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Fifty years of progress in paediatric dentistry Laura Timms Helen Rodd Peter Day Annie Morgan Jenny Harris Claire Stevens Chris Deery Dental Update 2024 50:5, 707-709.
Progress in paediatric dentistry over the last half a century has been evident across all areas of the speciality. This article highlights significant changes in the diagnosis, prevention and management of dental caries, traumatic dental injuries, developmental enamel defects, tooth erosion, dental fear and anxiety and safeguarding children. The dedication of clinicians and researchers along with advances in material science and technology have supported this progress. We discuss the importance of working with those both within and outside of the specialty in order to collaborate to improve children’s oral health. There have been significant strides in the provision of child-centred holistic care and research. Reviewing the advancements made over this period has set a high precedent for making further progress within paediatric dentistry over the next 50 years.
CPD/Clinical Relevance: Knowledge of key advances in the field of paediatric dentistry will facilitate good diagnosis and treatment of younger patients.
Article
There have been many significant changes within the specialty of paediatric dentistry practice over the last half century, following the first issue of Dental Update. These advances are too numerous to discuss in just one article, so here we will present what we consider to be the key advancements within our field.
Not surprisingly, the management of caries, especially for younger children, has benefited from considerable advances in our understanding of the disease process and its impact over the past 50 years. Although fluoridated toothpaste was first marketed in the UK before the launch of Dental Update, its pivotal role in reducing caries prevalence in our population has been widely disseminated through the journal’s publications.1,2
Another fluoride-containing product, fluoride varnish, has changed the face of dental practice-based prevention. Although first available in 1964, its use became much more widespread during the 1980s. This highly effective and simple intervention superseded other forms of topical fluoride, such as acidulated phosphate fluoride gel.3 The inclusion of fluoride varnishes in national guidance documents from the Scottish Clinical Effectiveness Programme and from Public Health England in the early 2000s, and monitoring of submitted claims data, are likely to have furthered its adoption.4,56,7 Furthermore, its use in community-based prevention schemes, such as ‘Childsmile’ has seen significant caries reduction within some of the most deprived and hard-to-reach child populations.8 Another major contribution to caries prevention and management has been the modern resin-based fissure sealant, which was developed approximately 50 years ago.9 All these interventions are now mainstays of national guidance on the prevention of caries.6
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