Early Childhood Caries and Staged Care: Sedation and General Anesthesia is Avoidable

Presented by: Dr. Ian McConnachie

RCDSO Expiry Date: June 30, 2022

To qualify as a Core Category 1 course, the course certificate must be issued no later than this date.

RCDSO CE Points: 6, Category 1

Points can also be used as Category 2. For further information see our CE Points Page.

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  • Dr. Ian McConnachie

    Dr. Ian McConnachie is a pediatric dentist in Ottawa in private practice as well as providing hospital- based care for over 34 years as a staff member of the Children’s Hospital of Eastern Ontario. He is the Vice Chair of the Dental Benefits Committee of the ODA. He is also consulting editor for YourOralHealth.ca, a patient information magazine of the Ontario Dental Association, and a member of the Editorial Board for Ontario Dentist. Dr. McConnachie is a member of the Expert Panel of Reviewers and Advisors of the Journal of the Canadian Dental Association.

    Dr. McConnachie has been very involved in organized dentistry serving on committees at the local, provincial and national level. At the provincial level, he has served on many committees, General Council, the Board of Directors and ultimately as President of the Ontario Dental Association in 2006-2007.

    Dr. McConnachie has published extensively in the dental literature and is a nationally recognized speaker on issues in pediatric dentistry. Through his association work, clinical care and lecturing, he has focused energies on improving access to care for less advantaged populations and advancing the acceptance and benefit of risk-based care in dentistry.

    Dr. McConnachie has been recognized for his commitment to the profession with honorary fellowships in the Pierre Fauchard Academy, the Academy of Dentistry International and the International College of Dentists. In 2009, he was awarded the Barnabus Day Award from the Ontario Dental Association for 20 years of distinguished service to the profession.

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Early Childhood Caries (ECC) remains for the dental profession a condition that we have been unable to bring effectively under control. Indeed, it remains the number one disease treated under general anesthesia for children under 5 years of age. Further, while first dental examination by first birthday has been a standard of care for over 10 years, a significant percentage of the profession remains uncomfortable in providing this essential care. At the same time, the profession has witnessed a massive increase in options for management of ECC that permit dentists to dramatically improve disease outcomes while establishing an empathetic child-centered dental home.

Over the course of this 5-hour presentation, the practitioner will learn a comprehensive approach to introducing the young pre-cooperative child to a positive dental experience utilizing the latest information on caries risk management. This will include risk assessment models, the examination of the young child, and strategies for care based on the child’s risk level, all aided by a useful algorithm. Materials presented will include review of the latest dental materials, including the newly approved in Canada Silver Diamine Fluoride. The practitioner will be able to leave the session ready to implement strategies for their dental practice the next day and make care for this young pediatric population a pleasure for the entire team.

Learning Objectives:

• The approach is all based on a philosophy of care that is both empathetic and collaborative with the family

• This is a new approach to this population with a model of care that is based on individualized and ongoing risk assessment and management

• The use of the concept of Staged Care, with current dental materials that allow the pre-cooperative child with Early Childhood Caries to grow into the positive dental experience