ineffectual and thwart out ultimate goal of producing a dental conscious person.
In order to overcome these problems early diagnosis leading to the simplest treatment methods is required. Regular attendance, sound diagnosis, local analgesia and modem cutting equipment are all important, but these only assist the essential empathy that must develop between dentist and child. Neither is caries the only problem. It is becoming more apparent that periodontal disease is established much earlier in life than was once thought, and at this stage it is often completely reversible. Although early diagnosis and treatment is critical, it is equally important not to overtreat children. Errors of diagnosis, over-enthusiastic application of dental technology, and striving for perfection beyond the needs of the patient, or the capabilities of the practitioner, will lead to unnecessary hardship. The third aim can, thus, be stated as the eradication of oral disease by early diagnosis and treatment in such a way that patients will happily return in an effort to maintain the high standards that they have come to appreciate.
The fourth aim is to observe, and control when necessary, the developing dentitions of our child patients. A general dental practitioner, seeing a child regularly and, in all probability, treating his parents and siblings, is in an excellent position to study his oral development and to intervene or refer for specialist treatment if this seems necessary. The correct timing and type of treatment for any particular child depend on more things than purely developmental factors. The general dental practitioner who has looked after the child and his family for a number of years is often in a position to assist an orthodontist in deciding what line of treatment might be more likely to succeed.
However hard dentists might strive to achieve perfection, they will always be called upon to administer care in an emergency for the relief of pain and sepsis. Once again the main consideration should be for the good of the child as a whole. We must not act unnecessarily under the pressure of a distraught mother or jeopardize the patient's dental future for the sake of a night' s unbroken sleep for the parents. The fifth aim is, therefore, to relieve pain and sepsis as and when necessary, bearing in mind the patient' s total well-being.
Last but not least, there is one aim, which is common to all professions, and that is the furtherance of our knowledge of the subject. Those practicing dentistry for children are patently aware of the shortcomings in our techniques and the gaps in our knowledge. We must all strive, by careful observation and painstaking recording, to add to the sum total of our wisdom. Opinion based on experience is not enough; it must be backed by evidence that will convince our colleagues of its value. In this way, the subject will expand and grow on a firm foundation of established fact rather than oscillate from one fashionable belief to another.
If we do all in our power to maintain a functional and complete dentition during childhood, what other benefits will accrue? The future status of the profession relies on its ability to persuade the whole community that oral structures are worth caring for, Dental health education, in its widest sense, aims at the heart of this problem. The general igno
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