Paediatric Dentistry

The simplified basic periodontal examination in children and adolescents: an update

The 2021 guidelines recognize that the 2017 World Workshop Classification has reclassified the diagnosis of periodontal diseases and conditions.1 Of particular relevance to children, the...

Gingival enlargement among the paediatric population: an overview and case report

Children's gingivae typically appear reddish in colour with rounded and rolled gingival margins (Figure 1).1 In a healthy state, the gingival margin is several millimetres coronal to the...

A non-invasive treatment option in solitary median maxillary central incisor syndrome

An 8-year-old male presented at the paediatric dental clinic following referral from their general dental practitioner (GDP) with one maxillary permanent incisor (and a history of one primary...

Managing compromised first permanent molars in children: minimally invasive treatment protocols for practitioners

A survey in the United Arab Emirates among GDPs and specialists in paediatric dentistry found that almost 85% of them believed in restoring rather than extracting cFPMs.7 Similarly, 94% of Norwegian...

Management of molar–incisor hypomineralization and hypodontia in monozygotic twins: a case report

MIH studies indicate its multifactorial nature, involving genetic and environmental factors.1 Some risk factors for MIH development include urinary tract infection during pregnancy, oxygen starvation...

Managing early childhood caries with silver diamine fluoride in the COVID-19 context: case report

A 3 years and 4 month old female patient attended a private care dental office in Morelia, Mexico due to the presence of spontaneous, acute pain, with a 3-day evolution in the upper right first...

Common dental anomalies affecting patients with cleft lip and palate

Hypodontia refers to the developmental absence of any teeth excluding third molars. The overall prevalence in the general population has been reported as 1% in the primary dentition6 and 6% in the...

The Importance of Periodontal Screening in Paediatric Patients

In 2013, nearly half of 8 year olds in England, Wales and Northern Ireland displayed some form of gingival inflammation.3 Furthermore, very few children and adolescents under the age of 16 were...

Talon Cusp Management: A Case Series

A fit and healthy 11-year-old female patient was referred to the paediatric dentistry department regarding a labially displaced maxillary right central incisor UR1 with a palatal accessory cusp. The...

Decision-making in the management of complicated crown fractures in children

Direct pulp capping, partial pulpotomy, coronal pulpotomy and pulpectomy have all being proposed as therapeutic approaches for the treatment of traumatically exposed pulps.7 Before deciding on...

Dentigerous cyst: a rapidly expanding swelling in a young patient

A 4-year-old boy attended the paediatric dental emergency clinic with his father, who was concerned about a left-sided facial swelling that had been present for at least 1 month..

Cone beam computed tomography (CBCT) in paediatric dentistry

The relative risk of radiation is higher for children since the cells are more susceptible to the stochastic effects of radiation. In addition, the child is more likely to live long enough to see the...

Dental care for children with Down syndrome: a guide for the dental practice team

Down syndrome is the most easily recognized chromosomal condition (Figure 2). Children with Down syndrome can present with complex medical histories. Medical conditions diagnosed are not in themselves...

Aesthetic dental challenges for the paediatric patient

Uncomplicated crown (enamel-dentine) fractures result in loss of enamel and dentine without exposure of the pulp.3 Dentine tubules become exposed and can act as a pathway for bacterial ingression...

Oral ulceration and vesiculobullous conditions in the paediatric patient

Most patients with RAS are otherwise healthy, thus it is a diagnosis of exclusion. There are, however, a number of systemic conditions involving recurrent aphthous ulceration and are, therefore,...