Dr. Riad Bacho

DDS, Cert Oral Biology, PhD; Coordinator, Master Studies, Faculty of Dental Medicine, Lebanese University

 Dental Traumatology: A Pediatric Dentist’s Perspective

Significant improvements have taken place in all aspects of dentistry in the past 25 years. Improvements have also occurred in the area of dental trauma: increased knowledge of the outcome of treatment approaches, improvement in materials and techniques, and other factors ultimately leading to better management and more predictable results. Management of dental trauma in children and adolescents by a pediatric dentist is of special importance, since growth and maturation play an important role in the decision-making process. This vision enables different decisions that directly alter the final treatment when the child is ready for the permanent restoration. Clinical cases of traumatic injuries to primary and permanent teeth will be presented, as well as trauma to periodontal tissues and supporting bone. Emphasis will be demonstrated on the importance of accurate diagnosis, initial treatment and the long-term follow-up in determining the prognosis of a traumatic injury. This will provide a guide to saving teeth, restoring function and improving esthetics, taking into consideration the long-term treatment plan and the demands required for optimal final restorations.

 Learning objectives:

  • A better understanding of the concept of dental trauma in children.
  • Focusing on the role of prevention of dental trauma and its complications.
  • Learning the appropriate management techniques involved in dental traumatology.
  • Grasping the importance of growth when dealing with trauma in young patients.

 Cone beam computed tomography (CBCT) in Pediatric Dentistry

Cone Beam Computed Tomography (CBCT) has become an increasingly important source of three dimensional (3D) volumetric data in clinical pediatric dentistry since its introduction into dentistry in 1998. CBCT has greatly improved diagnosis and treatment planning, especially in complex cases where conventional radiographic techniques are insufficient. The decision to use CBCT should be based on the specific diagnostic information required. As with any other radiographical techniques, routine use of CBCT is not an acceptable clinical practice. CBCT certainly has a place in pediatric dentistry, but its use must be justified on an individual patient case basis. This presentation deals with case reports of patients with various pediatric dental problems to demonstrate the need for accurate diagnosis and treatment planning based on a comprehensive evaluation using CBCT.