[Non-restorative treatment of cavities in temporary dentition: effective and child-friendly].

Caries is a multifactorial disease manifesting itself as a dynamic process. Fewer than half of all 5-year-olds have all teeth intact. The treatment of cavities in the temporary dentition requires a switch from predominant restoration to responsible non-restoration.

[Dental caries. Which strategy suits whom?].

The treatment of dental caries can be approached from more perspectives than just restoration. At a recent congress of the Dutch Society of Paediatric Dentistry and the Dutch Society for Dental health of the Disabled, various visions for the treatment of caries in young children were extensively discussed. This article is a report on congress papers concerning the (im)possibility of preventive approaches, the prerequisites for restorative care and the complications and obstacles in treatment.

[What is the dentist's role in the recognition of child abuse?].

For a Dutch dentist, the chance to recognise a physical abused child with injuries in the head-neck region, is less than once every 18 months. But child abuse is difficult to recognize. In spite of all this, it's still important for dentists to know how to recognise child abuse, since the effects on a child can be harmful.

[What does the non-dentistry-trained person know about avulsion?].

The prognosis of an avulsed permanent incisor depends on a swift and correct emergency treatment. The chance of a favourable prognosis increases if the tooth is replanted as quickly as possible, preferably by the persons first present at the scene of the accident. Usually this person is a layman, therefore the aim of this study is to investigate the knowledge in this respect.

Oro-dental injuries and their management among children and adolescents in Tanzania.

Objective: To investigate, by utilising patient records, the occurrence of the various types of dental trauma and the treatment provided among children aged one to seventeen years.

Design: A retrospective survey of dental clinic records.

Setting: Paedodontic clinic of the Faculty of Dentistry, Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania.

Initial treatment of traumatic dental injuries by dental practitioners.

The aim of this study was to investigate the nature of initial treatment provided by dental practitioners to children aged 1-17 years with various types of traumatic dental injuries at public dental clinics in Tanzania. Questionnaires on initial treatment were mailed to 188 practitioners and returned by 138 (73%). The reported treatments were analyzed in relation to the dental practitioners' qualifications and area of practice.

Clinical evaluation of Dyract in primary molars: 3-year results.

Purpose: To evaluate the 3-year clinical performance of Dyract in primary molars.

Materials And Methods: In 55 children (aged 4-9 years) 91 restorations were placed and 76 were available for evaluation after 2 years. After 3 years, 40 teeth were exfoliated leaving 37 restorations for evaluation.

Time trends in caries experience of 6- and 12-year-old children of different socioeconomic status in The Hague.

The caries experience among 6- and 12-year-old children in the The Netherlands from the mid seventies showed a continued decreasing trend. A halt in the decline of caries experience of the primary dentition of 6-year-olds occurred after 1983, whereas among 12-year-old children the decrease in mean DMFS values continued in the period 1980-1989. The 1996 survey in The Hague showed that the decline in caries in 12-year-old native children of low socioeconomic status (SES) has come to an end (average DMFT of 1.

[Amelogenesis imperfecta in young patients].

Amelogenesis imperfecta is a genetic disturbance in the formation of enamel. The condition can be classified as a hypoplastic type and a hypomineralized type. Both types are normally very inconvenient for the patient and treatment should be started as soon as possible.

[Trends in dental caries prevalence amongst schoolchildren in the Hague. A comparison with the results from a survey in 1996 and previous years].

Starting in 1969, periodic cross-sectional examinations of schoolchildren have been carried out in the city of The Hague (the Netherlands). The results of 1996 show that no further change in caries prevalence has taken place in 5- and 7-year-old Dutch children of low, medium and high SES. In 11-year-old children of medium and high SES a further decrease in caries prevalence could be observed in 1996.

[Restorative treatment of deciduous teeth].

In this article available restoratives for treatment of deciduous teeth are viewed in the light of a theoretical ideal filling material. Especially components and resin composites in combination of a etching primer, approach this ideal in the best way. Clinical studies have to reveal on the long run which material becomes the restorative of choice in the deciduous dentition.

[Local anesthesia in children and mentally handicapped].

Pain belief and pain thresholds vary greatly in children and mentally disabled persons. Whereas adults may tolerate discomfort and remain cooperative, children and mentally disabled persons become frightened when they are hurt and will not cooperate further. Effective pain control is a prerequisite for their successful treatment.

Clinical evaluation of Dyract in primary molars: 1-year results.

Purpose: To evaluate the 1-year clinical performance of Dyract in primary molars.

Materials And Methods: 55 children (aged 4-9 years) received 1-3 restorations (n = 91) utilizing Dyract, a new restorative material combining properties of both glass ionomers and composites.

Results: The so-called compomer material showed good handling characteristics and a survival rate of 97% after 1 year.

[Quality in child dental health care. Concerns in different age groups].

Adequate dental care for children demands knowledge and expertise in several branches in dentistry. In order to treat children the dentist must have at his disposal an approach, attitude and motivation specific for different age groups. The preventive measures for each category are described, followed by remarks regarding the curative care and the degree in which the children are cared for.

Malocclusion and orthodontic treatment need of 15-74-year-old Dutch adults.

In 1986 a nationwide dental survey was performed in the Netherlands. This article describes the prevalence of dentofacial anomalies in the age group 15-74 yr, as well as the subjective and objective need for orthodontic treatment. The main findings were: severe crowding in the mandible was found in approximately 15%; an Angle Class II situation was seen in 28%; a maxillary overjet of greater than 5 mm was found in 23%; orthodontic treatment had or was being performed in approximately 25%; 45% of orthodontic treatment was carried out by a general practitioner; using professionally defined need, 39% of the population required treatment whereas only 14% of the people felt that this treatment was necessary.

[Dental characteristics and orthodontic treatment need of the Dutch adult population].

In this article the results are presented of a nationwide representative study of dental anomalies in the group of 15-74 years Dutchmen. Also the subjective and objective need of orthodontic treatment in the age group 15-34 years is described. The principal findings are: of the 15-19 years olds, 27% is treated with orthodontic appliance; general practitioners performed 45% of these orthodontic treatments; --unsatisfied with the position of the front teeth is 25% of the 15-34 year old; an objective need for treatment is found in 39% of this age group; in 14% there is both an objective and a subjective need for treatment; both the subjective and objective need of orthodontic treatment is greater in the group of persons who were treated in the past than in the group of persons who never were treated.