4: prevention Flashcards

1
Q

what is dental caries?

A

a disease of the dental hard tissues caused by the action of microorganisms found in plaque, on fermentable carbohydrates

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2
Q

what are the impacts of caries on pre-school children?

A

aesthetic problems
loss of function
pain
infection

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3
Q

what are risk indicators in children?

A
O.H
diet
bacterial exposure
socioeconomic status
breast/bottle feeding
fluoride exposure
parental smoking
parental oral health status
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4
Q

what teeth do early childhood caries typically affect?

A

upper anterior and molar teeth

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5
Q

what is the typical cause of nursing caries?

A

inappropriate use of feeding cups & bottles

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6
Q

how can caries be prevented?

A

diet
fluoride
oral hygiene

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7
Q

is there any benefit to pregnant women taking fluoride supplements?

A

no

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8
Q

what advice should be given to avoid early childhood caries?

A

feeding cup not bottle from 6 months
no drinks with free sugars in bottle
no bottles in bed
soy milk can be cariogenic- only is medically indicated

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9
Q

how to reduce the impact of sweetened drinks

A

mealtimes only
dilute as much as possible
straw at back of mouth

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10
Q

what drinks are safe between meals?

A

plain water or milk

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11
Q

what can be done about sugar containing medicines?

A

sugar free when available

doses given at mealtimes and never after brushing at night

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12
Q

what food is good for toddlers and why?

A

cheese
high energy
non-cariogenic
may protect against caries

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13
Q

what are safe snacks?

A
milk/water
fruit
savoury sandwiches
crackers and cheese
bread sticks
crisps
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14
Q

how can fluoride be taken in?

A
water
toothpaste
supplementary self delivered
-drops
-tablets
-mouthrinse
professionally delivered
-APF gels
-varnishes
-slow-release devices
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15
Q

when should toothbrushing begin in children?

A

as soon as 1st primary molars erupt

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16
Q

what age can children brush their own teeth?

A

over 8

17
Q

what is the fluoride formulation in child toothpaste?

A

1000ppm

18
Q

what is the fluoride formulation in standard toothpaste?

A

1400-1500ppm

19
Q

what is the fluoride formulation in enhanced fluoride (duraphat)?

A

2800ppm

20
Q

what ppmF should be used from 1st eruption to 3 years?

A

1000ppm

21
Q

what ppmF should be used for 4-16 years?

A

1000-1500ppm

22
Q

what ppmF should be used for high risk children under 10 years?

A

1500ppm

23
Q

what ppmF should be used for high risk children over 10 years?

A

2800ppm

24
Q

what ppmF should be used for high risk children over 16 years?

A

5000ppm

25
Q

how much toothpaste should children under 3 use?

A

smear (0.1ml)

26
Q

how much toothpaste should children over 3 use?

A

pea-sized (0.25ml)

27
Q

what age can children use a fluoride mouthrinse?

A

over 6

-should assess ability to expectorate

28
Q

what are professionally applied fluorides?

A

APF gels

varnishes-every 4 to 6 months for high risk childen

29
Q

when can fluoride varnish be used?

A

x2 yearly for pre-school children assessed as being high risk for caries
for high risk adults

30
Q

what are the 2 methods of community based prevention?

A

health education

health promotion

31
Q

what is health education?

A

a process that results in individuals/ groups having increased knowledge related to health

32
Q

what is health promotion?

A

supports individuals in translating health knowledge into good behaviours and lifestyles

33
Q

what is the goal of oral health promotion programmes?

A

to reduce the risk of early childhood caries

-available for parents during pregnancy and postnatal

34
Q

when should OHPP begin for young children?

A

before the age of 3

35
Q

what should OHPP address?

A

environmental, public and social policy changes in order to support behaviour change

36
Q

when should bitewings be taken and why?

A

every 6 months for high risk
every 12-18 months low risk
60% interproximal caries if not taken