PEDO PEARLS: The Paradigm Shift
2
e-DDS Team


- Heads a highly successful preventative         - 25 years of experience in branding and
  & cosmetic dentis...
PEDO PEARLS: The Paradigm Shift




              Presented By:
 Lance Kisby DMD, FASDC, FAGD, FAAPD
  Geisinger Medical C...
Lance Kisby
• Graduate of Tufts University School of Dental Medicine
• Chief of Pediatric Dentistry at St. Mary’s Hospital...
New Concepts and Products
      in Prevention



                   Graphics done by his son:
                   Brent Kis...
Fluoride Varnishes
•   5% NAF or 2.26% Fion by wt
•   22,600 ppm
•   Reduces caries 25%-41%
•   44% decrease in caries if ...
When to Use Varnishes
• White spots on primary and permanent teeth
• Occlusal of primary teeth
Fluoride Varnish and ECC – The Best

           Weintraub J. Dent.
         Res. 85: (172) 176-2006
Sealants
Good-bye Drill and Fill
 Hello Seal and Heal
Embrace Wetbond Sealant by Pulpdent

• 2 yr retention rate = 92%
• 6 yr retention rate = 90%
•   97.3% penetration by depth
•   No leakage after 2 yrs
•   Excellent marginal seal
•   36.6% resin filled
GI Sealants
•   Moisture control an issue
•   Newly erupted molar
•   Cooperation issues
•   Operculum
Fuji Triage
MI Paste
MI Paste
• CPP-ACP
  - Casein Phosphoprotein
  - Amorphous
  - Calcium
  - Phosphate
MI Paste

SER(P)-SER(P)-SER(P)-GLU-GLU
MI Paste
•   Buffer
•   Inhibit demineralization
•   Remineralization
•   Inhibit plaque formation
Mi Paste and White Spots
STEPS

1.   Photo
2.   Etch 1 min
3.   Pumice 20 secs
4.   Eval if need to etch again
5.   MI Pas...
MI Paste and Hypoplastice Enamel




                      3 visits in 1 month
                 Drs Rubin & Pong - Cincinn...
MI Paste and Incipient Caries
Times are Fun When
You are Having Flies

   Kermit the Frog
Updates in
Dental Trauma
Be Gentle with the Young
           Juvenal
       (55 AD-127 AD)
Adults are obsolete
     children.
     Dr. Seuss
Pretty much all the honest truth
 telling there is in the world is
        done by children
        Oliver Wendell Holmes
Updates in
Restorative Dentistry
Technique
Composites in Primary and
   Permanent Teeth
       Donly Pedi Dent.
        (25) 480-2002
Composites: Technique
• Rubber dam clamps:
  - W2
  - 2A
  - W8A
Outline Form
Class I
Bevel or No Bevel
 Small or narrow = NO
       Wide = YES
 All anterior = ALWAYS
Class II



MO/DO and Not MOD
Outline Form



Slot Outline Form
Kaloare
Class II Permanent
Curing
•   Rinse and leave dentin wet
•   Dentin adhesive: 10 secs
•   Flowable composite: 10 secs
•   Composite-dentin: 1...
RMGI Restorations
• Fuji II




**Composites Class II
MTA Pulpotmy
• Mineral trioxide aggregate
Bleaching
Q: Where do dogs park their cars?

A: In a barking lot!
Questions
Thank You




        800 W Cummings Park, Suite 2000
              Woburn, MA 01801



CALL: (877) 420-3337 or EMAIL: Lid...
Upcoming Webinar
Designing the Front Office as a Marketing Tool
             Presented By: Lidia Scher

               Whe...
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
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Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
Pediatric Dentistry Pearls
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Pediatric Dentistry Pearls

  1. 1. PEDO PEARLS: The Paradigm Shift
  2. 2. 2
  3. 3. e-DDS Team - Heads a highly successful preventative - 25 years of experience in branding and & cosmetic dentistry practice corporate identity - Two decades of clinical and small - Deliver results-driven strategic marketing business ownership experience and design solutions - Award-winning interior designer, artist - Certified Financial Planner and Feng Shui expert - Hands on experience in multitude areas - Designing successful dental offices for over of Finance, Tax Planning, IT, HR along with 17 years buying/selling businesses
  4. 4. PEDO PEARLS: The Paradigm Shift Presented By: Lance Kisby DMD, FASDC, FAGD, FAAPD Geisinger Medical Center Danville, PA LEKISBY@Geisinger.edu
  5. 5. Lance Kisby • Graduate of Tufts University School of Dental Medicine • Chief of Pediatric Dentistry at St. Mary’s Hospital in Waterbury, Connecticut • He is: - Head of Pediatric Dentistry at Geisinger Medical Center - Program Director of the Pediatric Dentistry Residency - Adjunct Clinical Instructor in Pediatric Dentistry at Tufts - Board Certified in Pediatric Dentistry
  6. 6. New Concepts and Products in Prevention Graphics done by his son: Brent Kisby
  7. 7. Fluoride Varnishes • 5% NAF or 2.26% Fion by wt • 22,600 ppm • Reduces caries 25%-41% • 44% decrease in caries if use 2X/yr
  8. 8. When to Use Varnishes • White spots on primary and permanent teeth • Occlusal of primary teeth
  9. 9. Fluoride Varnish and ECC – The Best Weintraub J. Dent. Res. 85: (172) 176-2006
  10. 10. Sealants Good-bye Drill and Fill Hello Seal and Heal
  11. 11. Embrace Wetbond Sealant by Pulpdent • 2 yr retention rate = 92% • 6 yr retention rate = 90%
  12. 12. • 97.3% penetration by depth • No leakage after 2 yrs • Excellent marginal seal • 36.6% resin filled
  13. 13. GI Sealants • Moisture control an issue • Newly erupted molar • Cooperation issues • Operculum
  14. 14. Fuji Triage
  15. 15. MI Paste
  16. 16. MI Paste • CPP-ACP - Casein Phosphoprotein - Amorphous - Calcium - Phosphate
  17. 17. MI Paste SER(P)-SER(P)-SER(P)-GLU-GLU
  18. 18. MI Paste • Buffer • Inhibit demineralization • Remineralization • Inhibit plaque formation
  19. 19. Mi Paste and White Spots STEPS 1. Photo 2. Etch 1 min 3. Pumice 20 secs 4. Eval if need to etch again 5. MI Paste 5 min undisturbed 6. Instruct - 2x/day 5 min each time 7. Return 1-2 weeks
  20. 20. MI Paste and Hypoplastice Enamel 3 visits in 1 month Drs Rubin & Pong - Cincinnati
  21. 21. MI Paste and Incipient Caries
  22. 22. Times are Fun When You are Having Flies Kermit the Frog
  23. 23. Updates in Dental Trauma
  24. 24. Be Gentle with the Young Juvenal (55 AD-127 AD)
  25. 25. Adults are obsolete children. Dr. Seuss
  26. 26. Pretty much all the honest truth telling there is in the world is done by children Oliver Wendell Holmes
  27. 27. Updates in Restorative Dentistry
  28. 28. Technique
  29. 29. Composites in Primary and Permanent Teeth Donly Pedi Dent. (25) 480-2002
  30. 30. Composites: Technique • Rubber dam clamps: - W2 - 2A - W8A
  31. 31. Outline Form
  32. 32. Class I
  33. 33. Bevel or No Bevel Small or narrow = NO Wide = YES All anterior = ALWAYS
  34. 34. Class II MO/DO and Not MOD
  35. 35. Outline Form Slot Outline Form
  36. 36. Kaloare
  37. 37. Class II Permanent
  38. 38. Curing • Rinse and leave dentin wet • Dentin adhesive: 10 secs • Flowable composite: 10 secs • Composite-dentin: 10 sec • Composite-enamel: 5 sec, wait 3 min, then 10 sec cure
  39. 39. RMGI Restorations • Fuji II **Composites Class II
  40. 40. MTA Pulpotmy • Mineral trioxide aggregate
  41. 41. Bleaching
  42. 42. Q: Where do dogs park their cars? A: In a barking lot!
  43. 43. Questions
  44. 44. Thank You 800 W Cummings Park, Suite 2000 Woburn, MA 01801 CALL: (877) 420-3337 or EMAIL: Lidia@e-dds.com
  45. 45. Upcoming Webinar Designing the Front Office as a Marketing Tool Presented By: Lidia Scher When: July 15, 2010 Time: 7-8 PM (EST)/4-5 PM (PST) Registration begins tomorrow onwards! Visit our site for more details.

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