In this throwback episode Dr. Russell Schafer joins Kevin and Zach to talk about his second love in dentistry...pediatrics!

Key Topics & Discussion Points:

• Early Childhood Exams (Under 5):
  • Importance of parent/caregiver relationship and communication.
  • Lap-to-lap/Knee-to-knee exam technique.
  • Focus on diet (sugar intake) and sleep (snoring).
  • Identifying early signs of demineralization.
  • Goal: Creating a safe dental home.
• Older Children (5-6 and up):
  • Expectation of tolerating bitewing and PA radiographs.
  • Addressing parent's anxieties and managing expectations.
  • Importance of behavior management with both child and parent.
• Interproximal Decay:
  • Varying treatment philosophies (aggressive vs. conservative).
  • Stainless steel crowns vs. composite restorations.
  • When to refer to a pediatric dentist.
• Pulpotomies:
  • Different techniques and materials (Formocresol, Ferric Sulfate, MTA).
  • Discussion on necrotic pulp and treatment options (extraction).
  • Pulpotomies for diagnosis vs. therapy.
• Nitrous Oxide:
  • Benefits of nitrous oxide for pediatric patients.
  • Dosage and administration techniques.
• Anesthesia:
  • Choice of anesthetic (Lidocaine vs. Septocaine).
  • Techniques for minimizing discomfort during injections (e.g., shaking, "cold water" analogy).
  • Importance of adequate anesthesia for procedures.
• Sealants:
  • Concerns about over-prescription and improper technique.
  • Discussion on the effectiveness of sealants.
  • Alternative approach: Occlusal composites.
• Silver Diamine Fluoride (SDF):
  • Use of SDF for caries management.
  • SDF as a "time-buying" strategy.
  • When to use SDF vs. restorative treatment.

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The Very Clinical Corner segment features Kate Reinert, LDA, an experienced dental professional passionate about helping practices achieve clinical excellence.

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