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In some children the enamel on the first permanent molars forms badly, and often the front teeth are affected too. It comes through creamy white, yellow or brown, softer than it should be, and can crumble away within months of arriving. Those teeth hurt. Cold water, a toothbrush, sometimes just air is enough, so the child brushes them less, and the decay that follows is not a coincidence. Treating them is harder too, because local anaesthetic does not always work properly in a tooth like this, and a routine filling can turn into a bad afternoon for everybody. What actually helps is unsettled. Varnishes, desensitising pastes, sealing the surface, different ways of giving anaesthetic, sedation, and simply how the appointment is handled have all been tried, in small trials that measure a child's pain on scales that do not agree with each other. This review sorts that evidence by where the pain turns up: at home, in the chair during an examination, and during treatment itself. The aim is a paper a dentist could read on the morning a child like this arrives.
Read up on hypomineralised molars in children and on how their pain is measured. Take one setting where that pain appears, read the studies of it, build the table that goes with them, and write that section.
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