1

Definition of pedodontics

Dr. Bushra Rashid

1. what is pedodontics

2. who is pedodontist
3. pedodontics in the past
4. modern pedodontics
5. AAPD definition of pedodontics
6. aims and objetives of pedodontics
7. differences between child and adult in dentistry
Objectives of the lecture

INTRODUCTION

Pedodontics is a specialized subject that deals with the management of
oral and dental problems in children.

Pedodontist are specialist who have mastered his skills and are in a position to manage children.


Pediatric dentistry
was mainly concerned with extraction and restorations.

Pediatric dentistry in the past

Pedodontists are in an excellent position to alter the growth pattern and improve the resistance to diseases, as he or she deals with children during their formative periods.
Modern pediatric dentistry

The trend in pedodontic practice has changed from extractions to

preservation, concentrating on minimal invasion.

According to the American Academy of Pediatric Dentistry (AAPD) and Approved by the Council on Dental Education, American Dental Association
(2010) –
DEFINITION

“Pediatric dentistry is an age-defined specialty 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.”

Pedodontics includes all branches of dentistry

AIMS AND OBJECTIVES OFPEDODONTIC PRACTICE

1. The services rendered to the child must be focused from the point what is best for the child at that moment
and also for the adult into whom the child will eventually grow.


2. The child should be treated as a whole. Effort must be made for the general and oral health to be in accordance with each other.

3. Prevention of oral diseases must be the prime motive and should begin if possible from before the birth, directing the expectant mothers.

4. Educating parents regarding importance of deciduous teeth, dental treatment and preservation of teeth.

5. Developing dentition and jaws should be observed regularly so that any developing malocclusion can be intervened at the right time.

6. Relief of pain and sepsis forms one of the main theme of a care provider.

7. To achieve and maintain esthetics.

8. Improving personal information data bank is very important and can be done thorough updating of both clinical and theoretical knowledge on a regular basis.

SPECIFIC DIFFERENCES BETWEEN CHILD AND ADULT PATIENTS

Three general areas in which pediatric patients are unique compared to the adults are:
1. Physiologic and anatomic differences
2. Pharmacokinetics
3. Emotional differences

Body Size

Body Fluids
Total body fat
Respiratory System
Cardiovascular System
Urinary System
• Physiologic and Anatomic Differences

It is a dynamic process of drug turnover in the body,

Uptake of the Drug and Absorption
Drug Distribution
Drug Metabolism
Drug Excretion

Pharmacokinetics

ex
At birth, the ability of the kidneys to clear drugs is greatly reduced leading to prolongation of the effects of drug that are primarily excreted by the kidneys such as ampicillin, etc.

a. The major difference between the treatment of children and an adult is the

treatment relationship.
Emotional Differences

b. Children exhibit a fear of the unknown.

c. They do not know to rationalize.
d. Behavior management modalities differ, depending
on the age and understanding.
e. Children have less concentration time. Therefore,
treatment time should be restricted to not more
than 20-30 minutes.


f. Treatment appointments should be preferably
given during the morning time and avoided during
their nap time.
g. Adult patient seeks treatment by his own will, but
the child patient visits the dentist usually by the
will of his parents.

Policy on the Dental Home

The dental home is the ongoing relationship between the dentist and the patient,

inclusive of all aspects of oral health care delivered in a comprehensive, continuously accessible, coordinated, and family-centered way.

The dental home should be established no later than 12 months of age and includes referral to dental specialists when appropriate.

Definition of Dental Home

1. The AAPD encourages parents and other care providers to help every child establish a dental home by months of age.

2. The AAPD recognizes a dental home should provide:

a. comprehensive oral health care including acute care and preventive services in accordance with AAPD periodicity schedules;
• Dental Home (AAPD 2010)

b. comprehensive assessment for oral diseases and conditions;

c. individualized preventive dental health program based upon a caries-risk assessment and a periodontal disease risk assessment

d. anticipatory guidance about growth and development issues (ie, teething, digit or pacifier habits);

e. plan for acute dental trauma;

f. information about proper care of the child’s teeth and gingivae. This would include the prevention, diagnosis, and treatment of disease of the supporting and surrounding tissues and the maintenance of health, function, and esthetics of those structures and tissues;

g. dietary counseling;

h. referrals to dental specialists when care cannot directly be provided within the dental home;

i. education regarding future referral to a dentist knowledgeable and comfortable with adult oral health issues for continuing oral health care; referral at an age determined by patient, parent, and pediatric dentist.

• 3. The AAPD advocates interaction with early intervention programs,

• schools,
• early childhood education and
• child care programs,
• members of the medical and dental communities,
• and other public and
• private community agencies
• to ensure awareness of age-specific oral health issues.