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A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: closed (30 March 2025) | Viewed by 3497

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Special Issue Editor

Dr. Ruth M. Santamaría

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Guest Editor

Associate Professor
Department of Pediatric Dentistry, University of Greifswald, 17475 Greifswald, Germany
Interests: pediatric dentistry; primary and permanent teeth in young populations; children’s oral health; carious lesions; pediatric dental treatment; dental caries; molar incisor hypo-minerlisation

Special Issue Information

Dear Colleagues,

In recent years, the field of pediatric dentistry has experienced significant progress, marked by a burgeoning emphasis on innovative, minimally invasive, and biologically centered approaches aimed at improving the long-term oral health of children and adolescents. We are witnessing a surge of advancements across various domains of pediatric dentistry, encompassing preventive measures, caries management, behavior management, and pulp treatment. Additionally, there has been notable progress in the utilization of biomaterials and regenerative endodontic techniques for the treatment of primary and permanent young teeth, among other notable developments. This Special Issue introduces a comprehensive exploration of the latest innovations and progressive strategies in oral care for children and adolescents.

This Special Issue of JCM aims to collect contributions from all aspects related to "Innovations in Dental Treatment for Children and Adolescents". Authors engaged in research on the following subjects are encouraged to contribute original research articles, including clinical trials, cohort studies, reviews, etc.

Minimally invasive dentistry;
New technologies for dental practice;
Biomaterials for clinical dental treatment;
Innovative management approaches in pediatric dentistry;
Epidemiological research;
Translational research.

Dr. Ruth M. Santamaría
Guest Editor

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Keywords

pediatric dentistry
minimally invasive dentistry
caries management
behavior manage-ment
regenerative endodontic
epidemiological research

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Published Papers (3 papers)

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Research

11 pages, 674 KiB

Open AccessArticle

Pediatric Dental Emergency Visits and Treatment During Lockdown in the COVID-19 Pandemic: A Retrospective Analysis at the Pediatric Emergency Unit of the University Clinic of Dentistry, Vienna, Austria

by Ali Al Ibraheem, Sophie Lembacher, Laura Urban and Katrin Bekes

J. Clin. Med. 2025, 14(7), 2359; https://doi.org/10.3390/jcm14072359 - 29 Mar 2025

Viewed by 341

Abstract

Background: In the beginning of the COVID-19 pandemic, the Department of Pediatric Dentistry at the University Dental Clinic Vienna switched from routine medical care to emergency operation mode. The study aims to retrospectively compare the characteristics of pediatric patients’ emergency visits before, during, and after lockdown. Methods: All pediatric emergencies that presented at the Department of Pediatric Dentistry in the period from the 7 January 2020 to the 31 July 2020 were recorded. Patients were subclassified into three groups with regard to their time of presentation (group 1: before lockdown, group 2: during lockdown, group 3: after lockdown). Then, pediatric patients’ purposes for emergency visit, diagnoses, and the treatments practiced were compared. Results: The number of patients was significantly lower during lockdown but increased again afterward. During lockdown, significantly more patients presented with dental pain, the diagnosis “Extraction: tooth not restorable” increased, and extractions were significantly more often the treatment of choice (p < 0.05). Conclusions: The presented study is the first research on pediatric dental emergency visits during the first lockdown of the COVID-19 pandemic in Austria. The results highlight the negative impact of the pandemic on pediatric dental care as the number of treatments decreased, elective treatments were postponed, and the diagnosis and prognosis of teeth deteriorated. Full article

(This article belongs to the Special Issue Innovations in Dental Treatment for Children and Adolescents)

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11 pages, 807 KiB

Open AccessArticle

Influence of the Hall Technique on Patient Cooperation: A Retrospective Analysis

by Ruth M. Santamaría, Amr Gomma, Manasi R. Khole, Christian H. Splieth and Mohammad Alkilzy

J. Clin. Med. 2025, 14(2), 304; https://doi.org/10.3390/jcm14020304 - 7 Jan 2025

Viewed by 661

Abstract

Child’s cooperation and behaviour in paediatric dentistry are largely determined by the nature of the treatment. Minimally invasive, faster, and more comfortable treatments can lead to greater cooperation and improved behaviour. Objectives: To assess the impact of the Hall technique (HT) on children’s behaviour over time across three consecutive treatment sessions through a retrospective analysis. Methods: The analysis included children aged 3 to 10 years treated with the HT, with both a pre- and post-Hall technique appointment within a 6-month period. The level of cooperation at each visit was assessed using the Frankl behaviour rating scale (FBRS). The FBRS scores from the three visits: T1 (first treatment session), T2 (Hall technique session), and T3 (follow-up session) were analysed to predict the endpoint (T3–T1) using the Wilcoxon signed-rank test. In addition, an ordinal logistic regression model was used to assess the relationship between variables and behavioural change. Results: Of the 90 children included in this study (mean age 5.9 ± 1.56 years; 50 boys, 55.6%), the proportion of patients exhibiting extremely positive/positive behaviour increased steadily over the sessions, from 56.7% at T1 to 76.7% at T2 to 91.1% at T3. The initial behaviour at T1 was the only significant predictor (p < 0.0001) of the improvement in behaviour (T3–T1) in the ordinal logistic regression model, which also included variables such as age, sex of the patient, and the treating dentist. Conclusions: The Hall technique had a significant positive effect on improving children’s behaviour over the course of treatment. Full article

(This article belongs to the Special Issue Innovations in Dental Treatment for Children and Adolescents)

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14 pages, 709 KiB

Open AccessArticle

Impact of Virtual Reality Intervention on Anxiety and Level of Cooperation in Children and Adolescents with Autism Spectrum Disorder during the Dental Examination

by Abdulaziz Abdullah Al Kheraif, Tasneem Rashed Adam, Aisha Wasi, Raghad Khalid Alhassoun, Rawan Mohammed Haddadi and Mohammed Alnamlah

J. Clin. Med. 2024, 13(20), 6093; https://doi.org/10.3390/jcm13206093 - 12 Oct 2024

Cited by 1 | Viewed by 1931

Abstract

Background: Individuals with Autism Spectrum Disorder (ASD) frequently encounter increased levels of anxiety and display resistant behaviors during dental examinations, which negatively affects their oral care and maintenance. This study employed a cross-sectional design to evaluate the impact of virtual reality (VR) intervention on the anxiety and level of cooperation in children and adolescents with ASD during dental examinations. Methods: A total of 140 participants diagnosed with ASD, aged from 4- to 18-years-old, were selected from two specialized ASD management centers in Riyadh/Saudi Arabia. The participants were randomly allocated into either the control group or the VR group. Control group participants were subjected to a conventional dental examination, while the VR group utilized VR intervention to immerse themselves in a simulated natural and soothing environment. The Venham anxiety and behavior scale (VABS) was utilized to measure anxiety levels, while the Frankl behavior rating scale (FBRS) was employed to assess the level of cooperation. Data were analyzed using a Mann–Whitney U test with a significance level of p < 0.05. Results: The baseline anxiety and level of cooperation between the groups were comparable (p > 0.05). During the dental examination, the VR group had significantly reduced anxiety scores (2.48 ± 1.76) compared to the control group (1.50 ± 1.74) (p < 0.001). Regarding the level of cooperation, the VR group exhibited significantly greater levels of cooperation (3.41 ± 0.96) than the control group (2.86 ± 1.03) (p = 0.002). Conclusions: These findings suggest that VR intervention is a successful technique for decreasing anxiety and enhancing cooperation among children with ASD during dental examination. Integrating VR technology in dental environments can potentially improve the dental experience and results for children diagnosed with ASD. Full article

(This article belongs to the Special Issue Innovations in Dental Treatment for Children and Adolescents)

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