DISEASES OF CHILD

Question 1

CYSTIC FIBROSIS

Answer 1

• Multi system disease involving exocrine glands
• chronic duct obstruction , airway infection and maldigestion
• –ORAL IMPLICATIONS :
• • ENAMEL HYPOPLASIA AND TOOTH DISCOLOURATION(due to tetracycline treatment)
• -SALIVARY GLAND INVOLVEMENT,REDUCED INCIDENCE OF DENTAL CARIES
• -RESERVOIR OF POTENTIALLY PATHOGENIC RESPIRATORY BACTERIA
• -MOUTH BREATHING
• -ANTERIOR OPEN BITE ASSOCIATED WITH NASAL AND SINUS OBSTRUCTION

Question 2

Intrinsic Pigmentation of teeth seen in ERYTHROBLASTOSIS FETALIS____

Answer 2

BLUE GREEN colour of PRIMARY TEETH only
due to excessive hemolysis of RBC
Staining occurs due to diffusion of BILIRUBIN AND BILIVERDIN into dentin

Question 3

Intrinsic Pigmentation of teeth seen in

PORPHYRIA_____

Answer 3

PURPLISH BROWN pigmentation

other features—red colour urine,hypersensitivity to light and blisters on hands and face

Question 4

Intrinsic Pigmentation of teeth seen in

TETRACYCLINE_____

Answer 4

YELLOW OR YELLOW BROWN pigmentation in dentin and to a lesser extent in enamel . the teeth fluoresce yellow under UV light

Question 5

NATAL and NEONATAL teeth

Answer 5

NATAL teeth —-Teeth Present at BIRTH(most common) NEONATAL teeth ——- Teeth that erupt WITHIN 30DAYS AFTER BIRTH 90% of PRECOCIOUS erupted teeth are deciduous teeth (mandibular incisors)

Question 6

Post Natal Causes of BLINDNESS in children

Answer 6

-DIABETES. -LEUKAEMIA -HYPERTENSION. -GLUCOMA -PREMATURE BIRTH. -HAEMORRHAGIC DISORDERS

Question 7

PRENATAL causes of BLINDNESS

Answer 7

-SYPHILIS. -RUBELLA. - TB meningitis’s. -CATARACTS. -OPTIC ATROPHY

Question 8

ATAXIC cerebral palsy

Answer 8

Poor sense of balance and uncoordinated voluntary movements like stumbling or staggering gait or difficulty in grasping objects

Question 9

CEREBRAL PALSY

Answer 9

It is a non progressive lesion which occurs in the developing brain before,during or after birth

Question 10

Autism

Answer 10

It is a disturbance of mental and emotional development that causes problem in learning,communication and is manifested in the first 3 years of life

Question 11

Features of AUTISM

Answer 11

Children have :: -poor muscle tone , language disturbance, parrot like repetitive speech,extreme loneliness and aggressive or destructive behaviour to fearful situations

Question 12

IQ of autism affected children

Answer 12

Between 50to70

Question 13

KANNER’S syndrome/KANNER’s autism/ASPERGER’S syndrome

Answer 13

It is a serious disorder of early childhood presenting in 2nd or 3rd years of life. Clinical Features:::— lack of responsiveness to other human beings with detachment from parents or others,absence or abnormality of language development and speech,behaviour abnormality,with temper tantrum and repetitive activities. MANY children are mentally retarded and 50% show DELAY in MOTOR MILE STONES.Child appears ALERT and ATTRACTIVE INSPITE of odd behaviour

Question 14

Conditions associated with premature exfoliation of teeth

Answer 14

-Down’s Syndrome (premature exfoliation of permanent teeth). - Actalasia. -Chediak Higashi. -Coffin lowery. -Ehlers Danlos. -Hajdu Cheney. -Hyerpituitarism. _Hyperthyroidism. -Papillon lefevre. -Progeria. -Singleton Merten. -Histocytosis X group and -Leukaemias