Dentistry in primary care Flashcards
What factors are involved in caries development
Personal
-poverty, DH
Oral enviromental factors
-saliva
Factors that directly contribute to caries development
-time,tooth,bacteria, diet
What is in caries risk assessment
1.Clinical evidence of prev. disease
2.Dietary habits
3.OH habits
4.Exposure to fluoride
5.SH
6.Saliva
7.MH
What is motivational interviewing
A collaberative goal orientated style of communication with particualr attention to the langauge of change
It is desgined to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the persons own reasons for change within an atmosphere of acceptance and compassion
How are teeth protected
5%, 22600ppm, sodium fluride varnish 50mg/l
FS
prescription of 2800ppmF/0.619% sodium fluoride paste
SDF
What are the synergistic effects of SDF
Occludes dentinal tubules
Silver is antimicrobial
Fluoride encourages remineralisation
Why would a child be refered from a primary care setting
Anxiety phobia
GA/sedation
Special needs
Vunerable groups
Ortho
-Developing malocclusion
-Dental anomalies
Management of severe caries
Medical conditions
Trauma
Dental defects
Multidisciplinary care
Non-dental services
-child protection
-social services
What are common reasons for GA
Acute soft tissue swelling requring removal of infected tooth
Surgical drainage
Single or multiple extractions in a kid unsuitable for sedation
Moderate or complex extractions
Teeth requring surgical removal or exposure
POst-op haemorrgahe
Severe pulpitis and acute inf.
What are the 3 golden rules when treating kids
Effectively manage disease in a way that child can cope
Ensure Tx plan is achievable for parent
Promote a positive dental attitude
