ECC Flashcards
1
Q
Early childhood caries
A
Presence of one or more decayed, missing or filled tooth surfaces in a primary tooth in a child of 71 months of age or younger.
DMFT
2
Q
Aetiology
A
- Microbial risk factors (vertical transmission)
- Feeding practices
- Sugars
- Poor oral habits
- Socio-economic factors
3
Q
Pattern of ECC (NB)
A
- Affects primary upper anterior teeth then molars and canines
- Mandibular primary incisors are less resistant because of their close proximity to salivary glands and cleansing action of tongue
- Upper maxillary anterior (FPDM)
- Upper primary 1st molar (FPOI)
- Upper primary canine and 2nd molar ( FPI)
- Lower primary molar at later stages
- Lower primary mandibular teeth usually not involved
4
Q
Short term effects of untreated ECC (NB)
A
- pain
- infection
- poor appetite
- disturbed sleep
- emergency visits and hospitalization
- absence from school
- need to extract
- need to treat under GA
- premature loss of molars leading to malocclusion
- reduced concentration and learning ability
5
Q
Pathological factors of ECC (NB)
BAD
A
Bacteria
Absence of saliva
Dietary habits
6
Q
Protective factors
SAFE
A
Saliva and sealants
Antimicrobials
Fluoride
Effective diet
7
Q
Anticipatory guidance (10)
A
Sharing with parents or caregivers information about the child’s current oral health status as well as future needs
- dental visit within 6 months of eruption of 1st tooth
- do not put infants to sleep with a bottle
- wean from bottle at 12-14 months of age
- avoid consumption of juice from bottle or sippy cup
- cleanse baby teeth from eruption of 1st tooth
- counsel about bacterial transmission
8
Q
Tools available to assess caries
A
Cambra
Cariogram
Carifree
9
Q
Tri plaque gel (NB)
A
- unique 3 tone plaque disclosing agent that identifies new, mature and acid producing biofilms
- highlights exactly where the bacteria are most active by disclosing pH
- motivates patients to improve oral hygiene
💜💜💜old plaque (older than 48 hours)
❤️💕❤️Newly formed
💙💙💙high risk acid producing plaque