case scenarios Flashcards
evaluation technique
1) begin at occlusal
2) move to apical
3) then to unerupted teeth and bone
4) note
- number of teeth
- position
- enamel and dentin
- DEJ
- etc
information from radiographs
1) 2D image of 3D structure
2) consider technical flaw
always balance with
1) patient history
2) clinical exam
3) symptoms
16 mo old, breastfed milk ad lib in the past, 2 cups of juice per day, spots on teeth, non fluoridated community
1) sensorimotor stage
- responses based on senses, little cognitive and verbal interaction possible
- object permanence
2) is her toothpaste fluoridated? Is she off breastfeeding? Does she clean teeth after eating or drinking? Amount of toothpaste? Who cares for her when shes off work? nutrition and feeding practices? oral hygiene practices?
sensorimotor
1) birth -2 years
2) uses senses and movements to explore the world
3) react to physical stimultion
speech and language milestones for 16 mo old
1) point to a few body parts when asked, points to pictures when you name them, puts two works together
2) follows 1 part directions
3) responds to simple questions
4) listens to simple stories, songs and rhymes
how much juice should she have
1) no more than 4-6 ounces
which teeth should she have
1) all her incisors
2) and her first molars
3) possible canines
natal and neonatal tooth
1) natal is born with a tooth
2) neonatal erupts within 30 days of being born
does emily need to take supplemental fluoride
1) 0.25 mg F ion/day
2) look at the table
what kind of caries does she have
1) baby bottle caries
2) maxillary incisors and molars
3) lower incisors spared
timothy is 8 years, brushes at night, no floss, snacks on chips and soda, low SES, hasnt been to dentist in 3 years
1) barriers to care: low SES, bad dental experience before, epigenetic stress
2) radiographs to take
- size 1
- BWX and PAs
