Child evolution II Flashcards
Boys have more muscle in the _____ area
scapula
Girls have more fat at the ___ area
pelvic
Boys height at 6 years old?
121 cm
Boys height at 9 years old?
140 cm
Boys height at 12 years old?
154 cm
Girls height at 6 years old?
119 cm
Girls height at 9 years old?
137 cm
Girls height at 12 years old?
157 cm
Speed of growth (height) in children?
5-6 cm until puberty
A constant variation in speed of height growth can indicate..?
pathology
At what age are boys taller? Girl?
- 6-9 the boys are taller
- 9-12 girls are taller because of
puberty
What is the growth rate at puberty?
10-13cm/year
When do girls go through puberty?
11-15 years old
When do boys go through puberty?
12-16 years old
What are the stages of puberty for girls? (3)
- Telarchy
- Pubarchy
- Menarchy
What is telarchy? (3)
1st stage of puberty in girls
- breast development
- max growth of 10-12cm / year
What is pubarchy? (3)
2nd stage of puberty
- axilla and pubic hair
- 10cm/year growth
What is menarchy? (3)
3rd stage of puberty
- first menstruation
- residual growth (3-4cm/year for 1-2 years)
How many stages of puberty do boys have?
3
What occurs during the first stage of puberty in boys? (2)
Increase in body fat and muscle mass
What occurs during the second stage of puberty in boys?
appearance of secondary sexual characters
What occurs during the 3rd stage of puberty in boys?
Increase in height (10-15cm more than girls)
Puberty: proportions?
Head and neck proportions start to look like those
in the adult thanks to the great growth of the trunk
and limbs
boys weight 6 years old?
24kg
Girls weight 6 years old?
23kg
Boys weight 9 years old?
33kg
Girls weight 9 years old?
32kg
Boys weight 12 years old?
44kg
Girls weight 12 years old?
45kg
there are bigger variations in ____ than ____ (height/weight)
BIGGER VARIATIONS IN THE WEIGHT THAN THE HEIGHT
Increase in weight during puberty?
3.5kg/year
When do boys weigh more than girls?
6-9 years old boys weigh more
9-12 years old girls weigh more
Physical changes in the heart during puberty? (3)
- There is an increase of the arterial tension
- There is a decrease in the heart rate rate
- Both become more similar to the adult values
Lymphatic tissue growth?
Big growth of the lymphatic tissue until puberty
Cranial changes in children 6-12 years old? (2)
- at age 10: 96% of skull growth achieved, looking similar to an adults skull
- suture closure at puberty
Which facial third grows at ages 6-12?
lower third
Which bones grow from ages 6-12? (4)
- nasal bones
- mandible and maxilla
- malar bones
- alveolar processes
How does the face grow from age 6-12?
Downward and forward balacing facial proportions
When do boys weigh more than girls?
6-9 years old boys weigh more
9-12 years old girls weigh more
Physical changes in the heart during puberty? (3)
- There is an increase of the arterial tension
- There is a decrease in the heart rate rate
- Both become more similar to the adult values
Lymphatic tissue growth?
Big growth of the lymphatic tissue until puberty
Cranial changes in children 6-12 years old? (2)
- at age 10: 96% of skull growth achieved, looking similar to an adults skull
- suture closure at puberty
Which facial third grows at ages 6-12?
- Middle and lower third increase
- lower third increases more
Which bones grow from ages 6-12? (4)
- nasal bones
- mandible and maxilla
- malar bones
- alveolar processes
How does the face grow from age 6-12?
Downward and forward balancing facial proportions
How does the maxilla grow from age 6-12?
- Grows to make space for the permanent molars
- sagittal growth is the biggest
How does the mandible grow from age 6-12? (4)
- downward and forward
- body grows more than the ramus
- condyle becomes rounder
- TMJ almost reaches its final shape
How does the facial appearance change from ages 6-12?
- more convex face
- bigger nose
- eyes closer together and smaller
- bigger facial balance
Cognitive changes from age 6-12? (4)
- Complete development of the central nervous system: Great mental capacity.
- School attendance
- Logic thinking
- They are aware of everything
Best age for dental treatment (if they collaborate)?
11-12 years old
When does permanent dentition being to erupt?
6 years old
When is enamel completely formed?
8 years old
When does a child only have permanent dentition?
12 years old
Permanent teeth characteristics? (3)
- more yellow
- developmental lobes in incisal borders
- apex closes 3-4 years after eruption
The eruptive sequence occurs ___ months in girls before boys
3-7 months
The eruptive sequence occurs ___ months in the mandible before the maxilla
5-7 months
Caries: we must control the ____ for the 1st upper permanent molars
palatal pit
Caries: we must control the ____ for the 1st lower permanent molars
buccal pit
Caries: we must control the upper incisors ______
cingulum
Caries: we must control the ___ of all teeth
interproximal surfaces
What treatment do we do in temporary dentition if there is reversible pulpitis and only the coronal pulp is affected?
Pulpotomy
What treatment do we do in temporary dentition if there is irreversible coronal pulpitis and the radicular pulp is affected?
pulpectomy
What treatment do we do in temporary dentition if there is necrosis with big abscess, mobility, and affecting the permanent tooth germ?
Extraction and space maintainer
What treatment do we do in permanent dentition if there is caries near pulp with no pulp exposure?
indirect pulp capping
What treatment do we do in permanent dentition if there is less than 1mm and less than 24 hours? No symptoms of pulp affectation
direct pulp capping
What treatment do we do in permanent dentition if there is less than 1mm and more than 24 hours? only coronal pulp affectation and OPEN APEX?
pulpotomy/apexogenesis
What treatment do we do in permanent dentition with irreversible pulpitis or necrosis and and open apex?
Apexification
What treatment do we do in permanent dentition with necrosis and and open apex?
Revascularization
What causes space problems in children’s teeth? (5)
- interproximal caries
- osteodental discrepancies
- agenesis
- supernumerary teeth
- ectopic eruption
What habits can contribute to malocclusions? (4)
- Atypical swallowing
- Digital suction
- Pacifier
- Oral breathing
Bite wings help check for… (4)
- Interproximal caries
- Furcation lesions
- Root lesions: Resorption
- Old treatment supervision
Panoramic /perioapical xrays check for …? (4)
- Eruptive sequence (favorable or not)
- Agenesis or supernumerary
- Impacted teeth
- Cysts, dislacerations
Pediatric dentist’s goals? (5)
1st- Supervise eruption 2nd- Prevention 3rd- Restorative treatment 4th- Orthodontic treatment 5th- others
What percent of fluoride do we use for weekly rinses?
0.2%
What percent of fluoride do we use for daily rinses?
0.05%