Sir, during the pandemic we have found an increasing number of paediatric patients referred by A&E at St George's Hospital with dento-alveolar injuries, specifically avulsion. Patients have been referred via the Acute Emergency Dental Service to the Paediatric Department for a dental trauma review following splinting of avulsed teeth. The increasing number of dento-alveolar injuries during lockdown might be due to children spending more hours at home playing than they normally would.

Parents attending the Paediatric Department for a follow-up have complained about the lack of information available to them on managing avulsion injury.

Such a lack of easily accessible information directly impacts the prognosis of the tooth and has a significant impact on the quality of life of the child with potential cost and time required for treatment. Improvement in the delivery of services and provision for better information for the public should be a priority during the COVID-19 pandemic where access to dental care is very limited.