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BDS4 CDS Paeds > Caries Prevention and Management in Primary & Permanent Dentition > Flashcards

Caries Prevention and Management in Primary & Permanent Dentition Flashcards

1
Q

What are the components of caries prevention ?

A

Motivation, action planning, habit forming.
Dietary advice.
Fissure sealants.
Topical fluoride exposure.

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2
Q

STANDARD PREVENTION - what toothpaste would you suggest for all patients ?

A

Smear of 1450ppmF for <3 year olds.
Pea sized amount of 1450ppmF for >3 year olds.

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3
Q

ENHANCED PREVENTION - what toothpaste would you suggest for patients under 10 years old ?

A

1350-1500ppmF.
Under 3 years old - smear, over 3 years old - pea sized amount.

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4
Q

ENHANCED PREVENTION - what toothpaste would you suggest for patients over 10 years old ?

A

2800ppmF.

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5
Q

STANDARD PREVENTION - how often should diet advice and OHI be given including demonstration ?

A

At least once a year for longer than 3 mins.

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6
Q

ENHANCED PREVENTION - how often should diet advice and OHI be given including demonstration ?

A

Every recall visit for longer than 3 mins.

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7
Q

What is the first line material used for FS ?

A

RMGIC - etch and place.

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8
Q

What is the second line material used for FS ?

A

GIC - finger press technique, used for pre-cooperative patients and where teeth are fully erupted.

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9
Q

Describe RMGIC FS technique.

A
  1. Clean tooth and ensure debris free - toothbrush.
  2. Isolate tooth with cotton wool and dry guard.
  3. Etch.
  4. Apply sealant - to all pits and fissures (buccal and lingual).
  5. Check sealant integrity and remove flash.
  6. Check occlusion.
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10
Q

Describe GIC FS technique.

A
  1. Use finger press technique.
  2. GIC on one finger tip and vaseline adjacent.
  3. Wide surface of tooth with cotton wool.
  4. Press GI onto tooth surface.
  5. Hold for 2 mins.
  6. Cover with Vaseline.
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11
Q

STANDARD PREVENTION - how often should fluoride varnish be placed on 2 years and over ?

A

Two times annually.
Acceptable to receive up to 4 times annually - so OK to receive through Childsmile applications also.

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12
Q

STANDARD AND ENHANCED PREVENTION - what preparation of fluoride varnish should be used ?

A

5% 22,600ppmF sodium fluoride varnish (Duraphat).

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13
Q

ENHANCED PREVENTION - how often should fluoride varnish be placed on over 2 year olds ?

A

Four times annually - including Childsmile applications.

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14
Q

What is 3 contraindications to fluoride varnish application ?

A

Severe asthma.
Allergy to colophony with hospitalisation within 12 months.
Received fluoride varnish application within past 24 hours.

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15
Q

How many ml of fluoride varnish should be used on children aged 2-5 years old ?

A

0.25ml.

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16
Q

How many ml of fluoride varnish should be used on children aged 5-7 years old ?

A

0.4ml.

17
Q

What instructions would you give to a child following fluoride varnish application ?

A

Patient should not eat or drink for an hour after application.

18
Q

What are the components of SDF ?

A

Silver.
Fluoride.

19
Q

What are the four main properties of SDF ?

A

Bactericidal.
Reduces latency of dentinal tubules.
Promotes remineralisation.
Inhibits MMP - role in collagen degradation in dentine.

20
Q

What are the indications for SDF ?

A

Active dentine lesion.
Exposed root surface causing dentine sensitivity.
MIH of FPMs.
Pre-cooperative patient for restoration.
Good OH.
Cavity can be made self cleansing.

21
Q

What are the contraindications for SDF ?

A

Pulpal involvement.
Allergy.
Deep lesion extending close to pulp.
Poor OH.
Ulcerative gingival conditions.
Stomatitis.
Pregnancy or breastfeeding.

22
Q

What are the risks of SDF application ?

A

Staining of lips, cheeks, gingivae, teeth for 1-3 weeks.
Discolours restorations.

23
Q

Describe SDF application procedure ?

A
  1. Clean tooth.
  2. Make cavity self cleansing, excavate caries.
  3. Vaseline on all surrounding soft tissues.
  4. Isolate tooth and dry with 3:1.
  5. Apply SDF for 1 min on lesion.
  6. Dry with 3:1 and maintain isolation for 3 mins.
  7. Apply fluoride varnish throughout entire mouth.
24
Q

What is the follow up timeframe for SDF ?

A

2-4 weeks.

25
Q

Can SDF be repeated if no response ?

A

Yes.

BDS4 CDS Paeds (4 decks)

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