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

{"title":"Comparing the use of pediatric files and conventional files in primary teeth: a systematic review.","authors":"P S Mourão, I B Fernandes, K Santos, D Souto-Souza, A C D Viana, L G Abreu, M L Ramos-Jorge","doi":"10.1007/s40368-025-01084-9","DOIUrl":"https://doi.org/10.1007/s40368-025-01084-9","url":null,"abstract":"<p><strong>Background: </strong>Pulp damage challenges pediatric dentists, mainly due to variations in the root canal system of primary teeth.</p><p><strong>Goal: </strong>To compare the use of pediatric and conventional manual and mechanized files in primary teeth as to filling quality, instrumentation time, and postoperative pain.</p><p><strong>Design: </strong>This systematic review aligned with PRISMA was registered in PROSPERO. Clinical studies comparing pediatric and conventional files were included. The search was conducted until May 05, 2025, in five electronic databases (MEDLINE/EMBASE/Google Scholar/Cochrane), gray literature, and reference lists. Methodological quality (Rob-2), meta-analyses, and assessment of evidence certainty (GRADE) were performed. Of 3,643 studies, 10 were qualified for meta-analysis.</p><p><strong>Results: </strong>There was better filling quality (OR = 4.57 [1.78-11.74] and lower chance of sub-filling [OR = 6.40 [1.53-26.67] in root canals treated with manual pediatric files. There was no difference between pediatric and conventional mechanized files regarding the filling quality. The instrumentation time was shorter with manual (MD = - 38.21[- 73.17 to 3.24], I² = 94%) and pediatric mechanized (MD = - 49.81, [- 78.39 to - 21.24], I2 = 99%) files when compared to conventional files. No significant differences in postoperative pain were observed at 6, 24, and 48 h; however, at 12 h, conventional files resulted in significantly less pain (OR = 4.62 [1.76-12.11, I² = 14%]; OR = 2.95 [1.20-7.28, I² = 0%]). The evidence certainty was considered low for all outcomes.</p><p><strong>Conclusion: </strong>Instrumentation with pediatric hand files may provide better obturation quality, and pediatric hand or mechanized files require less instrumentation time and may result in less postoperative pain.</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":"144645192","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 PROP genetic taste predisposition in UAE 7-10 years old.","authors":"T Walia, R Al Shami, Ε D Berdouses, R M Shetty, E G Kaklamanos, K Kavvadia, R Hashim, K Baroudi","doi":"10.1007/s40368-025-01080-z","DOIUrl":"https://doi.org/10.1007/s40368-025-01080-z","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to assess the prevalence of tasters and non-tasters among children using a 6-n-propylthiouracil (PROP) taste test, and to investigate the association between taste predisposition, caries experience severity, oral hygiene practices, and dietary habits.</p><p><strong>Methods: </strong>200 children aged 7-10 years underwent a PROP filter paper taste test. Dental caries experience was assessed using the ICDAS system, and data on oral hygiene and dietary habits were collected via a questionnaire. A training form was implemented to ensure comprehension of the general labelled magnitude (gLMS) scale. Scores on this scale were used to categorise individuals into super-tasters, medium tasters, and non-tasters.</p><p><strong>Results: </strong>Super-tasters were the most prevalent genetic taste sensitivity phenotype (54.0%), followed by non-tasters (23.5%) and medium tasters (22.5%). Non-tasters demonstrated higher caries experience and severity, compared to tasters (p < 0.001). Non-tasters were three times more likely to snack frequently and had lower brushing frequency. Tasters reported fewer snacking occurrences.</p><p><strong>Conclusion: </strong>Non-tasters, identified by the PROP sensitivity test, had higher caries experience, more frequent snacking and soft drink consumption and less frequent brushing.</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":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144645193","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":"Clinical outcomes of interproximal enamel reduction in orthodontic treatment of children and adolescents: a systematic review.","authors":"M Khoury-Absawi, F Nasrallah, S Srouji, S Einy","doi":"10.1007/s40368-025-01081-y","DOIUrl":"https://doi.org/10.1007/s40368-025-01081-y","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the clinical outcomes of interproximal enamel reduction (IPR) in the permanent dentition amongst children and adolescents undergoing orthodontic treatment, focusing on enamel integrity, periodontal health and dimensional changes.</p><p><strong>Methods: </strong>A systematic review was conducted using Embase, Medline, Web of Science, and manual research to identify publications between 1970 and October 2024 reporting on IPR outcomes in patients aged 8-17 years. Ten studies met the inclusion criteria: two cohort studies, one case-control study, and seven case reports. Most assessed immediately post-treatment, and few reported follow-up ranging from 3 to 15 years (mean: 5.71 years; median: 3.67 years). Clinical parameters such as enamel integrity, caries incidence, and periodontal status were used as proxies for safety. Data on IPR indications, treatment techniques, and clinical outcomes were analysed. Risk of bias was assessed using Newcastle-Ottawa and Murad tool.</p><p><strong>Prospero id: </strong>CRD420251007607.</p><p><strong>Results: </strong>The 10 articles analysed included 61 participants (mean age: 13.4 ± 1.71 years). Primary IPR indications were dental crowding (57.4%), followed by tooth reshaping (42.6%) and tooth-size-arch-size discrepancies (3.3%). Fixed appliances were used in 72.1% of cases. Mandibular anterior teeth were the most frequently treated (67.2%), followed by maxillary anterior (49.2%), mandibular posterior (37.5%), and maxillary posterior teeth (29.5%), with an average of 0.3 mm reduction per surface. No significant differences were observed between IPR and non-IPR groups regarding enamel and periodontium. Post-orthodontic arch dimensions remained stable, with minimal mandibular anterior relapse.</p><p><strong>Conclusion: </strong>IPR appears to be a feasible adjunct for managing mild to moderate crowding in young patients. Further long-term studies are recommended.</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":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621735","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":"Root canal conicity of primary maxillary molars and its relationship with different rotational systems.","authors":"Jesús Miguel Ticona-Flores, Nuria Esther Gallardo-López, Montserrat Diéguez-Pérez","doi":"10.1007/s40368-025-01075-w","DOIUrl":"https://doi.org/10.1007/s40368-025-01075-w","url":null,"abstract":"<p><strong>Aim: </strong>To determine the root canal taper of primary maxillary molars and the degree of compatibility of various rsotary systems concerning root anatomy.</p><p><strong>Materials and methods: </strong>This in vitro study collected donated first and second primary molars (1 M and 2 M) with mesio-buccal (MB), disto-buccal (DB) and palatal (P) roots canal without physiological resorption, type I according to Vertucci, and root length greater than 4 mm. The teeth were mounted in silicone blocks and scanned with tomographic equipment from which images were reconstructed and analysed with the 3D-Slicer® programme, allowing for the measurement of the diameters of the root canals and the calculation of their tapers. The tapers were compared with the characteristics of the rotary systems: Endogal®, Protaper universal®, Mtwo® and Protaper Next®. MANOVA and interclass correlation coefficient (ICC) tests were used for statistical analysis.</p><p><strong>Results: </strong>After the analysis of 130 root canals, a mean increase in taper in the buccal-palatal (BP) direction was observed in the 2 M (MB:16.7%; DB:16.23%; P:8.86%) and the 1 M (MB: 9.75%; DB: 11.30%; P: 2.26%). In the mesiodistal (MD) direction, the 1 M exhibited an average taper of MB:6.95%, DB:4.67%, P:12.74% and in the 2 M, an average taper of 4.67% for the MB canal; 6.60%; 20.14% for DB and P canals, respectively.</p><p><strong>Conclusion: </strong>The rotary files that presented the best adaptation to the diameter and taper of the root canal were Endogal® and ProTaper Universal® systems.</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":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610941","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":"Tooth loss in foster care adolescents: a comparative study.","authors":"Lidiane Jacinto do Nascimento, Alane Tamyres Dos Santos, Mirella Tavares Campos, Alice Kelly Barreira, Viviane Colares","doi":"10.1007/s40368-025-01079-6","DOIUrl":"https://doi.org/10.1007/s40368-025-01079-6","url":null,"abstract":"<p><strong>Purpose: </strong>A few studies address tooth loss in foster care adolescents, whose social vulnerability requires specific health attention. This study aimed to assess tooth loss in foster care adolescents, and compare the findings with adolescents who lived with their families.</p><p><strong>Methods: </strong>This is a comparative, cross-sectional, observational study, whose sample was divided into two groups: foster care adolescents (CG) and adolescents who lived with their families (FG). Data were collected in foster care institutions and public schools in Recife, Brazil, in 2022, with adolescents aged 15-18 years. They underwent clinical dental examinations, which recorded tooth loss with the DMFT index (decayed, missing, and filled teeth) and secondary data. The sample had 31 participants in CG and 93 in FG.</p><p><strong>Results: </strong>Of the foster care adolescents, 22.6% had at least one missing tooth, in contrast with 7.5% tooth loss prevalence in those who lived with their families, representing a significant difference (p = 0.023).</p><p><strong>Conclusion: </strong>Hence, foster care adolescents had a higher prevalence of tooth loss, about three times greater than those who lived with their families.</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":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610942","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":"Association of parental oral health literacy and child temperament with dental attendance in children with early childhood caries: a cross-sectional study.","authors":"D Hegde, B S Suprabha, R Shenoy, A Rao","doi":"10.1007/s40368-025-01083-w","DOIUrl":"https://doi.org/10.1007/s40368-025-01083-w","url":null,"abstract":"<p><strong>Purpose: </strong>To study the associations of parental oral health literacy (OHL) and child temperament with nonattendance during recall appointments among children with early childhood caries (ECC).</p><p><strong>Methods: </strong>This cross-sectional study involved 100 parent‒child dyads with children aged 71 months or younger affected by ECC (at least one decayed, missing or filled tooth). After providing informed consent, the accompanying parents completed a questionnaire assessing their attitudes towards oral health, barriers to dental care utilisation, OHL (Oral Health Literacy Adult Questionnaire) and their child's temperament (Emotionality, Activity, Shyness Temperament Survey for Children). Data on dental appointment cancellations, missed appointments, or discontinuations over 6 months were collected retrospectively from patient records. Participants with ≥ 20% cancelled or missed appointments or treatment discontinuation were categorised as nonattenders; the rest were attenders. The associations between nonattendance and parental OHL, child temperament and other factors were analysed using the chi-square test, Student's t test and multiple logistic regression analysis.</p><p><strong>Results: </strong>Of the 100 child patients, 47 were attenders, and 53 were nonattenders. There was no significant difference in parental OHL levels between the attenders and nonattenders. Multiple logistic regression analysis revealed a significant association between nonattendance and activity temperament (odds ratio (OR) = 1.90, p = 0.019), lack of time (OR = 4.24, p = 0.041), and inconvenience (OR = 6.00, p < 0.001).</p><p><strong>Conclusion: </strong>The activity temperament of the child, parental perceptions of lack of time, and inconvenience are associated with nonattendance among children with ECC. The association of parental OHL with nonattendance for dental appointments could not be established.</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":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610940","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":"Bioactive materials with S-PRG filler in paediatric dentistry: a scoping review.","authors":"R Manente, P C da Silva Mira, S A Milori Corona","doi":"10.1007/s40368-025-01077-8","DOIUrl":"https://doi.org/10.1007/s40368-025-01077-8","url":null,"abstract":"<p><strong>Background: </strong>Giomer is a collective term for dental-related products containing the S-PRG (surface pre-reacted glass-ionomer) filler, which features bioactive effects.</p><p><strong>Objective: </strong>This study aimed to conduct a scoping review about the clinical performance of this type of dental material in young patients.</p><p><strong>Methods: </strong>We included clinical trials analysing the survival rate as well as the aesthetic, functional, and biological properties of bioactive materials (resin composites, sealants, or varnishes) with S-PRG technology used in paediatric dentistry. Electronic searches were conducted in four databases (PubMed, Web of Science, Embase, and Virtual Health Library) along with manual searches until December 2024. The collected data were organised in Excel tables, and a critical appraisal of individual sources of evidence was conducted.</p><p><strong>Results: </strong>One hundred and ninety-three articles were identified, of which 13 met the inclusion criteria. A total of 846 patients were included in the studies evaluated, with ages ranging between 2.5 and 15 years. Giomer-based materials demonstrated an effect in preventing caries lesion development, a shorter mean application time than conventional sealants, and similar results regarding colour match, surface texture, marginal discolouration, and post-operative sensitivity when compared to conventional restorative materials. They also offered similar beneficial remineralisation effects as a coating material. However, some studies reported retention failures and low survival rates, especially with bioactive self-conditioning sealant, demonstrating technique sensitivity.</p><p><strong>Conclusion: </strong>Dental products containing S-PRG particles offer an effective alternative for paediatric dentistry, despite their sensitivity to external factors during application. They possess aesthetic qualities comparable to other traditional materials and are particularly suitable for patients at high caries risk due to their biological properties in both preventive and restorative treatments.</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":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602779","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":"Surgical repositioning of inverted maxillary central incisors in children: a long-term retrospective case series analysis.","authors":"K J Lee, J Hur, H Kim, M H Seo","doi":"10.1007/s40368-025-01076-9","DOIUrl":"https://doi.org/10.1007/s40368-025-01076-9","url":null,"abstract":"<p><strong>Purpose: </strong>Inverted impaction of the maxillary central incisors is a rare condition, typically associated with adjacent impacted supernumerary teeth, odontomas, root dilaceration, or inadequate eruption space. Treatment options include surgical repositioning, orthodontic traction, or extraction. This retrospective study evaluated the long-term outcomes of patients treated with surgical repositioning.</p><p><strong>Case series description and results: </strong>Patient age at the initial visit, sex, etiologic factors contributing to impaction, follow-up duration, spontaneous eruption to the occlusal plane, degree of root development, and complications such as root resorption, delayed or arrested eruption, and pulp necrosis were assessed through electronic medical records and radiographic evaluations. A total of five patients were included, with an average follow-up of 47.8 months (range 34-59 months). All repositioned teeth successfully erupted into the occlusal plane. One patient had bilateral inverted impaction and required orthodontic treatment after eruption. Another patient, who exhibited root dilaceration preoperatively and underwent repositioning at a more advanced stage of root development, developed pulp necrosis and required root canal treatment.</p><p><strong>Conclusion: </strong>Surgical repositioning offers the advantage of facilitating normal root development in inverted impacted maxillary central incisors. To minimize surgical complications, careful technique, gentle handling, and minimal surgical time are critical. Long-term follow-up is essential for monitoring treatment success.</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":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562629","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":"Shaping ability and filling quality after root canal preparation of primary teeth using hand files or three different single-file NiTi systems: a micro-CT study.","authors":"J de Medeiros Matos, C Oliveira de Lima, A F Barbosa, E J Nogueira Leal da Silva, T K da Silva Fidalgo","doi":"10.1007/s40368-025-01073-y","DOIUrl":"https://doi.org/10.1007/s40368-025-01073-y","url":null,"abstract":"<p><strong>Aim: </strong>This study evaluated the shaping ability and filling quality of three different single-file NiTi systems-XP-Endo Shaper®, Reciproc Blue®, and HyFlex EDM®-in primary molars. Hand K-files were used as a reference for comparison.</p><p><strong>Design: </strong>Maxillary primary molars (20 teeth and 60 root canals) were scanned using micro-computed tomography and assigned to four groups (15 root canals) of instrumentation: hand K-files, Reciproc Blue® R25, Hyflex EDM®, and XP-Endo Shaper® systems. The specimens were re-scanned after root canal preparation and after filling with zinc oxide-eugenol sealer. The parameters assessed included the percentage of untouched canal walls, canal volume and surface area, dentine removed, dentine thickness, occurrence of perforations, and instrumentation time. The quality of root canal filling was also evaluated. Data were analysed using the Wilcoxon, Kruskal-Wallis, and Mann-Whitney tests for non-normally distributed data, and paired t-tests and ANOVA for normally distributed data (α = 5%).</p><p><strong>Results: </strong>The hand K-file group consumed more time than the other methods (P < 0.05). Moreover, the hand K-file group showed greater dentine thickness reduction in the mesiobuccal root at 4 mm from the furcation when compared to the Hyflex EDM® and XP-Endo Shaper® groups (P < 0.05). Perforations occurred in 20% of canals in the XP-Endo Shaper® and 6% in the Reciproc Blue® groups. The filling quality was similar across all groups (P > 0.05).</p><p><strong>Conclusion: </strong>Whilst hand K-files were more time-consuming during root canal preparation, all evaluated systems were effective in shaping primary teeth, however, the XP-Endo Shaper® should be used cautiously due to a higher rate of perforations.</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":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510309","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":"Are mobile health applications for traumatic dental injuries effective? A systematic review of their impact on diagnosis, prevention, management, and education.","authors":"T Walia, M S Muthu, A Saikia, R M Shetty, R P Anthonappa","doi":"10.1007/s40368-025-01071-0","DOIUrl":"https://doi.org/10.1007/s40368-025-01071-0","url":null,"abstract":"<p><strong>Purpose: </strong>Mobile health (mHealth) applications (apps) have emerged as powerful tools for enhancing clinical decision-making, knowledge dissemination, and proactive care in traumatic dental injuries (TDIs). This systematic review aims to collate and assess the available evidence on the usefulness of mobile apps in (1) diagnosis, (2) prevention, (3) management, and (4) education of TDIs.</p><p><strong>Methods: </strong>This review examined studies published between January 2012 and August 2024, focusing on randomised controlled trials (RCTs), clinical trials, cohort studies, and cross-sectional studies that assessed the effectiveness of mobile health apps in the management of TDI care. Study quality was assessed using the Cochrane Risk of Bias Tool 2.0 for RCTs and the modified Newcastle-Ottawa Scale for cross-sectional studies. The GRADE approach was used to assess the certainty of the evidence.</p><p><strong>Results: </strong>Sixteen studies met the inclusion criteria, including 12 cross-sectional studies and 4 RCTs. The cross-sectional studies primarily assessed knowledge improvement, while the RCTs focused on skill development and practical applications. Quality assessments indicated notable methodological concerns. All four RCTs were rated as high risk of bias due to inadequate randomisation, lack of blinding, and participant attrition. According to the GRADE approach, the overall certainty of the evidence was judged to be very low.</p><p><strong>Conclusion: </strong>While mobile health applications such as ToothSOS, Dental Trauma, and Injured Tooth show promise in improving knowledge and decision-making related to TDIs, the evidence is limited by high risk of bias and low quality. Future studies should focus on rigorous RCTs and explore AI integration to enhance effectiveness.</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":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487684","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}