Related Experiment Video
Updated: Jul 12, 2026

Micro-dissection of Enamel Organ from Mandibular Incisor of Rats Exposed to Environmental Toxicants
Published on: March 29, 2018
Why are vulnerable children not brought to their dental appointments?
D Simons1, N Pearson1, A Dittu1
1Barts Health Community Dental Services, Barts Dental Services and OMFS, London.
Insights
Many parents miss dental appointments for children needing special care. Understanding parental barriers is key to reducing missed appointments (MA) and improving pediatric oral healthcare access.
Area of Science:
- Pediatric Dentistry
- Public Health
- Healthcare Management
Background:
- A significant number of children under 16 with oral healthcare needs miss appointments at the Barts Health Special Care Community Dental Service (BHSCCDS).
- Understanding the reasons for these missed appointments (MA) is crucial for developing effective interventions.
Purpose of the Study:
- To audit the number, frequency, and reasons for missed appointments (MA) among children requiring special care dental services.
- To identify parental barriers contributing to non-attendance and inform strategies for reducing MA.
Main Methods:
- An audit was conducted to assess missed appointments (MA) in a special care community dental service.
- Feedback was gathered from dental staff and parents/carers through personal, respectful, and supportive conversations.
Main Results:
- Direct engagement with families provided valuable insights into individual and collective parental challenges.
- The information gathered improved the understanding of factors leading to missed appointments (MA).
Conclusions:
- Personalized and supportive communication with parents/carers is effective in understanding barriers to attendance.
- Recommendations derived from this audit can help reduce missed appointments (MA) for children needing special care dental services.
Abstract:
A considerable number of children under 16 years of age, with an oral healthcare need, are not brought to their Barts Health Special Care Community Dental Service (BHSCCDS) appointments. The BHSCCDS needed to understand more about why parents/carers (parents) were failing to bring their children, in order to identify appropriate strategies to reduce the non-attendance. Thus, an audit was conducted to assess the number, frequency and reasons for all missed appointments (MA); this included feedback conversations with dental staff and parents. Information obtained from this cohort of high-risk children's families through personal, respectful and supportive contact improved understanding of the parents' individual and collective issues and lead to recommendations that could reduce the number of MA in the future.
Related Concept Videos
The Availability Heuristic
Preventive Healthcare Services
Teeth
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
Tooth Anatomy
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
Assessment of the Mouth
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Development of the Oral Microbiota

