Talk to us?

Pedodontics - NEETMDS- courses
NEET MDS Lessons
Pedodontics

Agents Used for Sedation in Children

  1. Nitrous Oxide (N₂O)

    • Type: Gaseous agent
    • Description: Commonly used for conscious sedation in pediatric dentistry. It provides anxiolytic and analgesic effects, making dental procedures more tolerable for children.
  2. Benzodiazepines

    • Examples:
      • Diazepam: Used for its anxiolytic and sedative properties.
      • Midazolam: Frequently utilized for its rapid onset and short duration of action.
  3. Barbiturates

    • Description: Sedative-hypnotics that can be used for sedation, though less commonly in modern practice due to the availability of safer alternatives.
  4. Chloral Hydrate

    • Description: A sedative-hypnotic agent used for its calming effects in children.
  5. Narcotics

    • Examples:
      • Meperidine: Provides analgesia and sedation.
      • Fentanyl: A potent opioid used for sedation and pain management.
  6. Antihistamines

    • Examples:
      • Hydroxyzine: An anxiolytic and sedative.
      • Promethazine (Phenergan): Used for sedation and antiemetic effects.
      • Chlorpromazine: An antipsychotic that can also provide sedation.
      • Diphenhydramine: An antihistamine with sedative properties.
  7. Dissociative Agents

    • Example:
      • Ketamine: Provides dissociative anesthesia, analgesia, and sedation. It is particularly useful in emergency settings and for procedures that may cause significant discomfort.

Colla Cote

Colla Cote is a biocompatible, soft, white, and pliable sponge derived from bovine collagen. It is designed for various dental and surgical applications, particularly in endodontics. Here are its key features and benefits:

  • Biocompatibility: Colla Cote is made from natural bovine collagen, ensuring compatibility with human tissue and minimizing the risk of adverse reactions.

  • Moisture Tolerance: This absorbable collagen barrier can be effectively applied to moist or bleeding canals, making it suitable for use in challenging clinical situations.

  • Extravasation Prevention: Colla Cote is specifically designed to prevent or reduce the extravasation of root canal filling materials during primary molar pulpectomies, enhancing the success of the procedure.

  • Versatile Applications: Beyond endodontic therapy, Colla Cote serves as a scaffold for bone growth, making it useful in various surgical contexts, including wound management.

  • Absorbable Barrier: As an absorbable material, Colla Cote gradually integrates into the body, eliminating the need for removal and promoting natural healing processes.

Classifications of Intellectual Disability

  1. Intellectual Disability (General Definition)

    • Description: Intellectual disability is characterized by significant limitations in both intellectual functioning and adaptive behavior, which covers many everyday social and practical skills. It originates before the age of 18.
  2. Classifications Based on IQ Scores:

    • Idiot

      • IQ Range: Less than 25
      • Description: This classification indicates profound intellectual disability. Individuals in this category may have very limited ability to communicate and perform basic self-care tasks.
    • Imbecile

      • IQ Range: 25 to 50
      • Description: This classification indicates severe intellectual disability. Individuals may have some ability to communicate and perform simple tasks but require significant support in daily living.
    • Moron

      • IQ Range: 50 to 70
      • Description: This classification indicates mild intellectual disability. Individuals may have the ability to learn basic academic skills and can often live independently with some support. They may struggle with complex tasks and social interactions.

Behavioral Traits Associated with Parenting Styles

Various behavioral traits that can be associated with different parenting styles:

  • Overprotective: Children may become dominant, shy, submissive, or anxious due to excessive protection.
  • Overindulgent: This can lead to aggressive, demanding behavior, and frequent temper tantrums, but may also foster affectionate traits.
  • Rejecting: Children may appear well-behaved but can struggle with cooperation, often being shy and crying easily.
  • Authoritarian: This style may result in aggressive, overactive, and disobedient behavior, with children being evasive and dawdling.


Erythroblastosis fetalis
Blue-green colour of primary teeth only. It is due to excessive haemolysis of RBC. The Staining occurs due to diffusion of bilirubin and biliverdin into the dentin


Porphyria
Purplish brown pigmentation. to light and blisters on The other features hands and face e Hypersensitivity are are red red coloured urine, urine,


Cystic fibrosis
(Yellowish gray to dark brown. It is due to tetracycline, which is the drug of choice in this disease


Tetracycline

Yellow or yellow-brown pigmentation in dentin and to a lesser extent in enamel that are calcifying during the time the drug is administered. The teeth fluoresce yellow under UV light 

Types of Fear in Pedodontics

  1. Innate Fear:

    • Definition: This type of fear arises without any specific stimuli or prior experiences. It is often instinctual and can be linked to the natural vulnerabilities of the individual.
    • Characteristics:
      • Innate fears can include general fears such as fear of the dark, loud noises, or unfamiliar situations.
      • These fears are often universal and can be observed in many children, regardless of their background or experiences.
    • Implications in Dentistry:
      • Children may exhibit innate fear when entering a dental office or encountering dental equipment for the first time, even if they have never had a negative experience related to dental care.
  2. Subjective Fear:

    • Definition: Subjective fear is influenced by external factors, such as family experiences, peer interactions, or media portrayals. It is not based on the child’s direct experiences but rather on what they have learned or observed from others.
    • Characteristics:
      • This type of fear can be transmitted through stories told by family members, negative experiences shared by friends, or frightening depictions of dental visits in movies or television.
      • Children may develop fears based on the reactions of their parents or siblings, even if they have not personally encountered a similar situation.
    • Implications in Dentistry:
      • A child who hears a parent express anxiety about dental visits may develop a similar fear, impacting their willingness to cooperate during treatment.
  3. Objective Fear:

    • Definition: Objective fear arises from a child’s previous experiences with specific events, objects, or situations. It is a learned response based on direct encounters.
    • Characteristics:
      • This type of fear can be linked to a past traumatic dental experience, such as pain during a procedure or a negative interaction with a dental professional.
      • Children may develop a fear of specific dental tools (e.g., needles, drills) or procedures (e.g., fillings) based on their prior experiences.
    • Implications in Dentistry:
      • Objective fear can lead to significant anxiety and avoidance behaviors in children, making it essential for dental professionals to address these fears sensitively and effectively.

Explore by Exams