Lecture 1 Diagnosis and introduction of pediatric restorative treatment..pdf

Dent 4002 Pediatric Dentistry II Associate Professor Banu Öter, DDS,PhD Bahçeşehir University School of Dental Medicine Department of Pediatric Dentistry Course Resources Dean J, Mc Donald’s and Averys’ Dentistry for the child and adolescent Pediatric dentistry : a clinical approach/ editors...

Dent 4002 Pediatric Dentistry II Associate Professor Banu Öter, DDS,PhD Bahçeşehir University School of Dental Medicine Department of Pediatric Dentistry Course Resources Dean J, Mc Donald’s and Averys’ Dentistry for the child and adolescent Pediatric dentistry : a clinical approach/ editors Göran Koch, Sven Poulsen, Ivar Espelid, Dorte Haubek.. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Pediatric Dentistry Assoc.Prof.Banu Öter LEARNING OUTCOMES The aim of this course is to teach 1. Treatment planning in a child patient. 2. The Principles of Restorative Treatment in Pediatric Patient Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Importance of restorative treatment in pediatric dentistry - Advances in preventive dentistry and their application in the private dental office, have - The widespread acceptance of community changed the nature of fluoridation, dental practice. - Great emphasis on dental health education Diagnosis and introduction of pediatric restorative treatment 2.10.2023 dramatically Importance of restorative treatment in pediatric dentistry Today the dentist devotes more time to preventive procedures and less time to the routine restoration of caries-affected teeth. Nevertheless, restoration of carious lesions in primary and young permanent teeth continues to be among the important services that pediatric dentists and general practitioners provide for the children in their practices. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 The reference manual of the American Academy of Pediatric Dentisty (AAPD) (revised in 2020) states the following, Restorative treatment is based on the results of an appropriate clinical examination and is ideally part of a comprehensive treatment plan. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 The treatment plan should consider the following: 1. The developmental status of the dentition. 2. A caries-risk assessment. 3. Patient’s oral hygiene. 4. Anticipated parental compliance and likelihood of timely recall. 5. Patient’s ability to cooperate for treatment. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 The caries management plan The caries management plan must be prepared in conjunction with an individually tailored program, including considerations such as child and parent preferences (child-centered care), child’s age, medical and dental history, and extent of treatment needs. In addition, restoration of primary teeth differs significantly from restoration of permanent teeth, partly due to the differences in tooth morphology. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Diagnose and treatment planning in a child patient The examination process for a child who comes to the pedodontics clinic for the first time is of great importance. The dentist must create a sense of trust by communicating with the child patient and family. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Diagnose and treatment planning in a child patient At the first examination appointment, a detailed history (anamnesis) should be taken from the patient first, followed by additional oral, intraoral and radiological examinations. Pediatric patients usually come to dental treatment with their parents, and especially since the reliability of the anamnesis taken from young children is poor, parental information becomes important for diagnosis during anamnesis. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 A Through examination includes assesment of Diagnosis and introduction of pediatric restorative treatment 2.10.2023 For a succesful treatment The first stage of successful treatment in pediatric dentistry is to win the child patient with behavioral guidance techniques. After that, the most important second stage is the establishment of an accurate diagnosis. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Patient Registration Form The patient registration form should include personal information about the child (such as age, gender), health status (such as the need for consultation, illnesses suffered, medications used, allergies) and past dental experience. In addition to this information, extra oral and intraoral findings should be recorded and treatment planning should be written. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 When keeping records about teeth, the numbering recommended by the FDI is used. Permanent teeth can be registered with numerals, and primary teeth with Roman numerals. It can be illustrated in the following way. 55 54 53 52 51 18 17 16 15 14 13 12 11 61 62 63 64 65 21 22 23 24 25 26 27 28 48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38 85 84 83 82 81 71 72 73 74 75 Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Anamnesis Getting a good story is very important for a correct diagnosis and proper treatment planning. a. Medical history: While receiving information about the child's general health status, parents are asked not to provide incorrect and insufficient information by explaining that the treatment to be given to families may affect the child's health. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Anamnesis b. Social history: information about the social and psychological development of the child is very important. c. Nutritional history: between the ages of 0-3 vital nutrition in the story of potentially harmful for the modification of diet or bottle-fed, bottle feedings, feeding frequency and continuity, whether or not you use a bottle in the night, and that was what proper nutrition for the mother of learning in the bottle and appropriate referral should be made. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Anamnesis d) Dental anamnesis: it should be asked whether there is pain in the tooth, whether the pain started spontaneously due to hot-cold intake or not, its duration, continuity, whether there is pain during chewing, whether there was a similar pain in the related tooth before. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 DIAGNOSIS: Recognition of a problem TREATMENT: It is the solution. Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Examination The examination should be done under 3 main headings: A. Extraoral examination B. Intra-oral examination C. Radiological examination Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Examination Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Examination Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Examination Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Examination Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Examination Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Examination Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Examination Diagnosis and introduction of pediatric restorative treatment 2.10.2023 Dent 4002 Pediatric Dentistry II Associate Professor Banu Öter, DDS,PhD Bahçeşehir University School of Dental Medicine Department of Pediatric Dentistry