guidelines (viva stuff) Flashcards
what are the guidelines for children’s caries risk recall?
NICE 2004
High: 3 months
Moderate: 6 months
Low: 12 months
what are the guidelines for risk assessment?
SDCEP: oral health assessment and review 2011
what are the guidelines for fluoride toothpaste concentrations and amounts for children (depending on their ages)?
Delivering better oral health 2021
low risk:
3: 1000ppm smear
3-6: 1000ppm pea size
7+: 1350-1500ppm ribbon
high risk:
0-6: 1300-1500ppm pea
7+: 1300-1500ppm ribbon
10+: 2800ppm
16+: 5000ppm
what are the guidelines for fluoride varnish?
Delivering better oral health 2021
concentration: 22,600ppm
up to 4 times a year in high risk children
what are the guidelines for grading radiographs?
CGDENT 2020 guidance notes for dental practitioners on safe use of X-ray equipment
Acceptable or Not acceptable
what are the guidelines for when radiographs should be taken?
* caries
* ortho
* fractures
* bone levels
* immpacted canines
FGDP 2018: selection criteria for dental radiography
caries: high risk = 6m BWs
ortho: developing dentition = OPT
mandibular fractures: OPT
bone levels:
BPE 3 = BW + IOPA
BPE 4 = OPT or IOPAs
impacted canines: in selected cases =CBCT
what are the guidelines for radiograph use in orthodontics?
British Orthodontic Society 2015
* OPT for unerupted teeth
* IOPA for position of unerupted teeth
* upper standard occlusal for parallax
* lat ceph for baseline and monitor skeletal discrepancies
what are the guidelines for bacterial infection abx?
* consider if penicillin allergy or warfarin use
**SDCEP 2021 drug prescribing for dentistry **
1st line: phenoxymethylpenicillin 250mg tablets
* 500mg QDS for 5 days
2nd line: clindamycin
* 150mg QDS
* penicillin allergy: metronidazole 400mg TDS
* warfarin use: clarithromycin 250mg BD
what are the guidelines for ANUG & pericoronitis abx?
**SDCEP 2021 drug prescribing for dentistry **
metronidazole 400mg TDS
what are the guidelines for maxillary sinusitis tx & abx?
**SDCEP 2021 drug prescribing for dentistry **
if self limiting, up to 2.5 weeks:
steam inhalation
abx: pen v 500mg QDS or doxycycline 200mg first day then 100mg every other day
what are the guidelines for treatment of primary herpetic gingivostomatitis?
**SDCEP 2021 drug prescribing for dentistry **
fluids, analgesia, CHX 0.2% MW
hydrogen peroxide 6% MW
severe infection or immunocompromised: aciclovir 200mg 5x a day
what are the guidelines for treatment of dry socket?
SDCEP 2013 Acute dental problems
analgesia, avoid smoking, OH
irrigate with NaOH (NO CHX)
pack w alveogyl and ABx if systemic
what are the guidelines for treatmnet of pericoronitis?
SDCEP 2013 Acute dental problems
CHX 0.2% MW
analgesia and OH
ultrasonic scaling under LA
irrigate with CHX
XLA if repeated episode or opposing tooth if traumatising it
what are the guidelines for treatment of sinusitis?
SDCEP 2013 Acute dental problems
usually will go away in 2.5 weeks
abx if bacterial infection spotted
can consider oral corticosteroids at GP
what are the guidelines for oncology patients?
Royal collage of surgeons 2028 Oral management of oncology patients
* teeth with questionable prognosis should be removed no less than 10 days before cancer therapy
* orthodontic treamtnet should be discontinued
* increased OH, diet and fluoride
* risk of ORN (avoid XLA)
what are the guidelines for caries diagnosis?
ICCMS 2014
what is the guidance of management of carious lesions?
Innes 2016
shallow-moderate = hand instrumentation + seal with adhesive material
risk of pulp exposure = selective caries removal (ADJ cleared to hard dentine whilst pulpally left soft or leathery dentine)
deep in permanent teeth = stepwise (remove to soft dentine, restore temp, 6-12m clear to firm and restore
shallow cavity = fissure seal
primary teeth mod/deep = hall crown
what are the guidelines for management of deep caries and exposed pulp?
European society of endodontology (ESE) 2019
guidance on in/direct pulp capping, stepwise and selective caries removal, pulpotomies
what are the guidelines on restorability of teeth?
Dawood & Patel 2017: BDJ Dental Practicality Index
what are the guidelines for Endodontic diagnosis?
American Association of Endodontists AAE 2013
what are the guidelines for vital pulp therapy?
British Endodontic Society 2022
what are the guidelines for hypochlorite accident?
BES 2022
immediately irrigate canal with saline or water
dress tooth with nonsetting CaOH
cold compress on first day then hot compress following days
what are the guidelines for necessity for retreament of RCT?
European society of endodontology 2006
unfavourable outcome 1 year post treatment
* persistant apical periodontitis
* new radiolucency increasing in size
* signs of root resorption
what are the guidelines for necessity for periradicular surgery?
RCS 2020
previous tx carried out but symptomatic or progressing apical periodontitis associated with optimally root filled tooth
iatrogenic or developmental abnormalities
require biopsy of periradicular tissue
perforation or root fracture
