Paediatric Dentistry

Aesthetic dental challenges for the paediatric patient

Uncomplicated crown (enamel-dentine) fractures result in loss of enamel and dentine without exposure of the pulp.3 Dentine tubules become exposed and can act as a pathway for bacterial ingression...

Oral ulceration and vesiculobullous conditions in the paediatric patient

Most patients with RAS are otherwise healthy, thus it is a diagnosis of exclusion. There are, however, a number of systemic conditions involving recurrent aphthous ulceration and are, therefore,...

The importance of periodontal screening in children. A case report

A fit and well 11-year-old boy attended his general dental practitioner for his routine dental check-up. He complained of occasional bilateral pain in the lower molar region, of roughly 12-months...

Is there a role for casein phosphopeptide–amorphous calcium phosphate (cpp-acp) in paediatric dentistry?

CPP–ACP is readily soluble in saliva and attaches itself to dental plaque and tooth surfaces.2,3 When subjected to a drop in pH, the attached CPP–ACP releases calcium and phosphate ions, leading to a...

Non-syndromic oligodontia in siblings: A spectrum of experience

The presenting complaints and clinical findings were varied (Table 1). There was no known family history of the developmental absence of teeth. All three children were fit and well. Extra-oral...

Management of Anterior Crossbite due to Splinting for Dental Trauma: A Case Report with 4-year Follow-up

A 7-year-old boy was referred to the Paediatric and Adult Dental Traumatology Clinic Faculty of Dentistry, Universidad de Chile, with a history of paediatric dental trauma caused by an accident on a...

The Impact of Meningococcal Septicaemia on the Developing Dentition

ELB is a female patient referred by orthopaedics at the age of 7 years for discolouration and was symptomatic with sensitive lower anterior central incisors. ELB had meningococcal septicaemia aged 13...

Dental Management of a Patient with a Left Temporal Brain Abscess: A Case Report

A 12-year-old boy attended Great Ormond Street Hospital as an emergency for a large left temporal brain abscess. The patient had several comorbidities including autism, short stature, complex...

Restoration of the fractured permanent incisor in young patients

It has been observed that ‘significant pulp inflammation’ can only occur in the presence of bacteria, therefore the aim of the emergency treatment phase is to prevent the ingress of bacteria.15 In the...

Resorption of maxillary first permanent molars by impacted maxillary second premolars: A case series

It is generally considered that impacted second premolars in both the mandible and maxilla will eventually erupt with or without displacement. Surgical removal of the impacted premolar is often...

Paediatric dental treatment under inhalation sedation by a therapist in secondary care: An audit

We investigated the success of paediatric dental treatment under IHS with nitrous oxide, as an alternative to GA, by a therapist. To register this service as a useful alternative to GA, we set a...

A Practical Guide to Caries Prevention in Children

Dental caries continues to be a prevalent disease among children. The most recent Child Dental Health Survey showed that nearly half (46%) of 15 year olds and one-third (34%) of 12 year olds had...

Children's dentistry in secondary care during COVID-19

With families, prior to the pandemic, routinely waiting 40 weeks for a Consultant Clinic appointment, we felt that we had to continue to provide this service. Following the implementation of lockdown,...

Bitewing Radiography for Caries Diagnosis in Children: When and Why?

Kidd and Pitts's 1990 literature review concluded that bitewing radiography is essential to ensure proximal caries is not missed in the primary or permanent dentition.8 Most studies included in the...

Odontogenic Infections with Cutaneous Involvement in Children: a Case Series

Odontogenic infections with cutaneous involvement may present as relatively well localized inflammatory skin lesions, often with purulent collections and discharge. Differential diagnosis may include...