The document provides an introduction to the field of pediatric and preventive dentistry, detailing its importance and evolution in India, and defining its scope and purpose. It emphasizes the unique role of pediatric dentists in caring for children and managing various dental treatments, particularly for those with special health needs. Key elements include a focus on comprehensive oral health care, the significance of primary teeth, and various treatment approaches utilized in the pediatric dentistry department.

1. INTRODUCTION
TO
PEDIATRIC & PREVENTIVE
DENTISTRY
DEPARTENT OF PEDIATRIC & PREVENTIVE DENTISTRY
BDS ThirdYear lecture
Dr. Rishabh Kapoor
Reader (Pediatric and Preventive Dentistry)
14/2/2023

2. Teaching Objectives
 To introduce students to the field of pediatric dentistry
 To give a brief history of dentistry in India
 Explain the role of dentist in handling of pediatric patients

3. Contents
 Introduction
 Definitions
 Evolution of Pedodontics in India
 Aims and Objectives
 Importance of PrimaryTeeth
 PedodonticTriangle
 Scope of Pedodontics
 Treatments carried out in the department

4.  The word pedodontics is made up of two words i.e, PEDO
and DONTICS.
 Pedo is derived from “pais” which in Greek means child,
“dontics” stand for the study of tooth.
 Robert Bunon is Father of Pedodontics.
PEDODONTICS
INTRODUCTION

5. DEFINITIONS
 Stewart, Barber,Troutman,Wei (1982)
“Pediatric dentistry is the practice and teaching of
comprehensive, preventive, and therapeutic oral health care
of child from birth through adolescence. It is constructed to
include care for special patients who demonstrate mental,
physical, or emotional problems.”

6.  American Academy of Pediatric Dentistry (1999)
“Pediatric dentistry is an age defined specialty that provides
both primary and comprehensive preventive and therapeutic
oral health care for infants and children through adolescence
including those with special health care needs.”

7. The key elements of this definition which make pediatric dentistry unique:
1. “age-defined”: most specialties are procedure defined (endodontics, periodontics,
etc.) and in pediatric dentistry, the pediatric dentists provide care for their specific
age group of patients. Hence, there is no limitation to the type of treatment they
provide.
2. “primary and comprehensive care”: Pediatric dentists are primary oral health care
providers.There is no need for a referral of patients. Parents can choose to have their
children evaluated and treated by a pediatric dentist just like they can choose to have
their child treated by a pediatrician.
3. “infants and children through adolescence”: Pediatric dentists see patients at any
age from birth up to their late teens.
4. “special health care needs”: Pediatric dentists are trained to evaluate and treat
medically compromised children such as children with hemophilia, leukemia,
congenital anomalies, syndromes, etc.

8. Calcutta dental college and hospital: 1st Dental college started by Dr Rafiuddin Ahmed
1920
BDS: licentiate in Dental Science becomes Bachelor in Dental Surgery- 4- year course
1935
Pedodontics is introduced: Government Dental college,Amritsar starts pedodontics as a
specialty (but not as an independent specialty)
1950
Pedodontics was introduced as a specialty in the undergraduate curriculum
1978
Indian society of Pedodontics and Preventive Dentistry holds the 1st conference.
Dr BRVacher is made the “Father of Pedodontics in India”
1979
ISPPD becomes an affiliate member of IADC (InternationalAcademy for Dentistry for
Children)
1982
EVOLUTION OF PEDODONTICS IN INDIA

9. AIMS AND OBJECTIVES
1. Health of a child as a whole
2. More specifically - oral health
3. Early diagnosis and prompt treatment
4. Restoring the mouth to good health
5. To observe and control the necessary developing dentition of
child patient
6. Relief of pain
7. Increase the knowledge
8. Instill a positive attitude and behavior
9. Restore the lost tooth structure
10.Management of special patients

10. WHY DOYOU
THINK PRIMARY
TEETH ARE
IMPORTANT???

11. Important functions of Sound Primary Teeth
Maintain good nutrition by permitting child to chew properly
 Involved in speech development
™
 Helps in the eruption of permanent teeth by saving
space for them
 A healthy smile can help children feel good about the way they look to
others

12. WHY PEDIATRIC DENTISTRY IS
A SPECIAL BRANCH???

13. Child is in
dynamic state of
growth and
development and
is thus a
changing person.

14. PEDODONTIC TRIANGLE
Later modified by McDonald et al.
(2004)
First explained and conceptualized by GZ
Wright ( 1975)

15.  The pediatric dentist has the privilege of
being entrusted with the commencement of
lifetime of optimal oral health to the child
patient.

17. PANAROMA OF TREATMENTS INTHE
DEPARTMENT OF PEDIATRIC
AND
PREVENTIVE DENTISTRY

18. PREVENTIVE
APPROACHES

19. FLUORIDEVARNISH
APPLICATION
PITAND FISSURE
SEALANT

21. DIET COUNSELLING FOR HEALTHY NATION

22. INTERCEPTIVE
APPROACHES

23. GIC
RESTORATION
COMPOSITE
RESTORATION
AMALGAM
RESTORATION
RESTORATIVEAPPROACHES

24. ORAL PROPHYLAXIS

25. Full coverage crown for kids
CROWNS

26. PFM CROWNS ZIRCONIA CROWNS
STAINLESS STEEL
CROWNS
STRIP CROWNS

27. ZIRCONIA CROWN
PRE-OPERATIVE
POST-OPERATIVE

28. STAINLESS CROWN IN MIH

29. STRIP CROWN

30. HABIT
BREAKING
APPLIANCES

31. ORAL SCREEN PALATAL CRIB
LIP BUMPER
BLUE GRASS
APPLIANCE NIGHT GUARD

32. CATALANS APPLIANCE –ANTERIOR CROSS
BITE

33. Traumatic
Dental Injuries

34. FRACTURED
TEETH
AVULSED
TOOTH
SPLINTING

35. APEXIFICATION

36. POST AND CORE

37. SPACE
MAINTAINERS

38. REMOVABLE SPACE MAINTAINERS
FIXED SPACE MAINTAINERS
BANDAND LOOP CROWN AND LOOP
NANCE PALATAL
ARCH
LINGUAL
ARCH
TRANS-PALATAL ARCH DISTAL SHOE

39. PULP
THERAPY

40. PULPOTOMY
APEXOGENESIS APEXIFICATION ROOT CANALTREATMENT
PULPECTOMY

41. PULPOTOMY
Video Link
www.youtube.co
m/watch?
v=PqsBOVoEdZY
PULPECTOMY
POSTERIOR
ANTERIOR
https://
www.youtube.com/
watch?
v=GSW1X4zocQw

42. ROOT CANAL TREATMENT

43. ORTHODONTIC
TREATMENT

44. FIXED ORTHODONTIC
TREATMENT
REMOVABLE
ORTHODONTIC
TREATMENT

45. 2*4 APPLIANCE

46. ORTHOPEDIC APPLIANCES

47. TREATMENT UNDER GENERAL
ANESTHESIA
CONCIOUS SEDATION
SEDATION IN PEDIATRIC
DENTISTRY

48. LASERS IN PEDIATRIC
DENTISTRY

49. HARDTISSUE APPLICATIONS
• Caries removal and cavity preparation
• Re-contouring of bone (crown lengthening)
• Endodontics (root canal preparation, sterilization
and Apicectomy
• Laser etching
• Caries resistance
SOFTTISSUE APPLICATIONS
• Gingivectomy and Gingivoplasty Aesthetic contouring,
Frenectomy
• Treatment of aphthous ulcers and Oral lesion therapy
• Pulp capping, Pulpotomy and pulpectomy
• Operculectomy
• Incisions and draining of abscesses
• Bacterial decontamination

50. GINGIVECTOMY FRENECTOMY
EXTRACTION
SURGICAL PROCEDURES

51. CLEFT LIP AND PALATE
NASO- ALVEOLAR MOULDING

52. ORAL
REHABILITATION

53. FIXED PARTIAL DENTURE
REMOVABLE PARTIAL
DENTURE

54. ORAL REHABILITATION IN EARLY
CHILDHOOD CARIES

55. Rehabilitation for missing teeth

56. Conclusion
 It is a multispeciality
branch which deals with
every aspects of dentistry.
 It is a one stop solution
encompassing all dental
problems of infants,
children and adolescents
including those with
special care needs.
 To be a successful pedodontist one needs to acquire a scientific
approach, tremendous patience and delicate handling with tender, love
and care.

57. REFERENCES:
 Dentistry for child and adolescent - Ralph E Mc Donald
 Text book of Pediatric Dentistry - S.G.Damle
 Text book of Pedodontics - Shobha Tandon
 Text book of Pediatric Dentistry - Nikhil Marwah

58. SUGGESTED READING
 Pediatric Dentistry: Infancy Through Adolescence (6th
Edition): Arthur J. Nowak
Text book of Pedodontics - Shobha Tandon

59. University Questions
 Write short note on PedodonticTriangle (3marks)- 2012
 Write short note on Pedodontics (3 marks)- 2012

60. MCQs
1. PedodonticsTriangle was given
by
A) Celcius
B) Freud
C) Mc Donalds
D) GZWright
2. Father of Pedodontics in India
A) Dr.BRVacher
B) Dr. RaffiuddinAhmed
C) Dr. Pirre Fauchad
D) Dr. GZWright
3. Indian Society of Pedodontics is
formed in:
A) 1979
B) 1976
C) 1980
D) 1988
4. Dental home is advocated by
A) Grembowski
B) Milgrom
C) Nowak
D) Morris
Answer Key: 1:D; 2:A; 3:A; 4: C