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?