New Research Progress of Clinical Pediatric Dentistry: 2nd Edition

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Dentistry & Oral Medicine".

Deadline for manuscript submissions: 10 June 2025 | Viewed by 3138

Special Issue Editor


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Guest Editor
1. Division for Globalization Initiative, Liaison Center for Innovative Dentistry, Graduate School of Dentistry, Tohoku University, Sendai 980-8575, Japan
2. Pediatric Dentistry, Dr. Sulaiman Al Habib Hospital, Ar Rayyan, Riyadh 14212, Saudi Arabia
Interests: dental anomalies; hospital dentistry; preventive orthodontics; special care dentistry; dental materials
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Special Issue Information

Dear Colleagues,

Oro-facial problems interfere with a child’s normal lifestyle by impairing mastication, deglutition, and esthetics and causing pain and discomfort. The pediatric dentist is concerned with restoring or replacing hard and soft tissues and maintaining optimum oral health, functions, esthetics, and comfort in children. The continuous evaluation conducted in pediatric dentistry has brought many changes into clinical practice. The interest in the early detection of orofacial and dental problems with imaging and diagnostic aids has been growing in recent decades. The comprehensive treatment for children should be a built-in close response to the child’s complex oral conditions, psychological state, and willingness to undergo prolonged treatments. In short, clinical pediatric dentistry can be best viewed as the prevention of the worsening of disability, treatment of injured or ailing patients, and restoring/maintaining optimal oral health and functions. There are various difficulties in managing dental problems, from simple tooth decay to complex oral rehabilitation. Clinical pediatric dentistry should address the difficulties in the oral cavity and the psychosocial situations of growing children. This Special Issue invites systematic reviews, meta-analyses, recommendations, policy guidelines, original research manuscripts, case reports, narratives, scoping reviews, technical reports, and short communications to enhance contemporary research in clinical pediatric dentistry.

Dr. Sreekanth Kumar Mallineni
Guest Editor

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Keywords

  • behavior guidance
  • conscious sedation
  • dental abnormalities
  • dental caries
  • dental malocclusion
  • restorative materials
  • impacted teeth
  • interceptive orthodontics
  • pain management
  • preformed crowns
  • preventive dentistry
  • imaging in pediatric dentistry

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Related Special Issue

Published Papers (4 papers)

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12 pages, 1455 KiB  
Article
Effectiveness of Intraosseous Local Anesthesia (QuickSleeper 5) During Pulpotomy and Stainless Steel Crown Placement on Mandibular Primary Molars: A Crossover Randomized Controlled Clinical Trial
by Zeyad A. AlRaddadi, Latifa A. AlHowaish and Ayman M. Sulimany
Children 2025, 12(3), 294; https://doi.org/10.3390/children12030294 - 27 Feb 2025
Viewed by 566
Abstract
Background: Effective pain management during dental procedures is essential to ensure positive treatment outcomes, particularly for pediatric patients. Intraosseous anesthesia, administered via the QuickSleeper system, has shown promise as an alternative to traditional local anesthesia techniques. Methods: A single-blinded split-mouth randomized controlled clinical [...] Read more.
Background: Effective pain management during dental procedures is essential to ensure positive treatment outcomes, particularly for pediatric patients. Intraosseous anesthesia, administered via the QuickSleeper system, has shown promise as an alternative to traditional local anesthesia techniques. Methods: A single-blinded split-mouth randomized controlled clinical trial took place at the dental hospital at King Saud University with 33 healthy patients (aged 4–9 years), who required pulpotomies and stainless steel crown procedures on two mandibular primary molars, to evaluate the effectiveness of two local anesthetic techniques. Each tooth was randomly assigned to receive 4% articaine either delivered via the intraosseous route using QuickSleeper 5 or buccal infiltration. The effectiveness of the anesthesia was evaluated by the number of injections needed and at various stages using the Sounds, Eyes, and Motor (SEM) scale. Postoperative complications, including pain, swelling, and lip numbness, were assessed through follow-up phone calls with the patients’ legal guardians. Results: The techniques demonstrated comparable effectiveness; there were no statistically significant differences in the number of injections and in the SEM scale scores. Minimal postoperative complications were reported: lip biting (two cases) and prolonged numbness (nine cases) were reported only when buccal infiltration was used, and swelling and pain were reported when both techniques were used. Conclusions: Intraosseous anesthesia via the QuickSleeper 5 system is comparable to traditional buccal infiltration anesthesia for pulpotomies and stainless steel crown procedures in pediatric mandibular molars. Intraosseous anesthesia offers the added benefit of reduced soft tissue numbness and associated complications. Full article
(This article belongs to the Special Issue New Research Progress of Clinical Pediatric Dentistry: 2nd Edition)
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13 pages, 437 KiB  
Article
Pain-Related Behavior and Pain Perception Associated with Intraosseous Local Anesthesia (QuickSleeper 5®) in Pediatric Patients: A Randomized Controlled Clinical Trial
by Zeyad A. AlRaddadi, Latifa A. AlHowaish and Ayman M. Sulimany
Children 2025, 12(1), 65; https://doi.org/10.3390/children12010065 - 7 Jan 2025
Cited by 1 | Viewed by 959
Abstract
Background: Managing pain during dental procedures is crucial, particularly for children, as pain can induce anxiety. Local anesthesia is the most anxiety-inducing procedure in pediatric patients. Consequently, this study aimed to assess and compare the pain-related behaviors and perceptions associated with two anesthesia [...] Read more.
Background: Managing pain during dental procedures is crucial, particularly for children, as pain can induce anxiety. Local anesthesia is the most anxiety-inducing procedure in pediatric patients. Consequently, this study aimed to assess and compare the pain-related behaviors and perceptions associated with two anesthesia techniques for children: traditional local anesthesia and intraosseous local anesthesia administered via the QuickSleeper 5® system. Methods: A split-mouth randomized clinical trial was conducted involving 33 children aged 4–9 years. Each participant received both traditional local anesthesia and intraosseous local anesthesia with QuickSleeper 5 across two visits. Pain-related behaviors were evaluated by calibrated pediatric dentists through video recordings, and pain perceptions were assessed using the Wong–Baker Faces Pain Rating Scale. Heart rate measurements offered objective insights into patients’ anxiety; finally, the time needed to administer anesthesia was recorded. Results: This study found no statistically significant differences between traditional local anesthesia and intraosseous local anesthesia with QuickSleeper 5 regarding pain perception, heart rate, or pain-related behaviors, indicating that both techniques are effective at minimizing discomfort. However, QuickSleeper 5 demonstrated a significantly shorter administration time, enhancing the procedural efficiency of pediatric dentistry. Conclusions: The QuickSleeper 5 system is a valuable tool for pediatric dental care, delivering comparable comfort levels to traditional anesthesia while significantly reducing the time that is required for administration. The QuickSleeper 5 system’s efficiency advantage could make it the preferred choice for treating children, especially given the stress that is often associated with local anesthesia and the need for quick, smooth procedures in pediatric care. Full article
(This article belongs to the Special Issue New Research Progress of Clinical Pediatric Dentistry: 2nd Edition)
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18 pages, 4895 KiB  
Case Report
Oral Implications of Herbst Device Modification: A Case Report
by Monica Macrì, Mariastella Di Carmine, Antonio Scarano and Felice Festa
Children 2025, 12(5), 531; https://doi.org/10.3390/children12050531 - 22 Apr 2025
Viewed by 222
Abstract
Background: Many studies analyse the effectiveness of the Herbst device in the treatment of dentoskeletal Class II malocclusion due to mandibular retrusion. This fixed device was devised by Emil Herbst for Class II treatment using a bite jumping, i.e., a device that holds [...] Read more.
Background: Many studies analyse the effectiveness of the Herbst device in the treatment of dentoskeletal Class II malocclusion due to mandibular retrusion. This fixed device was devised by Emil Herbst for Class II treatment using a bite jumping, i.e., a device that holds the jaw in a forced anterior position. Comparison of the results obtained in numerous studies is difficult because they are often not comparable and not congruent due to a number of variables that prevent standardization. Methods: The purpose of the present study is to report some clinical-level considerations that may be important in order to obtain more predictable therapeutic outcomes. The simplified design of the Herbst device offers better patient comfort and easier cleanability but may show some disadvantages, such as less anchorage. Results: The device was evaluated in conjunction with the multi-bracket phase that preceded Herbst therapy and concluded after the device was removed. The therapy was performed in the absence of skeletal anchorage. Conclusions: In our opinion, standardization of therapy according to precise protocols may positively affect the therapeutic outcomes by achieving faster occlusal stabilization, more proper neuro-muscular balance, less stress on anchor units, and shorter treatment time. Full article
(This article belongs to the Special Issue New Research Progress of Clinical Pediatric Dentistry: 2nd Edition)
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21 pages, 6469 KiB  
Systematic Review
Dental Manifestations in Children Affected by Hypophosphatemic Rickets: A Systematic Review and Meta-Analysis
by Aesha Allam, Silvia Cirio, Francesca Elia, Claudia Salerno and Maria Grazia Cagetti
Children 2025, 12(2), 144; https://doi.org/10.3390/children12020144 - 27 Jan 2025
Viewed by 883
Abstract
Background: Hypophosphatemic rickets (HR) is a bone disorder affecting phosphate–calcium metabolism, with both skeletal and dental manifestations. This review aims to analyze dental manifestations of HR in children and, where possible, compare them to those in healthy children or affected adults. Methods: The [...] Read more.
Background: Hypophosphatemic rickets (HR) is a bone disorder affecting phosphate–calcium metabolism, with both skeletal and dental manifestations. This review aims to analyze dental manifestations of HR in children and, where possible, compare them to those in healthy children or affected adults. Methods: The protocol was registered at PROSPERO (CRD42024596022). The study conformed to the PRISMA guidelines. Three databases were searched for studies reporting the prevalence or incidence of any dental manifestation in children with HR. Risk of bias was assessed using JBI, RoB 2.0, and ROBINS-E tools, and Stata/SE 18.0 was used for meta-analysis. Meta-regression was used to examine the effects of therapy duration and mean age on dental manifestations’ prevalence. The study received no funding. Results: A total of 1308 records were identified, with 660 screened after removing duplicates. Forty-six studies were eligible for full-text evaluation; sixteen were included in the qualitative analysis and twelve in the meta-analysis. The dental manifestations observed included dental abscesses, developmental defects of enamel and dentin, dental caries, taurodontism, and large pulp chambers. Dental abscesses were the most common manifestation, with a pooled prevalence of 0.39. Meta-regression showed no association between therapy duration and abscess occurrence but revealed a negative association between mean age and abscess prevalence. Conclusions: Dental abscesses were the most frequent manifestation in children with HR. The role of therapy in improving oral health remains unclear due to insufficient data, indicating a need for further studies on the impact of HR on children’s oral health. Full article
(This article belongs to the Special Issue New Research Progress of Clinical Pediatric Dentistry: 2nd Edition)
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