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The orthodontic/paediatric interface part 1

From Volume 45, Issue 8, September 2018 | Pages 760-772

Authors

Samantha Carr

BDS, MJDF RCS(Eng)

Specialty Dentist in Paediatric Dentistry, University of Manchester Dental Hospital, Higher Cambridge Street, Manchester, M15 6HF

Articles by Samantha Carr

Siobhan Barry

BDS NUI, MFDS, DClin Dent (Paed Dent), MPaed Dent, FDS (Paed Dent), SFHEA

Consultant in Paediatric Dentistry, University of Manchester Dental Hospital, Higher Cambridge Street, Manchester, M15 6HF

Articles by Siobhan Barry

Ovais H Malik

BDS, MSc (Orth), MFDS RCS (Ed), MOrth RCS (Eng), MOrth RCS (Ed), FDS (Orth), RCS (Eng)

Consultant in Orthodontics, University of Manchester Dental Hospital, Higher Cambridge Street, Manchester, M15 6FH, Salford Royal NHS Foundation Trust, Stott Lane, Manchester and Northenden House Orthodontics, Sale Road, Manchester, M23 0DF

Articles by Ovais H Malik

Abstract

Abstract: This series discusses the interface between orthodontics and other dental specialties. The first part of this four-part series will discuss the orthodontic/paediatric interface. It will discuss some common problems encountered in paediatric dentistry where orthodontic input is necessary including: enforced extraction of poor-quality teeth, unerupted maxillary incisors, crossbites, trauma, impacted canines, space maintainers and ectopic eruption of first permanent molars. The second part will discuss the orthodontic/restorative interface; the third will focus on the orthodontic/periodontal interface and the final article will discuss the orthodontic/endodontic interface.

CPD/Clinical Relevance: Orthodontists and paediatric dentists work closely together to ensure that children have the appropriate treatment at the optimal time. General dental practitioners (GDPs) need to be able to identify and treat common problems and know when to refer to orthodontic or paediatric specialists.

Article

Paediatric dentists and orthodontists collaborate in treatment planning and care provision for many paediatric patients. A good working relationship, free-flowing communication and continual sharing of information between the paediatric dentist and orthodontist will ensure that treatment is provided in the most efficient and effective manner. This multidisciplinary approach is encouraged in all areas of healthcare and is not a new concept. In 1979, the Royal Commission of the NHS stated that ‘we are in no doubt that it is in the patients’ interests for multidisciplinary team working to be encouraged.’1

When the paediatric dentist and orthodontist are located at the same site, communication between them is much easier and more efficient than when they are separate. In secondary care, many members of a multidisciplinary team may be able to be present at a single appointment. This can enable them to discuss the intricacies of a treatment plan with the patient present. For general dentists, there is often the need for an external referral to an orthodontist in primary or secondary care if orthodontic advice or treatment is needed. This process takes time and can delay the commencement of treatment.

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