儿童口腔医学（全英文）

儿童口腔医学教研室

目录

  • 1 Examination of the mouth and other relevant structures; Behavior management in pediatric dental clinic
    • 1.1 Introduction
    • 1.2 Examination and behavior guidance
    • 1.3 Summary
  • 2 Dental caries in the child and adolescence (1)
    • 2.1 The overall introduction
    • 2.2 Classification and Prevalence
    • 2.3 Impact Factors and Hazard
    • 2.4 Strategy for dental caries control and prevention
  • 3 Dental caries in the child and adolescence (2)
    • 3.1 Caries management strategies
    • 3.2 Treatment for caries of primary teeth
    • 3.3 Treatment for caries of immature permanent teeth
    • 3.4 Caries control and prevention
    • 3.5 Cases study
    • 3.6 Summary
  • 4 Pulp therapy for primary and immature permanent tooth 
    • 4.1 Introduction
    • 4.2 Diagnosis of the pulp status
    • 4.3 Treatment plan for primary teeth
    • 4.4 Treatment plan for immature permanent teeth
  • 5 Management of dental trauma for primary and immature permanent tooth 
    • 5.1 Introduction
    • 5.2 Introduction to Dental Trauma
    • 5.3 Fractures of Permanent Teeth
    • 5.4 Luxations and Avulsion of Permanent Teeth
    • 5.5 Dental Trauma of Primary Teeth
    • 5.6 In-class Review and Case Discussion
  • 6 Periodontal and mucosal diseases in children
    • 6.1 Introduction
    • 6.2 Periodontal diseases in children
      • 6.2.1 Gingival diseases in children
      • 6.2.2 Periodontitis in children
    • 6.3 Mucosal diseases in children
  • 7 Prevention and treatment for early orthodontic problems
    • 7.1 What is early-age orthodontic treatment
    • 7.2 Why is early-age orthodontic treatment needed
    • 7.3 When and How to imply early-age orthodontic treatment
    • 7.4 Conclusion
  • 8 Early interceptive orthodontic treatments
    • 8.1 Introduction
    • 8.2 Introduction to management of occlusal development
    • 8.3 Occlusive guidance and anomalies of the development of teeth
    • 8.4 Oral habits
  • 9 Lab 1. Morphology of the primary and immature permanent teeth. Radiographic Techniques
    • 9.1 Morphology of the primary and immature permanent teeth.Radiographic techniques
  • 10 Lab 2. Preventive resin restoration 
    • 10.1 Preventive Resin Restoration
  • 11 Lab 3. Strip crown and composite resin restoration for primary incisors
    • 11.1 Composite-Resin and Strip Crown Restoration for Primary Incisors
  • 12 Lab 4. Stainless Steel Crown restoration for primary molars
    • 12.1 Stainless Steel Crown Restoration For Primary Molars
  • 13 Lab 5. Design and manufacture for space maintenance of early loss of deciduous molar
    • 13.1 Design and manufacture for space maintenance of early loss of deciduous molar
  • 14 Lab 6. #ONLINE ONLY# Orofacial muscle training for oral habits
    • 14.1 Orofacial muscle training for oral habits
Treatment plan for primary teeth

4.3 Treatment plan for primary teeth


1. Indirect Pulp Therapy


  • IPT

  • Indication: Recommended for teeth that have deep carious lesions approximating the pulp but have no signs or symptoms of pulp degeneration.


  • The procedure in which only the gross caries is removed from the lesion  (selective removal to soft dentin ), the remaining thin layer of caries surrounding the pulp is left in place to avoid pulp exposure, the base of the cavity is covered with a radio paque biocompatible base material and the cavity sealed with a durable interim restoration.


2.Direct Pulp Capping


  • DPC

  • When a pinpoint mechanical exposure of the healthy pulp is encountered during cavity preparation or following a traumatic injury, a biocompatible radio paque base such as MTA or calcium hydroxide placed in contact with the exposed pulp tissue. The tooth is restored with a material that seals the tooth from microleakage.To encourage the formation of a dentin ebridge at the point of pulpal exposure with preservation of the pulp health and vitality.


3. Pulpotomy


  • Pulpotomy is performed in a primary or permanent tooth with extensive caries but without evidence of radicular pathology when caries removal results in a carious or mechanical pulp exposure. The coronal pulp is amputated, and the remaining vital radicular pulp tissue surface is treated with biocompatible materials to preserve the radicular pulp in a healthy state that the radicular pulp tissue is healthy or is capable of healing after surgical amputation of the affected or infected coronal pulp. Any signs and/or symptoms of inflammation extending beyond the coronal pulp is a contrain dication for a pulpotomy.

 


4. Pulpectomy and 5. Extraction


  • Pulpectomy is a root canal procedure for pulp tissue that is irreversibly infected or necrotic due to caries or trauma. The root canals are debrided and shaped with hand orrotary files. Since instrumentation and irrigation with an inert solution alone cannot adequately reduce the microbial population in a root canal system, disinfection with irrigants such as one percent sodium hypochlorite and/or chlorhexidine is an important step in assuring optimal bacterial decontamination of the canals.


  • Indications:  A pulpectomy is indicated in a primary tooth with irreversible pulpitis or necrosis or a tooth treatment planned for pulpotomy in which the radicular pulp exhibits clinical signs of irreversible pulpitis (eg, excessive hemorrhage that is not controlled with a damp cotton pellet applied for several minutes) or pulp necrosis (eg, suppuration, purulence). The roots should exhibit minimal or no resorption.


  • Extraction 

  • Indications:Gross loss of root structure;

    Advanced internal or external root resorption;

    Periapical infection involoving cyst of succedaneous tooth.


  • After extraction: Space maintainer

    Band/crown loop space maintainer

    Nance maxillary holding arch

    Lingual arch space maintainer