Infant Toddler Adolescent Flashcards
Risk Factors
- Family Configuration
- Dental History
- Prenatal-Perinatal History
- Medical History
- Feeding Patterns
- Fluoride Exposure
- Oral Hygiene Habits
- Barriers of Dental Care
Family Configuration
- # of people at home
- family members who work outside home
- socioeconomic status
- no family dentist
- fear of the dentist
- belief in prevention
Dental History of Parents and Children
- frequency of visits
- caries/perio experience
- eruption patterns
Prenatal-Perinatal history
- frequency of visits
- history of chronic/infectious diseases
- tobacco/alcohol use
- problems in pregnancy or delivery
Medical History of Child
- genetic,developmental,metabolic diseases
- allergies to meds
- frequency of ear infections
- developmental tooth defects
- malposed teeth
- use of sweetened meds
- early childhood caries
Dietary Considerations
- insufficient fluoride in water
- bottles in bed
- sweetened drinks in bottles/cups
- prolonged breast or bottle feeding
- frequent snacking
- high fermentable carb diet
Oral Care Habits
- wipe inside of mouth with wet gauze
- use only water to brush teeth until age 2
Barriers to Dental Care
- lack of belief in prevention
- language
- cost
- fear
- no dental home
- dentist may refuse to see child due to age
- insurance
- dental office hours
- dental insurance
- transportation
Anticipatory Guidance
assists parent in developing knowledge of what is to expect of their children during their current and next developmental stage
Safe Pacifier
- solid construction
- ventilated shield that cannot be swallowed
- not tied to children’s clothes
- not cleaned in parent’s mouth
Bottle
- hold child during feeding
- never place child in bed with bottle
- bottle is NOT pacifier
- no juice or sweetened beverage
- no prolonged breast feeding after teeth erupt
Teething
-excessive chewing and drooling
-irritability
-change in appetite
-sleeping pattern
-crying
-palliative measures
chewing on objects
numbing solutions
Early Childhood Caries
- microbiology: S mutans, Lactobacilli
- risk factors: familiar factors, health considerations, dietary considerations
- predisposing factors: baby bottle, prolonged at-will breast or bottle feeding, poor OH
- affects maxillary anterior teeth FIRST
- white spots of demineralization on cervical third and proximal surfaces
- dark brown lesion or completely destroyed crown of tooth
Sippy Cup
introduce between 8-12months!
Oral Malodor
- causes: bacteria, postnasal drips
- teach parents: flossing, tongue brushing
Regular Visits
- every 6 months
- in morning or after naps
- show, tell, do
Radiographic Evaluation
- indications: close primary molars
- trauma
- suspected pathology
- delayed eruption
- typically size #1 film
Occlusion
-refer: severe crowding, malposed or congenitally missing teeth, overbite overjet crossbite, early loss of primary molars
Thumb Sucking
- intervention needed if continued past age4
- initiate before permanent maxillary anterior eruption
Adolescence
early: 10-13yrs
middle: 14-17yrs
late: 18-21yrs
Oral Conditions
- caries: higher incidence, linked to eating habits, frequent snacking and sugary drinks
- periodontal problems: plaque related gingivitis, severity vaires, related to harmonal changes
- localized agressive perio
- generalized aggressive perio
