Paediatric Dentistry

Level 4C

  • Telephone: 01273 523151 or 01273 696955 Extension 3151
  • Fax: 01273 523133
  • Consultant: Ms Jennifer Parry
  • Head of Department: Mr James Grant (Consultant in Orthodontics)
  • Lead Dental Nurse: Teresa Reed
  • Dental Nurses: Stacey Dray, Jennifer Johns, Gabriella Silver

The paediatric dentistry service accepts referrals for:
Children with complex medical problems that place them at risk from dental disease and/or its treatment.
Children with developmental problems, learning difficulties and behavioural problems that make dental care more difficult to provide and which cannot be provided by the community dental service.
Children who have sustained complex dental trauma (e.g. pulp involvement in immature teeth). Please note, wherever possible patients who have suffered dento-alveolar trauma are expected to have received emergency treatment within 24 hours of the trauma. Referral to this service for specialised trauma management should be following this once the patient is stabilised.
Children with congenital or acquired dental anomalies who may require complex restorative or orthodontic treatment (e.g. Hypodontia, Amelogenesis imperfecta, Dentinogenesis Imperfecta, Molar Incisor Hypomineralisation, Micro /macro-dontia and delayed eruption).
Children with soft or hard tissue pathology such as ulceration, swellings, and cysts.
Children with tooth surface loss, requiring specialist intervention.
Children with cleft lip and palate and other cranio-facial anomalies.
We regret that we are unable to accept referrals for:
Routine or emergency dental care for healthy, co-operative children (e.g. caries in cooperative children, endodontic treatment in permanent teeth with closed apex).
Root canal treatment in permanent molars unless there is good clinical indication for retention of the compromised tooth i.e. severe hypodontia.
Orthodontic extractions under general anaesthesia.
Treatment for children under sedation.

The paediatric dentistry service provides advice and treatment for children with special medical, dental or behavioural needs.

Paediatric dentistry aims to improve the oral healthcare of infants, children and adolescents through preventative, educational and treatment services. Children are unique in their stages of development, oral disease, behaviour and oral health needs and so paediatric dentistry aims to provide all aspects of specialised dental and oral care, encompassing a variety of disciplines, techniques and skills from dental and medical specialities.

Dental disease is common among children with complex medical disorders, while dental caries is almost certainly the most prevalent non self-revolving disease in the UK and still the most common single reason why a child might require general anaesthesia. Young children, especially if medically compromised, frequently need urgent treatment and attention for their condition.

The consultants in paediatric dentistry work closely with other paediatric specialities, such as oncology, haematology, cardiology and organ transplant teams, to organise dental and oral care for such children. They also work with other dental specialities, such as orthodontics, restorative dentistry, cleft lip and palate teams, to provide specialised care for children with complex dental disorders.

Specialised Dental Care for Children

Many children, particularly those with behavioural disorders such as autistic spectrum disorder and attention-deficit hyperactivity disorder (ADHD), have a fear or phobia of routine dental care. Most dental specialists have experienced a dramatic rise in referrals of children needing specialised dental care.

Consultant paediatric dentists are specially trained to care for and treat such children, using behavioural management techniques, local analgesia, dental sedation and general anaesthetic. Anxious children can be helped to accept dental treatment using strategies such as inhalation sedation.
Hospital based paediatric dental services are now the only providers of dental general anaesthesia for children.

The consultants also have training and experience in treating children with special needs, such as complex medical conditions and/or physical or mental impairment. These special needs might include cerebral palsy, severe learning difficulties, heart disease, bleeding disorders, severe neurological disease, malignant disease, and hearing and sight impairment.

In addition, the consultants treat children with oral/dental development problems, such as defective or missing teeth due to failure of development, hypomineralised first permanent molars, ectodermal dysplasia, brittle bone disease, cleft lip and palate.

Damage to teeth and mouth can result from a traumatic injury and the consultants can provide specialist advice and treatment for children who have had teeth knocked out or broken, or suffered other injuries to the mouth.

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