CHPT 28 and 31 Flashcards
pediodontics
the pediiatric treats children from birth through the erouption of their second perminant molars. the pediatric practice sometimes treats medicaly comrimised adults
patient management
the dental team must work together and know each others positive roles. a positive trusting relationship with some children. the dental team must have coconsistant management policies and procedure sequences , and must consistantly use the same terminoligy when speaking with patients.
subjective fears
some of the fears are based on feelings, atitueds. and concerns that have developed from sugestions of others. thes are called subjective fears.
behavior management tecnigues
TELL,SHOW, AND DO-assitant names an intrument and deminstrates how to use it either on their own hand or the childs.
VOICE CONTROL-speaking comley but firmly let child know the assitant is in control.
DISTRACTION- distract the child attention
POSITIVE REINFORCEMENT-give the patient positive reinforcement at the appropriat time.
HAND OVER MOUTH (HOM)-requires informed consent
parents are generaly very supportive if
they are informed ,know what is hapening, and know what is exspected of them.
floride aplications and flouride varnishes
are applied after the cornal polish andpit and fisher sealants have been applied.
the varnish is
painted onthe surfaces of the teeth and sets on contact with saliva, and then it dries to a natural tooth color.
flouride varnishes comes in variouse forms including.
pre mesured unit doses,individual applicattions with applicator brushes, and tubes.
tongue thrusting
is a habit in whitch the childs tounge pushes against the aterior teeth during swallowing causing an antier open bit.
treatments for the habit of tounge trusting
myofuntional exercise (Theropy) or use of apliances
pulp therapy in primary and young permanant teeth
if the pulp is not yet exsposed, indirect pulp capping (IPT), is indicated.
in the case the pulp has not yet neen exsposed,but ther is a chanse the pulp will be exsposed while removing the cares. the tecnique involves- leaving a thin layer of sound or caries dentine with no evidence of pulp exsposer
if the pulp has been exsposed while removing through mecanical or tramatice means but therei is a chance of faverable response
a direct pulp capping (DPC) procedure is endicated.
Formocresal is bacterial it preserves
a thin layer of the remaining pulp tissue to control hemorige
FORMOCRESOLE
a solution of flamaldihyde, cresol,glecerin and water.
what is formocresol used for
in vital pulpotomy anf used as a temporary intracanal medicament used during root canal theeropy,
is formocresol get s on the skin
it will cause a burning sensation. wash with saop and water, treat as a burn.
apexogenesis
for the you ng pemanant ateeth a pulpotomy maintains pulp vitality and allows enough time for the root to develope and close
stainles steel crowns
are used on both primary and permant teeth.