How to Manage Children in Dental Pain – Paediatric Emergencies – PDP159

If the thought of dealing with little patients sends a shiver down your spine, then this one might be for you. This week we teamed up with Dr. Emma Ray-Chaudhuri, a paediatric specialist, to tackle the topic of children in dental pain. We discuss pain assessment for all ages, radiographs, and treatment options in hopes to make this topic a tad less daunting!




https://youtu.be/2pTWukJwM_s
Watch PDP159 on Youtube



Check out Dr. Ray-Chaudhuri’s website for further details on upcoming lectures spanning various dental topics: graystonereferral.com 



SDCEP guidelines: https://www.sdcep.org.uk/media/2zbkrdkg/sdcep-prevention-and-management-of-dental-caries-in-children-2nd-edition.pdf



Need to Read it? Check out the Full Episode Transcript below!



Highlights of the episode:00:00 Intro01:32 The Protrusive Dental Pearl03:11 Dr. Emma Ray-Chaudhuri09:23 Children in pain11:13 Babies and toddlers12:18 Preschool/school children13:20 Teenagers15:15 Building rapport17:00 Radiographs26:06 Fissure sealants and brushing29:58 Abscesses31:10 Irreversible vs. reversible pulpitis32:49 Temporary restorations and the hall crown technique39:08 Pulp therapy42:24 The FiCTION trial44:45 Cleansable cavities45:59 MIH50:03 Sensitivity54:24 International variations55:56 Dr. Ray-Chaudhuri’s socials56:58 Outro



If you liked this episode, you will also like Paediatric Dentistry Communication and Prevention Part 1 and Part 2







Click below for full episode transcript:



Jaz's Introduction: In this episode with pediatric dentist, Dr. Emma Ray-Chaudhuri, we share about the Management of the Child in Dental Pain. What are the BEST GUIDELINES ? And on that note, the guidelines we discuss and the advice Emma offers very much based on UK guidelines, specifically the SDCEP guidelines, which I will make available to download below.



Jaz's Introduction:And this might be different to those in the US or all around the world. Ultimately, you guys, Protruserati are an international community. So remember that a lot of the advice here is very UK centric, and there are some differences culturally and internationally in terms of guidelines. So just bear that in mind as we discuss Best Management for Children.



Hello, Protruserati. I'm Jaz Gulati, and welcome back to the Protrusive Dental Podcast. We're covering a pediatric dentistry theme, which is something that we haven't covered in a long time. And I want to cover something that is really REAL WORLD, something that affects general dentists day in, day out, and children in pain.



Like, I hate to see it as a dentist, as a father. I hate to see children patient who are in pain. It's also one of the most stressful things that a dentist can face because it's very difficult to get a good history. It's very difficult to do an exam. Like some children will just not let you examine their mouth properly.



So how can you get the best diagnosis? In terms of managing them, there's so many different variables and considerations, which you'll hear about today. We talk about deep caries, reversible pulpitis, irreversible pulpitis, abscesses, and how best to manage those in your patients. But these can vary so much depending on the overall status of the child's oral health, the attitude of the child and the parent, and also how many teeth are actually involved.



So remember that this episode is offering guidelines and I'll give you some good information about what to do at the emergency visit, but also how to do a comprehensive exam afterwards.



Protrusive Dental PearlThe Protrusive Dental Pearl I have you is related to pediatric dentistry. It's the use of something called Fuji Triage by GC as an alternative to fissure sealants for actually sealing fissures.



So let me give you more information about this. Recently I saw my son Ishaan, in the dental chair because he's got these super deep fissures. And I discussed this with Emma in the episode actually. He's got these super deep fissures and every time he eat...