WHAT’S NEW in Pediatric Dentistry

Category: Pediatric Dentistry

Instructor(s): Rocio Lazo, Sanchit Paul, Ghassem Ansari, Virinder Goyal, Juan Fernando Yepes, Anup Panda, Abhishek S. Soni, Stephane Simon

Course structure: Lessons: 10 lessons | Duration: 16 h 48 min

Course overview

We have prepared a course for all doctors who work with children and teenagers.
The “What’s NEW in Pediatric Dentistry” topics:
– Anesthesia
– Direct restoration
– Indirect restoration
– Pulp therapy. Endodontic treatment.
What to expect from the course:
– only new ideas and concepts
– up-to-date and evidence-based data
– updated and simplified techniques.

Curriculum

Pulp vitality preservation: from pulp capping to pulp chamber pulpotomy. Trends 2022

• Lesson program:
• – New classification of pulpitis
• – The aim of an endodontic treatment
• – The esthetic perspective of an endodontic treatment
• – Diagnosis, decision making, and the expectation of endodontic treatment
• – The role of inflammation in pulp defense but also in pulp healing
• – Histology of pulp inflammation
• – The key factors that have influence on the prognosis of pulp vitality preservation techniques
• – The key factors to take into account when choosing between pulp capping or pulp chamber pulpotomy
• – The key factors to take into consideration for selecting the capping material
• – Managing treatment failures and retreatments.
• – Clinical cases.

Endodontic treatment of permanent immature tooth: from apexification to revitalization

• Lesson program:
• – Immature teeth particularities
• – Apexogenesis
• – Apexification and MTA
• – How understanding of biology will help the clinician to better select clinical cases for regenerative procedures
• – Revitalization and Revascularization
• – Advantages of revitalization and apexification
• – Contraindications of revitalization and apexification
• – Tissue engineering: stem cells, growth factors, and scaffold dental pulp
• – Repair vs. Regeneration
• – Outcomes:
• patient-based outcome
• clinician-based outcome
• scientist-based outcome.
• – Revitalization of mature teeth
• – The clinical factors to take into account when selecting one technique or the other depending on the clinical situation.

Endodontic management of traumatized immature permanent teeth

• Lesson program:
• – Dental trauma classification
• – The clinical and radiographic features of:
• enamel fractures
• uncomplicated crown fractures
• complicated crown fractures
• crown-root fractures
• root fractures
• concussion
• subluxation
• luxations (lateral, extrusive and intrusive).
• – Diagnostic tests and procedures used in examining patients with dental injuries
• – Possible responses of pulp and periradicular tissues to the injury
• – Treatment protocols (immediate and long term) for various types of traumatic injuries
• – Outcomes of traumatic dental injuries
• – Pulp capping, apexification and apexogenesis: detailed protocols
• – Regenerative endodontic: detailed protocols.

Updates on the use of stainless steel crowns in pediatric dentistry

• Lesson program:
• – Advantages of stainless steel crowns
• – Indications for stainless steel crowns
• – Crown selection
• – Evaluation of the crown reduction and preparation: occlusal, proximal and peripheral
• – The instruments and materials needed to work with stainless steel crowns
• – Step-by-step preparation, seating and fixing of the stainless steel crown
• – Contraindication for SS crown placement
• – Modification in crown size: undersized and oversized crowns
• – SSC and abutments as a space maintainer
• – Anterior crossbite correction with SSC
• – Open Face SSC: the aesthetic version of SSC
• – The HALL Technique: indications, contraindications, methods, instruments, and advantages
• – The success and failure criteria of conventional crown restorations and the HALL technique crowns.

The science of pulp capping in primary molars

• Lesson program:
• – The zones of carious dentin: affected dentin and infected dentin
• – Understanding the dentin terminology: tertiary, reactionary, reparative, infected, and affected dentin
• – Management of deep caries in primary teeth
• – Clinical diagnosis of a pulpal condition
• – Stepwise (two-step) caries excavation
• – Indirect Pulp Capping (IPC): rationale, indications, and contraindications
• – The clinical procedures for indirect pulp capping
• – Direct pulp capping: treatment objectives, indications, and treatment considerations
• – The salient features of successful pulp capping
• – The ideal properties for pulp capping materials
• – Histological changes after pulp capping
• – Keys to clinical success with pulp capping.

Predictable full coverage crowns in pediatric dentistry. Step-by-step work protocol

• Lesson program:
• – Full coverage crown restoration for primary teeth
• – Communication with parents. Motivation for crowns
• – Indications and contraindications for the use of crowns in children
• – Necessary equipment, tools and materials
• – X-ray examination before and after treatment
• – Stainless Steel Crowns:
• Indications, contraindications, advantages and disadvantages
• Tooth preparation protocols
• Cementation
• Postoperative instructions.
• – The HALL technique:
• Indications, contraindications, advantages and disadvantages
• Chairside protocol of the technique.
• – Strip crowns:
• Indications, contraindications, advantages and disadvantages
• Tooth preparation protocols
• Composite strip crowns
• Glass ionomer strip crowns
• Injection moulding technique.
• – Zirconia crowns in pediatric dentistry:
• Posterior and anterior zirconia crowns
• The tissue attachment to zirconia
• Case selection
• Tooth preparation protocols
• Methods for controlling hemorrhage
• Crowns try-in and common errors
• Cementation.
• – Postoperative period and general recommendations
• – Difficulties, complications and ways to solve them
• – Clinical tips and tricks.

New Frontiers in Dental Materials to use on the Pediatric Patients

• Lesson program:
• – Evidence-based guidelines on non-restorative treatments of cavitated and non-cavitated carious lesions in primary and permanent dentitions
• – Silver Diamine Fluoride (SDF): advantages, indications, and clinical application
• – Caries management challenges of uncooperative and medically compromised patients
• – Management of early childhood caries: caries prevention vs arrest
• – Atraumatic Restorative Treatment (ART)
• – Silver Modified Atraumatic Restorative Technique (SMART)
• – Silver Modified Interim Therapeutic Restoration (SMITR)
• – The HALL technique: advantages, indications, and clinical application
• – HALL technique vs conventional SSC
• – Resin sealant technique: indications and clinical application
• – Resin Infiltration: indications and clinical application
• – Glass Ionomer Cement (GIC) and Resin Modified Glass Ionomer Cement (RMGIC): advantages, indication, and clinical application
• – Closed and Open Sandwich Technique
• – The critical clinical applications of dentin substitutes (Biodentin® and MTA®).

Minimally invasive dentistry and bioactive materials in dental caries and molar incisor hypomineralization

• Lesson program:
• – What is the meaning of Minimally Invasive Dentistry (MID):
• Non-restorative caries control
• Restorative caries control
• Selective caries removal.
• – Caries prevention: xylitol as a sugar substitute
• – Sealants of pits and fissures: hidden fissures and early diagnosis of caries
• – How to differentiate between infected and affected dentine
• – Rotary caries removal: conventional tungsten carbide burs and their microhardness
• – Rotary caries removal: polymer bur for carious dentin removal
• – Mechanical caries removal: classification of each type of excavator
• – Direct pulp capping in primary teeth
• – Silver Diamine Fluoride 38%: Non-Restorative Cavity Control
• – Molar Incisor Hypomineralization (MIH) and enamel hypoplasia
• – Bioactive biomaterials
• – SMART TECHNIQUE:
• Early Lesions
• Deep Caries
• Caries in teeth affected by MIH.

Biomimetiс in pediatric dentistry

• Lesson program:
• – Biomimetic in Minimally Invasive Dentistry: Bio-Remineralization
• – Bioactive Glass Materials in Dentine: MTA, Biodentine and NeoMTA in indirect and direct pulp capping
• – What does Biomimetic mean in pediatric dentistry?
• – New Generation of Glass Ionomers with Strontium
• – Giomers
• – Minimally Invasive Dentistry in molars affected by MIH:
• Hypersensitivity Control
• Deproteinization of hypomineralized enamel
• Bioactive Biomaterials
• Adhesion
• Aesthetic Restorative Treatment.

New approaches and facts in dental local, moderate, general anesthesia in children

• Lesson program:
• – Dental phobia: fear, anxiety, panic disorders, dentophobia
• – Pediatric behavior types
• – Dental anxiety and stress management
• – Dental pain evaluation
• – The domains of pediatric patient management: physical, pharmacological, aversive and linguistic domains
• – Indications of local, general, and moderate anesthesia (sedation)
• – Pain levels and nerve fibers responsible for pain
• – Common analgesic prescribed to pediatric patients
• – Classification of local anesthetics: Amide group
• – Classification of local anesthetics: Ester group
• – Local anesthetic characterization for pediatric patients: the onset, potency, and protein binding capabilities
• – The ASA classification system and the INR reading
• – Local anesthesia injection technique: features, composition, and dose calculation
• – Oral block injections: IO, ASA, MSA, PSA, NP, GP, IA, and IN nerve block
• – The additive and synergistic effect of anesthetics
• – Inhalation, Enteral, and Parenteral Anesthesia
• – Pharmacokinetics, pharmacodynamics, and drug interaction
• – Guidelines for sedation and general anesthesia
• – Preparations for sedation
• – Preparations for general anesthesia
• – Side effects of using local and general anesthesia
• – Complications during local and general anesthesia.