Dentistry Journal

Research

12 pages, 952 KiB

Open AccessArticle

Erosive Tooth Wear in Children and Adolescents: Awareness, Knowledge, and Management: A Case-Based Questionnaire Among Greek Dentists

by Sofia Chatzimarkou, Kyriaki Seremidi, William Papaioannou, Diana Mortensen, Svante Twetman and Sotiria Gizani

Dent. J. 2025, 13(6), 249; https://doi.org/10.3390/dj13060249 - 3 Jun 2025

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Abstract

Background/Objective: With a prevalence linked to modern lifestyle, erosive tooth wear (ETW) is a growing clinical problem among children and adolescents. The aim of this cross-sectional study was to record the awareness and knowledge of ETW among Greek dentists and to explore [...] Read more.

Background/Objective: With a prevalence linked to modern lifestyle, erosive tooth wear (ETW) is a growing clinical problem among children and adolescents. The aim of this cross-sectional study was to record the awareness and knowledge of ETW among Greek dentists and to explore their preferred treatment decisions. Methods: A case-based digital questionnaire was distributed to a stratified sample of dentists practising in Athens (n = 218). We collected data regarding clinical scoring, possible aetiological factors, and clinical management of ETW and used descriptive statistics, chi-square tests, and odds ratio calculations to process the outcome. Results: The response rate was 92%. The majority (71%) recorded ETW among their patients, but only 5% used an established and validated scoring system. Almost 1/3 registered only the location of the lesions. Over 70% disclosed the possible causes of ETW, with frequent consumption of fizzy soft drinks (67%) and acidic foods (56%) being the most common. Most respondents managed the ETW patients in their own clinic, while 23% referred them to another dentist or a university clinic. The respondents focused on secondary prevention (dietary advice, oral hygiene, and fluoride exposure) and preferred less invasive options for anterior teeth, with restorative care restricted to the lower molars. Conclusions: The majority of the dentists participating in this survey registered ETW and its possible causes and seem to have adopted a preventive and minimally invasive approach for the management in children and adolescents. For the case documentation, a minority took advantage of standardised scoring systems for lesions and dietary habits, and very few performed salivary diagnostics. The findings underscore the need of continuing education to offer updates on the most current guidelines and focusing on patients’ needs and expectations. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

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10 pages, 212 KiB

Open AccessArticle

Reliability and Validity of the Modified Dental Anxiety Scale Among Children Aged 9 to 12 Years

by Satu Lahti, Mika Kajita, Vesa Pohjola and Auli Suominen

Dent. J. 2025, 13(6), 248; https://doi.org/10.3390/dj13060248 - 30 May 2025

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Abstract

Objectives: Our aim was to study whether the Modified Dental Anxiety Scale (MDAS) is reliable and valid for use in children aged 9 to 12 years. Methods: The study population was a convenient sample of Finnish comprehensive school pupils in the third and [...] Read more.

Objectives: Our aim was to study whether the Modified Dental Anxiety Scale (MDAS) is reliable and valid for use in children aged 9 to 12 years. Methods: The study population was a convenient sample of Finnish comprehensive school pupils in the third and sixth grades (N = 57 and N = 69, respectively). Dental fear and anxiety (DFA) were measured with the Finnish validated adult version of MDAS, the modified Child Fear Survey Schedule—Dental Subscale (CFSS-DS-M), and a single question. Reliability was evaluated using Cronbach’s alpha. The criterion validity of MDAS was assessed using Spearman rank correlation coefficients against CFSS-DS-M and the single question. Construct validity was assessed by examining the ability of MDAS to find differences according to gender and treatment procedures using the chi-square test for categorized and the Mann–Whitney and Jonckheere–Terpstra tests for continuous variables. Results: The Cronbach alphas were 0.841, 0.708, and 0.778 for MDAS total, anticipatory, and treatment-related DFA, respectively. Correlations between MDAS and CFSS-DS-M total and subscale scores were moderate to strong (ρ = 0.559–0.794), supporting criterion validity. Girls in third grade had lower mean MDAS anticipatory DFA (3.4, SD = 1.44) than boys (4.5, SD = 2.21, p = 0.051). In sixth graders, girls had higher mean MDAS treatment-related DFA (8.4, SD = 3.17) than boys (6.9, SD = 2.61, p = 0.067). Children reporting orthodontic treatment had lower anticipatory DFA (mean = 3.4, SD = 2.13) than children not reporting (mean = 4.0, SD = 1.83; p = 0.009), supporting construct validity. Conclusions: The Finnish version of the MDAS showed good reliability, good criterion validity, and acceptable construct validity, supporting its use in children aged 9–12 years. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

12 pages, 198 KiB

Open AccessArticle

Assessment of Knowledge, Attitude, and Teaching of the Hall Technique Among Pediatric Dentistry Faculty in Riyadh, Saudi Arabia

by Asma Alshahrani, Haifa Alamro, Fatimah Alanazi, Leqaa Alowaidi and Farah Alhamdan

Dent. J. 2025, 13(6), 239; https://doi.org/10.3390/dj13060239 - 28 May 2025

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Abstract

Background: The Hall Technique (HT) in pediatric dentistry is a minimally invasive method for treating carious primary molars by sealing cavities with preformed stainless-steel crowns, eliminating the need for local anesthesia, caries removal or tooth preparation. Objectives: To assess the knowledge, attitude, and [...] Read more.

Background: The Hall Technique (HT) in pediatric dentistry is a minimally invasive method for treating carious primary molars by sealing cavities with preformed stainless-steel crowns, eliminating the need for local anesthesia, caries removal or tooth preparation. Objectives: To assess the knowledge, attitude, and teaching of HT among pediatric dentistry faculty in Riyadh, Saudi Arabia. Methods: A cross-sectional descriptive study involved 36 pediatric dentistry faculty members from six dental colleges in Riyadh. Data were collected using a validated questionnaire covering demographics and professional information, HT knowledge, attitude, and teaching strategies. Results: Thirty-one pediatric dentistry faculty responded to the questionnaire, and 67.74% of participants use HT clinically, primarily for asymptomatic carious primary molars. Most participants learned about HT during postgraduate residency (61.29%), while only 6.45% were introduced to it in undergraduate training. Teaching practices varied, with 51.61% teaching HT to undergraduate and/or postgraduate students, and 16.13% omitting it from their curriculum. Key barriers to HT adoption included limited undergraduate exposure, misconceptions, and a lack of standardized guidelines. Fisher’s Exact Test showed that gender, academic position, and years of experience were significantly associated with HT use. Only years of experience were significantly associated with recommending HT use by undergraduate students. No factors were significantly associated with teaching HT. Conclusions: While awareness of HT is high among pediatric dentistry faculty, inconsistent teaching and limited clinical use hinder its full integration. Addressing these barriers through curriculum updates and professional development could enhance the acceptance and quality of HT use in pediatric dentistry in Saudi Arabia. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

18 pages, 858 KiB

Open AccessArticle

Pathways Between Parental Attitudes and Early Childhood Caries in Preschool Children

by Apolinaras Zaborskis, Aistė Kavaliauskienė, Jaunė Razmienė, Augustė Razmaitė, Vilija Andruškevičienė, Julija Narbutaitė and Eglė Aida Bendoraitienė

Dent. J. 2025, 13(5), 205; https://doi.org/10.3390/dj13050205 - 2 May 2025

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Abstract

Background/Objectives: Parental attitudes play a crucial role in shaping children’s oral health habits and preventing dental diseases. This study aimed to explore the theoretical pathways through which parental behavior and attitudes toward child oral health can influence the dental caries experience as [...] Read more.

Background/Objectives: Parental attitudes play a crucial role in shaping children’s oral health habits and preventing dental diseases. This study aimed to explore the theoretical pathways through which parental behavior and attitudes toward child oral health can influence the dental caries experience as measured by the dmf-t index in preschool children in Lithuania. Methods: A cross-sectional study was conducted involving 302 children aged 4–7 years and their parents (262 mothers). Parental attitudes were assessed using the Parental Attitudes Towards Child Oral Health (PACOH) scale. For the children, the following variables were considered: sex, age, dental caries experience (dmf-t index in the primary dentition), oral hygiene index (Silness–Löe Plaque Index), toothbrushing frequency, and parental assistance with toothbrushing. Structural Equation Modeling (SEM) was applied for the data analysis. Results: The main path through which parental attitudes towards child oral health influenced the dmf-t index was via toothbrushing frequency (β = −0.17) or parental assistance with toothbrushing (β = 0.24). These factors were then linked to the oral hygiene index (β = 0.20 and β = −0.47, respectively), which ultimately influenced dmf-t (β = 0.52). The parents’ attitudes and toothbrushing frequency per se had no significant effect on children’s dmf-t (β = −0.06 and β = −0.04, respectively). The final model met all goodness-of-fit criteria: Chi-square test p = 0.211, Incremental Fit Index IFI = 0.994, Tucker–Lewis Index TLI = 0.982, Comparative Fit Index CFI = 0.994, and Root Mean Square Error of Approximation RMSEA = 0.038. Conclusions: Findings from this study demonstrate that parents play a significant role in determining children’s oral health. Regular toothbrushing, parental assistance with toothbrushing, and good oral hygiene are critical factors linking parents’ oral health-related attitudes to a child’s experience of early caries. Identifying the associations between dental caries risk factors helps plan interventions. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

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12 pages, 239 KiB

Open AccessArticle

by Ali Al Ibraheem, Clara Dürsch and Katrin Bekes

Dent. J. 2025, 13(4), 171; https://doi.org/10.3390/dj13040171 - 18 Apr 2025

Viewed by 550

Abstract

Background/Objectives: Oral health-related quality of life (OHRQoL) has become increasingly significant in dentistry. By incorporating patient perspectives through questionnaires alongside objective diagnoses, the understanding of diseases is enhanced. This study examines OHRQoL during the early COVID-19 pandemic in children aged 0–10 who visited [...] Read more.

Background/Objectives: Oral health-related quality of life (OHRQoL) has become increasingly significant in dentistry. By incorporating patient perspectives through questionnaires alongside objective diagnoses, the understanding of diseases is enhanced. This study examines OHRQoL during the early COVID-19 pandemic in children aged 0–10 who visited the Emergency unit of Pediatric Dentistry at the Medical University of Vienna from March to May 2020, focusing on the impact of COVID-19 restrictions on various social and health aspects. The study aimed to assess OHRQoL in children during the early weeks of the COVID-19 pandemic and correlate it with other health and social conditions. Materials and Methods: Children (up to 10 years) and their parents visiting the Emergency Unit of the department completed OHRQoL questionnaires. In children aged 0–6, their parents answered the Early Childhood Oral Health Impact Scale questionnaire (ECOHIS), while 7–10-year-olds completed the Child Perception Questionnaire (CPQ) by themselves. Summary scores and associations between oral and general health subdomains were analyzed. Results: Both the ECOHIS and CPQ groups showed high general summary scores, indicating decreased OHRQoL (ECOHIS 12.22 [±8.68] and CPQ 18.36 [±12.35]). The highest scores were in the “oral symptoms” domain, mainly due to “toothache”. Significant correlations were observed between “general health” and “oral health” with the “family section” in the ECOHIS group and between “oral health” and “oral symptoms” with “emotional well-being” in the CPQ group. Conclusions: During the pandemic, both age groups experienced decreased OHRQoL. Family background influenced oral health (ECOHIS), while oral symptoms and emotional well-being correlated with oral health (CPQ). Further research is needed to understand pandemic-related factors affecting OHRQoL and develop preventive strategies. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

9 pages, 993 KiB

Open AccessArticle

Operative Preventive Oral Hygiene Protocols in Pediatric Patients with Leukemia: A Non-Randomized Clinical Trial

by Guido Galbiati, Lucia Giannini, Daniela del Rosso, Maria Grazia Cagetti and Cinzia Maspero

Dent. J. 2025, 13(4), 164; https://doi.org/10.3390/dj13040164 - 11 Apr 2025

Viewed by 487

Abstract

Objective: The objective of this study is to highlight the critical role of pediatric dentists in promoting oral health prevention among leukemia patients. In fact, oral manifestations frequently serve as the initial clinical indicators of leukemia, occurring in up to 10% of cases. [...] Read more.

Objective: The objective of this study is to highlight the critical role of pediatric dentists in promoting oral health prevention among leukemia patients. In fact, oral manifestations frequently serve as the initial clinical indicators of leukemia, occurring in up to 10% of cases. In acute myelomonocytic leukemia, oral lesions are observed in 65–90% of patients. Methods: A cohort of 63 patients (30 males and 33 females) with a mean age of 10 years participated in this study. All participants adhered to a standardized preventive dental care protocol, referred to as the “Preventive Iter”. This protocol focuses on individualized oral hygiene education, regular monitoring, and professional dental interventions aimed at preventing and managing oral health complications associated with systemic conditions such as leukemia. Results: The results demonstrated a statistically significant and progressive improvement across all evaluated oral health parameters as patients advanced through the Preventive Iter protocol. Conclusions: The Preventive Iter protocol has proven to be highly effective in improving oral health outcomes, as evidenced by notable reductions in plaque accumulation, microbial imbalance, and gingival inflammation. The structured, individualized approach—incorporating professional hygiene interventions and tailored educational strategies—appears to be a key factor in achieving and maintaining these improvements. These findings underscore the critical importance of early and ongoing preventive care, particularly for medically vulnerable populations. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

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10 pages, 557 KiB

Open AccessArticle

Possible Etiological Factors for the Development of Molar Incisor Hypomineralization (MIH) in Austrian Children

by Sarra Altner, Ivan Milutinovic and Katrin Bekes

Dent. J. 2024, 12(3), 44; https://doi.org/10.3390/dj12030044 - 20 Feb 2024

Cited by 8 | Viewed by 3463

Abstract

Background: Molar incisor hypomineralization (MIH) is a developmental enamel defect that primarily affects the first permanent molars and sometimes the incisors. Its increasing prevalence worldwide has raised clinical concerns, yet its exact cause remains unknown. This study aimed to assess potential factors influencing [...] Read more.

Background: Molar incisor hypomineralization (MIH) is a developmental enamel defect that primarily affects the first permanent molars and sometimes the incisors. Its increasing prevalence worldwide has raised clinical concerns, yet its exact cause remains unknown. This study aimed to assess potential factors influencing MIH development by analyzing the medical history of children aged 6 to 12 years using a questionnaire. Methods: This study included 100 children aged 6–12 years diagnosed with MIH during dental examination, and 100 age-matched children in the non-MIH (healthy) group from the Department of Pediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna. The parents of the participants completed a two-page questionnaire regarding possible etiological factors of MIH. Results: The data analysis involved 100 children with MIH (mean age 8.5; ±1.3; 52% female) and 100 children in the healthy group (mean age 9.2; ±1.3; 42% female). The optimized binary logistic regression analysis revealed a significant association between MIH development and cesarean-section delivery (OR = 3; CI = [1.5–6.2]) and sixth disease (roseola) (OR = 3.5; CI = [1.5–8.0]). Conclusions: This study suggests that cesarean-section delivery and sixth disease (roseola) might increase the likelihood of MIH development in children. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

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10 pages, 597 KiB

Open AccessArticle

Assessment of Dental Anxiety in Children: Reliability and Validity of the Questionnaire to Assess Dental Anxiety in Children (QADA-C)

by Jutta Margraf-Stiksrud and Klaus Pieper

Dent. J. 2024, 12(2), 23; https://doi.org/10.3390/dj12020023 - 26 Jan 2024

Cited by 1 | Viewed by 2827

Abstract

This study presents a measure to assess dental anxiety in children. To gain a better understanding of children’s fear and anxiety in the dental setting, instruments to gather data with high quality are necessary and missing, especially in the German language. Based upon [...] Read more.

This study presents a measure to assess dental anxiety in children. To gain a better understanding of children’s fear and anxiety in the dental setting, instruments to gather data with high quality are necessary and missing, especially in the German language. Based upon the facet approach, the Questionnaire to Assess Dental Anxiety in Children (QADA-C) includes items concerning anxiety reactions in thinking, behavior, and feelings in the form of short statements. The item formulation was adapted for children of the target age (9–11 years), and items were presented with pictures of dental situations. Item and reliability analyses in a sample of 1019 children showed the good quality of the instrument (Cronbach’s alpha = 0.89), and the validity indicators revealed its ability to differentiate high-anxiety, low-anxiety, and non-anxious children with an overall sum score. This score was proven to correlate with oral health criteria (decayed/missing/filled teeth, oral health behavior, oral health knowledge). Its easy administration and appropriateness for children make the questionnaire applicable in the dental office for clinical purposes as well as in research contexts. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

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10 pages, 2023 KiB

Open AccessArticle

Improving the Communication of Dental Findings in Pediatric Dentistry by Using Intraoral Scans as a Visual Aid: A Randomized Clinical Trial

by Nelly Schulz-Weidner, Marina Gruber, Eva May Schraml, Bernd Wöstmann, Norbert Krämer and Maximiliane Amelie Schlenz

Dent. J. 2024, 12(1), 15; https://doi.org/10.3390/dj12010015 - 17 Jan 2024

Cited by 6 | Viewed by 4497

Abstract

The aim of this first randomized clinical trial (RCT) was to determine whether intraoral scans (IOS) can be used as a visual aid to improve the communication of dental findings in pediatric dentistry. Therefore, 60 children (mean age 10.1 ± 3.3 years) and [...] Read more.

The aim of this first randomized clinical trial (RCT) was to determine whether intraoral scans (IOS) can be used as a visual aid to improve the communication of dental findings in pediatric dentistry. Therefore, 60 children (mean age 10.1 ± 3.3 years) and their accompanying parents/primary caregivers (PGs) were examined between July 2022 and February 2023. Patients were randomly allocated to two groups: half of the participants were informed of the children’s dental findings including treatment plans by verbal explanation alone (control group, n = 30), while the other half were informed using IOS (Trios 4, 3Shape) as a visual aid to support the verbal explanation (study group, n = 30). Both groups then completed a questionnaire regarding their children’s diagnosis, treatment needs, planned therapy, and oral hygiene. Statistical analysis was performed using a t-test (p < 0.05). Overall, there was a significant difference between the two groups (p < 0.001) in terms of understanding the current oral situation of their children. While 85.5 ± 17.3% (mean ± standard deviation) of the answers were correct in the study group, only 57.2 ± 17.8% of the participants in the control group were capable of answering the questions correctly. In particular, the control group had difficulties answering the questions about treatment needs and therapy correctly. Within the limitations of this first pilot study, IOS can be clearly recommended as a visual aid to improve the communication of dental findings with PGs in pediatric dentistry. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

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Review

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10 pages, 842 KiB

Open AccessReview

Comparison of Intraosseous and Conventional Dental Anesthesia in Children—A Scoping Review

by Anastasia Dermata, Sotiria Davidopoulou, Aristidis Arhakis, Nikolaos Dabarakis, Konstantinos N. Arapostathis and Sotirios Kalfas

Dent. J. 2025, 13(7), 326; https://doi.org/10.3390/dj13070326 - 18 Jul 2025

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Abstract

Background/Objectives: The main purpose of the present scoping review was to map and explore the efficacy of computer-controlled intraosseous anesthesia (CCIA) in comparison with conventional dental anesthesia in pediatric dental patients. Secondarily, this study aimed to compare the acceptance and preference factors [...] Read more.

Background/Objectives: The main purpose of the present scoping review was to map and explore the efficacy of computer-controlled intraosseous anesthesia (CCIA) in comparison with conventional dental anesthesia in pediatric dental patients. Secondarily, this study aimed to compare the acceptance and preference factors between CCIA and conventional dental anesthesia in children. Given the limited and heterogeneous nature of the available literature, this review aimed to identify gaps and scope the extent of research conducted in this area, providing a foundation for future, more targeted studies. Methods: The search was conducted in 19 electronic databases, and the appropriate studies were identified according to PRISMA-ScR guidelines. Only split-mouth randomized controlled clinical trials that reported on the clinical outcomes of CCIA in children were included. Two reviewers worked independently on the screening and selection of the studies. The same two reviewers carried out the data extraction and the risk of bias assessment, using the Cochrane risk of bias tool. Due to the exploratory nature, this review focused on mapping the characteristics, outcomes, and research trends rather than synthesizing effect sizes. Results: Out of 841 papers, 2 randomized clinical trials were ultimately included in the scoping review. The outcomes were categorized as primary (including results that answered the focus question) and secondary (relating to additional quality characteristics). Regarding the primary outcomes, in both studies, intraosseous anesthesia was efficacious in achieving the adequate level of anesthesia. One of the secondary outcomes was the acceptance and preference of CCIA in comparison with conventional dental anesthesia in children. The limited number and the high risk of bias in existing studies highlight the necessity for more comprehensive and high-quality research. Conclusions: The selected studies support the assertion that CCIA is a promising technique since it results in less pain perception and is preferred by patients compared to conventional local anesthesia. However, the existing literature is limited and at high risk of bias. Thus, further targeted investigations are needed to evaluate and yield more definitive results regarding the superiority of CCIA. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

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Other

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19 pages, 773 KiB

Open AccessSystematic Review

The Physiopathological Link Between Bisphenol A Exposure and Molar Incisor Hypomineralization Occurrence: A Systematic Review

by Estelle Mathonat, Thibault Canceill, Mathieu Marty, Alison Prosper, Alexia Vinel and Emmanuelle Noirrit-Esclassan

Dent. J. 2025, 13(8), 332; https://doi.org/10.3390/dj13080332 - 22 Jul 2025

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Abstract

Objective: This study aimed to assess, through a systematic review, the potential link between bisphenol A (BPA) exposure and molar incisor hypomineralization (MIH). Methods: A systematic review was performed according to the PRISMA grid. All international studies—in vitro, in vivo, or [...] Read more.

Objective: This study aimed to assess, through a systematic review, the potential link between bisphenol A (BPA) exposure and molar incisor hypomineralization (MIH). Methods: A systematic review was performed according to the PRISMA grid. All international studies—in vitro, in vivo, or clinical—evaluating the relationships between bisphenol A and MIH were included. An iterative search of eligible publications was conducted on May 26, 2025, using three different databases: PubMed, Science Direct, and Google Scholar. Results: Eleven studies were included in the review, ten of which were experimental studies. They were published between 2013 and 2024. Among the selected articles, a rat model was used in eight studies and seven established a link between MIH and BPA (63.64% of the articles). In the included studies, the incisors of rats treated with BPA presented asymmetrical white spots at the enamel level, with a phenotype similar to human MIH. The authors highlight the hypothesis of the implication of steroid receptors expressed by ameloblasts, in particular at the stage of maturation, thus impacting enamel quality. Conclusions: The results presented in this review highlight a trend in the interaction of bisphenol A with steroid receptors, thus affecting enamel quality. However, these associations are weak, and future studies should investigate cofactors modulating BPA’s role in the development of MIH. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

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7 pages, 641 KiB

Open AccessBrief Report

The Use of Potassium Iodide in Pediatric Dentistry Does Not Change the Retention of Glass Ionomer Cement on a Dentin Treated with Silver Fluoride: In Vitro Results

by Louise Gotas, Thibault Canceill and Sabine Joniot

Dent. J. 2024, 12(6), 177; https://doi.org/10.3390/dj12060177 - 7 Jun 2024

Cited by 1 | Viewed by 2631

Abstract

In pediatric and operative dentistry, caries treatment benefits from a therapeutic option based on the use of silver fluoride (AgF) associated with potassium iodide (KI) to avoid dark colorations on dental tissues. The objective of this in vitro study is to evaluate the [...] Read more.

In pediatric and operative dentistry, caries treatment benefits from a therapeutic option based on the use of silver fluoride (AgF) associated with potassium iodide (KI) to avoid dark colorations on dental tissues. The objective of this in vitro study is to evaluate the retention of glass ionomer cement (GIC) on a dentin when treated with AgF and KI. Twenty-two healthy human permanent molars and eight human primary teeth, all free of any decay, were cut to obtain occlusal flat dentinal surfaces and were then treated with AgF for a duration of 60 s. For half of the teeth, a drop of KI was applied for a duration of 30 s. All samples were covered with a plot of GIC and their resistance to shear bond strength was measured. The fracture resistance in both permanent and primary teeth does not show any statistically significant differences whether KI was applied or not. For permanent teeth, the resistance is slightly higher in the group treated with KI than in the group treated with AgF alone. To our knowledge, these data are the first to describe the possible application of KI both on primary and permanent teeth. In any case, further studies are needed to investigate the bond strength between dentin and GIC on a wider range of samples. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

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15 pages, 25720 KiB

Open AccessCase Report

Full-Mouth Rehabilitation of a 15-Year-Old Girl Affected by a Rare Hypoparathyroidism (Glial Cell Missing Homolog 2 Mutation): A 3-Year Follow-Up

by Yohann Flottes, Eléonore Valleron, Bruno Gogly, Claudine Wulfman and Elisabeth Dursun

Dent. J. 2024, 12(5), 130; https://doi.org/10.3390/dj12050130 - 7 May 2024

Cited by 1 | Viewed by 1612

Abstract

Objective: Familial isolated hypoparathyroidism is a rare genetic disorder due to no or low production of the parathyroid hormone, disturbing calcium and phosphate regulation. The resulting hypocalcemia may lead to dental abnormalities, such as enamel hypoplasia. The aim of this paper was to [...] Read more.

Objective: Familial isolated hypoparathyroidism is a rare genetic disorder due to no or low production of the parathyroid hormone, disturbing calcium and phosphate regulation. The resulting hypocalcemia may lead to dental abnormalities, such as enamel hypoplasia. The aim of this paper was to describe the full-mouth rehabilitation of a 15-year-old girl with chronic hypocalcemia due to a rare congenital hypoparathyroidism. Clinical considerations: In this patient, in the young adult dentition, conservative care was preferred. Onlays or stainless-steel crowns were performed on the posterior teeth, and direct or indirect (overlays and veneerlays) were performed on the maxillary premolars, canines, and incisors, using a digital wax-up. The mandibular incisors were bleached. The treatment clearly improved the patient’s oral quality of life, with fewer sensitivities, better chewing, and aesthetic satisfaction. The difficulties were the regular monitoring and the limited compliance of the patient. Conclusion: Despite no clinical feedback in the literature, generalized hypomineralized/hypoplastic teeth due to hypoparathyroidism in a young patient can be treated as amelogenesis imperfecta (generalized enamel defects) with a conservative approach for medium-term satisfactory results. Highlights: This study provides new insights into the management of enamel hypoplasia caused by familial isolated hypoparathyroidism, helping to improve patient outcomes in similar cases. Full article

(This article belongs to the Special Issue Current Advances in Pediatric Odontology)

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