@article{6527753cde814428a6d5bf1196ce96c9,
title = "Management of compromised first permanent molars in a cohort of UK paediatric patients referred to hospital‐based services",
abstract = "Background: There are diverse opinions among dentists about managing compromised first permanent molars (cFPMs) in children and a perceived lack of guidance to help them evaluate prognosis. Aim: To evaluate the current management of cFPM in children referred to a UK hospital centre and to report the severity of the affected teeth. Design: A service evaluation was undertaken, based on case records of medically fit children (6-11 years) referred to for the management of cFPMs. The presence of hypomineralisation, post-eruptive breakdown and the proposed care plans were recorded. Radiographic signs of severity were scored using the ICDAS index (intra/inter-rater kappa 0.96/0.82). Results: From 349 records screened over a 4-month period, 249 met the selection criteria. Almost 81% were planned to have extraction of at least one cFPM, whereas 19.3% were managed without extraction. More than half of the extraction cases (n = 105) had radiographic radiolucencies not exceeding the middle third of dentine in the worst-affected FPM. At the time of extraction, the mean age of the patients was 9.8 years (±0.9). GA was used in 196 (97.5%) cases, and 40.8% had not received previous treatment in any of their cFPMs. Conclusion: Potentially restorable cFPMs in children is, most of the time, in a cohort of UK patients referred for tier 3 services, being managed by timed extractions under general anasethesia.",
author = "R AlKhalaf and Neves, {A A} and F Warburton and A Banerjee and Hosey, {M T}",
note = "Funding Information: The authors acknowledge the College of Dentistry, Princess Nourah Bint Abdul Rahman University, Riyadh, Saudi Arabia, for grant sponsorship to the first author. This paper is also an outcome of the clinical research collaborated with Brazil entitled {\textquoteleft}Children Experiencing Dental Anxiety Collaboration on Research and Education (CEDACORE){\textquoteright}, which has been funded by FAPERJ (grant number E-26/202.612/2019) and CAPES and Newton Fund Researcher Links Workshop (grant number 2016/17 [261766649]). The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. Funding Information: The authors acknowledge the College of Dentistry, Princess Nourah Bint Abdul Rahman University, Riyadh, Saudi Arabia, for grant sponsorship to the first author. This paper is also an outcome of the clinical research collaborated with Brazil entitled {\textquoteleft}Children Experiencing Dental Anxiety Collaboration on Research and Education (CEDACORE){\textquoteright}, which has been funded by FAPERJ (grant number E‐26/202.612/2019) and CAPES and Newton Fund Researcher Links Workshop (grant number 2016/17 [261766649]). The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: {\textcopyright} 2021 The Authors. International Journal of Paediatric Dentistry published by BSPD, IAPD and John Wiley & Sons Ltd.",
year = "2022",
month = sep,
doi = "10.1111/ipd.12951",
language = "English",
volume = "32",
pages = "724--736",
journal = "International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children",
issn = "1365-263X",
publisher = "British Society of Paediatric Dentistry (BSPD)",
number = "5",
}