Diagnostic dilemma of an ulcer in a child.

Unlabelled: Careful history-taking and examination are important in diagnosing self-inflicted injuries, which are often very difficult to diagnose and manage. We describe a case of a misdiagnosed traumatic ulcer in a 9-year-old boy which meant that he went through months of pain and discomfort, missed school, was admitted to hospital and had a series of unnecessary investigations.

Clinical Relevance: This case highlights the importance of dental referral, careful history and examination in managing unusual oral ulceration.

A comparison of paracetamol, ibuprofen or their combination for pain relief following extractions in children under general anaesthesia: a randomized controlled trial.

Objective: This study was designed to compare the effectiveness of different oral analgesics for relieving pain and distress in children following the extraction of teeth under general anaesthesia (GA). The analgesics included paracetamol alone, ibuprofen alone, and paracetamol and ibuprofen in combination.

Methods: Two hundred and one subjects were randomly allocated to one of four groups.

The effects of a long wait for children's dental general anaesthesia.

Objectives: The purpose of this study was to monitor the effect of an interruption in a service for children who were scheduled to have dental extractions under general anaesthesia (GA). The reasons for offering GA and the treatment given while the service was not available, together with the history of the pain, antibiotic usage and alterations to the number of teeth extracted were recorded.

Methods: When the GA extraction service stopped, the children who were scheduled to have their teeth extracted were placed on a waiting list.

Service quality implications of dental undergraduate outreach teaching for Primary Care Trusts in England, UK.

Objective: Primary Care Trusts (PCTs) assumed new responsibilities for dentistry in 2005. In dental education it has been suggested that more emphasis is made of primary care outreach schemes. The paper considers the service quality implications of dental outreach teaching for PCTs with particular reference to access and acceptability.

Management of a non-vital central incisor tooth with three root canals.

A macrodont permanent central incisor tooth with unusual root canal morphology became non-vital 18 months following trauma. Two root canals were initially identified and filled, but the patient continued to have symptoms and radiographic examination indicated apical periodontitis. Careful radiographic and clinical examination revealed a third root canal, which was subsequently treated, resulting in the resolution of symptoms and periapical healing.

Management of the immature apex--a clinical guide.

The production of an apical barrier prior to the placement of a permanent gutta percha root filling in a non-vital immature incisor tooth with an open apex is a well researched and documented technique. The technique is successful and a very satisfactory root filling can be placed in the tooth. However, dentists seem to have difficulty in achieving satisfactory outcomes.

Splinting of traumatized teeth in children.

Different types of splints have been used to stabilize traumatized teeth in children. Some of these splints have compromised healing of the teeth and associated dental tissues. This article considers the ideal properties for a splint and describes a method of splinting traumatized teeth in children that meets most of the requirements of an ideal splint.

An investigation of root-fractured permanent incisor teeth in children.

- The aim of this retrospective study was to determine the type of healing which occurred in root-fractured permanent incisor teeth in children. The objectives were to determine whether gender, age, stage of root development or location of the fracture affected the healing type. The method involved careful scrutiny of clinical records and radiographs of children who attended a unit of paediatric dentistry in a dental hospital.