Principles and Practice Of Pedodontics

522 Pages·2012·22.887 MB·English

by  Arathi Rao

Principles and Practice of
PEDODONTICS
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Principles and Practice of
PEDODONTICS
Third Edition
Editor
Arathi Rao MDS
Professor and Head
Department of Pedodontics and Preventive Dentistry
Manipal College of Dental Sciences, Manipal University
Mangalore, Karnataka, India
e-mail: [email protected]
Foreword
V Surendra Shetty
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the drug or device.
Principles and Practices of Pedodontics
First Edition: 2006
Second Edition: 2008
Third Edition: 2012
ISBN: 978-93-5025-891-0
Printed at
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Contributors
Ashwin Rao MDS Sumanth KN MDS
Associate Professor Professor and Head
Department of Pedodontics and Department of Oral Medicine and Radiology
Preventive Dentistry Thai Moogambigai Dental College and Hospital
Manipal College of Dental Sciences Dr MGR University
Manipal University Chennai, Tamil Nadu, India
Mangalore, Karnataka, India
Suprabha BS MDS
Ashwini Rao MDS Associate Professor
Professor and Head Department of Pedodontics and
Department of Community and Preventive Dentistry
Preventive Dentistry Manipal College of Dental Sciences
Manipal College of Dental Sciences Manipal University
Manipal University Mangalore, Karnataka, India
Mangalore, Karnataka, India
Ramya Shenoy MDS
Reader
Department of Community and
Preventive Dentistry
Manipal College of Dental Sciences
Manipal University
Mangalore, Karnataka, India
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Foreword
I am extremely pleased to write the foreword for the third edition of the book titled Principles and Practice of Pedodontics
by Dr Arathi Rao. I have seen the book grow from its first edition to the present edition. The previous editions of
this book have done extremely well and have fulfilled the need for a concise and comprehensive book, as reflected
by its enormous popularity.
Dr Arathi Rao is an extremely focused and goal-oriented professional. She is committed to her specialty and
department. Her concern for children and their health has made her achieve, what she is today as both an academician
and a clinician. She is very innovative, always ready with new ideas and definitely this quality will help her achieve
higher levels in her career.
The second edition was a brilliant upgrade. The present edition is definitely a class ahead. I would like to
congratulate the author for bringing out the present edition and wish her good success in all her endeavors.
V Surendra Shetty MDS
Dean
Manipal College of Dental Sciences
Mangalore, Karnataka, India
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Preface to the Third Edition
Progress in information and research is non-stoppable neither my addition of new information to the previous
editions of my book. Pulp Therapy and Preventive Dentistry are two divisions of Pedodontic Practice that have
been expanding in great speed. Newer additions in the Pulp Therapy chapter have been techniques like use of MTA
(Mineral Trioxide Aggregate), Apical Plug Placement, Regeneration, etc.
Preventive Dentistry is the most revolutionized branch of Pediatric Dentistry. Newer concepts of management,
such as Caries Risk Assessment, Dental Home, Anticipatory Guidance, etc. have been included.
Child Psychology has always been a difficult chapter to understand. In the present edition, I have enriched this
topic and have tried to make it easy-to-understand and interesting.
The presentation of the chapters have been modified and merged into different sections for easy understanding.
Questions are added at the end of each chapter. I believe this will help the students to evaluate themselves. And those
with extra thirst for information can benefit from the References and Further Reading at the end of each chapter.
Arathi Rao
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Preface to the First Edition
Pedodontics has always been a subject which is interesting but very vast. It is very difficult to find a book that is
complete and suited for the undergraduate students, which is comprehensive, yet easy to understand. I have tried
to cover all the topics in compliance with the syllabus of various universities in a very easy-to-understand way with
adequate illustrations. Some extra useful information is given in separate boxes which makes it easy to read and
remember. This book is aimed at helping the undergraduate students to have a better knowledge of pedodontics
and to reproduce the same during the examinations.
I would request the readers to send their valuable suggestions and advice to me.
Arathi Rao
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Acknowledgments
Thanks to all the students all over the country and abroad for appreciating the previous editions of the book.
Three people to whom I vow what I am today are—my parents Dr (Prof) K Nagesh Rao and Mrs Usha N Rao,
and my dear guide Dr Subrato Sarkar.
The affection and support given to me by my family is heartening.
Last but not least for whom my whole life is dedicated, Arjun my wonderful son, without whom there is no
meaning to my life.
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Contents
1. Introduction ....................................................................................................................................................1
• Definition 1
• Pedodontics in India 2
• Aims and Objectives of Pedodontic Practice 2
• Scope of Pedodontics 2
• Specific Differences between Child and Adult Patients 2
• Responsibilities of the Pedodontist 6
2. Morphology of Deciduous Teeth ...............................................................................................................8
• Differences Between a Deciduous Tooth and a Permanent Tooth 8
• Morphology of Individual Deciduous Teeth 9
• Practical Application of Understanding Tooth Morphology 12
3. Case History, Examination and Treatment Planning ...........................................................................15
• Need for Patient Evaluation 15
• Vital Statistics 16
• Chief Complaint 17
• History 17
• Examination 19
• Provisional Diagnosis 33
• Investigation 33
• Final Diagnosis 36
• Treatment Planning 36
4. Growth and Development .........................................................................................................................40
Craniofacial Growth 40
• Definition of Growth and Development 40
• Factors Influencing Growth 41
• Normal Human Growth 41
• Growth Spurts 43
• Measures of Growth 43
• Practical Significance of Predicting Development 45
• Mechanisms of Growth 46
• Postnatal Growth 47
Psychological Growth 53
• Definition 53
• Values of Knowing that Children Develop Differently 53
• Major Developmental Periods in the Development of a Child to a Full Matured Adult 54
• Theories of Psychological Development 56
• Psychodynamic Theories 56
Emotional and Social Development 72
• Conditions Responsible for Emotional Maturation 72
• Stages of Emotional and Social Development 72
Speech and Language Development 79
• Definition 79
• Stages of Speech and Language Development 79
Motor Development 82
• Principles of Motor Development 82
• Stages of Motor Development 82
• Learning Motor Skills 82
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