Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Paeds > Caries risk assessment and Prevention Planning > Flashcards

Caries risk assessment and Prevention Planning Flashcards

1
Q

What is caries

A

multifactorial, dynamic process caused primarily by
the complex interaction of cariogenic bacteria with
fermentable carbohydrates on a tooth surface over time

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

Caries occurs when

A

the net demineralising flux prevails
over the net remineralisation flux

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

Caries risk factors are

A

Anything that affects this balance

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

Caries balance- pathological factors that result in demineralisation ie caries?

A

Acid producing bacteria
Sub normal saliva flow and/function

Frequent eating/drinking of fermentable carbohydrates

Poor oral hygiene

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

Caries balance-
Protective factors resulting in remineralisation ie no caries?

A

Saliva flow and components

Remineralisation (fluoride, calcium, phosphate)

Antibacterials (flouruide, chlorhexadine, xytilol)

Good oral hygiene

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

What is the caries risk in NI?

Decay in primary and permenant teeth
Children’s dental health
survey (CDHS), UK 2013

Obvious decay at
5 years

A

NI 40 percent
Obvious decay at
15 years
England 31% 32% 44%
Northern Ireland 40% 57% 72%

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

What is the caries risk in NI?

Decay in primary and permenant teeth
Children’s dental health
survey (CDHS), UK 2013

Obvious decay at
12 years

A

57 percent

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

What is the caries risk in NI?

Decay in primary and permenant teeth
Children’s dental health
survey (CDHS), UK 2013

Obvious decay at
15 years

A

72 percent

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

What percentage of
12 year olds
15 year olds

reported experiencing difficulty eating
in the past three months.

A

22 percent of 12 year olds

19 percent of 15 year olds

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

What percentage of 12 year olds and 15 year olds reported to be embarrassed to smile or laugh due to the condition of their teeth?

A

35 percent of 12 year olds

28 percent of 15 year olds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What percentage of parents of 15 year olds reported that their child’s oral health has impacted on family life in the past 6 months?

A

35 percent

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

What percentage of parents off 15 year olds took time of work because of their child’s oral health in that period?

A

23 percent

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

When does the first caries risk assessment occur?

A

By 1 year of age or when first tooth erupts

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

Children can be classified as … caries risk

A

Low or high

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

Caries risk assessment is
And it predicts

A

Comprehensive assessment using medical dental and social status for risk of caries development

Also predicts the rate of disease progression

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

What are some Some Evidence Based Risk Indicators
SDCEP, 2018

A

*Previous Caries experience (any decayed, missing or filled teeth)

*Visible plaque on maxillary incisors is excellent predictor in young children

*Caries in primary teeth increases caries risk in permanent teeth

*Resident in an area of deprivation
*Caries/restorations in anterior teeth
. Healthcare worker’s opinion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When should caries risk assessment be carried out?

A

*Should be done regularly as can change/ is non static

*Caries risk assessment is undertaken as part of the
history and examination and

*Determination of caries risk assessment should be
undertaken before formulating a treatment plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Caries risk assessment factors to consider… History?

A

. Diet
*Drinks- Use of sweetened drinks regularly/bottle in bed

*Previous and current caries experience

*Significant Medical History e.g. Special needs, chronic ill
health (increased risk of developing disease or increased
risks associated with management of disease), regular
sugar containing medication.

*Salivary flow, xerostomia, previous radiation

*Poor oral hygiene
*Fluoride usage

*Family caries
experience (consider parents, siblings)

*SES and mother’s education

*Regular dental attendance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Caries risk assessment factors to consider - dental

A

*Visible plaque
*Gingivitis
*Hypomineralisation/ hypoplasia of enamel
*Deep pits/ fissures
*Defective restorations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Caries risk assessment factors to consider
Other

A

Radiographic caries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

High caries risk
CO

A

Toothache, yellow teeth

22
Q

Low caries risk
CO

A

No concerns

23
Q

High caries risk
HPC
Low caries risk

A

Nocturnal pain
——

24
Q

High caries risk
PMH

A

Sugar containing medications
Medications causing xerestomia
Autism

25
Q

Low caries risk
PMH

A

Healthy child

26
Q

PDH
High caries risk

A

Previous fillings
No LA ie temporary fillings

27
Q

PDH
Low caries risk

A

Regular dental visits

28
Q

SHx
Age
Drinks bottles
snacking/ diet
Brushing

High caries risk

A

3 years old
Bottle milk to bed, juice, no H20
Frequent snacks, poor eater
Brushing themselves

29
Q

SHx
Age
Drinks bottles
snacking/ diet
Brushing

Low caries risk

A

6 years old
Water/milk main drink
3 meals, 2 snacks
Brushes twice a day, parent, F toothpaste

30
Q

Family Hx
High caries risk

A

Single mother
Siblings have had teeth out

31
Q

Family Hx
Low caries risk

A

Siblings have no Hx of GA extractions

32
Q

Dental Hx
High caries risk

A

Poor oral hygiene
Cavities
Temporary fillings/fillings
Hypomineralisation/hypoplastic enamel

33
Q

Dental Hx
Low caries risk

A

Good oral hygiene
Has fissure sealants

34
Q

For young children what exam may you have to perform?

A

Knee to knee exam

35
Q

Treatment Planning in Paediatric Dentistry:
Principles

A

. Must be individualised
*Should foster a positive dental attitude
*Whilst aiming for adulthood with optimal dental health
. Realistic and flexible and achievable

36
Q

Each treatment plan should compromise:

A

. Relief of pain
. Prevention *
. Behaviour management/ acclimatisation
. Operative procedures …
. Recall and reinforcement of preventative advice*

37
Q

Each treatment plan should compromise… operative procedures…

A

*Consider stabilization
*Logical treatment progression building on each
previous visit
*Prioritise 6’s

38
Q

Caries caries risk should be considered when planning what things?

A
  1. Radiographic Investigations Frequency
  2. Preventive care/ Interventions
  3. Operative treatment
  4. Recall Interval
39
Q

Radiographic investigations frequency-

High caries risk?

A

*6-12 monthly BWs until no new or active
lesions are apparent

40
Q

Low caries risk?

A

*BW radiographs taken at 12-18 month intervals in
primary
2 year intervals in permanent

41
Q

When are baseline BWs taken?
For this patient-
*5 year old, No parental concerns, no clinical decay,
brother had dental decay

A

From 4 years old, when contacts close

42
Q

Prevention of caries document?

A

Toolkit for delivering better oral health- must learn !

43
Q

See summary guidance for primary care needs
Under 3, 3-6 years, 0-6 year etc.
The tables
(3rd year lectures)

A
44
Q

Advice for babies - bottle?

A

If on a bottle at night only drink water

Never put juice, sweetened milk/soya milk in bottle- cultural variations

Stop bottle by 1 y/o

45
Q

Advice for babies- brushing

A

*X2 daily brushing with smear > 1000 ppm F tooth paste

46
Q

Advice for babies-
Food and drink

A

Reduce frequency of sugary foods and drinks

47
Q

Advice for babies-
Free flowing cup

A

Free flowing cup by 3 months

48
Q

Operative treatment- caries risk may affect

A

Possible need for stabilisation stage

49
Q

What is the material choice in proximal lesions?

A

–Pulp Rx/conventional PMC
–Hall Crown
–Composite
–RMGIC
—Extraction

50
Q

Recall interval for children?

A

3, 6 or 12 months

51
Q

What else does NICE 2004 say about recall intervals?

A

These should be considered at every assessment and agreed with carer

Remember that the rate of caries progression can be more rapid in children

Paeds (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions