Pediatric Dentistry

Learning Objectives

Endodontic Treatment

After completion of the course you’ll be able to:

Early-Dental Intervention

  1. Identify some common dental abnormalities that occur in pre-term and LBW infants.
  2. List various elements that a dentist should look for while taking a child’s history.
  3. Identify the particular aspects of extraoral and intraoral examination.
  4. Describe the best position to examine an infant or a toddler.
  5. After a careful examination of the child assess the level of risk for caries.

Behavioral Management For a Child in the Dental Setting

  1. Describe different types of child temperaments.
  2. Discuss the 5 anxiety-producing times during a dental visit.
  3. State the different non-pharmacological behavioral techniques used for an apprehensive child.
  4. List the levels of sedation (conscious, deep, general) used to manage resistant pediatric dental patients.
  5. Review necessary information needed (history, physical assessment, ASA status) to determine if a patient is a candidate for conscious sedation.
  6. Describe the pros and cons of different routes of administration (inhalation, PO, IM, IV) used to provide pharmacological behavioral techniques.
  7. State the necessary pre- and post-op steps and monitoring needed for successful sedation procedures.

Endodontic Treatment in Primary and Young-Permanent Dentition

  1. Describe indications and contraindications for endodontic treatment over tooth extraction.
  2. Describe the information needed to obtain an accurate diagnosis and determine if a primary or young-permanent tooth is treatable with endodontic treatment.
  3. Discuss the influence of behavioral factors on the plan of treatment.

Course Contents

1. Early-Dental Intervention

  • Introduction
  • Assessment
  • History
    • Table 1: Health and Development Questionnaire
  • Examination
  • Caries-Risk Assessment
  • Anticipatory Guidance
    • Table 2: Anticipatory Guidance
  • Diet Modification
  • Fluoride Supplementation and Oral hygiene Counseling
    • Table 3: Fluoride Supplementation Regimen
  • Non-Nutritive Habits and Trauma Prevention
    • Table 4: Malocclusion Due to Non-Nutritive Habits
  • Anterior and/or Posterior Cross-Bite
  • Trauma Injuries
  • References

2. Behavior Management of a Child in a Dental Setting

  • Table 5: Different Types of Child Temperaments
    • First Impression
    • Separation from the Parent
    • Getting into the Chair
    • Then Injection and the Dental Procedure
    • Return to the Parent
  • Nonpharmacological Behavioral Methods
    • Tell-Show-Do
    • Positive Reinforcement
    • Distraction
    • Fading
    • Systematic Desensitization
    • Voice Control
    • Restraints
  • Pharmacological Behavioral Methods
  • Conscious Sedation
  • Routes of Administration
    • Inhalation
    • Oral
    • Intramuscular
    • Intravenous
  • Preparation for Conscious Sedation
  • Monitoring
  • References

3. Endodontic Treatment in Primary and Young-Permanent Dentition

  • Medical History
  • Behavioral Factors
  • Dental Factors
    • History of Pain
    • Clinical Examination
    • Future Considerations
    • Radiographic Examination
  • Endodontic Treatment in Primary Dentition
  • Vital Pulp Therapy
    • Pharmacologic Medicaments
    • Nonpharmacologic Techniques
  • Non-Vital Pulp Therapy
  • Endodontic Treatment in Young-Permanent Dentition
  • Dental Factors
  • History of Trauma
  • Clinical Factors
  • Radiographic Exam
  • Vital Pulp Therapy
  • Non-Vital Pulp Therapy
  • References

4. Gingival and Periodontal Diseases in Children

  • Child Gingiva
  • Child Bone
  • Child Teeth
  • Anatomic
  • Gingival Overgrowth
  • Gingival Disease
  • Early-Onset Periodontitis
  • Adult-Onset Periodontitis
  • Systemic Diseases
  • References