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Daily manipulations of a pediatric dentist: from communication to restoration
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Antonio Pedro Silva
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Stephane Simon
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Sanchit Paul
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Yasmi O Crystal
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Rocio Lazo
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Abhishek S. Soni
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7 lezioni (12o)
11 CE Credits
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Descrizione
Just imagine: a small patient comes to you with his parents. First, you need to establish contact with both the child and his parents. The next stage is diagnosis. Next, you perform anesthesia and isolation. We begin treatment: cleaning, preparation, adhesion stage, filling. What if the pulp chamber is opened? Or is it pulpitis? We provide endodontic treatment. And so that the tooth lasts for many years, we cover it with a crown.
Sound familiar? We have created training about the daily manipulations of a pediatric dentist, in which each topic is a real must-have for a successful pediatric dentistry appointment!
Lezione 1.Non pharmacological behavior management
– Behavior management: basic principles
– Scientific foundations for the management of child behavior
– Factors of poor communication of the child: indications and contraindications for non-pharmacological methods
– The influence of parents and parenting style: the relationship with the behavior of the child
– Dental team: aspects of successful communication
– Basic and advanced non-pharmacological methods of behavior management:
- communication and communication guidance (appropriate to age)
- positive pre-visit imagery
- direct observation
- tell-show-do
- ask-tell-ask
- voice control
- non-verbal communication
- positive reinforcement and descriptive praise
- distraction
- memory restructuring
- desensitization to dental conditions
- enhancing control.
– Documentation of admission and individualization of the treatment plan
– Sensory-adapted dental environment (SADE technique)
– Animal-аssisted Therapy (AAT)
– Picture exchange communication system (PECS)
– A technique of protective stabilization.
Recommended for: Pediatric dentists.
Lezione 2.Pharmacological behavior management
– Goals and indications for general anesthesia:
- Age and weight of the child
- Health status
- Amount of tretment
- Cooperation
- Parental preferences.
– Nitrous oxide: clinical effect, indications and safety of use
– Contraindications for nitrous oxide
– Sedation levels: characteristics and benefits of moderate sedation
– Specific pharmacological agents in pediatric dentistry, features and details of use:
- Midazolam
- Triazolam
- Flumazenil
- Hydroxyzine
- Diphenylhydramine
- Drug combinations.
– Scheme for selecting drugs by age
– Local anesthetics: interaction with general sedatives
– Levels of monitoring of the patient's condition
– Documentation of admission: child behavior, treatment and informed consent.
Recommended for: Pediatric dentists.
Lezione 3.Non and minimally invasive dental caries treatment
– Modern concepts in Cariology
– Fundaments for non and minimally invasive caries treatments
– The techniques of non and minimally invasive dental caries treatment:
- Non restorative caries treatment
- Atraumatic restorative treatment
- Silver diamine fluoride
- Hall technique.
Recommended for: Pediatric dentists.
Lezione 4.Minimally invasive dentistry and bioactive materials in dental caries and molar incisor hypomineralization
– What is the meaning of Minimally Invasive Dentistry (MID):
- Non-restorative caries control
- Restorative caries control
- Selective caries removal.
– Caries prevention: xylitol as a sugar substitute
– Sealants of pits and fissures: hidden fissures and early diagnosis of caries
– How to differentiate between infected and affected dentine
– Rotary caries removal: conventional tungsten carbide burs and their microhardness
– Rotary caries removal: polymer bur for carious dentin removal
– Mechanical caries removal: classification of each type of excavator
– Direct pulp capping in primary teeth
– Silver Diamine Fluoride 38%: Non-Restorative Cavity Control
– Molar Incisor Hypomineralization (MIH) and enamel hypoplasia
– Bioactive biomaterials
– SMART TECHNIQUE:
- Early Lesions
- Deep Caries
- Caries in teeth affected by MIH.
Lezione 5.Biomimetiс in pediatric dentistry
– Biomimetic in Minimally Invasive Dentistry: Bio-Remineralization
– Bioactive Glass Materials in Dentine: MTA, Biodentine and NeoMTA in indirect and direct pulp capping
– What does Biomimetic mean in pediatric dentistry?
– New Generation of Glass Ionomers with Strontium
– Giomers
– Minimally Invasive Dentistry in molars affected by MIH:
- Hypersensitivity Control
- Deproteinization of hypomineralized enamel
- Bioactive Biomaterials
- Adhesion
- Aesthetic Restorative Treatment.
Lezione 6.Endodontic treatment of permanent immature tooth: from apexification to revitalization
– Immature teeth particularities
– Apexogenesis
– Apexification and MTA
– How understanding of biology will help the clinician to better select clinical cases for regenerative procedures
– Revitalization and Revascularization
– Advantages of revitalization and apexification
– Contraindications of revitalization and apexification
– Tissue engineering: stem cells, growth factors, and scaffold dental pulp
– Repair vs. Regeneration
– Outcomes:
- patient-based outcome
- clinician-based outcome
- scientist-based outcome.
– Revitalization of mature teeth
– The clinical factors to take into account when selecting one technique or the other depending on the clinical situation.
Lezione 7.Predictable full coverage crowns in pediatric dentistry. Step-by-step work protocol
– Full coverage crown restoration for primary teeth
– Communication with parents. Motivation for crowns
– Indications and contraindications for the use of crowns in children
– Necessary equipment, tools and materials
– X-ray examination before and after treatment
– Stainless Steel Crowns:
- Indications, contraindications, advantages and disadvantages
- Tooth preparation protocols
- Cementation
- Postoperative instructions.
– The HALL technique:
- Indications, contraindications, advantages and disadvantages
- Chairside protocol of the technique.
– Strip crowns:
- Indications, contraindications, advantages and disadvantages
- Tooth preparation protocols
- Composite strip crowns
- Glass ionomer strip crowns
- Injection moulding technique.
– Zirconia crowns in pediatric dentistry:
- Posterior and anterior zirconia crowns
- The tissue attachment to zirconia
- Case selection
- Tooth preparation protocols
- Methods for controlling hemorrhage
- Crowns try-in and common errors
- Cementation.
– Postoperative period and general recommendations
– Difficulties, complications and ways to solve them
– Clinical tips and tricks.
Il corso include le seguenti lezioni:
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Pediatric Dentistry
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Lettori 6
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Specialista in Odontoiatria Pediatrica da Oporto Dental Medical School (FMDUP-UP), Portogallo. Dentista Pediatrico praticando esclusivamente ad Anversa, Belgio. Fondatore e Amministratore del Pediatric Dentistry Forum, la più grande comunità online del mondo per odontoiatria pediatrica con oltre 46,000 membri da tutto il globo. Membro del PR Committee dell'International Association of Pediatric Dentistry (IAPD). Chairman del Young IAPD Network.
Oltre 19 anni di esperienza clinica dalla laurea in odontoiatria nel 2007. Esperto in gestione del comportamento in odontoiatria pediatrica, tecniche di gestione del comportamento non farmacologiche e farmacologiche, approcci di trattamento della carie minimamente invasivi inclusi Hall Technique e fluoruro diamminico d'argento (SDF), e cure dentali pediatriche complete. Conosciuto per approcci innovativi alla gestione del comportamento inclusa integrazione di strumenti digitali. Creatore di contenuto educativo su psicologia e applicazioni tecnologiche in odontoiatria pediatrica.
Docente internazionale avendo presentato estensivamente in Europa, Americhe, Medio Oriente e mondialmente a conferenze di odontoiatria pediatrica maggiori in Italia, Spagna, Stati Uniti, Portogallo, Messico, Russia, Israele, Egitto, Iraq, Bulgaria, Ucraina e numerosi altri paesi. Facoltà regolare a conferenze inclusa Smart Pedodontics Conference e International Congress of Contemporary Pediatric Dentistry (ICCPD). Co-creatore di corsi educativi su manipolazioni quotidiane in odontoiatria pediatrica coprendo comunicazione, diagnosi, anestesia, isolamento, restauro, trattamento endodontico e posizionamento di corona. Presentatore di conferenze popolari su "Behavior Management: Psychology and Technology Applied to Pediatric Dentistry" presentando strumento virtuale Roogies per gestione del comportamento. Autore ed educatore focalizzandosi su modelli di intervento cognitivo-comportamentale per pazienti pediatrici di 4-7 anni per prevenzione e gestione di problemi di comportamento. Attraverso Pediatric Dentistry Forum, ha creato la più grande comunità professionale del mondo per condivisione di conoscenze tra dentisti pediatrici globalmente.
DDS dalla Universidade Fernando Pessoa, Porto, Portogallo (2007). Specialist Degree in Pediatric Dentistry dalla Oporto Dental Medical School (FMDUP-UP, University of Porto, 2011). Mantiene pratica esclusiva in odontoiatria pediatrica ad Anversa, Belgio.
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Professore e direttore del Dipartimento di Endodonzia presso Université Paris Cité, in precedenza Paris Diderot, UFR d'Odontologie, e endodontista ospedaliero presso il Groupe Hospitalier Pitié-Salpêtrière–Charles Foix, AP-HP, Parigi. È uno dei principali endodontisti accademici francesi e un ricercatore riconosciuto a livello internazionale nella rigenerazione pulpare e nella terapia endodontica biologicamente attiva.
Autore di otto libri di endodonzia, incluso il testo multivolume Endodontie Clinique pubblicato da Éditions CdP, e autore o coautore di oltre 60 pubblicazioni peer-reviewed in riviste indicizzate, con un h-index Google Scholar di 28 e più di 3.100 citazioni. Il suo lavoro riguarda studi sul mineral trioxide aggregate, MTA, terapia pulpare vitale, procedure endodontiche rigenerative, REP, e biologia molecolare della riparazione del complesso polpa-dentina. È membro della rete di ricerca Pulp Biology and Pathology con forti collegamenti al Dental Hospital Birmingham Pulp Biology Group dei professori Anthony Smith e Paul Cooper.
DCD, Université Paris Diderot. MPhil e PhD, Queen Mary University of London, QMUL. DSc, Habilitation to Direct Research, HDR, Université Paris Diderot. Senior Clinical Lecturer in Endodontology presso QMUL Barts and The London School of Medicine and Dentistry dal 2012 al 2014. Membro di European Society of Endodontology, ESE, e Société Française d'Endodontie, SFE.
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Odontoiatra pediatrico, docente e ricercatore. Fondatore e Chief Pediatric Dentist di Tooth Tales: Nurturing Healthy Smiles — centro esclusivo di odontoiatria pediatrica e assistenza ai pazienti con bisogni speciali a Greater Noida, Delhi NCR, India (dal luglio 2014). Professore Associato, ITS Dental College, Greater Noida (dal settembre 2021). Co-fondatore e relatore di PEDOZEN — piattaforma educativa online dedicata all'odontoiatria pediatrica compassionevole. Odontoiatra pediatrico volontario presso il New Delhi Children's Hospital and Research Centre (per bambini svantaggiati) e la Cornerstone School for Special Children, Greater Noida.
Competenza clinica in odontoiatria pediatrica minimamente invasiva, sedazione cosciente con protossido d'azoto e per via endovenosa nei bambini, odontoiatria ospedaliera per pazienti medicalmente compromessi e con bisogni speciali, airway funzionale e miologia orofacciale, traumatologia dentale e assistenza orale nell'epidermolisi bollosa. Ha completato una Short-Term Residency presso il Children's Dental Centre, Seul, Corea del Sud (2013); un Accredited Special Children and Craniofacial Fellowship presso The Hospital for Sick Children (SickKids), Toronto, Canada, e come International Student presso la University of Toronto (2016–2017); nonché la certificazione Laser GLOH, Canada (2017). Autore di oltre 9 pubblicazioni peer-reviewed su riviste internazionali, tra cui International Journal of Paediatric Dentistry e Special Care in Dentistry. Coautore della Clinical Practice Guideline on Oral Health for Children and Adults Living with Epidermolysis Bullosa (DEBRA International / Special Care Dentist, 2020). Revisore editoriale del Journal of Cleft Lip Palate and Craniofacial Anomalies, Contemporary Pediatric Dentistry Journal e Journal of Indian Society of Pedodontics and Preventive Dentistry. Consulente scientifico per Septodont, NuSmile, Zolar Lasers, Inzpera e MotherCell.
Assegnatario del Bengt Magnusson Memorial Prize, IAPD Congress, Santiago del Cile (2017). Vincitore nella categoria Faculty Posters all'ISPPD Annual Conference (2018) e all'ISDT (2019). Finalista, IADH Congress (2020). Nominato come Best Pediatric Dentist e Best Dental Clinic in India, FAMDENT (2015). Relatore invitato nazionale e internazionale presso MDA Mauritius, ISPPD, NAPD, IADH, SAAPD e IDA — riconosciuto come uno dei più giovani relatori invitati ai congressi ISPPD.
BDS, Subharati University, Meerut (2003–2009). MDS in Odontoiatria Pediatrica, MCODS Mangalore, Manipal University (2010–2013). FIAPD (Fellow, International Association of Paediatric Dentistry). Socio a vita di ISPPD, ISDT, FOMT. Membro biennale IAPD. Membro annuale IADH. Membro dell'Autism Board, Federation of Special Care Dentistry. Membro dell'Executive Committee, Indian Society of Dental Traumatology (ISDT).
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Odontoiatra pediatrica, ricercatrice e docente; fondatrice e Senior Specialist presso Comprehensive Pediatric Dentistry a Scotch Plains, New Jersey, USA, dal 1990, uno studio privato pediatrico full-scope che assiste bambini e adolescenti da oltre 35 anni. Clinical Professor di odontoiatria pediatrica presso il New York University College of Dentistry e Medical Staff Member presso il Robert Wood Johnson University Hospital di New Brunswick, New Jersey. Una delle ricercatrici e formatrici cliniche più attive del Nord America nella gestione della cariologia pediatrica, con particolare attenzione alla Silver Diamine Fluoride come agente minimamente invasivo per arrestare la carie. Autrice di studi fondamentali sulla SDF e membro del writing group per la policy della American Academy of Pediatric Dentistry sulla gestione della carie. Incoming President del Pediatric Oral Health Research and Policy Group di IADR. Expert Consultant per l'AAPD Scientific Committee. Membro dell'editorial board del Journal of Pediatric Dentistry e del Journal of the Latin American Association of Pediatric Dentistry. DMD, New York University College of Dentistry. MSc in Clinical and Translational Research, CTSI, NYU School of Medicine. Diplomate ed Examiner dell'American Board of Pediatric Dentistry. Fellow della American Academy of Pediatric Dentistry.
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