Adolescent Oral Health Flashcards
what is the age group for adolescence?
10-19
how many adolescence are there in the US?
42 million (13% of population)
what are the classic characterization of adolescence?
- stuggle with sense of identity
- establish independence (challenge authority)
- peers are VERY important
- sexual interests and identity
- need to make a career or vocational choice
is diet of a teenager better/worse than that of a child
worse (more money to buy worse food)
what percent of PRESCHOOLERS consume more than 9 oz a day?
15%
how many 8 year olds drink soda every day?
over half
how many cans of soda does the average male drink a year?
868 = 540 cups of sugar
what does the soda crisis cause?
- rampant smooth surface caries
- enamel erosion
what is a great tool for caries prevention of adolescence?
fluoride
-apply varnish at dental visits
what are some perio problems seen in teens?
- gingivitis (plaque and puberty)
- aggressive periodontitis
- gingival enlargement due to ortho
there is a direct link between adolescent gingivits and what/
hormonal peaks
*good hygiene usually alleviates the problem
what may aggrevate adolesncet gingivitis ?
- mouth breathing
- eruption of teeth
are TMD problems more common in adolescense or younger/
younger
what are the most common injuries to adult teeth?
- falls
- sports
- traffic
- accidents
- violence
what are some prevention methods for trauma?
- MOUTH GUARDS
- seat belts
- education
what are the most often teeth to be affected by trauma?
max incisors
what is the cost per lifetime to treat 1 avulsed incisor?
5$ - 20K$
if avulsed PERMANENT TOOTH, what do you do?
rinse and reinsert immediately
*whoever calls you should be the one to put the tooth back in
if avulsed PRIMARY tooth, what do you do/
do NOT reinsert
does inc overjet lead to more of a chance of trauma?
yes
what sports are mouthgaurds required in?
- football
- ice hockey
- lacrosse
- field hockey
- wrestling
what mouthguards are best to worst?
- custom made by dentist (expensive)
- boil-and-bites ( price, comfort, level of protection varies)
- stock
should you bleach someone in adolescence?
the AAPD discourages full arch whitening for ppl in mixed dentition
- wait until mid-teens to whiten
- try over the counter strips first
how many teens smoke?
3,200 teens under 18 start smoking each day
how many ppl under 18 today are projected to die from smoking related diseases?
5.6 million
what is the most commonly used drug by teens in the US?
alcohol
how many deaths are related to alcohol for underage youth each year?
4,300
what percent of 8th graders have tried alcohol?
8%
what percent of 12th graders have tried alcohol?
70%
how many 12th graders have used prescription drugs non-medically in the past year?
15%
is teen pregnancy getting better or worse?
better
when can you treat pregnant pts?
- pregnancy itself is not a reason to defer necessary tx
- consuslt physician if comorbidities exist
- emergencies may be treated at any time
- ideal to treat in SECOND trimester
- provide infant oral health anticipatory guidance
- xrays: ALARA (always)
- what for drugs
how many of bulemics are female?
90%
what are the oral consequesnces of bulemia?
- erosion on lingual surfaces
- thermal sensitivity
- resorations higher than tooth structure
- enlarged parotid glands due to constant vomitting
- callus formation and soft palate injury
what are the solutions to bulemia?
- early ID and referral to psychiatric specialist
- home care (rinsing after vommiting, wait 1 hr before brushing, gentle brushing with F- toothpaste)
what is the rule with bulemia?
NO DEFINITIVE DENTAL PROCEDURES STARTED UNTIL NEGATIVE BEHAVIOR IS CONTROLLED
where will parents most likely find out about their child being bulemic?
insurance receipts
