Examination of the mouth and other structures - Reinemer - 2017 Flashcards
Why do we see kids starting at about age 1?
to provide preventative education to the parents to attempt to prevent decay.
what is the single most common chronic childhood disease?
more common than what other diseases in childhood?
caries
5x asthma, 4x obesity, and 20x diabetes
how is an oral exam done on a very young child?
on your lap knee-to-knee with their parent.
How do we treat eruption hematomas?
we don’t
When is the frenum a problem for children with no teeth?
when they have a hard time taking a bottle or nursing because of it
Which is more of a problem, teeth early or teeth late?
teeth early - can cause ortho problems
What is the relative order of eruption of the primary teeth?
mandibular centrals max centrals max laterals man laterals max 1st molars Man 1st molars max canines man canines man 2nd molars max 2nd molars
What is the relative order of shedding of the primary teeth?
Max and Man Centrals Max and Man laterals Max and Man 1st molars Man canines Max canines and Man/Max 2nd Molars
I will write down a factor in caries risk assessment, you tell me which category (high, moderate, or low) a yes answer will put a patient in.
Mother/primary caregiver has active caries
Parent/caregiver has low socioeconomic status
Child has >3 between meal sugar-containing snacks or beverages per day
Child is put to bed with a bottle containing sugary drink
Child has special health care needs
Child is a recent immigrant
Child has >1 decayed/missing/filled surfaces
Child has active white spot lesions or enamel defects
Child has elevated strep. mutans levels
Child has plaque on teeth
HIGH:
Mother/primary caregiver has active caries
Parent/caregiver has low socioeconomic status
Child has >3 between meal sugar-containing snacks or beverages per day
Child is put to bed with a bottle containing sugary drink
MODERATE:
Child has special health care needs
Child is a recent immigrant
HIGH:
Child has >1 decayed/missing/filled surfaces
Child has active white spot lesions or enamel defects
Child has elevated strep. mutans levels
MODERATE:
Child has plaque on teeth
What is the justification principle for radiographs?
Limitation principle?
Optimization Principle?
take only if no other way to obtain information (like direct vision between separated teeth)
keep radiation dose low
obtain best quality images possible
T/F always examine the child first, then prescribe radiographs as needed based on risk and benefits.
Estimated risks of developing a fatal cancer as a result of diagnostic radiographs for children under 10 years is a 3x multiplication factor. T/F
True
True
T/F we do routine topical flouride for children at their biannual visit
True
What are the sources of flouride for children?
beverages - including fluoridated water
foods processed with fluoridated water
toothpaste and other oral health care products
topical fluoride and dietary supplements
T/F Anticipatory guidance - the process of providing practical, developmentally-appropraite information about children’s health to prepare parents for the significant physical, emotional, and psychological milestones
true
which is more common in kids, avulsion or fractures?
T/F insert avulsed teeth as soon as possible
avulsion
false, we do not reimplant avulsed teeth in children
