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

{"title":"Effect of ammonia-free silver fluoride and silver diammine fluoride on immediate microshear bond strength of resin-modified glass ionomer to demineralised primary tooth dentine.","authors":"A Abedinzade Zare, M Vafadar, M Behroozibakhsh, A Hashemian, M Lari, S Abtahi","doi":"10.1007/s40368-026-01242-7","DOIUrl":"10.1007/s40368-026-01242-7","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare the effect of water-based ammonia-free silver fluoride (SF) and silver diammine fluoride (SDF) on the microshear bond strength (MSBS) of resin-modified glass ionomer (RMGIC) to artificially demineralised primary tooth dentine.</p><p><strong>Methods: </strong>Twenty-four extracted primary molars were prepared to expose mid-coronal dentine; two bonding sites per tooth (total = 48 specimens) were chemically demineralised (pH 4.8) to simulate active caries. Specimens were randomised into three groups (n = 16): SF (Riva Star Aqua), SDF (Cariestop 30%), and Control (distilled water). RMGIC (Riva Light Cure HV) was bonded and stored for 24 h at 37 °C. MSBS was measured using a universal testing machine, and failure modes were analysed using a stereomicroscope. Data were analysed using one-way ANOVA with Tamhane's T2 post hoc test (α = 0.05).</p><p><strong>Results: </strong>The SF group exhibited significantly lower bond strength (3.65 ± 1.80 MPa) than the Control (6.86 ± 3.15 MPa, p < 0.01) and SDF groups (6.65 ± 4.80 MPa, p < 0.05). No significant difference was found between SDF and Control (p > 0.05); however, the SDF group demonstrated greater variability, consistent with Weibull analysis. Adhesive failure predominated across all groups, with SDF showing more mixed failures.</p><p><strong>Conclusion: </strong>Water-based SF significantly compromised RMGIC adhesion to demineralised primary tooth dentine. SDF maintained comparable mean bond strength to the control but with higher variability. Ammonia-free SF formulations may reduce immediate RMGIC retention when used before restoration, and this interaction may warrant protocol optimisation in SMART-based applications.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"1573-1583"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13593656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280636","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":"Translation, cultural adaptation, and validation of the Vietnamese Child Perceptions Questionnaire (CPQ_8-10VN) for children aged 8-10 years.","authors":"V T N Nguyen, L-T T Tran, T V Tran, H M Do, T-N T Bui, Q N Nguyen","doi":"10.1007/s40368-026-01215-w","DOIUrl":"10.1007/s40368-026-01215-w","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to translate, culturally adapt, and validate the Vietnamese version of the Child Perceptions Questionnaire 8-10 (CPQ_8-10VN) for assessing oral health-related quality of life (OHRQoL) in Vietnamese children aged 8-10 years.</p><p><strong>Methods: </strong>Following forward-backward translation with cognitive pre-testing (n = 15), in this cross-sectional validation study conducted in an elementary school in Hue City, 234 children aged 8-10 years (mean age 9.1 ± 0.8 years; 50% boys) completed the CPQ_8-10VN and underwent oral examinations for caries and oral hygiene. A subsample of 37 9-year-olds repeated the questionnaire after 2 weeks. Internal consistency (Cronbach's α), test-retest reliability (ICC), construct validity (Spearman correlations), discriminant validity (t tests), and factor structure (exploratory factor analysis) were evaluated.</p><p><strong>Results: </strong>The CPQ_8-10VN showed high internal consistency (Cronbach's alpha ranged 0.60-0.87) and strong test-retest reliability (ICC ≥ 0.82). The total CPQ_8-10VN score showed significant correlations with global oral health and well-being ratings (r ≥ 0.3, p < 0.05), while the subscale correlations ranged from 0.11 to 0.35. Discriminant validity was confirmed for caries (DMFT > 0) and untreated caries lesions (DT > 0), with significantly higher scores than caries-free peers, but not for calculus (CI-S > 0). Exploratory factor analysis (KMO = 0.84, eight factors) explained 63% of the variance but identified four items (sores, cold sensitivity, missed school, and homework difficulty) with poor loadings (≤0.50).</p><p><strong>Conclusions: </strong>The CPQ_8-10VN demonstrates strong reliability and validity for measuring children's OHRQoL in Vietnam, though the eight-factor structure suggests cultural complexity beyond original domains.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"1435-1444"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950665","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 caries and periodontal status in children and adolescents with type 1 diabetes mellitus: an umbrella review.","authors":"Athanasia Pappa, Panagiotis Koromantzos, Kyriaki Seremidi, Aris Liakos, Adriani Nikolakopoulou","doi":"10.1007/s40368-026-01224-9","DOIUrl":"10.1007/s40368-026-01224-9","url":null,"abstract":"<p><strong>Purpose: </strong>To summarise and evaluate the evidence from systematic reviews on the oral health of children and adolescents with type 1 diabetes mellitus (T1DM).</p><p><strong>Methods: </strong>A literature search was conducted in four databases for systematic reviews, with or without meta-analysis, reporting on dental caries experience and/or periodontal health of patients up to 19 years of age with T1DM, compared to healthy controls. Study selection and data extraction were performed independently by two reviewers and findings were synthesised descriptively. Overlap of primary studies was assessed using the Corrected Covered Area and methodological quality using the ROBIS tool.</p><p><strong>Results: </strong>Eleven systematic reviews were included, from a total of 3437 records identified. Each review included a range of initial studies (2-36), identifying a total of 82 primary studies (very high overlap). Most were cross-sectional with sample sizes ranging between 174 and 2519 in T1DM and 217- 2490 in healthy controls. Five reviews were of high risk of bias, with the remaining being either of low (n = 3) or unclear (n = 3) risk. Caries experience did not differ significantly in primary dentition, whereas in the permanent dentition, some reviews reported an increased experience prevalence, particularly in those with poorer glycaemic control. Greater gingival inflammation and periodontal tissue destruction were observed in children and adolescents with T1DM.</p><p><strong>Conclusion: </strong>Children and adolescents with T1DM may be at greater risk of periodontal disease, while evidence on dental caries remains inconsistent. Methodological heterogeneity across studies emphasises the need for well-designed longitudinal research and high-quality systematic reviews with standardised outcome measures.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"1335-1351"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13593804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221565","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":"Dental erosion and erosive tooth wear in childhood and adolescence: from diagnosis to prevention.","authors":"T S Carvalho, T Baumann, S H Niemeyer, M A R Buzalaf, P Lingström, A Lussi","doi":"10.1007/s40368-026-01233-8","DOIUrl":"10.1007/s40368-026-01233-8","url":null,"abstract":"<p><strong>Background: </strong>Dental erosion and erosive tooth wear (ETW) are increasingly significant non-carious defects in industrialized countries. Reasons for an increased prevalence are mainly modern dietary habits, but an improved diagnostic awareness also contributes to an apparent increase in cases. Unlike caries, erosion involves acid-induced demineralization without bacterial involvement. When this is combined with mechanical wear, it results in ETW. Diagnosis commonly employs the Basic Erosive Wear Examination (BEWE), a standardized clinical index assessing lesion severity across sextants.</p><p><strong>Etiology and susceptibility factors: </strong>Primary teeth might be more susceptible to ETW due to thinner and less mineralized enamel with lower microhardness, and dentine with a higher carbonate content and higher tubule density. Longer acid exposures increase their demineralization rates compared to permanent teeth. The salivary pellicle offers variable protection, with children's saliva showing distinct composition and efficacy. Key risk factors include frequent consumption of acidic beverages, certain medications, gastroesophageal reflux, and certain behavioral habits. Genetic, salivary, and lifestyle factors further modulate individual susceptibility.</p><p><strong>Prevention: </strong> Preventive strategies emphasize risk assessment, dietary modification, and chemical protection using different fluoride-based agents, which form acid-resistant surface layers reducing enamel and dentine solubility. Combinations with chitosan or other polymers may enhance protection. Novel approaches include bio-inspired and film-forming agents, pellicle modification with proteins (e.g., CaneCPI-5), and natural polyphenols that reinforce acid resistance and collagen stability. While laboratory and in situ studies support these strategies, long-term clinical validation remains limited.</p><p><strong>Conclusions: </strong>Comprehensive management of ETW should integrate early diagnosis, patient education, and multi-modal prevention, particularly targeting children and adolescents, where susceptibility and long-term consequences are greatest.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"1317-1333"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13593698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820917","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":"Anxiety, symptoms of temporomandibular disorders (TMD), and awake bruxism in children: an observational study.","authors":"L A M Torres, M V Heimer, F J C de Lima, B L Donato, J F O L Batista, G P Falcão, J V Silva, L L O Barbosa, V E Dos Santos-Junior","doi":"10.1007/s40368-026-01211-0","DOIUrl":"10.1007/s40368-026-01211-0","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to evaluate the association among anxiety, symptoms of temporomandibular disorders, and awake bruxism in children.</p><p><strong>Methods: </strong>A cross-sectional study was carried out with 274 children aged between 7 and 12 years. Data were collected through structured questionnaires, applied by interview and clinical assessment. Statistical analysis involved descriptive and inferential analysis using the Chi-square test and Fisher's exact test. A binary logistic regression model was applied to identify independent predictors of anxiety.</p><p><strong>Results: </strong>Age ranged from 7 to 12 years and was equally distributed between the sexes. 23.3% of the sample presented anxiety; 4.3% presented TMD symptoms; 18.2% presented bruxism. Anxiety was associated with sex (p = 0.005), TMD symptoms (p = 0.008), and tooth wear (p = 0.005). In the logistic regression model, tooth wear, TMD symptoms, and male sex remained independent predictors of anxiety, whereas awake bruxism and age were not. The model explained a limited proportion of the variance in anxiety.</p><p><strong>Conclusion: </strong>Anxiety was observed in nearly one-quarter of the study sample and was associated with sex, TMD symptoms, and tooth wear. Awake bruxism, however, was not an independent predictor of anxiety. Given the cross-sectional design and the limited variance, these findings should be interpreted as exploratory and do not support causal inferences.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"1405-1411"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13593688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147937048","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":"Salivary sialic acid as a diagnostic biomarker for periodontal health in children with type 1 diabetes mellitus: a pilot study.","authors":"Shruti Shukla, Bhojraj Nandlal, Subbarao Mvsst, Rashmi N","doi":"10.1007/s40368-026-01218-7","DOIUrl":"10.1007/s40368-026-01218-7","url":null,"abstract":"<p><strong>Background: </strong>Type 1 Diabetes Mellitus (T1DM) is a chronic autoimmune condition that alters salivary composition due to metabolic disturbances. Saliva provides a non-invasive means of detecting systemic changes. This pilot study compared salivary pH, sialic acid concentration, antioxidant capacity, and oral health indicators between children with and without T1DM.</p><p><strong>Methods: </strong>A comparative cross-sectional study was conducted among 40 children aged 6-15 years (20 with T1DM, 20 healthy controls). Sociodemographic and clinical data were collected, and unstimulated saliva was analysed for pH, sialic acid, and antioxidant capacity. Oral examinations included salivary flow rate, plaque index, and gingival index. Statistical analyses were performed using the Shapiro-Wilk test. As several variables demonstrated non-normal distributions and subgroup sample sizes were small, non-parametric statistical methods were applied for between-group comparisons.</p><p><strong>Results: </strong>Children with T1DM demonstrated significantly lower salivary pH (6.70 ± 0.93 vs. 7.65 ± 0.27) and flow rate (3.93 ± 0.99 ml vs. 6.03 ± 1.18 ml), and higher sialic acid levels (78.13 ± 49.67 µg/ml vs. 36.84 ± 17.33 µg/ml) than controls. Plaque and gingival indices were also elevated in T1DM (p < 0.01). Antioxidant capacity was slightly higher but not statistically significant. Age-based analysis showed younger diabetic children (8-10 years) had elevated sialic acid and lower antioxidants, whereas older children (11-15 years) exhibited reduced flow rates and higher plaque/gingival indices, suggesting progressive oral changes with age.</p><p><strong>Conclusion: </strong>T1DM significantly affects salivary composition and oral health in children, with age-specific variations. Salivary biomarkers, particularly sialic acid and pH, show potential as non-invasive tools for monitoring metabolic and periodontal changes in pediatric diabetes. Larger longitudinal studies are needed to validate these findings.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"1445-1454"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849080","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":"Oral manifestation and gingival biopsy contributing to the early diagnosis of Langerhans cell histiocytosis in a paediatric patient.","authors":"A A Kidwai, A Trimukhe, N Shrivastava, A Shukla, N Tewari, V Surya, D Mishra, V P Mathur, K Bansal, M Rahul","doi":"10.1007/s40368-026-01217-8","DOIUrl":"10.1007/s40368-026-01217-8","url":null,"abstract":"<p><strong>Introduction: </strong>Langerhans cell histiocytosis (LCH) is a myeloid dendritic cell neoplasm causing inflammation and tissue destruction. Clinical features vary from single bone involvement to a multi-system, life-threatening disease.</p><p><strong>Case presentation: </strong>A 3-year-old presented with bilateral osteolytic lesions, advanced alveolar and basal bone loss, widened inferior alveolar canal, and displacement of tooth buds. Clinical findings revealed the presence of multiple ulcerative lesions on the gingival region of the mandibular posterior teeth, the palatal region of the maxillary posterior teeth, and the right submandibular lymphadenopathy with cranial pain. Patient's family history revealed a sibling with multiple osteolytic lesions, and systemic symptoms. Histopathologic examination demonstrated infiltration by S100-CD1a-positive histiocytes accompanied by eosinophils, consistent with LCH.</p><p><strong>Conclusion: </strong>This case report outlines the difficulties in early diagnosis of jaw lesions, their differential diagnosis, and early biopsy to guide multidisciplinary management.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"1621-1625"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147937195","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":"Prolonged and night-time bottle-feeding in relation to early childhood caries: a systematic review.","authors":"Myrto Alevra, Nick A Lygidakis, Nikos N Lygidakis","doi":"10.1007/s40368-026-01230-x","DOIUrl":"10.1007/s40368-026-01230-x","url":null,"abstract":"<p><strong>Purpose: </strong>Early childhood caries (ECC) remains a major public health problem worldwide. Infant feeding practices, particularly bottle-feeding duration and nocturnal bottle use, have been implicated as potential risk factors; however, evidence regarding duration-specific effects remains inconsistent. The aim was to systematically evaluate whether prolonged bottle-feeding and nocturnal bottle use are associated with increased prevalence of ECC.</p><p><strong>Methods: </strong>This systematic review followed PRISMA guidelines and was registered in PROSPERO (CRD420251186608). MEDLINE, Cochrane Central, ScienceDirect and Scopus were searched up to May 2026. Observational studies involving children ≤ 71 months that reported ECC outcomes (dmft/dmfs/dft/deft) in relation to bottle-feeding duration and/or night-time bottle use were included. Risk of bias was assessed using ROBINS-E, and certainty of evidence was evaluated using GRADE.</p><p><strong>Results: </strong>Twelve studies (two prospective cohorts and ten cross-sectional; 6,955 children) were included. Bottle-feeding limited to the first year of life was not associated with increased caries severity. Continuation beyond 12 months was associated with a gradual increase in ECC, whilst bottle-feeding beyond 24 months showed a consistent and clinically relevant increase in caries severity. Nocturnal bottle-feeding further amplified risk, particularly beyond 24 months, with evidence of dose-response relationships. Overall certainty of evidence was low to very low, limited primarily by observational study design, heterogeneity in exposure definitions and residual confounding.</p><p><strong>Conclusions: </strong>Evidence suggests a duration-dependent association between prolonged bottle-feeding and ECC severity, particularly beyond 24 months and during night-time. These findings support current recommendations for timely cessation of bottle use and avoidance of night-time bottle-feeding to reduce ECC burden.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"1353-1363"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883282","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 parental psychosocial profile on the effectiveness of oral hygiene interventions in preschool children: a randomised controlled clinical trial in a rural population.","authors":"Anny Caroline Schade, Karina Duarte Vilella, Erick Tassio Barbosa Neves, Ana Flávia Granville-Garcia, Fernanda de Moraes Ferreira, Luciana Reichert da Silva Assunção","doi":"10.1007/s40368-026-01229-4","DOIUrl":"10.1007/s40368-026-01229-4","url":null,"abstract":"<p><strong>Objective: </strong>To assess the impact of parental psychosocial profile on the effectiveness of educational interventions aiming to improve oral hygiene among preschool children living in a rural area.</p><p><strong>Methods: </strong>A controlled randomised trial (RBR-44nrnjz, March 5, 2023) was conducted with 78 preschool children and their caregivers residing in a rural area in southern Brazil. The participants were randomly assigned to two intervention groups: standard guidance (SG) and the teach-back technique (TB). The study comprised three phases: baseline (oral examination and data collection), Phase I (educational intervention), and Phase II (oral examination seven days post-intervention). Oral hygiene was assessed using the visible plaque index (VPI) and the Simplified Oral Hygiene Index (OHI-S). For OHI-S assessment, a mature dental biofilm (> 24 h) was identified with a disclosing agent. Psychosocial factors were assessed using the sense of coherence (SOC) and parental locus of control (PLOC) instruments. For statistical analysis, participants were categorised into two clusters: Cluster 1 (lower SOC and higher internal PLOC) and Cluster 2 (higher SOC and lower internal PLOC). Data were analysed using non-parametric tests.</p><p><strong>Results: </strong>A reduction in the number of teeth with visible plaque was observed only among participants in Cluster 1 subjected to the TB intervention. OHI-S scores decreased, regardless of the caregivers' psychosocial profile or the type of intervention.</p><p><strong>Conclusion: </strong>The psychosocial profile of caregivers did not affect the effectiveness of oral health educational interventions when a mature dental biofilm was considered.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"1489-1499"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13593622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148045227","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":"Knowledge and management of hypomineralisation of second primary molars among Brazilian dentists: a cross-sectional study.","authors":"E Q Calixto, C M M T Lopes, J F S Dantas, R S Guedes, P B Santos","doi":"10.1007/s40368-026-01289-6","DOIUrl":"https://doi.org/10.1007/s40368-026-01289-6","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the knowledge, diagnostic ability, and clinical management of hypomineralised second primary molars (HSPM) among Brazilian dentists.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 283 Brazilian dentists (179 paediatric dentists and 104 non-paediatric dentists) using a structured online questionnaire. Data were collected on demographic characteristics, knowledge of HSPM, and clinical management across four scenarios of increasing severity (mild asymptomatic, mild with hypersensitivity, severe with post-eruptive breakdown, and HSPM associated with caries). Bivariate analyses and binary logistic regression were performed to compare groups and identify factors associated with diagnostic difficulty (p < 0.05).</p><p><strong>Results: </strong>Overall familiarity with HSPM was high (91.9%); however, paediatric dentists were significantly more likely to differentiate it from other enamel defects than non-paediatric dentists (79.9% vs. 43.3%; p < 0.001). In the regression model, dental specialty was the only factor associated with diagnostic difficulty, with non-paediatric dentists showing higher odds of reporting uncertainty (OR = 4.69; 95% CI 2.56-8.56; p < 0.001). Clinical management followed a severity-based pattern, shifting from preventive approaches in mild cases to restorative interventions in more advanced conditions. Differences between groups were observed across several treatment options.</p><p><strong>Conclusion: </strong>Although overall awareness of HSPM was high, differences in diagnostic confidence and clinical management were observed according to professional background.</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":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083625","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}