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

{"title":"Prevalence and related risk factors of erosive tooth wear in Chilean schoolchildren. A cross-sectional study.","authors":"C Meléndez, M L Marró, V Ramírez, C Leal, V Aránguiz, D Bartlett","doi":"10.1007/s40368-025-01065-y","DOIUrl":"https://doi.org/10.1007/s40368-025-01065-y","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the prevalence of tooth wear and its associated factors in schoolchildren aged 10-18, focusing on sex-based effect modification.</p><p><strong>Methods: </strong>A cross-sectional study was conducted, with clinical assessments performed by two qualified examiners using the Basic Erosive Wear Examination (BEWE). Parents completed a questionnaire regarding potential risk factors. Data were analysed using stepwise logistic regression models.</p><p><strong>Results: </strong>The final analysis included 550 participants. Mild erosive tooth wear (BEWE = 1) was present in over one-third of participants, and 11.8% showed severe wear (BEWE = 3). Among questionnaire respondents (n = 417), 26.4% had high cumulative BEWE scores. In females, clenching (OR = 2.3) and dairy intake (OR = 0.4) were significantly associated with tooth wear. In males, significant factors included reflux (OR = 7.4), soft drink consumption (OR = 4.2), and dairy intake (OR = 0.2).</p><p><strong>Conclusion: </strong>Over one-third of schoolchildren exhibited tooth wear. Dairy product consumption had a protective effect, and age was associated with increased severity. Sex acted as an effect modifier: teeth clenching was a risk factor for females, whereas reflux, salad dressing, and soft drink consumption were risk factors for males.</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":"144500271","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":"Survival of direct resin composites versus stainless-steel crowns as coronal restorations following pulpotomy in young permanent first molars: a retrospective cohort study using propensity score-matched analysis.","authors":"N Chaipattanawan, C Manmontri, P Chompu-Inwai, K Thaohai, J Yodruean, T Deejaroenkiad, M Wongjinda, A Nirunsittirat","doi":"10.1007/s40368-025-01074-x","DOIUrl":"https://doi.org/10.1007/s40368-025-01074-x","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective cohort study using propensity score matching aimed to compare the 7-year survival probabilities of direct resin composites (DRCs) and stainless-steel crowns (SSCs) in young permanent first molars treated with either partial or coronal pulpotomy.</p><p><strong>Methods: </strong>To evaluate the presence of restorative failures, the efficacy research with a retrospective cohort design was conducted by reviewing electronic dental records of patients aged 6-16 years who received pulpotomy and attended recall programs between September 2012 and December 2021. To reduce confounding bias associated with treatment indications and contraindications, one-to-one matching of comparison groups was conducted using propensity scores. Kaplan-Meier analysis and log-rank test were performed to estimate and compare survival probabilities between groups. Cox proportional hazards regression was used to estimate hazard ratio (HR) and its confidence interval (CI) for failures.</p><p><strong>Results: </strong>From 136 children, 156 treated molars were initially included. Finally, a total of 56 molars were matched for analysis (28 molars in each group). The 7-year cumulative survival probability of SSCs (87.4%) was significantly (p < 0.05) higher than that of DRCs (35.5%). Moreover, the molars restored with DRCs had a 7.6 times higher risk of failure compared to those restored with SSCs (HR 7.64, 95% CI 1.88-31.01, p < 0.05).</p><p><strong>Conclusion: </strong>Compared to DRCs, SSCs demonstrated a significantly higher survival probability for coronal restorations following pulpotomy in young permanent first molars over a period of up to 7 years.</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":"144500272","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":"Mouthwashes: should they be used by children?","authors":"D Radzki","doi":"10.1007/s40368-025-01072-z","DOIUrl":"https://doi.org/10.1007/s40368-025-01072-z","url":null,"abstract":"","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259875","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":"The effect of audiovisual motivation and oral health education on oral health status and oral health-related quality of life among children at social homes: a randomised clinical trial.","authors":"Ola B Al-Batayneh, S Abushgair, Y S Khader","doi":"10.1007/s40368-025-01066-x","DOIUrl":"https://doi.org/10.1007/s40368-025-01066-x","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate the effect of audiovisual motivation (AVM) and oral health education (OHE) on oral health (OH) and oral health-related quality of life (OHRQoL) among children at social homes.</p><p><strong>Methods: </strong>This was a double-blinded cluster-randomised clinical trial. Subjects (n = 225) aged 4-14 years were recruited from social homes and randomly divided into 2 groups: control group (n = 100) and study group (n = 115); each was further divided into sub-groups: 4-6, 7-12 and > 12 years. Both groups were interviewed and examined to record DMFT/dmft (baseline and 12 months), plaque index (PI) and gingival index (GI) (baseline, 3, 6 and 12 months). The study group had multiple AVM and OHE sessions; the control group had no intervention.</p><p><strong>Results: </strong>Mean sample age was 9.1 ± 2.7 years. At 12 months, 4-6-year-olds had a significant improvement in PI for study and control groups (P < 0.001, P = 0.008 respectively), and GI was significantly improved in study group (P < 0.001). In 7-12-year-olds, a significant improvement in the PI, GI and dmft was found in study group (P < 0.001 for all), with an increase in DMFT in the control group (P < 0.001). For > 12 years, there was a significant improvement in PI (P = 0.002), GI (P = 0.043). There was significant improvement in OHRQoL in the study group only in these domains: bleeding when brushing teeth (P = 0.04) and presence of bad breath in the morning (P < 0.001).</p><p><strong>Conclusion: </strong>There was a favourable effect of AVM and OHE on OH and OHRQoL in children aged 4-14 years at social homes after 12 months.</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":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259826","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":"Indications and technical parameters of cone beam computed tomography in paediatric dentistry at Alexandria and Cairo universities: a retrospective study.","authors":"M Baraka, H M Ghorab, E Anter, N M ElKersh","doi":"10.1007/s40368-025-01062-1","DOIUrl":"https://doi.org/10.1007/s40368-025-01062-1","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the utilization of cone beam computed tomography (CBCT) in paediatric dentistry, focusing on the indications, referring departments, age distribution, oral regions examined, and fields of view (FOV) at Alexandria and Cairo universities.</p><p><strong>Methods: </strong>This retrospective observational study reviewed records from 2018 to 2024 of patients under 19 years who underwent CBCT scans in the radiology departments. Data were analysed by sex (6-12 years and 13-<19 years), imaging area (anterior/posterior, mandible/maxilla), and indications following the 2011 SEDENTEXCT guidelines: dental anomalies, impacted teeth, endodontics, bone pathosis, orthodontics, and others.</p><p><strong>Results: </strong>Out of 988 patient records with CBCT scans, 260 paediatric cases were analysed. Referrals mainly came from the oral and maxillofacial surgery department (50%) and the paediatric dentistry department (40%). The primary reasons for CBCT scans included impacted teeth (40%), endodontic treatments (19.6%), and orthodontic assessments (15.8%). Significant usage patterns were noted across age groups, with 53.1% of patients aged 6-12 years and 46.9% aged 13-18 years. A diverse range of oral regions was examined, including the anterior mandible (30%), posterior mandible (25%), anterior maxilla (20%), and posterior maxilla (25%).</p><p><strong>Conclusion: </strong>The findings reveal that CBCT is primarily used for assessing impacted teeth, endodontic treatments, and orthodontic needs in children and adolescents. Patients aged 6-<13 years were more often referred for endodontic issues, while those aged 13-<19 needed imaging for impactions and orthodontics. Differences in FOV among centres indicate varied clinical practices.</p><p><strong>Clinical significance: </strong>The study underscores the indications of CBCT in paediatric dentistry and the diverse clinical practices at both universities and highlights the need for tailored imaging protocols.</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":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251914","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":"Midwives' knowledge and preventive practices regarding early childhood caries: a quantitative study in France.","authors":"Eve Ripamonti, Isabelle Blanchet, Corinne Tardieu, Michelle Pascale Hassler, Berengère Saliba-Serre, Ariane Camoin","doi":"10.1007/s40368-025-01069-8","DOIUrl":"https://doi.org/10.1007/s40368-025-01069-8","url":null,"abstract":"<p><strong>Purpose: </strong>Early childhood caries is a major public health issue worldwide. Midwives, as primary healthcare providers for young children, play an essential role in promoting oral health practices. This study aimed to assess the knowledge of midwives in France regarding early childhood caries, their prevention, and dietary risk factors for dental caries in young children.</p><p><strong>Methods: </strong>A national online survey via self-administrated questionnaire was conducted among midwives in France, with a focus on their understanding of oral health recommendations, including the timing of the first dental examination, fluoride use, and dietary habits.</p><p><strong>Results: </strong>The results revealed that while midwives demonstrated knowledge of basic oral hygiene practices, there were gaps in their understanding of the timing of the first oral examination and the use of fluoride toothpaste. In addition, many midwives did not recognise breastfeeding, especially night-time breastfeeding, as a cariogenic factor. Moreover, a statistically significant difference between generations was identified in the approach to oral health prevention during prenatal and postnatal consultations.</p><p><strong>Conclusion: </strong>This study highlights the need for improved oral health training for midwives and a greater integration of oral health education into their professional practice to enhance early prevention of early childhood caries.</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":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251877","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":"Hypersensitivity associated with molar-incisor hypomineralisation (MIH) among elementary schoolchildren in Bavaria, Germany: results from a cross-sectional study.","authors":"R Gaballah, S Amend, K-F Fresen, H Schill, R Michel, V Pitchika, J Kühnisch, N Krämer","doi":"10.1007/s40368-025-01054-1","DOIUrl":"https://doi.org/10.1007/s40368-025-01054-1","url":null,"abstract":"<p><strong>Purpose: </strong>This cross-sectional epidemiological study aimed to provide population-based data on hypersensitivity associated with molar-incisor hypomineralisation (MIH) in 8- to 10-year-olds from Bavaria, Germany. It was hypothesized that hypersensitivity would be equally distributed among MIH teeth.</p><p><strong>Methods: </strong>A total of 5418 schoolchildren (8-10 years) were examined using the MIH criteria of the European Academy of Paediatric Dentistry (EAPD) and the MIH Treatment Need Index (MIH-TNI). MIH-TNI 1 was linked with mild MIH; MIH-TNI 2-4 corresponded to severe MIH. Hypersensitivity was recorded dichotomously (yes/no) after a two-second, 2.8-bar air blast (Schiff test). Descriptive statistics and a mixed-effects logistic regression model-adjusted for age, sex, region, tooth type, and caries status-explored hypersensitivity in MIH-affected teeth.</p><p><strong>Results: </strong>The MIH prevalence was 17.5% (n = 945). In this group, 9.8% of the children showed hypersensitivity in at least one tooth; 5.6% of all MIH-affected teeth were hypersensitive. Nearly half of the MIH-affected children (49.7%) presented severe MIH-TNI findings; MIH-TNI 2 was the most frequent finding (39.9%). Regression analyses indicated that demarcated opacities were significantly less likely to be associated with hypersensitivity (aOR = 0.054, p < 0.001). However, enamel breakdown did not show a significant association with hypersensitivity (aOR = 0.853, p = 0.693).</p><p><strong>Conclusion: </strong>Although MIH was relatively common, overall hypersensitivity rates were low. Demarcated opacities were significantly less prone to hypersensitivity, yet enamel breakdown did not significantly differ from healthy teeth. Further standardised epidemiological research is needed to clarify variations in hypersensitivity rates and explore additional risk factors, e.g., breakdown depth or defect extension.</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":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144218556","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":"Letter to the Editor: Concerns regarding the interpretation of needle visibility in paediatric dental anxiety.","authors":"A Kupietzky","doi":"10.1007/s40368-025-01070-1","DOIUrl":"10.1007/s40368-025-01070-1","url":null,"abstract":"","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144218557","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":"Self-reported attitudes and perceptions regarding child abuse among Palestinian dentists: a cross-sectional study.","authors":"M A Dama, A Q Shqair, M S Azevedo, O B Al-Batayneh","doi":"10.1007/s40368-025-01056-z","DOIUrl":"https://doi.org/10.1007/s40368-025-01056-z","url":null,"abstract":"<p><strong>Objectives: </strong>Given the prevalence of physical abuse toward the head and face, dental care settings are frequently the first point of contact for victims of violence. Dentists, like other medical practitioners, have a primary responsibility to safeguard patient health and life, hence they can be crucial in identifying and reporting violent victims. Therefore, this study was directed to assess the attitudes and perceptions of Palestinian dentists regarding child abuse and to investigate professional characteristics associated with the identification of suspected child abuse.</p><p><strong>Materials and methods: </strong>A questionnaire was sent to the 745 dentists of Palestine and 380 (51.0%) were returned. Demographic data, profiles of dentists, information regarding their knowledge and attitudes concerning child abuse, and the obstacles that may stop them from reporting abuse cases were collected. Descriptive analysis was performed, and associations were tested by chi-square and Fisher's exact tests.</p><p><strong>Results: </strong>Most dentists were general practitioners (88.9%), nine of whom were boarded paediatric dentists. 217 (58.2%) considered themselves fit to identify signs of abuse even so, 93.5% do not report the abuse cases. A statistically higher proportion of specialist dentists, working in the public sector, having more practice and who have children had suspected cases of child abuse.</p><p><strong>Conclusions: </strong>Although dentists considered themselves able to identify cases of child maltreatment, a high proportion of them do not report the abuse cases, this is related to many factors, such as less experience, little information, no training, and less confidence to report child abuse. Improved training in forensic and legal dentistry is needed, together with the establishment of detection and reporting protocols.</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":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210692","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 psychosocial factors on oral health-related quality of life in Brazilian preschool children: structural equation modeling.","authors":"Í L P Araújo, M C Gomes, É T B Neves, R T Firmino, S M Paiva, M F Perazzo, A F Granville-Garcia","doi":"10.1007/s40368-025-01060-3","DOIUrl":"https://doi.org/10.1007/s40368-025-01060-3","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the pathways through which psychosocial factors, dental caries and dental visits impact the oral health-related quality of life (OHRQoL) of preschool children and their parents/guardians using structural equation modeling.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 769 pairs of 5-year-old preschool children and their parents/guardians. The parents/guardians answered questionnaires addressing sociodemographic characteristics and oral hygiene factors, as well as the Sense of Coherence Scale (SoC) and Multidimensional Health Locus of Control Scale (MHLC). The children and parents/guardians also answered the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO-5). Dental caries lesions in children were classified using the International Caries Detection and Assessment System (ICDAS) by two calibrated examiners (Kappa > 0.80). Descriptive analysis and confirmatory factor analysis of the measurement models were performed, followed by structural equation modeling.</p><p><strong>Results: </strong>Goodness-of-fit indices were considered adequate (root mean square error approximation = 0.03; comparative fit index = 0.96; standardized root mean square residual = 0.06; Tucker-Lewis index = 0.95). Weak sense of coherence (β: - 0.09; p < 0.03), external locus of control (β: - 0.14; p < 0.01), and cavitated teeth (β: 0.25; p < 0.01) exerted a direct impact on the OHRQoL of the children, and visit to the dentist (β: 0.16; p < 0.01) had an indirect effect.</p><p><strong>Conclusion: </strong>Psychosocial factors and dental condition directly impact the OHRQoL of preschool children and their parents/guardians, while dental visits have an indirect effect. This highlights the need for integrated approaches that consider both clinical and psychological aspects to improve the OHRQoL of preschool children.</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":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210691","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}