Dental Flashcards
First dental visit
when teeth erupt (by age 1)
Number of primary teeth
20
When do all primary teeth erupt by
age 3
Spacing is good in primary teeth because
allows room for larger permanent teeth
Enamel in primary teeth
thin; teeth can decay quickly
Timing for eruption of primary teeth
3 mo (as late as 14) - 3 YO
Premature baby tooth eruption
May be delayed; may have enamel defects
Exfoliation/shedding
loosing primary teeth; starts with lower incisors
1st permanent molar eruption
age 6
Eruption of permanent dentition
age 6 until age 12
Decalcification
white spots that don’t wipe off; sign of early decay; reversible with plaque removal and fluoride; refer to dentist
Caries progression
Decalcification, moderate, severe
Moderate careis
brown/black spots, smooth and/or chewing surfaces, dental refer ASAP
Severe caries
risk of fracture; affects chewing and self-esteem; often requires tx in OR under anesthesia; refer ASAP; places child at risk for serious infection
Early Childhood caries (ECC)
transmissible (<5), decay/destruction; dependent on refined carbs; virulent
High risk for caries
premature/low birth weight low SES/education caregiver with cavities siblings with cavities children w/ special health care needs children who use a bottle after 15 months or have sweets/starchy snack more than 3 times a day
Breast milk
not cariogenic unless combined with carbs
Teeth care
must be cleaned following feedings whether breast or bottle
Eliminate bottle
by 1 year old
Introduce sippy cup
as soon as child can sit up unsupported
Drinks at bed or nap tim
ONLY WATER
When can kids have juice
meals only (water and milk between meals)
Feeding guidelines
healthy foods, avoid pre-tasting/pre-chewing (shares bacteria), avoid stick foods, discourage grazing (especially carbs)
Teething tips
something cold, teething ring, clean finger to rub gums, dispense acetmainophen
