Abstract book 6th RMS 16.indd
Abstract book 6th RMS 16.indd
Abstract book 6th RMS 16.indd
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etween Grey and White MTA except<br />
in soft tissue esthetics when used as<br />
hard tissue replacement and both<br />
showed successful results clinically.<br />
Hall A2 Session 3<br />
Plenary Session: Dentistry 3<br />
Pedodontics, Orthodontics<br />
280<br />
A Review of Paediatric Dental Trauma<br />
Prof Richard Widmer, Pedodontics (Australia)<br />
This presentation will broaden the<br />
concept of trauma in the paediatric dental<br />
population to include not only dentoalveolar<br />
issues, but include all “trauma“,<br />
however it manifests in a child’s early life.<br />
281<br />
Common Oral Pathology: The<br />
Medical/Dental Interface<br />
Prof Richard Widmer, Pedodontics (Australia)<br />
A recognition of the oral manifestations of<br />
systemic disease as well as the recognition<br />
of the general health implications of<br />
dental disease are very important in dental<br />
practice is we are to improve oral health<br />
for the whole population.<br />
282<br />
Relationships in Dental Practice:<br />
Caring for Children in the Dental<br />
Environment<br />
Prof Richard Widmer, Pedodontics (Australia)<br />
We all need to be as good as we can when<br />
doing our restorative dentistry, however it<br />
is even more important to be aware of the<br />
physical, social and intellectual development<br />
of a child and how this influences the<br />
relationships in the dental surgery and<br />
ultimately delivery of the best care possible.<br />
283<br />
The Use of Midazolam as Oral<br />
Sedation in Pediatric Dentistry<br />
Dr Maan Alfar*, Dr Rania Al-saddi<br />
* Senior Specialist in Paediatric Dentistry/<br />
Queen Rania Al Abdullah Hospital for Children/<br />
Royal Medical Services (Jordan)<br />
mal_far@hotmail.com<br />
Objectives: Oral sedation is a technique in<br />
which the use of a drug or drugs produces<br />
a state of depression on the central nervous<br />
system enabling treatment to be carried<br />
out, however during which verbal contact<br />
with the patient is maintained.<br />
Methods: Consent form should include<br />
documentation and discussion of potential<br />
risks, benefits and complications following<br />
the procedure in addition to possibility of<br />
failure and consequences of not providing<br />
sedation/analgesia. Medical history should<br />
include all current medications as well<br />
as past dental history and experiences.<br />
Patients classed as ASA I or II can be<br />
treated with oral sedation. Anxiolysis,<br />
sedation and muscle relaxation are the<br />
clinical effect of Midazolam. Flumazenil<br />
reverses sedation, respiratory depression,<br />
paradoxical agitation, and causes cessation<br />
of amnesia following its administration.<br />
Results: The clinical use of Midazolam in<br />
oral sedation will be presented and the<br />
potential benefits will be discussed.<br />
Conclusion: The use of Midazolam as oral<br />
sedation in Paediatric Dentistry delivers<br />
safe sedation to all uncooperative children.<br />
284<br />
Failure of Eruption of Primary<br />
Maxillary Central Incisor<br />
Karam Abu Shakra*, Najwa Nassrawin<br />
* Senior Specialist Pediatric Dentist, Consultant<br />
Periodontist (Jordan)<br />
dentistonline3@yahoo.com<br />
Objectives: To present a rare case of failure<br />
of eruption of primary central incisor<br />
localized to the maxilla, in a four year old<br />
girl.<br />
Methods: Extra oral examination showed<br />
no abnormal signs, asymmetry or<br />
lymphadenopathy. Intra-oral examination<br />
revealed a buccal bulge in the region of the<br />
unerupted tooth which was asymptomatic.<br />
Radiographic examination showed a small<br />
single radio-opaque structure representing<br />
the crown of the impacted deciduous<br />
tooth. This was surrounded by dense<br />
radio-opaque bone. Root formation was<br />
incomplete at that time. The successor<br />
tooth was present with wide radiolucent<br />
pulp chamber. Neither odontomes, nor<br />
supernumerary teeth were present.<br />
Considering the age of the child, the<br />
position of primary central incisor, and the<br />
location and developmental stage of the<br />
permanent central incisor, it was decided<br />
to surgically remove the impacted tooth.<br />
The tooth along with the surrounding<br />
www.jrms.gov.jo<br />
148