Paediatric dentistry

Growth, prevention and child-centred decision making.

9 detailed notes·Clinical examples + recall

Topics

9 notes

Know typical primary and permanent tooth sequence while recognising variation. Delayed, ectopic or asymmetric eruption may need investigation.

Consider past disease, diet, fluoride, access to care and social context. Prevention involves the child and carers in a non-judgemental plan.

Balance symptoms, restorability, exfoliation timing and cooperation. Use prevention, restoration, pulp treatment or extraction when appropriate.

Diagnosis, root status, infection and the child's overall plan guide choice. A well-sealed restoration and follow-up remain essential.

Identify the injured tooth as primary or permanent, assess displacement and associated injuries, and document baseline findings and follow-up.

Use age-appropriate language, tell-show-do, positive reinforcement and shared planning. Escalate anxiety management when needed.

MIH affects first permanent molars and often incisors; sensitivity, breakdown and restoration difficulty are common.

Repeated unexplained injuries, neglect or concerning behaviour warrant careful documentation and action through local safeguarding pathways.

Severe disease may require coordinated prevention, treatment under suitable anaesthesia and long-term review, with the child's welfare central.