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Pediatric Dental Care Essentials

Module 6 focuses on dental care for children, emphasizing the importance of oral diagnosis, clinical examinations, and radiographic techniques. It outlines the goals of preventing dental issues, methods of protection during examinations, and the significance of medical and dental history. The module also discusses appropriate radiographic techniques and considerations for handicapped children.
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0% found this document useful (0 votes)
14 views3 pages

Pediatric Dental Care Essentials

Module 6 focuses on dental care for children, emphasizing the importance of oral diagnosis, clinical examinations, and radiographic techniques. It outlines the goals of preventing dental issues, methods of protection during examinations, and the significance of medical and dental history. The module also discusses appropriate radiographic techniques and considerations for handicapped children.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

MODULE 6: DENTAL CARE FOR

CHILDREN
PRDM148 A.Y. 2024-2025 : 2ND SEMESTER

following policy statement on


TOPIC OUTLINE infant care (1989):
1.​ Oral Diagnosis INITIAL PARENTAL CONTACT WITH
1.1.​ Infant Dental Care THE DENTAL OFFICE
1.2.​ Initial Parental Contact
with the Dental Office ★​ First contact - telephone call
(with the receptionist)
1.3.​ First Appointment ○​ Rarely practiced now but
1.4.​ Diagnosis Methods still number 1 according
1.5.​ Uniform Dental Coding to Avery and McDonald’s
○​ Receptionist - initial
1.6.​ Medical and Dental conversation:
History ■​ Should answer all
questions
2.​ Clinical and Dental Exam ■​ All conversations
2.1.​ Radiographic should be recorded
■​ Creates an
Examination appointment
2.2.​ Indication ■​ Kailangan maalam
2.3.​ Selection of Appropriate ang receptionist
mo
Radiograph for Child
Patient Depends On… FIRST APPOINTMENT
2.4.​ Methods of Protection
★​ Informal and informative
2.5.​ Radiographic Technique ○​ Teach the parent how to
2.6.​ Radiographic Series properly take care of oral
2.7.​ Localization Technique cavity of patient
2.8.​ Special Radiographic FIRST APPOINTMENT
Technique for
Handicapped Children ★​ Oral examination (oral
diagnosis)
★​ Treatment plan
★​ Case presentation
ORAL DIAGNOSIS ★​ Parental consent
★​ Comprehensive oral health care
Dental Care for Children: program
★​ Goals - to prevent:
○​ Oral pain and infection DIAGNOSTIC METHODS
○​ Occurence & progress of
dental caries (bottle-fed -​ Medical and dental history
caries) taking
○​ Premature loss of primary -​ Inspection
teeth -​ Palpation
○​ Loss of the arch length -​ Exploration
○​ Association between fear -​ Tongue depressor
& dental care -​ Radiographs
-​ Panoramic/periapical
INFANT DENTAL CARE -​ Auscultation
-​ Percussion
★​ American Academy of Pediatric -​ Transillumination
Dentistry (AAPD) adopted the -​ Vitality test
-​ Study casts

1
MODULE 6: DENTAL CARE FOR
CHILDREN
PRDM148 A.Y. 2024-2025 : 2ND SEMESTER

-​ Laboratory tests ○​ What medications are


-​ (to confirm the masses currently taken
present in the oral cavity) ★​ Transferred to the oral
-​ Photography examination record
★​ Patient’s dental history should
UNIFORM DENTAL RECORDING be summarized
○​ Blood pressure
○​ Body temperature
★​ Simple to understand and ○​ Heart sounds
teach ○​ Height
★​ Easy to pronounce in ○​ Weight
conversation and dictation ○​ Pulse
★​ Readily communicable in print ○​ Respiration
and by wire
★​ Easy to translate into computer
input CLINICAL EXAMINATION
★​ Easily adaptable to standard
charts used in general practice ★​ Extraorally
○​ Hands (Look if lagi
malamig or lagi
TWO-DIGIT SYSTEM nanginginig baka may
anxiety)
★​ First digit indicates the ■​ Abnormal Anxiety
quadrant ●​ Wet/moist
★​ Second digit indicates tooth hands
number (sweating)
■​ Sucking habits
MEDICAL AND DENTAL HISTORY ●​ Callous (may
kalyo)
●​ Clean digits
★​ Interview the parents to get the ■​ Congenital Heart
family history (one-on-one) Disease
○​ Hereditary disorders (e.g. ●​ Bluish nail
diabetes, high blood) beds
○​ Child’s social and ○​ Head
psychological ○​ Neck
development
○​ Developmental disorders ★​ Intraorally
■​ At what age did ○​ Check the:
they start to walk, ■​ Condition of the
talk, paint, draw, teeth
etc. ■​ Missing teeth
○​ Behavioral problems ■​ Condition of the
■​ Early interventions tissue
○​ Current & past illnesses ○​ Check the hard and soft
■​ Vaccines (e.g. polio) tissues
○​ Hospitalized for general ○​ Check the tongue, tonsils,
anesthesia & surgical mucosa, teeth, and the
procedures TMJ
○​ Oral hygiene habits ○​ Enlarged tonsils
○​ Previous & current accompanied by purulent
fluoride exposure exudates (Rheumatic
★​ Acute or systemic disease or fever)
anomaly… ○​ Crowding of teeth
○​ Dentist should consult
the pediatrician
○​ Long range prognosis

2
MODULE 6: DENTAL CARE FOR
CHILDREN
PRDM148 A.Y. 2024-2025 : 2ND SEMESTER

RADIOGRAPHIC EXAMINATION METHOD OF PROTECTION


★​ Lead apron and thyroid collar
★​ Wilhelm Conrad Roentgen, ★​ Faster film speed
1895 ★​ Film screen combinations
★​ Excellent tool for identification ★​ Beam positioning devices
of caries, lesions, lamina dura, ★​ Length and shape of the cone
and trauma ★​ Use of higher kilobolt (kVp)
★​ Exposure to dental ionizing ★​ Quality control
radiation (x-ray) should be ○​ Dark room dapat with
determined first by the dentist proper temperature and
red/yellow light
INDICATION
RADIOGRAPHIC TECHNIQUE
★​ Trauma A.​ Lateral view of the jaw
★​ Toothache
★​ Suspected developmental B.​ Occlusal
disturbance a.​ If you want to see the
★​ Proximal caries
○​ We use bitewing to view impacted tooth on the
this palatal area
C.​ Bitewing
SELECTION OF THE APPROPRIATE
D.​ Periapical
RADIOGRAPH FOR CHILD PATIENT
E.​ Panoramic
DEPENDS ON THE FF:
F.​ Cephalometric
★​ Age of the child
★​ Size of the oral cavity RADIOGRAPHIC SERIES
★​ Level of patient cooperation

★​ Four-film series
IDEAL TECHNIQUE SHOULD EXPOSE THE ★​ Eight-film series
PATIENT TO: ★​ Twelve-film series
★​ Sixteen-film series
★​ Minimum amount of radiation
★​ Require as few radiographs as LOCALIZATION TECHNIQUE
possible
★​ Take as little time as possible
★​ Provide an adequate ★​ Buccal-object rule
examination of the dentition ○​ SLOB technique
and supporting structures ★​ Cross-section occlusal
radiograph
BIOLOGICAL EFFECTS OF LOW-LEVEL
RADIATION
SPECIAL RADIOGRAPHIC TECHNIQUE
★​ Carcinogenesis (cancer) FOR HANDICAPPED CHILDREN:
★​ Teratogenesis (malformation
★​ Mutagenesis (mutation) ★​ Aided by parent or guardian
★​ Use of film holding devices (bite
blocks and hemostat)
★​ Patient’s occlusion

Common questions

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The primary factors to consider when selecting the appropriate radiograph for children include the age of the child, the size of the oral cavity, and the level of patient cooperation. These considerations ensure that the radiographic technique exposes the child to the minimum amount of radiation while still providing adequate examination of the dentition and supporting structures .

The two-digit system in dental recording uses the first digit to indicate the quadrant and the second digit to indicate the tooth number. This system is beneficial because it is simple to understand, easy to teach, pronounce in conversation, and translate into computer input. It is adaptable to standard charts used in general practice, making it readily communicable in print and wire formats .

Specialized techniques for radiographic examinations of handicapped children include the use of film holding devices like bite blocks and hemostats, with the assistance of a parent or guardian when needed. These techniques serve the purpose of accommodating the challenges presented by the child’s physical or mental condition, ensuring accurate and efficient radiographic imaging while minimizing discomfort and stress for the patient .

Strategies to minimize children’s exposure to dental ionizing radiation include using techniques that require the minimum number of radiographs necessary and employing faster film speeds, beam positioning devices, and lead aprons for protection. Additionally, proper technique and equipment, such as higher kilovoltage (kVp) settings and appropriate film screen combinations, further contribute to reducing radiation exposure .

A comprehensive review of a child's medical and dental history is critical in formulating a dental treatment plan because it provides insight into the child's hereditary disorders, developmental milestones, past illnesses, medications taken, and previous fluoride exposure. This information is vital to understanding the child's overall health, risk factors, and any specific needs that must be addressed in the dental treatment plan. Additionally, it aids in predicting long-range prognosis and coordinating care with pediatricians if needed .

It is important for a dental receptionist to have detailed knowledge and training because they need to effectively answer all questions from parents during the initial phone call, ensuring that all conversations are recorded accurately. This interaction sets the stage for a successful appointment by establishing the caregiver’s confidence in the practice and ensuring that necessary information is obtained to facilitate appropriate care for the child .

The first appointment with a pediatric dental office is pivotal in establishing a child's approach to dental care because it sets the tone for their future interactions with dental health professionals. It encompasses an oral examination, development of a treatment plan, and case presentation, along with obtaining parental consent. This initial visit helps build trust, reduces apprehension, and provides education about oral health, thus fostering a positive attitude toward ongoing dental care .

The main goals of pediatric dental care include preventing oral pain and infection, the occurrence and progression of dental caries, premature loss of primary teeth, loss of arch length, and the association between fear and dental care. These goals are crucial for maintaining long-term oral health as they ensure the proper development of oral structures and reduce the likelihood of developing dental phobias that could hinder regular dental care in the future .

Anxiety in children can be assessed during the clinical examination by observing physical signs such as wet or moist hands indicating sweating, which could signify abnormal anxiety. Recognizing these signs is crucial for dental care as it allows the dentist to adjust the approach, communication, and treatment techniques to ensure that the experience is as comfortable and stress-free as possible for the young patient .

Uniform dental coding refers to a standardized system for recording dental information, which involves using a simple numeric code to convey information. This is important in pediatric dentistry as it facilitates clear communication among caregivers, educators, and other healthcare professionals. It helps in maintaining accurate and consistent patient records, which is crucial for continuity of care and for training professionals in using universally understandable terminology .

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