Please activate JavaScript!
Please install Adobe Flash Player, click here for download
ePaper created 2018-03-06, 08:52:14 | version 1.38.0
| research Fig. 1 Fig. 2 Figs. 1 & 2: The laser is a helpful tool in the dental treatment of children that can be used for various procedures. Pulpectomy procedure in primary tooth with abscess or fistula In cases where there are long standing infections or chronic irreversible pulpitis, it becomes invariable to use both diode and erbium laser sterilisation after the laser assisted access and further steps as described above. Until the point that canals are found completely dry, ob- turation is deferred. Usually it takes one or two visits to complete the final step of obturation in teeth with abscess or fistula. The entire treatment is completed with intrapul- pal drops of anaesthesia when required. No infiltrations or blocks are used in the entire procedure. This procedure has been practiced as an alternate to pre-times extraction of primary teeth that has to be then replaced with a space maintainer. Most of the parents prefer this approach when compared to extraction, as they do understand that having the natural tooth as the space maintainer is indeed the best approach. Benefits of “No Anaesthesia” dentistry – No risk of children having traumatic bite after the pro- cedure is completed. The times when anaesthesia in children was a common practice, it was imperative to let the child and parents know about the numbing ef- fect that would stay for few hours after the procedure. Cotton roll is given to bite on so that it serves as a re- minder for the child. – Despite all these precautions, children may still land up in biting there lip or cheek. Once there is a traumatic bite, there is nothing much that can be done as the traumatized tissue has to self-heal. This can be quite painful for the child, thereby defeating the entire pur- pose of pain free dental approach. – Multi-quadrant dentistry can be practiced on the same day, same appointment. – There is actual saving of chairside time, as there is no waiting period for local anaesthesia to work. – Children can eat a few minutes after the procedure, which is not the case with dental local anaesthesia. Conclusion Practicing contemporary dentistry in children with the appropriate usage of technology and the key tools, is the way forward. The benefits of the “No Anaesthesia” er- bium approach far outweighs the existing alternatives. This kind of professional approach can certainly become the gold standard for dentistry in children in the very near future. contact Dr Imneet Madan Specialist Pediatric Dentist MSc Lasers Dentistry (Germany) MDS Pediatric Dentistry MBA Hospital Management Children’s Dental Center, Dubai Villa 1020 Al Wasl Road Umm Suqeim 1, Dubai United Arab Emirates Tel.: +971 506823462 imneet.madan@yahoo.com www.drmichaels.com 10 roots 1 2018