intraosseous anesthesia the game-changer in pediatric ... · relevant to this presentation. we are...

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In Pedodontics, not only do we have to manage the technical aspects of dentistry but also master pain control and the behaviour of our child patients. The Game-Changer : intraosseous anesthesia ! In this webinar Dr Antonio PEDRO SILVA, a pedodontic specialist, will explain how intraosseous anesthesia has revolutionized his practice and how he uses it daily. Your webinar will start shortly... Intraosseous Anesthesia The Game-Changer in Pediatric Dentistry REPLAY REPLAY REPLAY 20 th May 27 th May Intraosseous anesthesia (IOA) : The Game Changer! IOA in General Practice : An accessible revolution? IOA : Unseen opportunities in Endodontics IOA : The Game-Changer in Pediatric Dentistry IOA : A powerful marketing & management tool for your practice

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Page 1: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

In Pedodontics, not only do we have to manage the technical aspects of dentistry but also master pain control and the behaviour of our child patients.

The Game-Changer : intraosseous anesthesia !

In this webinar Dr Antonio PEDRO SILVA, a pedodontic specialist, will explain how intraosseous anesthesia has revolutionized his practice and how he uses it daily.

Your webinar wi l l start short ly. . .

Intraosseous Anesthesia The Game-Changer in Pediatric Dentistry

REPLAY

REPLAY

REPLAY

20th May

27th May

Intraosseous anesthesia (IOA) : The Game Changer!

IOA in General Practice : An accessible revolution?

IOA : Unseen opportunities in Endodontics

IOA : The Game-Changer in Pediatric Dentistry

IOA : A powerful marketing & management tool for your practice

Page 2: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

Dr Antonio Pedro SILVA and Dr Andrew PRYNNE have a relationship with the company Dental Hi Tec, that may be relevant to this presentation.

We are Dental Hi Tec Academy trainers and active, independent clinicians.

DISCLOSURE

Page 3: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

SUMMARY

❑ Review of previous Webinars

❑ Why Intraosseous anesthesia is perfectly adapted to pedodontics

❑ The 3 Stage Technique

❑ Clinical Cases

❑ Questions and Answers

Page 4: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

REVIEW: HOW DOESINTRAOSSEOUS ANESTHESIA WORK?

Page 5: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

INTRAOSSEOUS ANESTHESIA

Page 6: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

❑ Immediate success even for mandibular molars with pulpitis

❑ Eliminate collateral numbness and lip biting

❑ Obtain stressless and painfree anesthesia

❑ Better appointment management

❑ Increase profitability thanks to time saving

❑ Increase customer satisfaction and loyalty

BENEFITS OF INTRAOSSEOUS ANESTHESIA

Page 7: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA

Page 8: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : MAIN PARTICULARIT IES

Page 9: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : MAIN PARTICULARIT IES

BONE DENSITOMETRY

NO ROTATION NEEDED

Age

Page 10: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

SHORTER NEEDLE

VS

9mmNO ROTATION NEEDED

BONE DENSITOMETRYAge

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : MAIN PARTICULARIT IES

Page 11: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

1

2

3

ATTACHED GUM ANESTHESIA

MANUAL BONE PENETRATION

INTRAOSSEOUS ANESTHESIA DELIVERY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

Page 12: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

1 ATTACHED GUM ANESTHESIA

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

Page 13: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

1ATTACHED GUM ANESTHESIA

INSERTION POINTS

Page 14: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

1ATTACHED GUM ANESTHESIA

NEEDLE ANGULATION

P e r i o s t e u m

P a i n l e s s

15°

Page 15: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

1ATTACHED GUM ANESTHESIA 1/8-1/4

Page 16: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

2 MANUAL BONE PENETRATION

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

Page 17: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

2BONE PENETRATION

45°

Page 18: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

2BONE PENETRATION

Page 19: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

2BONE PENETRATION

Page 20: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

2BONE PENETRATION With Rotation

PRIMARY AND MIXED DENTITION

UNNECESSARY For

Page 21: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

2BONE PENETRATION With Rotation

PRIMARY AND MIXED DENTITION

UNNECESSARY For

Page 22: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

3 INTRAOSSEOUS ANESTHESIA DELIVERY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

Page 23: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

3INTRAOSSEOUS ANESTHESIA DELIVERY

Page 24: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

ANESTHESIA AREA

POSTERIORFollow the Rule: 1 DISTAL/ 2 MESIAL

Page 25: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

ANESTHESIA AREA

POSTERIORFollow the Rule: 1 DISTAL/ 2 MESIAL

Page 26: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

ANESTHESIA AREA

AnteriorCANINE - CANINE

Page 27: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : TECHNIQUE

ANESTHESIA AREA

AnteriorCANINE - CANINE

Page 28: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

INSERTION POINTS

ANESTHETIC USED

Under Beh. Management

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : CL INICAL CASES

Page 29: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : CL INICAL CASE

14 Yo Girl - Pulpotomy + SSC - Tooth 75

Articain 4% 1/200 000

3/4

Page 30: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : CL INICAL CASE

14 Yo Girl - Pulpotomy + SSC - Tooth 75

Articain 4% 1/200 000

3/4

Page 31: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : CL INICAL CASE

23 YO Girl - Zr Crowns - Teeth 61/51

Lidocaine 2% 1/100 000

1/2

Page 32: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : CL INICAL CASE

23 YO Girl - Zr Crowns - Teeth 61/51

Lidocaine 2% 1/100 000

1/2

Page 33: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA : CL INICAL CASE

3CLASS 2

Articain 4% 1/200 000

< 1/2

Page 34: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA

Page 35: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

1 PAIN MANAGEMENT

Page 36: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PULPITIS

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

1 PAIN MANAGEMENT

Page 37: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PULPITIS

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

1 PAIN MANAGEMENT

Page 38: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PULPITIS

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

1 PAIN MANAGEMENT

Page 39: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

MIH

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

1 PAIN MANAGEMENT

Page 40: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

MIH

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

1 PAIN MANAGEMENT

Local Infiltration Profoundly Anestestize 25.9% MIH-affected teeth

IO anesthesia profoundly anesthetized 88.9% MIH-affected teeth

Page 41: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

INTRAOSSEOUS VS INTRALIGAMENTARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

1 PAIN MANAGEMENT

Results Anaesthetic success was obtained in 100% of X-Tip and 70% of PDL group

Page 42: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

1 PAIN MANAGEMENT

Page 43: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

1

2

PAIN

NUMBNESS

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

Page 44: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

1

2

PAIN

NUMBNESS

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

3 FEAR

Page 45: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

1

2

PAIN

NUMBNESS

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

3 FEAR

2020

Page 46: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

1

2

PAIN

NUMBNESS

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR CHILDREN

3 FEAR

4 BEHAVIOR

Page 47: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

1

2

PAIN

NUMBNESS

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR DENTISTS

3 FEAR

4 BEHAVIOR

1

2

CLINICAL SUCCESS

CONFIDENCE

FOR CHILDREN

FOR DENTISTS

Page 48: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

1

2

PAIN

NUMBNESS

PEDIATRIC INTRAOSSEOUS DENTAL ANESTHESIA FOR DENTISTS

3 FEAR

4 BEHAVIOR

1

2

CLINICAL SUCCESS

CONFIDENCE

FOR CHILDREN

FOR DENTISTS

Page 50: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

THANK YOU!

master class ∙ workshops ∙ conferences ∙ videos ∙ case studies

INTRAOSSEOUS ANESTHESIAThe Game-Changer

Pedodontics

Page 51: Intraosseous Anesthesia The Game-Changer in Pediatric ... · relevant to this presentation. We are Dental Hi Tec Academy trainers and active, independent clinicians. DISCLOSURE. SUMMARY

4:00 PM – 4:30 PM (CEST)

REPLAY

REPLAY

REPLAY

REPLAY

27th May

Intraosseous anesthesia (IOA) :The Game-Changer !

IOA in General Practice :An accessible revolution?

IOA : A powerful marketing & management tool for your practice

IOA : Unseen opportunities in Endodontics

IOA : The Game-Changer in Pediatric Dentistry

WEBINARS, book your place !Conferences presented by Drs Stéphane DIAZ , Andrew PRYNNE & Antonio Pedro SILVA

Dr Antonio Pedro SILVA : [email protected]

Dr Andrew PRYNNE : [email protected]

General question : [email protected]