Caries prevention Flashcards

1
Q

describe the distribution of caries in Scotland in relation to children, and why this stat may be what it is

A

25% of children have 75% of the disease

often due to socio-economic status

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2
Q

what is early childhood caries and what are the causes and preventative treatments?

A

often of maxillary anterior teeth and molar teeth

the cause is usually inappropriate use of feeding cups and bottles

treatment is a good diet, OHI and fluoride

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3
Q

how can caries be avoided in pre-school children?

A

promote breastfeeding

feeding cup instead of a bottle should be 6 months plus

free sugar-containing drinks never in a feeder bottle or cup

not be put to bed with a feeder bottle or cup

soya milk can be cariogenic and should only be used if medically instructed to

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4
Q

how should sugar be delivered to young children?

A

sweetened drinks should not be advocated

mealtimes only and dilute as much as possible

take through a straw which should be held at the back of the mouth

plain water and milk not at mealtimes

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5
Q

what foods are less cariogenic that can be eaten as healthy snacks?

A

cheese, high energy and may actively prevent caries

sugar-free snacks

milk or water

fruit

savoury sandwiches

cheese and crackers

breadsticks

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6
Q

how can fluoride be delivered to teeth?

A

supplementary:

  • drops
  • tablets
  • mouthwash

toothpaste

in water

professionally delivered:

  • APF gels
  • varnishes
  • slow-release devices
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7
Q

when should tooth brushing commence? when should children start brushing their own teeth?

A

as soon as the first tooth erupts

children under 8 lack dexterity to clean their own teeth

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8
Q

what ppm fluoride toothpaste should be given from 1st eruption to 3 weeks?

A

1000ppm

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9
Q

what ppm fluoride toothpaste should be given from 4-16yrs?

A

1000-1500ppm

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10
Q

what ppm fluoride toothpaste should be given to high risk 10 years >?

A

1500ppm

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11
Q

what ppm fluoride toothpaste should be given to high risk > 10 years?

A

2800ppm

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12
Q

what ppm fluoride toothpaste should be given to high risk > 16 years?

A

2800 / 5000ppm

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13
Q

what is the standard fluoride ppm and give an example of a toothpaste

A

1000-1500 ppm Colgate total

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14
Q

describe good toothbrushing practise

A

spit excess, do not rinse

manual or powered are effective

small-headed manual brush

modified bass

floss in combination with brushing is best

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