F02 A – Pediatric Dentistry: Growth & Development; Special Needs & NAM

Part I – Growth & Development (Dr. Perales)

Guidance of eruption and development of the primary, mixed, and permanent dentitions is an integral component of comprehensive oral health care for all pediatric dental patients. Such guidance should contribute to the development of a permanent dentition that is in a stable, functional, and esthetically acceptable occlusion and normal subsequent dentofacial development. Early diagnosis and successful treatment of developing malocclusions can have both short-term and long-term benefits while achieving the goals of occlusal harmony and function and dentofacial esthetics. Dentists have the responsibility to recognize, diagnose, and manage or refer abnormalities in the developing dentition as dictated by the complexity of the problem and the individual clinician’s training, knowledge, and experience. Many factors can affect the management of the developing dental arches and minimize the overall success of any treatment. This course will overview growth and general eruption principals, discuss assessment and appropriate space maintenance, and provide a brief overview of orthodontic principals and management in the primary and developing dentition.

Part II – Special Needs & NAM (Dr. Holguin)

Special Healthcare Needs (SHCN) are defined as any physical, developmental, mental, sensory, behavioral, cognitive, or emotional impairment or limiting condition that requires medical management, health care intervention, and/or use of specialized services or programs. Nearly one in five U.S. children has a SHCN. The more severe their health conditions, the more likely they are to have unmet dental needs. Without professional preventive and therapeutic dental services, children with SHCN may exacerbate systemic medical conditions and increase the need for costly care. This course will briefly discuss SHCN and more specifically address patients with developmental or acquired orofacial conditions as a special cohort of children with SHCN. It will additionally explore the crucial aspect of consultation and coordination of care with medical and other dental providers for necessary safe delivery of care and to improve long term outcomes for these patients.


Part 1: Growth and Development (Dr. Perales)

  1. Discuss the patterns of facial growth and general eruption timeline.
  2. Assess the most appropriate type of space maintenance, and its long-term care, for the specific type of tooth/ teeth loss.
  3. Discuss moderate and complex orthodontic treatment problems, which orthodontic problems merit early treatment/ intervention, and briefly describe orthodontic treatment problems for a child with malocclusion.

Part II: Special Needs and NAM (Dr. Holguin)

  1. Provide a brief understanding of Special Healthcare Needs (SHCN) patients and their management in the dental setting.
  2. Discuss the potential differences in managed care between the SHCN patient and the well patient, including long term goals and therapeutics.
  3. Discuss the management, including consultation with medical and dental colleagues, of cleft lip and cleft palate patients.

CE Credit Hours = 3