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

{"title":"Comparison of behavioural, physiological, and self-reported pain responses in Pakistani children with dental pain: a descriptive cross-sectional study.","authors":"H Abbasi, R S Saini, R I H Binduhayyim, M S Kuruniyan, S A Mosaddad, A Heboyan","doi":"10.1007/s40368-025-01090-x","DOIUrl":"https://doi.org/10.1007/s40368-025-01090-x","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate behavioral, physiological, and self-reported responses to pain-inducing stimuli in children to comprehensively understand their pain experiences.</p><p><strong>Methods: </strong>This descriptive cross-sectional study involved 100 children aged 5-15 years with moderate-to-severe dental pain. Behavioral, physiological, and self-reported pain responses were assessed using the FLACC (Face, Legs, Activity, Cry, Consolability) Behavior Pain Assessment Tool, physiological parameter pain assessment, and 10-point Visual Analog Scale (VAS). The statistical tests utilized were multivariate logistic regression analysis, Cohen's kappa for inter-observer reliability, and chi-square tests to examine relationships between pain responses and various demographic, behavioral, and physiological variables.</p><p><strong>Results: </strong>The study results showed that the participant group was gender-balanced, with most aged 5-8 years, and approximately 68% had dental caries. Pain stimuli included cold (61%), heat (26%), and pressure (13%). Behavioral responses showed no significant sex differences (P = 0.480). Still, they were influenced by age (P = 0.022), type of pain stimulus (P = 0.019), caries experience (P = 0.022), caries severity (P = 0.020), and type of dental procedure (P = 0.014). Physiological measures correlated with pain severity, including heart rate (P = 0.002), blood pressure (P = 0.025), respiration rate, and skin conductance (both P = 0.000). Self-reported pain varied significantly with age (P = 0.001) and type of pain stimulus (P = 0.040) but not with sex (P = 0.386), caries experience (P = 0.641), severity (P = 0.201), or procedure type (P = 0.330). Inter-rater reliability indicated substantial agreement between observers (0.734, 0.659, 0.681) but only moderate agreement between observers and patients (0.209, 0.308; 0.282, 0.312; 0.447, 0.451), suggesting discrepancies between perceived and observed pain.</p><p><strong>Conclusions: </strong>This study revealed the influence of age and type of pain stimulus on children's pain perception, underscoring the need for tailored pain management and the integration of multiple assessment methods. This highlights the importance of enhanced pain communication, preventive care, and ongoing research in pediatric dentistry.</p><p><strong>Trial registration: </strong>Registered at ClinicalTrials.gov (NCT05883566), dated 01/06/2023.</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":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769486","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":"Does breastfeeding increase the risk of early childhood caries (ECC)? A systematic review.","authors":"F Alexaki, M Kostopoulou, K Koleventi, N N Lygidakis","doi":"10.1007/s40368-025-01051-4","DOIUrl":"10.1007/s40368-025-01051-4","url":null,"abstract":"<p><strong>Purpose: </strong>To review the current evidence on the association of breastfeeding during the first years of life with the development of Early Childhood Caries (ECC).</p><p><strong>Materials and methods: </strong>A systematic review of literature was conducted in June 2019 and again in March 2024 at the following Databases: Pub Med, Scopus, Cochrane Library, Science Direct, Google Scholar, for studies reporting on children aged up to 71 months investigating breastfeeding duration/cessation and presence of caries at the examination. Prospective Cohort studies were included in the review. The systematic review was conducted according to PRISMA statement guidelines.</p><p><strong>Results: </strong>Of the 4894 papers identified, the data extraction protocol led to 8 studies for further review. Assessment of Risk of Bias was made using the ROBINS-E tool. Six studies were characterized as high risk of bias, one characterized with some concerns and one with low risk of bias. Breastfeeding for 6-12 months has a protective effect against ECC. There is no association between breastfeeding and ECC for the ages 12-24 months; however, depending on the frequency or when combined with increased sugar consumption, it can have an impact on dental caries prevalence. Beyond 24 months, breastfeeding was associated with increased ECC prevalence.</p><p><strong>Conclusions: </strong>Based on the studies included in this review and within their limitations, breastfeeding up to 2 years of age does not increase ECC risk, but after 2 years of age breastfeeding is associated with increased risk of ECC.</p><p><strong>Trial registration number: </strong>The protocol for this systematic review was registered on PROSPERO (CRD42020179773).</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"645-656"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188780","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":"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":"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":"615-616"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","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":"Comparing skeletal and dentoalveolar effects of fixed palatal crib and bonded spurs in early management of anterior open bite associated with non-nutritive sucking habits: a randomized clinical trial.","authors":"R H Shams, M M Ali, N Kabel, A H El Khadem","doi":"10.1007/s40368-025-01086-7","DOIUrl":"https://doi.org/10.1007/s40368-025-01086-7","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effects of fixed palatal cribs and bonded spurs on skeletal and dentoalveolar parameters during treatment of anterior open bite associated with non-nutritive sucking habits.</p><p><strong>Methods: </strong>This randomized clinical trial involved 30 children aged 6-11 years with an anterior open bite ≥ 1 mm. Participants were assigned randomly to two groups: fixed palatal crib (FPC, n = 15, mean age 8.6 years) and bonded spurs (BS, n = 15, mean age 8.3 years). Digital bio-models and lateral cephalometric images were obtained at baseline and after 12 months of treatment. Paired and independent t tests were used for intra- group and inter-group comparisons, respectively.</p><p><strong>Results: </strong>The FPC group had significantly greater overbite correction than the BS group (1.22 ± 2.18 mm, p = 0.00387), with 73.33% achieving a positive overbite compared to 6.67% in the BS group. The FPC group also showed significantly higher increases in mandibular arch perimeter (2.57 ± 0.79 mm, p = 0.00314), maxillary arch length (1.56 ± 0.35 mm, p = 0.00013), mandibular arch length (1.62 ± 0.30 mm, p = 0.00001), and intermolar width (0.71 ± 0.24 mm, p = 0.00001). Cephalometric findings showed greater reduction in the lower central incisor mandibular plane angle (6.75° ± 1.65°, p = 0.00032) and a corresponding increase in the interincisal angle (6.12° ± 2.61°, p = 0. 02654), while skeletal measurements showed no statistically relevant variation between the two groups.</p><p><strong>Conclusion: </strong>The fixed palatal crib appliance was more effective than bonded spurs in managing anterior open bite in growing patients, mainly via dentoalveolar changes, (such as incisor retroclination), without affecting skeletal parameters.</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":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765947","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":"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":"613-614"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","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":"Age-specific vulnerabilities in paediatric dental emergencies before, during, and after COVID-19 lockdown: a retrospective comparative analysis with emphasis on early childhood (0-3 years).","authors":"D Atia Joachim, D Haim, E Shapiro, T Asbi, M V Joachim","doi":"10.1007/s40368-025-01088-5","DOIUrl":"https://doi.org/10.1007/s40368-025-01088-5","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the unique vulnerability patterns of very young children (0-3 years) in dental emergencies before, during, and after the COVID-19 lockdown period, compared to older paediatric patients. The study aimed to identify age-specific risk factors and treatment needs that demonstrate increased susceptibility to severe dental emergencies during healthcare crises.</p><p><strong>Methods: </strong>A retrospective analysis of 6,024 emergency dental visits of children under 12 years was conducted, comparing three periods: pre-COVID (March-May 2019), during the first lockdown (March-May 2020), and post-lockdown (March-May 2021). Data from a major Israeli healthcare provider's dental clinics were analysed for age-specific patterns in emergency presentations, treatment requirements, and clinical outcomes.</p><p><strong>Results: </strong>Children aged 0-3 years showed distinct emergency patterns during lockdown, with significantly higher rates of pulpal pain (51.2% vs. 42.1% pre-COVID) and dental abscess (24.8% vs. 19.5% pre-COVID). This age group experienced the highest proportion of invasive treatments (24.8% requiring extraction) compared to other age groups. The mean age of emergency presentations decreased significantly during lockdown (6.2 years vs. 7.1 years pre-COVID, p < 0.001), with the 0-3 age group showing the most marked increase in severity of presentations.</p><p><strong>Conclusion: </strong>Very young children (0-3 years) demonstrated specific vulnerabilities during the healthcare crisis, characterized by increased susceptibility to severe dental emergencies, higher rates of invasive interventions (44.5% vs. 30.6% pre-COVID), and disproportionate representation in emergency presentations. These findings demonstrate age-specific vulnerabilities that require targeted emergency protocols and preventive strategies during future healthcare crises.</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":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736622","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":"Comparison of knowledge levels of parents whose children have and have not experienced permanent dental avulsion.","authors":"Zekiye Şeyma Gümüşboğa, Fatma Pacci","doi":"10.1007/s40368-025-01087-6","DOIUrl":"https://doi.org/10.1007/s40368-025-01087-6","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to compare the level of knowledge of parents of children with permanent dental avulsion experience with that of parents of children without permanent dental avulsion experience.</p><p><strong>Materials and methods: </strong>The present study was conducted on a sample of parents of children who presented to the Department of Paedodontics at the Inonu University Faculty of Dentistry between 2019 and 2024 with the complaint of permanent tooth avulsion. A control group of 60 parents was also included in the study. A questionnaire was administered to the parents, including inquiries regarding their sociodemographic characteristics and experiences with emergency interventions for permanent tooth avulsion injuries. The section of the questionnaire pertaining to permanent tooth avulsion injuries was evaluated using a scale ranging from 0 to 17 points. The scores obtained by the two groups were then subjected to comparative analysis. The data were meticulously documented and subjected to rigorous analysis using IBM SPSS Statistics for Windows, version 22.0 (IBM, Armonk, N.Y., USA).</p><p><strong>Results: </strong>Of the 60 participants, 33 (55%) identified as female and 27 (45%) identified as male. A survey of parents of children without permanent dental avulsion experience revealed that all respondents reported a lack of knowledge regarding first aid interventions for permanent dental avulsion. In contrast, a significant proportion (80%) of parents of children who experienced permanent tooth avulsion reported that they received guidance from their dentist after the event. A statistically significant difference was observed in the knowledge level of parents of children with permanent dental avulsion experience compared to parents of children without permanent dental avulsion experience (P < 0.001).</p><p><strong>Conclusions: </strong>Parents of children who experience permanent dental avulsion have a higher level of knowledge about the emergency management of dental avulsed.</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":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700929","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":"Request for consideration of methodological discrepancies in published article by Garot et al.","authors":"C Jayam, N Kumar, A Patnana, I Jonna","doi":"10.1007/s40368-025-01085-8","DOIUrl":"https://doi.org/10.1007/s40368-025-01085-8","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":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669268","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":"Swedish dentists' use of pharmacological pain management in children: a survey.","authors":"R Roxner, H Berlin, G Klingberg","doi":"10.1007/s40368-025-01082-x","DOIUrl":"https://doi.org/10.1007/s40368-025-01082-x","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this cross-sectional study was to explore how Swedish General Dental Practitioners (GDPs) and Specialists in Paediatric Dentistry (SPDs) use pharmacological pain management, focusing on local anesthetics (LA) when treating children.</p><p><strong>Methods: </strong>582 GDPs in southern Sweden and 137 SPDs nationwide received a questionnaire with 4 clinical scenarios covering filling therapy and tooth extractions in children. Each scenario had questions about how often the dentist would use LA and topical anesthetics, answered on a 5-point Likert-type scale (Always, Often, Sometimes, Seldom, Never).</p><p><strong>Results: </strong>The overall response rate was 48.0% (243 GDPs and 102 SPDs). Use of LA reported as Always or Often was more common in SPDs than GDPs for filling therapy in primary molars (98.0% vs. 90.9%, p = 0.019) as well as in permanent molars (99.0% vs. 91.7%, p = 0.006). GDPs who reported Always or Often using LA for filling therapy in primary teeth were younger (42.2 years vs. 49.1 years, p = 0.004) and had fewer years of experience as a dentist (14.2 years vs. 19.9 years, p = 0.016) compared with GDPs reporting less frequent use.</p><p><strong>Conclusion: </strong>There was an underuse of LA among GDPs when treating children. The reasons for refraining from LA are not fully understood, but possible contributing factors can be identified within work environment, insufficient undergraduate training and lack of organizational support and guidelines.</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":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144652033","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, defect characteristics and risk factors associated with molar incisor hypomineralisation in Mexican schoolchildren: a cross-sectional study.","authors":"M Rivera, L Karakowsky, C E Medina-Solís, M de L Márquez-Corona, D J Manton","doi":"10.1007/s40368-025-01078-7","DOIUrl":"https://doi.org/10.1007/s40368-025-01078-7","url":null,"abstract":"<p><strong>Background: </strong>Molar incisor hypomineralisation (MIH) is a developmental defect of decreased enamel mineral density, involving at least one first permanent molar and frequently, permanent incisors. The defects are demarcated and opaque, varying from white, yellow, and/or brown lesions to having post-eruptive enamel breakdown, with various clinical consequences. Mexican population studies have reported prevalence between 6.8 and 37.7%.</p><p><strong>Aim: </strong>To determine the prevalence, distribution and associated factors of MIH in Mexican schoolchildren aged 6-13 years from Pachuca, Mexico.</p><p><strong>Materials and methods: </strong>A cross-sectional study including 714 participants, selected randomly from nine public schools in Pachuca, Mexico. A dentist trained and standardised in the MIH-criteria of the European Academy of Paediatric Dentistry performed the clinical oral examinations, and questionnaires were developed to gather information regarding prenatal and perinatal health of the mother and child, as well as family sociodemographic and socioeconomic data.</p><p><strong>Results: </strong>The prevalence of MIH was 12.3% (95%CI 9.5-14.5%). The average age of schoolchildren with MIH was 9.1 ± 1.7 years, and without MIH was 8.7 ± 1.8 years; the mean number of affected first permanent molars was 2.4 ± 1.1 and 1.1 ± 1.4 for incisors. The factors statistically associated, age (OR = 2.46), fathers' education (OR = 0.53), familial structure (OR = 4.69) and presence or absence of siblings (OR = 0.38).</p><p><strong>Conclusions: </strong>White demarcated opacities were the most prevalent type of defect, the severity of the lesions increased with the number of affected teeth. The factors associated with socioeconomic position were related to an increase in prevalence and severity.</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":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144645194","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}