Paedriatrics

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When can we take BW on children

Age 4 intervals for retake High: 6-12M Other: 12-18M Adult: 2 years

When do we leave carious deciduous teeth?

Asymptomatic teeth close to exfoliation Arrested caries no sign of infection

ART

Atraumatic restorative treatment Removal hand instruments and filling GMGIC

Pulpotomy medicaments

CaOH Leadermix Ferric sulphate (haemostatic, less toxic) Zinc oxide eugenol fill bulk

Indications for hall technique

Class I & II (non cavitated, or cavitated but unable to tolerate conventional tx)

Aims of pediatrics dentistry

Free from disease Reduce risk of experiencing pain/sepsis/anxiety Positive OHI and motivated

Contraindications for hall tehnique

Irreversible pulpitis Pulpal exposure or periapical pathology Teeth unrestorable conventionally

What age to consent

16 of sound mind Gillick competent - under 16 able to understand

Children + adolescent BPE

7-11 years = 0,1,2 12-17 years = 0,1,2,3,4,* Assess 6x teeth: UR6, UR1, UL6 LR6, LL1, LL6

When to XLA permanent 6s

8.5 Y

Who has PR

Mother Father if not married at time BUT: Acquired PR via court order Couple sequently marry Birth after 1.12.2003, father named on certificate Legally appointed guardian Residence order

Treatment options deciduous caries

PMC with GI Indirect pulp cap Direct pulp cap (poorer success)

Child abuse catergories

Physical Emotional Neglect Sexual

Direct pulp cap

Pulp exposed

Piagets four stage of intellectual

Sensorimotor (0-2Y) Preoperational (2-7Y) Concrete operational (7-11Y) Formal operational (11-15Y)

Deciduous caries

Soft infected dentine extends to pulp Little evidence of reparative dentine

Indirect pulp cap

Stepwise technique

Ethical principles treating children

Valid consent Voluntary decision Ability make informed decision - child or PR Dynamic


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