exam 4- lecture 1 (ch 50- pedo patient)

Question 1

provide information to parents and caregivers on what to expect in a childs current and next developmental stage so that the childs needs can be anticipated and properly managed

Answer 1

anticipatory guidance

Question 2

what is the knee to knee exam?

Answer 2

the hold and go technique.. when the mother holds the child while the dental hygienist does what needs to be done

Question 3

what are some findings in the oral cavity with the teeth that are found in children 6 mths to 5 years?

Answer 3

enamel hypoplasia, fluorosis, white spot lesions, fused teeth, and gemination

Question 4

is it true or false that children of smokers tend to smoke?

Answer 4

true

Question 5

this is a reaction to a puncture wound.. treat by cleaning the wound and possible suture

Answer 5

traumatic ulcer

Question 6

what teeth are affected by ECC?

Answer 6

maxillary anterior teeth and premolars are first to be affected

lesions develop in all but mandibular anteriors

Question 7

what terms are no longer used, that are now called early childhood caries?

Answer 7

nursing caries, baby bottle caries, rampant caries

Question 8

usually limited to anterior teeth; union of two independently forming primary tooth buds.. familial tendency.. possible caries at point of fusion and may be absence of one of corresponding permanent teeth

Answer 8

fused teeth

Question 9

disturbance of enamel matrix during tooth development.. irregular to round pits of varying size on enamel, usually in a row.. multiple causes.. esthetic significance

Answer 9

enamel hypoplasia

Question 10

more common in primary teeth; invagination of single tooth gem and bifid crown on single root; crown appears wide.. no significance

Answer 10

gemination

Question 11

what is a concern with patients when using varnish?

Answer 11

some varnish contain known tree nut allergies and it can cause an allergic reaction because most varnish is emulsified in some type of tree nut oil

Question 12

what is the show, tell and do technique?

Answer 12

always explain everything you do before you do it, use fun names like tooth feeler and slurpy straw.. keep explanations breef and let them watch you

Question 13

what are some things used to soothe babies while teething?

Answer 13

freeze teething rings, vanilla flavoring with alcohol

babies run a fever, cry, no sleep

Question 14

opaque enamel, usually cervical and proximal areas of teeth at contact, clinical sign of carious process indicates that the surface and underlying enamel are demineralized.. need fluoride for remineralization and daily biofilm removal

Answer 14

white spot lesions

Question 15

when should a child be first seen at the dentist?

Answer 15

every 6 months or after the first eruption of the first primary tooth.. no later than age 1

Question 16

acronym that refers to the phrase “caries management by risk assessment”

Answer 16

CAMBRA

Question 17

how do you recognize ECC?

Answer 17

demineralization on cervical 1/3 of maxillary anteriors and proximal surfaces

remineralization can occur with fluoride

lesions become dark brown

eventually the crown will be destroyed and can abcess

Question 18

these are translucent and smooth, may appear blue to blue black if bleeding in cystic space.. usually no treatment

Answer 18

eruption cysts

Question 19

this is a smooth, red or yellowish nodule that is tender and occurs in primary teeth as more diffuse infections may be acute or chronic… radiographic evaluation, drainage and antibiotic may be required

Answer 19

alveolar abcess

Question 20

what are predisposing factors of ECC?

Answer 20

placing a child to bed with a bottle containing sweetened or other drinks

prolonged at will, breast or bottle feedings at sleep or behavorial control

ineffective or no daily biofilm removal from teeth

Question 21

Eating or drinking at will throughout the day or evening

Answer 21

grazing

Question 22

what is the best fluoride to use for white spots on teeth?

Answer 22

varnish

Question 23

this has a high fever of 102-104, regional lymphadenopathy.. diffuse, swollen erythematous gingiva and vesicles form painful ulcers..urgent care and resolves in 7-10 days,

Answer 23

primary herpatic gingivostomatis

Question 24

what are some soft tissue conditions in children 6 months to 5 years?

Answer 24

eruptin cysts, mucocele, traumatic ulcer, alveolar abcess, primary herpatic gingivostomatis, geographic tongue, verruca vulgaris

Question 25

child younger than one year of age

Answer 25

infant

Question 26

multiple white sessile lesions.. fingerlke projections, rough surface and human papilloma virus in origin.. may resolve on own or require excision

Answer 26

verucca vulgaris

Question 27

what are the types of bacteria associated wit caries?

Answer 27

s. mutans and lactobacilli

Question 28

sucking fingers, thumbs, pacifiers or other objects for comfort

Answer 28

nonnutritive sucking

Question 29

infrequent in primary dentition may be seen in cervical region of second primary molars.. daily biofilm removal

Answer 29

fluorosis

Question 30

this occurs on the lower lip, floor of the mouth, buccal mucosa and most common in order of occurrence.. fluid filled vesicle or blister from trauma and tearing of minor salivary gland.. may resolve on its own or surgical excision

Answer 30

mucocele

Question 31

red, smooth areas devoided of filliform papillae on dorsum of the tongue.. margins well developed and slightly raisedpattern changes.. no treatment

Answer 31

geographic tongue

Question 32

this is when bacteria is transmitted from parent to child

Answer 32

vertical transmission