PEDO PRELIMS

Pediatric Dentistry according to Stewart, Barber, Troutman and Wei (1982)

• Is the practice and teaching of comprehensive preventive and therapeutic oral health care of child from birth through adolescence.

• Constructed to include care for special patients who demonstrate mental, physical, or emotional problems

Pediatric Dentistry according to American Association of Pediatric Dentistry (1999)

• is an age defined specialty that provides both primary and specialty, comprehensive, preventive and therapeutic oral health care for infants and children through adolescence including those with special health care needs

Pediatric Dentistry according to Sidney B. Finn

• is a truly dedicated service, for prevention is the ultimate goal of all medical science

most needed and yet neglected

Dentistry for children is perhaps the ________ of all services performed by the dentist

Dentistry for children

is perhaps the most needed and yet neglected of all services performed by the dentist

somewhat difficult

The dentist must expect the task to be ________, for children is not easy.

PEDODONTIST

• Is in a position to alter the growth pattern and resistance to disease of the oral tissues in these patients to produce a more ideal oral structure from a metabolic, functional and esthetic viewpoint.

PREVENTION

In dentistry for children, one is dealing mainly with ______

THREE RESPONSIBILITIES OF DENTIST

• Responsibility to Patient

• Responsibility to his Community

• Responsibility to Himself

EGO

• Should make him proud of his chosen profession

EGO

• A profession that has contributed to the alleviation of pain and suffering and has materially fostered the elevation of health standards

HUMILITY

• To realize that increased ability comes increased responsibility

• to be honest in his appraisal of himself and render the finest service of which he is capable

To realize that increased ability comes increased responsibility

• he can never stop learning: seminars, lectures

• Skill and knowledge either continue to improve and grow or he stagnates and becomes relatively less effective

To be honest in his appraisal of himself and render the finest service of which he is capable

• He must never be satisfied with inadequate judgement or inferior technique

OFFICE MANAGEMENT

1. Office Decoration

2. Ancillary Personnel

3. Health Education Room

4. Introductory Room

5. Patient History

6. Preliminary Examination and Consultation

7. Recalls

Factors that should be considered in locating an office

• Area’s social and economic status

• Transportation

• Parking facilities

• Easy access to schools and residential areas

Decorations and encounterments

depict definite settings as a source of entertainment and may be placed in the reception room or in the treatment room.

Soothing, muffled music

in the reception room has a comforting effect on both parent and patient and dispels the coldness often felt in a silent room.

Interesting and productive

An ______ waiting period is provided

Waiting room

The _____ can also be used to present dental health material

ANCILLARY PERSONNEL

The dentist should realize the limitations of his allotted working time and whenever possible, should employ personnel to permit him more time for those tasks that cannot delegated to others.

The efficient utilization of chairside assistants is extremely important because:

• it decreases the length of the dental appointment

• Decreases the number of steps and movements necessary, resulting in less fatigue to the dentist

• The dentist practices more efficiently and more rapidly, thereby becoming more productive, and increasing his income

“FOUR-HANDED” DENTISTRY

This concept implies that the assistant’s hands are constantly employed in the treatment of the child

HEALTH EDUCATION ROOM

• Instruction in oral hygiene procedures should be explained fully and participation by the child should be made mandatory until tooth brushing and flossing become an established habit pattern

INTRODUCTORY ROOM

• The first visit of the child to the office is made in the company of a parent.

INTRODUCTORY ROOM

• Printed forms should have patients full name and nickname, both parents' names, address, and telephone number, person responsible for payment of fees, his address, telephone number, occupation.

PATIENT HISTORY

• If the chief complaint is an emergency, the patient should receive treatment of a palliative or corrective nature during this visit.

PATIENT HISTORY

• It is also helpful to learn if the child fears dental treatment and why.

PATIENT HISTORY

The record should be completed with the date and signature of the person giving the information and his relation to the patient.

PRELIMINARY EXAMINATION AND CONSULTATION

• The teeth should be cleaned, a topical fluoride applied to the teeth and tooth brushing instruction given.

PRELIMINARY EXAMINATION AND CONSULTATION

A full mouth x-ray survey should be made and impression taken for study model

RECALLS

• one of the fundamentals of a successful pedodontic practice is a good recall system.

RECALLS

• Parents appreciate being reminded that it is time for their child’s re- examination.

Dentist Responsibility to His Patient

1. the dentist requires good judgement in planning and executing treatment

2. Patient management - able to handle children well

3. requires not only a knowledge of preventive techniques but also the scientific knowledge of their function - competent to be able to answer patient and parent inquiries w/ correct and factual knowledge

4. Able to use correct interpretation of findings

Good Dentistry

Does not begin at the dental chair

Begins at home

It _____ in proper oral hygiene, adequate diet, carbohydrate restriction

Effective Dentistry

Can be practiced w/ dental chair. It involves both education and service

PROFESSIONAL RELATIONSHIP

• Should be a liaison between the parent & the physician or the parent & a hospital

• Ex. The parents should be informed in the of the need for consultation or hospitalization.

GOOD RAPPORT ESTABLISHED

• Ex. If the child appears ill, his temperature is taken and if elevated should be referred to his pediatrician for diagnosis and treatment.

• **A clinical oral thermometer should be available in every dental office.