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Article: Volume 45 Number 8 Page 728 - September 2018

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  Dent Update 2018; 45: 728-741

Paediatric dentistry:  Hybrid Child-Friendly Biological Primary Molar Restorative Alternatives to General Anaesthesia

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Abstract: Management of early childhood caries, especially in high caries prevalence regions, is challenging, with multiple extractions under general anaesthesia (GA) becoming frequently unavoidable. This paper describes a combination of child-friendly biological methods of caries management that could be utilized by general dental practitioners. The use of interim therapeutic restorations to aid in diagnosis of pulpal status in deeply carious primary molars followed by using multiple Hall technique preformed metal crowns is described through a series of case reports. By the hybrid utilization of these methods with complete avoidance of local anaesthesia, an alternative treatment to dental GA is demonstrated.

Clinical relevance: To provide a guide for the use of combined biological methods to treat early childhood caries.

Author notes: Manal Al Halabi, BDS, MS, Diplomate, American Board of Pediatric Dentistry, Associate Professor and Program Director, Pediatric Dentistry, Hamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai, UAE and Mawlood Kowash, BDS, MSc, DDSc, FRCDc, FDSRCPS(Glasg), Associate Professor, Pediatric Dentistry, HBMCDM, MBRU, Dubai, UAE and Iyad Hussein, DDS(Dam), MDentSci(Leeds), GDC StatExam(Lond), MFDS RCPS(Glasg), UK Certified Specialist in Paediatric Dentistry, Clinical Assistant Professor in Paediatric Dentistry, HBMCDM, MBRU, Dubai, UAE.

Objective: To explain alternative early childhood caries evidence-based management concepts that could be utilized in dental practice to reduce the need for general anaesthesia.

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