5 - Infant Oral Health Flashcards
What problems can arise from having natal teeth?
- Potential for nursing difficulty
- Potential for aspiration
- Potential for traumatic ulcer of the ventral surface of the tongue (Riga-Fede)
- Potential for trauma to the mucosa of the opposing arch
Where do most natal teeth appear?
Mandibular anterior incisor region. More than half the time they occur in pairs.
When would you extract a natal tooth?
- Risk of aspiration
- Does not have functional integrity
- Problem for the child in nursing
- Are supernumerary teeth
No literature describes the risk of aspiration of natal teeth, so removal should be based primarily on the appearance, firmness, and likelihood of function of the tooth.
What is the probability that natal teeth are members of the normal complement of primary teeth?
There is an overwhelming probability that a natal or neonatal tooth is one of the normal primary teeth. Fewer than 10% in most surveys are supernumeraries.
What is the difference between a natal and neonatal tooth?
Natal tooth - tooth present at birth
Neonatal tooth - tooth that erupts after birth within the first 30 days of life
What are the differential diagnoses for a natal tooth?
- Keratin-filled body such as a Bohn’s nodule or a mucus retention cyst.
What is the significance of a nut allergy?
Possible cross reactivity of various substances in patients with nut allergy, including some kinds of fluoride varnish.
What foods account for 90% of food allergies?
Cow’s milk, hen’s eggs, soy, peanuts, tree nuts, wheat, fish and shellfish.
What food allergies do children often outgrow and which food allergies are not outgrown and are lifelong problems?
Food allergies that children often outgrow - milk, soy, egg and wheat allergies.
Food allergies that are not outgrown and are lifelong problems - nuts and shellfish.
What are the drug treatments for GERD?
- Acid-neutralizers (milk of magnesia)
- Histamine-2 blockers (ranitidine/Zantac)
- Prokinetic agents (cisapride/Propulsid)
- Proton pump inhibitors (omeprazole/Prilosec)
What are the soft tissue complications of GERD?
Chronic laryngitis, laryngeal ulcers, chronic sore throat.
What are clinical risk factors believed to be indicative of an elevated susceptibility to dental caries?
- Poorly formed teeth or teeth with deep pits and fissures
- Existing dental caries including white spot lesions or decalcification
- Plaque on teeth
What are some alternatives to a night time bottle that can be offered to parents trying to break their child of a bedtime habit?
- Substitute water or gradually dilute the contents of the bottle over several nights with water.
- Clean the teeth well and take the bottle away when the child falls asleep.
- A pacifier or other object can be substituted for the bottle.
- The parent can read or rock the child to sleep.
For carious lesions how deep can you do ITR?
Carious lesions suited for ITR should be confined to dentin with sound enamel margins and no pulpal involvement.
What are some characteristics of fluoride varnish that make it superior to traditional gels and foams for use in a child?
Current fluoride varnish formulations:
- Taste good
- Tooth colored
- High concentration of fluoride
- Stay on the teeth longer
- Do not require a prolonged period of time without drinking as do other formulations
The effectiveness of fluoride varnish is well established, while the use of foams or gels in brush-on regimens enjoys little scientific support.