Modern Solutions for Diagnosis and Treatment Planning in Pediatric Dentistry and Orthodontics

A special issue of Pediatric Reports (ISSN 2036-7503).

Deadline for manuscript submissions: 31 January 2025 | Viewed by 2987

Special Issue Editors


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Guest Editor
Department of General Surgery and Medical-Surgical Specialties, School of Dentistry, Unit of Orthodontics, University of Catania, 95131 Catania, Italy
Interests: 3D imaging; CBCT; digital anatomical segmentation; facial scan; intraoral scan; cephalometry; craniofacial development imaging; CAD-CAM; diagnostic digital workflow; RMI; functional orthodontic appliances; dentofacial orthopedics; interceptive orthodontics; elastodontics
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Unit of Orthodontics, Department of General Surgery and Medical-Surgical Specialties, School of Dentistry, University of Catania, 95131 Catania, Italy
Interests: 3D imaging; CBCT; artificial intelligence (AI); digital anatomical segmentation; facial scan; intra-oral scan; cephalometry; craniofacial development imaging; CAD-CAM; diagnostic digital workflow; RMI; functional orthodontic appliances; dentofacial orthopedics
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Biomedical and Surgical and Biomedical Sciences, Catania University, 95123 Catania, Italy
Interests: oral pathology; oral medicine; periodontology; oral surgery; oral diseases; dental medicine; oral and maxillofacial pathology; orthodontics; digital dentistry
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Pediatric dentistry is continually evolving, with new techniques and innovations playing a crucial role in improving clinical outcomes and enhancing the overall experience for young patients. This Special Issue aims to explore the latest advancements, challenges, and future perspectives surrounding the integration of modern technologies in pediatric dentistry.

We invite submissions that address a diverse range of topics related to current trends in pediatric dentistry, including, but not limited to:

  • Minimally Invasive Pediatric Dentistry

Advances in minimally invasive restorative techniques for primary teeth.

Strategies to preserve tooth structure and promote conservative treatment approaches.

  • Pain Management and Sedation Techniques

Innovations in pain management for pediatric dental procedures.

Safe and effective sedation protocols in pediatric dentistry.

  • Early Orthodontic Intervention

Contemporary approaches to early orthodontic assessment and treatment.

Multidisciplinary collaboration in addressing orthodontic issues in pediatric patients.

  • Behavior Guidance and Management

Novel techniques for behavior guidance in pediatric patients.

Psychosocial and pharmacological interventions to reduce dental anxiety in children.

  • Preventive and Educational Programs

Innovative preventive strategies for caries and other pediatric oral health issues.

Digital tools and educational programs for promoting oral health in children.

  • Interdisciplinary Care in Pediatric Dentistry

Collaborative approaches involving pediatric dentists, orthodontists, and other specialists.

Case studies highlighting successful interdisciplinary treatments.

Authors are encouraged to submit original research, reviews, case reports, and technical notes on the specified topics. Manuscripts should be submitted online through the journal's submission system, adhering to the guidelines provided by the journal.

Dr. Antonino Lo Giudice
Prof. Dr. Rosalia Leonardi
Dr. Vincenzo Ronsivalle
Guest Editors

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. Pediatric Reports is an international peer-reviewed open access quarterly 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 1600 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

  • pediatric dentistry
  • preventive treatment
  • early treatment
  • ECC
  • 3D imaging
  • digital dentistry
  • special needs
  • digital orthodontics
  • CAD/CAM
  • custom-made appliance
  • pediatric radiology
  • intra-oral scanner
  • facial scanner
  • interdisciplinary treatments

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Published Papers (3 papers)

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Research

12 pages, 1319 KiB  
Article
Artificial Intelligence (AI) Assessment of Pediatric Dental Panoramic Radiographs (DPRs): A Clinical Study
by Natalia Turosz, Kamila Chęcińska, Maciej Chęciński, Karolina Lubecka, Filip Bliźniak and Maciej Sikora
Pediatr. Rep. 2024, 16(3), 794-805; https://doi.org/10.3390/pediatric16030067 - 11 Sep 2024
Viewed by 643
Abstract
This clinical study aimed to evaluate the sensitivity, specificity, accuracy, and precision of artificial intelligence (AI) in assessing permanent teeth in pediatric patients. Over one thousand consecutive DPRs taken in Kielce, Poland, with the Carestream CS9600 device were screened. In the study material, [...] Read more.
This clinical study aimed to evaluate the sensitivity, specificity, accuracy, and precision of artificial intelligence (AI) in assessing permanent teeth in pediatric patients. Over one thousand consecutive DPRs taken in Kielce, Poland, with the Carestream CS9600 device were screened. In the study material, 35 dental panoramic radiographs (DPRs) of patients of developmental age were identified and included. They were automatically evaluated with an AI algorithm. The DPRs were then analyzed by researchers. The status of the following dichotomous variables was assessed: (1) decay, (2) missing tooth, (3) filled tooth, (4) root canal filling, and (5) endodontic lesion. The results showed high specificity and accuracy (all above 85%) in detecting caries, dental fillings, and missing teeth but low precision. This study provided a detailed assessment of AI performance in a previously neglected age group. In conclusion, the overall accuracy of AI algorithms for evaluating permanent dentition in dental panoramic radiographs is lower for pediatric patients than adults or the entire population. Hence, identifying primary teeth should be implemented in AI-driven software, at least so as to ignore them when assessing mixed dentition (ClinicalTrials.gov registration number: NCT06258798). Full article
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22 pages, 11960 KiB  
Article
Clinical Study and Microbiological Analysis of Periodontopathogenic Microflora Analyzed among Children and Adolescents with Cardiovascular Diseases Compared to Group with Good General Status
by Oana Chipirliu, Marian Viorel Crăciun and Madalina Nicoleta Matei
Pediatr. Rep. 2024, 16(2), 482-503; https://doi.org/10.3390/pediatric16020041 - 18 Jun 2024
Viewed by 785
Abstract
Periodontal diseases, as an important part of oral pathology, present different characteristics when affecting children and adolescents or young adults. Studies have shown that adolescence and childhood are closely related to a high risk of periodontal disease, but the follow-up for periodontal health [...] Read more.
Periodontal diseases, as an important part of oral pathology, present different characteristics when affecting children and adolescents or young adults. Studies have shown that adolescence and childhood are closely related to a high risk of periodontal disease, but the follow-up for periodontal health or damage at this age has been insufficiently appreciated until now. The aim of this study was to identify subgingival microorganisms using a real-time polymerase chain reaction (PCR) in a group of children and adolescents aged 7–17 years with and without cardiovascular disease. The group of 62 subjects with gingival inflammation and poor hygiene was divided into two groups according to general condition: 31 subjects with carduivascular disease (group A) and 31 subjects without cardiovascular disease (group C). Subjects were examined in the initial consultation, the state of hygiene and periodontal inflammation was assessed using the plaque index (PI) and gingival index (GI), and samples were taken from the gingival sulcus using sterile paper cones to determine nine subgingival microorganisms. Nine subgingival microorganisms were identified: Aggregatibacter actinomycetemcomitans (Aa), Porphyromonas gingivalis (Pg), Treponema denticola (Td), Tannerella forsythias (Tf), Prevotella intermedia (Pi), Peptostreptococcus (Micromonas) micros (Pm), Fusobacterium nucleatum (Fn), Eubacterium nodatum (En), and Capnocytophaga gingivalis (Cg). The patients were included in a specialist treatment program which aimed to relieve the inflammatory condition, remove local irritative factors, and train the patients to perform proper oral hygiene at home by using primary and secondary oral hygiene products. Subjects were reevaluated 3 months after treatment, when measurements for the PI and GI and microbiological determinations were repeated. The results showed a predominance of subjects aged 16–17 years (12.4%). Among the subjects with marked gingival inflammation, the male gender was predominant (58.06%). The PI values changed considerably after treatment, with lower values in patients presenting a general condition without cardiovascular disease (PI = 8.10%) compared with the patients with cardiovascular disease (PI = 13.77%). After treatment, the GI showed considerable changes in both groups. Red, orange, and purple complex microorganisms were found before treatment and decreased considerably after treatment in both groups. The highest values were found for Treponema denticola (140,000 (1.4 × 105)) in patients with cardiovascular disease and generalized gingival inflammation. Of the pathogenic microorganisms, the most common was Tannerella forsythia in 52 patients before treatment, and red microorganisms considerably appeared in only 10 patients after treatment. Capnocytophaga gingivalis remained constant both in the diseased state and after treatment and was consistent with periodontal health. Children with cardiovascular diseases had a higher prevalence of gingival manifestations. The composition of the subgingival microbial plaque was directly influenced by the degree of oral hygiene, but the response to specialized treatment was also influenced by the general health status. The results of this study support the conclusion that periodontal pathogens appear and multiply in the absence of proper hygiene in childhood after the eruption of permanent teeth, and their action leads to the initiation of periodontal diseases. Full article
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13 pages, 1282 KiB  
Article
Analysis of Pediatric Pulpotomy, Pulpectomy, and Extractions in Primary Teeth Revealed No Significant Association with Subsequent Root Canal Therapy and Extractions in Permanent Teeth: A Retrospective Study
by Arash Farhadian, Mayce Arreem Issa, Karl Kingsley and Victoria Sullivan
Pediatr. Rep. 2024, 16(2), 438-450; https://doi.org/10.3390/pediatric16020038 - 31 May 2024
Viewed by 861
Abstract
Recent evidence suggests that an ever-growing number of pediatric patients require invasive treatments such as root canal therapy (RCT) in their permanent dentition, albeit with little information about risk factors such as prior invasive treatments of pulpotomy or pulpectomy in their primary dentition. [...] Read more.
Recent evidence suggests that an ever-growing number of pediatric patients require invasive treatments such as root canal therapy (RCT) in their permanent dentition, albeit with little information about risk factors such as prior invasive treatments of pulpotomy or pulpectomy in their primary dentition. Therefore, the primary objectives of this study were to determine the number of pediatric patients who have had any type of invasive treatment in their primary teeth, to assess their association with any subsequent invasive treatment (root canal therapy, extractions) in their permanent dentition, and to assess these trends over time. This retrospective study utilized summary data from a clinical pediatric patient pool (ages 0–17) over the period of 2013–2022. This analysis revealed that pediatric patients requiring pulpotomies and pulpectomies in primary dentition declined between 2013 (n = 417, n = 156) and 2022 (n = 250, n = 12), while root canal therapy (RCT) in permanent dentition increased six-fold from n = 54 to n = 330. In addition, few (7.8%) patients with RCT had a previous history of pulpotomy or pulpectomy, which suggests that invasive treatments performed in primary dentition have no direct association with the subsequent need for invasive treatments in permanent dentition, although more research is needed to determine the explanations for these observations. Full article
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