1. PEDO PEARLS: The Paradigm Shift

2. 2

3. e-DDS Team
- Heads a highly successful preventative - 25 years of experience in branding and
& cosmetic dentistry practice corporate identity
- Two decades of clinical and small - Deliver results-driven strategic marketing
business ownership experience and design solutions
- Award-winning interior designer, artist - Certified Financial Planner
and Feng Shui expert - Hands on experience in multitude areas
- Designing successful dental offices for over of Finance, Tax Planning, IT, HR along with
17 years buying/selling businesses

4. PEDO PEARLS: The Paradigm Shift
Presented By:
Lance Kisby DMD, FASDC, FAGD, FAAPD
Geisinger Medical Center Danville, PA
LEKISBY@Geisinger.edu

5. Lance Kisby
• Graduate of Tufts University School of Dental Medicine
• Chief of Pediatric Dentistry at St. Mary’s Hospital in
Waterbury, Connecticut
• He is:
- Head of Pediatric Dentistry at Geisinger Medical Center
- Program Director of the Pediatric Dentistry Residency
- Adjunct Clinical Instructor in Pediatric Dentistry at Tufts
- Board Certified in Pediatric Dentistry

6. New Concepts and Products
in Prevention
Graphics done by his son:
Brent Kisby

7. Fluoride Varnishes
• 5% NAF or 2.26% Fion by wt
• 22,600 ppm
• Reduces caries 25%-41%
• 44% decrease in caries if use 2X/yr

8. When to Use Varnishes
• White spots on primary and permanent teeth
• Occlusal of primary teeth

11. Fluoride Varnish and ECC – The Best
Weintraub J. Dent.
Res. 85: (172) 176-2006

12. Sealants
Good-bye Drill and Fill
Hello Seal and Heal

13. Embrace Wetbond Sealant by Pulpdent
• 2 yr retention rate = 92%
• 6 yr retention rate = 90%

16. • 97.3% penetration by depth
• No leakage after 2 yrs
• Excellent marginal seal
• 36.6% resin filled

19. GI Sealants
• Moisture control an issue
• Newly erupted molar
• Cooperation issues
• Operculum

20. Fuji Triage

23. MI Paste

24. MI Paste
• CPP-ACP
- Casein Phosphoprotein
- Amorphous
- Calcium
- Phosphate

25. MI Paste
SER(P)-SER(P)-SER(P)-GLU-GLU

26. MI Paste
• Buffer
• Inhibit demineralization
• Remineralization
• Inhibit plaque formation

27. Mi Paste and White Spots
STEPS
1. Photo
2. Etch 1 min
3. Pumice 20 secs
4. Eval if need to etch again
5. MI Paste 5 min undisturbed
6. Instruct - 2x/day 5 min each time
7. Return 1-2 weeks

28. MI Paste and Hypoplastice Enamel
3 visits in 1 month
Drs Rubin & Pong - Cincinnati

29. MI Paste and Incipient Caries

31. Times are Fun When
You are Having Flies
Kermit the Frog

32. Updates in
Dental Trauma

33. Be Gentle with the Young
Juvenal
(55 AD-127 AD)

36. Adults are obsolete
children.
Dr. Seuss

37. Pretty much all the honest truth
telling there is in the world is
done by children
Oliver Wendell Holmes

38. Updates in
Restorative Dentistry

39. Technique

47. Composites in Primary and
Permanent Teeth
Donly Pedi Dent.
(25) 480-2002

48. Composites: Technique
• Rubber dam clamps:
- W2
- 2A
- W8A

49. Outline Form

50. Class I

56. Bevel or No Bevel
Small or narrow = NO
Wide = YES
All anterior = ALWAYS

57. Class II
MO/DO and Not MOD

58. Outline Form
Slot Outline Form

61. Kaloare

66. Class II Permanent

69. Curing
• Rinse and leave dentin wet
• Dentin adhesive: 10 secs
• Flowable composite: 10 secs
• Composite-dentin: 10 sec
• Composite-enamel: 5 sec, wait 3 min, then 10 sec cure

70. RMGI Restorations
• Fuji II
**Composites Class II

73. MTA Pulpotmy
• Mineral trioxide aggregate

79. Bleaching

80. Q: Where do dogs park their cars?
A: In a barking lot!

81. Questions

82. Thank You
800 W Cummings Park, Suite 2000
Woburn, MA 01801
CALL: (877) 420-3337 or EMAIL: Lidia@e-dds.com

83. Upcoming Webinar
Designing the Front Office as a Marketing Tool
Presented By: Lidia Scher
When: July 15, 2010
Time: 7-8 PM (EST)/4-5 PM (PST)
Registration begins tomorrow onwards!
Visit our site for more details.