British Society Of Paediatric Dentistry Research Articles

General dental practitioners' views on the use of stainless steel crowns to restore primary molars

To ascertain general dental practitioners' views on the use of stainless steel (pre-formed metal) crowns to restore carious primary molars. Ninety-three general dental practitioners were selected at random from those practising in Lancashire, Cheshire and Greater Manchester in 2003 and interviewed separately about the clinical care they provide to the primary dentition. Before the interview participants recorded the care they would provide for a case scenario, describing a child with a carious lesion that the British Society of Paediatric Dentistry (BSPD) guidelines indicate should be treated with a stainless steel crown. In answering the case scenario only six (7%) of the dentists reported that they would fit a stainless steel crown. Of the 93 dentists interviewed 71% knew of the BSPD guidelines, but only 18% had ever fitted a stainless steel crown in general practice. Reasons given for not using stainless steel crowns were they are inappropriate for many children, time consuming to fit, difficult to manipulate, expensive, and ugly. The BSPD guidelines on the use of stainless steel crowns do not reflect the views of the majority of general dental practitioners who consider these crowns unsuitable for most children and an impractical restorative technique in busy daily practice.

British Society of Paediatric Dentistry Abstracts, Annual Scientific Meeting

Papers presented at the Annual Scientific Meeting of the British Society of Paediatric Dentistry, held in Belfast, 15–18 September 2004. BSPD is grateful for sponsorship from GABA International, which has allowed the following Abstracts to be published in IJPD.

British Society of Paediatric Dentistry: a policy document on oral health care in preschool children

This policy document was prepared by Janet Rayner, Ruth Holt, Fiona Blinkhorn and Karen Duncan. Policy documents produced by BSPD represent a majority view, based on a consideration of currently available evidence. They are produced to provide guidance, with the clear intention that the policy be regularly reviewed and updated to take account of changing views and developments.

British society of paediatric dentistry

British society of paediatric dentistry

The British Society of Paediatric Dentistry: 50 years of achievement.

This paper describes the origins of organizations for children's dentists in the UK, starting 50 years ago and culminating in the foundation of the British Society of Paediatric Dentistry. It focuses on some of the people who were instrumental in these developments and their relations with children's dentists worldwide.

An investigation of paediatric dentists' attitudes towards parental accompaniment and behavioural management techniques in the UK

Objective Good behavioural management techniques are essential for treating children. Recent research has investigated parental and paediatric attitudes towards various behavioural management techniques. However, in the UK, very little is known about paediatric attitudes towards such issues. Accordingly, the aim of this investigation was to conduct a survey in order to provide insight into the current thinking of paediatric dentists across the UK. Study design A questionnaire was developed for this study on the basis of previous surveys investigating the attitudes of paediatric dentists towards the use of various behavioural management techniques in Australia and the USA. Areas covered in the questionnaire included: attitudes towards parental accompaniment; attitudes regarding parental expectations; and attitudes towards the use of various different child management techniques. The questionnaire was sent out to all registered members of the British Society of Paediatric Dentistry (n = 304). Results 245 responses (80.5%) were returned, of which 218 provided valid and useable information (72%). A majority of 80% of respondents supported parental accompaniment of the child during the course of treatment. Separate analysis of variance (ANOVA) procedures revealed significant differences between acceptability of parental accompaniment and the year in which dentists had qualified (P < 0.05). More recently qualified dentists were less accepting of parental accompaniment. Only a minority of dentists reported feeling pressured by parental expectations with regard to their child's treatment. However, an independent sample t-test revealed that male dentists experienced greater perceived conflict between dental and parental expectations, than female dentists (P < 0.05). In terms of specific behavioural management techniques, the most favoured was 'tell-show-do' with 87% of respondents citing this as their most commonly used method. Least acceptable were 'hand over mouth' techniques, foIlowed closely by active restraint and papoose board. Conclusion In general, paediatric dentists in the UK favoured less 'restraining' methods of behavioural management. There was widespread support for parental accompaniment in the dentaI operatory and a desire to work in participation with parents in order to facilitate the child's good behaviour and more effective dental treatment. Further studies comparing the effectiveness of various techniques used with regard to treatment time and clinical outcomes, are now required.

Behavioural management of paediatric patients

Objective Good behavioural management techniques are essential for treating children. Recent research has investigated parental and paediatric attitudes towards various behavioural management techniques. However, in the UK, very little is known about paediatric attitudes towards such issues. Accordingly, the aim of this investigation was to conduct a survey in order to provide insight into the current thinking of paediatric dentists across the UK. Study design A questionnaire was developed based on previous surveys investigating the attitudes of paediatric dentists towards various behavioural management techniques in Australia and the USA. Areas covered in the questionnaire included: attitudes towards parental accompaniment; attitudes regarding parental expectations and attitudes towards the use of various different child management techniques. The questionnaire was sent to all registered members of the British Society of Paediatric Dentistry (n=304). Results 245 responses (80.5%) were returned, of which 218 provided valid and useable information (72%). A majority of 80% of respondents supported parental accompaniment of the child during the course of treatment. ANOVA procedures revealed significant differences between acceptability of parental accompaniment and the year in which dentists had qualified (p < 0.05); more recently qualified dentists were less accepting of parental accompaniment. Only a minority of dentists reported feeling pressured by parental expectations with regard to their child's treatment. However, an independent sample t-test revealed that male dentists experienced greater perceived conflict between dental and parental expectations than female dentists (p < 0.05). In terms of specific behavioural management techniques, the most favoured was 'tell-show-do' with 87% of respondents citing this as their most commonly used method. Least acceptable were 'hand over mouth' techniques, foIlowed closely by active restraint and papoose board. Conclusion In general, paediatric dentists in the UK favoured less 'restraining' methods of behavioural management. There was widespread support for parental accompaniment in the dentaI operatory and a desire to work in participation with parents in order to facilitate the child's good behaviour and more effective dental treatment. Further studies comparing the effectiveness of various techniques used with regard to treatment time and clinical outcomes, are now required.

An investigation of paediatric dentists' attitudes towards parental accompaniment and behavioural management techniques in the UK.

Good behavioural management techniques are essential for treating children. Recent research has investigated parental and paediatric attitudes towards various behavioural management techniques. However, in the UK, very little is known about paediatric attitudes towards such issues. Accordingly, the aim of this investigation was to conduct a survey in order to provide insight into the current thinking of paediatric dentists across the UK. A questionnaire was developed for this study on the basis of previous surveys investigating the attitudes of paediatric dentists towards the use of various behavioural management techniques in Australia and the USA. Areas covered in the questionnaire included: attitudes towards parental accompaniment; attitudes regarding parental expectations; and attitudes towards the use of various different child management techniques. The questionnaire was sent out to all registered members of the British Society of Paediatric Dentistry (n = 304). 245 responses (80.5%) were returned, of which 218 provided valid and useable information (72%). A majority of 80% of respondents supported parental accompaniment of the child during the course of treatment. Separate analysis of variance (ANOVA) procedures revealed significant differences between acceptability of parental accompaniment and the year in which dentists had qualified (P < 0.05). More recently qualified dentists were less accepting of parental accompaniment. Only a minority of dentists reported feeling pressured by parental expectations with regard to their child's treatment. However, an independent sample t-test revealed that male dentists experienced greater perceived conflict between dental and parental expectations, than female dentists (P < 0.05). In terms of specific behavioural management techniques, the most favoured was 'tell-show-do' with 87% of respondents citing this as their most commonly used method. Least acceptable were 'hand over mouth' techniques, followed closely by active restraint and papoose board. In general, paediatric dentists in the UK favoured less 'restraining' methods of behavioural management. There was widespread support for parental accompaniment in the dental operatory and a desire to work in participation with parents in order to facilitate the child's good behaviour and more effective dental treatment. Further studies comparing the effectiveness of various techniques used with regard to treatment time and clinical outcomes, are now required.

Outcomes associated with restored and unrestored deciduous molar teeth.

Most dental treatment for children in the United Kingdom (UK) is provided by general dental practitioners (GDPs) working in the National Health Service (NHS). A working party of the British Society of Paediatric Dentistry, in a special publication from the Dental Practice Board, has suggested that failure to provide restorative care for the deciduous dentition is unacceptable, yet GDPs are filling fewer teeth in young children. The study aimed to evaluate the health outcomes obtained from restoring carious deciduous molar teeth. The dental records of 677 children cared for by 50 GDPs in the north west of England were analysed. The results showed that 18.8% of deciduous molars with unrestored caries and 17.0% with a history of restorative care went on to be extracted because of pain or sepsis. The results suggest that the risk of carious deciduous molars being extracted is similar whether these teeth receive restorative care or not.

British Society of Paediatric Dentistry: a policy document on the use of amalgam in paediatric dentistry

International Journal of Paediatric DentistryVolume 11, Issue 3 p. 233-238 British Society of Paediatric Dentistry: a policy document on the use of amalgam in paediatric dentistry First published: 03 September 2008 https://doi.org/10.1046/j.1365-263X.2001.011003233.xCitations: 8Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume11, Issue3September 2001Pages 233-238 RelatedInformation

British Society of Paediatric Dentistry: a policy document on management of caries in the primary dentition

Dental caries is still one of the most prevalent diseases of children in the United Kingdom. Although a significant decline in caries experience in children has been observed over the last few decades, this improvement ceased in the primary dentitions of younger children in the early 1980s and since then the only change has been an increasing polarisation with more of the disease occurring in a smaller proportion of the population. This situation has been compounded by a reduction in the proportion of dental caries treated by fillings, particularly in the younger age groups. The British Society of Paediatric Dentistry believes that dental services in the United Kingdom are failing to meet the needs of many younger children and urgent steps must be taken to improve the standard of dental health among this vulnerable group.

A prevalence study of dental fluorosis in infancy

Objectives To determine the prevalence and severity of fluorosis in permanent incisor teeth in young children in a fluoridated and a fluoride-deficient community and to establish what relationship, if any, there was between the occurrence of dental fluorosis and the reported use of fluoride toothpaste in childhood. Design A prevalence study of children aged 8–9 years who had been continuous residents in fluoridated Newcastle or fluoride-deficient Northumberland. Method The permanent maxillary central incisor teeth were examined clinically and photographically by one examiner using the Thylstrup-Fejerskov index; the photographs were read blind to child identity and clinical score. A closed-response questionnaire enquired into the child's early experiences of toothbrushing and use of fluoride toothpastes. Social deprivation was measured by a Jarman score. The study took place in 1998. Outcome measure Prevalence of dental fluorosis measured by the Thylstrup– Fejerskov index. Results Complete data were available for 78% (n = 409) and 79% (n = 403) of eligible sampled children in the two areas, respectively. Clinical and photographic results agreed closely and had high reproducibility. The prevalence of fluorosis was 54% in the fluoridated area and 23% in the fluoride-deficient area when all grades (> 0) of fluorosis were included; percentage prevalence of mild to moderate fluorosis (≥ 3) was 3% and 0.5% in the two areas, respectively. Multivariate analysis indicated that area of residence (odds ratio = 4.5), Jarman score (odds ratio = 0.99 per Jarman unit) and type of toothpaste (odds ratio = 1.6) were statistically significantly related to presence or absence of fluorosis: the risk factors were – fluoridated area, affluence, and use of adult toothpaste. Conclusions and recommendations The prevalence of aesthetically important dental fluorosis was low, although higher in the fluoridated area. Use of a child's toothpaste (with lower fluoride concentration) could decrease risk in a fluoridated area. Adherence to the guidelines published by the British Society of Paediatric Dentistry is recommended.

Whither paediatric dentistry?

The objective of the British Society of Paediatric Dentistry is to promote the oral health of children. This objective is discussed from four different aspects. First, it is necessary to quantify the dental needs of children and to appreciate how these needs have changed over the last 20 years. Using information from national dental surveys, changes between 1973 and 1993 in the prevalence of dental caries, periodontal disease, accidental damage to anterior teeth and occlusal problems, are summarized. Secondly, the development in consultant posts and the specialty of paediatric dentistry are discussed. The impact of research gradings given to Dental Schools in Britain is the third aspect to be considered and its possible effect on research topics directly relevant to improving the oral health of children. Lastly the effect of public perceptions on our specialty must be considered. Although paediatric dentists may not hit the headlines, the public must be convinced that good oral health is the birthright of every child and that we are dedicated to preventing and treating oral disease in children.

U.K. National Clinical Guidelines in Paediatric Dentistry

In 1994 the Department of Health requested the Royal College of Surgeons to produce National Clinical Guidelines. This task was delegated to the Paediatric Dentistry Clinical Audit Committee which is a subcommittee of the Consultants in Paediatric Dentistry Group of United Kingdom and Ireland.The purpose of Clinical Guidelines is to improve the effectiveness and efficiency of clinical care through the identification of good clinical practice and desired clinical outcomes. Each Guideline is intended to assist clinicians in making decisions about appropriate management of specific conditions. The aim has been to choose commonly encountered clinical situations and make recommendations on their management. In many areas of practice there is a shortage of reliable research data, so that although some recommendations are supported by robust data, others are made with a lesser degree of confidence, and may represent only ‘best current practice’. An anticipated benefit is that shortage of data will be highlighted, so stimulating research aimed at improving the scientific foundation of our clinical activity. It will be important to refine the existing Guidelines as further information becomes available, and also to add to the number of Guidelines in the future.The production of a guideline follows a consistent and thorough method. Draft authors were asked to review the scientific literature on selected topics and produce a draft guideline which was then circulated to an ‘Expert Panel’ for comment and opinion. Expert panels varied according to the subject of the guideline and consisted of all Consultants, the British Society of Paediatric Dentistry and individuals from other disciplines who were identfied as having a particular expertise in that subject. Where applicable each guideline consists of three broad sections. The first section is a series of recommendations for diagnosis and management, the second contains explanatory notes relating to the evolution of these recommendations, and the third section contains references and comments to assist further research into the subject. A final Guideline was eventually produced which, if appropriate, was assessed, according to the Scottish Intercollogiate Guideline Network (SIGN) classification, as to whether it was based on proven scientific evidence or currently accepted good clinical practice with limited scientific evidence. The SIGN classification is shown in Table 1 together with the Grading system used in the text of each document. The first guideline is published below.It should be understood that a Clinical Guideline is intended to assist the clinician in the management of patients in an effective and efficient way. It is not intended to restrict clinical freedom in the management of an individual case.

British Society of Paediatric Dentistry: A Policy Document on the Dental Needs of Children

This document was prepared by June Nunn, Peter Crawford, Jim Page and Gerry Winter. Policy documents produced by the BSPD represent a majority view, based on a consideration of currently available evidence. They are produced to provide guidance, with the clear intention that the policy be regularly reviewed and updated to take account of changing views and developments.

British Society of Paediatric Dentistry: A Policy Document on Fluoride Dietary Supplements and Fluoride Toothpastes for Children

International Journal of Paediatric DentistryVolume 6, Issue 2 p. 139-142 British Society of Paediatric Dentistry: A Policy Document on Fluoride Dietary Supplements and Fluoride Toothpastes for Children First published: June 1996 https://doi.org/10.1111/j.1365-263X.1996.tb00227.xCitations: 9AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume6, Issue2June 1996Pages 139-142 RelatedInformation

British Society of Paediatric Dentistry: A Policy Document on Sedation for Paediatric Dentistry

British Society of Paediatric Dentistry: A Policy Document on Sedation for Paediatric Dentistry

British Society of Paediatric Dentistry: A Policy Document on Toothfriendly Sweets

British Society of Paediatric Dentistry: A Policy Document on Toothfriendly Sweets

Abstracts of papers presented at a meeting of the British Society of Paediatric Dentistry, York, 16–17 September 1994

Abstracts of papers presented at a meeting of the British Society of Paediatric Dentistry, York, 16–17 September 1994

British Society of Paediatric Dentistry: A Policy Document on Fissure Sealants

International Journal of Paediatric DentistryVolume 3, Issue 2 p. 99-100 British Society of Paediatric Dentistry: A Policy Document on Fissure Sealants First published: June 1993 https://doi.org/10.1111/j.1365-263X.1993.tb00059.xCitations: 1AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article.Citing Literature Volume3, Issue2June 1993Pages 99-100 RelatedInformation