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Peds 2 > Infant Oral Health > Flashcards

Infant Oral Health Flashcards

1
Q

why do babies need to see a dentist?

A
  • ESTABLISH A DENTAL HOME
  • risk assessment
  • education and anticipatory guidance
  • early intervention and tx
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2
Q

the ongoing relationship btw the dentist and the pt, inclusive of all aspects of oral health care delivered in a comprehensive continuously accessible, coordinated and family centered way

A

dental home

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3
Q

when does a dental home need to be established?

A

no later than 12 months of age

*includes referral to specialists when appropriate

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4
Q

what are 2 reasons as to why a dental home is a necessity?

A
  • children with early preventive visits more likely to use preventive services later
  • we know the age at the first preventive visit had a positive effect on dental expenditures (pay less later)
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5
Q

what consittues the infant oral health visit?

A
  • talk to parents
  • oral exam and preventative procedures
  • talking again: determine recall interval
  • anticipatory guidance
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6
Q

what is the goal of a risk assessment?

A

to PREVENT a problem

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7
Q

what type of exam do infants get?

A

knee to knee

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8
Q

how do you do a knee to knee exam?

A
  • tell the parents what you need them to do
  • be prepared so you can work efficiently
  • try STARTING with the toothbrush
  • reassure bc parents may be nervous or embarrassed
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9
Q

what are you looking for on a knee to knee exam?

A

soft and hard tissue exam (lift the lip)

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10
Q

what are the sizes of tooth paste for children under three? Children 3-6?

A
  • smear or rice sized

- pea-sized

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11
Q

what type of F- varnish do you give to infants?

A

-5% NaF varnish

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12
Q

what is the recall for F- varnish for moderate risk? high risk?

A
  • 6 months

- 3 months

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13
Q

provide practical, developmentally appropriate, and personalized health information in anticipation of significant physical, social, and psychological milestones and challenges

A

anticipatory guidance

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14
Q

what three things are used to customize anticipatory guidance?

A
  • history
  • exam
  • risk assessment

*what did you see and how should they deal with it

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15
Q

what qualifies as early childhood caries?

A

the presence of one or more decayed, missing, or filled tooth surfaces in ANY primary tooth in a child under age 6

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16
Q

what qualifies as SEVERE childhood caries/

A

ANY smooth surface caries in a child under 3

17
Q

what are the risk factors for early childhood caries?

A
  • med hx
  • plaque
  • white spot lesions and caries hx
  • bottle/sippy cup
  • breastfeeding maybe? no evidence
  • F- exposure
  • enamel hypoplasia
  • social factors
18
Q

how long do kids need help brushing their teeth?

A

until they can tie their shoes

19
Q

what is the minimum age for radiographs?

A

none

20
Q

what is associated with teething?

A

-slight inc in temp, drooling, biting, irritability, poor sleep, facial rash, poor apetite

  • many children experience NO discomfort!
  • teething may coincide with other illnesses
21
Q

are topical anesthetics recommended for use against teething?

A

no

22
Q

how do you deal with trauma prevention?

A
  • identify high risk children
  • “baby proof the home”
  • safety measures
  • give them availability for emergencies
23
Q

are habits normal and when do they stop?

A

yes! they are normal and usually resolve on their own by age 2-3

24
Q

what are the potential problems with digit habits?

A
  • ant open bite
  • reduced arch width
  • altered skeletal growth
25
Q

for digit habits, there is no aggressive tx until age ___

A

6

26
Q

a common finding on kids under 3 that is an ulcer on the ventral surface of the tongue

A

riga-fede disases

27
Q

what is the tx options for riga-fede disease?

A
  • smooth sharp incisal edge
  • composite crown
  • remove tooth
28
Q

do kids normally have cysts?

A

yes, eruption cysts

29
Q

what is the tx for eruption cysts?

A

none

30
Q

in kids, remnants of epithelial tissue found on the midpalatal raphe

A

epstien pearls

31
Q

in kids, remnants of mucous gland tissue found on the buccal and lingual or dental ridges and palate away from raphe

A

bohn nodules

32
Q

in kids, remnants of the dental lamina found on the crest of alveolar ridges

A

dental lamina cysts

33
Q

what is the tx for epstein pearls, bohn nodules, and dental lamina cysts?

A

all spontaneoulsy shed a few weeks after birth

34
Q

do you most likely need to cut a “lip tie”?

A

probably not

Peds 2 (9 decks)

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