{"title":"Evaluation of electric pulp test thresholds and correct probe tip placement site in developing incisors: a clinical study in 1200 teeth.","authors":"I Turedi, A T Ulusoy","doi":"10.1007/s40368-022-00703-z","DOIUrl":"https://doi.org/10.1007/s40368-022-00703-z","url":null,"abstract":"<p><strong>Purpose: </strong>Although electric pulp tests (EPT) may play a valuable diagnostic role in traumatized immature permanent teeth, the EPT threshold values which can be used as reference are not known. The aim of this study was to determine the average range of EPT threshold values in healthy permanent incisors according to their stage of root development.</p><p><strong>Methods: </strong>A total of 1200 permanent incisors were examined in 273 children (142 girls, 131 boys) aged 6-12 years. Panoramic radiographs were used to group teeth according to the stage of root development. A digitest II pulp vitality tester (Parkell, Inc, Edgewood, NY) was used along with toothpaste as the conducting medium to determine sensibility on three different sites (incisal, middle and cervical third).</p><p><strong>Results: </strong>In all teeth, mean EPT values showed a tendency to decrease along with advanced root development. Irrespective of the stage of root development, the lowest EPT values were obtained when measurements were made on the incisal third of the crown (p < 0.001). Mandibular incisors had lower mean response thresholds than their maxillary counterparts.</p><p><strong>Conclusion: </strong>The present findings provide reference EPT threshold values according to stage of tooth development to monitor the post traumatic pulp status of permanent incisors.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"449-454"},"PeriodicalIF":2.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40316666","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}
M T Avrella, D R Zimmermann, J S P Andriani, P S Santos, J C Barasuol
{"title":"Prevalence of anterior open bite in children and adolescents: a systematic review and meta-analysis.","authors":"M T Avrella, D R Zimmermann, J S P Andriani, P S Santos, J C Barasuol","doi":"10.1007/s40368-021-00683-6","DOIUrl":"https://doi.org/10.1007/s40368-021-00683-6","url":null,"abstract":"<p><strong>Purpose: </strong>Anterior open bite is defined by the lack of incisal contact between the teeth in centric relation. The aim of this study was to determine the prevalence of anterior open in children and adolescents.</p><p><strong>Methods: </strong>This systematic review included a search in the databases: PubMed, Scopus, Web of Science, LILACS, Google Scholar, and ProQuest. The acronym PECOS was considered: (P) children and adolescents, (E) presence of anterior open bite, (C) not applicable, (O) prevalence, and (S) observational studies. The risk of bias assessment was carried out using the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data. The prevalence meta-analyses were performed using MedCalc<sup>®</sup> software. The certainty of the evidence was determined with the GRADE approach.</p><p><strong>Results: </strong>26 studies were included. Eleven studies were judged at low, seven at moderate, and eight at high risk of bias. The overall prevalence of anterior open bite was 16.52% (95% CI 12.34-21.17) in children and adolescents. The prevalence was 19.38% (95% CI 13.77-25.69) in South America. The prevalence of anterior open bite was 22.67% (95% CI 16.56-29.43) among females and 16.99% (95% CI 11.77-22.94) among males. The prevalence of anterior open bite was 18.84% (95% CI 13.88-24.38) in the primary dentition, and 14.26% (95% CI 7.67-22.46) in the mixed dentition. The overall certainty of the evidence was very low.</p><p><strong>Conclusion: </strong>The overall prevalence of anterior open bite was 16.52% in children and adolescents aged 2-16 years. Giving the limitations of a prevalence meta-analysis, the extrapolation of the results should be cautious.</p><p><strong>Registration number: </strong>CRD42020183162, 10 July 2020.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"355-364"},"PeriodicalIF":2.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39615263","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":"Editorial.","authors":"Nick A Lygidakis","doi":"10.1007/s40368-022-00693-y","DOIUrl":"https://doi.org/10.1007/s40368-022-00693-y","url":null,"abstract":"","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39821025","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":"Validating a short form of the Parental-Caregivers Perceptions Questionnaire (P-CPQ) and the Family Impact Scale (FIS) in Finnish language.","authors":"A Keränen, S Karki, V Anttonen, M-L Laitala","doi":"10.1007/s40368-020-00590-2","DOIUrl":"https://doi.org/10.1007/s40368-020-00590-2","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to adapt the short-form versions of the Parental-Caregivers Perceptions Questionnaire (P-CPQ), and the Family Impact Scale (FIS) in the Finnish language and to test its validity and reliability. Another aim was to compare the background factors of parents with respect to P-CPQ and FIS outcomes.</p><p><strong>Methods: </strong>This study was conducted among a convenient sample of parents who visited the public dental clinic in Sievi, Finland, from May to October 2016. A total of 54 parents of 2-8-year-old children completed the short-form of the P-CPQ questionnaire and 50 parents of 2-8-year-olds completed the FIS questionnaire while visiting for their children's routine dental check-up. Parents completed the self-administered P-CPQ and FIS questionnaires. Reliability and validity of the short-form of the P-CPQ and FIS were assessed. Differences between gender, and family size were evaluated using the Mann-Whitney U test and the differences between age groups were evaluated using the Kruskal-Wallis one-way ANOVA test.</p><p><strong>Result: </strong>The Finnish versions of both the short forms of the P-CPQ and FIS had alpha values within the acceptable range. The scales also showed good construct validity. Toddlers (2-4-year olds) had the highest scores for both the P-CPQ and FIS-8 subscales. Likewise, families with 5 or more children had high FIS scores.</p><p><strong>Conclusion: </strong>The short form of the P-CPQ and FIS in Finnish language are valid and reliable. The oral health of the child seems to have the greatest family impact among parents with five or more children and in families with 2-4-year olds.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"561-566"},"PeriodicalIF":2.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-020-00590-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38756335","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":"Is it time to reconsider the use of vital teeth bleaching in children and adolescents in Europe?","authors":"F Griffiths, S Parekh","doi":"10.1007/s40368-021-00609-2","DOIUrl":"https://doi.org/10.1007/s40368-021-00609-2","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to determine whether carbamide peroxide is effective in bleaching vital permanent teeth in children.</p><p><strong>Methods: </strong>A literature search was conducted using all keywords relevant to the research subject. The outcome measures were identified as colour change, tooth sensitivity, oral irritation and patient satisfaction. The certainty of evidence for each outcome was assessed using the current GRADE guidelines.</p><p><strong>Results: </strong>Of 115 potentially relevant articles, 112 were excluded, as they did not exclusively involve children, intervention involved additional treatment such as microabrasion or restorative work, or case studies. Patient satisfaction was not assessed in the three articles so no analysis could be made with regards to this outcome. The GRADE assessment showed that all of the three articles demonstrated very low certainty of evidence for the other assessed outcomes. The overall findings from the studies suggest that a 10% carbamide peroxide overnight tray system is effective at bleaching vital permanent teeth in children and associated tooth sensitivity and oral irritation are found to be in a similar range compared to those reported in adult studies. However, due to the very low certainty of the evidence, it is not possible to draw these conclusions.</p><p><strong>Conclusion: </strong>Better quality randomised controlled trials are needed to investigate the indication, short and long term effectiveness and side effects of carbamide teeth in vital permanent teeth in children.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"759-763"},"PeriodicalIF":2.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-021-00609-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25441376","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}
S N Al-Haj Ali, H N Alsulaim, M I Albarrak, R I Farah
{"title":"Spectrophotometric comparison of color stability of microhybrid and nanocomposites following exposure to common soft drinks among adolescents: an in vitro study.","authors":"S N Al-Haj Ali, H N Alsulaim, M I Albarrak, R I Farah","doi":"10.1007/s40368-021-00605-6","DOIUrl":"https://doi.org/10.1007/s40368-021-00605-6","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the color stability of a microhybrid and two nanocomposites after exposure to common soft drinks among adolescents.</p><p><strong>Methods: </strong>Ninety discs were prepared from a microhybrid (Filtek Z250) and two nanocomposites (Filtek Z350 and Tetric N-Ceram) (n = 30 each). Six discs from each material were then immersed in one of five drinks (iced tea, sports drink, orange juice, cola, and distilled water) for 15 days. Color measurement was performed at baseline and after 15 days using a spectrophotometer according to the CIE L*a*b* system, and the change in color values as well as total color change (ΔE) was calculated and compared. ANOVA and Tukey's HSD test were used to analyze the data (p < 0.05).</p><p><strong>Results: </strong>Significant change in color values and total color (ΔE > 3.3) was observed in the composite materials after immersion in the soft drinks compared to immersion in distilled water (ΔE < 3.3). The highest mean values were those of Filtek Z350, being significantly different from the rest of the materials. Independent of the composite material, iced tea resulted in the highest mean values, being significantly different from the rest of the drinks (p < 0.05).</p><p><strong>Conclusion: </strong>All soft drinks resulted in clinically unacceptable discoloration of the composite materials with maximum discoloration being that following immersion of composite materials, particularly Filtek Z350, in iced tea. Consequently, in dental practice, adolescents should be asked about their consumption of soft drinks, particularly iced tea, and made aware of their potential to discolor composite restorations if they are to receive them.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"675-683"},"PeriodicalIF":2.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-021-00605-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25353392","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}
K Shihadeh, R R Maciel, D D Oliveira, C S Bavaresco, E G Reston, F R R Moura
{"title":"Parents' perceptions and related factors of the oral health status of Brazilian children enrolled in public preschools.","authors":"K Shihadeh, R R Maciel, D D Oliveira, C S Bavaresco, E G Reston, F R R Moura","doi":"10.1007/s40368-020-00563-5","DOIUrl":"https://doi.org/10.1007/s40368-020-00563-5","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate parents' perceptions of the oral health status of children enrolled in public preschools and associated factors.</p><p><strong>Methods: </strong>This was a cross-sectional study with data collected via self-administered questionnaire. A total of 474 questionnaires were distributed in public preschools in the city of Canoas, Rio Grande do Sul, the southernmost state of Brazil. Poisson regression models were used in the multivariate analysis (p < 0.05).</p><p><strong>Results: </strong>The study included 171 (36%) valid questionnaires. The prevalence of parents who perceived the oral health status of their children as negative was 29.8% (n = 51). Mother being unemployed (vs employed) increased by 16% the likelihood of parents perceiving the oral health status of their children as negative (prevalence ratio [PR] 1.16; 95% confidence interval [CI] 1.02-1.31. Parents having (vs having not) observed difficulties in the child's ability to eat increased by 27% the likelihood of perceiving the child's oral health status as negative (PR 1.27; 95% CI 1.08-1.48), while child's tooth brushing 1-2 (vs 3 or more) times a day and family income up to 2 (vs 3 or more) minimum wages increased it by 14% (PR 1.14; 95% CI 1.03-1.27 for both). Current or past use (vs no use) of pacifiers increased by 12% the likelihood of parents' negative perceptions (PR 1.12; 95% CI 1.00-1.25).</p><p><strong>Conclusion: </strong>We can conclude that unemployed mothers, low-income families, parents having observed child's feeding difficulties, child's tooth brushing 1-2 times a day, and current or past use of pacifiers contributed significantly to parents' negative perception of the child's oral health status. These factors are essential for the planning, implementation, monitoring, and evaluation of actions aimed at controlling the oral health of children enrolled in public preschools.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"553-559"},"PeriodicalIF":2.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-020-00563-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38354875","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":"Pedagogical development in local anaesthetic training in paediatric dentistry using virtual reality simulator.","authors":"S Zafar, A Siddiqi, M Yasir, J J Zachar","doi":"10.1007/s40368-021-00604-7","DOIUrl":"https://doi.org/10.1007/s40368-021-00604-7","url":null,"abstract":"<p><strong>Purpose: </strong>With the advancements in technology, dental pedagogy has also evolved, and new learning technologies have emerged. Virtual reality (VR) as an education tool in dentistry is underutilised. VR as an adjunct in local anaesthesia (LA) teaching in paediatric dentistry has not been investigated. The study aimed to investigate dental student's perception of dental LA VR simulation on a paediatric patient and to determine whether this can improve students learning experience.</p><p><strong>Methods: </strong>Seventy-one students participated in a self-administered questionnaire before and after the use of dental LA VR simulator. Descriptive analysis was performed to determine the perceptions of experience gained through VR. The data were tabulated, graphed, and analysed using SPSS and GraphPad Prism software.</p><p><strong>Results: </strong>The study noted that 89.9% of participants perceived that it would improve their LA skills. After using dental LA VR, 83.1% of participants experienced more engaged in the learning activity, and 55.0% of participants agreed/strongly agreed that it improved their understanding of anatomical landmarks. Around 56.4% of participants agreed/strongly agreed that it added value compared with traditional LA teaching methods.</p><p><strong>Conclusion: </strong>It can be concluded that the use of VR simulation can enhance students engagement and learning experience in paediatric dentistry settings and can be used as an additional means of LA training.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"667-674"},"PeriodicalIF":2.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-021-00604-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25353393","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":"Paediatric dentist's ability to detect and diagnose dental trauma using 2D versus 3D imaging.","authors":"G Van Gorp, M Lambrechts, R Jacobs, D Declerck","doi":"10.1007/s40368-021-00611-8","DOIUrl":"https://doi.org/10.1007/s40368-021-00611-8","url":null,"abstract":"<p><strong>Background: </strong>Visualisation of the third dimension has been reported to increase effectiveness of correctly diagnosing traumatic dental injuries.</p><p><strong>Aim: </strong>To assess the ability of paediatric dentists to detect and diagnose Traumatic Dental Injuries (TDI) using two different imaging modalities, intraoral radiographs (2D) and CBCT scans (3D). In addition, observer's confidence regarding the obtained diagnosis, using either technique, was assessed.</p><p><strong>Material and methods: </strong>Both 2D and 3D images of 20 dental trauma cases in children were presented in random order to a panel of thirteen paediatric dentists. Observers received instructions for the screening of the images for radiographic findings related to dental trauma, using structured scoring sheets for 2D and 3D images. Observed data were compared to those recorded by two experienced benchmark observers. A ten-point scale was used for assessing observer's confidence regarding their final diagnosis using 2D versus 3D images.</p><p><strong>Results: </strong>Performance of individual observers showed wide variation. Statistical significance was reached for correctly detected and correctly diagnosed findings (p = 0.02), in favor of 3D. Most of the observers reported comparable confidence using 2D and 3D, two observers were more confident using 3D and one observer was more confident using 2D.</p><p><strong>Conclusions: </strong>Paediatric dentist's ability to detect and diagnose findings in patients with TDI was higher on 3D images. Most observers showed a similar confidence score of their diagnostic performance both on 2D and on 3D.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"699-705"},"PeriodicalIF":2.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-021-00611-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25471146","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":"Effect of mineral trioxide aggregate and biodentine™ on fracture resistance of immature teeth dentine over time: in vitro study.","authors":"R Yasin, S Al-Jundi, Y Khader","doi":"10.1007/s40368-020-00597-9","DOIUrl":"https://doi.org/10.1007/s40368-020-00597-9","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this in vitro study was to evaluate the effect of root filling with White Mineral Trioxide Aggregate (WMTA) and Biodentine™ (BD) on the fracture resistance of simulated immature teeth over different time periods.</p><p><strong>Methods: </strong>Sixty sound-extracted human single-rooted premolars were randomly allocated into 3 groups, 2 experimental and 1 control group, with 20 teeth each. Simulation of roots into immature apices were done using Peeso reamers. After preparation, the root canals of teeth in the experimental groups were completely filled with either WMTA or BD. The control group was subdivided into positive controls (n = 10) which received no treatment and negative controls (n = 10) which were prepared the same way and filled with normal saline. The specimens were subjected to fracture testing using a universal testing machine after 2 weeks and 3 months. The peak load to fracture and the fracture location were recorded.</p><p><strong>Results: </strong>Regarding fracture resistance, the MTA group had the highest fracture resistance at 2 weeks testing, while at 3 months there was no significant difference between the groups (P > 0.05). Regarding fracture location, at 2 weeks there was no significant difference in the fracture location between the groups, while at 3 months, the difference was significant (P < 0.05), the middle root fracture being the most frequent (63.3%).</p><p><strong>Conclusion: </strong>No significant difference in fracture resistant of simulated immature teeth was observed after 3 months when they were filled with Biodentine or WMTA, indicating that Biodentine could be a suitable substitute for MTA. There was no difference in the possible fracture location at 2 weeks, while after 3 months middle root fractures were more frequent.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"603-609"},"PeriodicalIF":2.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-020-00597-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38771756","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}