Considerations for paediatric dentistry

18 February 2022

Nimisha Nariapara explores the care of younger patients.

Nimisha Nariapara explores the care of younger patients.

It almost goes without saying that treating children in practice comes with its fair share of challenges. So, what can you do to ensure that you are creating a welcoming space for younger patients and what options can you explore to provide more comfortable, faster treatment for them?

The challenges of treating children
One of the greatest issues we are seeing in dentistry in the UK at this time is the high levels of childhood tooth decay. Already a problem before the pandemic, the emergence of coronavirus only served to exacerbate the situation. In fact, it is now thought that almost one in four five-year-olds in the UK have dental decay – a shocking figure, especially as you consider how many millions of children call the UK their home.

Alongside these high rates of decay, other hurdles that professionals may come to when they treat children include developmental abnormalities, eruption anomalies and dental trauma. All of these can present difficulty during treatment unless you have the knowledge, technology and products to help provide an exceptional level of care.

Behavioural challenges and understanding
As well as having certain treatment requirements that are more common, what we must also remember is that children can present certain behavioural challenges too. As children aren’t fully developed, this can lead to them acting up and refusing to be good, especially in environments that may be threatening or unfamiliar.

Furthermore, a high proportion of children, much like adults, are scared of the dentist. Whether this is due to a bad previous visit or a feeling adopted from their parents, figures suggest that as many as 16 per cent of children are afraid of visiting their dentist, and this can lead to more uncooperative behaviour.

There are a number of ways to overcome these obstacles. One good move is to look into ways that you can make your practice more approachable for younger patients, especially if your patient lists are comprised of many people in the younger age groups.

This could involve decorating your practice to include bright colours and other appealing design features that can help them feel at ease. Research carried out on this point has suggested that 63 per cent of children do prefer child-friendly decorated practices, so it definitely goes a long way towards helping these individuals feel welcome and less stressed.

Of course, dental treatment is still daunting, so it’s always important to look at using products and technology that can help streamline treatment for children.

Consider your product selection
Not all products you use in practice will necessarily be suitable for younger patients. Indeed, while many products these days are a suitable choice for all age groups, it’s worth exploring those that are particularly beneficial to younger individuals.

Composites or glass ionomers that release fluoride over time, for example, are likely to be a good investment for practices who treat a large volume of child patients, as they provide on-going protection after placement and can help individuals to avoid decay in the future.

You should also assess certain items in terms of comfort. Impression materials, for example, can be quite distressing for patients, so choosing those that have been formulated to set fast and be quick and easy to place is likely to help child patients feel less overwhelmed.

Technology matters
Much like your armamentarium, it’s a wise move to consider the technology you use in practice and whether this has any features to help treat child patients. For instance, does your intraoral scanner have additional parts that have been designed to help image acquisition in smaller mouths? The CS 3800 wireless intraoral scanner from Carestream Dental is a cutting-edge system that makes treating patients of all ages easy. The scanner is incredibly fast and also has a number of different tips available, all of which have been designed for different scenarios such as scanning those with smaller oral cavities.

Care for the future
Providing high quality treatment for children can raise some difficulties, but that doesn’t mean that you can’t ensure that they are receiving an incredible level of care in your practice. By considering their comfort, your product selection and the technology you use, you can ensure that your practice is well equipped to give children the care and advice they need.

References available on request.