Pediatric Dentistry and Pedodontics Commons^™

Employing Artificial Intelligence For Non-Invasive Diagnosis Of Craniofacial Deformities: A Systematic Review Of Non-Ionizing Radiation Methods, Nurul Mutmainnah, Harun Achmad, Lusy Damayanti

International Arab Journal of Dentistry

Introduction: Craniofacial deformities, like craniosynostosis and plagiocephaly, require early diagnosis, but traditional methods like CT scans use harmful ionizing radiation. Artificial Intelligence (AI) offers a non-invasive, radiation-free alternative, using 2D and 3D imaging for accurate diagnosis, improving safety and accessibility, especially in remote areas.

Objective: This review evaluates the use of AI in diagnosing craniofacial deformities without ionizing radiation, focusing on its strengths, limitations, and challenges in clinical implementation.

Methods: The literature was searched across five databases—PubMed, Google Scholar, ScienceDirect, Wiley, and Cochrane—over the last decade, following PRISMA guidelines. Inclusion criteria were AI-based, non-invasive imaging techniques for craniofacial deformities. The …

Gentle Beginnings: Innovative Use Of Melatonin And Triclofos Sodium For Uncooperative Children-An Invivo Study, Rohan Shrivastava, Sonal Gupta, Charu Aggarwal, Akil Prawin S.S

International Arab Journal of Dentistry

Objectives: To compare the pre- and post-use of oral melatonin and oral triclofos as oral sedative drugs on anxiety, sedation, and cognitive and psychomotor function to perform satisfactory dental treatment on uncooperative children.

Methods: A total number of 100 patients aged between 4 and 9 years who were scheduled for dental treatment were randomly divided into two groups, Group I and Group II, and administered melatonin and triclofos sodium, respectively, to determine changes in anxiety, cognitive, psychomotor, and sedation scores pre- and post-treatment. Data were analyzed using an unpaired/paired t-test, and P < 0.05 was contemplated as statistically significant.

Results: Post-treatment assessments revealed a significant reduction in …

Oral Rehabilitation Of A Pediatric Patient With A Dental Anomaly: A Case Report, Enas Almasri, Mohamed Altinawi, Shadi Azzawi, Imad Katbeh, Anas Abdo

International Arab Journal of Dentistry

Objective: Tooth fusion is an uncommon dental abnormality, occurring in 0.1% of permanent dentition. Fusion of a normal permanent tooth and a supernumerary tooth is unusual. This case report delineates a multidisciplinary strategy for the management of a child with a fused tooth and a concomitant supernumerary tooth. The objective is to progressively illustrate the aesthetic and functional restoration of a smile impacted by a dental fusion abnormality.

Case Report: A 9-year-old boy was referred to the pediatric dental clinic with the chief complaint of a large upper anterior tooth. Intraoral and radiographic investigations showed fusion of the permanent maxillary …

A Comprehensive Analysis Of The Accurate Diagnosis Of Chronic Non-Bacterial Osteomyelitis Of The Jaw In Young Patients: An Assessment Of Clinical And Laboratory Data, Alexander Yu Kugushev, Andrey V. Lopatin, Suzan Dagher

International Arab Journal of Dentistry

Objectives: Chronic non-bacterial osteomyelitis (CNO) is a rare autoinflammatory bone disorder predominantly affecting pediatric and adolescent populations. The clinical presentation is heterogeneous, with persistent pain and swelling representing the most frequent and often initial symptoms. These manifestations are commonly localized to the mandible, although involvement of other skeletal sites, including long bones, clavicle, and vertebrae, may occur in more advanced cases. Beyond localized symptoms, some patients exhibit mild systemic features such as low-grade fever, fatigue, or malaise; however, these systemic signs are generally less pronounced than those observed in infectious osteomyelitis. The diagnostic evaluation of CNO is intricate and necessitates …

Management Of Anterior Teeth Affected By Molar Incisor Hypomineralization Using Resin Infiltration Technique: A Case Report, Atika Bouabid, Selsebil Laajimi, Yamina Elelmi, Fatma Masmoudi, Ahlem Baaziz

International Arab Journal of Dentistry

Background: Molar-Incisor Hypomineralization (MIH) is a developmental enamel defect affecting first permanent molars and often incisors, presenting unique restorative challenges. In line with minimally invasive dentistry, the “Würzburg concept” promotes conservative management strategies with resin infiltration.

Objectives: This case report investigates the impact of modifications to the ICON resin infiltration protocol on esthetic outcomes and adhesion in MIH-affected anterior teeth.

Method: Three clinical cases involving MIH lesions on anterior teeth were treated using the Icon® resin infiltration system by DMG (Hamburg, Germany).

Results: Preconditioning hypomineralized enamel with 5.25% sodium hypochlorite followed by resin infiltration enhances the physical integrity of composite …

Management Of A Periapical Cyst In An 8-Year-Old Patient With Challenging Etiology: A Case Report With Three-Year Follow-Up, Nancy Nochahrly, Claire El Hachem, Josephine El Balaa, Elie Khoury, Christelle Abdel Nour, Marlene Khoury

International Arab Journal of Dentistry

The success of pulp therapy in primary teeth depends on accurate diagnosis and effective treatment. Periapical inflammation due to bacterial infection or pulpal necrosis can result in granulation tissue and may activate epithelial rests of Malassez, leading to a periapical cyst. In large cysts, especially in children, marsupialization is preferred to preserve developing teeth and minimize damage to surrounding structures. This case report describes an 8-year-old presenting with spontaneous pain in the lower right jaw. Radiographic examination revealed a round welldefined radiolucency over 1 cm around tooth #84 with root canal treatment and #85 with pulpotomy, with dental bud displacement. …

A Clinical Investigation Of The Correlation Of Black Stains With Oral Cavity Ph And Dental Caries Presence In Children: A Cross-Sectional Study, Maguy Sfeir, Nada Chedid

International Arab Journal of Dentistry

Introduction: Black stains (BS) on teeth often lead to dental visits in children due to their esthetic impact. Beyond cosmetic concerns, black stains may play a role in oral health, potentially suggesting a lower risk of dental caries through the regulation of oral microbiota and pH levels. Understanding the association of black stains with oral pH and caries presence can offer insights into protective and preventive strategies in pediatric dentistry.

Objectives: the purpose of this study is to assess the correlation between black stains, oral cavity pH, and the presence of caries in a sample of 6-to 8- …

A Two-Stage Radiographic Study Of The Prevalence Of Anomalies Associated With Tooth Number, Vellore Kannan Gopinath, Diaa Elderini, Reem Salama, Sangeetha Narasimhan, Vinayak Kamath, Shishir Shetty

International Arab Journal of Dentistry

Introduction: Dental anomalies (DA) are a group of dental developmental disturbances which appear during tooth formation manifesting themselves as an alteration in tooth number, shape, and size. Dental anomalies of number include hypodontia, mesiodens, supernumerary tooth, and odontoma.

Objectives: To evaluate the prevalence and distribution of dental anomalies associated with tooth number in the radiographic archives of University Dental Hospital Sharjah, United Arab Emirates (UAE).

Methods: Retrospective evaluation of 2000 Orthopantomogram (OPG) images were taken between January 2015 to December 2022. The OPG showing dental anomalies of number were further investigated for the availability of Cone Beam …

Endodontic Management Of Dens Invaginatus Using Dynamic Navigation System In Pediatric Patient: A Case Report, Ayesha Fathima, Sahana Selvaganesh, Ganesh Jeevanandan, Pradeep Solete, Prabahdevi Maganur, Ather Syed Ahmed, Satish Vishwanathaiah

International Arab Journal of Dentistry

Dens invaginatus, also known as dens in dente, is a dental anomaly resulting from infolding the enamel organ into the dental papilla. Dynamic Navigation Systems (DNS) like Navident, offer real-time guidance during endodontic procedures, proving especially useful in complex cases, such as calcified canals or pulp obliteration. This case report presents a 13-year-old female, who reported the chief complaint of continuous pain in the upper left front tooth region. Based on the clinical and radiographical findings, a diagnosis of pulp necrosis and chronic periapical abscess in relation to maxillary canine (23) was established with dens invaginated palatal canal ( Oehler’s …

Correlating The Consequences Of Untreated Dental Caries (Pufa/Pufa Scores) And Body Mass Index Related To Age In A Group Of Egyptian Children: A Correlation Study, Hani Abdulwahab Alattallah, Dalia Moheb

International Arab Journal of Dentistry

Objectives: The present study aimed to investigate the correlation between dental caries and its consequences in terms of pulp involvement, ulceration, fistula, abscess utilizing (PUFA/pufa) indices and specific Body Mass Index (BMI) with reference to age in a group of Egyptian Children.

Methods: A total of 201 children (101 female and 100 male) from Pediatric Dentistry Department in Cairo University having PUFA/pufa ≥1 were included. PUFA/pufa index was used according to the standard procedure to assess the consequence of untreated dental decay. The height and weight of the children were determined using standardized scales. The BMI percentile was …

Trueness Of Milled Zirconia Versus Milled Hybrid Ceramic Crowns Designed For Primary Teeth Restoration Compared To The Digitally Designed File: An In Vitro Study, Joy Elian Hayek, Hani Tohme, Lara Nasr, Ghida Lawand, Roula El Hachem, Nada Farhat Mchayleh

International Arab Journal of Dentistry

Introduction: Stainless Steel Crowns (SSC) are not easily replaced by Zirconia Prefabricated Crowns (ZPC) because of their adaptation problem and risk of fracture and loosening.

Objectives: To assess and compare the trueness of milled zirconia and milled hybrid ceramic crowns designed for primary teeth restoration to a digitally designed file.

Methods: The fourteen extracted primary molars were scanned using an intraoral scanner to obtain digital files of the teeth. The digital files were imported into the Design dental software (TDS) and used to design and mill zirconia and hybrid ceramic crowns using a 4-axis milling machine: 14 …

Clinical Assessment Of The Abutment Teeth Of Children Undergoing Space Maintainer Therapy: A Randomised Controlled Trial, Ayesha Fathima, Ganesh Jeevanandan, Prabhadevi Maganur, Suman Panda, Ather Syed Ahmed, Satish Vishwanathaiah

International Arab Journal of Dentistry

Introduction: The band and loop space maintainer are one of the most commonly used fixed space maintainers in children. However, prolonged use of appliances in the oral cavity may lead to changes in gingival health and an increased risk of caries.

Objectives: This study aims to evaluate the clinical parameters of the abutment teeth, specifically the banded teeth and the tooth to which the loop is extended.

Methods: This prospective clinical study included 35 children between the age group of 5 to 9 years. The children were examined at baseline and 6-month follow-up. The abutment teeth were …

Clinical Management Of Mandibular Permanent Premolars With Periapical Lesion And Bilateral Supernumerary Teeth: A 7-Year Follow-Up Case Report, Chiara Pirani, Shehabeldin Saber, Francesco Iacono

International Arab Journal of Dentistry

Objectives: This 7-years follow-up case report describes two diversified strategies for the management of bilateral mandibular permanent premolars associated with periapical lesion and unerupted supernumerary teeth.

Case Report: A non-syndromic 9 years-old Asian female patient presented pain and swelling of the 35 in anatomical contiguity with an immature and unerupted supernumerary tooth. Clinical examination revealed an intraoral vestibular sinus tract related to the necrotic 35. Periapical radiography and CBCT showed that the 35 had an immature apex associated with a periapical lesion, and a supernumerary tooth in a lingual direction. Endodontic treatment of the 35 was performed by creating …

Caries Risk Prediction In Pediatric Patients Using Machine Learning Techniques: A Retrospective Study, Nagarathna P J, Vishnu Priya Veeraraghavan, Aysha Jebin A, Shikar Daniel, Kaladhar Reddy Aileni, Santosh R Patil

International Arab Journal of Dentistry

Introduction: Dental caries is a multifactorial disease prevalent in children and is often influenced by behavioral, environmental, and genetic factors. Traditional caries risk assessment methods have a limited accuracy and objectivity. Machine learning (ML) models provide a data-driven approach for predicting caries risk, thereby enabling targeted interventions.

Objectives: The main objective of this study is to develop and validate ML models for predicting caries risk in pediatric patients aged 6–12 years by incorporating clinical, behavioral, dietary, and socioeconomic factors.

Methods: This retrospective observational study included 148 children aged 6–12 years. Data, including demographic details, Decayed Missing Filling …

Assessment Of Caries Prevalence And Related Risk Factors Among A Group Of Lebanese Children With Autism Spectrum Disorder: A Case-Control Study, Ranim Bassam Kassab, Aly Osman, Ahmad Tarabaih

International Arab Journal of Dentistry

Objectives: The study aimed to assess dental caries prevalence and its associated risk factors for children with Autism Spectrum Disorder (ASD) among different age groups.

Material and Methods: Forty-five children with autism aged between 3-16 years matched to 45 healthy children were selected. Children were recruited from autistic centers/schools in Saida, South Lebanon. Each child assessed for caries prevalence and risk factors using DMFT/dmft indices and the WHO standardized questionnaire. Student’s t-test, Pearson’s correlation test, and OneWay ANOVA followed by Tukey’s post hoc tests were used. Statistical significance was set at 95%.

Result: DMFT/dmft scores in non-ASD …

The Effect Of Bevel On Fracture Resistance Of Gic Restorations In Primary Molars: An In Vitro Study, Audrey Fikani, Lara Nasr, Elie Khoury, Marianne Freiha, Marc Krikor Kaloustian, Feriale Abi Zeid Daou, Melissa Chaaya, Marlene Khoury

International Arab Journal of Dentistry

Introduction: Glass ionomer cements (GICs) are commonly used for restorations in primary molars due to their adhesive, hydrophilic, and bioactive properties. However, their low mechanical resistance may limit their use in proximal cavities. Recent advancements in GICs, such as the high viscosity GIC EQUIA Forte®, have improved their mechanical properties. The effect of a Cavo superficial bevel on the mechanical strength of GIC restorations has been previously studied.

Objectives: To investigate the effect of a Cavo superficial bevel on fracture resistance and the type of fracture (adhesive, cohesive, or catastrophic) in EQUIA Forte® GIC restorations in primary molars. …