PEDO SEMINAR2
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Transcript of 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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