Fluoride Regime - Revision Questions Flashcards
What is the resotration sequence for paeds?
Fluordie varinsh Fissure sealants Preventative (GI) Simple fillings Restorstions with LA not into pulp Pulptomy upper first XLA under LA/GA
BPE in Children
Full BPE = 12-17years
Simplfied BPE = 7–1years - use CPITN probe with ball end 20-25g and one tooth in each sextant (16,11,26,36,41,46), codes = 0-2
Recording plq levels
10/10= clean tooth 8/10 = plq around cervical margin 6/10 = cervical third covered in plq 4/10 = middle third covered in plq
Radiographs for children
high risk = 6-12 months
Low risk = 12-18 months
When do you first start taking BW’s?
> = 4 years old
What is the drug prescription for durphate toothpaste 2800ppm?
sodium flurodie 0.619% toothpaste
Minimium fluoride conc that would provide toxic dose?
5mg/kg body weight
Toxic dose = >1mg/kg
Lethal = 32-64mg/kg
Toothpaste
<3years = low risk - 1000-1500ppm, high risk = 1350-1500ppm
>3years = low risk - 1000-1500ppm, high risk - 1350-1500ppm
+10 years = high risk - 2800ppm (0.619%)
>16 years = high risk - 5000ppm (1.1%)
Topical fluoride
2-5years = 22600ppm fluoride 0.25ml
5-7 years = 22600ppm fluoride 0.4ml (5%)
>2 years = x 2 a year, increased risk = x4 a year
Fluoride mouthwash
> 8 years = 225ppm (0.05%)
10ml a day
1 min and spit
high risk child requiring enhanced prevention
existing resotrations New carious lesions Early loss of primary tooth Unstimulated salvia flow of <0.7ml/min Frequent consumption of high levels of surcorse and other fermentable carbohydrates Little or no fluoride intake
What are the 7 elements of a caries risk assessment
Clinical evidence Dietary Habits Social History Fluoride use Saliva Plq control Medical history
8 elements of preventitve programme
Radiographs Toothbrusihing instructions Strength of f. in tp Fluoride varnish Fluoride supplementation Diet advice Fissure sealants Sugar free medicine
Caries risk factors
Social OH General Health Diet FLuordie experience Past caries experience Ortho treatment
What is ramptant caries?
10 or more carious lesions oer 1 year
