Paediatric Dentistry Case Study

Paediatric Dentistry Assignment

V28/36721/2010

Moderator- Prof G Opinya

Questions

1) Significance of record keeping in Paediatric dentistry

2) Current concepts in the management of traumatic injuries

3) Law and ethics in the practice of Paediatric dentistry

4) Significance of KEPI and relation to Traumatic injuries

1) Significance of record keeping in Paediatric dentistry

Dentists need to make and keep correct dental records of care provided to patients.

Introduction

The dental record must be accurate. Information is listed in order of importance in a standardized order making it less likely that an area might be overlooked.

Components of a patient record

The dental record must have each of the following:

• Patient’s

Diagnosis: clinical and radiographic findings reveal a loss of tooth structure with pulp exposure.

Treatment objectives: to maintain pulp vitality and restore normal aesthetics and function. Injured lips, tongue, and gingiva should be examined for tooth fragments.

3) Crown/root fracture

Definition: an enamel, dentin, and cementum fracture with or without pulp exposure.

Diagnosis: Clinical findings usually reveal a mobile coronal fragment attached to the gingiva with or without a pulp exposure. Radiographic findings may reveal a radiolucent oblique line that comprises crown and root in a vertical direction in primary teeth and in a direction usually perpendicular to the central radiographic beam in permanent teeth. While radiographic demonstration often is difficult, root fractures can only be diagnosed radiographically.

Treatment objectives: to maintain pulp vitality and restore normal aesthetics and function.

4) Root fracture

Definition: a dentin and cementum fracture involving the pulp.

Diagnosis: Clinical findings reveal a mobile coronal fragment attached to the gingiva that may be displaced. Radiographic findings may reveal 1 or more radiolucent lines that separate the tooth fragments in horizontal

It is important for the dentist to understand the law.

Doctor-patient contract

A contract is an obligation to do or not to do a particular thing.

A dentist may refuse to treat a patient for any reason except race, creed, colour, national origin or based upon a person’s disability. Patients suffering from HIV, fall into the category of disabled persons.

Consent

The term consent is defined as “when two or more person agree upon, same thing in same sense they are said to be in consent”

Who can give consent?

For purpose of clinical examination diagnosis and treatment, consent can be given by any person who is conscious, mentally sound and above 12 years of age

When is consent not valid? Consent given under fear, fraud or misrepresentation of facts, or by a person who is ignorant of implications of consent or who is under 12 years of age is invalid.

Types of consent:

• Implied consent: The fact that a patient comes to a doctor for an ailment implies that he is agreeable to medical examination in general sense.

• Express consent: Anything other than implied consent is express consent. This may be either oral or written. Express oral consent is obtained for relatively minor examination or therapeutic