F02 B – Pediatric Dentistry: Frenectomies; Successful Management of the “Oh Nos!” A Guide to Orofacial Trauma Management

F02 B – Pediatric Dentistry: Frenectomies; Successful Management of the “Oh Nos!” A Guide to Orofacial Trauma Management

Part I: Frenectomies (Dr. Feliciano):

Frenulum attachments, and their impact on oral motor function and development, have become topics of emerging interest within the dental community as well as various specialties of healthcare providers. Studies have shown differences in treatment recommendations among pediatricians, otolaryngologists, lactation consultants, speech pathologists, surgeons, and dental specialists. Clear indications and timing of surgical treatment remain controversial due to lack of consensus regarding accepted anatomical and diagnostic criteria for degree of restriction and relative impact on growth, development, feeding, or oral motor function. Although the etiology of this condition remains unknown, there appears to be a higher predilection of anomalies of frenulum attachments, whether ankyloglossia (tongue-tie) or a hypertrophic/restrictive maxillary labial frenulum, in males. This course will provide a brief introduction to the frenectomy debate, the indications for the procedure, and the benefits from a lactation therapy perspective. It will discuss the basic technique and allow for case reviews. It lastly will allow understanding of some of the more common potential complications and offer management guidance in the event of occurrence.

Part II: Successful Management of the “Oh Nos!”

A Guide to Orofacial Trauma Management (Dr. Silva)

Every dental clinician should have at minimum a working knowledge of orofacial trauma and its management. The vast majority of traumatic dental injuries (TDI) occur in children and teenagers where loss of a tooth/ teeth has lifetime consequences. Traumatic injuries to the primary dentition present special problems that often require different management when compared to that used for the permanent dentition. This course will briefly review the established International Association of Dental Traumatology (IADT) Guidelines in the management of various orofacial injuries to provide clinicians with an approach for the immediate or urgent care of primary and permanent teeth injuries based on the best evidence provided by the literature and expert opinions. While every injury is slightly different and strict adherence to the guidelines cannot always guarantee success their application can maximize the probability of favorable outcomes. This course will also give a very brief introduction to the recognition, management, and obligations associated with child abuse, neglect, and subsequent trauma.

LEARNING OBJECTIVES:

Part I: Frenectomies (Dr. Feliciano):

1. Understand the underlying issues for which a frenectomy may be beneficial and have basic grasp of lactation consultation.
2. Discuss the basic procedural technique, wound care, after care exercises, and expected results.
3. Understand the complications which may occur and their management.

Part II: Successful Management of the “Oh Nos!”

A Guide to Orofacial Trauma Management (Dr. Silva)

1. Discuss the incidence of dental trauma in children.
2. Differentiate types of trauma in primary and permanent teeth.
3. Propose appropriate treatment options for traumatic injuries to primary and permanent teeth.

CE Credit Hours = 3

Speakers