Introduction to Introduction to

Paediatric Paediatric

DentistryDentistry

Programme Objectives :Programme Objectives :

Train the undergraduate student toTrain the undergraduate student to

Manage and treat the average child patient with Manage and treat the average child patient with confidenceconfidence

Promote positive and compliant behaviour in their Promote positive and compliant behaviour in their child patientschild patients

Provide complete oral health care for the child Provide complete oral health care for the child patientpatient

Manage and treat the Manage and treat the average child patient average child patient with confidencewith confidence

Promote positive and Promote positive and compliant behaviour compliant behaviour in the child patientsin the child patients

Prevent & manage caries & periodontal disease in Prevent & manage caries & periodontal disease in the child patientthe child patient

Monitor child’s developing occlusionMonitor child’s developing occlusion

Identify & manage dental infection / anomaly Identify & manage dental infection / anomaly affecting childrenaffecting children

Manage trauma affecting primary & young Manage trauma affecting primary & young permanent teethpermanent teeth

Key words : Key words : Prevention, Infection, Anomalies, Prevention, Infection, Anomalies, TraumaTrauma

Provide complete oral health care for the Provide complete oral health care for the child patient :child patient :

Prevent & manage caries & Prevent & manage caries & periodontal disease in childrenperiodontal disease in children

Monitor child’s developing occlusionMonitor child’s developing occlusion

Identify & manage dental Identify & manage dental infection / infection / anomalies anomalies affecting affecting childrenchildren

Manage trauma affecting primary & Manage trauma affecting primary & young permanent teethyoung permanent teeth

Program OverviewProgram Overview

Number of hours per student

Activity Year 3 Year 4

Didactic Lectures 24.0 -

Tutorials/ Seminars 10.5 19.5

Clinical/ Technique work 37.5 -

Practical Demonstrations 19.5 -

Clinics 34 120

Total hours 125.0 139.5

Points to bear in mindPoints to bear in mind

ResponsibilitiesResponsibilitiesYouYou are are entrusted with care of the child entrusted with care of the child during the during the entire entire clinical sessionclinical session

Welfare of child of utmost importanceWelfare of child of utmost importance

See patients regularly at See patients regularly at appropriateappropriate intervalsintervals

QualityQuality

Deliver good quality workDeliver good quality work

OrganisationOrganisation

Work areaWork area

Time managementTime management

Record keepingRecord keeping

CommunicationCommunicationWith patients : -- at their level of understandingat their level of understanding

-- develop rapport, gain trustdevelop rapport, gain trust

With parents : -- establish good rapportestablish good rapport

-- fix appointmentsfix appointments-- keep them well informedkeep them well informed-- OH education to promote home careOH education to promote home care

ManagementManagement

-- recognise child’s temperamentrecognise child’s temperament

-- apply appropriate behaviour apply appropriate behaviour management techniques ……management techniques ……

Tell-show-doTell-show-do

ModellingModelling

Distraction etcDistraction etc

-- recognise when to STOPrecognise when to STOP

Pedo Clinic Guidelines

Patient allocation Paper work Student team

- operator

- assistant Grading Attachments

- Dental Centre 1- School Dental Centre (HPB)- BSS

Threshold Clinical Requirements

Minimum 30 clinical points

Minimum 4 case completions

Clinical Points

Case completion 1

Restoration 2

Fissure sealant 1

Extraction 1

Pulp treatment 3

Space maintainer/Mouth guard

3

Clinical competency test on fissure sealantComplete 4 FS in child patients to be eligible (use FS log sheet)

Evaluated on case selection & each stage of clinical procedure

If fail, remedial of 2 FS before re-test

Oral competency testComplete threshold clinical & IVLE module requirements to be eligible

Viva : 15 mins, conducted with aid of clinical slides, radiographs, casts etc on all aspects of paediatric dentistry

IVLE module : series of case studies in Paediatric Dentistry mounted on NUS website

To complete 3 cases assigned by staff

Competencies in Paediatric Dentistry

Continual Assessment

40% of final marks for Paediatric Dentistry

2 written assessments

Performance at Tutorials/ Seminars

Oral Competency Test

Clinical FS Competency Test

Clinical Schedule

Patient Management

Final Assessment

Examined in final BDS Professional Examination at end of Year 4

2 hrs written paper comprising of 2 essay type questions (structured or long)

Makes up 60% of final marks for Paediatric Dentistry

40% from CA

Recommended TextbooksRecommended Textbooks

Paediatric DentistryWelbury, Duggal & Hosey

Pediatric Dentistry

Pinkham, Casamassimo, Fields, McTigue & Nowak

Dentistry for the Child and Adolescent

McDonald, Avery & Dean

Handbook of Pediatric Dentistry

Cameron & Widmer