Periodontal diseases in children and adolescents: 2. Management.
Many of the periodontal diseases affecting children and adolescents can be successfully managed in general dental practice. The decision to treat the young patient in the practice setting or to refer to a periodontal specialist will depend on the complexity of treatment, patient factors and the expertise of the practitioner. Treatment should be provided in three phases: the initial cause-related phase is aimed at controlling microbial plaque; the corrective phase is intended to restore function and aesthetics; supportive periodontal therapy is aimed at preventing recurrence and progression of periodontal disease. Even in cases requiring specialist referral, the dental team in general practice has a key role in the initial and supportive phases of therapy.