This document provides an introduction to pediatric dentistry, including definitions, aims, objectives and a brief history. It defines pediatric dentistry as the practice and teaching of comprehensive, preventive and therapeutic oral healthcare for children from birth through adolescence. The history discusses key developments worldwide and in India, including the first book on child dentistry in 1763, establishment of the American Academy of Pediatric Dentistry in 1947, and the Indian Society of Pedodontics and Preventive Dentistry in 1979. The objectives of pediatric dentistry are to provide comfort, relieve pain, restore function and promote optimal oral health through prevention and education.
In the last decade or so dentistry has undergone a complete image makeover with dentists no longer being associated only with pain relief or disease management only. Today more and more patients seek dental treatment for restoring or even enhancing the smile. Pediatric dentistry with its unique challenge of managing little children has had overcome the traditional mindset of parents that deciduous teeth are temporary and they do not warrant treatment.
Greater awareness towards oral health as well as an understanding by the parents that decay in their child’s front teeth may rob the child of his/her smile has ensured that pediatric dentistry has jumped onto the “aesthetic bandwagon.”
In the last decade or so dentistry has undergone a complete image makeover with dentists no longer being associated only with pain relief or disease management only. Today more and more patients seek dental treatment for restoring or even enhancing the smile. Pediatric dentistry with its unique challenge of managing little children has had overcome the traditional mindset of parents that deciduous teeth are temporary and they do not warrant treatment.
Greater awareness towards oral health as well as an understanding by the parents that decay in their child’s front teeth may rob the child of his/her smile has ensured that pediatric dentistry has jumped onto the “aesthetic bandwagon.”
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Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
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VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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4. INTRODUCTION
Pedodontics is made of two words i.e.,
pedo + dontics . Pedo is derived from a
Greek word ‘‘pais’’ which means child and
‘‘dontics’’ means study of the tooth.
5. DEFINITION
Pediatric dentistry is defined as the practice and teaching of
comphrensive,preventive and therapeutic oral health care of child
from birth to adolescence .It is construed to include care for special
patients who demonstrate mental, physical and emotional problems.
(Stewart 1982)
Pediatric dentistry is defined as dentistry for adolescents and children
is the area of dentistry concerned with preventive and therapeutic
oral health care for children from birth through adolescence. (AAPD
1985)
6. Pedodontics is the branch of dentistry that includes having a child
accept dentistry,prevention,detection,restoration of primary and
permanent dentition,applying preventive measures for periodontal
therapy,dental caries prevalence,intercepting and correcting various
areas of malocclusion. (Boucher’s Dental terminology 1993)
According to American Academy of pediatric dentistry 1999 it is defined
as an age defined speciality that provides both primary and
comphrensive, preventive and therapeutic oral health care for infants
and children through adolescence including those with special health
care.
7. AIMS
Aims are general concepts of what has to be
achieved finally.Two problems have to be
considered when providing service of any kind
of children:
1. To determine what is the best for the child at that
2. What is the best for the adult into whom the child will
eventually grow.
8. OBJECTIVES OF PEDIATRIC DENTISTRY
∙ Giving comfort.
. Relieving pain.
. Removing infection and restoring functions.
. Modifying the child behaviour.
. Promoting optimal oral health by prevention and education.
. To develop positive attitude and behaviour towards oral health.
9. WORLDWIDE HISTORY OF PEDODONTICS
1800 BC – Ancient Egypt :
No caries in children’s teeth.
1563-64 Eustachius :
He described and showed illustrations of both primary and
permanent dentition.
1737 Gerauldy :
He wrote about theories regarding tooth eruption and exfoliation.
10. 1763 – Joseph Hurlock :
Published 1st book on child dentistry.
1764 – Robert Bunon :
Father of pedodontics reiterated the importance of deciduous dentition.
11. 1914 – Alfred C.Fones creates a programme to employ graduates to
provide dental care in public schools.
1926 – Detroit pedodontics study club :
Dr Samuel D Haris father of childrens dentistry organizations.
1927 – AAPDC : Detroit study club is now named as American
Academy for Promotion of Dentistry for Children.
12. 1938 –The modern nylon bristle toothbrush was invented, replacing
animal bristles.
1940 – ASDC : American Academy for Promotion in Dentistry for
Children is renamed as the American Society of Dentistry for Children.
1940 – The American Dental Association officially recognizes pediatric
dentistry as a speciality.
1945 – Grand Rapids, Michigan becomes the 1st American city to
fluoridate its water supply.
13. 1947 – The American Academy of Pediatric dentistry was founded.
1950 – about half of school age children begin to visit the dentist once a
year.
1958 – Norman Rockwell’s artworkis featured in a popular advertising
for national toothpaste brand.
14. 1960 – The pediatric dentistry training programme is created by federal
agency to increase the number of dentists.
1967 – CDH : International Symposium on Child Dental Health is
conducted at London hospital medical college.
1969 – IADC : International Association of dentistry for children is
established.
15. 1984 – AAPD :
American Academy of Pedodontics is renamed the American Academy
of pediatric dentistry.
1985 to 1986 –
Cavities in 9 year olds drop to 34%.
1990 –
Tooth decay in children increases,particularly in preschool kids after
decreasing from the early 1970’s.
16. 1997 – The secretary of health and human services commissions a report
to alert Americans to the full meaning of oral health and its importance to
general health.
2000’s – The Dental home concept of establishing comprehensive oral
healthcare starting before the age of one is endorsed by the American
Dental Association.
2014 – The state of Little Teeth Report examines the epidemic of tooth
of tooth decay among young children in U.S.
17. PEDODONTICS IN INDIA
1920-Calcutta Dental college and hospital :
1st dental college started by Dr Rafiuddin Ahmed, Father of dentistry in
india .He also known as “the grand old man of dentistry” . He is credited
dental journal in October 1925.
Foundation of the all india dental association in the year 1927 and
passing act in 1948.
1935 –BDS : Dentistry as a subject was introduced as a 2 years diploma
course to Licentiate in dental science .It was changed to 3 year course in
the year 1926 and further modified into 4 year BDS course in 1935.
18. 1950 –
The foundation of pedodontics was laid down at government dental
college Amritsar. Pedodontics did not exist as an independent speciality in
the initial years of development of dentistry in india but was included as
one or two question in the operative dentistry paper. Later it was
recognized as the section-B of the question paper of orthodontics.
In 1988 as per DCI rules it got its due-importance and was treated as a
separate entity.
19. 1967-
Following Amritsar the next to introduce this speciality were KGMC
Lucknow, PGI chandigarh 1978 and NHDC Mumbai in 1982 .The fifth in
succession and first in south india was Manipal college of dental science
in the year 1985 under Dr Shoba Tandon.
20. 1979 – Indian Society of Pedodontics and Preventive
Dentistry:
The Association of Indian holds the 1st conference on 24th of
November where it was first named as the indian society of
pedodontia (now pedodontics) and preventive dentistry.
Dr BR Vacher is made the Father of Pedodontics in India.
Dr ML Gauba was elected first president of the society.
Dr Mrs A Tewari the first General Secretary and Dr HS Chawla was the
first editor of the journal.
21. 1982 – Affiliated to IADC :
Indian Society of Pedodontics and preventive dentistry becomes an
affiliate member of International Association of Dentistry for Children
(IADC).
The Indian Society of Pedodontics and Preventive Dentistry is formed
on the belief that “EVERY CHILD HAS A FUNDAMENTAL RIGHT TO
HIS/HER TOTAL ORAL HEALTH” ,and society has an obligation to fullfill
this faith.
22. REFRENCES:
Textbook of pediatric dentistry by ‘‘Nikhil Marwah’’.
Textbook of pedodontics by ‘‘Shobha Tandon’’.
The journal of the history of dentistry.
National institute of dental and craniofacial research.
Encyclopedia of children and childhood in history and
society.
Editor's Notes
Comphrensive: Not only tridational treatment but also prevention and early dectation
Therapeutic: both preventive and restorative treatment
Dental home is an ongoing relationship between dentist and the patient