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The second week of the course is now complete. We hope you enjoyed it and found it useful. One more week to go; in the next and final week, we will consider management of behaviour, giving a local anaesthetic and how to assess children.

What are the take-home messages from this week?

Initial management of dental trauma is critical and will determine the long-term prospects for the affected teeth.

Management of primary teeth is relatively simple, partly because very young children will struggle to accept the more complex treatments we offer older children. Damage to the permanent teeth needs to always be in the back of our minds, and parents need to be warned about the longer-term consequences.

In permanent teeth with crown fractures, the primary goal needs to be pulp preservation. Leaving exposed pulp or dentine will only make things more difficult down the line.

If the permanent tooth is avulsed, then our goal needs to be reimplantation as soon as possible. This, plus splinting for the appropriate length of time, can radically improve the outcomes.

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Paediatric Dentistry for Non-Specialists

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