pediatric dentistry problems,

1. PROSTHETIC
TREATMENT
IN CHILDREN

2. PEDIATRIC DENTISTRY
• is the branch of dentistry dealing with children from birth through adolescence.
• Although your children’s teeth have been in their mouths for a shorter period of time,
they face many of the same common dental problems as adults. Prompt attention to
developing symptoms can save time and money, and spare your little ones
unnecessary pain. Pediatric dentists are specially trained to manage issues involving
developing teeth and jaws. Finding a specially trained dentist for kids ensures that your
children get the best possible treatments and suffer the least amount of stress.

3. P S YC H O LO G I C A L
P R O B L E M S D U R I N G
T R E AT M E N T
In dental practice, it is
experienced that most of the
children do not cooperate during
dental procedures.
Sometimes it becomes very
difficult to manage a child in a
dental clinic. These difficulties of
management are not only related
to the technical procedures of
treatment, but also with the
different emotional upsets of the
child.
The most common emotional
upsets exhibited during dental
treatment are anxiety and fear,
which may originate from a
previous traumatic experience in
the dental office or during
hospitalization for other
purposes.

4. PROSTHETIC TREATMENT IN
PEDIATRICS
• Prosthetic treatment can play an important role when treating children whose
dentition fails to develop normally. The congenital absence of teeth is one of the most
frequent reasons for the need of complete and partial dentures for young children.
• Some genetic conditions, such as hypohidrotic ectodermal dysplasia and Papillon-
Lefevre syndrome, may cause oligodontia or anodontia.

5. INTRODUCTION
• Treatment of patients with oligodontia can challenge the clinician not only because
patients present a great number of congenitally missing teeth, or even anodontia, but
also because of the age they are usually referred for rehabilitation.
• Several treatment strategies have been reported for the management of patients
suffering from anodontia, oligodontia, and malformed teeth. Conventional removable
complete or partial dentures are usually the most frequent prosthetic treatment plan
for these young patients.

6. INTRODUCTION
• Since alveolar bone development is dependent on the presence of teeth, children with
oligodontia or anodontia have atrophy of the alveolar bone and consequently little or
no bone ridge to support dentures.
• Indeed being edentulous has many consequences, speech impairment, deforming
lingual habits, and a poor nutrition, due to the fact that mastication is difficult or
impossible.
• Furthermore, primary teeth are necessary for the acquisition and maturation of diverse
functions, which are important for normal growth.
• Also, in these patients the poor appearance of the teeth can affect self-esteem, which
challenges the clinician.

7. INTRODUCTION
• Complete and partial removable dentures have been used successfully in numerous
patients with oligodontia and/or anodontia. However, there is little information in the
literature regarding the principles and guidelines to prosthetic rehabilitation for
growing children. The rehabilitation of a child’s dentition with a removable prosthesis
is more complex and time consuming than in adults. All these factors should be
considered during fabrication in order to provide a prosthesis that is functional,
esthetic, and age appropriate

8. PURPOSE OF PROSTHETIC TREATMENT IN
PEDIATRIC PATIENTS
• To improve the appearance and function by closing
the gap left by missing tooth/teeth
• To maintain space while teeth on either side are
erupting
• To replace missing teeth while waiting for childrens’
bones to be fully developed at the age of 18 years
and older to insert a permanent bridge or implant

9. CARIES TEETH LOSS
Premature loss of primary teeth
due to grossly caries may be
another reason for the need of
complete dentures for preschool
children.

10. H Y P O H I D R OT I C
E C TO D E R M A L
D YS P L A S I A
This condition is characterized
by absent teeth (hypodontia) or
teeth that are malformed. The
teeth that are present are
frequently small and pointed
.

11. PA P I L LO N - L E F E V R E
S Y N D R O M E
Papillon–Lefèvre syndrome (PLS) is a rare
autosomal recessive disorder, characterized
by diffuse palmoplantar keratoderma and
precocious aggressive periodontitis, leading
to premature loss of deciduous and
permanent dentition at a very young age.
The severe destruction of periodontium
results in loss of most primary teeth by the
age of 4 and most permanent teeth by age
14.
Destructions of periodontium follows almost
immediately after the eruption of last molar
tooth. The teeth are involved in roughly the
same order in which they erupt.

12. PROCEDURES
1. Moulds are taken of the mouth using an impression material called alginate. Alginate is
made of brown seaweed also used for food thickener
2. Child will bite on soft wax to register the teeth relationship
3. The dentist will then select the shade and shape of the replacement acrylic tooth/teeth
4. The mould will be sent to the dental laboratory
5. Denture will be fabricated in the dental laboratory within a week’s time

13. WHAT TO EXPECT AFTER TREATMENT
• In the beginning, the new denture will make your child feel awkward and bulky. This is
normal and child will eventually be accustomed to wearing it
• Inserting and removing the denture will require some practice
• If the denture puts too much pressure on a particular area, that spot can become sore.
The dentist may make some adjustments to the denture to make your child feel
comfortable
• The denture should fit in the mouth with relative ease. Avoid biting down onto the
denture to place it into position as it will break the plastic base or bend the clasps

14. THANK YOU!