Management of children with poor prognosis first permanent molars: an interdisciplinary approach is the key.

Although there have been continuous improvements in child oral health over recent decades, first permanent molars (FPMs) remain susceptible to early caries and can often be affected by hypomineralisation. We highlight current thinking in caries management and the restoration of hypomineralised FPMs, while also discussing enforced loss of these teeth within the context of interceptive extractions or extractions as part of orthodontic treatment. Compromised FPMs can negatively impact on quality of life for a child and present significant management challenges for the dental team.

'I Would Rather Be Having My Leg Cut off Than a Little Needle': A Supplementary Qualitative Analysis of Dentally Anxious Children's Experiences of Needle Fear.

Fear of needles is common in childhood, with up to 50% being affected to some degree. In individuals who are dentally anxious, the prevalence may be as high as 91%. Fear of needles, and therefore intra-oral injections can have negative impacts on children's quality of life and healthcare experiences, including a requirement for pharmacological methods to facilitate dental treatment.

Molar incisor hypomineralisation and dental anomalies: A random or real association?

Background: Clinical observations suggest molar incisor hypomineralisation (MIH) may present with other dental conditions.

Aims: The study aimed to determine the prevalence and variety of dental anomalies in children presenting with MIH.

Design: A convenience sample of children referred to a UK dental hospital was recruited.

'Message to Dentist': Facilitating Communication with Dentally Anxious Children.

Dental anxiety affects children worldwide and can have negative consequences on oral health. This study aimed to evaluate a novel communication aid 'message to dentist' (MTD), as part of a wider cognitive behavioural therapy approach to reduce dental anxiety in young patients. Dentally anxious children, aged 9-16 years, were invited to complete the MTD proforma, before and following their course of treatment.

Psychosocial Impacts Relating to Dental Injuries in Childhood: The Bigger Picture.

Traumatic dental injuries (TDI) in childhood are fairly commonplace, with a reported prevalence of up to 30% worldwide. These injuries can have significant impacts on patients, their families and dental professionals; however, this area is currently underrepresented within paediatric oral health research. The psychosocial impacts of traumatic injury are personal to each patient and should be addressed as part of a holistic treatment plan.

The effectiveness of Cognitive Behavioural Therapy in the reduction of dental anxiety in children.

Data sourcesCochrane Library, Embase, PubMed, Scopus, Web of Science, LILACS/BBO, PsycINFO, ClinicalTrials, ISRCTN registry, UK National Institute for Health and Care Excellence, International Clinical Trials Registry Platform, ProQuest and OpenGrey.Study selectionTwo independent and calibrated reviewers selected randomised controlled trials investigating cognitive behavioural therapy use in dentally anxious children.Data extraction and synthesisRisk of bias was assessed by two independent reviewers according to the Cochrane Collaboration tool.

Multimorbidity in Māori and Pacific patients: cross-sectional study in a Dunedin general practice.

INTRODUCTION Multimorbidity is a major issue in primary health care. AIM To determine the prevalence of multimorbidity and polypharmacy in one general practice in relation to age, sex and socioeconomic deprivation in Māori and Pacific patients. METHODS A cross-sectional study using data manually extracted from electronic medical records was conducted using a stratified random sample of Māori and Pacific patients aged ≥ 35 years who were enrolled with a large urban Dunedin general practice.

Retrospective analysis of patients attending a neurofibromatosis type 1 clinic.

Aim: To undertake a retrospective analysis of the patients who attended the neurofibromatosis type 1 clinic (NF clinic) at the Royal Children's Hospital, Melbourne between March 2001 and May 2004. From this analysis, we aimed to ascertain the frequency and nature of complications of NF1 in this cohort and compare this with other large series.

Methods: Genetic files and hospital records of patients who attended the NF clinic were reviewed.