Periodontal Management of Children, Adolescents and Young Adults

  • V. Clerehugh,
  • A. Tugnait &
  • I.L.C. Chapple
Surrey: Quintessence, 2004 price £28, pp187 ISBN 1850970718 | ISBN: 1-850-97071-8

In general this book provides a succinct guide to the diagnosis and management of the periodontal diseases and conditions that can affect children and young people. In particular, it emphasises a practical approach aimed at helping a general dental practitioner provide appropriate periodontal care for this age range. However, it also provides clear indications of when referral to a consultant or specialist should be considered.

The book starts by dispelling the myth that periodontitis rarely occurs before 30 years of age. The first two chapters deal briefly with the relevant anatomy, epidemiology and current views on the pathogenic mechanisms of periodontal disease in this age group. The classification system for periodontal diseases used by most current publications is described briefly.

Chapters three to five provide up to date advice about obtaining relevant histories, identifying risk factors for periodontal disease, examination and periodontal diagnosis appropriate to young patients. In particular, they describe an approach to periodontal screening for this age group that indicates when a comprehensive periodontal examination needs to occur. Taken together with the identification of relevant systemic and local risk factors for disease, the reader is then lead through the possible periodontal diagnoses illustrated by clear clinical photographs, radiographs and diagrams.

The following two chapters cover non-plaque induced periodontal conditions, some of which are relatively common, others very rare, and some are manifestations of life-threatening medical conditions. This section could provide the general practitioner with a simple reference book to help recognise conditions infrequently encountered but with significant consequences for the patient if not recognised and referred appropriately.

The final three chapters concentrate on the delivery of treatment from the perspective of the dental team including the general dentist, hygienist and specialist practitioner. Sensible, practical advice about communication with and motivation of children, adolescents and young adults is included. The general practitioner is encouraged to provide initial periodontal therapy for plaque-related diseases before considering referral or after referral while the patient awaits an appointment with a specialist. In addition, the crucial role of the general practice team in helping to maintain the results of periodontal therapy is also stressed.

This book should help practitioners recognise and deal appropriately with the range of periodontal conditions seen in young patients.