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Materials for paediatric dentistry part 2: the evidence

From Volume 42, Issue 10, December 2015 | Pages 911-920

Authors

Natalie Jenkins

BChD, MSc

Community Dental Officer, Derbyshire Community Health Services Foundation Trust, Swadlincote Dental Clinic, Swadlincote Health Centre, Civic Way, Swadlincote, Derbyshire, DE11 0AE, UK

Articles by Natalie Jenkins

Abstract

Which materials should be used to restore primary teeth? The second part in this series summarizes the current evidence base relating to this question, and describes the biological approach to caries management.

CPD/Clinical Relevance: Our decisions regarding material choices should be based, where possible, on up-to-date evidence. This will help to ensure that the appropriate material is placed in the appropriate clinical scenario.

Article

The children who visit our practices are our patients of the future. Their experiences at a tender age have the ability to shape their attitude to dentistry for the rest of their lives, as well as the attitudes of subsequent generations. The negative aspects of dental caries have been discussed in the first article in this two-part series. Unfortunately, many of us are still presented with children in pain on a regular basis. The negative effects of premature tooth loss also lead to future problems related to a lack of space for successional teeth (Figure 1).

If our management philosophy includes restoration of the carious tooth, we must carefully consider the restorative materials available, along with the individual clinical scenario being presented. Dental material companies seek our attention with promises of having ‘the next best thing’. It is important that we are able to appraise the literature critically behind these materials, so that we are able to decide whether they are appropriate for our patients or not.

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