This blog was created for students to interact over the material in the Predoctoral course in Pediatric Dentistry, DS443b.

Monday, January 8, 2007

Lecture 1-Intro to Pediatric Dentistry

Submit your "most important thing" recorded immediately after lecture.
Record any concepts that may not be clear to you.

Submit by clicking the comment link below. You may post comments anonymously or create a username. For credit, your student number and last name must accompany any entries.

You must post by Sunday, Jan 14, at 11:59 PM for credit.

87 comments:

Anonymous said...

The important message from today's lecture: A systematic way to properly evaluate pedo patients are different age groups --> Med Hx; Dent Hx; Behavior Asse.; Extraoral and Intraoral Eval.; Soft tissue eval.; Perio Asse.
#008146 Li

Anonymous said...

Tiffany Hsu #529
For infants, we should take initail exam really quick and talk to parents most of the time.
Kids and adult are different, while taking med nad dent hx on pedo pt, we should ask asthma/ allergy which is common in kids. And tonsils of kids are really big at times.

Anonymous said...

From today's lecture:
The most appropriate way of developing a correct Medical Hx,dental Hx. How to do a fast extraoral evaluation, intraoral evaluation, periodotal, occlusion in pedo pts.
Primary, mixed and permanent dentition stages.
Heidi G. Stubblefield # 526

Anonymous said...

What was most important to me from today's lecture: Children cannot learn the importance of good oral hygiene habits unless good examples are seen at home. Parent education should be a HUGE priority in the treatment of pediatric patients.
Emmy Le #142

Anonymous said...

Performing intraoral, extraoral exam, and taking medical hx are done differently and 10x the speed of adult exams. We should concentrate on looking for murmurs instead of herpes or other STDS. We should teach/instill good oral hygiene while the kids still have "disposable" primary teeth, so they can take better care of their permanents.
E. Lai #141

Anonymous said...

In this week’s lecture, I learned that treatment planning for pedo patients should be tailored according to the stage of development that the child is in. Different concerns accompany different age groups.
Joanne Kim, #140

Tina said...

Tina Duong #125
I learned that posterior teeth are there to maintain space. I also learned the phrase "funny lumps and bumps." I'd like to use it sometime.

Anonymous said...

The most important message for me was, the protocol to follow at the childs initial Encounter.

The treatment planning concerns under the stages.

Dilshad Abtin #524

Anonymous said...

I found the most important concept of this lecture was the idea that pediatric dentistry is an age-based application of multiple dental disciplines in which the principles and methodologies of said disciplines may or may not need to be modified to meet the needs of the pedo patient at different stages of their development.
Steve Kim, #528

Regina said...

Regina Espinoza #126
Pediatric dentistry is age based, not discipline based, but the application of other disciplines is still necessary.
When treating a child, posterior teeth come before anterior teeth otherwise the patients will disappear.

Anonymous said...

The message that I got from this weeks lecture is that the initial exams performed on pedo pts can be different than those done on adult pts. For example, there are certain medical problems that are mainly seen in children such as ADHD, autism, and seizures.

Chow #111

Anonymous said...

The important message that I learned from today's lecture is that treatment procedures of pediatric patients should be modified according to their cognitive stage of development, which coincides with their age group. Their perception of the world and behavior will change as they develop mentally. Thus, a single treatment template will elicit different responses according to the patient's age.

Jonathan Do #121

Jake said...

My most important message was that in order to get our patients back in for follow-up patients, we should work on the posteriors beforee the esthetic anteriors. Also, we should do the restorative before the sealants, etc.

Cragun #117

Anonymous said...

It was interesting to me to learn the strategy to treat posterior teeth before the anteriors. Makes perfect sense to me and a very genius thought.
Pham #167

Anonymous said...

It was interesting to note that parents are more concerned about their kid's anterior teeth esthetics rather than the entire oral cavity including posterior teeth. Therefore, dentists are actually treating posterior teeth first, even on children.
Seems like a very early age to be more worried more about esthetics than your overall child's health.
- Neilesh Patel
#165

Orly H. #134 said...

I learned that in treatment planning for patients with primary teeth it is better to restore posterior teeth before anteriors.

Anonymous said...

Most important thing for me was the radiograph info. If there aren't any contacts b/t the teeth there is no need for bitewings. I also found it important to ask the parents how the child's previous dental experiences have gone.
Plewe #168

Anonymous said...

"Most important thing you learned from the lecture"

When performing restorative therapy, treat posterior teeth before anterior teeth to help ensure that patients return for neccessary treatment. Also, bitewings begin with development of contacts between adjacent teeth.

Kevin Omoto #163

Anonymous said...

I learned that the dentist can do a large portion of a dental exam without having to pick up an instrument. Also, one really only needs two radiographs most of the time for kids' teeth...basically until the 2nd molars show up.
Young #192

Anonymous said...

I learned that posterior teeth need to be treated before anteriors to ensure completion of the treatment plan. We can't always expect parents to want to work with us, even though it involves the improvement of their child's oral health, so it would be good to commend, encourage,and motivate them to keep bringing their kids in.
Sujain Dissanayake #119

Anonymous said...

The most important thing I learned in lecture: The infant and toddler stage requires high provider time (30 min)which adresses emergent concerns and lots of preventive advice.

Sanaz Hamzehpour #132

Anonymous said...

Michelle Duong
#123
It is important to perform restorative treatment on posterior teeth first because it in for longer, needed for space maintanence, and in a less esthetic area so encourages parents to return to treat the anterior teeth.

Anonymous said...

What I learned this week was how to make an assessment in the pediatric patients in terms of medical history, dental history, intraoral, extraoral, periodontal and occlusal examination, and how important is to make an appropiate behavioral assessment to succeed treating children.
Claudia Rodriguez #531

Anonymous said...

Thomas #182

For me the most important concept taught in the first lecture was that pediatric dentists treat an age group and not a specific disciplne. This means they must have broad training the most of the other specialties in dentistry.

Anonymous said...

The most important thing I took from this lecture is that, unlike other specialties in dentistry, pediatric dentistry is age-based rather that discipline-based. This can effect treatment approach.

Anonymous said...

Sorry about the duplicate but I forgot my name!
Amy Dixon #120
The most important thing I took from this lecture is that, unlike other specialties in dentistry, pediatric dentistry is age-based rather that discipline-based. This can effect treatment approach.

Austin said...

Some things are the same; some are different. Parents are involved too.
#187

Anonymous said...

Some important concepts that I took away from class include:
1. Parents are responsible for their children's oral hygiene, especially if the child is too young to have the adequate motor skills to do a good job at it.
2. Dentists have the responsibility to check for signs of child abuse and signs of syndromes.
The class was very clear but it was a bit of a surprise to learn that TMJ exams are done on pediatric patients too.
Raquel Ulma #188

Anonymous said...

It is interesting to hear that for some pedo pts and parents, it may be appropriate to treat the posterior teeth before treating anteriors since some parents stop coming to the dental clinic after anteriors are fixed. I think this can also be applied to some adult pts. RC109

Anonymous said...

I learned during the first lecture that the protocol and things to look for and watch out for differ greatly between adults and kids. Speed and comfort at first encounter is affecting the long term dentist-patient relationship like nothing else ever will. No matter what it is you are doing or looking for - just say: 'i'm going to see if you have funny lumps and bumps there' :)
Alina Tiraspolskaya (#183)

Unknown said...

The most important thing I learned in this week’s lecture is that pedodontics is a very comprehensive field. Children cannot be treated as “little adults”. They have their own unique problems and ways in dealing with it.
Carol Kim #138

Anonymous said...

The most important aspect of this lecture is that your approach to treating a child should be based on their age and development, specifically the importance of speed in young patients' exams.
[Colby Smith #178]

Anonymous said...

The most important msg from this week's lecture: the proper order of performing an initial exam by taking med hx, dental hx, assessing behavior, extraoral eval, intraoral eval, and lastly evaluating individual teeth. It's important for us to remember not to go directly into the mouth but first to evaluate the pt overall.
Stacy Yu #193

Anonymous said...

When treating pedo patients, the most important factor in determining how to interact with the patient is their age and thus stage of development.

#008177 Siami

Anonymous said...

It is important to remember that minimal xray's should be taken of children to minimize discomfort. Only 2 bitewings and no PA's are needed unless otherwise indicated.

Anonymous said...

It is important to remember that minimal xray's should be taken of children to minimize discomfort. Only 2 bitewings and no PA's are needed unless otherwise indicated.

Shannon Lazarian #133

Anonymous said...

Eric Cheung #110
Ask parents questions about pt med hx.
knows asthma meds.
different sequence for different dentition stage.

Anonymous said...

The medical/dental/pre-treatment evaluation and Hx of a child patient is similar to that of and adult save several procedures. For instance, specific conditions such as asthma and congenital disease are more common in children so special attention must be considered. In addition, radiographic and clinical procedures are also slightly different in children.

Jun Flores #130

Anonymous said...

We must be aware of the different evaluation concerns and expectations in the child vs. adult patient in terms of medical and dental history, behavioral assessment and clinical findings.
Diana Craft #115

Unknown said...
This comment has been removed by the author.
Anonymous said...

I learned that the specific needs of pediatric patients differ from the needs of adult patients. These special needs vary depending upon the age, clinical presentation, and behavioral level of the pediatric patients. Thus, their dental treatment must be modified from the way we treat adult patients.
Shelby Padua #166

Anonymous said...

For children, bitewing radiographs are not always necessary because if there are no interproximal contacts in the posterior teeth you can examine the interproximal areas directly.
Hoang #135

Anonymous said...

Some dental procedures provided to an adult patient can be easily transferred to a pedo patient, but others are very specific to primary dentition and the stage of development. Paredes #164

Anonymous said...

The most important thing about today's lecture was that there are many different things to take into account when looking at the medical and dental history of different age groups, specifically between children and adults.

Joshua Cardwell #108

Anonymous said...

The most important message for me was to have in mind that pediatric and adult patient have a different range of dental problems. Pediatric Dentistry is an age based discipline. The cognitive stage is going to determine the wich approach should be given for the treatment of the child.

Claudia Thomas#534 said...

Sorry but I forgot to post my name
The most important message for me was to have in mind that pediatric and adult patient have a different range of dental problems. Pediatric Dentistry is an age based discipline. The cognitive stage of the child is going to determine wich approach should be given for the treatment.

Unknown said...

Check for "lumps and bumps" during EOE and IOE and know that enlarged tonsils are very common. Document the percentage of occluded tonsils; if tonsils touch uvula patients would have problem breathing and may serve as caution for IV anesthesia.
-Jeanne Wong, #195

Unknown said...

The most important thing I learned in the first lecture is that Pediatric Dentistry applies knowledge from many dental disciplines and that different dentition stage/age group require different treatment options/modalities.

Nga (Natalie) Nguyen #159

Anonymous said...

"Anticipatory Guidance" is an important concept that is based on empowering the patients' parents through education and recruiting them in the fight against early childhood caries.
OKA #162

Anonymous said...

Most impotant issue of this week lecture was Pediatric Dentistry is age-dependent rather that discipline-dependent. Intersting part was treating the posterior teeth before the anteriors.
Soheil Yashari #191

Unknown said...

The most important and interesting thing that I learned from lecture is that when restoring childrens' teeth you should restore the posterior teeth first because they are more important for spacing and also because if you leave the anterior teeth un-restored then the parents are more likely to continue to bring their children in for treatment... afterall who wants kids with a decayed smile.
Paul Field #127

Anonymous said...

The most important thing to me was that the focus of the time spent with a very young patient should be with the parent, not the intraoral exam. The parent is responsible for home care and will teach the child how to care for their teeth once they are capable. Therefore it is crucial that the parent understand the importance of good dental care and how to accomplish it.
T. Barsanti #008105

Anonymous said...

1. the most important thing that i learned from lecture is that infant exams consist of 30 s in the mouth and 30 minutes talking to the parents.

2. what i didn't think was clear was how enlarged tonsils can affect children's skeletal growth.

Catherine Do #122

Unknown said...

The most important thing I've learned from the 1st lecture: pt's medical history and dental history should be approached differently from the adults. (Sonia Lee 145)

Unknown said...
This comment has been removed by the author.
Lori said...

Today I learned the importane of a chils'd developmental stage in determining their treatment plan. The age of a pediatric patient can greatly affect the specifics of their treatment plan. For example, young children without posterior contacts should not have bite wing radiographs included in their treatment plan.

Anonymous said...

to me the most important fact from today's lecture was that in children, posterior teeth are always restored before anterior teeth.
174 Hamid

zen said...

How to treat the special children like autism and ADD, which is somethint i never encounter. Waiting to learn. Pay attention to developmental stage of child, so don't expect reasonable cooperation from kids younger than 3 years old.
Lei Zeng, #535

Anonymous said...

Amandeep Iqbal #527
The most important concept I learnt from the first lecture was that we need to take only two bite wings (one per side) each year if contacts have formed.If there are no contacts and we can visualize the interproximal areas there is no need for Bite wings.There is no need for periapicals too except if you suspect pulpal involvement.

Anonymous said...

The initial exam for pediatric patients changes depending on pts age. For example in toddler stage you'll spend minimial time looking in the mouth and the rest educating parents. In primary dentition you add behavioral and orthodontic assessments.

Liz Miltner #150

Anonymous said...

I was impresed by how little time it should take to do an exam on a pedo patient. One second per tooth? Crazy fast.
This lecture also impressed on me the importance of being familiar with drugs more commonly taken by pedo patients (ie: asthma drugs).

#008113

Tanguero said...

An important emergent issue that needs to be addressed in the early stages is diet and nutrition.

Varo Boyajyan #106

Anonymous said...

Most important thing:
When doing an extraoral evaluation of the patient, temporomandibular evaluation must also be included in the evaluation.
Not clear: How does orthodontic treatment planning affect the restorative treatment plan.

Matthew Moadel #151

Unknown said...

Pediatric pts are different from adult pts and require a unique management strategy.

Rick Shamo #176

Anonymous said...

When performing restorative therapy on pediatric patients it is important to treat posterior teeth first to maintain space. Also, if anterior teeth are treated first the parents may not continue with treatment of posterior teeth.
Edvin #100

Unknown said...

I took home the message the importance of taking a good history and the usefulness of the initial exam in unveiling habits that could otherwise prove harmful to the child's developing dentition.

Asha Sethu Madhavan#532

Anonymous said...

Pediatric dentistry is related to age and mental development of these young patients; its practice is drawn from integrating practices from many dental areas. Always helps to go about the initial encounter in a step-by-step and logical sequence.
Jing Lee#144

Anonymous said...

I felt the takeaway message from the lecture was to develop a simple, efficient way to evaluate a child's extraoral, intraoral, and dental health, and to be aware of the problems that are more common in children over adults. I'll focus in this next time I'm in the Pedo clinic. :)

Unknown said...

The most important thing that I thought that was discussed was that pediatric dentistry is a specialty of dentistry that is age-based rather than discipline based. Your treatment of the patient at hand can vary from patient to patient and it is quite different than working with adults.
-Enayat Astani
#308

Unknown said...

Sorry if this shows up twice!
The most important message from the lecture was that pediatric dentistry is a specialty that is age-based rather than discipline based. In this respect, it is quite different from other specialties and is very different than treating adults.
Enayat Astani
#308

Anonymous said...

I think an important concept discussed during class was that different diseases and disorders are more common in children- such as asthma and ADD/ADHD, while others are more common in adults- such as hypertension and Diabetes.
Cynthia Morford #153

Anonymous said...

The most important thing I learned from lecture is to probe permanent teeth in kids as soon as they erupt. This is important to do in order to detect perio problems in young children.
Stephanie Morphis #154

Anonymous said...

The most important thing for me was learning how to conduct an exam based on the age of the child.

Anonymous said...

Comment above from:
Broc Mushet
#156

Anonymous said...

The most important thing I learned from this week's lecture was the practitioner must be aware of special conditions (such as asthma, ectodermal dysplasia, congenital heart defects) and habits (such as thumbsucking) that may affect the treatment and management of a child's dental needs.
Amy Tran #184

Anonymous said...

Being aware of the differences between adult and pediatric patients--in medical, psychological, periodontal, dental conditions--is paramount to accurately performing oral exams and effectively treatment planning cases.

Anonymous said...

Being aware of the differences between adult and pediatric patients--in medical, psychological, periodontal, dental conditions--is paramount to accurately performing oral exams and effectively treatment planning cases.
Christine Chung #112

Anonymous said...

Jared Martin #147
The most important point I learned from this lecture is that children at different ages require different approaches to dental care in many aspects. This ranges from questions more commonly applicable to children than adults (such as asthma, allergies, etc.), to dynamics of treatment planning at each dentition stage. For example, acclimating a child to the dental environment during the primary dental stage will help with restorative and/or orthodontic treatment in the mixed dentition stage, which will help minimize crowding and malocclusion in the permanent dentition stage.

Anonymous said...

The most important thing I learned from this lecture the concept of examining the patient from the outside in. As dentists we tend to focus on the teeth first - if we make a habit of finishing with the teeth, we'll catch a more H&N pathology while training ourselves to look for it.

Dan Nelson #157

Unknown said...

I learned the difference between adults and kids'medical history. The caries risk assessment was not clear to me.

Jeff Kim 139

Unknown said...

The health history is incredibly important in children, and a thorought review is vital to proper treatment. For instance, congenital abnormalities and conditions may be thought normal by children, and need to be elicited by the parents.
Brandon Seto #173

Anonymous said...

I learned there are several evaluations and assesments that should be done on the initial encounter. More importantly, that I should be doing them much faster than I have been.
Morris Poole #169

Anonymous said...

Due to the position and importance of anterior teeth to the patients esthetic concerns, they usually want those teeth treated before the posterior ones. As a clinician posterior teeth should be treated first so that the patients don't ignore tx. after anterior teeth are treated, since no decay is visible to them.

Mihir Shah
#175

Anonymous said...

The medical and dental history of an adult vs. a child varies greatly. Therefore both groups should be treated accordingly.

#189 Harry Virk

Anonymous said...

BW - as soon as we start getting contacts
2 BW in primary dentition - once per year
No FMX on kids

Due to internet connection problem in my appartment building I am posting today. Thank you for understanding.

Jan Slapnicka
#533

Bozhena said...

The most important thing I learned from the first lecture was that this assignment should be entered no later than 11:59PM on Sunday. Well it is 11:07AM on Wednesday and I would love to blame it on the dog, but the truth is I don't have a dog and this will not happen again. My sensere apologies.
Bozhena Fisher #128

Anonymous said...

It is interesting to find that incisor liability and that there is an inconsistent discepancy and unpredicability between a child's incisors and their adult incisors. One cannot correlate the size of the child's incisors to the size of the adult incisors with certainty.

Neil Patel #165