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Article: Volume 49 Number 4 Page 308 - April 2022

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  Dental Update 499: 308-312

Paediatric dentistry:  The Importance of Periodontal Screening in Paediatric Patients

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Abstract: Detecting dental caries may often be at the forefront of the clinician’s mind when examining paediatric patients. However, a range of periodontal abnormalities can also present in the paediatric population. It is essential that this cohort is appropriately assessed for periodontal disease during each clinical examination. Detecting such abnormalities early may enable timely access to the appropriate treatment, which could in turn improve clinical outcomes. This article highlights the importance of screening paediatric patients using the simplified Basic Periodontal Examination as per recommended guidelines.

Clinical relevance: Vigilance is required when screening paediatric patients for periodontal conditions to enable early detection and disease management, which may in turn improve clinical outcomes.

Author notes: Rachel Oliver, BDS, Dental Core Trainee, Liverpool Dental Hospital. AA Adeyemi, BDS, MSc, PhD, MFDS (RCSEd), MPerio, RCSed, FHEA, Senior Lecturer in Periodontology, School of Dentistry, University of Liverpool and Liverpool Dental Hospital. SMG Lee, BDS, FDSRCS, FDS(PaedDent), RCSEdin, Consultant in Paediatric Dentistry, Alder Hey Children’s Hospital and Liverpool Dental Hospital. N Gallichan, BChD, MJDF, RCS (Eng), Academic Clinical Fellow in Paediatric Dentistry, Alder Hey Children’s Hospital and Liverpool Dental Hospital.

Objective: To summarize new insights into the homeostatic mechanisms involved in the maintenance of periodontal and peri-implant health and describe recent developments in pathobiology and immune pathophysiology of plaque-induced gingivitis, periodontitis, peri-implant mucositis and peri-implantitis.