Child Oral Health Flashcards
EVERY child exam starts with…
- history (parent MUST be there)
- parental consent
what is the most common drug you will prescribe a child?
antibiotics
what are the 5 things that comprise a child dental exam/
- 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!
at what age can kids start to develop self-control of emotions?
3
what constitutes the general appraisal of an exam for a 3-6 year old
- childs physical and behavioral status (start in the waiting room)
- physical and behavioral milestones
in the exam of a 3-6 year old, what instruments do you use?
- none!
- soft tissue exam and use just fingers - introduce instruments slowly
what is the most common type of occlusion for children?
- flush terminal plane
* majority shift to class 1, some to class 2
what does a mesial step type of occlusion usually end up being?
class 1
what does a distal step type of occlusion usually end up being?
class 2
it is normal for children to be convex/concave
convex (mandib growth later than max)
what is the ideal overbite and overjet for kids?
2mm and 2mm
should we worry about crossbites on kids?
no, it may resolve on its own
when are xrays indicated for kids?
- close contacts
- hx of pain
- disrupted eruption pattern
- occlusal caries
***** look at her sheet on carmen
what is the prevention for children concerning caries?
- child prophy (use toothbrush to educate parent)
- F- application
- dietary conceling
what is the behavioral assessment of a 6-12 year old?
- transitional years
- moving towards societal norms
- delayed gratification
what is new for the exam of the 6-12 compared to the 3-6 year old?
- periodontal probing (incisors and first molars)
- evaluate the kids brushing (just started on their own)
what goes into the dental evaluation for the 6-12 year old pt?
- tooth number
- tooth structure
- tooth position
- caries
- occlusal
what do radiographs of 6-12 year olds usually consist of?
-periapical/occlusal views and bitewings OR pan and bitewings
when should the easiest film be taken?
first
where should the NARROWEST border of the film be placed?
left and right
where should the widest border of the film be placed?
front and back
where should the film come to rest for mandibular films?
in the lingual vestibule, not on impinging tissues
for mandib periapicals, what is the angualtion of the tubehead?
10 degrees from horizontal
