Children

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3 pages, 209 KiB

Open AccessEditorial

Advanced Applications in Pediatric Dentistry: A Worldwide Perspective of the Last 13 Years

by Antonino Lo Giudice

Children 2023, 10(10), 1678; https://doi.org/10.3390/children10101678 - 12 Oct 2023

Cited by 1 | Viewed by 1094

Abstract

The enhancement of the clinical management of growing patients has always been a great challenge for orthodontists and pediatric dentists [...] Full article

(This article belongs to the Special Issue New Clinical Evidences in Pediatric Orthodontics and Pediatric Dentistry)

Research

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9 pages, 1370 KiB

Open AccessArticle

Severe Crowding Associated with Lower Canine Premature Resorption: Interceptive Treatment with Clear Aligners—A Pilot Study

by Francesca Gazzani, Chiara Pavoni, Saveria Loberto, Silvia Caruso and Paola Cozza

Children 2024, 11(4), 451; https://doi.org/10.3390/children11040451 - 8 Apr 2024

Viewed by 596

Abstract

Background: Early mixed dentition represents a critical phase since crowding conditions can occur. The interceptive resolution of dental crowding allows favorable arch and occlusal development. The aim of the present investigation was to evaluate dentoalveolar changes of clear aligner treatment planned to manage [...] Read more.

Background: Early mixed dentition represents a critical phase since crowding conditions can occur. The interceptive resolution of dental crowding allows favorable arch and occlusal development. The aim of the present investigation was to evaluate dentoalveolar changes of clear aligner treatment planned to manage lower incisor crowding, loss of arch length, and midline deviation in early mixed dentition. Methods: A total of 13 patients (7 females, 6 males, 9.4 ± 1.2 age) treated with clear aligners were selected. Arch dimensions and incisor inclinations were evaluated before (T0) and at the end of interceptive treatment (T1). A paired t-test was chosen to compare T1–T0 changes. The level of significance was set at 5%. Results: The greatest significant increase in mandibular width was observed at the level of the first deciduous molars (+2.44 ± 1.4 mm), followed by the second permanent molars (+2.16 ± 1.4 mm). Lower arch length and arch depth showed a statistically relevant increase (2 ± 0.6 mm and 4.5 ± 1.6 mm, respectively). The mean lower dental midline changes were statistically significant (1.42 ± 0.73 mm). Conclusions: Early treatment with clear aligners, including the combination of transversal arch development, maintenance of leeway space, and guidance of eruption, represents a valid treatment strategy in early mixed dentition to manage arch crowding and occlusion development. Full article

(This article belongs to the Special Issue New Clinical Evidences in Pediatric Orthodontics and Pediatric Dentistry)

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11 pages, 527 KiB

Open AccessArticle

Cross-Bite and Oral-Health-Related Quality of Life (OHRQoL) in Preadolescents Aged 11 to 14 Years Old: A Pilot Case-Control Study

by Adrián Curto, Alberto Albaladejo, Alfonso Alvarado-Lorenzo, Álvaro Zubizarreta-Macho and Daniel Curto

Children 2023, 10(8), 1311; https://doi.org/10.3390/children10081311 - 29 Jul 2023

Cited by 1 | Viewed by 810

Abstract

Introduction: Malocclusions have a negative impact on oral-health-related quality of life (OHRQoL). Posterior cross-bite is one of the most prevalent malocclusions in the preadolescent population. This study investigated the influence of posterior cross-bites (unilateral or bilateral) on OHRQoL in an 11- to 14-year-old [...] Read more.

Introduction: Malocclusions have a negative impact on oral-health-related quality of life (OHRQoL). Posterior cross-bite is one of the most prevalent malocclusions in the preadolescent population. This study investigated the influence of posterior cross-bites (unilateral or bilateral) on OHRQoL in an 11- to 14-year-old population. Materials and Methods: A pilot case–control study was carried out at the Dental Clinic of the University of Salamanca between 2021 and 2023. A consecutive sample of 120 preadolescent patients aged 11 to 14 years old was recruited. Three groups were analyzed: a control group (no posterior cross-bite) (n = 40), a group with unilateral posterior cross-bite (n = 40), and a group with bilateral posterior cross-bite (n = 40). To analyze the OHRQoL, the Spanish version of the Child Perception Questionnaire (CPQ-Esp_11–14) was used. Results: The mean age of the sample was 12.2 years old (±0.96 years). The group of patients with a bilateral posterior cross-bite was shown to have higher scores in all dimensions of the CPQ-Esp_11–14, as well as a higher total score. Sex only influenced the oral symptom dimension of the CPQ-Esp_11–14 questionnaire; in this dimension, the girls described a greater impact. Age did not influence OHRQoL. Conclusion: The presence of a posterior cross-bite had a negative impact on OHRQoL in the preadolescent population that was studied. Full article

(This article belongs to the Special Issue New Clinical Evidences in Pediatric Orthodontics and Pediatric Dentistry)

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10 pages, 2601 KiB

Open AccessArticle

Comparative Analysis of Skeletal Changes, Occlusal Changes, and Palatal Morphology in Children with Mild Class III Malocclusion Treated with Elastodontic Appliances and Bimaxillary Plates

by Vincenzo Ronsivalle, Vincenzo Quinzi, Salvatore La Rosa, Rosalia Leonardi and Antonino Lo Giudice

Children 2023, 10(7), 1219; https://doi.org/10.3390/children10071219 - 14 Jul 2023

Cited by 3 | Viewed by 1078

Abstract

Background: The aim of the present study was to compare the changes observed in children after the early treatment of mild class III malocclusion using bimaxillary removable plates supported by class III elastics and elastodontic devices. Methods: Twenty children (mean age 7.6 ± [...] Read more.

Background: The aim of the present study was to compare the changes observed in children after the early treatment of mild class III malocclusion using bimaxillary removable plates supported by class III elastics and elastodontic devices. Methods: Twenty children (mean age 7.6 ± 1.1 years) with signs of class III malocclusion were treated using by-maxillary plates (PG group) with class III elastics (10 subjects = mean age 7.9 ± 1.3 years) or using class III elastodontic devices (EG group) (10 subjects = mean age 7.4 ± 0.8 years). Digital models and lateral cephalograms were obtained before treatment (T0) and at the end of treatment (T1). The digital models were analyzed to assess occlusal changes and maxillary morphology using the surface-to-surface matching technique. Changes in cephalometric parameters were also analyzed. The data outcomes were statistically analyzed using the paired Student’s t test for inter-timing assessments and the independent Student’s t test for inter-group assessments. Results: Both groups showed correction of class III malocclusions, with a significant increase in the ANB angle and the overjet (p < 0.05). Subjects in the PG group exhibited a greater reduction in the inter-incisal angle compared to the EG group (p < 0.05). The children in the EG group had a significantly lower percentage of palatal morphology matching between T0 and T1 compared to the PG group (p < 0.05), suggesting greater morphological changes in the palate. Conclusions: Elastodontic appliances (EAs) and bi-maxillary plates successfully correct class III malocclusions in children. However, elastodontic devices significantly improved the morphology of the palate, both in the transverse and anteroposterior directions. Full article

(This article belongs to the Special Issue New Clinical Evidences in Pediatric Orthodontics and Pediatric Dentistry)

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9 pages, 243 KiB

Open AccessArticle

Correlation between Malocclusions, Tonsillar Grading and Mallampati Modified Scale: A Retrospective Observational Study

by Can Serif Kuskonmaz, Giovanni Bruno, Maria Lavinia Bartolucci, Michele Basilicata, Antonio Gracco and Alberto De Stefani

Children 2023, 10(6), 1061; https://doi.org/10.3390/children10061061 - 14 Jun 2023

Cited by 1 | Viewed by 1206

Abstract

Aim: to investigate the correlation between growth tendency and different patient malocclusion, tonsillar grading, and tongue size (Mallampati index). Materials and Methods: The sample is composed of 64 males and 40 females; patients aged between 6 and 16 years (median age 11 years, [...] Read more.

Aim: to investigate the correlation between growth tendency and different patient malocclusion, tonsillar grading, and tongue size (Mallampati index). Materials and Methods: The sample is composed of 64 males and 40 females; patients aged between 6 and 16 years (median age 11 years, IQR 9–13) were included. The final sample is therefore 104 patients. After the first orthodontic visit, all the children underwent a collection of documentation (photographs, digital arch models, and X-rays). Patients were classified according to their malocclusion, palatal conformation, tonsillar grading, and Mallampati index. Group comparisons were performed using Fisher’s test. A p-value less than 0.05 was considered statistically significant. Results: The narrow palate was more frequent in those with Angle class III (p = 0.04), while the other variables considered (tonsillar grading, Mallampati, and lingual frenulum) were not significantly associated with dental class (p > 0.05). Furthermore, a different distribution of tonsillar grading was observed between subjects with normal palate and subjects with narrow palate, while no statistically significant association was found between the palatal shape and Mallampati index (p = 0.88). Conclusions: This study found that children with higher tonsillar grading had a higher prevalence of crossbite or narrow palate compared to other children at the same developmental stage. However, we did not observe any association between tonsil hyperplasia and the prevalence of class II malocclusion, anterior open bite, or patient divergence in this sample. Furthermore, no correlation was found between the Mallampati index and patients’ dental class, narrow palate, or divergence in this study. Full article

(This article belongs to the Special Issue New Clinical Evidences in Pediatric Orthodontics and Pediatric Dentistry)

12 pages, 959 KiB

Open AccessArticle

Investigation of the Relationship of Impacted Maxillary Canines with Orthodontic Malocclusion: A Retrospective Study

by Orhan Cicek, Turhan Gurel and Busra Demir Cicek

Children 2023, 10(6), 950; https://doi.org/10.3390/children10060950 - 26 May 2023

Cited by 4 | Viewed by 1548

Abstract

Impacted canines, which play an important role in smile aesthetics and functional occlusion, can lead to dental and skeletal malocclusions. In this study the aim was to evaluate the relationship between impacted maxillary canines and malocclusion. A total of 151 patients comprising 101 [...] Read more.

Impacted canines, which play an important role in smile aesthetics and functional occlusion, can lead to dental and skeletal malocclusions. In this study the aim was to evaluate the relationship between impacted maxillary canines and malocclusion. A total of 151 patients comprising 101 females and 50 males aged between 13 and 33 years were included. The groups were divided based on age, gender, skeletal and dental classification, and sector classification. Angular and linear measurements were performed on lateral cephalometric and panoramic radiographs. In panoramic radiographs, the vertical distance of the impacted canine to the occlusal plane and the angle between it and the bicondylar plane were measured and sector classification was performed according to its relationship with the root of the lateral incisor. Skeletal classification was performed according to the ANB angle on lateral cephalometric radiographs and dental classification by molar relationship via the intraoral photographs. The Chi-square test analyzed independent qualitative and quantitative data using Kruskal–Wallis and Man–Whitney U tests. The statistical significance level was accepted as p < 0.05. According to the intraclass correlation test, an excellent positive correlation was found with 0.985 for canine distance and 0.993 for canine angle between the repeated measurements. The impaction of the maxillary right canine was significantly highest in females and lowest in males. The impacted canine angle was significantly highest in sector 1 and lowest in sector 4. Distance to the occlusal plane was significantly higher in dental Class II and sector 4. It was observed that there was a considerable relationship between impacted maxillary canines and malocclusion; bilateral impacted canines were more frequent in skeletal Class III, and the distance of impacted canines to the occlusal plane increased while their angles decreased both in dental Class II and from sectors 1 to 4. Full article

(This article belongs to the Special Issue New Clinical Evidences in Pediatric Orthodontics and Pediatric Dentistry)

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Other

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18 pages, 2198 KiB

Open AccessSystematic Review

Primary Failure Eruption: Genetic Investigation, Diagnosis and Treatment: A Systematic Review

by Francesco Inchingolo, Irene Ferrara, Fabio Viapiano, Anna Maria Ciocia, Irene Palumbo, Mariafrancesca Guglielmo, Alessio Danilo Inchingolo, Andrea Palermo, Ioana Roxana Bordea, Angelo Michele Inchingolo, Daniela Di Venere and Gianna Dipalma

Children 2023, 10(11), 1781; https://doi.org/10.3390/children10111781 - 2 Nov 2023

Viewed by 1279

Abstract

Aim: The aim of this systematic review is to explore the pathology, diagnosis, treatment, and genetic basis of Primary Failure of Eruption (PFE) in the field of pediatric dentistry and orthodontics. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines [...] Read more.

Aim: The aim of this systematic review is to explore the pathology, diagnosis, treatment, and genetic basis of Primary Failure of Eruption (PFE) in the field of pediatric dentistry and orthodontics. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed for this review. The databases PubMed, Science Direct, Scopus, and Web of Science were searched from 1 July 2013 to 1 July 2023, using keywords “primary failure of tooth eruption” OR “primary failure of eruption” OR “tooth eruption failure” OR “PFE” AND “orthodontics”. The study selection process involved screening articles based on the inclusion and exclusion criteria. Results: A total of 1151 results were obtained from the database search, with 14 papers meeting the inclusion criteria. The review covers various aspects of PFE, including its clinical features, diagnosis, treatment options, and genetic associations with mutations in the PTH1R gene. Differentiation between PFE and Mechanical Failure of Eruption (MFE) is crucial for accurate treatment planning. Orthodontic and surgical interventions, along with multidisciplinary approaches, have been employed to manage PFE cases. Genetic testing for PTH1R mutations plays a significant role in confirming the diagnosis and guiding treatment decisions, although some cases may not be linked to this mutation. Conclusions: This systematic review provides valuable insights into the diagnosis, treatment, and genetic basis of PFE. Early diagnosis and personalized treatment planning are crucial for successful management. Genetic testing for PTH1R mutations aids in accurate diagnosis and may influence treatment decisions. However, further research is needed to explore the complex genetic basis of PFE fully and improve treatment outcomes for affected individuals. Full article

(This article belongs to the Special Issue New Clinical Evidences in Pediatric Orthodontics and Pediatric Dentistry)

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10 pages, 3468 KiB

Open AccessCase Report

Guided Autotransplantation of Impacted Canines Using a CAD/CAM Surgical Template

by Soyoung Park, Haena Lee, Eungyung Lee, Taesung Jeong, Hyeonjong Lee and Jonghyun Shin

Children 2023, 10(4), 708; https://doi.org/10.3390/children10040708 - 11 Apr 2023

Cited by 1 | Viewed by 2351

Abstract

Autotransplantation is a potential treatment alternative when orthodontic traction of an impacted tooth is difficult. In this article, we describe two cases of guided autotransplantation of an impacted canine using a computer-aided designed and manufactured surgical template. The impacted canine was segmented on [...] Read more.

Autotransplantation is a potential treatment alternative when orthodontic traction of an impacted tooth is difficult. In this article, we describe two cases of guided autotransplantation of an impacted canine using a computer-aided designed and manufactured surgical template. The impacted canine was segmented on preoperative cone-beam computed tomography images to ensure a sufficient periodontal ligament space and placement of the donor tooth with the least pressure on it. The canine was virtually transposed using a simulation program considering the adjacent teeth. The surgical template, which was connected to the occlusal stop on adjacent teeth, was designed and 3D-printed with polymer resin. The recipient site was prepared using the surgical template, followed by immediate transplantation of the surgically extracted canine into the socket. The transplanted donor tooth was positioned in planned infra-occlusion to prevent occlusal interference. It was then splinted with the adjacent teeth for initial stabilization. During follow-up, one transplanted tooth showed pulp canal obliteration and the other had suspected pulp necrosis; endodontic treatment was performed. One year after the procedure, the periradicular condition of both teeth was favorable. Full article

(This article belongs to the Special Issue New Clinical Evidences in Pediatric Orthodontics and Pediatric Dentistry)

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