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D2: 622 Pediatric Dentistry > 08 Infant Oral Health > Flashcards

08 Infant Oral Health Flashcards

1
Q

What are early childhood caries

A

Caries in any primary tooth under age of 6

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2
Q

What is true about early childhood caries

A

Distinctive pattern
Many teeth affected
Caries progresses rapidly

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3
Q

What is severe early childhood caries

A

3-5 years old
1 or more cavitated , missing, or filled smooth surfaces in primary maxillary teeth

Or

Decayed, missing, filled score of >=4 (3), >=5 (4 yrs), >=6 (5 yrs)

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4
Q

4 Component of Dental Caries:

  1. ______
  2. Cariogenic ______
  3. _______ source
  4. Exposure ______
A
  1. Host
  2. microflora
  3. Carbohydrate
  4. time
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5
Q

Prevention of Early Childhood Caries

  1. Oral Health _____
  2. ______ guidance
  3. Oral Health _____
  4. Risk _______
  5. Dental ______
A
  1. Education
  2. Anticipatory
  3. Literacy
  4. Assessment
  5. Home
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6
Q

Why is oral health education important

A

Oral diseases are preventable

Dental caries is most common chronic childhood disease

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7
Q

Motivational Interviewing

  1. Patient centered _______
  2. ______ parents to practice prevention
  3. Ask questions encouraging individuals to talk about their ______ prior to offering advice
  4. Has shown promise in prevention ________ with parents of kids at ____ ____ for caries
A
  1. Interaction
  2. Motivate
  3. Goals
  4. Behaviors, high risk
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8
Q

What does anticipatory guidance do

A

provides a framework for prevention that goes beyond caries to address all aspects of a kid’s oral health according to dental milestones

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9
Q

Suggestions for Communication with Families

  1. Communicate at _____ level
  2. Avoid _____ terms
  3. Listen to parent and _____
  4. Limit new concepts to _____ per visit
  5. Use ________, pictures, and demos
  6. Ask parents to repeat in their ____ ____
A
  1. basic
  2. Jargon
  3. patient
  4. 3
  5. illustrations
  6. own words
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10
Q

Risk Factors for ECC

A

Frequent fermentable carbs

Putting baby to bed with bottle

Plaque

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11
Q

Sources of Fluoride

A

Toothpaste
Varnish
Water fluoridation

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12
Q

Why is fluoride important

A

Inhibits bacterial metabolism

Inhibits demineralization

Enhances remineralization

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13
Q

How does socioeconomic states effect risk for ECC

A

Kids from low SES experience caries most often

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14
Q

Risk factors for Enamel defects

A

Low birth weight

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15
Q

What are hypoplastic teeth

A

outer enamel structure has not formed correctly

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16
Q

Why do kids with special health care needs have a higher risk for tooth decay

A

Frequent feeding
Oral aversions
Motor skill delays

17
Q

Effects of liquid medication

A

Can decrease saliva

Higher caries risk, especially in primary upper front teeth

18
Q

What bacteria can put a child at risk

A

Strep mutans

19
Q

What is dental home

A

relationship between dentist and patient encompassing all aspects of dentistry delivered in a coordinate, family centric way

20
Q

Screening techniqe for little kids

A

knee to knee

lift the lip

21
Q

knee to knee works up to what age

A

3

22
Q

Why baby teeth matter

A

Function
Esthetics
Maintain space for permanent dentition

23
Q

Symptoms of Teething

A

Fussy, irritable, sleepless

sore tender gums

24
Q

Is there evidence that teething is associated with fever or diarrhea?

A

no

25
Q

What must you do before attributing symptoms to teething?

A

rule out other possible causes so that a serious illness is not missed

26
Q

What might a patient with a non-nutritive sucking habit present with

A

open bite

27
Q

Intervention for sucking habits is not needed until when

A

Central incisors erupt

28
Q

How much fluoride such a patient under 2 get (high risk)

A

Smear amount of fluorinated tooth paste

29
Q

How much fluoride should a 2-5 year old get

A

pea sized amount of tooth paste

30
Q

When should you consider systemic administration of fluoride

A

when kids drink fluoride deficient water

31
Q

What is the mechanism of action for systemic fluoride

A

Improves enamel crystalinity and reduces acid solubility

32
Q

What can one varnish treatment a year do

A

cut cavity rate in half

D2: 622 Pediatric Dentistry (9 decks)

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