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However, treatment planning becomes more of a challenge when this window of opportunity is missed. In these situations, we are left with a tooth of guarded long-term prognosis in a patient where access and cooperation can be challenging. Delays to routine care as a result of the COVID-19 pandemic are likely to make this a more common clinical presentation so this article aims to discuss management options for these patients.<\/jats:p>","DOI":"10.1177\/20501684211066237","type":"journal-article","created":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T08:10:14Z","timestamp":1643357414000},"page":"20-26","source":"Crossref","is-referenced-by-count":0,"title":["Management of Patients with Poor Prognosis First Permanent Molars Beyond \u2018Ideal\u2019 Timing"],"prefix":"10.1177","volume":"10","author":[{"given":"Laura","family":"Warrilow","sequence":"first","affiliation":[{"name":"Speciality Registrar Paediatric Dentistry, Birmingham Community Healthcare Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheridan","family":"McDonald","sequence":"additional","affiliation":[{"name":"Consultant in Paediatric Dentistry, Birmingham Community Healthcare Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,1,28]]},"reference":[{"key":"bibr1-20501684211066237","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1697839"},{"key":"bibr2-20501684211066237","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2018.814"},{"key":"bibr3-20501684211066237","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.03.013"},{"key":"bibr4-20501684211066237","unstructured":"Public Health England (PHE). National Diet and Nutrition Survey: Years 1 to 9 of the Rolling Programme (2008\/2009 \u2013 2016\/2017): Time trend and income analyses. London: PHE\/NatCen; 2019. Available at https:\/\/www.gov.uk\/government\/statistics\/ndns-time-trend-and-income-analyses-for-years-1-to-9 [Accessed October 2021]."},{"key":"bibr5-20501684211066237","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2014.1053"},{"issue":"4","key":"bibr6-20501684211066237","first-page":"272","volume":"16","author":"Eichenberger M","year":"2015","journal-title":"Eur J Paediatr Dent"},{"key":"bibr7-20501684211066237","unstructured":"Office of the Chief Dental Officer England. Commissioning Standard for Dental Specialties \u2013 Paediatric Dentistry. [Internet]. London: NHS England; 2018. Available at https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2018\/04\/commissioning-standard-for-dental-specialties-paediatric-dentristry.pdf [Accessed November 2021]."},{"key":"bibr8-20501684211066237","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12469"},{"key":"bibr9-20501684211066237","unstructured":"Ibbetson R, Blayney M, Brookes V, et al Standards for Conscious Sedation in the Provision of Dental Care. Report of the Intercollegiate Advisory Committee for Sedation in Dentistry. [Internet]. London: The dental faculties of the royal colleges of surgeons and the Royal College of Anaesthetists; 2015. Pp.8-10. Available at https:\/\/www.rcseng.ac.uk\/-\/media\/files\/rcs\/fds\/publications\/dental-sedation-report-2015-web-v2.pd [Accessed October 2021]."},{"key":"bibr10-20501684211066237","unstructured":"Davies C, Harrison M, Roberts G. Guideline for the Use of General Anaesthesia (GA) in Paediatric Dentistry. [Internet]. London: Faculty of Dental Surgery, Royal College of Surgeons of England; 2008, p.4. Available at https:\/\/www.rcseng.ac.uk\/-\/media\/files\/rcs\/fds\/publications\/guideline-for-the-use-of-ga-in-paediatric-dentistry-may-2008-final.pdf [Accessed October 2021]."},{"key":"bibr11-20501684211066237","unstructured":"Adewale L, Morton N, Blayney M. Guidelines For The Management of Children Referred For Dental Extractions Under General Anaesthesia. [Internet]. London: Association of Paediatric Anaesthetists of Great Britain and Ireland; 2011. Available at https:\/\/www.bspd.co.uk\/Portals\/0\/Public\/Files\/Guidelines\/Main%20Dental%20Guidelines.pdf [Accessed October 2021]."},{"key":"bibr12-20501684211066237","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2016.09.012"},{"key":"bibr13-20501684211066237","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-016-1832-1"},{"key":"bibr14-20501684211066237","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10005-1164"},{"key":"bibr15-20501684211066237","doi-asserted-by":"publisher","DOI":"10.1016\/j.dental.2017.11.015"},{"key":"bibr16-20501684211066237","unstructured":"Wright SJF. Use of stainless steel crowns in the permanent dentition of paediatric dental patients: A guide for GDPs. [Internet]. Scottish Dental magazine; 11 April 2019. 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