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Clinical Cases in
Pediatric Dentistry
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Clinical Cases Series
Wiley‐Blackwell’s Clinical Cases series is designed to recognize the centrality of clinical cases to the dental profession
by providing actual cases with an academic backbone. This unique approach supports the new trend in case‐based
and problem‐based learning. Highly illustrated in full color, the Clinical Cases series utilizes a format that fosters
independent learning and prepares the reader for case‐based examinations.
Clinical Cases in Dental Hygiene
by Cheryl M. Westphal Theile, Mea A. Weinberg, and Stuart L. Segelnick
January 2019
Clinical Cases in Endodontics
by Takashi Komabayashi
November 2017
Clinical Cases in Orofacial Pain
by Malin Ernberg, Per Alstergren
March 2017
Clinical Cases in Implant Dentistry
by Nadeem Karimbux (Editor), Hans‐Peter Weber (Editor)
December 2016
Clinical Cases in Orthodontics
by Martyn T. Cobourne, Padhraig S. Fleming, Andrew T. DiBiase, Sofia Ahmad
June 2012
Clinical Cases in Periodontics
by Nadeem Karimbux
December 2011
Clinical Cases in Prosthodontics
by Leila Jahangiri, Marjan Moghadam, Mijin Choi, Michael Ferguson
October 2010
Clinical Cases in Restorative and Reconstructive Dentistry
by Gregory J. Tarantola
September 2010
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Clinical Cases in
Pediatric Dentistry
SECOND EDITION
Editor:
Amr M. Moursi, DDS, PhD
Professor and Chairman
Department of Pediatric Dentistry
New York University College of Dentistry
New York, NY
USA
Associate Editor:
Amy L. Truesdale, DDS
Clinical Assistant Professor
Department of Pediatric Dentistry
New York University College of Dentistry
New York, NY
USA
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This edition first published 2020
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© 2020 John Wiley & Sons, Inc.
Edition History
Blackwell Publishing Ltd. (1e, 2012). All rights reserved. No part of this publication may be reproduced, stored
in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying,
recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from
this title is available at http://www.wiley.com/go/permissions.
The rights of Amr M. Moursi and Amy L. Truesdale to be identified as the authors of the editorial material in this
work has been asserted in accordance with law.
Registered Office
John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA
Editorial Office
111 River Street, Hoboken, NJ 07030, USA
For details of our global editorial offices, customer services, and more information about Wiley products visit us
at www.wiley.com.
Wiley also publishes its books in a variety of electronic formats and by print‐on‐demand. Some content that
appears in standard print versions of this book may not be available in other formats.
Limit of Liability/Disclaimer of Warranty
The contents of this work are intended to further general scientific research, understanding, and discussion
only and are not intended and should not be relied upon as recommending or promoting scientific method,
diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment
modifications, changes in governmental regulations, and the constant flow of information relating to the use of
medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the
package insert or instructions for each medicine, equipment, or device for, among other things, any changes in
the instructions or indication of usage and for added warnings and precautions. While the publisher and authors
have used their best efforts in preparing this work, they make no representations or warranties with respect to
the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including
without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may
be created or extended by sales representatives, written sales materials or promotional statements for this
work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential
source of further information does not mean that the publisher and authors endorse the information or services
the organization, website, or product may provide or recommendations it may make. This work is sold with the
understanding that the publisher is not engaged in rendering professional services. The advice and strategies
contained herein may not be suitable for your situation. You should consult with a specialist where appropriate.
Further, readers should be aware that websites listed in this work may have changed or disappeared between
when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of
profit or any other commercial damages, including but not limited to special, incidental, consequential, or other
damages.
Library of Congress Cataloging‐in‐Publication Data
Names: Moursi, Amr M., editor. | Truesdale, Amy L., editor.
Title: Clinical cases in pediatric dentistry / editor, Amr M. Moursi ; associate editor, Amy L. Truesdale.
Other titles: Clinical cases (Ames, Iowa)
Description: Second edition. | Hoboken : Wiley, 2020. | Series: Clinical cases series | Includes bibliographical
references and index.
Identifiers: LCCN 2019026636 (print) | ISBN 9781119290889 (paperback) | ISBN 9781119290933 (adobe pdf) |
ISBN 9781119290919 (epub)
Subjects: MESH: Dental Care for Children–methods | Oral Surgical Procedures | Tooth Diseases | Case Reports
Classification: LCC RK63 (print) | LCC RK63 (ebook) | NLM WU 480 | DDC 617.6/45–dc23
LC record available at https://lccn.loc.gov/2019026636
LC ebook record available at https://lccn.loc.gov/2019026637
Cover Design: Wiley
Cover Images: © Amr M. Moursi
Set in 10/13pt Univers Light by SPi Global, Pondicherry, India
9 8 7 6 5 4 3 2 1
10
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To our students, past, present, and future, and to our patients who teach us so much.
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CONTENTS
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Preface ............................................................xiii
Acknowledgments ...................................................xv
List of Contributors .................................................xvii
About the Companion Website ........................................xix
Chapter1 Early Childhood Oral Health 1
Homa Amini
Case 1 Perinatal Oral Pathology .................................2
Homa Amini
Case 2 First Dental Visit, Healthy Child ...........................7
Homa Amini
Case 3 First Dental Visit, Medically Compromised Child .............11
Homa Amini
Case 4 Early Childhood Caries Managed withSilver Diamine Fluoride ..15
Homa Amini and James R. Boynton
Case 5 Early Childhood Caries Managed withInterim
Therapeutic Restorations ...............................19
Homa Amini
Case 6
Early Childhood Caries Managed withGeneral Anesthesia .....23
Homa Amini
Chapter2 Restorative Dentistry 29
Kevin J. Donly
Case 1 Resin Restoration ofIncipient Decay
(Primary or Permanent Molar) ...........................30
Lina M. Cárdenas
Case 2 Class II Glass Ionomer .................................37
Kevin J. Donly
Case 3 Class II Resin Restoration ..............................43
Kevin J. Donly
Clinical Cases inPediatric Dentistry vii
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Contents
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Case 4 Class V Glass Ionomer Restoration .......................49
Kevin J. Donly
Case 5 Class V Resin Restoration ..............................55
Kevin J. Donly
Case 6 Class IV Resin .......................................61
Kevin J. Donly
Case 7 Strip Crowns ........................................67
Kevin J. Donly
Case 8 Anterior andPosterior Zirconia Crowns ....................71
Jungyi Alexis Liu, Kevin J. Donly, and Claudia I. Contreras
Chapter3 Complex Pulp Therapy 77
Anna B. Fuks
Case 1 Selective Caries Removal (Indirect Pulp Treatment) ........... 78
Anna B. Fuks, Luna Matar Khoury, Qamar Saadi, and
Evelyn Mamber
Case 2 Partial Pulpotomy inTraumatized Primary Incisors ............85
Diana Ram and Anna B. Fuks
Case 3 Cervical Pulpotomy inCariously Exposed Primary Molars ......91
Moti Moskovitz and Anna B. Fuks
Case 4 Root Canal Treatment in a Primary Molar ...................97
Moti Moskovitz
Case 5 Partial Pulpotomy inaCariously Exposed Young
Permanent Molar ....................................10 3
Moti Moskovitz and Anna B. Fuks
Case 6 Pulpotomy withMineral Trioxide Aggregate
inanImmature Permanent Molar .......................10 9
Anna B. Fuks
Case 7 Root End Closure–Apexification WithCalcium Hydroxide .... 115
Iris Slutzky-Goldberg
Case 8 Root End Closure withMineral Trioxide Aggregate ..........121
Iris Slutzky-Goldberg
Case 9
Revascularization ofNecrotic Immature Permanent Tooth
withApical Periodontitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Eyal Nuni
viii Clinical Cases inPediatric Dentistry
Chapter4 Orofacial Trauma 133
S. Thikkurissy and Jennifer Cully
Case 1 Intrusion Injury toPrimary Dentition .....................134
S. Thikkurissy and Dennis J. McTigue
Case 2 Root Fracture inthePrimary Dentition .................... 139
S. Thikkurissy and Dennis J. McTigue
Case 3 Complicated Crown Fracture, Permanent Tooth .............143
Dennis J. McTigue and S. Thikkurissy
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Contents
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Case 4 Dentoalveolar Luxation Injury toPermanent Dentition .......149
S. Thikkurissy and Dennis J. McTigue
Case 5 Permanent Tooth Root Fracture andExtrusive Luxation ....... 155
Dennis J. McTigue and S. Thikkurissy
Case 6 Permanent Incisor Intrusion ............................ 161
Dennis J. McTigue and S. Thikkurissy
Case 7 Permanent Tooth Avulsion .............................167
Dennis J. McTigue and S. Thikkurissy
Case 8 Soft Tissue Injury Management .........................173
S. Thikkurissy and Dennis J. McTigue
Appendix Flowcharts ................................. 177
Chapter5 Oral Medicine andOrofacial
Pathology 183
Denise A. Trochesset
Case 1 Eruption Cysts inaNewborn, Natal/Neonatal Teeth ..........184
Angus C. Cameron
Case 2 Primary Herpetic Gingivostomatitis ......................189
Angus C. Cameron
Case 3 Mucocele ..........................................195
Denise A. Trochesset
Case 4 Candidiasis ......................................... 199
Denise A. Trochesset
Case 5 Celiac Disease ......................................205
Denise A. Trochesset
Case 6 Acute Odontogenic Infection ...........................209
Angus C. Cameron
Case 7 Amelogenesis Imperfecta ............................. 215
Sam Gue
Chapter6 Behavior Guidance andMedical
Emergencies 221
Michael D. Webb and Amr M. Moursi
Case 1 Nonpharmacological Behavior Guidance ..................222
Michael D. Webb and Amr M. Moursi
Case 2 Intraoperative Pain Management ........................227
Michael D. Webb and Amr M. Moursi
Case 3 Nitrous Oxide/Oxygen Sedation .........................231
Dena Sapanaro and Ron Kosinski
Case 4 Pharmacological Behavior Guidance .....................237
Michael D. Webb and Amr M. Moursi
Case 5 Airway Management .................................243
Michael D. Webb and Amr M. Moursi
Clinical Cases inPediatric Dentistry ix
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