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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

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