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Modern Pediatric Dentistry Modern Pediatric Dentistry Vinay Kumar Srivastava Professor and Head Department of Pedodontics and Preventive Dentistry Saraswati Dental College Lucknow, UP, India Foreword Anil Kohli ® JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD New Delhi • St Louis • Panama City • London Published by Jitendar P Vij Jaypee Brothers Medical Publishers (P) Ltd Corporate Office 4838/24, Ansari Road, Daryaganj, New Delhi 110 002, India Phone: +91-11-43574357, Fax: +91-11-43574314 Registered Office B-3, EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002, India Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021, +91-11-23245672 Rel: +91-11-32558559, Fax: +91-11-23276490, +91-11-23245683 e-mail: [email protected], Website: www.jaypeebrothers.com Offices in India • Ahmedabad, Phone: Rel: +91-79-32988717, e-mail: [email protected] • Bengaluru, Phone: Rel: +91-80-32714073, e-mail: [email protected] • Chennai, Phone: Rel: +91-44-32972089, e-mail: [email protected] • Hyderabad, Phone: Rel:+91-40-32940929, e-mail: [email protected] • Kochi, Phone: +91-484-2395740, e-mail: [email protected] • Kolkata, Phone: +91-33-22276415, e-mail: [email protected] • Lucknow, Phone: +91-522-3040554, e-mail: [email protected] • Mumbai, Phone: Rel: +91-22-32926896, e-mail: [email protected] • Nagpur, Phone: Rel: +91-712-3245220, e-mail: [email protected] Overseas Offices • North America Office, USA, Ph: 001-636-6279734 e-mail: [email protected], [email protected] • Central America Office, Panama City, Panama, Ph: 001-507-317-0160 e-mail: [email protected], Website: www.jphmedical.com • Europe Office, UK, Ph: +44 (0) 2031708910 e-mail: [email protected] Modern Pediatric Dentistry © 2011, Vinay Kumar Srivastava All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher. This book has been published in good faith that the material provided by author is original. Every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only. First Edition: 2011 ISBN 978-93-5025-189-8 Typeset at JPBMP typesetting unit Printed at Dedicated to My family members for their unconditional love, support and long-term sacrifices Foreword I am glad to write the foreword for the textbook titled Modern Pediatric Dentistry by Dr Vinay Kumar Srivastava, Professor and Head, Department of Pedodontics and Preventive Dentistry, SDC, Lucknow, UP, India. The contents of the book are based as per the guidelines of Dental Council of India. This book has fulfilled the need for illustrated, concise and comprehensive educational materials for undergraduates and postgraduates in the subject of pediatric dentistry. I would like to congratulate the author for writing such a good textbook. It has the potentials of becoming a milestone in the upgradation of knowledge in the subject of pediatric dentistry. I wish him good success in all his endeavors. Anil Kohli Padam Bhushan (Hony) Brigadier President Dental Council of India Preface The purpose of mastering a difficult subject is accomplished only by successfully conveying the knowledge to others. The key attribute of a good textbook is its ability to explain things so interestingly that students are able to understand and appreciate it. Dentistry and teaching of dentistry are undergoing profound changes continuously. Rapid progress has recently been made in the fields of adhesive dental materials, advances in instrument, microbiology, physiology, preventive dentistry as well as genetics and forensic science. It is for us as teachers to convey the recent inventions and discoveries in the fields of pediatric dentistry to the students. This book is intended for students who are pursuing careers in pediatric dental health. My aim is to present a straightforward, uncomplicated approach to the subject both for the pupils and their teachers. I had three main objectives for preparing this book: 1. To bring the book up-to-date in both depth and scope, so that it may reflect recent discoveries and advances in the fields of pediatric dentistry. 2. To present the matter with appropriate explanations and functional examples so that it can be more accessible to a larger group of students. 3. To make the book fully career-oriented, to fulfill the needs of every undergraduate and postgraduate students. It was a joy for me to write this book. Over years of teaching I have found that students learn best from short, focused chapters. Students learn more when presented with concise illustrated educational material. I would say that along with the vast knowledge that the book covers, it is an affordable book for keen and eager students. Emphasis has been placed on clarity and importance of mastering fundamentals. I have made a sincere effort to minimize all sorts of errors including textual, grammatical and clinical. Even then, some minor errors may have been incorporated inadvertently. I request you to overlook all those errors that may be regarded as insignificant and I would humbly accept your corrections for the significant one for the benefit of students and others. Vinay Kumar Srivastava Acknowledgments At the very outset, I bow my head to Almighty who blessed me with his worthy blessing, bestowed me with his kind grace, provided me necessary strength, courage and good health to reach this stage and made it possible for me to bring out this manuscript into book form titled Modern Pediatric Dentistry. I am thankful to my parents and grandparents, whose unforgettable sacrifices and choicest blessings have provided me the opportunity to be educated. I am deeply indebted to my revered teacher and pathfinder specially Professor JN Jaiswal, Professor Sobha Tandon, Professor Sarkar, and Professor Satish Chandra who have very dexterously guided me through the difficult and painstaking path of successfully completing this endeavor. My sincere thanks to my PG students specially Dr Somya, Dr Ankur, Dr Nitin, Dr Tazeen, Dr Rajat, Dr Saima, Dr Sansriti and Dr Kirti who were always ready to help me in my moments of need. I shall always remember the co-fraternity (Pedodontist) of my dear colleague, Professor IK Pandit, Professor Sameer Dutta, Professor Mousami, Professor Rani Somani, Professor Usha Mohan Das, Professor Bharat Bhushan, Professor Nikhil Srivastava, Professor Dr MK Jindal (AMU), Associate Professor Abhay, Dr Rana (Shubarti, Meerut), Associate Professor Neerja, Dr Monica, Dr Abhay Mani (BBD, LKO). Associate Professor Somya Navit, Dr Gyanendra, Associate Professor AG Nigam, Associate Professor Afroz (Carrier dental LKO), Dr SB Pustakey, Dr Anshul, Dr RK Chak, Dr Seema Choudhary, Dr Suleman Abbas, Dr Sarika Garg, Dr Seema Sohel, and all the Pedodontists of India and abroad who were always ready to help me in my moments of need. I am deeply indebted to my wife Ekta Srivastava for her unflinching support, patience and prayers, which were a great incentive in reaching this place and completing this work. I ought not to fail to mention my thanks to management of SDC Lucknow who have always emboldened me and boosted my morale, and to all my friends specially Professor RK Dubey (AMU), Professor TP Chaturvedi (BHU), Dr HC Baranwal and Captain PK Srivastava (Army corps). Last but not the least, I would like to thank all those who directly or indirectly helped me to complete this manuscript in time. Contents 1. Scope and Importance of Pediatric Single in House Facility 12 Dentistry ......................................... 1 Joint Facilities Serving Several Hospitals 12 Definition 1 Delegating the Task to an Independent 12 Brief History of Pedodontics in India 1 Collection Service 12 Scope of Pedodontics 1 Waste Treatment Combustion Chamber Vastness of Pedodontics 2 (Low Temperature Carbonization) 12 Procedures and Pictures 2 Reheating Chamber 13 Importance of Pedodontics 3 Heat Exchangers 13 Challenges for Pediatric Dentistry in 13 21st Century 3 Advantages of Incineration Waste Minimization Options 13 2. Infection Control in Pediatric Source Reduction 13 Dental Clinic .................................... 4 Recycling and Reclamation 14 Introduction 4 Conclusion 14 Infection Control: Precaution and History 4 3. Set-up of Pediatric Dental Clinic...... 15 Sterilization of Endodontic Instrument 4 15 Autoclave 4 Introduction Sterilization of Gutta-percha 5 How to Communicate with the Child in Dental Operatory 18 Sterilization of Silver Cone 5 Record Keeping 18 Sterilization of Glass Slab or Health Education Room 18 Dappen Dishes 5 19 Sterilization by Formalin Gas Chamber 5 Modification of Clinic for Disabled Child 19 Laser Beam Sterilization 6 Dental Office Access Infection Control to the Dental Staff 6 4. Child Examination, Diagnosis and Infection Control to the Patient 6 Treatment Planning......................... 20 Infection Control in Diabetic Dental Patient 6 Aim and Objective of Childs Disinfection of Operatory Orofacial Examination 20 Surface and Dental Appliances 6 Introduction to the Pediatric Dentistry 20 Careful Handling of Biopsy Specimen 7 Risk Assessment and Orofacial Examination 20 Infections Control Through Prevention 20 8 Hospital Waste