Dental Home & Infant Oral Health

Question 1

What is the dental home?

Answer 1

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

Question 2

Establishment of a dental home begins no later than:

Answer 2

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

Question 3

AAPD:

Answer 3

American Academy of Pediatric Dentistry

Question 4

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

Answer 4

Points of light (AAPD)

Question 5

List some contributing members of the dental home:

Answer 5

-dentists
-nurses & PAs
-physicians
-dental hygienists
-public health

Question 6

The dental home and mission of the AAPD: (3)

Answer 6

1. an oral disease-free population
2. access of appropriate oral healthcare for all children and patients with special health care needs
3. to be centered around the dental home

Question 7

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

Answer 7

True

Question 8

What is accomplished at the age line visits?

Answer 8

The dental home can be established, and anticipatory guidance of the Childs total health care experience

Question 9

When does the AAPD recommend the Childs first dental visit?

Answer 9

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

Question 10

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

Answer 10

1. health supervision & disease treatment
2. early intervention to avoid dental caries
3. early intervention is more cost effective

Question 11

T/F: Dental caries is not an infectious disease

Answer 11

False

Question 12

Infectious disease is mitigated by:

Answer 12

diet

Question 13

Dental caries has a biphasic tendency meaning:

Answer 13

demineralization & remineralization

Question 14

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

Answer 14

Cavities

Question 15

Dental caries is ______ & _____ meaning if a child has a cavity on L (lower left side) it is likely they will also have one on S (lower right side)

Answer 15

site specific & symmetrical

Question 16

What pathologic factors lead to demineralization?

Answer 16

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

Question 17

Demineralization may lead to disease and lesion progression creating:

Answer 17

high caries risk

Question 18

What protective factors lead to remineralization?

Answer 18

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

Question 19

Remineralization may lead to lesion arrest or progression creating:

Answer 19

low caries risk

Question 20

Four signs of success in managing the caries process:

Answer 20

1. low bacterial counts of S. mutans
2. no gingival inflammation
3. caries excavation is completed and lesion is arrested
4. parents are managing child’s disease

Question 21

A program taught bye the dental professionals in an office to caregivers and is tailored to each specific child:

Answer 21

Anticipatory guidance

Question 22

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

Answer 22

1. examinations
2. prophylaxis
3. diet analysis
4. home care instructions
5. supplemental fluoride (topical & systemic)
6. general feeding instructions

Question 23

CAT:

Answer 23

Caries risk assessment tool

Question 24

Provides a means of classifying dental caries risk at a POINT IN TIME:

Answer 24

CAT

Question 25

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

Answer 25

False- CAT may be used to periodically assess change in an individuals risk status

Question 26

What factors does CAT use to determine risk?

Answer 26

1. Biological 2. Protective 3. Clinical findings

Question 27

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

Answer 27

False- Strep mutans has been found in the oral cavity even before teeth have erupted making it a big player in dental caries

Question 28

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

Answer 28

1. Prenatal history 2. Developmental history 3. Medical history 4. Dental history 5. Oral habits

Question 29

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

Answer 29

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 child spend time anywhere other than home? 5. Does that place have fluoride in the water?

Question 30

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

Answer 30

beverages other than milk and water given frequently

Question 31

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

Answer 31

True

Question 32

List some beverages that are considered cariogenic:

Answer 32

1. juice 2. soda 3. sweetened tea 4. coffee

Question 33

Is milk cariogenic?

Answer 33

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

Question 34

What ingredient in formulas may be responsible for tooth decay?

Answer 34

Sucrose

Question 35

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

Answer 35

True

Question 36

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

Answer 36

Motivational interviewing

Question 37

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

Answer 37

1. person-centered 2. communication (OARS) 3. Open-ended questions 4. Affirmations 5. Reflective listening

Question 38

OARS:

Answer 38

Open-ended questions, affirmations and reflective listening

Question 39

In addition to motivational interviewing what else might we implement to gather information?

Answer 39

Ask Ask Tell Ask Approach

Question 40

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

Answer 40

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?