How should we manage caries in deciduous teeth?
Recent research from the North of England has focused attention on the effectiveness of routine conservation of carious deciduous teeth. This has led to a debate within the profession stimulated by the belief that falling levels of restorative care equate to a failure of clinical care. The results from two major clinical studies suggest that the majority of carious deciduous teeth exfoliate without the child attending his/her dentist with pain and infection if left unrestored. In addition, it would appear that the conventional restoration of such teeth by general dental practitioners does not change the outcome. However, a study from Scotland suggests that untreated carious deciduous teeth increases the risk of sepsis, especially when many carious teeth are present. Further research is needed to help inform clinical decisions.


CONCLUSIONS
This article addresses the central issue of the dental care of young children.
Levine
Ronnie S
RS
Academic Unit of Paediatrics, University of Leeds, Belmont House, 3/5 Belmont Grove, Leeds LS2 9DE, UK.
D001424:Bacterial Infections / Q000517:prevention & control; D002327:Cariostatic Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004245:DMF Index; D019140:Dental Care for Children; D003731:Dental Caries / Q000517:prevention & control / Q000628:therapy*; D003793:Dental Restoration, Permanent / Q000379:methods*; D005247:Feeding Behavior; D005260:Female; D005459:Fluorides / Q000627:therapeutic use; D006291:Health Policy; D006801:Humans; D008297:Male; D018805:Sepsis / Q000209:etiology; D012959:Socioeconomic Factors; D014080:Tooth Exfoliation / Q000503:physiopathology; D014094:Tooth, Deciduous / Q000473:pathology*; D014098:Toothache / Q000517:prevention & control; D014099:Toothbrushing; D006113:United Kingdom
D002327:Cariostatic Agents; D005459:Fluorides