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Materials for paediatric dentistry part 1: background to the treatment of carious primary teeth Natalie Jenkins Dental Update 2024 42:10, 707-709.
Authors
NatalieJenkins
BChD, MSc
Community Dental Officer, Derbyshire Community Health Services Foundation Trust, Swadlincote Dental Clinic, Swadlincote Health Centre, Civic Way, Swadlincote, Derbyshire, DE11 0AE, UK
Dental caries is a disease that affects many people, including children, and presents numerous challenges to healthcare providers. As clinicians it is important that we consider the advantages and disadvantages of treating carious primary teeth, and make an informed decision about when it is appropriate or not. This paper describes the background to the treatment of carious primary teeth, looking at the differences between primary and permanent teeth, and the relevance of this. It also suggests points to consider when looking at restoration survival studies, as the ability to appraise the literature critically is important for us all in this ‘evidence-based’ age.
CPD/Clinical Relevance: Our early life experiences have the ability to shape our future attitudes and behaviour. Children with carious teeth require careful management so that pain and suffering is minimized, and positive attitudes towards dentistry are fostered.
Article
Caries is a universally prevalent human disease which, despite advances in dental research, prevention and treatment, still presents a significant healthcare issue in developed nations.1 It does not discriminate between the young and old, and many who develop the disease and suffer its consequences are children. Globally, dental caries remains the most prevalent childhood disease.2 Untreated caries in the primary dentition may lead to the development of sepsis,3 and lead to pain and suffering for the child.4 The results of one study, carried out in the North West region of England, indicated that nearly half of children with carious primary teeth were reported to have attended their general dental practitioner with dental pain.5 In this regard, research by Low and colleagues6 demonstrated the significant impact that severe caries has on the quality of life of young children, with it affecting eating preferences, quantity of food eaten and sleeping habits.
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