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Detecting dental caries may often be at the forefront of the clinician's mind when examining paediatric patients. However, a range of periodontal abnormalities can also present in the paediatric population. It is essential that this cohort is appropriately assessed for periodontal disease during each clinical examination. Detecting such abnormalities early may enable timely access to the appropriate treatment, which could in turn improve clinical outcomes. This article highlights the importance of screening paediatric patients using the simplified Basic Periodontal Examination as per recommended guidelines.
CPD/Clinical Relevance: Vigilance is required when screening paediatric patients for periodontal conditions to enable early detection and disease management, which may in turn improve clinical outcomes.
Article
Periodontitis is a disease of chronic inflammation, often associated with dysbiotic plaque biofilms contributing to the progressive destruction of the tooth-supporting apparatus.1 The clinical presentation includes inflammation contributing to the loss of periodontal tissue support, presence of periodontal pocketing, and bleeding from the gingival tissues.1
Although dental caries is known to be the most prevalent non-communicable disease internationally,2 the condition of the gingival tissues is also an important oral health indicator in children.3 While it has been reported that very few children demonstrate loss of periodontal attachment,4 paediatric patients can be affected by a range of different periodontal conditions, including necrotizing periodontal diseases and those where systemic diseases influence the disease status.5
The aim of this article is to reinforce the importance of periodontal screening in paediatric patients and discuss when referral of periodontal presentations to secondary care is appropriate.
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