Management of general and local anesthesia and sedation in pediatric dentistry

The dentist must determine the type of anesthesia to be used in dental treatment in a pediatric patient. The use of anesthesia aims to reduce the patient's stress and anxiety.

In complex cases it is advisable to use general anesthesia or conscious sedation, after adequate preparation of the child to avoid risks during the dental procedure.

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We share an article that offers us important information on the use, management and complications of local and general anesthesia and sedation in pediatric dentistry.

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Lola Adewale MBChB DCH FRCA. Anaesthesia for paediatric dentistry. Continuing Education in Anaesthesia, Critical Care & Pain j Volume 12 Number 6 2012.

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Clear Aligners for Early Treatment of Anterior Crossbite - Indications and Benefits

Anterior crossbite is a sagittal plane malocclusion, and is characterized when one or more upper incisors have a lingual position with respect to the lower incisors.

The detection and treatment of the anterior crossbite must be at an early age, in this way we stop the factors that trigger this malocclusion and avoid abnormal growth of the jaws.

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We share an article that presents the advantages and benefits of transparent aligners in the correction of anterior crossbite in patients with mixed dentition, regarding two reported cases.

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Staderini E, Patini R, Meuli S, Camodeca A, Guglielmi F, Gallenzi P. Indication of clear aligners in the early treatment of anterior crossbite: a case series. Dental Press J Orthod. 2020 Jul-Aug;25(4):33-43

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Ameloblastoma in a pediatric patient - Characteristics, treatment and clinical case

Ameloblastoma is an odontogenic tumor, non-malignant but locally aggressive, with high recurrence, and is evidenced as a facial swelling, or sometimes as a radiographic finding.

The patient refers symptoms such as pain, dental mobility, malocclusion and others. Treatment is surgical, and can be conservative or radical, and the technique to be used will depend on the pathological and radiographic evaluation of the tumor.

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We share a review on ameloblastoma and its clinical and radiographic characteristics, as well as surgical treatment, regarding the presentation of the case in a pediatric patient.

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Belardo, Edgar, Velasco, Ignacio, Guerra, Andrés, & Rosa, Edwin. (2012). Mandibular Ameloblastoma in a 10-year-old Child: Case Report and Review of the Literature. International journal of odontostomatology, 6(3), 331-336. https://dx.doi.org/10.4067/S0718-381X2012000300016


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Fuente: Youtube / DentalManiaK

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Indications for Hall technique usage in pediatric dentistry

Steel crowns in pediatric dentistry are used when the dental tissue is seriously affected by advanced caries or dental trauma. The procedure is simple and inexpensive, making it an excellent restoration option.

The Hall technique is a minimally invasive technique that controls the progression of caries, making it a much simpler procedure with less preparation.

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We share a complete article on the indications and benefits of using steel crowns and the hall technique in pediatric dentistry.

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Milena Todorova Georgieva. Indications for use of preformed crowns in pediatric dentistry. MedInform ISSUE 2, 2016.

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Atraumatic Restorative Treatment - Step-by-step procedure manual

The Atraumatic Restorative Treatment is the caries removal procedure with manual instruments, without rotating equipment, low cost and without anesthesia.

The ART will remove the caries leaving a thicker tooth structure, stopping the caries until the exfoliation of the primary tooth. An adhesive restorative material such as glass ionomer is then placed.

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We share a complete manual on the procedure, tips, indications, instruments and theoretical basis of atraumatic restorative treatment.

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How to carry out Atraumatic Restorative Treatment (ART) on decayed teeth - A Training Manual for Public Health Workers. Palwasha Momand / Jayanthi Stjernswärd. 2008


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TMJ ankylosis in pediatric patients - Signs and symptoms

TMJ ankylosis is a pathology that consists of the fusion of the components of the joint with the mandibular fossa of the temporal. It may be unilateral or bilateral.

The displacement and movement of the TMJ is partially or totally limited, complicating eating and speaking. Treatment for TMJ ankylosis is surgery and physical therapy.

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We share a study on the causes, signs, symptoms and treatment of temporomandibular joint ankylosis in children, as well as the success of surgical treatment.

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Temporomandibular Joint Ankylosis In Children. Mzubanzi Mabongo. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 12, Issue 5 (Nov.- Dec. 2013), PP 35-41


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How to achieve a correct marginal adaptation of steel crowns in pediatric dentistry? - Tips for a good finish

Preformed steel crowns are an excellent means of rehabilitation for primary teeth affected by advanced caries. Thanks to them, occlusion and chewing function are not lost.

Preformed stainless steel crowns are easily placed and less expensive than other means of rehabilitation. The pediatric dentist must choose the appropriate size crown and perform a correct seal when installing the crown.

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We share an article that offers us several tips for a correct adaptation of steel crowns in pediatric dentistry, as well as how to achieve an adequate finish and polishing of the crown margins.

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Croll TP, Epstein DW, Castaldi CR. Marginal adaptation of stainless steel crowns. Pediatr Dent. 2003 May-Jun;25(3):249-52. PMID: 12889701.

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Esthetic Options for Anterior Primary Teeth - Characteristics

When caries seriously affects a primary molar, we can use stainless steel crowns that meet the retention and resistance requirements, that way we do not lose the occlusion.

But when the upper incisors are affected, we must take into account aesthetics when rehabilitating them. In pediatric dentistry, there are suitable options for the rehabilitation of upper incisors that meet all functional and aesthetic requirements.

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We share the review of aesthetic crowns in pediatric dentistry, detailing their advantages, indications, characteristics and procedure.

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Anterior dental esthetics in primary teeth - Oral Rehabilitation

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Gaurav Kumar Mittal, Aviral Verma, Hansika Pahuja, Shashank Agarwal, Himani Tomar. Esthetic crowns in pediatric dentistry: a review. International Journal of Contemporary Medical Research 2016;3(5):1280-1282.

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Odontogenic Infection in Pediatric Dentistry: Facial Cellulitis, Ludwig's Angina - Diagnosis, clinical and pharmacological management

Odontogenic infections affect dental and periodontal structures and are the main cause of dental consultation. Untreated infections can be life-threatening.

Odontogenic infections are rapidly evolving, spreading to various regions of the face and neck. Care must be immediate and effective, and in many cases hospitalization is required.

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We share a series of articles on odontogenic infections in pediatric dentistry, diagnosis, clinical manifestations, pharmacological and surgical management.

🎯Scientific Articles, PDF Articles, videos and more about odontogenic infections in pediatric dentistry below

📌Odontogenic infection

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📌Face Cellulite

► Odontogenic facial cellulitis in a pediatric patient - Diagnosis, treatment and multidisciplinary management

📌Ludwig's angina

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Temporomandibular disorders (TMD) in children - Clinical examination and treatment

Temporomandibular disorders involve the muscles of mastication and the temporomandibular joint, causing pain and difficulty in chewing. These disorders are not common in children and adolescents, but it is necessary to know the signs and symptoms to be able to identify them.

Diagnosis is through clinical and radiographic examinations, and treatment aims to eliminate pain, improve chewing, and reduce risk factors. In some cases, treatment is multidisciplinary.

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The article recommends how to perform a clinical examination and recognize the signs and symptoms of temporomandibular disorders in children, as well as offering treatment options in pediatric patients.

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American Academy of Pediatric Dentistry. Acquired temporomandibular disorders in infants, children, and adolescents. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2021:426-34.

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Space Maintainer in Pediatric Dentistry: How do they work? Benefits and indications

The primary teeth fulfill several functions, one of them is to save and maintain the space that corresponds to the permanent tooth until its exfoliation.

The premature loss of primary teeth puts the correct position and occlusion of the permanent teeth at risk. Preventive orthodontics makes use of space maintainers to prevent unwanted tooth movements.

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We share a complete study and review on the importance, indications, types and effectiveness of space maintainers in pediatric dentistry.

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What is the role of space maintainers? Types of maintainers

👉 READ AND DOWNLOAD "The Use of Space Maintainer in Pediatric Dentistry: A Systematic Review " IN FULL IN PDF👈

(2021). The Use of Space Maintainer in Pediatric Dentistry: A Systematic Review. European Journal of Molecular & Clinical Medicine, 8(2), 1532-1545.

👉 READ AND DOWNLOAD "Dental Space Maintainers: A Brief Review" IN FULL IN PDF👈

[Nayara Silva de Oliveira Morais1, Fabiana Barbosa Faustino1, Talysson Silva de Oliveira Morais, Elias NaimKassis, Fábio Pereira Linhares de Castro, Andreia Borges Scriboni, Simone Andreia Gubolin, Leandro Moreira Tempest and Idiberto José Zotarelli Filho. (2016); DENTAL SPACE MAINTAINERS: A BRIEF REVIEW. Int. J. of Adv. Res. 4 (Oct). 2086-2092] (ISSN 2320-5407). www.journalijar.com


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Why do stainless steel crowns fail?

When primary molars lose a lot of dental tissue due to extensive caries or trauma, it is necessary to rehabilitate them with preformed steel crowns, which have a high success rate.

Stainless steel crowns are placed in an easy-to-perform, one-appointment procedure and are inexpensive. There are cases of failure that are the reason for this study.

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We share a study that analyzes the causes and reasons for the failure of stainless steel crowns in pediatric dentistry, taking into account clinical analyzes and data in the literature.

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Prakash AS (2020) Crowns in pediatric dentistry –A Review on the failures. Oral Health Care 5: DOI: 10.15761/OHC.1000193.

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Stainless Steel Crowns: Adaptation and installation - Step by step

Steel crowns in pediatric dentistry are a method of restoring primary teeth that are severely affected by caries or dental trauma, in this way natural exfoliation is expected.

Steel crowns are the most used for their easy adaptation, installation and low cost. Currently, the Hall technique is used, which simplifies the procedure for installing metal crowns.

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The video that we share teaches us everything related to steel crowns, advantages, disadvantages, and how to select the appropriate crown. It also teaches us the step-by-step adaptation and installation of steel crowns in pediatric dentistry.

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What is the best pulp dressing for pulpotomies in primary teeth? - Review

Caries is an infectious process that affects the dental structure and compromises the pulp, putting the vitality and permanence of the tooth at risk. Pulpal therapies in primary dentition have as main objective to maintain the tooth until its natural exfoliation.

Pulpotomy removes the pulp from the pulp chamber and places a dressing to stop bleeding and mummify the entrance to the radicular pulp. This procedure maintains the vitality of the primary tooth.

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Different pulp dressings have been used in pulpotomies, each with different characteristics and properties. The article we share compares all pulp dressings to determine which is the most effective.

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Bossù, M., Iaculli, F., Di Giorgio, G., Salucci, A., Polimeni, A., & Di Carlo, S. (2020). Different Pulp Dressing Materials for the Pulpotomy of Primary Teeth: A Systematic Review of the Literature. Journal of clinical medicine, 9(3), 838. https://doi.org/10.3390/jcm9030838

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Modified Hall technique in hypomineralized molar

Enamel hypomineralization is a developmental defect, it does not have a defined cause although it is related to systemic or environmental alterations during the first three years of life.

Molars with hypomineralized enamel are susceptible to erosion and caries. The rehabilitation of the molars is necessary to avoid early tooth loss, and in this case a steel crown was placed with the modified Hall technique.

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We share the management of severely hypomineralized molars using the modified Hall technique, indicating its advantages, objectives and the step-by-step process.

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Quintero Y, Leite de Farias A, Restrepo M, Santos-Pinto L. Modified Hall technique for severely hypomineralized molars. Report of cases. Rev. CES Odont 2021; 34(1): 118-124

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Space Maintainers: Types, indications and complications

Dental trauma and extensive caries are the most common reasons for premature loss of primary teeth. In these cases it is necessary to place a space maintainer whose objective is to preserve the space destined for the successor permanent tooth.

Space maintainers can be fixed or removable, unilateral or bilateral, and have different designs. The specialist will decide which type of maintainer is suitable for the patient after a clinical and radiographic evaluation.

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We share complete information on the importance of space maintainers in the prevention of dental malocclusions, reviewing their applications, indications and complications.

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Albati, M., Showlag, R., Akili, A., Hanafiyyah, H., AlNashri, H., Aladwani, W., Alfarsi, G., Alharbi, M., & Almutairi, A. (2018). Space maintainers application, indication and complications. International Journal Of Community Medicine And Public Health, 5(11), 4970-4974. doi:http://dx.doi.org/10.18203/2394-6040.ijcmph20184251

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