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

Background 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). Aim Explore the current attitudes to the management of compromised first permanent molar...

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Bibliographic Details
Published in:International journal of paediatric dentistry 2019-05, Vol.29 (3), p.267-280
Main Authors: Taylor, Greig D., Pearce, Kim F., Vernazza, Christopher R.
Format: Article
Language:English
Subjects:
Adolescent
Attitude of Health Personnel
Child
Children
Cross-Sectional Studies
Dentistry
disturbances in dental development
Endodontics
England
General Practice, Dental
growth and development
Humans
Molar
Molars
oral medicine/oral surgery
Pediatric Dentistry
Questionnaires
restorative dentistry/dental materials
Root canals
Specialization
Surveys and Questionnaires
Teeth
United Kingdom
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Summary:Background 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). Aim Explore the current attitudes to the management of compromised first permanent molars amongst UK general dental practitioners and specialists in paediatric dentistry. Design Self‐completed online questionnaire including three clinical vignettes of 7, 9, and 15 years 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. Results 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. Conclusion Current pathways for cFPM, amongst UK general dental practitioners and specialists in paediatric dentistry, vary greatly between and within each professional group.
ISSN:0960-7439
1365-263X
DOI:10.1111/ipd.12469