L.5 Infant Oral Health Flashcards
The intervention of Fluroide reduced dental caries by 50%. However, ______ teeth dental caries increased 2% from the early 90’s to 2004…
primary teeth
What is the most common chronic infectious disease of childhood?
Caries
Fewerskov: dental caries belongs to the group of common diseases considered ‘______’ or ‘_______’ such as cancer, heart diseases, diabetes, and certain psychiatric illnesses,
complex or multifactorial
REORIENT management from treatment of _______ (disease) to management of caries (process)
cavities
Caries DO NOT EQUAL _____, but they can LEAD TO them.
cavities
_______ (___) is the presence of 1 or more decayed, missing or filled tooth surface in any primary tooth in a child 71 months (6 years) or younger.
Early Childhood Caries (ECC)
Early Childhood Caries is the presence of 1 or more decayed, missing or filled tooth surface in any ____ tooth in a child _______ or younger.
primary…71 months (6 years)
________ (____) is any smooth surface lesions in a child younger than 3.
SEVERE EarlyChildhoodCaries (S-ECC)
_________(____)From ages 3-5, one or more cavitated, missing or filled smooth surface in primary maxillary anterior teeth or a decayed, missing or filled score of >4(age3), >5(age4),>6(age5)
Severe ECC
What are the 3 most common teeth associated with Severe ECC? What teeth are SELDOM involved?
Maxillary Incisors, 1st molars, canines…mandibular incisors
What % of infants have Strep Mutans by 6 months?
50%!!
Dental Caries is __ times more common than asthma
5x
did you know __% of grade school children have a cavity??!!
85%
Mutant Streptococci: introduction as early as _____
significant colonization with _______
birth…eruption
WHAT IS THE PRIMARY SOURCE of Strep Mutans in children?
Maternal Vertical Transmission
How common is horizontal transmission of S. Mutans? ___% of children with S-ECC had non-maternal S. Mutans…
74%
Establishment of the DENTAL HOME begins no later than ______ of age and includes referral to dental specialist when appropriate. It establishes health ________, NOT disease treatment!
12 months…supervision
Xylitol showed significantly less MS colonization at ___ year exam
2 year
Interesting: Xylitol waxed that ass of Chlorhexidine in % of children with ______ at 2, 3, and 6 years of age…
S. Mutans
What are the 3 sources of Fluoride in the infant’s oral health?
1.Topical 2.Community Water 3.Supplements
If a very young patient has caries, appoint patient at ___ month intervals, for ___ appointments
1 month…3 appointments
Infant’s mouth should be cleaned with a ________ after feedings
soft moist cloth
Once _______ , a soft toothbrush and“smear” of toothpaste 2x/day
teeth erupt
Amount of toothpaste can be increased to “pea” size @ age ____
2
Interesting…._______ should be kept to a minimum or eliminated all together
rinsing
Acute FLUORIDE toxicity due to ingestion: Goal is to minimize ABSORPTION…. Give _______ products ie. milk, Tums with Calcium, Milk of Magnesia to decrease stomach acid, form insoluable complexes and reduce absorption.
CALCIUM
**Ingestion of _______ of Fluroide can result in DEATH in a child.
5 mg/kg
What are these Symptoms for?: gastrointestinal pain, nausea, vomiting, excess salivation, fever Induce vomiting (Ipecac)….Call 911
Fluoride toxicity
Toothpaste Fluoride 1,100 ppm. At 130 grams of paste in the average tube this equals 143 milligrams of fluoride/tube. Could be fatal for child less than _______ lbs
less than 60 lbs (like 7 to 10 years old!)
What is the delivery vehicle of xylitol for a child under 4 years of age? How much is given?
syrup…3-8 grams/day
requent night time bottle feeding with milk and ad libitum breast-feeding are associated with, but not consistently implicated in, ____
EarlyChildhoodCaries
Breastfeeding greater than ____ times daily after 12 months of age is associated with increased risk for ECC
7 times
Juice should be limited to no more than __-___oz/day and served in a cup as part of a meal
4-6 oz per day
Did you know recent research shows ______ is one of the healthiest snacks for your child’s teeth?
CHEEESE
Drinking _______ water and brushing with fluoride toothpaste at least daily are the most effective method for reducing dental caries prevalence in children
fluoridated…
Whats the recommended amount of F- from birth to 6mo?
0 ppm!
Fluoride Recommendations: Remember the 6’s!!…Less than 6 months =
NO FLUORIDE
Fluoride Recommendations: Remember the 6’s!!….More than 0.6 ppm =
NO MORE FLUORIDE
Fluoride Recommendations: Remember the 6’s!!…more tha 16 years =
NO MORE FLUORIDE
Fluoride Recommendations: Remember the 6’s!! When are the three times dosage changes?
6 months, half of 6 years (3 yrs), and at 6 years
The American Dental Association’s Principles of Ethics and Code of Professional Conduct states that _________ is an essential duty of every dentist.
emergency care
What is the main complication with using TOPICAL ANESTHETICS for teething??? What are the 2 ingredients that cause this complication??
Meth-EM-O-Globin-emia…Benzocaine and lidocaine viscous
What is the AAPD recommended substitute for topical anesthetic use during teething?
a rubber teething ring chilled in the fridge
What are two drugs that can be used during teething?
acetaminophen and ibuprofen
When do most children stop thumb/pacifier sucking?
2-4 years
Keys: Oral hygiene no later than __________
eruption of first tooth
Keys: Dental home within _________
6-12 months!
Keys: Avoid high _______ sugar consumption
FREQUENCY
