A survey on interdisciplinary oral care in children

Artnora Ndokaj


Introduction: The aim of this study was to evaluate an interdisciplinary approach to the field of pediatric dentistry in a group of Italian dentists who focused their activities on pediatric dentistry.

Materials and methods: The survey was carried out during the months of September and October 2020. The questionnaire was developed using Google Forms and sent anonymously to a total of 58 dentists from the Department of Oral and Maxillo-Facial Sciences of Rome, Italy. The form consisted of 2 parts: (A) gathered demographic and professional data, including specialty (questions n = 3), and (B) was centered around interdisciplinary treatment in pediatric dentistry (questions n = 7).

Results: A total of 51 dental practitioners participated to this study: 56.9% (n = 29) were female and 43.1% (n = 22) were male; 87.9% of the contacted dental professionals answered the questionnaire.

Conclusions: The results of this preliminary study on an interdisciplinary approach to pediatric dentistry clearly show that this concept must be implemented. In fact, the responses to this survey highlighted how sectorized pediatric dentistry is. There would be a clear benefit from a greater integration, resulting in the best dental care practices for pediatric patients.


oral care; pediatric dentistry; dentists; interdisciplinary communication; questionnaires and surveys

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Mazur M, Jedliński M, Janiszewska-Olszowska J, Ndokaj A, Ardan R, Nardi GM, et al. Knowledge of emergency management of avulsed teeth among Italian dentists-questionnaire study and next future perspectives. Int

J Environ Res Public Health 2021;18(2):E706.

Levin L, Day PF, Hicks L, O’Connell A, Fouad AF, Bourguignon C, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: general introduction. Dent Traumatol 2020;36(4):309-13.

Jedliński M, Romeo U, Del Vecchio A, Palaia G, Galluccio G. Comparison of the effects of photobiomodulation with different lasers on orthodontic movement and reduction of the treatment time with fixed appliances in novel scientific reports: a systematic review with meta-analysis. Photobiomodul Photomed Laser Surg 2020;38(8):455-65.

Mascarenhas AK, Vig K, Joo BH. Parents’ satisfaction with their child’s orthodontic care: a comparison of orthodontists and pediatric dentists. Pediatr Dent 2005;27(6):451-6.

Jedliński M, Janiszewska-Olszowska J. Stimulation of mandibular growth in animal model studies. Literature review. Forum Ortodontyczne 2019;15(4):285-300.

Christensen GJ. Orthodontics and the general practitioner. J Am Dent Assoc 2002;133(3):369-71.

Mulimani PS. Evidence-based practice and the evidence pyramid: a 21st century orthodontic odyssey. Am J Orthod Dentofacial Orthop 2017;152(1):1-8. doi: 10.1016/j.ajodo.2017.03.020.

Jedliński M, Mazur M, Grocholewicz K, Janiszewska-Olszowska J. 3D scanners in orthodontics-current knowledge and future perspectives – a systematic review. Int J Environ Res Public Health 2021;18(3):1121.

Hescot P. The new definition of oral health and relationship between oral health and quality of life. Chin J Dent Res 2017;20(4):189-92.

Mazur M, Bietolini S, Bellardini D, Lussi A, Corridore D, Maruotti A, et al. Oral health in a cohort of individuals on a plant-based diet: a pilot study. Clin Ter 2020;171(2):e142-8.

da Fonseca MA, Avenetti D. Social Determinants of Pediatric Oral Health. Dent Clin North Am 2017;61(3):519-32.

Mazur M, Ndokaj A, Jedlinski M, Ardan R, Bietolini S, Ottolenghi L. Impact of green tea (Camellia Sinensis) on periodontitis and caries. Systematic review and meta-analysis. Jpn Dent Sci Rev 2021;57:1-11.

Corrêa‐Faria P, Martins‐Júnior PA, Vieira‐Andrade RG, Oliveira‐Ferreira F, Marques LS, Ramos‐Jorge ML. Developmental defects of enamel in primary teeth: prevalence and associated factors. Int J Paediatr Dent 2013;23(3):173-9.

Mazur M, Westland S, Guerra F, Corridore D, Vichi M, Maruotti A, et al. Objective and subjective aesthetic performance of icon® treatment for enamel hypomineralization lesions in young adolescents: a retrospective single center study. J Dent 2018;68:104-8.

Sycinska-Dziarnowska M, Stepien P, Janiszewska-Olszowska J, Grocholewicz K, Jedlinski M, Grassi R, et al. Analysis of Instagram® posts referring to cleft lip. Int J Environ Res Public Health 2020;17(20):7404.

Burns A, Wolstencroft S. The internet: education, social media and dental practice. J Ir Dent Assoc 2011;57(5):268-71.

Jaroń A, Jedliński M, Grzywacz E, Mazur M, Trybek G. Kinesiology taping as an innovative measure against post-operative complications after third molar extraction – systematic review. J Clin Med 2020;9(12):3988.

Gözlüklü Ö, Ulu M, Gözlüklü HÖ, Yilmaz N. Comparison of different kinesio taping techniques after third molar surgery. J Oral Maxillofac Surg 2020;78(5):695-704.

Jaroń A, Preuss O, Grzywacz E, Trybek G. The Impact of Using Kinesio Tape on Non-Infectious Complications after Impacted Mandibular Third Molar Surgery. Int J Environ Res Public Health 2021;18(2):399.

Mazur M, Jedliński M, Ndokaj A, Cipollone A, Nardi GM, Ottolenghi L, et al. Challenges in diagnosing and managing non-cavitated occlusal caries lesions. A Literature overview and a report of a case. Clin Ter 2021;171(1):e80-6.

World Health Organization. Diet and Oral Health: Factsheet on oral health and sugars. 2018. https://www.euro.who.int/_data/assets/pdf_file/0009/365850/oral-health-2018-eng.pdf. (20.02.2021).

Jablonski-Momeni A, Stucke J, Steinberg T, Heinzel-Gutenbrunner M. Use of ICDAS-II, fluorescence-based methods, and radiography in detection and treatment decision of occlusal caries lesions: an in vitro study. Int

J Dent 2012;2012:371595.

Stoll R, Urban-Klein B, Giacomin P, Loukas A, Jablonski-Momeni A. In vivo assessment of caries excavation with a fluorescence camera compared to direct bacteriological sampling and quantitative analysis using flow cytometry. Lasers Med Sci 2015;30(2):843-9.

American Academy of Pediatric Dentistry. Ad hoc Committee on Pedodontics Radiology. Guideline on prescribing dental radiographs for infants, children, adolescents, and persons with special health care needs. Pediatr Dent 2012;34(5):189-91.

Espelid I, Mejàre I, Weerheijm K. EAPD guidelines for use of radiographs in children. Eur J Paediatr Dent 2003;4(1):40-8.

Pitts NB. The use of bitewing radiographs in the management of dental caries: scientific and practical considerations. Dentomaxillofac Radiol 1996;25(1):5-16.

White SC, Pharoah MJ. Oral Radiology: principles and interpretation. St. Louis: Elsevier; 2014.

Russell M, Pitts NB. Radiovisiographic diagnosis of dental caries: initial comparison of basic mode videoprints with bitewing radiography. Caries Res 1993;27(1):65-70.

Mazur M, Jedlinski M, Vozza I, Pasqualotto D, Nardi GM, Ottolenghi L, et al. Correlation between Vista Cam, ICDAS-II, X-ray bitewings and cavity extent after lesion excavation: an in-vivo pilot study. Minerva Stomatol 2020;69(6):343-8.

Sanchez-Figueras A Jr. Laser Fluorescence Detection of Occlusal Caries. Clinical utilization of the KaVo DIAGNOdent. Compend Contin Educ Dent 2003;24(5 Suppl):3-11;quiz 19.

Jablonski-Momeni A, Schipper HM, Rosen SM, Heinzel-Gutenbrunner M, Roggendorf MJ, Stoll R, et al. Performance of a fluorescence camera for detection of occlusal caries in vitro. Odontology 2011;99(1):55-61.

Fouad AF, Abbott PV, Tsilingaridis G, Cohenca N, Lauridsen E, Bourguignon C, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2020;36(4):331-42.

Mazur M, Marasca R, Ottolenghi L, Vozza I, Covello F, Zupancich A, et al. Different resorptive patterns of two avulsed and replanted upper central incisors based on scanning electron microscopy and stereomicroscopic analysis: a case report. Appl Sci 2020;10(10):3551.

Souza BDM, Dutra KL, Kuntze MM, Bortoluzzi EA, Flores-Mir C, Reyes--Carmona J, et al. Incidence of root resorption after the replantation of avulsed teeth: a meta-analysis. J Endod 2018;44(8):1216-27.

Brignardello-Petersen R. There is probably high variability in the incidence of root resorption after replantation of avulsed teeth across and within types of teeth and resorption. J Am Dent Assoc 2019;150(2):e15.

Capurro C, Martino AR, Chiappe GD, Merlino E, Laffi N. Oral surgery in paediatric dentistry: type of surgical treatment and age distribution in a Public Dental Service in Northern Italy. Eur J Paediatr Dent 2020;21(1):35-8.

Trybek G, Jedliński M, Jaroń A, Preuss O, Mazur M, Grzywacz A. Impact of lactoferrin on bone regenerative processes and its possible implementation in oral surgery – a systematic review of novel studies with metanalysis and metaregression. BMC Oral Health 2020;20(1):232.

Markiewicz MR, Allareddy V, Miloro M. Orthodontics for the Oral and Maxillofacial Surgery Patient. Oral Maxillofac Surg Clin North Am 2020;32(1):13-4.

Chiapasco M, Crescentini M, Romanoni G. Germectomy or delayed removal of mandibular impacted third molars: the relationship between age and incidence of complications. J Oral Maxillofac Surg 1995;53(4):418-22.

Silva LVO, Arruda JAA, Martelli SJ, Kato CNAO, Nunes LFM, Vasconcelos ACU, et al. A multicenter study of biopsied oral and maxillofacial lesions in a Brazilian pediatric population. Braz Oral Res 2018;32:e20.

Ludvigsson JF, Bai JC, Biagi F, Card TR, Ciacci C, Ciclitira PJ, et al. Diagnosis and management of adult coeliac disease: guidelines from the British Society of Gastroenterology. Gut 2014;63(8):1210-28.

Souto-Souza D, da Consolação Soares ME, Rezende VS, de Lacerda Dantas PC, Galvão EL, Falci SGM. Association between developmental defects of enamel and celiac disease: a meta-analysis. Arch Oral Biol 2018;87:180-90.

Li Q, Nava A, Reynard LM, Thirlwall M, Bondioli L, Müller W. Spatially-resolved Ca isotopic and trace element variations in human deciduous teeth record diet and physiological change. Environment Archaeo 2020.

Askar H, Krois J, Rohrer C, Mertens S, Elhennawy K, Ottolenghi L, et al. Detecting white spot lesions on dental photography using deep learning: a pilot study. J Dent 2021;107:103615.

Mazur M, Westland S, Jedliński M, Maruotti A, Nardi GM, Ottolenghi L, et al. The influence of dental occlusion on spectrophotometric tooth color determinations. Open Dent J 2020;14:247-54.

Mostafiz W. Fundamentals of interceptive orthodontics: optimizing dentofacial growth and development. Compend Contin Educ Dent 2019;40(3):149-54.

Majorana A, Bardellini E, Amadori F, Conti G, Polimeni A. Timetable for oral prevention in childhood – developing dentition and oral habits: a current opinion. Prog Orthod 2015;16:39.

Tecco S, Baldini A, Nakaš E, Primozic J. Interceptive orthodontics and temporomandibular joint adaptations: such evidences? Biomed Res Int 2017;2017:8953572.

Elangovan B, Pottipalli Sathyanarayana H, Padmanabhan S. Effectiveness of various interceptive treatments on palatally displaced canine – a systematic review. Int Orthod 2019;17(4):634-42.

Ierardo G, Mazur M, Luzzi V, Calcagnile F, Ottolenghi L, Polimeni A. Treatments of sleep bruxism in children: a systematic review and meta-analysis. Cranio 2019;39(1):58-64.

Mota‐Veloso I, Celeste RK, Fonseca CP, Soares MEC, Marques LS, Ramos--Jorge ML, et al. Effects of attention deficit hyperactivity disorder signs and socio‐economic status on sleep bruxism and tooth wear among schoolchildren: structural equation modelling approach. Int J Paediatr Dent 2017;27(6):523-31.

Ierardo G, Luzzi V, Nardacci G, Vozza I, Polimeni A. Minimally invasive orthodontics: elastodontic therapy in a growing patient affected by Dentinogenesis Imperfecta. Ann Stomatol (Roma) 2017;8(1):34-8.

Nardi GM, Fais S, Casu C, Mazur M, Di Giorgio R, Grassi R, et al. Mouthwash based on ozonated olive oil in caries prevention: a preliminary in vitro study. Int J Environ Res Public Health 2020;17(23):9106.

Patel PV, Patel A, Kumar S, Holmes JC. Effect of subgingival application of topical ozonated olive oil in the treatment of chronic periodontitis: a randomized, controlled, double blind, clinical and microbiological study. Minerva Stomatol 2012;61(9):381-98.

Nardi GM, Cesarano F, Papa G, Chiavistelli L, Ardan R, Jedlinski M, et al. Evaluation of salivary matrix metalloproteinase (MMP-8) in periodontal patients undergoing non-surgical periodontal therapy and mouthwash based on ozonated olive oil: a randomized clinical trial. Int J Environ Res Public Health 2020;17(18):6619.

Rodakowska E, Mazur M, Baginska J, Sierpinska T, La Torre G, Ottolenghi L, et al. Smoking prevalence, attitudes and behavior among dental students in Poland and Italy. Int J Environ Res Public Health 2020;17(20):7451.

Wright JT, Tampi MP, Graham L, Estrich C, Crall JJ, Fontana M, et al. Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and permanent molars: A systematic review of randomized controlled trials – a report of the American Dental Association and the American Academy of Pediatric Dentistry. J Am Dent Assoc 2016;147(8):631-45.e18.

Bonetti D, Clarkson JE. Fluoride varnish for caries prevention: efficacy and implementation. Caries Res 2016;50 Suppl 1:45-9.

Mazur M, Jedliński M, Ndokaj A, Ardan R, Janiszewska-Olszowska J, Nardi GM, et al. Long-term effectiveness of treating dentin hypersensitivity with Bifluorid 10 and Futurabond U: a split-mouth randomized double-blind clinical trial. J Clin Med 2021;10(10):2085.

Guerra F, Mazur M, Ndokaj A, Corridore D, La Torre G, Polimeni A, et al. Periodontitis and the microbiome: a systematic review and meta-analysis. Minerva Stomatol 2018;67(6):250-8.

Nardi GM, Grassi R, Ndokaj A, Antonioni M, Jedlinski M, Rumi G, et al. Maternal and neonatal oral microbiome developmental patterns and correlated factors: a systematic review – does the apple fall close to the tree? Int J Environ Res Public Health 2021;18(11):5569.

DOI: https://doi.org/10.21164/pomjlifesci.762

Copyright (c) 2021 Artnora Ndokaj

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