Caries Prevention Flashcards

1
Q

Outline the main principles of enhanced prevention for children.

A

Hands on toothbrushing instruction each visit

Dietary advice at each visit

Preventative interventions

Fluoride varnish application 4 times per year

Utilise home/community support (childsmile, health visitor, school nurse)

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2
Q

What is the main contraindication of duraphat?

A

Severe asthma attack requiring hospital treatment

Allergic reactions requiring hospital treatment

Allergy to colophony

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3
Q

What alternatives can you provide instead of duraphat in a child with colophony allergy?

A

Colophony-free varnish
Alternative age appropriate fluoride preparations (MW, toothpaste)

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4
Q

What preventative interventions can you recommend for a patient with enhanced prevention?

A

Up to 10yrs old: 1350-1500ppmF toothpaste

10-16yrs old 2800ppmF toothpaste for limited period

Food and drink diary

Toothbrushing chart

FV

Fissure sealants on 2s, Ds, and Es

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5
Q

What can you consider under enhanced protection for partially erupted 6s and 7s?

A

GI sealant until tooth fully erupted.

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6
Q

Outline the principles of standard caries prevention for all children.

A

Toothbrushing advice 1/year

Dietary advice 1/year

Place sealants on all pits and fissures of permanent molars as soon as possible after eruption

Check existing sealants and top up as needed

FV 2800ppmF (5%) 2/year

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7
Q

How often should follow-up radiographs be taken to assess a child with high caries risk?

A

6-12 months

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8
Q

How often should a follow-up radiograph be taken to assess a child of normal caries risk?

A

2 years.

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9
Q

What factors may indicate higher caries risk?

A

Previous caries
Dietary habits
Socioeconomic status
Fluoride exposure
Plaque control
Saliva
Medical history

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10
Q

What is SDF?

A

Silver and fluoride mixture, stabilised in ammonia.

Used to topically arrest caries and relieve symptoms.

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11
Q

What is the fluoride content of SDF?

A

44,800ppmF (38%)

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12
Q

What is the effect of applying SDF to caries?

A

Silver and fluoride work synergistically to arrest the caries.

They promote remineralisation and also inhibit collagen degradation.

As a result it stains the caries black.

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13
Q

What is the SMART technique utilising SDF?

A

Silver modified atraumatic restorative technique.

Place SDF underneath a GI restoration.

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14
Q

What are the indications for SDF?

A

Anxiety
Other modalities not an option
Compliant with preventative advice
Limited co-operation
Waiting for GA
As part of acclimatisation

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15
Q

What are the contraindications for SDF?

A

Irreversible pulpitis
Dental abscess or sinus
Peri-radicular radiolucency
Allergy to any ingredient or other heavy metals
Pregnant or breastfeeding
Thyroid therapy

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16
Q

What steps can you take to ensure the safe application of SDF?

A

Petrolium jelly to soft tissues
Cotton wool rolls
Gingival barrier

17
Q

Outline the procedure of applying SDF.

A

Protective elements in place
Clean teeth
Apply with silver brush
Leave to dry for at least 1min (ideally 3)
Blot the teeth with gauze or fresh micro brush

18
Q

What is the follow up for SDF?

A

2-4 weeks after application
Reapply if not arrested
Can be applied 6 monthly