PEDO SEMINAR2

8/2/2019 PEDO SEMINAR2

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Basics in managing children inpediatric dentistry


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The child is not a little man !


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Most dentists agree that the

preschool child clearly

requires the most energy andtalent for effective

management!


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Preappointment experience

Entails bringing the child to the dental office

for a tour and orientation

With nothing being done

The child meets the receptionist, dental

assistant, and dentist


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Certain dental equipment can be shown and

explained

In childish language


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The First dental visit

Should be kept as pleasant and simple as possible

An examination and fluoride treatment


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Parents attendance in the Dental Operatory


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Should parents stay with the child during the

procedure or remain in the waiting room?

Less than 8% of dentist want parents in

attendance during the treatment

The parent is seen as a contributor to

management or behavior problems


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66% parents wished to be present

They can act as an advocate for their child

and verify his or her safety

However

h l


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There are several options:

depending on the dentists office policy

Routinely exclude parents

If the parent wishes, allow him to enter With the exception of parents of very young child

patient with developmental disabilities


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Four age groups

Conception to age three

The primary dentition years: 3 to 6 years

The transitional years: 6 to 12 years

adolescence


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The child from conception to age 3 historically has not

been involved in professional dental provision

In fact ,until recently dentistry has never actively

encouraged children of this age to be involved in

professional care

Conception to age three


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Age 3 has for many years been the customary

entry age of children to the dental experience

It is deeply believed that prevention programs

must be started well before age 3 to ensure

successTherefore, focus on the needs of an age group the

has been virtually overlooked previously


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The primary dentition years:

3 to 6 years

Deal with children with a complete primarydentition

To understand the morphology and anatomy ofthe primary dentition

How to preserve dental arch integrity

How to intercept malocclusions in the primarydentition

Restoration

Pulp therapy


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The transitional years:

6 to 12 years

The majority of children shed all of their primaryteeth and gain all of their permanent teeth except

the third molars Treatment needs of young permanent teeth

Orthodontic considerations

Esthetic considerations

Prevention needs of the preschool child

Children responsibility for their own oral hygiene


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Adolescence

Prevention

Treatment

Dental and facial esthetics

Periodontal disease


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Early child caries (ECC)

Bottle caries Bottle caries in an old Child

showing arrested Caries


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Rampant caries


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Remarkable advances in dental restorative materials in the 1980s

and 1990s are irrevocably changing pediatric Restorative dentistry


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Restorative techniques


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Pulpal therapy


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Not conservative


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Space maintenanceCrown


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Interceptive orthodontics


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Pits and fissure sealant


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Child abuse and neglect affect millions of children in

the United States each year. Health care and dental

professionals are in unique positions to identify thepossibly abused child and must be knowledgeable in the

recognition, documentation, treatment, and reporting of

suspected child abuse cases. To appropriately intervene,

professionals must be willing to consider abuse or neglect as a

possibilityif it is not considered, it cannot be diagnosed.

PHYSICALABUSE

SEXUALABUSE

NEGLECTEMOTIONAL

ABUSE


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NOTICE

Dentistry is an ever-changing field. Standard safety precautions must be

followed, but as new

research and clinical experience broaden our knowledge, changes in treatmentand drug therapy

may become necessary or appropriate. Readers are advised to check the most

current product

information provided by the manufacturer of each drug to be administered to

verify therecommended dose, the method and duration of administration, and

contraindications. It is the

responsibility of the licensed prescriber, relying on experience and knowledge

of the patient, to

determine dosages and the best treatment for each individual patient. Neither

the publisher nor the

authors assume any liability for any injury and/or damage to persons or

property arising from this

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PEDO SEMINAR2

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