Early Childhood caries Flashcards

1
Q

Definition of ECC

A

-Presence of one or more DMF (decayed, missing, filled) teeth in ANY primary tooth in a kid under 6

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2
Q

ECC is associated with increased…. and decreased….

A

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
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3
Q

Severe ECC is classified as

A
  • <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
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4
Q

What is a moderate clinical risk factor

A

plaque on teeth

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5
Q

What are the three hisk risk clinical risk factors

A
  • DMFS >1
  • Active white spot lesions or enamel defects
  • Elevated mutans streptococci levels
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6
Q

Moderate biological risk factors

A
  • Recent immigrant

- Special healthcare needs

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7
Q

High biological risk factors

A
  • 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)
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8
Q

By _ mo of age dietary practices are established and maintained throughout early childhood

A

12

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9
Q

Juice should not be introduced to infants before the age of

A

1

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10
Q

Intake of 100% juice should be limited to

A
  • 4 ounces (1-3 yrs)
  • 4-6 oz (4-6 yrs)
  • 8 ox (7-18 yrs)
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11
Q

Dental home for child should be established no later than

A

12 mo

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12
Q

First dental visit recommended upon

A

eruption of 1st tooth

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13
Q

Breast feeding is recommended prior to

A

12 mo

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14
Q

T/F Breast feeding alone has not been associated with caries in the absence of other factors

A

t

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15
Q

Practices with increased risk of ECC are

A
  • 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
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16
Q

Smear or rice size toothpaste contains _ mg fluoride

A

0.1mg

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17
Q

Pea sized toothpaste contained _ amount of fluoride

A

0.25 mg

18
Q

<3 (recommended tooth paste amount

A

rice

19
Q

3-6 y/o how much tooth paste

A

pea

20
Q

What is the most beneficial and inexpensive way to reduce caries

A

fluoride water

21
Q

Moderate caries risk fluoride varnish reccomended

A

6 mo

22
Q

High caries risk fluoride varnish reccomended

A

3-6 mo.

23
Q

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

A

0.5 mg

24
Q

What amount of fluoride should be supplemented for kids in the range of 6mo-3yr in an area with <0.3ppm F in water

A

0.25 mg

25
Q

What amount of fluoride should be supplemented for kids in the range of 6-16 y/o in an area with <0.3ppm F in water

A

1.0 mg

26
Q

What amount of fluoride should be supplemented for kids in the range of 3-6 y/o in an area with 0.3ppm-0.6ppm F in water

A

0.25mg

27
Q

What amount of fluoride should be supplemented for kids in the range of 6mo-3yr in an area with 0.3ppm-0.6ppm F in water

A

0

28
Q

What amount of fluoride should be supplemented for kids in the range of 6-16 y/o in an area with 0.3ppm-0.6ppm F in water

A

0.5 mg

29
Q

Any fluoride supplementation needed in an area with >0.6 ppm F

A

no

30
Q

What is considered fluoride deficient drinking water

A

0.6 ppm

31
Q

What is the F content of baby formula?

A

0.1-0.3mg/L

32
Q

Fluoride supplements are available in what forms

A

Drops, tabs, and lozenges

33
Q

Plaque and pellicle (are/aren’t) a barrier to fluoride uptake

A

aren’t

34
Q

Fluoride application should be done before or after the prophy

A

doesn’t matter (no decrease in the uptake of fluoride i patients who received a prophy before application)

35
Q

What is the use of silver diamine fluoride

A

arrests cavitated carious lesions

36
Q

Side effect of silver diamine fluoride is (SDF)

A

discoloration

37
Q

What is an intrim therapeutic restoration (ITR)

A

temporary restoration until definitive restoration is possible

38
Q

T/F Restorative care for ECC often requires general anesthesia or sedation

A

T

39
Q

What are the issues with treating ECC under GA

A
  • Expensive
  • Potential health risks
  • High recurrence of lesions following treatment
40
Q

What materials are used for an ITR

A

GI or RMGI