Editorial: Updates in Pediatric Dentistry

Jayakumar Jayaraman ^1* Sreekanth Kumar Mallineni ²

• ¹ Private Practice, Richmond Pediatric Dentistry & Orthodontics, Richmond, California, United States
• ² Pediatric Dentistry, Dr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia

research into tricalcium silicate-based materials and their bond strength to self-adhering glass ionomer cements highlights variations in bonding efficiency (5). These findings contribute to material selection strategies, ensuring durable restorations that withstand masticatory forces in pediatric patients.A study on the prevalence and contributing factors of malocclusion in children aged 7-8 years in Zhuang, southern China identifies genetic predisposition, oral habits including thumb sucking, tongue thrusting, and socioeconomic factors as significant influences on malocclusion development ( 6). The study underscores the need for early orthodontic interventions to prevent complex treatment needs in later years. Similarly, an evaluation of anterior and overall tooth ratios in the Saudi population compared to Bolton's standards reveals discrepancies that may necessitate region-specific orthodontic assessments (7). These findings highlight the importance of considering ethnic and population-based differences when planning orthodontic treatments.Oral health outcomes in children are significantly influenced by psychosocial determinants, as demonstrated in a study on the role of parental education, socioeconomic status, and family dynamics in shaping children's oral hygiene practices and caries prevalence (8). The research highlights the need for community-based interventions that address disparities in oral health knowledge and access to care. Another study examines the association between parental factors and children's behaviors during moderate sedation in pediatric dental care (9). Findings indicate that parental anxiety, past dental experiences, and education levels directly impact a child's response to sedation. These results emphasize the importance of parental counseling and preparatory strategies to improve sedation outcomes. A study from northern Vietnam evaluates parental knowledge and practices in childhood caries prevention, revealing gaps in awareness and inconsistent adherence to preventive measures (10). These findings call for intensified educational initiatives aimed at equipping parents with accurate information on dietary habits, fluoride use, and the importance of regular dental visits.The case report on dental management of a child with congenital ichthyosis under general anesthesia highlights the complexities of treating pediatric patients with systemic conditions (11). The report details modifications in treatment planning, emphasizing the necessity of interdisciplinary collaboration for safe and effective dental care. The "Lift the Lip" screening guide, designed for dental professionals, aims to enhance early detection of oral health issues (12). This initiative advocates for routine lip-lifting examinations to identify early signs of caries, and underlying systemic conditions, ultimately contributing to improved early intervention strategies. In addition, this study emphasizes the importance of evaluating soft tissue abnormalities, particularly frenum. Despite the growing acceptance of frenectomy, controversies remain regarding overdiagnosis and overtreatment. Several surgical techniques are available for frenectomy, with traditional and laser-assisted methods being the most commonly used. The laser technology has revolutionized frenectomy procedures and its advantages includes reduced bleeding due to hemostatic effects, minimal postoperative discomfort, no need for sutures in most cases resulting in faster healing with reduced scar formation (Figure 1). Alternatively, surgical incision may require suturing to optimize healing and minimize scarring (Figure 2). Some experts argue that a functional assessment should guide treatment decisions rather than anatomic classification alone (13). Standardized diagnostic criteria and long-term outcome studies are needed to refine clinical guidelines and future research should focus on providing evidence-based recommendations.The article "Allocating Intricacies: Pediatric Oral Health Spotlight in the Union Health and Well-Being Budget of India" critically examines the allocation of financial and policy resources dedicated to pediatric oral health ( 14). The study highlights disparities in access to care and advocates for increased funding, improved infrastructure, and policy reforms to strengthen pediatric dental services in India.The collective findings from these studies underscore the importance of a multidisciplinary approach in pediatric dentistry. Advances in diagnostic imaging, endodontic techniques, and material sciences are enhancing clinical efficiency and treatment outcomes. Concurrently, research on psychosocial influences and public health initiatives emphasizes the role of education and policy in bridging gaps in pediatric oral healthcare. Moving forward, integrating these insights into clinical practice and policy frameworks will be pivotal in ensuring comprehensive and equitable oral healthcare for children worldwide.