CE0851: Potpourri of Pediatric Dentistry - Law Lewis Lecture on Pediatric Dentistry

Joel Berg, DDS, MS; Jenn-Yih Lin (Simon) Lin, DDS, MS; and AnaLucia Seminario, DDS, PhD

Course Description:

This course tackles everything you have wanted to know about the latest and greatest techniques in caries detection and prevention, pulp therapy in primary dentition and cutting-edge research projects at UW pediatric dentistry.

Topic 1: Dental Caries Detection and Caries Management by Risk Assessment
Joel Berg, DDS, MS

The number of new technologies emerging each year in the realm of dental caries management is growing at an exponential rate. Examining the patent literature, one can see that this growth rate will likely continue, with the outcome that dentistry will see an expanded growth in managing dental caries by risk assessment with medicinal therapeutic interventions. Restorative dentistry solutions, treating the results of dental caries, will continue to grow, while technologies to identify the caries process at its earliest stages will soon invade practices everywhere. The most interesting aspect of these changes will be how industry responds to the inexorable, yet slow change in dental professional demand for these new technologies, while trying to be the "first to market" within the various categories of this business opportunity. This lecture will take a close look at how businesses with the core competence to be key players in this emerging growth category will assess the marketplace, and match up their business interests with the changing needs of the dental profession. The lecture will also address the strategic planning and business processes that the dental industry will undertake to bring new technologies to market, and how these technologies will be positioned to health care professionals and consumers.

Topic 2: Are You Exclusively Performing Formocresol Pulpotomies on Primary Molars?
Jenn-Yih Lin (Simon), DDS, MS

Formocresol remained the most popular medicament of choice for pulpotomy procedures in the 2005 survey. The debate over the use of formocresol in pediatric dentistry continues. Should we move away from formocresol because of concerns relating to the possible toxicity of formaldehyde?
The course will review a variety of medicaments and techniques for pulpotomy procedures. The course will also discuss other variables associated with success of primary molar pulpotomy.

Indirect pulp capping (IPT) is also indicated and has been reported with a long-term success for treating asymptomatic caries near the pulp in primary teeth. This lecture will discuss: (1) For deep caries with possible radiographic exposures that are asymptomatic, which is the better choice of treatment, IPT or pulpotomy? (2) Is there a diagnostic method to reliably identify teeth that are candidates for vital pulp therapy?

Topic 3
UW Pediatric Dentistry – Working Toward a Healthier Community and Beyond
Ana Lucia Seminario, DDS, PhD

We are all aware that dental caries is the most common chronic disease in children, being at least five times more common than asthma. Of childhood diseases worldwide, the prevalence of dental caries is just as bad or worse in Washington State as in the rest of the world. The mission of Department of Pediatric Dentistry's is to promote oral health through education, research, and service. This lecture will provide attendees with information regarding current basic and clinical research projects in the department and examples of collaboration with other disciplines and organizations to develop policies to increase access to oral health care for all children.

Course Objectives - As a result of attending this course, those attending should be able to:

• Describe the various dental caries detection and caries diagnosis technologies
• Describe how to manage caries by risk assessment
• Describe the differences between Pulpotomy and Indirect Pulp Capping (IPT)
• Describe the advantages and disadvantages of different pulpotomy medicaments or techniques

JOEL BERG is Professor and Lloyd and Kay Chapman Chair for Oral Health of the Department of Pediatric Dentistry at the University of Washington in Seattle, Washington and is Interim Director of the Department of Dental Medicine at Children’s Hospital Regional Medical Center in Seattle, Washington. He is a Board Certified Pediatric Dentist, and is a Trustee of the American Academy of Pediatric Dentistry. Dr. Berg previously held positions as Vice President of Clinical Affairs at Philips Oral Healthcare from 2000-2003, Head of the Scientific Department for ESPE Dental AG from 1998-2000, and Director of the Postgraduate/Residency Program in Pediatric Dentistry at the University of Texas, Houston from 1989 through 1995, where he conducted numerous clinical trials evaluating restorative materials. He is the author of a multitude of manuscripts, abstracts and book chapters regarding a variety of subjects, including restorative materials for children and other work related to biomaterials. His current research interests include the development of dental caries prevention programs using risk assessment models.

JENN-YIH LIN (SIMON), DDS, MS is an Assistant Professor of Pediatric Dentistry at the University of Washington School of Dentistry. He is currently the Predoctoral Program Director of Pediatric Dentistry. He is also an adjunct faculty member of the UW Institute of Surgical Intervention and Simulation (ISIS).

Dr. Lin received his DDS in 1995 from National Yang-Ming University in Taipei, Taiwan. In 2003, he received his certificate in Pediatric Dentistry and a Master of Science degree from Tufts University School of Dental Medicine, Boston.

Dr. Lin is enthusiastic about integrating computing technology into effective instructional materials. He has implemented podcasting and an audience response system to facilitate students’ learning. Dr. Lin has been directing ECOH (the Early Childhood Oral Health) program based at the UW Roosevelt Pediatric Care Center since 2006. In this program, dental students are paired with pediatricians; they work together and learn about oral health for infants and toddlers. He is currently collaborating with the Institute of Surgical Intervention and Simulation to develop a training curriculum for pediatric dental residents and pre-doctoral students on managing unexpected complications during dental treatment.

ANA LUCIA SEMINARIO is Acting Assistant Professor of the Department of Pediatric Dentistry at the University of Washington in Seattle, Washington. Dr. Seminario obtained her DDS degree at the Peruvian University Cayetano Heredia, in 1996. She finished her Residency Program in Pediatric Dentistry from 1998-2000, and a Master in Stomatology from 2000-2002, in the same institution. From 2002 through 2006 she moved to the Czech Republic where she obtained a Ph.D. in Stomatology at the University of Charles in Prague. While her time in Europe, she also obtained a certified training in Public Health from the Institution of Public Health of Prague and worked in fellowships at the Mayo Clinic, Minnesota and at the World Health Organization, Oral Health Program, Geneva, Switzerland. Dr. Seminario is currently at the MPH-Epidemiology program and a Global Health certification at the School of Public Health, University of Washington. Her research interests are research methods in dentistry and oral health in underserved communities.

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