08 Infant Oral Health

Question 1

What are early childhood caries

Answer 1

Caries in any primary tooth under age of 6

Question 2

What is true about early childhood caries

Answer 2

Distinctive pattern
Many teeth affected
Caries progresses rapidly

Question 3

What is severe early childhood caries

Answer 3

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)

Question 4

4 Component of Dental Caries:

1. ______
2. Cariogenic ______
3. _______ source
4. Exposure ______

Answer 4

1. Host
2. microflora
3. Carbohydrate
4. time

Question 5

Prevention of Early Childhood Caries

1. Oral Health _____
2. ______ guidance
3. Oral Health _____
4. Risk _______
5. Dental ______

Answer 5

1. Education
2. Anticipatory
3. Literacy
4. Assessment
5. Home

Question 6

Why is oral health education important

Answer 6

Oral diseases are preventable

Dental caries is most common chronic childhood disease

Question 7

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

Answer 7

1. Interaction
2. Motivate
3. Goals
4. Behaviors, high risk

Question 8

What does anticipatory guidance do

Answer 8

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

Question 9

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 ____ ____

Answer 9

1. basic
2. Jargon
3. patient
4. 3
5. illustrations
6. own words

Question 10

Risk Factors for ECC

Answer 10

Frequent fermentable carbs

Putting baby to bed with bottle

Plaque

Question 11

Sources of Fluoride

Answer 11

Toothpaste
Varnish
Water fluoridation

Question 12

Why is fluoride important

Answer 12

Inhibits bacterial metabolism

Inhibits demineralization

Enhances remineralization

Question 13

How does socioeconomic states effect risk for ECC

Answer 13

Kids from low SES experience caries most often

Question 14

Risk factors for Enamel defects

Answer 14

Low birth weight

Question 15

What are hypoplastic teeth

Answer 15

outer enamel structure has not formed correctly

Question 16

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

Answer 16

Frequent feeding
Oral aversions
Motor skill delays

Question 17

Effects of liquid medication

Answer 17

Can decrease saliva

Higher caries risk, especially in primary upper front teeth

Question 18

What bacteria can put a child at risk

Answer 18

Strep mutans

Question 19

What is dental home

Answer 19

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

Question 20

Screening techniqe for little kids

Answer 20

knee to knee

lift the lip

Question 21

knee to knee works up to what age

Answer 21

3

Question 22

Why baby teeth matter

Answer 22

Function
Esthetics
Maintain space for permanent dentition

Question 23

Symptoms of Teething

Answer 23

Fussy, irritable, sleepless

sore tender gums

Question 24

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

Answer 24

no

Question 25

What must you do before attributing symptoms to teething?

Answer 25

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

Question 26

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

Answer 26

open bite

Question 27

Intervention for sucking habits is not needed until when

Answer 27

Central incisors erupt

Question 28

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

Answer 28

Smear amount of fluorinated tooth paste

Question 29

How much fluoride should a 2-5 year old get

Answer 29

pea sized amount of tooth paste

Question 30

When should you consider systemic administration of fluoride

Answer 30

when kids drink fluoride deficient water

Question 31

What is the mechanism of action for systemic fluoride

Answer 31

Improves enamel crystalinity and reduces acid solubility

Question 32

What can one varnish treatment a year do

Answer 32

cut cavity rate in half