Childrens Oral Med

Question 1

3 developmental conditions you might see in children

Answer 1

• Gingival cyst of infant
• Congenital epulis
• Ankyloglossia

Question 2

Are gingival cysts of infants common?

Answer 2

Yes 65-85%

Question 3

Age 4-8. Sore throat, fever, headaches, swollen lymph nodes, strawberry tongue.

What is this describing?

Answer 3

scarlet fever

Question 4

Common, contageious superficial skin infection. Itchy and sore.

Answer 4

Impetigo

Question 5

What is this

Answer 5

Impetigo

Question 6

Is gingivostomatitis Type 1 or Type 2 herpes?

Answer 6

Type 1

Question 7

Apthae affect what % of population

Answer 7

10%

Question 8

When do apthae start?

Answer 8

Childhood or adolescence

Question 9

List 7 predisposing factors for Apthae

Answer 9

• Family history (1/3) HLA subtype
• Folta, B12, iron deficiency
• Systemic disease eg IBS, coeliac
• Drugs
• Cessation of smoking
• Stress
• Trauma
• Endocrine
• Allergy to food

Question 10

Duration of RAS Minor

Answer 10

10-14 days

Question 11

Duration of RAS major

Answer 11

More than 14 day

Question 12

Size of RAS major lesiosn

Answer 12

Larger than 1cm

Question 13

Duration of RAS herpetiform lesions

Answer 13

10-14 days

Question 14

Which of the RAS types causes scarring

a) minor
b) major
c) herpetiform

Answer 14

Major

Question 15

Where do RAS minor lesions occur

Answer 15

Non keratinised mucosa only - lip, buccal, FOM, sulcia, ventral tongue

Question 16

Where do RAS major lesions occur

Answer 16

Anywhere inc keratinised eg dorsum, hard palatte

Question 17

Where do herpetiform RAS lesions occur

Answer 17

Anywhere keratinised

Question 18

managment of apthous ulcers:

Answer 18

• Treat predisposing factors
• Topical steroids or tetracycline

Question 19

Leukaemia makes up what % of all childhood cancers

Answer 19

30%

Question 20

List 6 oral manifestations of leukaemia

Answer 20

• Oral ulcers
• Gingival enlargement, bleeding
• Aenaemia
• Infections (candida, herpes simplex)
• Prolonged bleeding
• Lymphadenopathy
• Pericoronitis

Question 21

5 oral manifestations of down syndrome

Answer 21

• Supernumerary teeth
• Enamel hypoplasia
• Macroglossia/fissured tongue
• Reduce saliva = dry mouth
• Hypoplastic maxilary sinuses