Paedriatrics
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
