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Pediatric Dentistry: A Comprehensive Guide to Oral Health Care for Children, Exams of Dentistry

The University of Edinburgh (Edin)Dentistry

PEDIATRIC DENTISTRY PEDIATRIC DENTISTRY

Typology: Exams

2023/2024

Available from 02/02/2024

DrShirleyAurora
DrShirleyAurora 🇺🇸

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Chapter 27 pediatric dentistry
Pediatric dentistry -
Specialized are of dentistry limited to the care of children from birth through adolescence, with
additional focus in providing oral health care to patients with special needs.
Emphasis of the pediatric dental practice is to focus on -
Developmental guidance, early detection, prevention, and treatment of dental diseases
Clinical procedures provides for a pediatric patient -
Preventive care, restorative procedures, pulp therapy, surgical procedures, space maintenance,
interceptive orthodontics
Design of pediatric dental office -
Open bay design.
Members of the dental team in a pediatric office will make modification in the way they practice
dentistry -
Age size and how the child is behaving
Birth through 2 years of age -
Children may act friendly towards strangers but then become afraid of them. They may experience
Fear of separation from parent. Toddlers are too young to be expected to cooperate with dental
treatment . If the parent is with the child then the initial exam is easier
3 through 5 years of age -
Children are learning to follow simple instructions. They want autonomy. Allow this age to make
choices
6 through 11 years of age -
pf3
pf4
pf5
pf8

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Chapter 27 pediatric dentistry

Pediatric dentistry - Specialized are of dentistry limited to the care of children from birth through adolescence, with additional focus in providing oral health care to patients with special needs. Emphasis of the pediatric dental practice is to focus on - Developmental guidance, early detection, prevention, and treatment of dental diseases Clinical procedures provides for a pediatric patient - Preventive care, restorative procedures, pulp therapy, surgical procedures, space maintenance, interceptive orthodontics Design of pediatric dental office - Open bay design. Members of the dental team in a pediatric office will make modification in the way they practice dentistry - Age size and how the child is behaving Birth through 2 years of age - Children may act friendly towards strangers but then become afraid of them. They may experience Fear of separation from parent. Toddlers are too young to be expected to cooperate with dental treatment. If the parent is with the child then the initial exam is easier 3 through 5 years of age - Children are learning to follow simple instructions. They want autonomy. Allow this age to make choices 6 through 11 years of age -

These children are in the period of socialization. They want to learn rules. They have overcome most of their fears 12 through 20 years of age - Young people gave acquired self certainty and a sexual identity. They will seek leadership and develop their own ideals Dental procedures can be accomplished for patients of all ages if the dental team practices: - Be honest with the child Consider the child's point of view Always "tell, show, do" Give positive reinforcement restraint - Pharmacologic or physical. If dentist knows this will be needed a premedication can be prescribed to calm and ease the patient before treatment Papoose board - Temporary stabilization wrap for a child. Gently hugs or wraps around the child's arms legs and mid section during a procedure to help keep patients movements to a minimum Mild sedation - Nitrous oxide-oxygen can benefit an anxious child According to the American academy of pediatric dentistry, the first dental appointment for a child should take place - Around their first birthday The parent or guardian completes the medical history form - Which includes info about the child's general health background

Nutrition - A diet that is healthy is blanched and naturally supplies all the nutrients a child needs to grow. Topical fluoride - Fluorides have played a primary role in brining about the decline in dental caries. For many children decay is still a major problem. Sealants - Common preventive tool provides in pediatrics. Sealants protect the grooves and pitted surfaces of the teeth, especially the chewing surfaces of molars and premolars. Clear tooth colored composite resin. The pediatric dentist is the first to identify - Malocclusion, crowded or crooked teeth, and habits that can affect the detention

  • To prevent the premature loss of primary teeth which may result in loss of space for the eruption of permanent teeth Use of a space maintainer - To save space for the eruption of permanent teeth. They are most often cemented in place and retained until the permanent tooth erupts Use of splices cemented in place to correct oral habits such as - Thumb sucking that can affect the permanent dentition Early detection of genetic and - Congenital anomalies that may influence dental development Supervision of the natural exfoliation of the primary teeth -

If retained too long the primary teeth may cause the permanent teeth to erupt out of alignment or to be impacted Interceptive orthodontics - Allows the dentist to intercede or correct problems cross bite - Occurs when one or both sides of the maxillary teeth are positioned lingual to the mandibular teeth Interceptive orthodontics include - Extraction of primary teeth that can contribute to Malalignment of the permanent dentition. Correction of a cross bite through use of removable or fixed appliance. Correction of jaw size. Extraction of primary or permanent teeth to correct over crowding The dentist follows many of the same restorative principles as with the permanent teeth - Major difference is the size and shape of the teeth. When preparing the dental dam, isolating the tooth receiving restoration is best and the tooth behind or distal receives the dental clamp 2 matrix systems most commonly used in primary teeth are the - T band- small, copper t shaped band that when the top portion of the t is bent, provides an adjustable band to fit around the primary molar. Spot welded band- form fitted around the tooth using no. 110 pliers. Then removed and placed in a smaller form of a welder that fused metal together The primary objective of pulp therapy in a pediatric setting is to - Stimulate and preserve pulpal regeneration of a primary tooth. 2 most common factors that affect the pulpal health of primary teeth - Deep decay and traumatic injury Decay is most likely to affect the posterior teeth -

Dentist provides temporary relief by - Covering all exposed dentin with calcium hydroxide to prevent thermal sensitivity and placed an interim covering of resin material Avulsed - Torn away or removed by force The more quickly a tooth can be repositioned - The greater the chance for success the highest success rate occurs when the permanent tooth is replanted within 30 mins of the accident The types of procedures provided in a pediatric dental office include - Pulp therapy Restorative procedures Preventive procedures The age groups served by a pediatric dental practice include - Infancy to 2 years 3-5 years 13-20 years old What is unique about the treatment areas of a pediatric practice - open bay concept At what stage of life does a child first want control and structure of their environment - 3-5 years At what phase of orthodontics would a pediatric dentist intercede in getting a patient to stop sucking his or her thumb? -

Preventive Stainless steel crowns are - Considered to be permanent restoration for a primary tooth Indicated when rampant decay is present Used for primary molars What endodontic procedure is performed on primary teeth - pulpotomy What type of matrix system is recommended for primary molars - T band The teeth most frequently injured by toddlers are the. - Maxillary incisors A tooth that was knocked completely out of the mouth is said to be - avulsed