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Pedodontics aka Pediatric Dentistry

Pedodontics aka Pediatric Dentistry. Friendly Bright Open Creative Themes Cartoon Animals May have a quiet room. Open bay concept Allows ‘modeling’ Scared child can see cooperative child. Pediatric Dental Office. Pediatric Dental Office. General Dentist who specializes in treating:

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Pedodontics aka Pediatric Dentistry

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  1. Pedodonticsaka Pediatric Dentistry

  2. Friendly Bright Open Creative Themes Cartoon Animals May have a quiet room. Open bay concept Allows ‘modeling’ Scared child can see cooperative child Pediatric Dental Office

  3. Pediatric Dental Office

  4. General Dentist who specializes in treating: Children (0 – 12yrs) Natal teeth Neo-natal teeth MR/DD (mentally retarded / developmentally disabled) CMI (chronically-mentally ill) TBI (traumatic brain injury) Pedodontist

  5. Not all children (pt’s) mature or behave the same. Assistants have to be aware of: Chronological age How old you are. Emotional age Psychological Developmental Maturity level How old you act. Fear Subjective Based on others opinion / experience Objective Based on your own fear / experience Fears usually lead to behavior issues Behavior Characteristics

  6. Primary focus of the Pedodontic DA Good Behavior = Tx Bad Behavior = No Tx Answer questions Honestly DON’T LIE Talk to them @ their level Mr. thirsty (LVE) Squirt gun (tri-syringe) Tell, Show, Do Voice Control Distraction Non-verbal Facial expression Body language Modeling Open bay concept Positive reinforcement Behavior Management

  7. Gentle restraint. Hands in pockets Sit on hands Lace fingers and hold Arm over pt. Physical restraint of: Arms Legs Papoose board HOM (hand-over-mouth) Mild Sedation Conscious N2O Medications Versed Unconscious General anesthesia Extremely fearful Issues Physical Emotional Medical Behavior Management

  8. Primary focus of the pedodontist. Education Exam / X-rays OHI Coronal Polish Sealants Fluoride Mouth guards Some orthodontics Preventive Dentistry

  9. Same as General Dentistry Amalgam Composite Glass ionomers SSC Stainless Steel Crown Small instruments Short shank burs 5 X 5 rubber dam Fissureotomy burs Restorative Dentistry

  10. Indirect pulp treatment (aka indirect pulp capping) No pulp exposure Could be! Layer of dentin Some caries Place medication between pulp and restoration. Direct pulp capping Pinpoint exposure of the pulp Chance for favorable response. Place medication between pulp and restoration. Medication = calcium hydroxide. (Dycal) Cross fingers. Restorative Dentistry

  11. Pulp cap • ► Arrow is pointing at the medication between the pulp and the restoration. ←amalgam ► Pulp horn →

  12. Pulp tissue is removed From the chamber only Primary tooth Deep caries fracture Allows roots to reabsorb Permanent tooth Allows for apexogenesis Root ends grow and develop SSC Stainless Steel Crowns Cheaper than PFM / PFG / FGC Restore function Chewing Maintain space. Protects tooth until exfoliation. No lab Fab chairside Pulpotomy

  13. Dental Emergencies • Avulsion • Aka avulsed tooth • Tooth completely knocked / removed from the socket. • Due to TRAUMA! • Whole tooth, not fractured. • Reimplant into socket and/or • Take tooth and pt. to dentist

  14. Dental Emergencies • Traumatic intrusion • Tooth is driven into the socket / bone. • Due to trauma • Take pt. to dentist. • Tooth will re-erupt • Splinted to adjacent teeth.

  15. Displaced tooth • Tooth moved from its normal position in the arch / socket • Lingual displacement • Facial displacement

  16. Different types Physical Bruises Flinching Mental Emotional Psychological Neglect Hygiene All health care providers are: Mandatory reporters Must report suspicious signs of abuse to: Dentist State / city authorities School Can be Anonymous Error on the side of caution. Child Abuse

  17. Conclusion • Working with children requires extra patience and skill. • BFS are required at all times • You have an unique opportunity to influence a persons beliefs about dentists and dental treatment for the rest of their life. • Most adult fears of a dentist came from a childhood experience. • Any questions?

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