Individual Supporting

Dentofacial Systemic
Tooth Tissue Variations
Behavior
Pathology
Pathology Pathology

100 100 100 100 100

200 200 200 200 200
300 300 300 300 300
400 400 400 400 400
500 500 500 500 500
600 600 600
700
Individual Tooth Pathology 100
What are some possible full coverage
treatment options for primary caries in
the anterior dentition
Individual Tooth Pathology 100
Composite Strip Crowns
Stainless Steel Crowns
Individual Tooth Pathology 200
• A 6 year old female presents with a CC of discomfort of the lower
anterior
• A radiograph shows no caries

• What is the likely source of discomfort

Individual Tooth Pathology 200
Exfoliating Lower Incisors
Individual Tooth Pathology 300
Where do you see the first radiographic signs in necrotic primary
teeth
Individual Tooth Pathology 300
Furcation Area/ Radicular Area Apex for Anteriors
Individual Tooth Pathology 400
What is a possible etiology
of the tooth destruction
seen on the image
Individual Tooth Pathology 400
Dental Erosion

- Acid Reflux (Gerd)

- Diet
- Bulimia
Individual Tooth Pathology 500
A 7 year old female
patient has a CC of
yellowish, sensitive
primary teeth. What is
this condition, and do you
expect the permanent
teeth to look the same?
Individual Tooth Pathology 500
Generalized enamel hypoplasia strongly
suggests:
Amelogenesis Imperfecta

Affects ALL of the dentition (primary

and permanent)
Genetic inheritance is mixed (multiple
possible genes)
Individual Tooth Pathology 600
What are the indications for a pulpectomy in primary molars,
describe the basics of the technique
Individual Tooth Pathology 600
Uncontrolled bleeding from orifices, symptoms of irreversible
pulpitis,
At least 2/3rds root development present
Individual Tooth Pathology 700
What type of space maintainer would you use for the following
situation and what would happen if a space maintainer were not
placed
Individual Tooth Pathology 700
Distal Shoe Appliance for premature loss of second molars
Mesial drift and/or tipping leading to space loss
Premolar Impaction
Supporting Tissue Pathology 100
What are possible causes of the following
lesion
Supporting Tissue Pathology 100
• Recurrent Oral HSV
• Aphthous Ulceration
• Traumatic Ulceration
• Celiac Disease
Supporting Tissue Pathology 200
What is the name and Etiology of the following lesion
Bonus for what ages it will typically appear in
Supporting Tissue Pathology 200
Riga-Fede – Trauma to the ventral tongue due to premature eruption
of the lower incisors (or supernumerary)
Occurs 0-6 months
Supporting Tissue Pathology 300
Restorations were placed in a healthy 4 year
old female yesterday. She presents with the
following lesions. What is the likely etiology?
Supporting Tissue Pathology 300
Lip biting following mandibular block
anesthesia
Supporting Tissue Pathology 400
What is the appropriate treatment for the following lesion
Supporting Tissue Pathology 400
Eruption Cysts – Generally requires no treatment, however if
eruption is delayed then surgical exposure is required.
Supporting Tissue Pathology 500
What is the likely diagnosis of the pictured lesion
Supporting Tissue Pathology 500
Dentigerous Cyst Associated with Impacted #8
OKC
AOT
Ameloblastoma
Dentofacial Variations 100
Kyle is a 11 year old male concerned because he does not have all of
his adult teeth yet, while his twin sister already does.

What is the normal eruption time of the Permanent Maxillary Canine

and why is Kyle delayed relative to his sister
 Dentofacial Variations 100
11-12 years for Canine
Females are typically
advanced compared to
males
Dentofacial Variations 200
How would you describe this
primary molar relationship and
what is the permanent molar
relationship
Dentofacial Variations 200
Distal Step relationship, most
frequently progresses to a Class II
Dentofacial Variations 300
Rebecca is a 7 year old female with an anterior open bite. She admits
to a thumb sucking habit that she wants to stop but is having
trouble. What appliances could you recommend to help?
Dentofacial Variations 300
Blue grass
Tongue crib
Dentofacial Variations 400
What type of appliance might be used to correct the problem shown
below
Dentofacial Variations 400
Hyrax
Quad Helix
(Expansion)
Dentofacial Variations 500
What are some of the treatment options for the following eruption
pattern
Dentofacial Variations 500
No treatment (spontaneously resolves 66% of the time)
Orthodontic Separators
Pendulum appliance
Halterman appliance
Behavior 100
What basic behavior guidance technique involves describing a
clinical procedure, demonstrating it, the performing the procedure
Behavior 100
Tell-Show-Do
Behavior 200
Who are the components of the pediatric treatment triangle
Behavior 200
The Provider

The
Patient

The Staff The Parent

Behavior 300
Describe the technique of Voice Control, a situation where it may not
be effective, and a potential drawback even when properly used
Behavior 300
Voice control is a deliberate alteration of voice volume, tone, or pace
to influence and direct the patient’s behavior. While a change in
cadence may be readily accepted, use of an assertive voice may be
considered aversive to some parents unfamiliar with this technique
The technique is not effective
when children have impaired
hearing (deafness,
headphones)
Behavior 400
What are some contraindications for nitrous oxide
Behavior 400
Recent Ear Infection
COPD
Bleomycin therapy
Pregnancy
Nasal Polyps
Behavior 500
What are key features of documentation for the use of nitrous oxide
Behavior 500
Informed Consent
Indications
% Nitrous Oxide
Flow rate
Duration
Post-operative Oxygenation
Behavior 600
List at least 3 non-pharmacologic behavior management techniques
besides Tell-Show-Do that can be utilized in pediatric dentistry
Behavior 600
Voice Control
Multisensory Communication
Active Listening
Behavior Shaping
Retraining
Systemic Pathology 100
What are the precautions for an asthmatic patient undergoing
dental treatment
Systemic Pathology 100
Inhaler at chair side
Proper Isolation
Avoid Triggers (Stress)
Systemic Pathology 200
What is the antibiotic of choice for antibiotic prophylaxis in a child
and what is the recommended dose
Systemic Pathology 200
Systemic Pathology 300
What are two Systemic Diseases that could be
related to the pictured lesion?
Systemic Pathology 300
Leukemia
Crohn’s Disease
Cyclic Neutropenia
Apthous Major
Systemic Pathology 400
What are the cardiac conditions where you would consider antibiotic
prophylaxis in a child
Systemic Pathology 400
Systemic Pathology 500
Hemophilia A is a bleeding disorder caused by deficiency of what
hemostatic component

What is at least 1 dental consideration that must

be taken prior to treatment
Systemic Pathology 500
Hemophilia A is factor VIII deficiency

Treatment considerations:
Factor VIII transfusions
Limit Procedures
Local Hemostatic Measures
Tranexamic or Aminocaproic acid
Systemic Pathology Daily Double Test Case!!
A patient reports to your office every 2 weeks with large painful
ulcerations. They always resolve without issue, but recur
approximately every 2 weeks without fail.

What questions do you want to ask to try and determine the etiology
and what are some possible diagnoses. (You may ask the questions
first, then come up with your diagnoses)
Systemic Pathology Daily Double Test Case!!
Cyclic Neutropenia

Crohn’s Disease

Allergic Reaction

Determine the frequency and presentation of ulcers, any concurrent

symptoms, and any other medications/unusual exposures.