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Pediatric Dentistry > Dental Home & Infant Oral Health > Flashcards

Dental Home & Infant Oral Health Flashcards

1
Q

What is the dental home?

A

the ongoing relationship between the dentist and the patient, inclusive of all aspects of oral healthcare delivered in a comprehensive continuously accessible, coordinated and family-centered way.

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2
Q

Establishment of the dental home begins no later than:

A

12 months of age or within 6 months of eruption of the first tooth

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3
Q

AAPD:

A

American Academy of Pediatric Dentistry

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4
Q

A resource guide for pediatric and general dentist to successfully establish an infant oral health referral infrastructure in your community and state:

A

Points of light (AAPD)

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5
Q

List some members of the dental home:

A
  • dentists
  • nurses and PAs
  • physicians
  • dental hygienists
  • public health
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6
Q

The dental home and mission of the AAPD:

A
  1. Oral-disease free population
  2. Access of appropriate oral health care for all children and patients with special health care needs
  3. To be centered around the dental home
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7
Q

T/F: The AAPD recommends that the children first visit be no later than age one, but preferably when the first tooth erupts

A

True

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8
Q

What is accomplished at the Age One visit?

A

The dental home can be established, and Anticipatory Guidance of the Childs total health care experience

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9
Q

When does the AAPD recommend the Childs first dental visit?

A

No later than age one, but preferably when the first tooth erupts

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10
Q

What is the rationale for the early visit (age one visit)?

A
  1. Health supervision & disease treatment
  2. Early intervention to avoid dental caries
  3. Early intervention is more cost effective
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11
Q

T/F: Dental caries is NOT an infectious disease

A

false

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12
Q

Infectious disease is mitigated by:

A

diet

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13
Q

Dental caries has a biphasic tendency meaning:

A

demineralization & remineralization

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14
Q

What is the obvious clinical sign that dental caries disease manifests through?

A

cavities

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15
Q

Dental caries is ____ and ___ meaning if a child has a cavity on L (lower left side), they may be likely to have a cavity on S (lower right side)

A

site specific & symmetrical

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16
Q

What are the pathologic factors that lead to demineralization?

A
  1. frequent consumption of dietary sugars
  2. inadequate fluoride
  3. poor oral hygiene
  4. salivary dysfunction
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17
Q

Demineralization may lead to disease and lesion progression creating:

A

high caries risk

18
Q

What are the protective factors that lead to remineralization?

A
  1. healthy diet
  2. brushing with fluoride toothpaste 2x daily
  3. professional topical fluoride
  4. preventive and therapeutic sealants
  5. normal salivary function
19
Q

Remineralization may lead to lesion arrest or regression, creating:

A

low caries risk

20
Q

Four signs of success in managing the caries process:

A
  1. low bacterial counts of S. mutans
  2. no gingival inflammation
  3. caries excavation completed and lesion is arrested
  4. parents are managing the childs disease
21
Q

A program taught by the dental professionals in an office to care givers and is tailored to each specific child:

A

anticipatory guidance

22
Q

Anticipatory guidance is a time-intensive procedure that includes, but is not limited to:

A
  1. examinations
  2. prophylaxis
  3. diet analysis
  4. home care instructions
  5. supplemental fluoride (topic & systemic)
  6. general feeding instructions
23
Q
A
24
Q

Prives a mean of classifying dental caries risk AT A POINT IN TIME:

A

CAT

25
Q

T/F: CAT may only be used to initially asses an individuals caries risk status

A

False- CAT may be used to periodically asses changes in an individuals risk status

26
Q

What factors does CAT use to determine risk?

A
  1. biological
  2. protective
  3. clinical findings
27
Q

T/F: Strep mutans has been discovered in the oral cavity only after teeth have erupted

A

False- it has been discovered in the oral cavity even before teeth have erupted

28
Q

What categories are found on the axium form for oral evaluation of a patient less than 3 years of age?

A
  1. Prenantal history
  2. Developmental history
  3. Medical history
  4. Dental history
  5. Oral habits
29
Q

What questions are asked in the peds clinic regarding fluoride and water?

A
  1. where does drinking and cooking water come from?
  2. does drinking water have fluoride in it?
  3. is the child currently taking fluoride drops, fluoride tablets, or vitamins with fluoride?
  4. does the child spend time anywhere other than home?
  5. does that place have fluoride in the water?
30
Q

Baby bottle tooth decay/ Nighttime feeding habits really occur when there is:

A

beverages other than milk or water that are given frequently

31
Q

T/F: Even milk can cause tooth decay with night time feeding

A

true

32
Q

List some beverages that are considered cariogenic:

A
  1. juice
  2. soda
  3. sweetened tea
  4. coffee
33
Q

Is milk cariogenic?

A

Not cariogenic itself but feeding habits with milk may lead to cariogenicity

34
Q

What ingredient in formulas may be responsible for tooth decay?

A

sucrose

35
Q

T/F: Nothing should go to bed with the child unless its water in a sippy cup or bottle

A

true

36
Q

A psychopedagogic tool developed in recent decades with the primary objective of providing patients with intrinsic motivation to achieve and retain behavioral changes:

A

motivational interviewing

37
Q

What are some factors that contribute to the success of motivational interviewing?

A
  1. Person-centered
  2. Communication (OARS)
  3. Open-ended 1uestions
  4. Affirmations
  5. Reflective listening
38
Q

OARS:

A

Open-ended questions, Affirmations, Reflective Listening

39
Q

In addition to motivational interviewing, what else might be implemented to gather information?

A

Ask Ask Tell Ask Approach

40
Q

Give an example of the Ask Ask Tell Ask Approach method:

A
  1. Ask- What do you already know about..?
  2. Ask- Can I tell you something else?
  3. Tell- I wanted to let you know that…
  4. Ask- What do you make of that?
41
Q
A

Pediatric Dentistry (3 decks)

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