Daily manipulations of a pediatric dentist: from communication to restoration

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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.Dental radiographs for infants, children and adolescents. СBCT

– Radiation risk

– Principles in radiology

– Indication oriented and patient specific image quality in pediatric dentistry

– Impacted teeth visualization

– Diagnosis of orofacial cleft

– Visualization of dental anomalies

– Visualization of bone pathology

– Imaging in syndrome

– Visualization in Orthodontics.

 

Recommended for: General dentists, Pediatric dentists.

 

Lezione 4.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 5.Minimal intervention dentistry for dental caries management

– Prevalence of dental caries
– Dental caries and quality of life
– Pathogenesis of caries
– Minimal intervention dentistry: definition
– International Caries Detection and Assessment System (ICDAS)
– Active and inactive cavitated lesions
– Detection of caries
– Preparation, degree of removal of affected dentin
– Materials for restorations
– Hall-technique.

 

Recommended for: Pediatric dentists, General dentists.

Lezione 6.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 7.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 8.Modern endodontics for primary teeth

– Hall Technique and Modifications

– Selective Caries Removal

– Pulp Capping (IPC and DPC)

– Pulpotomy

– Access opening for Primary Teeth

– Working Length Determination

– Shaping (Root canal Preparation) in Primary teeth

– Cleaning (Root canal Disinfection) in Primary teeth

– Obturation in Primary Teeth

– Modern Endodontic Approaches (Management of Internal Root Resorption, LSTR and Broken Instrument Retrieval).

 

Recommended for: Pediatric dentists, General dentists.

Lezione 9.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 10.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.

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Lettori 9

Marc Semper has been in private practice limited to Endodontics since 2007.

Has lectured nationally and internationally on Endodontics, Dental Traumatology as well as Dentomaxillofacial Imaging and CBCT and co-authored the German Guideline on the use of Cone Beam Computed Tomography in Dentistry.

Certified member of the German Association ofEndodontology and Dental Traumatology (DGET).

Certified member of the European Society of Endodontology (ESE).

International specialist member of the American Association of Endodontists (AAE).

A board Director of the International Association of Dental Traumatology (IADT).

Currently he serves as a reviewer for the International Endodontic.

 

Bachelor of Dental Surger (BDS), Master of Dental Surgery (MDS) in Paediatric & Preventive Dentistry, Diploma and Masters in Laser Dentistry (MLD).

Practicing Exclusive Microscope and Laser Integrated Paediatric & Preventive Dentistry since 1999.

Secured 11th rank in the all India level entrance examination for Mds admissions in 1996.

Indian Society of Pediatric and Preventive Dentistry, International Association of General Dentistry, Indian Society of Dental Traumatology (ISDT).

 

Coordinator Pediatric Dentistry Program.

2012- present professor – Postdoctoral Pediatric Dentistry Program.

Co-author “CARIES DENTAL EN DIENTES DECIDUOS Y PERMANENTES JOVENES”, co-author “ESTOMATOLOGIA PEDIATRICA”. Editorial RIPANO.

Awards "Instituto Hipolito Unanue Foundation" for the best research work in the years 2005, 2010 and 2011.

Special Smiles Clinical Director.

 

Dr. Yasmi Crystal, DMD, MSc, FAAPD is a Pediatric Dentistry clinician, researcher and educator.
Diplomate and an Examiner for the American Board of Pediatric Dentistry, who has been a senior specialist at Comprehensive Pediatric Dentistry for over 20 years. 
She is also Clinical Professor of Pediatric Dentistry at New York University, College of Dentistry, and holds an MSc in Clinical and translational research from CTSI, NYU Medical School.
She is currently an expert consultant for the Scientific Committee of AAPD, incoming president for the Pediatric Oral Health Research Group of IADR, and Editorial Board Member for the Journal of Pediatric Dentistry and the Journal of the Latin American Association of Pediatric Dentistry.
Dr. Crystal lectures to primary care dental provider audiences worldwide, and has numerous publications in the areas of Caries Prevention and Management, Minimal Interventions Techniques, and Patient Centered Outcomes with the use of SDF.

 

OHI-S is the world's leading educational platform for dentists worldwide!

 

Our core product is training led by the top global speakers in all branches of dentistry. On our platform, you will find courses covering every dental specialty. We offer a comprehensive range of educational formats: congresses, seminars, hands-on workshops, and online courses.

 

We provide education in 7 languages: English, Spanish, Portuguese, German, French, Ukrainian, Russian.

 

Our offline projects take place in the most picturesque locations around the world: Kyoto, Florence, Rome, Bologna, Vienna, Berlin, and Prague. Our clients always have a unique opportunity to combine acquiring valuable knowledge with experiencing rich cultural environments.

 

OHI-S is not just a platform, it’s an entire ecosystem for professionals. Our mobile application, marketplace, and specialized social network connect dentists from all corners of the globe, creating a powerful community for knowledge exchange and collective growth.

 

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