Welcome to the Paediatric Dental and oral-maxillofacial Trauma Psychology (PDOT-P) Service

The PDOT-Psychology service supports children and young people whose lives have been affected by their dental and oral-maxillofacial health, and are currently receiving treatment from Bart’s Oral Medicine, Paediatric Dental and Maxillofacial Surgical services. We also offer joint working for young people transitioning into adult services (16-18 years old). Our specialist Clinical Psychologists are embedded within these teams at the Royal London Dental Hospital, working alongside dental healthcare professionals to provide psychological support to young people undergoing treatment. This service extends to support parents and carers of young people with complex dental or oral-maxillofacial health.

Our aim is to provide a psychological pathway of care for young people, and their families, undertaking dental treatment for new service users at the beginning of their treatment, as well as service users at other points along the treatment process.

We offer this support via a broad range of therapeutic modalities, including psychological therapy on an individual, couple, or group basis.


The types of difficulties that we support children and young people with include:

  • Difficulties with mood or challenging behaviours, such as anxiety or self-injury, which impact treatment compliance.
  • Appearance related distress as a result of dental/oral-maxillofacial health, or associated treatments.
  • Support around treatment decision making, for both the service user and their parents/carers.
  • Challenges with adjustment. For example, difficulties adjusting to dental treatment recommendations, such as changes in diet and lifestyle.
  • The impact of dental/oral-maxillofacial health, or associated treatments, on family systems.

In addition to supporting children and young people in their treatment journey, we also offer training, psychology trainee placements, supervision and consultation to other health professionals



As Clinical Psychologists we use the information you provide during your assessment through talking, questionnaires and observation, to help us develop a comprehensive understanding of the problems, when they started, and what maintains them. This is called a formulation, it helps us to build a treatment package tailored to suit your individual needs. Following this, we may recommend one of several different approaches including:

  • Psychoeducation
  • Systematic Desensitisation
  • Cognitive Behavioural Therapy
  • Eye Movement Desensitisation and Reprocessing (EMDR)
  • Trauma –Focused Cognitive Behavioural Therapy (TF-CBT)
  • Systemic Therapy
  • Narrative Therapy
  • Mindfulness
  • Acceptance and Commitment Therapy
  • Play Therapy


Where Is The Service Based?

Dental Oral-maxillofacial Trauma Psychology (PDOT-P) Service
Royal London Dental Hospital
Turner Street
E1 1BB