How to Advise Patients Flashcards
what is the impact of caries on pre-school children
aesthetic problems, loss of function, pain, infection
what are the risk indicators in children
oral hygiene, diet, bacterial exposure, socioeconomic status, breast/bottle feeding, fluoride exposure, parental smoking, parental oral health status
what teeth do nursing caries affect?
upper anterior and molar teeth
what is the cause of nursing caries?
inappropriate use of feeding cups and bottles
how do you prevent caries?
diet, fluoride and oral hygiene
what diet and nutrition advice do you give to mother’s of young children
free flow feeding cup, dont put child to bed with feeder cup/bottle, dont put free sugar drinks in a feeder bottle, sweet drinks only at mealtimes - straw use - dilute
what are the only safe drinks
plain water or milk
what food is good as it is non-cariogenic
cheese
name some safe snacks
milk/water, fruit, savoury sandwiches, crackers and cheese, breadsticks, crisps
what investigation is useful for diet and nutrition
4 day diet diary
when should toothbrushing be started?
as the first primary teeth erupt
what is the fluoride child formulation for young children
1000ppm
what is the standard fluoride formulation?
1400-1500ppm
what is the enhanced fluoride formulation?
2800ppm
what concentration of fluoride is used for high risk 16+ individuals?
5000ppm
what concentration of fluoride is used for high risk 10+ children?
2800ppm
what concentration of fluoride is used for 4-16yr olds
1000-1500ppm
what concentration of fluoride is used for high risk children under 10?
1500ppm
what do you do if a child has ingested <5mg/kg of fluoride but more than the recommended amount?
give calcium orally (milk) and observe
what do you do if a child ingests 5-15mg/kg fluoride
give calcium orally and admit to hospital
what do you do if a child ingests >15mg/kg fluoride?
admit to hospital, cardiac monitoring, life support, intravenous calcium gluconate
how much fluoride is in 1 tube of 1000ppm fluoride
90mg
when and who is fluoride varnish applied to?
pre-school children twice a year, high risk adults
