INTRODUCTION TO PEDODONTICS.pptx

INTRODUCTION TO PEDODONTICS

1. NAVODAYA DENTAL COLLEGE DEPARTMENT OF PEDODONTICS STAFF NAME – Dr K M PARVEEN REDDY Associate Professor TOPIC NAME – Introduction to P edodontics

2. INTRODUCTION The child is undergoing constant mental, physical and emotional changes . Pedodontics is the most rewarding specialty of dentistry.

3. Histroy Father of Dentistry- Pierre Fauchard ( )-French physician, credited as being the "father of modern dentistry". Edited a book Le chirurgien dentist WHICH is said to be the first complete information of dentistry.   Father of Indian Dentistry- Dr Raffiuddin Ahmed. He obtained his D.D.S from University of IOWA in 1915. He founded India’s first Dental College in Calcutta in 1928 from his own earning and real hard work. Initially the course in dentistry was for one year and later adopted to four years in 1935.   In 1950 , Pedodontics was introduced as a specialty UG curriculum in GDC Amritsar in 1978 . Father of Pedodontics- Robert Bunon - A French dentist. Father of Pedodontics in India- Dr. BR Vacher

4. Definition The word pedodontics is made up of two words i.e., pedo + dontics . Pedo is derived from “ pais ” ( in Greek means child), dontics ( the study of the tooth). American Academy Of Pediatric Dentistry (1999)“ Pediatric Dentistry is an age defined speciality that provides both primary and comprehensive, preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.”

5. General considerations To determine what is best for the child at that moment . What is the best for the adult into whom child will eventually grow . Objectives of Pedodontics : Overall health ( both oral & general health ) Prevention Comprehensive oral health care Developing good oral habits Update knowledge – quality dental care Positive dental attitude.

6. Characteristics of an Ideal Pedodontics Patience Empathy Kindness Self-confidence Goal orientation with clarity Flexibility in handling children Cheerfulness with a gentle approach and tender loving care (TLC ) Art of developing a friendly rapport with children Sincerity and honesty

7. Difference between child and adult Physical Emotional and psychological Consideration of behavior Type of treatment ( different dentitions ) Dentist-patient , parent-dentist relationship

8. Physical Differences Respiratory Narrow nasal passage Tongue/oral cavity disproportion Decreased airway diameter Physiology Alveolar ventilation is greater in a child but functional residual capacity is less

9. CVS Cardiac output, heart rate and stroke volume-Stroke volume is low due to inefficiency of left ventricle, so cardiac output depends mainly upon heart rate . A child is more prone to bradycardia due to more parasympathetic tone i.e vagal stimulation due to pressure on eye balls, application of throat packs, tracheal intubation . Sedation in child is very important consideration as changes in cardiac output can drastically affect the uptake of inhaled gases.

10. GIT immature gut mucosa the acid concentration is low, so barbiturates are not well absorbed . Penicillin drugs are well absorbed . Also hepatic enzymes are not well developed. Renal system : GFR is very less in child and also tubular secretion is not developed causing increased drug concentration . Body fluid: Larger volume of distribution so for water soluble drugs, distribution is affected.

11. Emotional and psychological differences: Lower level of psychological competence Attachment to parents Lesser logic and cognition Behaviour consideration 1st visit influences future dental behavior Behaviour management techniques have to be used in a child Effective and efficient treatment is difficult to achieve

12. Treatment Considerations: Oral surgical considerations Modified cavity designs Radiographic considerations Endodontic treatment due to different root canal morphology

13. Changing Trends in the scope of Pedodontics Factors : Professional & public recognition of dental health and well being of child Wider recognition of fluorides Introduction of high speed technology in teeth preparation for restoration Improvement in esthetic restorative agents Introduction of sophisticated materials viz composites, glass ionomer cements, compomer , pit and fissure sealants Recognition of child as an individual

14. Current Trends:: Preventive and public health dentistry Child psychology and management Advanced Restorative dentistry Preventive and interceptive orthodontics Special care dentistry Child abuse and neglect (Forensic Pedodontics ) Genetics in pediatric dentistry.