for usability-learning associations.</p><p><strong>Results: </strong>Significant improvements were observed in the IG for all oral hygiene indices (OHI-S reduction: 28-52%; API and PMA improvement > 50%, p < 0.05). Oral hygiene adherence increased by 18.8% (p = 0.001). Independence in brushing improved in 85% of IG children (χ² = 28.7, p = 0.001). A strong correlation was found between app usability and learning outcomes (r = 0.65, p = 0.01).</p><p><strong>Conclusion: </strong>The \"Marzhan Tis\" mobile app effectively improved oral hygiene skills and independence in children with ASD Level 1. Its usability and gamified features support its integration into pediatric oral health interventions.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202778","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":"Impact of treatment of molar-incisor hypomineralisation on children's oral health-related quality of life: a systematic review.","authors":"R P P Hoogeveen, E Momayez, C C Bonifacio, D J Manton, D Hesse","doi":"10.1007/s40368-025-01114-6","DOIUrl":"https://doi.org/10.1007/s40368-025-01114-6","url":null,"abstract":"<p><strong>Purpose: </strong>The present systematic review aimed to investigate the impact of dental treatment for molar-incisor hypomineralisation (MIH) on the oral health-related quality of life (OHRQoL) in children.</p><p><strong>Methods: </strong>A literature search was conducted in four databases (Medline/PubMed, Embase, Scopus, and Google Scholar). Two independent reviewers selected studies amongst children with MIH who had received dental treatment, with OHRQoL assessed both before and after interventions. Data were critically summarised following the Synthesis Without Meta-analysis guideline. The risk of bias was assessed using the Cochrane ROB-2 tool, and the certainty of evidence was assessed using the GRADE approach.</p><p><strong>Results: </strong>From the initial 460 identified studies, five were included. These studies included a total of 491 children aged 3-16 years (258 females and 233 males), each with at least one MIH-affected tooth. Qualitative synthesis indicated an improvement in OHRQoL in children following MIH treatment. However, the included studies exhibited potential biases in specific domains, and the certainty of evidence was rated as low.</p><p><strong>Conclusion: </strong>Treatment of MIH-affected teeth positively impacts the OHRQoL of children.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202817","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":"Evaluating the use of augmented reality in alleviating anxiety and pain in children during intraoral injection administration: a randomized-controlled trial.","authors":"M Albaal, N Bshara","doi":"10.1007/s40368-025-01113-7","DOIUrl":"https://doi.org/10.1007/s40368-025-01113-7","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated augmented reality (AR) headsets' effectiveness in reducing anxiety and pain in children (7-9 years) during intraoral injections.</p><p><strong>Methods: </strong>One hundred eight children were randomized to four groups: Control (cartoons on a mobile device during injection), Group A (cartoons via AR headset during injection), Group B (AR games before being transported to the dental chair), and Group C (AR games before plus cartoons during injection). Anxiety was assessed by Venham's Picture Test (VPT) and heart rate (HR) monitoring; pain was measured with the FLACC Behavioral Pain Assessment Scale and the Wong-Baker FACES Pain Rating Scale.</p><p><strong>Results: </strong>Post-injection, VPT mean ranks were significantly lower in Groups A (46.59), B (42.83), and C (40.41) compared to the Control group (65.17; P < 0.05). HR monitoring revealed a significant increase during injection in the Control group (107.6 ± 15.7 bpm) and Group A (106.6 ± 13.2 bpm) compared with Groups B (94.7 ± 8.0 bpm) and C (91.4 ± 9.8 bpm; P < 0.05). Severe pain (WBF score ≥ 8) was reported by 18.5% in the Control group versus none in the test groups (P < 0.05). Similarly, FLACC scores indicated the highest discomfort in the Control group, with no severe discomfort observed in Groups A, B, or C (P < 0.05).</p><p><strong>Conclusions: </strong>AR headsets significantly reduce injection-related anxiety and eliminate severe pain behaviors in children, providing pediatric dental practitioners with a low-cost, easily implemented tool to enhance patient comfort and cooperation. The study was registered at ClinicalTrials.gov (NCT06724341).</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145083262","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":"Correction to: Root resorption pattern and root length of mandibular primary molars in children: a cross-sectional radiographic study.","authors":"C S Garcete Delvalle, M Bruna Del Cojo, M R Mourelle Martínez, M J De Nova García","doi":"10.1007/s40368-025-01109-3","DOIUrl":"https://doi.org/10.1007/s40368-025-01109-3","url":null,"abstract":"","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088837","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":"Histopathological crossover between unicystic ameloblastoma and odontogenic keratocyst in 12-year-old: a case report with literature review.","authors":"S R Nagar, S Ali, M Katarni, S S Talkar","doi":"10.1007/s40368-025-01112-8","DOIUrl":"https://doi.org/10.1007/s40368-025-01112-8","url":null,"abstract":"<p><strong>Aim: </strong>Pediatric jaw lesions often present diagnostic challenges due to overlapping clinical and radiographic features.</p><p><strong>Background: </strong>Among these, unicystic ameloblastoma (UA) and odontogenic keratocyst (OKC) are two distinct odontogenic entities with differing biological behaviors and recurrence risk. However, a few cases may exhibit histopathological features of both, complicating definitive diagnosis and management.</p><p><strong>Case description: </strong>This paper presents a case of a 12-year-old boy with a mandibular lesion clinically suggestive of a dentigerous cyst based on clinical and radiographical analysis. However, histopathological evaluation of the enucleated cystic lesion revealed intraluminal unicystic ameloblastoma, with some areas showing features of odontogenic keratocyst.</p><p><strong>Discussion: </strong>This unusual combination raises important diagnostic and therapeutic considerations, particularly in children where long-term outcomes and recurrence risk must be weighed carefully.</p><p><strong>Conclusion: </strong>The case emphasizes the critical role of histopathological evaluation and clinicopathological correlation of such ambiguous lesions in the pediatric population as it helps to broaden the current understanding of odontogenic cystic lesions for appropriate treatment and outcome.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145077161","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":"Sealant retention, patient satisfaction, and operator preference: a split-mouth randomised controlled trial comparing EasyPrep^® and cotton roll isolation in a dental school setting.","authors":"W Kornkrasunk, C Manmontri, P Chompu-Inwai, A Nirunsittirat, W Tangtrakooljaroen, B Thiangjai, P Boonphirom, S Arjitpunyo, N Chaipattanawan","doi":"10.1007/s40368-025-01111-9","DOIUrl":"https://doi.org/10.1007/s40368-025-01111-9","url":null,"abstract":"<p><strong>Purpose: </strong>To compare sealant retention, patient satisfaction, and operator preference between EasyPrep^® and cotton roll isolation.</p><p><strong>Methods: </strong>This university-based, superiority, split-mouth randomised controlled trial enrolled 92 children aged 6-12 years with matched contralateral pairs of maxillary or mandibular permanent first molars (PFMs). Each participant was randomised to receive sealants using either EasyPrep^® or cotton roll isolation on one side, followed by the alternative method on the contralateral side. All sealants were placed by dental students under the faculty supervision and were assessed for retention by two blinded examiners at 6- and 12-month follow-ups. Sealant retention success was compared between groups using risk regression with generalised estimating equations. Patient satisfaction and operator preference were assessed through interview-based questionnaires and summarised using descriptive statistics.</p><p><strong>Results: </strong>Of the 180 pairs of PFMs included at baseline, 155 and 110 were evaluated at the 6- and 12-month follow-ups, respectively. The relative risks of sealant retention success with EasyPrep^® compared to cotton roll isolation were 0.95 (95% confidence interval [CI] 0.83; 1.09, p > 0.05) at 6 months and 0.96 (95% CI 0.76; 1.23, p > 0.05) at 12 months. These results indicate a slightly lower probability of retention success with EasyPrep^® at both time points, although the differences were not statistically significant. Moreover, children tended to prefer cotton roll isolation (44.6%), whereas operators favoured EasyPrep^® (59.8%).</p><p><strong>Conclusion: </strong>Although most operators preferred EasyPrep^®, its sealant retention was not superior to that of cotton roll isolation. Moreover, patients' preference was more toward cotton roll isolation.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071573","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}