SP-36 The Pediatric Endodontic Patient: Understanding How Behavior Management, Diagnostic Criteria and Use of Innovative Techniques and Materials Can Create the Best Outcomes for This Complex Population
CE Hours: 1.0
Description: The pediatric endodontic patient poses a challenge both in patient management and the status of root development. Often treatment decisions are affected by the ability to manage the behavior of the child. Knowing the various modalities available will be reviewed so that optimum treatment is sought. Dr. Usman has a philosophy of proactive treatment versus "waiting and watching" which will minimize untoward sequelae such as infection and discoloration of the tooth as well as facilitate an optimum and conservative, long-term restorative solution. Starting with a thorough understanding of diagnosis and the role of frequent recall, she will demonstrate the management of various patients who have undergone trauma or have gross caries which threaten the premature loss of the permanent tooth. A review of diagnosis and the various spectrum of pupal therapeutic techniques from apexogenesis to indirect pulp capping, modified apexification, and regenerative treatments. The clinical uses of various materials such as MTA, Endosequence bioceramics, Biodentine calcium silicate cement and collagen containing materials which have been demonstrated to have applications, will be compared. Using her own personal cases Dr. Usman will highlight her process of establishing a treatment plan taking into consideration the psychosocial factors, diagnosis and short term and long term prognoses. Some interdisciplinary time-sensitive treatments will be discussed such as decoronation and autotransplantation which involve other specialists such as orthodontics and oral-maxillofacial surgery and periodontics.
Learning Objectives:
- List various treatment options available to manage the complex pediatric endodontic patient.
- List the materials needed to perform the intended treatment on the complex pediatric patient.
- Create a treatment plan based on the patient's psychosocial factors, diagnosis and desired treatment outcome.
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LockedNajia Usman, D.D.S.
Najia Usman, DDS Dr. Najia Usman graduated from SUNY Buffalo in 1995 with her DDS. After completing a one-year general practice residency at the Cleveland Clinic she furthered her interest in endodontics by completing a two-year endodontic residency at Oregon Health and Sciences University, Portland, Oregon in 2002. She was awarded her Diplomate Status by the American Board of Endodontics in 2009. Dr. Usman has been in private practice since 2002. Though she practices full-scope endodontics, she has cultivated an interest in the endodontic management in trauma, pediatrics and resorptive lesions. She has organized and lectured in dental trauma symposiums. She has lectured and clinically taught dental students, endodontic and pediatric residents. She has lectured nationally and locally to study clubs on topics such as Endo-Perio, Atypical Facial Pain, Regenerative Endodontics and Pulpal injuries after Oro-Facial Trauma. Her study The Influence of Instrument Size on Debridement was published in the Journal of Endodontics (Feb 2004, vol 30, 110-112) has been cited over 260 times. She is an associate clinical professor at the CASE School of Dental Medicine and hold a resident teaching appointment at the Cleveland Clinic. She has held several leadership positions in organized dentistry at the state and national level for the American Dental Association and the American Association of Endodontics. She is the proud mother of 4 children ages 20-30 and has been married to and shares a private multi-specialty practice with Dr. Faisal Quereshy OMFS for 30 years. They reside in Cleveland, Ohio.
Disclosure(s): No financial relationships to disclose