Introduction Flashcards
pediatric dentistry definition (ADA)
age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence including those with special needs
adult dentistry ratio
(1:1) patient-dentist
pediatric dentistry ratio
(1:2) child & parent - dentist
can sometimes be considered as parent
extended family
purpose of establishing rapport with parent/guardian
to gain confidence and trust
pediatric treatment triangle
- apex: pedia patient
- base: parent and dentist
requirement for pediatric dentists
considerable amount of patience and skill
pediatric dentistry: aims and objectives
- Give comfort, relieve pain, remove infection, and restore
treatment - Alleviate fear and anxiety and modify behavior
- Instill a positive attitude and behavior
- Implement principles of preventive dentistry from birth
- Parental guidance and counseling regarding preventive
dentistry and treatment modalities - Early diagnosis and treatment
- Occlusal guidance and early treatment of developing
malocclusion - Manage children with special health care needs
other terms for deciduous teeth
- primary teeth
- milk teeth
- baby teeth
- temporary teeth
earliest evidence of deciduous teeth development
6th week of embryonic life
importance of primary dentition
- function
- speech
- esthetics
- growth and development
- guidance for permanent teeth
dental consonants
/d/, /t/. /n/ /l/
early extraction of deciduous teeth may cause:
- delayed eruption of natural teeth
- misalignment of natural teeth
sequelae of non-treatment of primary dentition
- pain
- sepsis
- space loss
- disruption of quality of life
- disruption of growth and development
- hospitalization and emergency visits
- treatment and financial cost
- greater risk of new carious lesion in both primary and permanent dentition
5th vital sign
pain
of affected children by dental caries in the Philippines
8/10 children
most common cause of dental pain
carious molars
caused by failure to treat caries
high risk of sepsis
caused by sepsis
- cellulitis
- Ludwig’s angina
management of sepsis
- specialist care
- IV antibiotics (ER)
- secure the airway
- drainage
premature loss of primary molars may contribute to problems such as:
- deviation of midline
- crowding
- dental impaction
- ectopic eruption
- crossbite formation
% disruption of quality of life
- 86% ability to eat
- 50% ability to sleep
- 32% school participation
effects of disruption of growth and development
- weigh less
- psychological signs of malnutrition
- iron deficiency anemia
most frequent diagnosis in emergencies related to dental caries
- abscess with sinus tract
- caries with spontaneous pain
- caries with provoked pain
- cellulitis
excessive administration for pain management
acetaminophen toxicity