Early Childhood caries Flashcards
Definition of ECC
-Presence of one or more DMF (decayed, missing, filled) teeth in ANY primary tooth in a kid under 6
ECC is associated with increased…. and decreased….
Increased
- Risk of new carious lesions (both primary and permanent)
- Hospitalizations
- Treatment costs
- School absences
Decreased
- Ability to learn
- Oral health related quality of life
Severe ECC is classified as
- <3 y/o any smooth surface caries
- 3-5 y/o 1 or more D (cavitated), MF smooth surfaces in maxillary primary anteriors
- 3 y/o- DMFS > or equal to 4
- 4 y/o > or equal to 5 DMFS
- 5 y/o > or equal to 6 DMFS
What is a moderate clinical risk factor
plaque on teeth
What are the three hisk risk clinical risk factors
- DMFS >1
- Active white spot lesions or enamel defects
- Elevated mutans streptococci levels
Moderate biological risk factors
- Recent immigrant
- Special healthcare needs
High biological risk factors
- Mother/primary caregiver has active caries
- Parent/caregiver has low SES (socioeconomic status)
- > 3 between meal sugar containing snacks/drinks
- Put to bed with bottle containing sugar (natural or added)
By _ mo of age dietary practices are established and maintained throughout early childhood
12
Juice should not be introduced to infants before the age of
1
Intake of 100% juice should be limited to
- 4 ounces (1-3 yrs)
- 4-6 oz (4-6 yrs)
- 8 ox (7-18 yrs)
Dental home for child should be established no later than
12 mo
First dental visit recommended upon
eruption of 1st tooth
Breast feeding is recommended prior to
12 mo
T/F Breast feeding alone has not been associated with caries in the absence of other factors
t
Practices with increased risk of ECC are
- Ad libitum breast-feeding after the 1st primary tooth erupts
- Baby bottle use after 12-18 mo.
- Children breastfed more than 12 mo.
- Nocturnal breast feeding
- Excessive frequency of feeding times
Smear or rice size toothpaste contains _ mg fluoride
0.1mg
Pea sized toothpaste contained _ amount of fluoride
0.25 mg
<3 (recommended tooth paste amount
rice
3-6 y/o how much tooth paste
pea
What is the most beneficial and inexpensive way to reduce caries
fluoride water
Moderate caries risk fluoride varnish reccomended
6 mo
High caries risk fluoride varnish reccomended
3-6 mo.
What amount of fluoride should be supplemented for kids in the range of 3-6 y/o in an area with <0.3ppm F in water
0.5 mg
What amount of fluoride should be supplemented for kids in the range of 6mo-3yr in an area with <0.3ppm F in water
0.25 mg
