Johnson – Clinical Pearls in Pediatric Dentistry-View course video CSPD

Video Transcription

Video Summary

Dr. Loree Johnson, president of the American Board of Pediatric Dentistry and a longtime private practitioner in Raleigh, is introduced and begins a “clinical pearls” lecture drawn from real-world cases and lessons learned. She describes her patient-centered philosophy and emphasizes that clinicians learn most from what they would do differently. She shares practical tools she created after a board complaint regarding consent for stainless steel crowns, including a visual treatment/consent guide, a pediatric medications reference sheet, and a crown-to-band sizing chart to streamline space maintainer workflow.<br /><br />Clinically, she highlights management of ectopically erupting first permanent molars using TP self-locking separating springs followed by elastomeric separators, detailing placement tips and typical timelines. She reviews trauma pitfalls, stressing thorough assessments beyond the obvious dental injury, appropriate imaging (including lateral films for intrusions), and examples where teeth were mistakenly assumed avulsed or expected to re-erupt despite displacement into the nasal area.<br /><br />After a break, she rapidly covers mandibular fracture patterns that can cause posterior tooth fractures, showcases use of MTA/NeoMTA for vital pulp therapy (including permanent pulpotomies), and discusses space maintenance strategies (TPAs, Nance appliances with finger springs), especially for children with special healthcare needs. She presents “compassionate” treatment planning such as serial extractions and molar substitution to reduce future disease and anesthesia burden.<br /><br />She concludes with zirconia prep planning tips based on radiographs, support for SDF, and a strong warning to take sealants seriously—use proper imaging and isolation to avoid sealing over pre-eruptive resorption/caries. In Q&A, she endorses MTA pulpotomy for reversible pulpitis, describes technique details, and briefly addresses work–life balance.

Keywords

Loree Johnson

American Board of Pediatric Dentistry

clinical pearls lecture

informed consent

stainless steel crowns

ectopic eruption first permanent molar

separating springs and elastomeric separators

dental trauma assessment and imaging

lateral radiographs for intrusion

mandibular fracture patterns

MTA NeoMTA vital pulp therapy pulpotomy

space maintenance appliances TPA Nance

sealants isolation pre-eruptive resorption