Universidade Estadual da Paraíba (UEPB): Sistema Eletrônico de Editoração de Revistas
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    Relationship between Ankyloglossia and Breastfeeding: A Bibliometric Review

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    Objective: To assess global trends in the publication of studies investigating the association between ankyloglossia and breastfeeding. Material and Methods: An electronic search was performed in the Scopus database without restrictions. Observational studies and clinical trials were included. Bibliometric indices such as publication year, authors, co-authors, journals, field of knowledge, countries, and the most cited keywords were analyzed using the VOSviewer program. Results: The search retrieved 350 studies, and 68 were selected. The first article was published in 2000 in the United States. The United States presented the highest number of publications (n=21), followed by Brazil (n=9) and the United Kingdom (n=9). An increase in publications on this theme was observed in 2013; 2021 was the year with the highest number of publications (n=14). The most common word was “frenulum”. The authors with the highest number of publications were Botze and Dollbert from Israel (n=3), Ghaheri, and Mace from the United States (n=3). Among the journals, “Breastfeeding Medicine” presented the highest number of publications (n=7), followed by the “International Journal of Pediatric Otorhinolaryngology” (n=6), “CODAS” (n=5), “Journal of Human Lactation” (n=4) and “Pediatrics” (n=3); the latter published the top-cited studies, with 412 citations. Conclusion: There has been an increase in recent articles evaluating the correlation between ankyloglossia and breastfeeding, indicating the growing interest of researchers in this field

    Clinical Findings Arising from the Use of Silver Diamine Fluoride to Prevent or Treat Caries Lesions and Dentinal Hypersensitivity: A Data Mining Analysis

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    Objective: To summarize data of clinical trials that used silver diamine fluoride (SDF) to prevent and treat caries lesions and dentinal hypersensitivity. Material and Methods: Six electronic databases were searched in May 2022. The concentration of SDF, type of usage (alone/combined), dentition, anterior/posterior teeth, tooth region, dental tissue, number of the treated surfaces, the intervention environment, participants\u27 age, frequency and duration of SDF application, purpose, and outcome were the extracted variables. The type of study, year of publication, authors, journals, and country were also investigated. Results: From 8860 articles, 53 were selected. Most were randomized (n=38), that applied 38% SDF (n=43), alone (n=44), on multiple surfaces (n=44), only in dentin (n=36), of the crown (n=46) of anterior and posterior (n=36) primary teeth (n=39). The studies were preferably carried out outside the clinic (n=31), only in children (n=33), with reapplication of SDF (n=30), but did not inform the duration of application (n=19). SDF was most used to treat (n=46) only caries lesions (n=50). They were published between 2001 and 2022, mainly in the Journal of Dentistry (n=10). China (n=19) and Lo E.C.M (n=19) were the countries and authors that published the most, respectively. Conclusion: The silver diamine fluoride 38% alone was most used to treat caries lesions in the dentin of the crown of all primary teeth, preferably applied on multiple surfaces, requiring reapplication, and outside the clinic

    The Role of Mothers\u27 Socioeconomic Class on their Children\u27s Dental Health

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    Objective: To assess the relationship between the mother\u27s educational level and family income on the dental caries experience of their children. Material and Methods: A cross-sectional study was conducted at the Department of Pediatric Dentistry, University of Babylon, Iraq. The sample comprised 100 children aged 5-15 years. Data was collected in two parts: first, a self-administered questionnaire was obtained from mothers: Mother\u27s age, level of education, family income, child age, and gender. Another part included the clinical examination of dental caries that was measured for mothers and their children using the DMFT/dmft index for permanent and primary dentition sequentially. The collected data were statistically analyzed using mean ± standard deviation (SD mean and standard deviation, t-test, and F-test. Results: The sample showed 60% were boys and 40% were girls, 86% with dental caries. Mothers with a high level of education and high monthly income have significantly lower dental caries experiences than their children (p<0.05). In contrast, there was a significant difference between the two age groups (p=0.000), a considerable difference between the level of family monthly income and dmft (p=0.01), and there was a correlation value between the caries index DMFT value of the children and their mother with mother\u27s education level. Conclusion: Many dental caries were reported among Babylon City/Iraq children. Mothers with high educational levels and family monthly income were correlated to lower dental care for their children than those with low educational levels and economic status, so they need to focus on oral health knowledge and encourage prophylactic intervention and preventive measures for the population

    Implications of Vitamin D Status for Children’s Bone Health: A Data Mining Analyses of Observational Studies

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    Objective: To investigate associations/correlations between bone alterations and vitamin D status in children through data mining analyses based on observational studies. Material and Methods: Searches in PubMed, Scopus, Web of Science, and Embase databases were performed to recover studies, published until October 2022, with healthy children, which investigated the vitamin D status, related or not to undesirable bone alterations linked to bone quality (bone mineral density and bone mineral content), fracture or anthropometry. Country, study design, area of expertise (medicine, nutrition, dentistry, others), bone outcome, 25-hydroxyvitamin D data (serum or intake levels), the exams for bone diagnosis, and the results were analyzed in the VantagePointTM software. Results: Of 20,583 studies, 27 were included. The USA (n=9; 33.3%) had the highest number of publications. Cross-sectional (n=11; 40.7%), case-control (n=9; 33.3%), and cohort studies (n=7; 25.9%) contemplated the medicine and nutritional areas without any study in dentistry. Studies about bone quality (n=21; 77.8%), analyzed through dual-energy X-ray absorptiometry (DXA; n=14; 51.8%), with association (n=16; 59.2%) between the low serum levels of 25-hydroxyvitamin D and undesirable bone alterations (n=14; 51.8%) were the most prevalent. Conclusion: Most studies were conducted in the medical area and showed an association between low bone quality and low levels of 25-hydroxyvitamin D, verified through DXA

    Bibliometric Study of Publications on Eruption of Deciduous and Permanent Teeth

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    Objective: To perform a bibliometric analysis on deciduous and permanent eruption publications to discuss the global trends and prospects on the topic. Material and Methods: A systematic search was conducted on the Scopus database. The characteristics of the publications, including co-cited authors, organizations, countries, most cited sources, publications, and keyword co-occurrence, were analyzed using VOSviewer software version 1.6.18. Results: After applying exclusion criteria, 492 studies were included in the analysis. The majority of research centers were located in Europe. "Archives of Oral Biology" emerged as the most frequently cited journal. The United States and Brazil were the most frequently cited countries in the publications. Notable co-authors included Kuchler E. C. and Hägg U. The most frequently cited keywords were associated with oral pathologies, tooth development, odontogenesis, and genetics. The most recent papers were published in journals focused on oral diseases. Conclusion: This bibliometric analysis highlights that the future of research in this field is likely to be focused on the investigation of tooth eruption in both deciduous and permanent teeth, with an emphasis on genetics, tooth development, timing of tooth eruption, and syndromic conditions. While well-accepted in the fields of Pediatrics and Orthodontics, there is a growing interest in this topic within oral biology and pathology journals in the Americas, with the United States and Brazil leading in terms of publications and citations

    Cognitive Biases Influence Clinical Practice of Selective Removal of Carious Tissue by Dentists and Students: An Exploratory Study

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    Objective: To determine whether there is a lack of diffusion in the knowledge of selective removal of carious tissue (SRCT) and to examine whether cognitive biases influence professionals in their decision to implement SRCT. Additionally, this study seeks to identify whether the lack of knowledge diffusion and cognitive biases act as barriers to the adoption of SRCT in practice. Material and Methods: A series of questions was administered to dental professionals aiming to assess their knowledge of SRCT, their opinions on its use, and whether they incorporated this technique. Some questions were designed to identify potential factors influencing their decision-making process. The data was presented in terms of frequency percentages and analyzed using association tests (p>0.05). Results: Out of 568 respondents, fifty-four individuals (9.5%) were not in favor of SRCT, while eighty-nine did not implement it in their practice. Professionals who were less inclined to use SRCT included those who had not studied it, endodontists, specialists unrelated to dentistry/pediatric/dental clinic, and dentists who had completed their degrees more than four years ago. Cognitive biases, such as outcome bias, overconfidence bias, and bias against new beneficial therapies, were found to be influenced by SRCT knowledge, specialized fields, postgraduate education, and the duration of professional training. Regarding the removal of carious tissue at pulp walls in very deep cavities, 158 respondents answered correctly, while 410 respondents provided incorrect responses. Conclusion: A deficiency in the dissemination of SRCT knowledge was identified. Cognitive biases exerted a significant influence on decision-making concerning the removal of carious tissue. These two findings contribute to the limitation in translating SRCT into clinical practice

    Impact of Oral Health Conditions on the Quality of Life of Adolescents

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    Objective: To evaluate oral conditions\u27 impact on school adolescents\u27 quality of life. Material and Methods: This is a cross-sectional, school-based, descriptive, and analytical study. The study\u27s final sample comprised 1,010 adolescents aged between 14 and 19. The dependent variable of oral health-related quality of life (OHRQoL) was measured using the OHIP-14 questionnaire. The independent variables were oral conditions assessed through clinical examination and a questionnaire for the socioeconomic indicators. Descriptive analyses, chi-square, and binary logistic regression were performed, and the significance level adopted was 5%. Results: The impact of oral conditions on OHRQoL was reported by approximately 34% of adolescents. The prevalence of dental caries was 26.2%, periodontal disease 45.8%, dental trauma 38%, and malocclusion was 29.7%. Of the variables analyzed, only sex (p<0.001) and caries experience (p=0.012) were associated with OHRQoL, showing that females are 1.87 times more likely to affect their quality of life than males, and those with caries were 1.46 times more likely to have an impact on the OHRQoL. Conclusion: The sex and experience of caries might be associated with decreasing the quality of life

    Effect of 2% Chlorhexidine as an Irrigant on Postoperative Symptoms Following Foraminal Instrumentation: A Randomized Clinical Trial

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    Objective: To compare postoperative pain, tenderness, edema, and medication use after foraminal enlargement in a single visit, using 2.5% sodium hypochlorite (NaOCl) and 2% chlorhexidine gel (CHX). Material and Methods: Seventy patients with single-rooted teeth with apical periodontitis were randomized into two groups according to the irrigation protocol: control (NaOCl - 35 patients) and case (CHX - 35 patients). Pain intensity was assessed using the visual analog scale (recorded every day for seven days, on the 14th and 30th days after treatment). Edema was assessed by two independent evaluators on the 2nd, 3rd, and 7th days after treatment using photographs. Data were analyzed using Chi-square, Fisher\u27s Exact, and Mann-Whitney U tests in SPSS. Results: There was a statistically significant difference in postoperative pain and tenderness between the groups on the 2nd day (p<0.05). There was no difference between the groups for edema (p=1.00) and use of medication (p=0.77). Conclusion: Chlorhexidine resulted in more significant postoperative pain and tenderness after foraminal enlargement

    Stress, Anxiety, and Depression in Dentistry Students: The Impact of the COVID-19 Pandemic and Sociodemographic Factors

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    Objective: To assess the influence of the COVID-19 pandemic and sociodemographic factors on stress, anxiety, and depression levels among dental students. Material and Methods: This observational study employed a census approach featuring a quantitative, descriptive, and analytical cross-sectional analysis. The research was conducted within a university center in northeastern Brazil from March to May 2021. Two questionnaires were administered: the Depression, Anxiety, and Stress Scale (DASS-21) and another survey focusing on sociodemographic factors. Pearson\u27s chi-square test was employed to examine potential associations between the variables, and multiple logistic regression models were fitted, with a significance level set at 5%. Results: The study included 128 dentistry students, predominantly female, with a high monthly family income. The data revealed normal levels across the three DASS subscales. A significant association was observed between anxiety and sex (X2=10.37; p=0.03). The depression subscale exhibited associations with ethnic group (X2=47.46; p<0.01), area of residence (X2=12.44; p=0.03), and appropriate study space (X2=11.48; p=0.04). Urban residents were 4.29 times more likely to experience depression than their rural counterparts (OR=4.29; 95%CI 1.28-14.42). Conclusion: While psychological profiles were as expected, targeted interventions for vulnerable groups are crucial. Future research should use longitudinal designs and assess tailored interventions\u27 effectiveness to enhance mental health outcomes among students

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