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Pediatric Dentistry

How do I manage traumatic pulp exposure of primary tooth in very young children?

This Urgent Care Scenario is presented by the JCDA Oasis Team in Collaboration with Dr. Sahza Hatibovic. It is also available on Oasis Help Definition Upper incisors missing mesial or distal corner of the tooth with pulp exposure. Oral trauma is an unpredictable, painful, and stressful event for the child and family. Behaviour management is crucial: a calm soothing approach by the dental team can minimize stress for the entire family. A child with oral trauma seeing a dentist for the very first time may be uncooperative and may need to see a pediatric dentist. Resources American Academy of Pediatric Dentistry. ...

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How do I manage pain accompanied with dental caries in primary teeth?

This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Alan Milnes. It is also available on Oasis Help Definition Pain usually associated with a carious lesion that is obvious clinically or radiographically Resources American Academy of Pediatric Dentistry Reference Manual. Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent. 2011; 33(6):212-9. Coll JA. Indirect pulp capping and primary teeth: Is the primary tooth pulpotomy out of date? Pediatr Dent. 2008;30(3):230-6. Coll J, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent. 1996;18(1):57-63. Huth K, Paschos E, Hajik-Al-Khatar N, Hollweck R, Crispin A, ...

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How do I manage a fractured immature incisor with exposed pulp?

This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Ladan Mansouri. It is also available on Oasis Help  Definition Fracture of anterior crown as a result of injury Resources McDonald RE, David RA. Dentistry for the Child and Adolescent. Pinkham JR. Pediatric Dentistry: Infancy Through Adolescence. Bence R. Handbook of Clinical Endodontics. Lovdahl, PE, et al. Problem Solving in Endodontics. www.dentaltraumaguide.org   Do you need further information on this topic? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca Your are invited to comment on this post and provide further insights by posting in the comment box which ...

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How do I treat a primary tooth intrusion?

This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Jennifer MacLellan. It is also available on Oasis Help Definition Intruded primary incisor following a traumatic injury Resources American Academy of Pediatric Dentistry. AAPD Reference Manual. Guidelines on management of acute dental trauma. [Revised 2011; accessed 2013 Mar 5]. Available:www.aapd.org/media/Policies_Guidelines/G_Trauma.pdf The University Hospital of Copenhagen and IADT. The dental trauma guide. [Accessed 2013 Mar 5]. Available from:www.dentaltraumaguide.org/Primary_Intrusion_Description.aspx Holan G, Ram D, Fuks A. The diagnostic value of lateral extraoral radiography for intruded maxillary primary incisors. Pediatr Dent. 2002;24(1):38-42. Holan G, McTigue D. Introduction to dental trauma: Managing traumatic injuries in ...

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How do I manage a traumatically displaced primary incisor?

This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Karen Campbell. It is also available on Oasis Help Definition Incidents of primary incisors displaced as a result of trauma caused by impact occur most often when the child’s gross motor skills and coordination are still under development. The younger the child, the more likely that total tooth displacement will occur, as opposed to tooth/root fracture. The pediatric alveolus by nature tends to be more elastic and will preferentially yield to the force of impact, resulting in total tooth displacement. Resources University Hospital of Copenhagen ...

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Are there any trials to inform the treatment of displaced luxated permanent teeth?

This review summary is adapted from The Dental Elf blog post on May 1st 2013: Cochrane Review finds no trials to inform the treatment of displaced luxated permanent teeth Cochrane Authors’ Conclusion “We found no randomised or quasi-randomised trials of interventions to treat displaced luxated permanent front teeth. Current clinical guidelines are based on available information from case series studies and expert opinions. Randomised controlled trials in this area of dental trauma are required to robustly identify the benefits of different treatment strategies.” To read the post and review the review sources, click here   The Cochrane Collaboration Cochrane Reviews ...

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Culture clash? Pediatric dental practice in the age of helicopter parenting

May 3rd, 2013 marks the 100th anniversary of the department of dentistry at the Hospital for Sick Children (SickKids). A full-day educational symposium with notable speakers is planned, including Dr. Ed Barrett, staff pediatric dentist at the hospital.     Dr. John O’Keefe sat down with Dr. Barrett and spoke about dentistry in the age of helicopter parenting. The interview  tackled questions, such as: How is the helicopter parenting concept defined? What are the implications of a culture clash for general practitioners? Is the helicopter parent a guilty parent, when there is dental disease?   Main points The most important relationship you have ...

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What are the current options for treatment of immature permanent teeth that have had trauma leading to pulp necrosis?

This question was submitted by a general dentist: What are the current options for treatment of immature permanent teeth that have had trauma leading to pulp necrosis? Drs. Aimee Castro, Jamie Ong, Anoushe Sekhavat and Rae Varughese Drs. Aimee Castro, Jamie Ong, Anoushe Sekhavat, and Rae Varughese are second-year graduate students in Pediatric Dentistry at the University of Toronto  A necrotic immature incisor can be distressing to both parents and children. Long term concerns for management of these teeth include unfavourable crown-root ratio, parallel root walls that prevent traditional treatment of the root canal space and fragile thin walls that may predispose to vertical root ...

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