GOOD MORNING INTRODUCTION TO PEDODONTICS DR SUNDEEP HEGDE

GOOD MORNING…….

INTRODUCTION TO PEDODONTICS DR. SUNDEEP HEGDE K.

� INTRODUCTION � DEFINTIONS � AIMS AND OBJECTIVES OF PEDODONTICS � SCOPE OF PEDODONTICS � PRESENT TRENDS IN PEDIATRIC DENTISTRY � DIFFERENCE BETWEEN CHILD AND ADULT PATIENT � PEDODONTICS IN INDIA � CONCLUSION

INTRODUCTION � The word Pedodontics is derived from a Greek word � Pedo is derived from greek word ‘Pais’ meaning ‘child’ and ‘dontics’ is the ‘study of teeth. ’

� There was a time when dental clinics were biased against this speciality and considered it a waste of time and often clinics displayed “No treatment for children under the age of 14 at this clinic. ” � Most dentist also gave a negative knowledge influence to parents and the most common excuse that was offered was “These are milk teeth and fall on their own so treating them would be a waste of time and money. ”

Today dentistry has progressed and it has been realized that the first visit should be initiated as soon as the first tooth erupts in the oral cavity and the preventive educative aspect should start much earlier by parental counseling.

DEFINITION OF PEDODONTICS � American Academy of Pediatric Dentistry (1999): Pediatric Dentistry is an age defined speciality that provides both primary and comprehensive, preventive and therapeutic oral health for infants and children through adolescence, including those with special health care needs.

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Health of a child as a whole More specifically we are concerned with oral health Early diagnosis and prompt treatment Restoring the mouth to good health To observe and control the necessary developing dentition of the child patient Relief of Pain Increase the knowledge Instill a positive attitude and behavior Restore the lost tooth structure Management of special patients

Health of the child as a Whole: � The pedodontist is a part of health team concerned with the individuals i. e. total physical, mental and emotional well being of patient.

More specifically we are concerned with the oral health: � First dental appointment for a child is usually at 6 months.

Relief of Pain: � As and when necessary bearing in mind patient’s total well being.

BEHAVIOUR � This not only will help in accomplishing the treatment in a desired manner but also make the child a good dental patient even in adulthood.

Management of Special Patients: � Managing physically, mentally disabled and medically compromised children in an efficient and orderly manner so as to avoid discomfort to the patient and at the same time avoiding any bias towards the special condition of the children.

SCOPE OF PEDODONTICS � Pedodontics is a age specific speciality and not a technique or disease specific. � It encompasses all aspects of oral health care of children and adolescents and special child with physical or emotional handicap. � Preventive measures in early childhood makes it possible to preserve sound tooth and maintain oral health. � Pedodontist also holds the privilege of being the first person to diagnose the earliest signs of any systemic disorder which are manifested more frequently in a child’s oral cavity as compared to adults.

SCOPE OF PEDODONTICS

Pedodontist also form a four team members for cleft lip and palate management. Ø Oral Surgeon Ø Pedodontist Ø Prosthodontist Ø Orthodontist

PRESENT TRENDS IN PEDIATRIC DENTISTRY It comprises of: � Preventive Dentistry and Preventive Health Dentistry. � Child Psychology and Management. � Advanced Restorative Dentistry. � Preventive and Interceptive Orthodontics. � Special Care Dentistry. � Child Abuse and Neglect (Forensic Pedodontics) � Genetics in Pediatric Dentistry.

DIFFERENCE BETWEEN CHILD AND ADULT

� Physical, Emotional and Psychological differences. � Consideration of behavior as an integral part of child oral health care and needs. � Dentist-Patient-Parent is a triangular relationship: this has been explained by Wright in 1975. He named it ‘Pedodontic Treatment Triangle. ’

PEDODONTIC TREATMENT TRIANGLE WRIGHT 1975 CHILD SOCIETY DENTIST PARENT

�In the adults it is one to one relationship ie patient to dentist whereas in the children it is one to two relationship ie dentist-child patient-parent. � The child is at the apex of the triangle and the dentist and parents are at the base. The child is the focus of attention and all the efforts are towards providing a better oral health care to the child. � The arrows in the triangle indicate that the relationship between the three corners of the triangle is reciprocal. � Recently society has been added to this treatment triangle as it also has a strong influence on the overall development of the child

IMPORTANCE OF CHILDS FIRST DENTAL VISIT

The childs perception…. .

AT THE DENTAL VISIT

The childs reaction…

To add…. Fear of injections…. .

�The dental treatment of an adult is a relation between just the dentist and the patient. �However, in a child the entire dental team is equally important in the treatment procedure.

� 1920: FIRST Dental college - “CALCUTTA DENTAL COLLEGE AND HOSPITAL” by DR. RAFIUDDIN AHMED “FATHER OF DENTISTRY IN INDIA � 1950: GOVT. DENTAL COLLEGE, AMRITSAR started Pedodontics as a speciality.

� 1978: Pedodontics - as a speciality for undergraduates. � 1979: Indian Society of Pedodontics and Preventive Dentistry holds the first conference. � 1982: Indian Society of Pedodontics and Preventive Dentistry becomes an affiliated member of IADC

1979: DR. B. R. VACHER is made the “FATHER OF PEDODONTICS IN INDIA”

Thank You. .