by Carla Cohn, DMD Dr Carla Cohn is a general dentist, devoted solely to the practice of dentistry for children. She maintains a private practice at Kids Dental in Winnipeg, Manitoba. Cohn is an international speaker and author on practical paediatric dentistry for the general practitioner. Adhesion in Primary Dentition Restorative Dentistry Introduction Dental caries is widespread in the paediatric population and has been identified as the most common chronic disease affecting U.S. children.1 Data from the 2011-2012 National Health and Nutrition Survey reports that roughly 37 percent of children ages 2-8 and nearly 56 percent of 6-to-8-year-olds have experienced caries in primary teeth.2 Dental caries remains a significant problem to which we devote a great deal of time and effort. Unique challenges of child patients Restorative treatment for paediatric patients brings unique challenges. Children's behavior can be unpredictable at times and we must be prepared to work under conditions that are less than ideal. We must simultaneously manage the tooth, the patient and the parent-the outcome of a successful restorative appointment is the combination of an excellent restoration, a happy and comfortable patient and a satisfied parent. 26 AUGUST 2017 // dentaltownuk.comhttp://www.dentaltownuk.com