child and adolescent

Birth – 18 years.

Our child and adolescent Blogs

Dental Interventions to prevent caries in children – SIGN Guideline 138

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Photograph of carious teeth

The Scottish Intercollegiate Guidelines Network (SIGN) have just launched a new guideline on caries prevention in children.  The guideline replaces two existing guidelines; SIGN 47 on preventing dental caries in children at high caries risk and SIGN 83 on prevention and management of dental decay in the pre-school child.  The guideline was developed using SIGN [read the full story…]

Teenagers who have been concussed are three times more likely to have depression, although no one knows why

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Lucy Maddox
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Depression in teenagers is a significant problem, with serious and potentially fatal consequences. Estimates of how many teenagers have depression at any one time vary between countries, but overall about 4-5% of mid to late teens worldwide are thought to experience clinical depression every year (Thapar et al, 2012). Much of the current knowledge of [read the full story…]

Orthodontic retention – cost analysis of three different appliances

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The aim of this study was to evaluate and compare the costs for the three orthodontic retention methods using a cost-minimisation analysis (CMA). The cost analysis was based on previous randomised controlled trial data (Dental Elf 22nd Jan 2013). Patients were randomised into 3 groups with retention appliances being placed within 1 hour of debonding.  [read the full story…]

Potential for non-conventional management of approximal caries in primary molars shown by study

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Despite the improvements in oral health the management of dental caries still presents challenges particularly in children. While some guidelines still recommend complete removal of caries there is growing interest in more conservative approaches.  The aim of this study was to compare children’s behaviour and pain perception when approximal dentinal caries lesions in primary molars [read the full story…]

Ecological change in transition for young people with learning disabilities suggested by small qualitative study

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Background The process of preparing for adulthood, whilst opening up a range of opportunities, can also be a worrying and difficult time. In the case of young people with learning disabilities who have been supported by children’s services, there is the additional issue of dealing with the transition of support from those services to services [read the full story…]

Biting on soft acrylic wafer during orthodontic appliance debond may reduce the pain experienced

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Pain and discomfort is often reported by patients undergoing orthodontic treatment and has been cited as a reason for failure to complete treatment.  Removal of fixed appliances could be painful and it has been suggested that an intrusive bite force may stabilize teeth allowing greater resistance of torsional forces.  The aim of this study was [read the full story…]

The dark side of universal prevention: Limited effectiveness and harmful effects of classroom-based CBT in preventing adolescent depression

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Ioana Cristea
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Depression is a common problem in adolescence, with statistics showing that around 20% of young people will go through at least one clinically depressive episode by the age of 18 years. Given the significant impairment and deleterious consequences of depression, sustained efforts have been dedicated to preventive and early intervention. In a recent large trial [read the full story…]

Trial suggests that two types of mineral trioxide aggregate both out perform calcium hydroxide for primary molar pulpotomy

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The aim of this study was to evaluate and compare two different white MTA cements as pulpotomy medicaments in human primary teeth, Pro-Root MTA and MTA Angelus. Child patients with deep occlusal carious lesion, which presented potential risk of pulp exposure during complete removal of carious dentin, as determined by clinical and radiographic assessment were [read the full story…]

Review suggests that mineral trioxide aggregate had best clinical and radiographic outcomes at 9-12 months for primary molar pulpotomy

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When I was training formocresol was the standard dressing for primary teeth following pulpotomy . However, it  use is now questionable because of potential adverse effects such as potential carcinogenicity, mutagenicity, and cytotoxicity.  Consequently a range of other materials have been investigated,  ferric sulphate, gluatraldehyde preparations , mineral trioxide aggregate (MTA), electrosurgery, calcium hydroxide, and laser [read the full story…]

Bullying is bad for your mental health, even if you are the bully

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Emma Cernis
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Clinicians and mental health researchers have long recognised that there is a link between traumatic experiences in childhood and symptoms of psychosis or non-clinical psychotic experiences presenting in adolescence or adulthood. One type of traumatic experience is the experience of abuse, whether physical, emotional or social in nature.  When it comes to bullying, any or [read the full story…]