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Childsmile after 10 years part 1: background, theory and principles
From Volume 46, Issue 2, February 2019 | Pages 113-116
Article
Dental caries is one of the most prevalent diseases of childhood. In the UK, it continues to be the commonest reason for an elective hospital procedure under general anaesthesia in children under 18 years.1
A traditional biomedical model of dental caries has been well documented. Intra-orally, the following factors play an important role:
It is often stated that caries can, to a large extent, be prevented or controlled at the sub-clinical level, substantially improving quality of life and child morbidity. From a biological perspective, this involves sugar and biofilm control, and ensuring fluoride bio-availability.
In the United Kingdom, trends in child dental caries rates declined rapidly from the 1970s to the late 1980s, attributed to the introduction and widespread use of fluoride toothpaste during this period. However, by the 1990s, these improvements had slowed and inequalities in dental health were becoming very apparent, with those from the lowest socioeconomic groups bearing the greatest burden.
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