This book will help prepare you for all the potential challenges and energize you for all the fun of pediatric dentistry. Remember: You would rather have a child make some noise and have no decay than have a mouth full of decay that could have been avoided. Read the book, and it’s that easy. With every child you can handle, there are parents who will become your raving fans. Ulrike Uhlmann is a dear friend and colleague, and her pediatric skills and knowledge are beyond reproach. She has spent many hours creating this book to help inspire you, reward you, and help you have some fun at the same time. Take your time reading it, and make notes or highlight it when and where you can. Let your staff read this as well, as this is a great resource for them. I had a staff meeting in my practice to review it, and the response was a unanimous GREAT!
Lee Weinstein, DMD, FASDC
Pediatric Dentist and Consultant
Scottsdale, Arizona
I was more or less pushed into pediatric dentistry in 2010, shortly after starting to work as a general dentist. The early stages were fraught with a succession of small challenges. Of course we had learned how a pulpotomy works in our studies, but hardly any of us really had the opportunity to treat young patients ourselves.
A lot of questions do not come to light until the little kid is sitting there right in front of you. As an inexperienced dental practitioner, you constantly face situations that take you well outside your comfort zone. Children, in particular, have a keen sense of the person facing them, and you very quickly notice as a practitioner that the more confidently and purposefully you conduct yourself, the more likely you are to be successful. Back then, I benefited first and foremost from colleagues who shared their many years of experience through observation sessions and continuing education.
This book is intended as an introduction to one of the most fulfilling areas of activity in dentistry. It cannot and should not replace continuing professional development but aims to offer insight into this highly varied field. I hope I have managed to bring together fundamental knowledge that will make it easier for people taking their first steps into the field of pediatric dentistry. The structure of the book is based chronologically on a treatment session. The outcome of any treatment stands or falls by proper communication, and parents HAVE to be educated as to their vital role on the team. Examination and diagnosis then take place, followed by various treatments.
Child patients are something of a bête noire for many colleagues, whether they are recently qualified or have had many years on the job. Recent years have seen more focus shift to our youngest patients, with the American Academy of Pediatric Dentistry recommending a “dental home” by the time a child reaches their first birthday (see page 2). This group of patients, which is new to some dentists, raises a few questions: How do you examine a 6-month-old baby? What issues do you address with the parents? What’s the appropriate fluoride prophylaxis? From what age is it reasonable to take radiographs? How do I deal with difficult children? The parents also bombard the practitioner with a host of questions—from when teeth will erupt to teething pains and advice on pacifiers to tips and tricks for daily oral hygiene in the different age groups.
Pediatric dentistry brings together a wide variety of topics encompassing all facets of dentistry, orthodontics, nutritional sciences, and, last but not least, psychology. It involves opportunity, challenge, and responsibility all at the same time. We as clinicians must ensure that even our tiniest patients get the ideal start to enable them to live with the healthiest possible oral cavity. The special challenge, of course, is not just children’s compliance but primarily the fact that children can’t be the ones responsible for their (oral) health. It is therefore our task to educate and motivate parents and guardians and make them our allies. A good relationship with the parents not only guarantees long-term loyalty from patients beyond their childhood years, but it is also absolutely crucial to children’s good oral health. It is only when dentists manage to treat young patients properly and educate their parents that they will succeed in making a long-term contribution to children’s oral health. This book therefore offers professional and practical tips on communicating with parents and sets out to illustrate the responsibility involved in treating children. Above all, it aims to garner enthusiasm in readers for this diverse field of dentistry.
Acknowledgments
Many people have played a part in the creation of this book. A big heartfelt thank you must go to Dr Lee Weinstein. He has sacrificed many hours in order to adapt the content to American guidelines and recommendations. Besides that, he contributed so many thoughts and ideas. I appreciate his work on this book very much because he is such an experienced pediatric dentist. His compassion is absolutely inspiring. Also a big thank you to Leah Huffman, Samantha Smith, and Sarah Minor, who did not become tired in view of my comments and suggestions. Thank you for putting this together. I would also like to thank Sue Holmes, who did flawless work translating the book while keeping the narrative character. Huge thanks to Anita Hattenbach and Dr Viola Lewandowski for the editing of the German version, for constantly being accessible, and for always lending a sympathetic ear to questions or ideas.
My thanks also go to those colleagues who provided numerous images from their daily practice and were thus an immense support in the production of this book. These include Dr Gabriele Viergutz (Dresden), who contributed not only several illustrations but also some important suggestions, as well as Dr Richard Steffen (Zurich), who kindly supplied photographic material from his online atlas without hesitation. My thanks also to Dr Jorge Casián Adem (Poza Rica de Hidalgo), whose high-quality photographs provided excellent documentary records. In addition, heartfelt thanks to Dr Nicola Meissner (Salzburg) for her series of photographs and her contribution. Thank you to Prof Dr Katrin Bekes (Vienna), Claudia Lippold (Halle), Dr Juliane von Hoyningen-Huene (Berlin), dental technician Peter Schaller (Munich), Dr Bobby Ghaheri (Oregon), Dr Matthias Nitsche (Leipzig), and Prof Dr Roswitha Heinrich-Weltzien (Jena) for their photographs. An enormous thank you to Sabine Fuhlbrück (Leipzig) for providing illustrations and for her tireless work on myofunctional therapy. I also owe thanks to Dr Silvia Träupmann (Leipzig) who, with her passion for pediatric dentistry and her experience, was always ready to listen to young colleagues and willingly shared her knowledge. Thank you to Manuela Richter, a highly experienced dental assistant in pediatric dentistry, who guided and supported me so much in my first cautious steps in the field. Warmest thanks to Birgit Wolff for motivating words whenever they were needed.
During the development of this book I was in contact with many inspiring colleagues, and, as a result, I was able to expand my horizons constantly and learn a lot—for which I am extremely grateful.
Last but not least, thank you to my husband who supported this project from the outset, who motivates me continually, and lightens the burden for me time and time again. Without him this book and many other accomplishments would never have been possible. Thank you.
Because this book was originally published in German, much of the literature cited comes from German sources. Therefore, included below is a list of helpful resources in English for navigating the waters of pediatric dentistry.
American Academy of Pediatric Dentistry: www.aapd.org
The AAPD has many resources available on its website from scientific research on specific topics to medical history forms that can be downloaded and adapted for clinical use.
ADA MouthHealthy: www.mouthhealthy.org
This website sponsored by the American Dental Association offers practical information and resources