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

{"title":"A comparative study of clinical effectiveness of fissure sealing with and without bonding systems: 3-year results.","authors":"C Sakkas,&nbsp;L Khomenko,&nbsp;I Trachuk","doi":"10.1007/s40368-013-0022-y","DOIUrl":"https://doi.org/10.1007/s40368-013-0022-y","url":null,"abstract":"<p><strong>Aim: </strong>This prospective clinical study evaluated the sealant retention rate and caries-preventive efficacy of two fissure sealing techniques over a 3-year period.</p><p><strong>Methods: </strong>Subjects (87) aged between 6.5 and 11.5 years were enrolled into two groups. In Group I (41 subjects), a resin-based fissure sealant (Fissurit FX, VOCO, Germany) was placed on all four sound permanent first molars (FPM-164 teeth) of each subject and in Group II (46 subjects) on 4 caries-free premolars (P1-2 182 teeth),using the following adhesives systems: Optibond FL (Kerr, USA), Optibond Solo plus (Kerr, USA), Prompt-L-Pop (3 M ESPE, USA) or the conventional acid-etch technique. Sealed teeth were evaluated at baseline, 6, 12, 18, 24 and 36-month intervals with regard to retention and new caries development. Sealant retention was scored as: (1) complete retention; (2) partial loss; (3) complete loss of sealant.</p><p><strong>Statistics: </strong>Wilcoxon-signed rank test was used to analyse the data.</p><p><strong>Results: </strong>The complete retention rate was: Optibond FL/sealant 80.01-82.92 %, Optibond Solo plus/sealant 73.78-74.27 %, Prompt-L-Pop/sealant 42.84-53.65 % versus acid-etch technique 62.86-71.44 % on FPM and P1-2 (p < 0.05). The fissure caries incidence rate was: Optibond FL/sealant 2.43-2.85 %, Optibond Solo plus/sealant 2.85-4.76 %, Prompt-L-Pop/sealant 24.40-34.28 % versus acid-etch technique 16.66-17.14 % (p < 0.05) on FPM and P1-2. A statistically significant difference in sealant retention rate was observed between FPM and P1-2, using the self-etching adhesive system Prompt-L-Pop and acid-etch technique.</p><p><strong>Conclusion: </strong>It may be concluded that the use of adhesive systems Optibond FL and Optibond Solo plus yielded better fissure sealing performance.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"73-81"},"PeriodicalIF":2.2,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-013-0022-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40108617","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 microflora and dietary intake in infants with congenital heart disease: a case-control study : Authors' response to comment by Booth.","authors":"C Stecksén-Blicks","doi":"10.1007/s40368-013-0026-7","DOIUrl":"https://doi.org/10.1007/s40368-013-0026-7","url":null,"abstract":"","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"57"},"PeriodicalIF":2.2,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-013-0026-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40108618","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":"A pan-European comparison of the use of mineral trioxide aggregate (MTA) by postgraduates in paediatric dentistry.","authors":"J I Foley","doi":"10.1007/s40368-013-0018-7","DOIUrl":"https://doi.org/10.1007/s40368-013-0018-7","url":null,"abstract":"<p><strong>Aim: </strong>To assess the current usage and opinions of mineral trioxide aggregate (MTA) amongst European postgraduates (PG) in paediatric dentistry.</p><p><strong>Study design: </strong>An on-line structured questionnaire.</p><p><strong>Methods: </strong>The programme directors of all EAPD-accredited programmes in paediatric dentistry were contacted by e-mail and invited to disseminate the web-link for a structured on-line questionnaire to all PG students on their programmes. The survey sought details of usage of MTA in both the primary and permanent dentitions and also, previous and future educational requirements for cement use.</p><p><strong>Results: </strong>Responses were received from 29/44 (F: 27; M: 2) PG students. MTA was used in the primary dentition by 6/29 and 17/29 PG for pulp capping and pulpotomy procedures, respectively. In non-vital permanent teeth, MTA was used for apical barrier formation by 26/29 PG students, 15/29 for pulpotomy procedures and 10/29 to repair root perforations. Barriers to the use of MTA related to material cost and other materials being deemed more appropriate. Overall, 27/29 demonstrated an interest in further educational opportunities in material use.</p><p><strong>Conclusion: </strong>Mineral trioxide aggregate appears to be in regular use amongst PG dentists in paediatric dentistry throughout Europe.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"113-6"},"PeriodicalIF":2.2,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-013-0018-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40249450","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":"Comment on methodological problems in Hansson et al.: Oral microflora and dietary intake in infants with congenital heart disease: a case control study.","authors":"John N Booth","doi":"10.1007/s40368-013-0013-z","DOIUrl":"https://doi.org/10.1007/s40368-013-0013-z","url":null,"abstract":"","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"55"},"PeriodicalIF":2.2,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-013-0013-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40108614","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, radiographic and histologic analysis of the effects of pulp capping materials used in pulpotomies of human primary teeth.","authors":"T M Oliveira,&nbsp;A B S Moretti,&nbsp;V T Sakai,&nbsp;N Lourenço Neto,&nbsp;C F Santos,&nbsp;M A A M Machado,&nbsp;R C C Abdo","doi":"10.1007/s40368-013-0015-x","DOIUrl":"https://doi.org/10.1007/s40368-013-0015-x","url":null,"abstract":"<p><strong>Aim: </strong>To compare the clinical, radiographic and histological responses of the pulp to mineral trioxide aggregate (MTA), calcium hydroxide (CH) and Portland cement (PC) when used as a pulpotomy agent in human primary teeth.</p><p><strong>Study design: </strong>Forty-five mandibular primary molar teeth were randomly assigned to CH, MTA or PC groups and treated by pulpotomy technique.</p><p><strong>Methods: </strong>The teeth were treated by conventional pulpotomy technique, differing only in the capping material for each group. Clinical and radiographic evaluations were recorded at 6-, 12- and 24-month follow-up. Teeth in the regular exfoliation period were further processed for histologic analysis.</p><p><strong>Statistics: </strong>Data were tested using parametric tests at a significance level of 5 %. The histological results were expressed descriptively.</p><p><strong>Results: </strong>Clinically and radiographically, the MTA and PC groups showed 100 % success rates at 6, 12 and 24 months. In CH group, several teeth presented clinical and radiographic failures detected throughout the follow-up period, and internal resorption was a frequent radiographic finding. Histologic analysis revealed the presence of dentine-like mineralised material deposition obliterating the root canal in the PC and MTA groups. CH group presented, in most of the sections, necrotic areas in the root canals.</p><p><strong>Conclusions: </strong>MTA and PC may serve as effective materials for pulpotomies of primary teeth as compared to CH. Although our results are very encouraging, further studies and longer follow-up assessments are needed in order to determine the safe clinical indication of Portland cement.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"65-71"},"PeriodicalIF":2.2,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-013-0015-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40108615","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":"Longitudinal occlusal changes during the primary dentition and during the passage from primary dentition to mixed dentition among a group of Turkish children.","authors":"Z Kirzioglu,&nbsp;S Simsek,&nbsp;Y Yilmaz","doi":"10.1007/s40368-013-0014-y","DOIUrl":"https://doi.org/10.1007/s40368-013-0014-y","url":null,"abstract":"<p><strong>Aim: </strong>To determine the changes in the molar and canine relationships in transition from the primary to the mixed dentition in 98 subjects selected among Turkish children living in the Erzurum city centre.</p><p><strong>Methods: </strong>This study is based on a 3-year follow-up of 98 children (46 girls, 52 boys) between the ages of 4 and 6 years at the start of the study. The survey focused on the investigation of the changes that appeared in the occlusal relationships in the primary dentition and in the transition to the mixed dentition according to gender and age.</p><p><strong>Results: </strong>The findings indicated that 73.6 % of the 98 cases evaluated in the primary dentition developed a Class I molar relationship, and 26.4 % developed a Class II molar relationship. As 64.3 % FTP, 22.4 % DS, and 13.3 % MS molar occlusal relationships were evaluated at baseline; 22.4 % FTP, 11.2 % DS, and 66.3 % MS molar occlusal relationships were evaluated at the end of the third year. While 75.5 % Class I, 11.2 % Class II, and 13.3 % Class III primary canine occlusal relationships were evaluated at baseline; 53.1 % Class I, 5.1 % Class II, and 41.8 % Class III primary canine occlusal relationships were evaluated at the end of the third year. With increased age, a statistically significant difference (p < 0.001) was found in flush terminal plane, mesial step, and primary canine occlusal relationships and no statistically significant difference (p > 0.05) was found in distal step relationships.</p><p><strong>Conclusion: </strong>Malocclusions observed in the primary dentition are signs of malocclusions in the permanent dentition.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"97-103"},"PeriodicalIF":2.2,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-013-0014-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40226637","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 air abrasion and polishing on primary molar fissures.","authors":"T L Lenzi,&nbsp;L B R Menezes,&nbsp;F Z M Soares,&nbsp;R O Rocha","doi":"10.1007/s40368-013-0023-x","DOIUrl":"https://doi.org/10.1007/s40368-013-0023-x","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effect of air abrasion and polishing on primary molar fissures under light microscopy.</p><p><strong>Methods: </strong>15 exfoliated primary second molars were longitudinally sectioned and photographed under a stereomicroscope (40×; baseline evaluation). Sections were then randomly allocated into one of the two groups (n = 15) and treated by either air abrasion (aluminium oxide jet) or air polishing (sodium bicarbonate jet) for 30 s. After treatment, sections were washed with an air/water spray, dried with absorbent paper, and photographed as previously described (final evaluation). Baseline and final morphology were compared by two blinded examiners who evaluated changes in the width and depth of fissures.</p><p><strong>Statistics: </strong>The percentage of changed fissures was analysed, and the two treatments were compared using the Mann-Whitney test (α = 0.01).</p><p><strong>Results: </strong>Both air systems resulted in fissure changes in most (93.3 %) of the sections. No significant differences in fissure width changes were found between treatments, but when changes in fissure depth were evaluated, air polishing was found to be less damaging than air abrasion (p < 0.01).</p><p><strong>Conclusion: </strong>Air abrasion and polishing cause changes to the anatomical configuration of occlusal fissures of primary molars.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"117-20"},"PeriodicalIF":2.2,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-013-0023-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40249453","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":"Caries experience in primary teeth of four birth cohorts: a practice-based study.","authors":"T Käkilehto,&nbsp;J Siiskonen,&nbsp;H Vähänikkilä,&nbsp;S Salo,&nbsp;L Tjäderhane,&nbsp;V Anttonen","doi":"10.1007/s40368-013-0016-9","DOIUrl":"https://doi.org/10.1007/s40368-013-0016-9","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the survival of caries-free primary teeth in four age cohorts in the city of Kemi, Finland, as well as association of survival of primary teeth among boys and girls and among high and low caries risk individuals.</p><p><strong>Study design: </strong>This was a practice-based follow-up study based on dental records.</p><p><strong>Methods: </strong>The data were collected from the electronic oral health patient records of the municipal health centre of the city of Kemi, covering four different birth cohorts (1985, 1990, 1995 and 2000). The total number of children was 4,488.</p><p><strong>Statistics: </strong>Kaplan-Meier curves were drawn to illustrate the survival of caries-free primary molars . Statistical difference between the groups was analysed using the log-rank test and Cox proportional hazards regression analysis. The retrospective caries risk definition for individuals was based on the early restorations in the first permanent molars.</p><p><strong>Results: </strong>In the earlier cohorts, primary molars survived caries-free for a shorter period than in the later cohorts (p < 0.001). However, in the 2000 cohort, the survival curve, having shown at the beginning only some caries incidence, bended strongly downwards at the age of 8 years. The survival time of the primary molars remaining caries-free was shorter for those with high caries risk (p < 0.001) as well for boys compared with girls in all cohorts (p = 0.001).</p><p><strong>Conclusion: </strong>The course of the survival curve of the 2000 age cohort indicates a halt in the improvement of dental caries prevalence, but the follow-up period was too short to allow monitoring the progress further. Continuing oral health promotion to all children, and particularly risk individuals must be emphasised.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"59-64"},"PeriodicalIF":2.2,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-013-0016-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40108616","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":"Review: behaviour management techniques in paediatric dentistry.","authors":"J F Roberts,&nbsp;M E J Curzon,&nbsp;G Koch,&nbsp;L C Martens","doi":"10.1007/BF03262738","DOIUrl":"https://doi.org/10.1007/BF03262738","url":null,"abstract":"<p><strong>Background: </strong>Behaviour management is widely agreed to be a key factor in providing dental care for children. Indeed, if a child's behaviour in the dental surgery/office cannot be managed then it is difficult if not impossible to carry out any dental care that is needed. It is imperative that any approach to behavioural management for the dental child patient must be rooted in empathy and a concern for the well being of each child.</p><p><strong>Review: </strong>Based on various presentations given at Congresses of the European Academy of Paediatric Dentistry (EAPD), documents reviewing behaviour management prepared by the Clinical Affairs Committee of the EAPD, and written submissions to the Executive Board of the EAPD, a review of the various approaches to the behaviour management of the child dental patient was completed. All aspects of non-pharmacological behavioural management techniques described in the literature over the past 80 years were reviewed.</p><p><strong>Findings: </strong>There is a very wide diversity of techniques used but not all are universally accepted by specialist paediatric and general dentists. Wide cultural and philosophical differences are apparent among European paediatric dentists that seem difficult to bridge when forming agreed guidelines. Accordingly, this review highlights those behaviour techniques that are universally accepted such as tell, show, do (TSD) or positive reinforcement, but nevertheless describes the most commonly mentioned techniques for which there are descriptions in the literature.</p><p><strong>Conclusion: </strong>A wide variety of behavioural management techniques are available to paediatric dentists which must be used as appropriate for the benefit of each child patient, and which, importantly, must take into account all cultural, philosophical and legal requirements in the country of dental practice of every dentist concerned with dental care of children.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"166-74"},"PeriodicalIF":2.2,"publicationDate":"2010-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF03262738","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40066784","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":"Conventional endodontic treatment of primary molars using metronidazole as an intra-canal medicament: a pilot study.","authors":"B Kargül,&nbsp;I Tanboga,&nbsp;B Altinok","doi":"10.1007/BF03262744","DOIUrl":"https://doi.org/10.1007/BF03262744","url":null,"abstract":"<p><strong>Aim: </strong>This was to evaluate the clinical and radiographic outcomes of an antibacterial drug (Metronidazole, Nidazol, IE Ulagay Ilac A.S) application as an intra-canal medicament combined with pulpectomy in infected primary molar teeth.</p><p><strong>Methods: </strong>The study material consisted of data collected from children treated at the Dental School Dept. of Paediatric Dentistry in Marmara University between 2000 and 2004. Clinical and radiographic data were collected over 2 years from patients who had received a topical application of metronidazole in root canal dressing before a pulpectomy was completed. Clinical success parameters were: no abscess formation, no fistula, no pain and no pathologic mobility at treated teeth with metranidazole dressing. The overall success and failure rates were analysed. Radiographic diagnosis was standardized between investigators and intra and inter-rater reliability assessed. Both investigators read and evaluated all radiographs, after a comparison of results, a consensus was agreed upon for each result.</p><p><strong>Statistics: </strong>All data were entered into an Excel format and SPSS 11.0 P < 0.05 were used for Windows and Chi-square for statistical analyses.</p><p><strong>Results: </strong>There were 64 molars assessed for clinical and radiographic success. Considering the eruption times, success rate was 75% as determined by the last follow up clinically and radiographically according to predetermined success criteria. In the 64 molars, 4 cases demonstrated loss of the alveolar bone, 3 exhibited varying degrees of root resorptions on radiographic examination and 3 showed clinical pathologic mobility. Fistulae were observed in only 1 case and early loss was detected in 5 cases.</p><p><strong>Conclusion: </strong>These results suggest that main factors responsible for failure may be associated with uncertain mixing proportions of the metronidazole paste and inadequate maxillary restorations. But some modifications in preparing the paste could increase its efficacy.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"196-200"},"PeriodicalIF":2.2,"publicationDate":"2010-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF03262744","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40067786","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}