pedodontics aka pediatric dentistry
DESCRIPTION
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: - PowerPoint PPT PresentationTRANSCRIPT
Pedodonticsaka Pediatric Dentistry
Pediatric Dental Office 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
Pedodontist 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)
Behavior Characteristics 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 Management 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 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
Preventive Dentistry Primary focus of the
pedodontist. Education Exam / X-rays OHI Coronal Polish Sealants Fluoride Mouth guards Some orthodontics
Restorative Dentistry 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 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.
Pulp cap
► Arrow is pointing at the medication between the pulp and the restoration.
►
Pulp horn →
←amalgam
Pulpotomy 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
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
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.
Displaced tooth Tooth moved from its normal position in
the arch / socket
Lingual displacement
Facial displacement
Child Abuse 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.
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?