
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.
Key:






Najia Usman, D.D.S.
Originally born and raised in Toronto Canada, Najia Usman graduated from SUNY Buffalo in 1995 with her D.D.S. After completing a 1 year general practice residency at the OHSU, Portland, Oregon in 2002. She became a Diplomate of the American Board of Endodontics in 2009.
Dr. Usman has been in Private Practice since 2002 having started her own private practice Visage Endodontics. 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 holds a position as clinical associate instructor at CWRU SODM. 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”. She has been heavily involved in organized dentistry sitting and chairing the Membership Commitee and serving two terms on the Annual Session Commitee. She is a former executive board member of the ODA holding the 2 year position of Secretary and has been an ADA delegate for 6 years and was recently appointed to a 4 year position on the Council of Dental Examination and Licensure. She has served as President of the Ohio Association of Endodontists and is currently serving on the American Association of Endodontics Public and Professional Relations Council. She also has a quarterly opinion-ed column for the past ten years in The ODA Today "the Happy Dentist".
Speaker Disclosure
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.