Kindertandheelkunde En Bijzondere Tandheelkunde (E06M9B)
Summary
Samenvatting Kindertandheelkunde en bijzondere noden
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Course
Kindertandheelkunde En Bijzondere Tandheelkunde (E06M9B)
Institution
Katholieke Universiteit Leuven (KU Leuven)
Dit is een samenvatting voor het vak 'kindertandheelkunde en bijzondere noden'. Dit vak wordt gegeven in 1e master tandheelkunde op de KULeuven. Dit bevat al de te kennen leerstof dat geëxamineerd werd in juni 2021. Dit is op basis van de ppt's en lesnota's.
Kindertandheelkunde En Bijzondere Tandheelkunde (E06M9B)
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1e master 2e semester THK
Kindertandheelkunde
en bijzondere noden
Prof. D. Declerck, G. Vansteenkiste, C.
Vergalle, M. Peumans, G. Van Gorp, V.
Verhaeghe, J. Wyatt, J. Verschueren
Historiek van de discipline ‘kindertandheelkunde’ .............................................................................................. 7
Ethische aspecten bij de behandeling van kinderen ............................................................................................ 8
Groei en ontwikkeling van het kind .................................................................................................................. 9
Groei en Ontwikkeling: twee verschillende aspecten .......................................................................................... 9
Groei ................................................................................................................................................................ 9
Ontwikkeling ................................................................................................................................................. 11
Opvang van het kind ...................................................................................................................................... 14
Opbouw van een positieve tandarts - kind relatie ............................................................................................ 14
Het kind ......................................................................................................................................................... 14
Ouder ............................................................................................................................................................ 14
De tandarts en tandheelkundig team ........................................................................................................... 15
Bedreigingen voor een positieve tandarts – kind relatie .............................................................................. 16
De angstige patiënt ........................................................................................................................................... 16
Begrippen ...................................................................................................................................................... 16
Voorkomen van angst ................................................................................................................................... 17
Ontstaan van angst ....................................................................................................................................... 18
Zorg voor kinderen met een mentale/fysische beperking .............................................................................. 42
Mondzorg bij personen met een beperking: focus op PREVENTIE .................................................................... 42
Rechten van mensen met een beperking ..................................................................................................... 42
Wat met mondgezondheid? → Studies ........................................................................................................ 43
Verdoven bij kinderen, moet dat echt? ............................................................................................................. 56
Welke rol speelt lokale verdoving in de preventie van het ontstaan van angst voor de tandheelkundige
behandeling bij kinderen? ............................................................................................................................. 57
Waarom? ....................................................................................................................................................... 57
Metabolisme en eliminatie ................................................................................................................................ 61
Productkeuze bij kinderen ................................................................................................................................. 61
Berekenen van de maximum dosis ............................................................................................................... 61
Techniek ............................................................................................................................................................ 63
Topische anesthesie ...................................................................................................................................... 63
Anesthesie van de bovenkaak ....................................................................................................................... 64
Anesthesie van de onderkaak ....................................................................................................................... 65
Bijkomende verdovingstechnieken ............................................................................................................... 67
Uitdagingen bij kinderen ................................................................................................................................... 68
Verzorging van definitieve molaar met diepe cariës en/of MIH ................................................................... 68
Extractie bij abces ......................................................................................................................................... 69
Take home messages ........................................................................................................................................ 69
Restauratief herstel van melkmolaren ........................................................................................................... 70
Nood aan restauratief herstel melkmolaren ..................................................................................................... 70
Verschillende restauratiematerialen voor melkmolaren ................................................................................... 70
Amalgaam ..................................................................................................................................................... 70
Adhesieve tandgekleurde restauratiematerialen ......................................................................................... 72
De (roestvrij) stalen kroon ............................................................................................................................ 80
Klinisch gedrag van restauratiematerialen thv melkmolaren? ..................................................................... 85
Glazuurafwijkingen: .......................................................................................................................................... 99
Glazuurstoornissen in het MELKGEBIT ........................................................................................................ 100
Glazuurstoornissen in DEFINITIEF GEBIT ..................................................................................................... 104
Pulpabehandeling - de pulpa van de melktand en van het immatuur definitief element ............................. 119
De principes van tandontwikkeling of odontogenese ..................................................................................... 119
De dentale groei en ontwikkeling .................................................................................................................... 124
Fysiologische leeftijd ................................................................................................................................... 125
Inflammatie en infectie ............................................................................................................................... 126
Vroegtijdig verlies? ...................................................................................................................................... 127
De dentale pulpa en zijn verdedigingsmechanisme ........................................................................................ 127
Dentinogenese ............................................................................................................................................ 128
Het cariës proces ............................................................................................................................................. 130
Terminologie ............................................................................................................................................... 130
Het proces ................................................................................................................................................... 130
Cariëslaesie ................................................................................................................................................. 133
Behandelingen ............................................................................................................................................ 137
Pulpabehandeling – het melkgebit ............................................................................................................... 138
De anatomische verschillen tussen een melktand en een definitieve tand ..................................................... 138
De pulpa diagnose ........................................................................................................................................... 138
De anamnese............................................................................................................................................... 139
Het extra- en intra oraal onderzoek ............................................................................................................ 140
De behandeling ............................................................................................................................................... 145
Management van een diepe cariëslaesie .................................................................................................... 146
Pulpotomie .................................................................................................................................................. 148
Pulpectomie ................................................................................................................................................ 151
Pulpabehandeling: de immature definitieve tand ........................................................................................ 153
De pulpa diagnose ........................................................................................................................................... 153
De anamnese............................................................................................................................................... 153
Het extra- en intra oraal onderzoek ............................................................................................................ 154
De behandeling ............................................................................................................................................... 159
Management van een diepe cariëslaesie .................................................................................................... 161
Directe pulpacapping, de pulpotomie ......................................................................................................... 164
MTA apexificatie ......................................................................................................................................... 166
De regeneratieve endodontische behandeling ........................................................................................... 168
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