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We are the Oklahoma chapter of the American Student Dental Association.
ASDA is a national student-run organization that protects and advances the rights, interests, and welfare of students pursuing careers in dentistry. It introduces students to lifelong involvement in organized dentistry and provides services, information, education, representation and advocacy.
Mission : Our mission is to inspire and further develop leadership by increasing involvement with local, state, and national leaders in the dental community. We actively engage our current members, alumni, faculty and staff by organizing educational lunch and learns, pre-dental simulation courses, and networking events.
email : email@example.com
PEDO: Recall Appointment
ArmamentariumCentral Sterilization:- HandpiecesClinic Dispensary/Cart:- Exam kit- Disclosing agent- Prophy paste- Fluoride varnish, gel, or foam/trays- Goodie bag!Pre-Appointment- Obtain ortho casts and folder from front desk, if available
- Get pedo grade sheet and fill out
- Get ortho grade sheet (if needed) and fill out
- Pedo PTP on Axium
- Write down patient CC (found on screening sheet from screening appointment – attachments section)
- Check to see if patient is Sooner Care patient (determines certain things for ortho treatment codes)
- Examine patient medical history to identify anything noteworthy
- Determine when x-rays will be needed next (get new BWs each year)
- Use “compare” tool in MiPacs to check multiple sets of BWs at once
- Skim through and make note of general trend on most recent OHA form to help you fill out today’s
- Fill out OHA form BEFORE appointment (will enable just to make adjustments during appointment
- MHX black box at bottom means you need to update medical history with parent in consultation room
- "Control R" will update every item on the medical history
- Review ortho master treatment plan in Axium under FORMS (if there is one)
- Review progress notes to evaluate behavior issues and progress on treatment - Review contents of the ortho end note to make sure you are ready for that part of the appointment
Beginning of Appointment- Patient seated- Confirm chief complaint- Vitals- PTP from faculty on paper and AxiUm- Update odontogram with exfoliations and eruptions (right-click, "age change"OHA form- Assess gingival health on form- Disclose
- Assess plaque on form
- Perform OHI with patient
Cleaning- Hand instruments to remove any calculus, and then prophy cup everything elseExam- Determine accuracy of planned treatments and whether new treatment is neededEnd of Appointment- Pedo end note on Axium
- Self-eval on pedo grade sheet
- Complete the 3 current pedo recall codes
- Plan the 3 recall codes for the next time (use “12 and under” macro code)- FACULTY CHECK
- Get everything approved- FLUORIDE: dry teeth, 1 minute for gel (thin ribbon) + Do AFTER faculty check/ortho recall
Ortho Recall Appointment
- PTP from ortho faculty (on paper and in Axium) - Ortho end note (with all clinical stuff added in)Other Info on Ortho Recalls
- Type 1 patients + Workup has been done
+ Do recall in template notes
+ Determine if new workup is needed
- Type 2 patients
+ These patients have a passive appliance
+ Check the appliance
+ Follow sequence in the appliance template note to fill out required info
+ Ask patient if bands are loose or if there have been any problems
+ Check for loose bands
+ Do an intraoral exam to look for anything that needs attention
+ Determine if appliance is still needed or needs to be remade
PEDO: Stainless Steel Crowns
PEDO: Stainless Steel Crowns
IsolationFor SCC- 1 big hole stretched over 3 teeth (you need the interproximals to be OPEN)- The 3 teeth include the one being prepped and the teeth adjacent to itStainless Steel Crowns- Indications for SSCs + Rampant caries + Caries involving 3 or more surfaces + Extensive caries on young permanent teeth + Recurrent caries + Following pulp therapy + Developmental defects (primary or permanent teeth) + Fractured teeth (and fractured amalgams) + Severe bruxism + Orthodontic appliance fabricationIon Crown- Ion- Axial form resembles the natural tooth contour- Latest evolution in crowns- Pre-trimmed- Pre-contoured- Pre-crimped- Softer metal (wears faster), but designed to snap over prep without any alterations- THUS: if someone bruxes a lot, they might wear through thisSelection- Crown is selected based on M-D width of the primary tooth- Space loss, bruxism, exfoliation are all factors in choice of crown- Sterile cotton forceps are used to remove the crown from the box- The 3M “Ion” crowns come in size #2 (small) and #7 (large) + These use the ortho “Palmer system” for numbering + Example: e = primary 2nd molar, d = primary first molarPre-Treatment Evaluation- Prior to placing rubber dam, check occlusion + Vertical space loss? Horizontal space loss? Mobility?- Rubber dam is mandatory- Crowns are very slippery when wet with salivaArmamentarium- Burs: 169 FG, tapered diamond FG, 6 or 8 RA, 330 FG, heatless stone- Need to use a throat pack during thisCrown Preparation- Remember that retention here depends on: + The natural undercuts ~ Excessive B-L reduction may result in a non-retentive crown and EXTRACTION + The adequacy of the crimp + The luting material- Occlusal reduction: 1.0 mm + Do not over-reduce the MB aspect (close to the pulp horn) + Can put a groove in the occlusal as a reduction guide at 1 mm + 169 or diamond wheel (2 planed football-looking one) + Open the pulp chamber if doing pulpotomy- Using a 330 or round wheel diamond, remove approximately 1.0 mm from occlusal + Use the adjacent marginal ridge as your reduction guide- Lingual and buccal reduction: don't do too much here (for retention)- Lower the height of contour to just above the gingiva- Leave a gingival undercut (will allow SSC to snap over it)- DO NOT CREATE A FINISH LINE (should be a FEATHER FINISH)- Occlusal beveling: + Use a 330 or tapered diamond + Do this on the functional cusp- Interproximal reduction: + Tapered coarse diamond + This allows you to avoid ledges, which can prevent seating + MINIMALLY reduce the buccal and lingual surfaces (or else you will lose retention) + Margin should be about 1 mm below marginal gingiva- Line angle refinement: + Use a tapered coarse diamond for this + Eliminate undercuts on line angles by rounding them + Maintain buccal and lingual undercuts, thoughFinal Preparation- Occlusal reduction is about 1.0-1.5 mm- Approximately 1.0 mm interproximal reduction (WITHOUT LEDGING)- Smooth transitions: no sharp line angles- Minimal buccal and lingual reductionCrown Placement- Gingival adaptation: + Crown should ideally be placed 1.0-1.5 mm below gingival margin- It is acceptable to remove the dam immediately prior to cementation to check occlusion, provided a throat pack is utilized to prevent aspiration- Trimming: + Crown is seated, taking care to avoid gingival entrapment + Most ion crowns need no trimming, while all Unitek crowns MUST BE TRIMMED- Contouring: + Contour pliers are used to establish appropriate contours on the mesial and distal- Crimping: + Crimping pliers are used to crimp margin to engage undercuts on the buccal and lingual- The crown is again seated, and lingual and buccal should SNAP into place- Cementing: + Choice of cements: zinc phosphate, IRM, GI + Crown doesn’t fit like a glove: must be FILLED with cement rather than LINED with it- Floss the interproximal areas immediately after cementation- Clean remaining cement from crown surfacesFinal Points- A well-adapted crown snaps onto the tooth- Crowns should not be too high- Crowns should be in line with the rest of the teeth- Not rotated or tilted- Be sure to FLOSS CONTACTS before the cement sets up- If there is blanching, the crown might be too big~ submitted by Cooper Pasque, Class of 2019; modified from content presented in Dr. Lau and Dr. Haney's Pedo course _The OU ASDA app is frequently updated and improved. New content will be added as it is available. Although we will attempt to keep information in the application accurate, the accuracy of the information provided cannot be guaranteed. All parties providing information on the OU ASDA app warrant that the copying, distribution and use of such materials in connection with the OU ASDA app will not violate any other party's proprietary rights. Please use at your own risk.
PEDO: Pulp Therapy
PEDO: Pulp Therapy
Pulp TherapyIndications: - Asymptomatic or symptoms suggestive of reversible pulpitis- Illicits pain of SHORT DURATION only- Brief COLD sensitivity- No clinical or radiographic signs of pathology (sinus tract, sulcular drainage, major mobility)- Greater than ½ the root remainingContraindications: (means you need to extract)- Spontaneous or prolonged pain- Percussion tenderness- Sinus tract or sulcular discharge- Radiographic signs of internal/external pathological resorption- Abnormal mobility (near exfoliation)Coronal Access- Much larger opening than what you are used to in endo- Enter the pulp with HS 330 or #4 round- Amputate the pulp stump with either sharp curette or slow speed round bur- Ideal access: + Mimics the outline of the tooth + Allows complete visualization of all canals- Pulp tissue is removed to the canal orifice- Little or no hemorrhage before medicament placement + Persistent bleeding often arises due to tissue present beneath an unroofed part of the chamber, particularly in the buccal areaPlacement of medicament:- Ideally, hemorrhage control is achieved easily with a lightly moistened cotton pellet prior to placement of the medicament- However, most dentists use a medicament-saturated pellet to achieve hemostasis and provide fixing at the same time- Length of time depends upon medicating agent being used: + 4-5 minutes for formocresol + 2-3 minutes for ferric sulfate- Regardless of the medication, this is “vital” pulp therapy because the goal to retain as much vital tissue in the peri-apex area as possible in order to maintain a healthy environment for the permanent tooth- Put a dry cotton pellet in over the medicament to put some pressure on itEvaluation of hemorrhage:- Removal of medicated pellet should reveal a darkened, non-hemorrhaging pulp stump - Continued hemorrhage is indicative of: + Pulpitis extending beyond canal orifice + Poor amputation procedure (need to remove more) + Perforation - placement of medicated BASE ~ IRM, ZOE B&T, or plain ZOE ~ Regardless, needs to be resorbable (can’t insert something that isn’t) ~ Should be resorbable (the tooth will be resorbing as permanent teeth come in) Restoration- Restoration of choice is SSC- Class I amalgams MAY be acceptable if tooth is within 2 years from exfoliating- Really just a financial reason for the parents- Or, if the child is not compliant~ submitted by Cooper Pasque, Class of 2019; modified from content presented in Dr. Lau and Dr. Haney's Pedo course _The OU ASDA app is frequently updated and improved. New content will be added as it is available. Although we will attempt to keep information in the application accurate, the accuracy of the information provided cannot be guaranteed. All parties providing information on the OU ASDA app warrant that the copying, distribution and use of such materials in connection with the OU ASDA app will not violate any other party's proprietary rights. Please use at your own risk.
PEDO: Composite Strip Crowns
PEDO: Composite Strip Crowns
Composite Strip Crown (anteriors)- Crown prep- Will use a standard prep for ALL CROWN TYPES + 1.0-1.5 mm incisal reduction + 1.0 mm interproximal reduction + Feather edge margin placed about 1 mm subgingival (for esthetics)- Strip crown placement + Trim so that it fits over the prepped tooth with snug fit around margin: 1 mm sub gingival + Drill 2 vent holes on LINGUAL using a 330 + Etch and bond the same as any composite restoration + Insert A1 into the crown form + Seat on crown and adjust alignment + Remove excess around the margin with an explorer + Light cure from each angle- Cut crown form with a BLADE from LINGUAL side to remove- Remove remaining gingival flash with finishing needle burs~ submitted by Cooper Pasque, Class of 2019; modified from content presented in Dr. Lau and Dr. Haney's Pedo course _The OU ASDA app is frequently updated and improved. New content will be added as it is available. Although we will attempt to keep information in the application accurate, the accuracy of the information provided cannot be guaranteed. All parties providing information on the OU ASDA app warrant that the copying, distribution and use of such materials in connection with the OU ASDA app will not violate any other party's proprietary rights. Please use at your own risk.
PEDO: Class II Amal/Comp
PEDO: Class II Amalgams/Composites
IsolationFor Class II- 1 tooth on either side of tooth being restored should be isolated- W8A is universal clamp for most primary second molars and permanent 1st molars- Permanent teeth: 14, 14A, 8A- Primary teeth: 8A, 27N- LIGATE CLAMP- Punch all holes with largest hole- Place clamp first and then dam/frame assembly together onto tooth- PLACE WEDGEClass II (amalgam and composite)- Perform prep with 330 + Width on occlusal: 1/3 of occlusal table + Make sure to include dovetail for retention + Should be ~1.5 mm deep + Walls should converge to occlusal + Pulpal floor and internal line angles should be rounded + Avoid extending past oblique or transverse ridges unless told to do so- Drop box- B/L extensions should just barely accommodate explorer tip- Drop it so that you clear contact gingivally as well- Make the box about 1.5 mm deep into tooth (axially) (0.5 into dentin)- Round off the axio-pulpal line angle- No retentive grooves- Apply T-band matrix + Free end faces anteriorly + Buckle goes on buccal- Secure with wedge- Insertion*If doing two back to back, make sure you condense well into the contact- Use explorer, interproximal carver, and flattened floss to carve the inter proximal margin- Goal is to get a broad and flat contact~ submitted by Cooper Pasque, Class of 2019; modified from content presented in Dr. Lau and Dr. Haney's Pedo course _The OU ASDA app is frequently updated and improved. New content will be added as it is available. Although we will attempt to keep information in the application accurate, the accuracy of the information provided cannot be guaranteed. All parties providing information on the OU ASDA app warrant that the copying, distribution and use of such materials in connection with the OU ASDA app will not violate any other party's proprietary rights. Please use at your own risk.
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