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Daily manipulations of a pediatric dentist: from communication to restoration

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48 votes
Rocio Lazo
Yasmi O Crystal
Antonio Pedro Silva
Sanchit Paul
Abhishek S. Soni
Stephane Simon
Course details
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Description

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!

Lesson 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.

Lesson 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.

Lesson 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.

Lesson 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.

Lesson 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.

Lesson 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.

Lesson 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.

Course includes next lessons:

1h 21min
Lesson 1

Non pharmacological behavior management

Yasmi O Crystal
1h 39min
Lesson 2

Pharmacological behavior management

Yasmi O Crystal
1h 32min
Lesson 3

Non and minimally invasive dental caries treatment

Antonio Pedro Silva
1h 56min
Lesson 4

Minimally invasive dentistry and bioactive materials in dental caries and molar incisor hypomineralization

Rocio Lazo

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Lecturers 6

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.

 

Pediatric Dentistry specialist by Oporto University, Portugal.
Pediatric Dentist in Antwerp, Belgium.
Founder of Perdiatric Dentistry Forum, with more than 34000 Dentists Worldwide.
International invited speaker:
- Spain, Italy, Portugal, Russia, Ukraine, Bulgaria, Israel, Mexico, Brasil, Egypt, Iraq.
- Speaker of the Next Congress of the Internation Association of Pediatric Dentistry (IAPD), July 19, Cancun, Mexico.Qualified Nusmile Instructor, Houston, USA.

 
One of the best pediatric dentist in India. Member of Indian Society of Paediatric & Preventive Dentistry. In 2015 Sanchit Paul was nominated as the owner of "Best Dental Clinic in India".
 

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