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 immature permanent teeth

4.4Treatment plan for immature permanent teeth


1. IPT for immature permanent teeth


  • Indirect pulp treatment is a procedure performed in a tooth with a diagnosis of reversible pulpitis and deep caries that might otherwise need endodontic therapy if the decay was completely removed. In recent years, rather than complete the caries removal in two appointments, the focus has been to excavate as close a possible to the pulp, place a protective liner, and restore the tooth without a subsequent reentry to remove any remaining affected dentin. The risk of this approach is either an unintentional pulp exposure or irreversible pulpitis.

  • Indications: Indirect pulp treatment is indicated in a permanent tooth diagnosed with a normal pulp with no symptoms of pulpitis or with a diagnosis of reversible pulpitis. The pulp is judged by clinical and radiographic criteria to be vital and able to heal from the carious insult.



2.Apexification for immature permanent teeth


  • Apexification is a method of inducing root end closure of an incompletely formed nonvital permanent tooth by removing the coronal and nonvital radicular tissue just short of the root end and placing a biocompatible agent such as calcium hydroxide in the canals for two to four weeks to disinfect the canal space. Root end closure is accomplished with an apical barrier such as MTA. In instances when complete closure cannot be accomplished by MTA, an absorbable collagen wound dressing can be placed at the root end to allow MTA to be packed within the confines of the canal space.


  • Indications: This procedure is indicated for nonvital permanent teeth with incompletely formed roots.


3. Pulp Revascularization for immature permanent teeth


  • Pulp revascularization for immature permanent teeth can be defined as biologically cased procedures designed to replace damaged structures, which include dentin, root structures, and cells of the pulp-dentin complex. These procedures provide a biological alternative to induce continuous root development and reduce the risk of fracture assoicated with traditional treaments of immature teeth with necrotic pulps, such as calcium hydroxide or MTA apexification, where the root remains thin and weak.



Quiz:

Case as your assignment

  Reference answer will be released after the deadline.