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European Archives of Paediatric Dentistry

, Volume 13, Issue 1, pp 41–46 | Cite as

Short communication: A pan-European comparison of the management of carious primary molar teeth by postgraduates in paediatric dentistry

  • J. I. FoleyEmail author
Scientific Article

Abstract

AIM: To assess the preferences amongst European postgraduates (PG) in Paediatric Dentistry for the treatment of a child with differing caries severity in a primary molar tooth. STUDY DESIGN: An on-line structured questionnaire. METHODS: All European Paediatric Dentistry PGs were contacted by e-mail and asked to participate in an on-line questionnaire. The survey described four different case scenarios of a 5-year-old child, presenting with a mesio-occlusal cavity in tooth 85 with varying symptoms and signs. Treatment options were listed and participants asked to select the single most preferred treatment for each case. The same scenarios were presented for both non-anxious and dentally-anxious patients. RESULTS: Responses were received from 32/56 (F: 27; M: 5) PGs. A range of treatment options were selected for patients with no indication of pulpal involvement for non-anxious patients whilst the Hall technique was selected by 16/32 students for a dentally-anxious patient. For both a non-anxious and dentally-anxious patient, the preferred option for a tooth which produced pulpal symptoms was extraction selected by 16/32 students in both cases, although the mode of extraction differed. CONCLUSION: There was no consistency of response by PGs in Paediatric Dentistry within Europe. The Hall technique appeared to be a favoured option by half of the students for treatment of an asymptomatic carious primary molar tooth in a dentally-anxious child patient. Dental extraction was an option for a tooth demonstrating pulpal symptoms in both non-anxious and dentally-anxious patients.

Key words

Dental caries postgraduate dental education 

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References

  1. Creasy JE, Mines P, Sweet M. Surgical trends among endodontists: the results of a web-based survey. J Endod 2009; 35:30–34.PubMedCrossRefGoogle Scholar
  2. Dean AA, Bark JE, Sherriff A, Macpherson LM, Cairns A. Use of the ‘Hall technique’ for management of carious primary molars among Scottish general dental practitioners. Eur Arch Paediatr Dent 2011; 12:159–162.PubMedGoogle Scholar
  3. Duggal M. Providing children with the quality dental care they deserve. Community Dent Health 2006; 23:66–68.PubMedGoogle Scholar
  4. Fayle SA, Welbury RR, Roberts JF. British Society of Paediatric Dentistry: a policy document on management of caries in the primary dentition. Int J Paediatr Dent 2001; 11:153–157.PubMedGoogle Scholar
  5. Foley J, Evans D, Blackwell A. Partial caries removal and cariostatic materials in carious primary molar teeth: a randomised controlled clinical trial. Br Dent J 2004; 197:697–701.PubMedCrossRefGoogle Scholar
  6. Foley J. Alternative treatment strategies for carious primary teeth: an overview of the evidence. Eur Arch Paediatr Dent 2006; 7:73–80.PubMedGoogle Scholar
  7. Foley JI. Management of carious primary molar teeth by UK postgraduates in paediatric dentistry. Eur Arch Paediatr Dent 2010; 11:294–297.PubMedGoogle Scholar
  8. Hallonsten A-L, Jensen B, Raadal M, et al. EAPD Guidelines on Sedation in Paediatric Dentistry 2003. http://www.eapd.gr/dat/EE8559BA/file.pdf IARC. International Agency for Research on Cancer. IARC classifies formaldehyde as carcinogenic to humans. Press release no. 153. http://www.iarc.fr/pageroot/PRELEASES/pr153a.html. 2004.
  9. Innes NP, Stirrups DR, Evans DJ, Hall N, Leggate M. A novel technique using preformed metal crowns for managing carious primary molars in general practice — a retrospective analysis. Br Dent J 2006; 200:451–444.PubMedCrossRefGoogle Scholar
  10. Innes NP, Ricketts DN, Evans DJ. Preformed metal crowns for decayed primary molar teeth. Cochrane Database Syst Rev 2007a:CD005512.Google Scholar
  11. Innes NP, Evans DJ, Stirrups DR. The Hall Technique; a randomized controlled clinical trial of a novel method of managing carious primary molars in general dental practice: acceptability of the technique and outcomes at 23 months. BMC Oral Health 2007b; 7:18.PubMedCrossRefGoogle Scholar
  12. Lee M, Winkler J, Hartwell G, Stewart J, Caine R. Current trends in endodontic practice: emergency treatments and technological armamentarium. J Endod 2009; 35:35–39.PubMedCrossRefGoogle Scholar
  13. Lewis B. The obsolescence of formocresol. Br Dent J 2009; 207:525–528.PubMedCrossRefGoogle Scholar
  14. Meyer-Lueckel H, Chatzidakis A, Naumann M, Dorfer CE, Paris S. Influence of application time on penetration of an infiltrant into natural enamel caries. J Dent 2011; 39:465–469.PubMedCrossRefGoogle Scholar
  15. Milsom KM, Tickle M, King D. Does the dental profession know how to care for the primary dentition? Br Dent J 2003; 195:301–303.PubMedCrossRefGoogle Scholar
  16. Paris S, Hopfenmuller W, Meyer-Lueckel H. Resin infiltration of caries lesions: an efficacy randomized trial. J Dent Res 2010; 89:823–826.PubMedCrossRefGoogle Scholar
  17. Pine CM, Harris RV, Burnside G, Merrett MC. An investigation of the relationship between untreated decayed teeth and dental sepsis in 5-year-old children. Br Dent J 2006; 200:45–47.PubMedCrossRefGoogle Scholar
  18. Ricketts DN, Kidd EA, Innes N, Clarkson J. Complete or ultraconservative removal of decayed tissue in unfilled teeth. Cochrane Database Syst Rev 2006; 3:CD003808.Google Scholar
  19. Rocha Gomes Torres C, Borges AB, Torres LM, Gomes IS, de Oliveira RS. Effect of caries infiltration technique and fluoride therapy on the colour masking of white spot lesions. J Dent 2010; 39:202–207.PubMedCrossRefGoogle Scholar
  20. Rodd HD, Waterhouse PJ, Fuks AB, Fayle SA, Moffat MA. Pulp therapy for primary molars. Int J Paediatr Dent 2006; 16 Suppl 1:15–23.PubMedCrossRefGoogle Scholar
  21. Tickle M, Milsom K, King D, Kearney-Mitchell R Blinkhorn A. The fate of the carious primary teeth of children who regularly attend the general dental service. Br Dent J 2002; 192:219–223.PubMedCrossRefGoogle Scholar
  22. Tickle M. Improving the oral health of young children through an evidence-based approach. Community Dent Health 2006; 23:2–4.PubMedGoogle Scholar

Copyright information

© European Archives of Paediatric Dentistry 2012

Authors and Affiliations

  1. 1.Dept Paediatric DentistryUniversity of Aberdeen Dental School and HospitalForesterhill, AberdeenScotland

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