Journal•ISSN: 1818-6300
European Archives of Paediatric Dentistry
Springer Science+Business Media
About: European Archives of Paediatric Dentistry is an academic journal published by Springer Science+Business Media. The journal publishes majorly in the area(s): Medicine & Molar incisor hypomineralisation. It has an ISSN identifier of 1818-6300. Over the lifetime, 1122 publications have been published receiving 17731 citations.
Papers published on a yearly basis
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TL;DR: MIH is an important clinical problem that often concerns both the general dental and specialist paediatric dentists; the present ‘best clinical practice guidance’ aims to further help clinicians dealing with the condition.
Abstract: BACKGROUND: The European Academy of Paediatric Dentistry (EAPD) has long recognised the necessity of promoting further research and knowledge regarding the dental defect described as molar-incisor-hypomineralisation (MIH). Following the establishment by EAPD of the defect diagnostic criteria in 2003, the publication of various papers and a whole issue assigned to the defect in the European Archives of Paediatric Dentistry (2008), an Interim Seminar and Workshop on MIH was organized in Helsinki in 2009. RESULT: The outcome of this event is the present consensus paper on the prevalence, diagnosis, aetiology and treatment for children and adolescents presenting with MIH. A clear diagnostic proposal and a treatment decision-making guide are presented together with suggestions on aetiology and guidance forfuture research. CONCLUSION: MIH is an important clinical problem that often concerns both the general dental and specialist paediatric dentists; the present ‘best clinical practice guidance’ aims to further help clinicians dealing with the condition.
343 citations
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TL;DR: Despite increased knowledge on the aetiology of MIH insufficient evidence to verify the causative factors exists and further studies are needed to improve the level and strength of evidence of the role of the present putative factors and to reveal new factors that may be involved.
Abstract: AIM: This was to review and assess the studies on aetiology of Molar-Incisor Hypomineralisation (MIH) or, as a proxy, of demarcated opacities in permanent first molars and to consider the potential factors involved with findings obtained in animal experiments. METHODS: A systematic search by Medline® online database was performed. Abstracts behind appropriate titles were studied and finally the full articles were evaluated for their strength of evidence in the aetiology of MIH. RESULTS: From a total of 1,142 articles 28 were identified and selected for review. The selected papers covered medical problems in prenatal, perinatal and postnatal period, medication of the child during the first years of life, and exposure to fluoride or environmental toxicants (dioxins and PCBs) in the early childhood. Based on the assessment of the articles it was still not possible to specifically name those factors causing MIH although correlations between several potential factors and MIH were presented. Among the factors suggested and found to cause enamel defects in animal experiments were: high fever, hypoxia, hypocalcaemia, exposure to antibiotics (amoxicillin, a macrolide), and dioxins. CONCLUSION: Despite increased knowledge on the aetiology of MIH insufficient evidence to verify the causative factors exists. Further studies, especially prospective ones, are needed to improve the level and strength of evidence of the role of the present putative factors and to reveal new factors that may be involved. Any combined effect of several factors should be taken into account. Experimental dose/response studies and research on the molecular mechanisms causing the abnormal function of the ameloblasts are also necessary to deepen our knowledge of MIH.
283 citations
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TL;DR: Further standardization of study design and methods is needed to make the results comparable and to point out shortcomings and to suggest areas in need of improvement concerning the diagnosis and prevalence of MIH.
Abstract: AIM: This was to review the literature published, to point out shortcomings and to suggest areas in need of improvement concerning the diagnosis and prevalence of MIH METHODS: A broad search of the PubMed database was conducted Relevant papers published in English were identified after a review of their titles, abstracts or full reading of the papers Papers were selected if the number of children with at least one first permanent molar affected by demarcated opacities could be deciphered Targeted publications were critically assessed by the author concerning examination criteria, selection and character of the study groups, examiners’ calibration and result presentation RESULTS: The initial search revealed 414 papers of which 24 met the inclusion criteria A wide variation in defect prevalence (24–402 %) was reported Cross comparison of the results of the various studies were difficult because of use of different indices and criteria, examination variability, methods of recording and different age groups CONCLUSIONS: Further standardization of study design and methods is needed to make the results comparable
273 citations
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TL;DR: The benefits of topical fluorides are firmly established based on a sizeable body of evidence from randomized controlled trials, and better quality research is needed to reach clearer conclusions on the effects of slow release fluoride devices, milk fluoridation, sealants in comparison with fluoride varnishes, and of different modes of delivering fluoride to orthodontic patients.
Abstract: AIM: o present the evidence summarized in the Cochrane fluoride reviews. STUDY DESIGN: An overview of the results of selected systematic reviews. METHODS: Relevant systematic reviews published in the Cochrane Database of Systematic Reviews (CDSR) were identified by searching ‘The Cochrane Library issue 4, 2008’, using the terms ‘Fluoride’ and ‘Caries’. Complete Cochrane reviews assessing the effectiveness of any fluoride-based intervention for preventing caries were selected, and their main features and findings were reviewed. RESULTS: 14 papers were identified of which 11 were relevant full-text reviews. The results were assessed of 7 reviews published from 2002 to 2004 concerning the relative effectiveness of 4 topical fluoride treatments (toothpastes, gels, varnishes and mouthrinses) in preventing caries in children and adolescents. Comparisons in these reviews were made against non-fluoride controls, against each other, and against different combinations. Findings from 4 reviews published between 2004 and 2006, assessing other fluoride modalities (slow release devices, milk), specific comparison/site (fluoride varnishes versus sealants in occlusal surfaces), and particular population and caries outcome (fluorides for white spot lesions in orthodontic patients) were also assessed. The 7 reviews confirm a clear and similar effectiveness of topical fluoride toothpastes, mouthrinses, gels and varnishes for preventing caries, and show that additional caries reduction can be expected when another topical fluoride is combined with fluoride toothpaste. Evidence is insufficient to confirm the effectiveness of slow release fluoride devices and fluoridated milk. The comparative effectiveness of other modes of delivering fluoride, such as to orthodontic patients is also as yet unclear. Fissure sealants appear more effective than fluoride varnish for preventing occlusal caries but the size of the difference is unclear. CONCLUSIONS: The benefits of topical fluorides are firmly established based on a sizeable body of evidence from randomized controlled trials. The size of the reductions in caries increment in both the permanent and the primary dentitions emphasizes the importance of including topical fluoride delivered through toothpastes, rinses, gels or varnishes in any caries preventive program. However, trials to discern potential adverse effects are required, and data on acceptability. Better quality research is needed to reach clearer conclusions on the effects of slow release fluoride devices, milk fluoridation, sealants in comparison with fluoride varnishes, and of different modes of delivering fluoride to orthodontic patients.
241 citations
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TL;DR: Clinical use of paediatric rotary files Kedo-S was effective during root canal preparation of primary teeth with reduction in instrumentation time and better quality of obturation.
Abstract: This was to compare and evaluate the instrumentation time and quality of obturation between paediatric rotary file (Kedo-S) and manual instrumentation techniques in primary molars A double blinded randomised control trial was performed that included mandibular primary molars in children of age 4–7 years with pulp necrosis Sixty primary mandibular molars were randomly divided into two groups: 30 were instrumented with paediatric rotary files Kedo-S (experimental group) and 30 with hand K-files (control group) During the preparation of the primary root canals the instrumentation time was recorded in seconds The quality of obturation was recorded as optimal, under filled or over filled using immediate post-operative radiographs The instrumentation time and quality of obturation were analysed using independent t-test and Chi-square test Mean instrumentation time with paediatric rotary files Kedo-S (7853 s) was significantly less than K-files (9546 s) (p < 005) There was a significant improvement in the quality of obturation (p < 005) with paediatric rotary files (Kedo-S) Clinical use of paediatric rotary files Kedo-S was effective during root canal preparation of primary teeth with reduction in instrumentation time and better quality of obturation
227 citations