Introduction Silver diamine fluoride (SDF) is an option for biologic caries management that is not well utilised in the United Kingdom (UK). Caries in the primary dentition is common in the UK, and despite current treatment options many children require invasive treatment and multiple extractions. SDF could provide an alternative and due to their clinical expertise paediatric dentists are well placed to discuss this. Methods Fourteen semi-structured interviews were carried out with paediatric dentists across the UK. This was a heterogeneous sample including working across different settings, with differing levels of experience and both academic and NHS primary employment. Thematic analysis was undertaken with respondent validation. Results Participants felt SDF could be useful where patients have caries in their primary dentition, are asymptomatic and cannot manage other treatment options. The five themes influencing their views were child factors, parental influence, external influences, the clinician’s knowledge, experience and beliefs and the properties of SDF. Conclusion Paediatric dentists interviewed feel that there is a role for SDF in caries management in the UK. They believe case selection and communication with families is important.
Sinonasal papillomas (SPs) are benign neoplasms that arise within the nasal cavity. Diagnosis may be challenging, given the often non-specific symptoms including nasal obstruction, headaches and rhinorrhoea. SPs can be locally destructive, have a high tendency to reoccur and may be associated with transformation to squamous cell carcinoma. Management, therefore often, involves surgical excision and careful follow-up.We present the case of a 48-year-old male who was referred to the oral and maxillofacial surgery (OMFS) department following a 2-week history of dental pain affecting the upper right quadrant. This case report aims to raise awareness of SPs among dentists to ensure they are considered as part of a comprehensive differential diagnosis. The case report also highlights the complexities with both diagnosis and treatment, often requiring a multidisciplinary approach.
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