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

{"title":"Selective caries removal and management of exposed pulp in fully developed and immature teeth with reversible pulpitis: a questionnaire-based study in Greece.","authors":"E Babasidou, G Papaemmanouil, A Pantelidou, A Fardi, K Kodonas, C Gogos","doi":"10.1007/s40368-025-01024-7","DOIUrl":"https://doi.org/10.1007/s40368-025-01024-7","url":null,"abstract":"<p><strong>Purpose: </strong>Guidelines recommend implementing selective or total caries removal for managing deep carious lesions without discriminating between fully developed and immature teeth. This questionnaire-based study aimed to explore the perspectives of Greek dentists regarding the management of deep caries and exposed pulp in immature and fully developed teeth with reversible pulpitis.</p><p><strong>Methods: </strong>The questionnaire presented two cases: one of a fully developed permanent tooth and one of an immature permanent tooth, both with deep caries and clinical signs of reversible pulpitis. Photographs, radiographs, and clinical symptoms were provided to assess dentists' treatment strategy preferences. Data analysis was conducted using SPSS 28, Chi-square, Fisher's exact tests and logistic regression analysis with significance set at p < 0.05.</p><p><strong>Results: </strong>A total of 453 dentists responded. More than half of the respondents preferred total caries removal for mature teeth. MTA and other bioceramics emerged as the favored materials for indirect and direct pulp capping. In the case of the immature tooth, 44% of the respondents shifted from the total to selective caries removal treatment option. However, there was a discernible shift towards more aggressive vital pulp treatment options, like pulpotomy (26%).</p><p><strong>Conclusion: </strong>Treatment preferences are influenced by the tooth developmental status, vary significantly and there is no clear preference for a more conservative approach to preserving as much healthy pulp tissue as possible.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153226","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":"Surgery for ankyloglossia should be the last resort for infants with difficulty breastfeeding.","authors":"S M H Nainar","doi":"10.1007/s40368-025-01064-z","DOIUrl":"https://doi.org/10.1007/s40368-025-01064-z","url":null,"abstract":"","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153230","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":"Comment on \"Root anatomy and canal configuration of primary molars: a systematic review and meta-analysis\".","authors":"A Mathur, R Sah","doi":"10.1007/s40368-025-01067-w","DOIUrl":"https://doi.org/10.1007/s40368-025-01067-w","url":null,"abstract":"","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145312","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":"Response to the letter to the editor by Sharma A et al., regarding comments on our recent article 'Splinting in the management of dental trauma in the primary dentition: a systematic review. Dos Santos Fernandez M, Schuch HS, Araújo ABG, Goettems ML. Eur Arch Paediatr Dent. 2023 Apr;24(2):167-175.","authors":"M Goettems, H Schuch","doi":"10.1007/s40368-025-01045-2","DOIUrl":"https://doi.org/10.1007/s40368-025-01045-2","url":null,"abstract":"","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153221","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":"Audio sensory methods in oral hygiene maintenance.","authors":"M Farrokhi, K Harati","doi":"10.1007/s40368-025-01055-0","DOIUrl":"https://doi.org/10.1007/s40368-025-01055-0","url":null,"abstract":"","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130032","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":"A scoping review of proteomic alterations in molar-incisor hypomineralisation: insights from enamel and salivary composition.","authors":"G Sivaramakrishnan, K Sridharan","doi":"10.1007/s40368-025-01050-5","DOIUrl":"https://doi.org/10.1007/s40368-025-01050-5","url":null,"abstract":"<p><strong>Objectives: </strong>The aetiology and treatment of molar-incisor hypomineralisation (MIH) may be further investigated by understanding the proteomic changes associated with the defect. The present scoping review aimed to systematically examine existing literature on salivary and enamel proteomics related to MIH, characterising specific proteins associated with the defect and evaluating methodologies employed in current proteomic studies.</p><p><strong>Methods: </strong>The review was conducted following the PRISMA-ScR guidelines. A systematic search of PUBMED, SCOPUS, EMBASE, Web of Science, and Cochrane databases was performed for clinical trials and observational studies published until February 2025. Inclusion criteria encompassed studies on human samples examining proteomics related to MIH with a control group. Two reviewers independently screened articles for eligibility.</p><p><strong>Results: </strong>Six studies met the inclusion criteria. Key findings revealed significant alterations in protein composition in MIH-affected enamel and saliva, including proteins, such as chitinase 1, human serum albumin, collagen alpha 1 (I), collagen alpha 2 (I), alpha-1-antitrypsin, and dentin sialophosphoprotein (DSPP). In particular, MIH samples exhibited overexpression of proteins linked to inflammation and stress responses, including albumin, fibrinogen, and complement C3. Proteomic analyses highlighted the potential of salivary and enamel proteins as biomarkers for MIH, although variations in research methodologies presented challenges in establishing standardised biomarkers.</p><p><strong>Conclusions: </strong>This review underscores the importance of proteomic analysis in understanding the molecular mechanisms underlying MIH. Identifying specific proteins may enhance diagnostic and therapeutic strategies for affected children. However, substantial research gaps remain, particularly in the exploration of various proteomic sources and the dynamic nature of salivary proteins.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130029","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":"Eruptive movements of ectopic permanent mandibular canines: a case series study based on serial orthopantomograms from ten children with unilateral ectopia and six children with bilateral ectopia.","authors":"I Kjær, M Svanholt, P Svanholt","doi":"10.1007/s40368-025-01049-y","DOIUrl":"https://doi.org/10.1007/s40368-025-01049-y","url":null,"abstract":"<p><strong>Aim: </strong>The purpose of this study is to evaluate the patterns of eruptive movements of ectopic mandibular canines observed on series of orthopantomograms from each individual. The hypothesis is that the eruption direction might be predicted from the location and morphology of the permanent canine.</p><p><strong>Material and methods: </strong>Radiographic material was forwarded from orthodontic colleagues in Denmark and the Nordic countries. In 16 cases/individuals with unilateral or bilateral mandibular canine ectopia, more than one orthopantomogram from each individual was forwarded. The material consists of 41 radiographs from these 16 individuals. In each, the primary mandibular canine existed in the first taken orthopantomogram. The radiographs were taken with the same radiographic equipment, but not necessarily with the same settings and patient orientation. The material was divided according to unilateral ectopia (10 individuals) and bilateral ectopia (6 individuals), and according to the initial location of the permanent canine, compared to the axis of the primary canine (Ax) in the posterior location and anterior location. The following were registered: ages, lengths of age interval between orthopantomograms, canine maturity, root morphology, crown morphology, and location of permanent canines expressed in distances and angles.</p><p><strong>Results: </strong>The following were concluded. Ectopia was diagnosed earlier in bilateral cases (about 9 years of age) than in unilateral cases (about 12 years of age). More radiographs were taken for each child in the bilateral group, compared to the unilateral group. Extraction of the primary canines occurred often in the bilateral group, but seldom in the unilateral group. The posteriorly located unilateral ectopic canine was located further posterior, compared to the Ax, than bilateral cases. The crown morphology changed during the eruption movements. Curved root morphology appeared in the bilateral cases. Three different patterns were registered in canine eruption (upward, downward, and anterior movements), seemingly dependent on the location and crown morphology of the permanent canine. In bilateral cases, the eruption deviation was most severe on the left side.</p><p><strong>Conclusion: </strong>There are considerable differences between unilateral and bilateral ectopic permanent mandibular canines. The differences are predominantly in the age of the children when ectopia is diagnosed, the number of orthopantomograms taken, and furthermore the location, crown morphology and eruptive movements of the ectopic permanent mandibular canine.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113224","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":"Commentary on \"Effectiveness and predictive factors of nitrous oxide and oxygen inhalation sedation for paediatric dental procedures: a retrospective cohort study of Thai children\".","authors":"S Kumar, R Sah, R Mehta","doi":"10.1007/s40368-025-01061-2","DOIUrl":"https://doi.org/10.1007/s40368-025-01061-2","url":null,"abstract":"","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113222","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":"Minimal Intervention Dentistry (MID) mainstream or unconventional option? Study exploring the impact of COVID-19 on paediatric dentists' views and practices of MID for managing carious primary teeth in children across the United Kingdom and European Union.","authors":"A BaniHani,&nbsp;A Hamid,&nbsp;J Van Eeckhoven,&nbsp;S Gizani,&nbsp;S Albadri","doi":"10.1007/s40368-022-00746-2","DOIUrl":"https://doi.org/10.1007/s40368-022-00746-2","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the techniques used to manage carious primary teeth during the COVID-19 pandemic by paediatric dentists and dentists with a special interest in paediatric dentistry (DwSI) who are members of the British Society of Paediatric Dentistry (BSPD) and the European Academy of Paediatric Dentistry (EAPD), and their views on the use of minimal intervention dentistry (MID) in children prior to, during and post the COVID era.</p><p><strong>Methods: </strong>A total of 212 paediatric dentists and DwSI completed an online questionnaire. Six MID techniques were explored: fissure sealants, resin infiltration, Hall Technique (HT), 38% silver diamine fluoride (SDF), atraumatic restorative treatment (ART), stepwise removal and selective caries removal.</p><p><strong>Results: </strong>The majority were specialists (26%) followed by clinical academics (23.1%) working mainly in university teaching hospitals (46.2%). Routine dental treatment for children with carious primary teeth was provided by the majority (92.5%) during the pandemic. HT (96%) and 38% SDF (65.7%) were the most commonly used techniques among the BSPD members whereas conventional restoration of non-selective caries removal and pulp therapy remained the most widely used technique among the EAPD members (66.2%). Most of the MID techniques were used as a treatment option (48.1%) rather than a choice (43.4%), with most of these choices having been affected by the patient's behaviour (82.5%). More than one thirds (39.2%) of the participants were reluctant to adopt MID after the pandemic. Several barriers such as lack of teaching and confidence as well as perceived lack of evidence were identified.</p><p><strong>Conclusion: </strong>A range of MID techniques is practiced broadly by a sample of paediatric dentists and DwSI across the United Kingdom (U.K) and European Union (E.U). The majority of clinicians are willing to continue using these techniques going forward after COVID restrictions are lifted. The pandemic served as an opportunity for many dentists to become familiar with various MID practices, such as SDF, which has been already established some time ago.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"835-844"},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40659464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp therapy: a systematic review.","authors":"S Amend,&nbsp;C Boutsiouki,&nbsp;K Bekes,&nbsp;D Kloukos,&nbsp;N N Lygidakis,&nbsp;R Frankenberger,&nbsp;N Krämer","doi":"10.1007/s40368-022-00725-7","DOIUrl":"https://doi.org/10.1007/s40368-022-00725-7","url":null,"abstract":"<p><strong>Purpose: </strong>To systematically search the available evidence and evaluate the clinical effectiveness of restorative materials for restoration of carious primary teeth. The findings aimed to support the European Academy of Paediatric Dentistry (EAPD) guidelines development.</p><p><strong>Methods: </strong>Literature search was performed by searching 4 electronic databases for eligible randomised controlled clinical trials (RCTs) comparing restorative materials for the restoration of carious primary teeth up to December 28th, 2020. Quality assessment was performed with the revised Cochrane risk-of-bias tool for randomized trials (RoB 2).</p><p><strong>Results: </strong>Of 1685 identified articles 29 RCTs were finally deemed as eligible for inclusion. Annual failure rates were: Amalgam 1-28%; atraumatic restorative treatment 1.2-37.1%; glass-ionomer cement (GIC) 7.6-16.6%, metal-reinforced GIC 29.9%, resin-modified GIC 1.9-16.9%, high-viscosity GIC 2.9-25.6%; glass carbomer ≤ 46.2%; compomer 0-14.7%; composite resin (CR) 0-19.5%, bulk-fill CR 0-16.9%; zirconia crowns 3.3%, composite strip crowns 15%, and preformed metal crowns (Hall-Technique) 3.1%. Secondary caries, poor marginal adaptation, loss of retention, and fracture of restoration were reported as reasons for failure. Four studies were evaluated at unclear and 25 at high risk of bias. Clinical and methodological heterogeneity, and the diversity of tested materials across included studies did not allow for meta-analyses.</p><p><strong>Conclusions: </strong>Within the limitations of this systematic review, namely, the heterogeneity and the overall high risk of bias among included studies, clear recommendations based on solid evidence for the best restorative approach in primary teeth cannot be drawn. There is a need for future thoroughly implemented RCTs evaluating restorations in primary teeth to close this knowledge gap.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"727-759"},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9637592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40495836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}