Scottish Dental Clinical Effectiveness Programme Prevention and Management of Dental Caries in Children. Dental Clinical Guidance. PART III. Management of Caries in Permanent Molars. Management of Caries in Primary Teeth.
Journal Title: Journal of Stomatology (Czasopismo Stomatologiczne) - Year 2012, Vol 65, Issue 3
Abstract
Once an effective preventive programme has been initiated, it is then appropriate to implement a caries management plan, if required. The primary dentition is transient, whereas the permanent dentition must last the child for life. As the teeth most vulnerable to decay in childhood and adolescence are the permanent molars 22, keeping them cariesfree is a priority for dental care when developing a personal care plan for a child. Caries most commonly develops at just two sites on permanent molars: at the base of pits and fissures, and on the approximal surfaces, just below the contact point. Both these sites present challenges to the clinician in terms of caries diagnosis, and caries management. Children may present with first permanent molars (6s) with advanced caries. In addition, approximately 1 in 15 children will be affected by molar incisor hypomineralisation (MIH) to some degree. This condition, of unknown aetiology, can result in extensive breakdown of 6s. If a 6 is assessed as having a poor life-time prognosis, and the second permanent molar is not yet erupted, then it may be in the child’s long term best interest to extract the 6, allowing the 7 to erupt into its place.
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Scottish Dental Clinical Effectiveness Programme
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