9. Peadiatrics Flashcards

1
Q

What is the order of tooth eruption in the PRIMARY dentition?

A

A, B, D, C, E

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When do teeth first start to erupt?

A

6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When should all primary teeth have erupted by?

A

2.5 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the order of tooth eruption for the permanent dentition?

A

6, 1, 2, 3, 4, 5, 7, 8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When do the first adult teeth develop?

A

6 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When should all adult teeth have erupted by?

A

13 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 4 preventative measures?

A

Toothburshing with fluoride toothpaste
Diet advice
Topical fluoride
Fissure sealants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

List the AMMOUNT OF toothpaste that should be used:

A

Smear - under 3’s
Pea - over 3’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What STRENGTH of toothpaste should be used?

A

1000-1500ppm - standard risk
1350-1500ppm - increased risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

List the 7 key messages for diet advice:

A
  1. Limit sugar intake to mealtimes
  2. Drink water or milk only
  3. Snack on low sugar foods
  4. No eating or drinking after brushing
  5. Be aware of hidden sugars in food
  6. Never place sugary drinks in babies bottles
  7. Be aware of acid content in fizzy drinks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When and how often should topical fluoride be placed?

A

Sodium fluoride varnish (5%/22600ppm)
- for all children aged 2+
- at least 2x per year
- up to 4x per year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

List the 3 contraindications for topical fluoride placement:

A

Severe asthma
Severe allergies
Allergy to plasters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the maximum that should be dispensed when applying fluoride?

A

0.25ml for 2-5 years
0.4ml for 5+ years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What advice should be given after placing topical fluoride?

A

No eating or drinking for 30mins
Wait 4 hours before brushing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the 2 types of fissure sealants?

A

Resin
GI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is a resin fissure sealants placed?

A

Dry, etch, place, cure

17
Q

How is a GI fissure sealants placed?

A

Dry, place,vaseline layer

18
Q

List 5 methods of caries management in children:

A
  1. SDF
  2. ART
  3. Hall crowns
  4. Direct restorations
  5. Pulpotomy
19
Q

What does SDF do?

A

Prevents and arrests caries but stains everything black

20
Q

What is ART?

A

Atraumatic Restorative Treatment - involves selective caries removal with hand instruments and placement of a GI restoration

21
Q

What are hall crowns?

A

A method of sealing in caries under a preformed metal crown

22
Q

What is a pulpomtomy?

A

Removal of the coronal portion of the pulp

23
Q

How often should radiographs be taken in children?

A

Every 2 years - for normal risk
6-12 months - for increased risk

24
Q

What are 3 benefits of fluoride?

A
  1. Inhibits demineralisation
  2. Increases resistance to erosion
  3. Inhibits bacteria
25
Q

What is the toxic dose of fluoride?

A

5mg per kg

26
Q

What are the signs of fluoride overdose?

A

Vomiting
GI symptoms
Dental fluorosis

27
Q

How would you manage a fluoride overdose?

A

Milk to reduce absorption
Refer to A and E for assessment

28
Q

What are the 6 contraindications for pulpotomies?

A

Pre-cooperative child
Multiple teeth requiring
Tooth Exfoliating soon
Root restoration
Unrestoable tooth
Infection present

29
Q

What is child protection?

A

Protecting children and young people who have been harmed or at risk of harm

30
Q

List 3 legislations that relate to child protection:

A

National guidance for child protection Scotland 2021
GIRFEC policy
Children Scotland act 2020

31
Q

List 3 places you can go for guidance on child protection issues:

A

Child protection advice line
Social services
BDA website