Child Oral Health

Question 1

EVERY child exam starts with…

Answer 1

• history (parent MUST be there)

- parental consent

Question 2

what is the most common drug you will prescribe a child?

Answer 2

antibiotics

Question 3

what are the 5 things that comprise a child dental exam/

Answer 3

• general appraisal
• head and neck exam
• intraoral exam
• radiographic exam
• behavioral assessment

*in axium you gather this info from: pediatric head and neck form, pediatric occlusion form, and odontogram!

Question 4

at what age can kids start to develop self-control of emotions?

Answer 4

3

Question 5

what constitutes the general appraisal of an exam for a 3-6 year old

Answer 5

• childs physical and behavioral status (start in the waiting room)
• physical and behavioral milestones

Question 6

in the exam of a 3-6 year old, what instruments do you use?

Answer 6

• none!

- soft tissue exam and use just fingers - introduce instruments slowly

Question 7

what is the most common type of occlusion for children?

Answer 7

• flush terminal plane

* majority shift to class 1, some to class 2

Question 8

what does a mesial step type of occlusion usually end up being?

Answer 8

class 1

Question 9

what does a distal step type of occlusion usually end up being?

Answer 9

class 2

Question 10

it is normal for children to be convex/concave

Answer 10

convex (mandib growth later than max)

Question 11

what is the ideal overbite and overjet for kids?

Answer 11

2mm and 2mm

Question 12

should we worry about crossbites on kids?

Answer 12

no, it may resolve on its own

Question 13

when are xrays indicated for kids?

Answer 13

• close contacts
• hx of pain
• disrupted eruption pattern
• occlusal caries

***** look at her sheet on carmen

Question 14

what is the prevention for children concerning caries?

Answer 14

• child prophy (use toothbrush to educate parent)
• F- application
• dietary conceling

Question 15

what is the behavioral assessment of a 6-12 year old?

Answer 15

• transitional years
• moving towards societal norms
• delayed gratification

Question 16

what is new for the exam of the 6-12 compared to the 3-6 year old?

Answer 16

• periodontal probing (incisors and first molars)

- evaluate the kids brushing (just started on their own)

Question 17

what goes into the dental evaluation for the 6-12 year old pt?

Answer 17

• tooth number
• tooth structure
• tooth position
• caries
• occlusal

Question 18

what do radiographs of 6-12 year olds usually consist of?

Answer 18

-periapical/occlusal views and bitewings OR pan and bitewings

Question 19

when should the easiest film be taken?

Answer 19

first

Question 20

where should the NARROWEST border of the film be placed?

Answer 20

left and right

Question 21

where should the widest border of the film be placed?

Answer 21

front and back

Question 22

where should the film come to rest for mandibular films?

Answer 22

in the lingual vestibule, not on impinging tissues

Question 23

for mandib periapicals, what is the angualtion of the tubehead?

Answer 23

10 degrees from horizontal