Specialists In Paediatric Dentistry Research Articles

Surgical and orthodontic management of impacted maxillary central incisor in children: A case report

Impaction of maxillary permanent central incisor is a frequently reported case in dental practice, and its treatment is challenging because maxillary central incisors are of great important for both aesthetic and functional aspects, since they provide support of the lip and facial muscles. Early detection of such teeth is most important if complications are to be avoided. In this article, we report a case of a 12-year-old girl, in the Pediatric Dentistry Specialist, Dental and Oral Hospital, Airlangga University. Combined approach with surgical exposure and the application of an orthodontic force brought the impacted left maxillary central incisor down to its proper position in the dental arch.

Associated medical conditions among 10-year-old children with oral clefts - a retrospective review across three cleft centres: Part 2

Introduction In many cases, children with oral clefts present with accompanying medical conditions. These associated conditions can add complexity to the patient's dental management, both in terms of their treatment need and risk. Recognition and careful consideration of associated medical conditions is therefore crucial in providing safe and effective care for these patients.Aim This paper is the second in a two-part three-centre series. It investigates the prevalence of medical conditions affecting cleft lip and/or palate patients attending three cleft units within the UK.Method Retrospective review was undertaken within three cleft units: South Wales (SW), Cleft NET East (CNE) and West Midlands (WM). This was completed via assessment of the 10-year audit record appointment clinical notes for the year 2016/2017.Results In total, 144 cases were reviewed (SW = 42; CNE = 52; WM = 50). Of these, 38.9% of patients (n = 56) had associated medical conditions recorded.Discussion The review highlights the variety and impact of medical conditions affecting UK cleft patients providing insight into the consequent complexity of their dental care.Conclusion An awareness of cleft lip and/or palate patients' associated medical conditions is important for all health care professionals involved in their care. Indeed, understanding of the patient's medical needs by multidisciplinary cleft teams is essential for effective planning and completion of holistic care. Involvement of specialists in paediatric dentistry sharing care with general dental practitioners is vital in providing appropriate oral health care and preventive support.

THE IMPACT OF ANATOMICAL CHARACTERISTICS ON THE DEVELOPMENT OF ORAL MUCOSAL DISEASES IN CHILDREN WITH DOWN SYNDROME

BACKGROUND: Dental treatment plays a big role in improving the health and quality of life of children with Down syndrome. These children need rationally organized additional dental treatment by different specialists and systematic medical observation. The high incidence and prevalence of periodontal disease in children with Down syndrome are caused by anatomical features of cranial development. OBJECTIVE: pattern identification between anatomical characteristics and development of oral mucosal diseases in children with Down syndrome. METHODS: The study included 24 patients with Down syndrome. They were registered at the Department of Pediatric Dentistry of the Tver Dental Polyclinic (Russia). The age of the patients was from 2 to 13 years old. RESULTS: 59.5% of patients had a missing nasal bone. 58% of children had an arched palate. 65% of children had oral breathing type due to macroglossia and weak temporomandibular joint muscles. It can be the reason for the development of inflammatory oral mucosal diseases. The children with Down syndrome often have stomatitis and gingivitis, which develops into chronic periodontal diseases. 62% of children had the creased tongue at the age of 4 years. Down syndrome has a high prevalence of maxillofacial anomalies of up to 76%. It contributes to the formation of plaque on the teeth and caries. It often leads to damage to the rudiments of permanent teeth. The prevalence of periodontal disease in children with Down syndrome is associated with severe hypotonia of the masticatory muscles up to 87%. CONCLUSION: Pediatric dentists focus on the features of the dental status of children with Down syndrome, taking into account the relationship of pathological processes in the maxillofacial area and somatic pathology. Specialists in pediatric dentistry must understand the importance of early prevention, which can reduce the risk of developing cavities and periodontal disease in children.

Specialist and transitional care provision for amelogenesis imperfecta: a UK-wide survey.

Background Amelogenesis imperfecta (AI) can be challenging to manage due to the complexity and variation of presentation. Clear care pathways between general practice, specialist paediatric dentistry and adult services are required.Aim To assess the provision of specialist care and transitional care arrangements for paediatric patients with AI in the UK.Method An online survey was disseminated to members of the British Society of Paediatric Dentistry in January 2020. Descriptive analysis was used to interpret the quantitative and qualitative results.Results In total, 115 clinicians across all four nations participated. Most respondents (54%; n = 66), were based in the hospital dental service. Overall, 29% (n = 33) were consultants and 24% (n = 28) were specialists in paediatric dentistry. The most common patient age group seen was 6-12 years old. No clear AI referral pathway into specialist care was reported by 49% (n = 47). A clear transitional care pathway was deemed not to exist by 77% (n = 72), with 85.9% (n = 73) indicating a need. Qualitative analysis themes included 'unclear care pathways' and 'specialist care access problems'.Conclusion Access to specialist paediatric dental care and transition to adult services is not readily available throughout the UK for AI patients. There is a clear need to establish and improve existing pathways.

Oral health of schoolchildren in Slovenia: Prospective epidemiological study.

The quality of oral health can be estimated by its own indicators, one of which is the Decayed-Missing-Filled index (DMF-T for permanent teeth and dmf-t for deciduous teeth index). Caries can be prevented and successfully controlled by comparing clinical and epidemiological data. The basic prerequisite for this approach is data collection through systematic examinations, the results of which are a starting point for a prevention programme. The aim of the study is to define the oral health of elementary schoolchildren in one municipality of Slovenia, focusing on 6-, 12- and 15-year-old children. A prospective epidemiological study of elementary school children (aged 6, 12 and 15) of municipality Murska Sobota, Slovenia, was performed over four years. Data were obtained from the dental records of elementary schoolchildren acquired from a specialist in paediatric dentistry. Collected data included age, gender, the number of carious teeth and tooth fillings per child in deciduous and permanent teeth, dmf-t/DMF-T index and the percentage of primary and secondary healthy children. Statistical analysis was performed using SPPS 25. Data from schoolchildren were used (1256 girls, 1281 boys). The number of carious deciduous teeth per person in 6-year-olds (3.2-3.8) was higher than the number of (carious) permanent teeth in 12-year-olds (0.3-1.2). The number of filings per person in deciduous teeth in 6-year-olds (0.5-0.6) was lower than it was in permanent teeth in 12-year-olds (0.3-1.2). Dmf-t index in 6-year-olds was from 4 to 4.6; DMF-T index in 12-year-olds were from 1.2 to 2.2 and in 15-year-olds from 2.4 to 3.8. The percentage of primary healthy children was lower for older children, but the percentage of secondary healthy children was higher for older children. Monitoring oral health is important, and school has an important role in it; however, caries control has yet to be successful.

Variations in provision of dental general anaesthetic for children in England.

Introduction Dental general anaesthetic (DGA) remains one of the main modalities to deliver treatment to paediatric patients. The main central registry system which is used as a proxy measure of DGA provision is the Hospital Episode Statistics (HES) data on hospital admission of children for dental extractions. This database does not accurately reflect the number of DGAs as it omits non-hospital-based providers and the data includes treatment under sedation.Aims The aim is to describe the paediatric DGA service provision across England and determine type of provider (NHS Trusts or Community Dental Services [CDSs]), type of lists (extraction or comprehensive care) and the speciality planning the service.Methods Potential providers were identified using the provider-level analysis in HES database (for NHS trusts) and the NHS Business Services Authority and internet-based search engine (for CDS providers). All potential providers were contacted (n = 204) and provided with a pro forma to collect data.Results Response rate was 82% and 115 providers confirmed provision of paediatric DGA. These were mostly NHS trusts (72%). Not all providers appeared in the HES database (25%). Half of the providers provided separate lists for exodontia versus comprehensive care. Only 32% of the lists were planned by specialists in paediatric dentistry. All regions, apart from London, had some comprehensive care lists planned by non-paediatric dentists.Conclusion The results highlighted the inaccuracies in the HES, variation in service provision across England and the lack of paediatric speciality-led DGA services. Paediatric DGA needs to be better recorded and commissioned.

An investigation of transitional care pathways for young people following traumatic dental injuries.

Introduction Traumatic dental injuries (TDIs) can cause severe and complex dento-alveolar problems. Management of TDIs frequently extends into adulthood; therefore, a clear transitional care pathway (TCP) is important. Failure of this can prevent engagement in adult dental services and negatively influence treatment outcomes.Aims To assess the availability of TCPs from paediatric and adult specialist care for young people with TDIs.Materials and methods An anonymous, postal survey was designed and administered to all UK specialists in paediatric dentistry registered with the General Dental Council. Quantitative and qualitative data were gathered.Results The response rate was 58% (n = 130). Fifty-five percent (n = 72) stated that there was a dental trauma clinic for children within their locality, while only 22% (n = 29) stated that there was a dental trauma clinic for adults. Sixty-nine percent (n = 90) stated that there was no clear TCP within their locality and 41% (n = 37) of these highlighted a need for a TCP. Thematic analysis of opinions with regards to need for a TCP identified three main themes: pathway availability, access to resources and clinician experience. Following a course of treatment for a patient aged 12 years or above, 24% (n = 31) refer to specialist adult services, with 43% (n = 95) continuing to provide follow-up within paediatric dentistry.Conclusion Follow-up arrangements for young people with TDIs differ across the UK, with inconsistent availability of TCPs. Informal pathways involving referral to multidisciplinary teams may be utilised for follow-up care. Development of a TCP may aid in developing a consistent approach to long-term management of TDIs.

An impetus for change?

For years, the British Society of Paediatric Dentistry has been highlighting the shortage of specialists in paediatric dentistry in the UK and the consequent inadequacy of provision of, and inequality of access to, specialist care. This is a problem which must be addressed nationally. The aim of this article is to understand the obstacles to change and the impact of this continuing shortage, with a particular focus on the decline in the numbers of non-consultant specialists. I will examine the challenges and possible solutions, taking into account the impact of COVID-19 on service delivery.

UK dental care for children - a specialist workforce analysis.

Introduction The main specialties involved with the treatment of children in the UK are paediatric dentistry and orthodontics. In December 2019, these accounted for approximately 38% of all specialists listed by the General Dental Council (GDC). Recent evidence of difficulties filling specialist NHS job posts and the absence of specialists in some UK postal areas suggests a demographic analysis of these specialties is timely.Aims To gather data and help contribute towards assessing the need for future specialist training places by mapping GDC-listed specialists registered in UK postal areas and plotting specialists' first GDC registration dates.Method The data were obtained from the GDC.Results In ten years' time, approximately 40% (n = 92) of currently registered specialists in paediatric dentistry and 37% (n = 487) of specialists in orthodontics will be aged 60 years or over. Forty-four percent (n = 54) of 124 UK postal areas had no specialist in paediatric dentistry while 2% (n = 3) had no specialist in orthodontics.Conclusion Demographic profiling can be compiled from data available to the public. This is likely to be of interest for those responsible for specialist workforce planning and funding NHS specialist dental care for children.

Multidisciplinary clinic for care of children with complex obstructive sleep apnea

ObjectiveWhile adenotonsillectomy (AT) remains first line therapy for pediatric obstructive sleep apnea (OSA), management of children who are not candidates for AT or who have residual OSA post AT varies and spans across multiple specialties. We aim to report our experience in managing this population through a multidisciplinary sleep clinic composed of specialists in pediatric dentistry, otolaryngology, plastic surgery, and pulmonary/sleep medicine. Study designRetrospective chart review. MethodThe medical records of children attending our complex sleep apnea clinic were reviewed. Data pertaining to demographics, underlying diagnoses, prior evaluation and treatment, recommendations, and initial therapy were collected. ResultTwo-hundred and thirty patients (mean age 10.7 ± 5.1 years, 62.2% male) were assessed. Underlying conditions included Trisomy 21 (n = 65, 28.2%), other genetic syndromes (n = 37, 16.1%), obesity in an otherwise typically developing child (n = 36, 15.2%), cerebral palsy (n = 27, 11.7%), and craniofacial syndromes (n = 7, 3.0%). Mean obstructive apnea hypopnea index (OAHI) was 14.2 events/hour at first clinic visit, and the majority of children had previously undergone at least one upper airway surgery (n = 168, 73.0%), primarily adenotonsillectomy. Recommended initial treatment plans included positive airway pressure (PAP) therapy (n = 108, 47.0%), surgery (n = 75, 32.6%), allergy management (n = 52, 22.6%), and/or weight loss (n = 34, 14.8%). Patients prescribed PAP therapy with follow up data were found to be adherent 43.9% of the time. Surgical patients with post-operative polysomnography had pre-operative OAHI 15.6 ± SD13.4 decrease to 10.7 ± 14.2 events/hour (p = 0.61). ConclusionGenetic conditions and obesity were the most common underlying diagnoses cared for in the complex sleep apnea clinic. Patients presented with severe OSA, most having already had upper airway surgery. Management plans were frequently adjusted, and we observed improvement in SDB in a sub-segment of patients, suggesting benefit to a coordinated, multi-disciplinary approach.

Endocarditis prophylaxis in dental practice: Evaluation of knowledge among dental students, paediatric dentistry residents and specialists in paediatric dentistry

Objective:Our aim was to determine the degree of knowledge about endocarditis prophylaxis (EP) among dental students, paediatric dentistry residents and specialists in paediatric dentistry, and to identify required attention areas.Material and methods: A cross-sectional study with 155 participants divided into three study groups was given a questionnaire to evaluate the knowledge of endocarditis prophylaxis, consisting of three areas: dental procedures, dose/medication and heart condition. Data were analysed with analysis of variance (ANOVA), using generalized linear models.Results: We stratified EP knowledge in three areas: dental procedures (no differences), dose/medication (statistically significant difference between group 2 and 3 (84.62 % vs. 38.89%, p = 0.044) and heart condition (no differences but low (35.48%, 53.85%, and 44.44%). Conclusions: This study was able to identify the knowledge degree of inadequate dental procedures in groups, having a greater knowledge in dose/medications those in paediatric dentistry residents. The area that requires more attention and reinforcement of the three groups is the one on heart condition area. Therefore it’s necessary to reinforce the endocarditis prophylaxis knowledge in undergraduate and postgraduate programs; and encourage paediatric dentistry to keep up-to-date on this issue.

MANAGEMENT OF CHRONIC LYMPHADENOPATHY WITH POOR ORAL HYGIENE IN CHILDREN (CASE REPORT)

ABSTRACTBackground. Lymphadenopathy is a common clinical feeding an anomaly in the size and consistency of lymph nodes. Local bacterial infection causes cervical adenopathy when the lymph nodes responded to local infection. Cervical lymphadenopathy is a common problems in pediatric. Lymph node with more than 10 mm diameter is usually considered abnormal. Lymph node enlargement caused by a chronic infection is known as chronic lymphadenopathy. Objectives. Discovery management of chronic lymphadenopathy in children with poor oral hygiene.Case. A 9-year-old boy came to Pediatric Dentistry Specialist Gusti Hasan Aman Dental Hospital with his parents with a complaint of pain in his right tooth posterior mandible for the last week. The patient had received medication, however the pain still existed. Extraoral examination revealed symmetrical face, a node on the middle neck sizing 30 mm in diameter for 4 years. The lump was treated several times with no progress in size. Intraoral examination revealed a cavity in posterior lower left tooth and painful in the last 5 days without any treatment. Plaque score showed poor oral hygiene.Case Management. Based on extraoral examination, the nodule on the neck reduced in size from 30 mm to 7 mm after treatment with antibiotic, anti-inflammatory medication, dental care and control periodic for oral hygiene management. Conclusion. Early detection and accurate lymphadenopathy diagnosis is important for successful therapy. Oral hygiene improvement can help in the healing process of chronic lymphadenopathy which occurred for 4 years. Keyword: Limphadenophaty chronic, Oral hygiene, Staphylococcus aureus

Use of Removable Partial Denture in Child with Papillon-Lefevre Syndrome: Case Report

Background: Papillon-Levefre Syndrome (PLS) is a rare genetic disorder with prevalence of 1-4 cases per millions of birth, characterized by the presence of palmar-plantar hyperkeratosis and rapid periodontal destruction of both the primary and secondary dentition. Purpose: This clinical report described such a rare condition with special attention on its diagnostic characterization, various treatment options and Prosthodontic rehabilitation. Case: Five years-old boy accompanied by his mother came to Pediatric Dentistry Specialist Clinic, Universitas Airlangga Dental Hospital - Surabaya with the chief complaint of gradually loss of upper and lower teeth since the patient was 3 years old. Case Management: Removable partial denture was chosen because it was considered as an appliance that can recover the function of mastication, speech and aesthetic patient. Removable partial denture was designed to replace 51, 52, 53, 54, 55, 61, 62, 63, 64, 65, 72, 73, 74, 75, 82, 83, 84 and 85 with retention on 16, 26, 36 and 46, and anterior bite riser on 31 and 41. Conclusion.Removable partial denture is the treatment of choice for children with PLS who are still in the growth period because it can recover mastication and aesthetic functions, have a good aesthetic, and easy maintenance that could done by the child.

A curriculum for behaviour and oral healthcare management for dentally anxious children-Recommendations from the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE).

Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. To report dentists' opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP. A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face-to-face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses. Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%-30.0% have training in pharmacological techniques. The four-domain framework supporting the proposed curriculum is as follows: DA/DF/DBMP assessment, non-pharmacological and pharmacological approaches, and decision-making. Dental curricula should be customised to solve the misconceptions and promote a comprehensive and positive attitude to DA/DF/DBMP by paediatric oral healthcare practitioners.

United Kingdom pediatric dentistry specialist views on the administration of articaine in children.

BackgroundLidocaine is the gold standard local anesthetic (LA) for UK pediatric dental treatment. Recent reports suggest frequent Articaine use in Europe and Canada, with evidence indicating more profound anesthesia. The aim of this study was to examine pediatric dentistry specialist experiences and practices relating to Articaine administration in the UK.MethodsA literature review was followed by a survey using an anonymous 15-item electronic questionnaire, which was sent to 200 registered British Society of Pediatric Dentistry (BSPD) specialists. Descriptive analyses, Z score, chi-squared test, Fisher's exact test, and Spearman's correlation test were performed.ResultsSixty-one (30.5%) participants responded, and 12 (19.7%) indicated Articaine as their first line anesthetic. Articaine was used daily or weekly by 38 (62.3%) respondents, depending on the clinical context. Articaine was commonly used to avoid inferior alveolar nerve blocks and gain more profound anesthesia in abscessed or hypomineralized teeth. Participants reported significantly more adverse effects with lidocaine (Fisher's exact test, P < 0.0001) than with Articaine. Articaine was most often administered in children aged > 4 years via infiltration techniques. Only 15 (24.6%) respondents reported awareness of guidelines for Articaine use in pediatric patients.ConclusionsArticaine use in pediatric dentistry is common; however, evidence supporting its practice is limited. Several specialists follow conventions based on anecdotal evidence. Formulating guidance to aid decision-making when treating pediatric patients under LA would be beneficial.

Management of compromised first permanent molars in children: Cross-Sectional analysis of attitudes of UK general dental practitioners and specialists in paediatric dentistry.

It is unclear on how children with compromised first permanent molars (cFPMs) are currently managed in the UK by either general dental practitioners (GDP) or specialists in paediatric dentistry (SPD). Explore the current attitudes to the management of compromised first permanent molars amongst UK general dental practitioners and specialists in paediatric dentistry. Self-completed online questionnaire including three clinical vignettes of 7, 9, and 15years old with cFPM. All registered SPDs (n=236), as of May 2017, 500 randomly selected GDPs from England, selected from a national performers list, and 52 Scottish GDPs, part of Scottish dental practice research network, were invited to complete the questionnaire. About 71.6% (n=53) of SPDs agreed that children with cFPM should be referred to a paediatric specialist for treatment planning, whereas the reverse for GDPs is true, as 86.8% (n=138) believe they have a responsibility to treat these teeth. Responses to clinical vignettes suggest a slight preference amongst GDPs to restore cFPM, including root canal treatment, whereas SPDs have a slight preference towards extraction. Current pathways for cFPM, amongst UK general dental practitioners and specialists in paediatric dentistry, vary greatly between and within each professional group.

“Knee-To-Knee” Position for Minor Procedures in Infants and Toddlers- Dentists Attitudes

The objective of this survey was to assess attitudes of pediatric dentists in Israel toward using "knee-to-knee" positioning for dental examinations and for minor procedures in infants and toddlers. An anonymous questionnaire was distributed among specialists in pediatric dentistry. Eleven questions accessed demographic data, professional experience and attitudes toward the use of the "knee-to-knee" position. Of 68 respondents, 66 (97%) reported using "knee-to-knee" positioning for dental checkups. In addition, 52 (76%) reported performing other procedures in the "knee-to-knee" position. Fluoride application and oral hygiene instructions are the most common procedures performed in the "knee-to-knee" position. "Knee-to-knee" positioning was found very convenient for dental examinations and other simple procedures in very young children.

Dental general anaesthetic pre-assessments completed by a specialist-does it change patient outcomes? A UK-based study.

In the United Kingdom, assessments for dental general anaesthetics (DGA), completed by a Specialist in Paediatric Dentistry, are purported to be the gold standard. To evaluate the outcome of dental assessments completed by a Specialist in Paediatric Dentistry after a referral for an exodontia DGA by the patients' General Dental Practitioner (GDP). Six hundred and forty-two sets of notes were reviewed from patients referred for exodontia DGA at a community dental service in the United Kingdom. Information was gathered regarding patients' oral health and the treatment they had received at three key points; at initial assessment by the Specialist in Paediatric dentistry, hypothetically if the GDPs treatment plan had been followed, and following specialist assessment and treatment. Statistically significant differences were found in the dental assessment and the subsequent treatment children received between GDP plans and specialist plans. Proposed exodontia plans were changed by the specialist in 85% of cases, with more than 12% of the sample avoiding the need for a DGA. An assessment by a Specialist in Paediatric Dentistry prior to an exodontia GA significantly changed the outcome for patients. Further work is required to investigate whether there is any long-term effect of specialist DGA assessment on oral health.

Paediatric dentists' identification and management of underweight and overweight children.

Dental caries and obesity are growing challenges for the NHS. Dentists are in the unique position of being able to identify both conditions and intervene, following UK government strategy of 'making every contact count'. Identify specialists in paediatric dentistry's (SPD) current practice regarding diagnosis and management of underweight or overweight/obese children presenting to dental services. An online survey was emailed to the UK SPD group. Questions investigated whether height, weight or body mass index (BMI) were measured, actions taken, and dentists' feelings regarding their role. 49/118 (42%) SPDs responded. All felt they had a responsibility to identify underweight or overweight/obese children. Around a quarter (26%) measured BMI 'always' or 'often', while 37% did not measure BMI. Only 41% of SPDs who measured BMI took action more than twice in a year. Most commonly (90%) the child's GP was informed. SPDs were supportive of the identification of underweight or overweight/obese children. However, many felt uncertain about BMI interpretation. Thus, few routinely measured BMI or acted on abnormal results. SPDs would benefit from training, alongside development of a local protocol, regarding BMI calculation and interpretation.

Genetic testing for amelogenesis imperfecta: knowledge and attitudes of paediatric dentists.

Genetic testing is increasingly applied across healthcare reflecting the value to diagnosis, clinical decision-making, service organisation and advancement of the research-informed evidence base. Patient expectations are changing. Genetic testing has not been part of dental practice. Introduction of an NHS-targeted gene panel test for amelogenesis imperfecta (AI), a heterogeneous genetic disorder affecting enamel appearance and function, represents a paradigm shift. This impacts on specialists in paediatric dentistry and other members of the dental team delivering longitudinal care for individuals with AI. To evaluate the opinions of paediatric dentists on genetic testing for dental conditions using AI as the exemplar. Two focus groups of nine UK NHS paediatric dentists each were audio recorded (September 2016) and transcribed verbatim. Qualitative analysis was undertaken using Interpretative Phenomenological Analysis (IPA). A wide range of views reflected existing insight and understanding. Three core concepts of justification, ownership and challenges emerged. The clinicians were generally open to involvement with genetic testing in paediatric dentistry, but required more support. Areas for clarification and professional development were identified as important in ensuring that genetic testing in dentistry, which is currently in its infancy, reaches translational potential and enhances patient care as this area of healthcare continues to advance rapidly.