Syllabus
Introduction

Dent 430 module in Pediatric Dentistry is the students' introduction to restorative dentistry for children. During this module the student will be exposed to the basic principles of placing restorations in primary dentition. This will be accomplished through a series of short lectures, simulation exercises and assigned reading material. An outline of each of these components is included in this manual.

Objectives

At the conclusion of the module, the student should be able to:

Explain and demonstrate the principles and techniques of restorations for primary teeth.

Explain the differences between primary and permanent teeth as they relate to restorative techniques.

Our less formal goal, but probably most important, is that you will develop enthusiasm, interest, as well as expertise for the clinical practise of Pediatric Dentistry.

Required Reading :

Pinkham, J.R.: Pediatric Dentistry; Infancy through adolescence 3rd edition, W.B. Saunders Co., Toronto, 1999. Chapter 21.

Recommended Reading:

Curzon M. E.J., Roberts, J.F., and Kennedy, D. B.:   Kennedy's Pediatric Operative Dentistry.   4 th edition. John Wright & Sons, Bristol, 3rd ed., 1996.

(NOTE: THIS BOOK IS VERY HELPFUL FOR THE SIMULATION EXERCISES. The library has this book on reserve)

2. MacDonald, R. E., Avery, D. R.: Dentistry for the child and adolescent.   6th ed., C.. Mosby, St. Louis, 1994. WU480.M33 1994 (The 7 th edition is on order. Much of the same information as Pinkham is found in this book)

To supplement lectures, reprints of relevant publications will be required reading (i.e. examinable), as determined by each lecturer.

1. The T-Band should extend approximately l.0 mm above the marginal ridge and just below the gingival floor. First fold the short tabs at 90° (A), then fold into a ring (B). Place matrix on tooth and pull as tight as you can (C). Then remove matrix from the tooth and pull an additional 0.5 mm tighter. Fold the excess back and flatten with Howe pliers to prevent the band from getting loose. Place the matrix on the tooth without cutting the excess band material. Shortening the matrix can lead to weakness of the folded area.







2.Check that the T-Band fits tightly, is below the gingival seat and is stable




3. The wedge fits tightly into the interproximal embrasure ensuring some separation of the teeth. It is important to wedge the side that needs the most support i.e. you can wedge from either the buccal or lingual. The tip of the explorer should not pass between the tooth and the T-Band at the gingival floor of the proximal box.






4. Check that the matrix is not pressed into the proximal box by the wedge.


5. The T-band can be contoured such that correct interproximal anatomy will be duplicated in the completed amalgam. A ball and socket pliers (#114) can be used to contour the T-band.


6. An alternate method for the placement of the matrix is to use sectional-matrices. Some practitioners find this method much more efficient and less cumbersome clinically. In this method, short sections of the T-band are cut and contoured to the proximal surface of the tooth. The sectional matrix is placed and wedged tight into place. This technique allows for easy removal of the matrix as well.

We talked about this procedure in the Sept. 18 class