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Medicina
Special Issues
Recent Advances in Pediatric Oral Health
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Recent Advances in Pediatric Oral Health

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Dentistry".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 3310

Special Issue Editor

Prof. Dr. Danko Bakarčić

E-Mail Website
Guest Editor
Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia
Interests: dental medicine; childhood dental traumatology; dental preventive medicine

Special Issue Information

Dear Colleagues,

Pediatric oral health involves concepts, techniques and procedures not only from pediatric and general dentistry or other dental specialties, but also from other medical specialties. Those who care about pediatric oral health are required to treat a wide range of diseases in children, from infancy through adolescence, including persons with special healthcare needs. Children’s dentistry is constantly evolving. In recent decades, there have been many advances and innovations in the field that encompass a variety of skills, disciplines, procedures and techniques. Hence, with the changing scope of practice it is imperative that clinicians stay up-to-date with the current evidence-based trends in practice and that they collaborate with other disciplines. For that reason, some areas this Special Issue seeks to address include, but are not limited to: behavioral guidance, caring for patients with medical and developmental disabilities, caries prevention, public health, sedation, pharmacological management and hospital dentistry, including other traditional fields of dentistry.

I am inviting those with an academic background and all practitioners from diverse medical backgrounds to contribute to this Special Issue in order to move care for pediatric oral health forward.

Prof. Dr. Danko Bakarčić
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • infant
  • child
  • adolescent
  • developmental anomaly
  • oral health
  • general health
  • public health
  • interdisciplinary
  • multidisciplinary medicine

Published Papers (5 papers)

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Research

10 pages, 297 KiB  
Article
Effects of Removable Functional Appliances on the Dentoalveolar Unit in Growing Patients
by Filippo Cardarelli, Sara Drago, Luigi Rizzi, Martina Bazzani, Paolo Pesce, Maria Menini and Marco Migliorati
Medicina 2024, 60(5), 746; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina60050746 (registering DOI) - 30 Apr 2024
Abstract
Background and Objectives: The objective of this retrospective controlled study is to compare class II growing patients who underwent treatment with two different functional appliances: the Fraenkel regulator (FR-2), utilized as the control group, and the elastodontic device “Cranium Occluded Postural Multifunctional Harmonizers” [...] Read more.
Background and Objectives: The objective of this retrospective controlled study is to compare class II growing patients who underwent treatment with two different functional appliances: the Fraenkel regulator (FR-2), utilized as the control group, and the elastodontic device “Cranium Occluded Postural Multifunctional Harmonizers” (AMCOP), utilized as the test group. Materials and Methods: The study sample consisted of 52 patients with class II division I malocclusion (30 males, 22 females, mean age 8.6 ± 1.4 years) who were treated with the two different types of appliances: Group 1 (n = 27, mean age 8 [7.00, 9.00] years, 12 females, 15 males) received treatment with AMCOP, while Group 2 (n = 25, mean age 9.2 years [8.20, 10.00], 10 females, 15 males) received treatment with FR-2. The mean treatment duration for Group 1 was 28.00 [21.50, 38.00] months, while for Group 2 it was 23.70 [17.80, 27.40] months. Cephalometric analyses were performed on lateral cephalograms taken before treatment (T1) and after treatment (T2). Results: Significant intragroup differences were observed over time in Group 1 for 1^/PP. Similarly, significant intragroup differences were observed over time in Group 2 for SNB, ANB, and IMPA. Conclusions: Both treatment modalities resulted in the correction of class II malocclusion with dentoalveolar compensation, although the treatment duration with AMCOP tended to be longer on average. Full article
(This article belongs to the Special Issue Recent Advances in Pediatric Oral Health)
11 pages, 448 KiB  
Article
The Assessment of Resin-Based Composite Sealants’ Effectiveness in Arresting Non-Cavitated Dentin Carious Lesions (ICDAS 3)—A 12 Month Follow-Up Preliminary Study
by Liana Beresescu, Alexandra Mihaela Stoica, Elena Stepco, Csinszka Andrea Kovacs-Ivacson, Alexandru Vlasa, Csilla Benedek and Gabriela Felicia Beresescu
Medicina 2024, 60(5), 734; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina60050734 (registering DOI) - 28 Apr 2024
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Abstract
Background and Objectives: The therapeutic management of carious lesions remains a significant focus for researchers, given their persistently high prevalence despite being largely preventable. This study aimed to compare the effectiveness of a composite resin-based sealant material in halting extended non-cavitated dentin [...] Read more.
Background and Objectives: The therapeutic management of carious lesions remains a significant focus for researchers, given their persistently high prevalence despite being largely preventable. This study aimed to compare the effectiveness of a composite resin-based sealant material in halting extended non-cavitated dentin carious lesions when used therapeutically versus preventively on caries-free teeth over a period of twelve months. Materials and Methods: out of the 236 children examined, 45 were excluded from the study due to non-compliance with the inclusion criteria. Thus, the study included 191 children aged 10–12 years, and 764 molars in total. Results: among these molars, 171 were caries-free (ICDAS II code 0), forming the Control group, while 180 molars were classified with an ICDAS II score of 3, forming the Study group. All molars were sealed and evaluated at 6- and 12-month follow-up intervals. Both intervals revealed statistically significant differences (p < 0.05) in sealant retention and carious lesion development between sound (ICDAS code 0) and decayed (ICDAS code 3) teeth. Conclusions: the findings did not support the effectiveness of sealants in halting non-cavitated dentin carious lesions classified as ICDAS II with code 3 compared to their preventive application in sound teeth classified as ICDAS II with code 0. Full article
(This article belongs to the Special Issue Recent Advances in Pediatric Oral Health)
13 pages, 812 KiB  
Article
Postoperative Morbidity after Dental Treatment under General Anesthesia in Children with and without Disabilities
by Marija Šimunović-Erpušina, Danko Bakarčić, Odri Cicvarić, Luka Šimunović, Vlatka Sotošek, Dorotea Petrović and Nataša Ivančić Jokić
Medicina 2024, 60(4), 668; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina60040668 - 19 Apr 2024
Viewed by 273
Abstract
Background and Objectives: General anesthesia induces reversible unconsciousness, eliminating sensation and enabling painless medical procedures. Vital for dental care, it addresses patients with medical conditions, those needing extensive procedures, and those unable to cooperate due to fear. Dental care for patients with disabilities [...] Read more.
Background and Objectives: General anesthesia induces reversible unconsciousness, eliminating sensation and enabling painless medical procedures. Vital for dental care, it addresses patients with medical conditions, those needing extensive procedures, and those unable to cooperate due to fear. Dental care for patients with disabilities is a significant unmet need, with studies showing increased oral disease prevalence. This research aims to analyze postoperative morbidity both in healthy and disabled children undergoing dental procedures under general anesthesia. Materials and Methods: This study involved 96 children aged 3 to 15 with dental caries. Two groups were formed: the control group (CTL) (52.94%) included healthy patients requiring general anesthesia due to unsatisfactory cooperation, and the other group included children with physical or intellectual disabilities (CD) (47.96%). Postoperative complications were monitored 1 h after the procedure and 1, 3, 7, and 14 days after the procedure by contacting parents/caregivers by phone. The intensity of postoperative pain was assessed using the Wong–Baker faces pain rating scale. General anesthesia was conducted following a standardized protocol for dental procedures. Results: CTL patients complained more often about postoperative pain 1 h after the procedure (p = 0.03). One day after the procedure, oral bleeding (p = 0.04), fever (p = 0.009), and diarrhea (p = 0.037) occurred more often in CD. In the same period, sore throat appeared more often in CTL (p = 0.036). Three days after the dental treatment, there were statistically significant increases in the occurrence of agitation (p = 0.043) and constipation (p = 0.043) in CD. Seven days later, CD demonstrated a higher occurrence of agitation (p = 0.037). According to the Wong–Baker faces pain rating scale, CTL experienced more frequent and intense pain. Conclusions: CD more frequently reported complications like oral bleeding, fever, and diarrhea. In contrast, the CTL group more often reported pain-related symptoms. The conclusion underscores the need for a pain control protocol for CD and emphasizes the importance of frequent monitoring to prevent unwanted consequences during tooth restoration under general anesthesia. Full article
(This article belongs to the Special Issue Recent Advances in Pediatric Oral Health)
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12 pages, 446 KiB  
Article
The Role of Family Factors in the Development of Dental Anxiety in Children
by Dorotea Petrović, Odri Cicvarić, Marija Šimunović-Erpušina, Nataša Ivančić Jokić, Danko Bakarčić, Petra Bučević Sojčić and Hrvoje Jurić
Medicina 2024, 60(1), 180; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina60010180 - 19 Jan 2024
Cited by 1 | Viewed by 1222
Abstract
Background and Objectives: In the literature, the influence of parents who suffer from dental anxiety and a previous unpleasant experience at the dentist are cited as the two most common causes of dental anxiety in children. The aim of this study is [...] Read more.
Background and Objectives: In the literature, the influence of parents who suffer from dental anxiety and a previous unpleasant experience at the dentist are cited as the two most common causes of dental anxiety in children. The aim of this study is to investigate the relationship between socioeconomic factors and the development of dental anxiety in children aged 9 to 12 years. Materials and Methods: A total of 131 children and their accompanying parents/guardians participated in the cross-sectional study. The children were divided into an experimental group, which visited a specialised office for paediatric and preventive dentistry for the examination, and a control group, which visited a primary care dental office. During the visit, the children completed questionnaires on dental anxiety (CFSS-DS). Parents completed a socioeconomic questionnaire and a dental anxiety questionnaire for adults (CDAS). Results: The results showed a statistically significant positive predictor: parental dental anxiety as measured by the CDAS. In addition, the t-test showed that children who visited a specialised dental office did not show a statistically significant increase in dental anxiety compared to children who visited a primary care dental office. Conclusions: With this study, we confirm the influence of parental dental anxiety on the development of dental anxiety in children. The socioeconomic status of the family and the type of dental office do not play a statistically significant role in the development of dental anxiety in children. Full article
(This article belongs to the Special Issue Recent Advances in Pediatric Oral Health)
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11 pages, 748 KiB  
Article
An Alternative Technique for Topical Application of Acidulated Phosphate Fluoride (APF) Gel: A Two-Years Double-Blind Randomization Clinical Trial (RCT)
by Ana Laura Sorazabal, Pablo Salgado, Silvana Ferrarini, Rocio Lazzati, Aldo Fabian Squassi, Guglielmo Campus and Graciela Klemonskis
Medicina 2023, 59(12), 2118; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina59122118 - 04 Dec 2023
Viewed by 1077
Abstract
Background and Objectives: Dental caries is still a dramatic public health problem. The effectiveness of an alternative technique using acidulated phosphate fluoride (APF) gel pH 3.5 was evaluated and compared with conventional treatments in reducing dental caries incidence. Materials and Methods: A double-blind [...] Read more.
Background and Objectives: Dental caries is still a dramatic public health problem. The effectiveness of an alternative technique using acidulated phosphate fluoride (APF) gel pH 3.5 was evaluated and compared with conventional treatments in reducing dental caries incidence. Materials and Methods: A double-blind randomized controlled trial was conducted, involving 180 children aged 4–11 years. Three groups were formed: NaF varnish (NaFV), APF in tray (APFt), and APF in toothbrush (APFtbru). Clinical examinations were performed using standardized criteria and the ICDAS Index was assessed. The Caries Treatment Needs Index (CTNI) was calculated. Dental examinations were conducted at baseline, 12 months, and 24 months. Results: At baseline, 16,719 dental surfaces were included, with 15,434 surfaces being sound. After 24 months, the Kaplan–Meier analysis showed significant differences between the APFtbru group and the other two groups (p = 0.03). Cox regression analysis revealed that the surfaces treated with NaF varnish had the lowest survival rates (HR = 0.51 95%CI = 0.33/0.81). Occlusal surfaces had the lowest cumulative survival, while other tooth surfaces showed similar performance. Conclusions: The alternative technique of APF gel application with a toothbrush resulted in maintaining dental health over 24 months. This technique can be cost-effective and may offer advantages over traditional fluoride varnish application. Full article
(This article belongs to the Special Issue Recent Advances in Pediatric Oral Health)
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