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Pediatric Dentistry—Clinical Updates

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 (5 October 2024) | Viewed by 4187

Special Issue Editor


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Guest Editor
Inserm Center of Reserach in Epidemiology and Statisctics, Université Paris Cité, Oral Médecine Department Hôpital Universitaire Charles Foix, Ivry-sur-Seine, France
Interests: oral development anomalies; maxillary and facial growth anomalies in children and their possible links with early exposure factors

Special Issue Information

Dear Colleagues,

Pediatric dentistry aims to encompass all aspects of children’s oral health in a comprehensive way. The first 1,000 days of life have been highlighted as a key period for lifelong health, and oral health problems in childhood can be a lifelong burden. Environment, diet, general health, medication, and lifestyle are all factors that need to be studied when it comes to major oral problems such as early childhood caries or molar incisor hypomineralization. Developmental defects of enamel continue to challenge researchers in their search for risk factors, and clinicians in their management of their complications. New approaches, such as noninvasive dentistry, have shifted certain paradigms. The introduction of cameras and digital technologies has changed procedures in orthodontics, for instance. The management of children with special needs is still a challenge for practitioners and a major public health issue. We therefore require an update on new evidence on early exposures, childhood oral health and its care, and children’s later health.

This Special Issue addresses the new challenges of children’s oral health as part of global health and aims to highlight recent advances in clinical practice in pediatric dentistry.

Dr. Alice Germa
Guest Editor

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Keywords

  • first 1000 days
  • global health
  • children with special needs
  • diet
  • environmental exposome
  • noninvasive dentistry
  • orthodontics
  • digital

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Published Papers (3 papers)

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Research

13 pages, 261 KiB  
Article
Oral Health and Quality of Life in People with Autism Spectrum Disorder
by Antonio Fallea, Luigi Vetri, Simona L’Episcopo, Massimiliano Bartolone, Marinella Zingale, Eleonora Di Fatta, Gabriella d’Albenzio, Serafino Buono, Michele Roccella, Maurizio Elia and Carola Costanza
J. Clin. Med. 2024, 13(17), 5179; https://doi.org/10.3390/jcm13175179 - 31 Aug 2024
Viewed by 617
Abstract
This article delves into the intricate relationship between oral health, quality of life, and behavioral characteristics in individuals with autism spectrum disorder (ASD). Background/Objectives: Autism has been associated with various challenges, and this study seeks to elucidate the impact of ASD on oral [...] Read more.
This article delves into the intricate relationship between oral health, quality of life, and behavioral characteristics in individuals with autism spectrum disorder (ASD). Background/Objectives: Autism has been associated with various challenges, and this study seeks to elucidate the impact of ASD on oral health outcomes and overall well-being. The research focuses on assessing overall oral health by evaluating various parameters, such as the condition of lips, tongue, gums and tissues, natural teeth, dentures, oral hygiene, and dental pain in individuals with ASD. Additionally, the study explores the influence of age, sex, and certain variables, like basic daily living skills on oral health practices, aiming to identify potential correlations between these factors and oral health outcomes. Methods: We employed standardized instruments to quantitatively measure and analyze the impact of oral health status on the overall quality of life experienced by individuals with ASD. Results: The study found a statistically significant positive association between oral health, measured by the Oral Health Assessment Tool (OHAT), and quality of life, as indicated by EuroQol 5-Dimensions Youth version (EQ-5D-Y) total scores (β = 0.13045, p = 0.00271). This suggests that better oral health is linked to higher quality of life. When adjusting for age and sex in a multiple linear regression model, the association remained significant but with a slightly reduced effect size (β = 0.10536, p = 0.0167). Age also showed a marginally significant positive association with quality-of-life scores. ANOVA results indicated that participants with advanced oral health status reported significantly higher quality-of-life scores than those with poorer oral health (p = 0.00246). The study also found that intelligence quotient (IQ) does not substantially influence dental health status, while the “Autonomy” subscale of the EQ-5D-Y is positively related to the OHAT. Conclusions: Unhealthy oral conditions significantly impact the overall quality of life in individuals with ASD. Therefore, it is crucial to include regular dental assessments and treatments in therapeutic protocols for patients with ASD. Full article
(This article belongs to the Special Issue Pediatric Dentistry—Clinical Updates)
10 pages, 459 KiB  
Article
Development and Validation of the SCAN-Score to Indicate General Anesthesia for Dental Care in Children
by Pierre-Jean Berat, Romain Jacq, Chloé Villain, Sibylle Vital and Alice Germa
J. Clin. Med. 2024, 13(6), 1640; https://doi.org/10.3390/jcm13061640 - 13 Mar 2024
Viewed by 852
Abstract
Background: General anesthesia is an approach used to address behavior issues in pediatric dentistry. This indication often relies on the practitioner’s discretion rather than objective criteria. We developed SCAN-score to assist pediatric dentists in the case of doubt to indicate general anesthesia [...] Read more.
Background: General anesthesia is an approach used to address behavior issues in pediatric dentistry. This indication often relies on the practitioner’s discretion rather than objective criteria. We developed SCAN-score to assist pediatric dentists in the case of doubt to indicate general anesthesia for uncooperative children. The study aims were to assess the validity of the SCAN-score, which aims to indicate general anesthesia or chairside management for dental care. Methods: A retrospective study was performed on children aged between 2 and 10 years who received dental care. The SCAN-score combined three item scales (age, need of care, behavior) and three additional factors: communication barriers, permanent teeth caries, and local anesthesia contraindications. Mean scores were estimated. An ROC curve was constructed with sensitivities and specificities obtained. Results: The study included 284 children, with 154 treated through chairside methods and 130 treated under general anesthesia. The mean score was 5.6 ± 2.8 in the chairside management group and 12.9 ± 1.9 in the general anesthesia group. The sensitivity of the score (cutoff at 10) was 0.99, and the specificity was 0.94. The estimate of the ROC is 0.994. Conclusions: The SCAN-score appears to be an excellent tool to support the practitioner’s decision to refer to general anesthesia care. Full article
(This article belongs to the Special Issue Pediatric Dentistry—Clinical Updates)
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11 pages, 548 KiB  
Article
Obesity and Dental Caries in School Children
by Amir Mohajeri, Gabrielle Berg, April Watts, Val Joseph Cheever and Man Hung
J. Clin. Med. 2024, 13(3), 860; https://doi.org/10.3390/jcm13030860 - 1 Feb 2024
Cited by 1 | Viewed by 2205
Abstract
(1) Background: Childhood obesity and dental caries are common chronic conditions with multiple contributing factors, linked to negative health consequences and significant expenses in healthcare. The aim of this study was to assess the correlation between obesity and dental caries in school-aged children; [...] Read more.
(1) Background: Childhood obesity and dental caries are common chronic conditions with multiple contributing factors, linked to negative health consequences and significant expenses in healthcare. The aim of this study was to assess the correlation between obesity and dental caries in school-aged children; (2) Methods: Data from 3323 6–12-year-old children from the National Health and Nutrition Examination Survey (NHANES) 2011–2016 were analyzed. The NHANES was conducted at the Centers for Disease Control and Prevention (CDC) in the United States. The CDC standard was used to define obesity. Dental caries was measured during clinical examinations and summarized using DMFT scores for caries experience and prevalence (dt > 0) for untreated caries. The study examined the correlation between obesity and dental caries using regression models that considered demographic variables, family socioeconomic status, and the child’s intake of added sugars as controlling factors; (3) Results: The association between obesity and dental caries was not significant in either unadjusted or adjusted models; and (4) Conclusion: The data indicate that untreated caries and caries experiences are not directly correlated with childhood obesity. There are, however, common causes of poor dental health and childhood obesity: culture, poverty level, lifestyle, and family traditions and habits. Dentists must be aware of factors influencing the development of childhood caries so that they can intervene as early as possible. Full article
(This article belongs to the Special Issue Pediatric Dentistry—Clinical Updates)
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