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PEDIATRIC DENTISTRY > L.5 Infant Oral Health > Flashcards

L.5 Infant Oral Health Flashcards

1
Q

The intervention of Fluroide reduced dental caries by 50%. However, ______ teeth dental caries increased 2% from the early 90’s to 2004…

A

primary teeth

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2
Q

What is the most common chronic infectious disease of childhood?

A

Caries

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3
Q

Fewerskov: dental caries belongs to the group of common diseases considered ‘______’ or ‘_______’ such as cancer, heart diseases, diabetes, and certain psychiatric illnesses,

A

complex or multifactorial

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4
Q

REORIENT management from treatment of _______ (disease) to management of caries (process)

A

cavities

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5
Q

Caries DO NOT EQUAL _____, but they can LEAD TO them.

A

cavities

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6
Q

_______ (___) 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.

A

Early Childhood Caries (ECC)

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7
Q

Early Childhood Caries is the presence of 1 or more decayed, missing or filled tooth surface in any ____ tooth in a child _______ or younger.

A

primary…71 months (6 years)

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8
Q

________ (____) is any smooth surface lesions in a child younger than 3.

A

SEVERE EarlyChildhoodCaries (S-ECC)

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9
Q

_________(____)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)

A

Severe ECC

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10
Q

What are the 3 most common teeth associated with Severe ECC? What teeth are SELDOM involved?

A

Maxillary Incisors, 1st molars, canines…mandibular incisors

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11
Q

What % of infants have Strep Mutans by 6 months?

A

50%!!

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12
Q

Dental Caries is __ times more common than asthma

A

5x

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13
Q

did you know __% of grade school children have a cavity??!!

A

85%

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14
Q

Mutant Streptococci: introduction as early as _____

significant colonization with _______

A

birth…eruption

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15
Q

WHAT IS THE PRIMARY SOURCE of Strep Mutans in children?

A

Maternal Vertical Transmission

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16
Q

How common is horizontal transmission of S. Mutans? ___% of children with S-ECC had non-maternal S. Mutans…

A

74%

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17
Q

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!

A

12 months…supervision

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18
Q

Xylitol showed significantly less MS colonization at ___ year exam

A

2 year

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19
Q

Interesting: Xylitol waxed that ass of Chlorhexidine in % of children with ______ at 2, 3, and 6 years of age…

A

S. Mutans

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20
Q

What are the 3 sources of Fluoride in the infant’s oral health?

A

1.Topical 2.Community Water 3.Supplements

21
Q

If a very young patient has caries, appoint patient at ___ month intervals, for ___ appointments

A

1 month…3 appointments

22
Q

Infant’s mouth should be cleaned with a ________ after feedings

A

soft moist cloth

23
Q

Once _______ , a soft toothbrush and“smear” of toothpaste 2x/day

A

teeth erupt

24
Q

Amount of toothpaste can be increased to “pea” size @ age ____

A

2

25
Q

Interesting…._______ should be kept to a minimum or eliminated all together

A

rinsing

26
Q

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.

A

CALCIUM

27
Q

**Ingestion of _______ of Fluroide can result in DEATH in a child.

A

5 mg/kg

28
Q

What are these Symptoms for?: gastrointestinal pain, nausea, vomiting, excess salivation, fever Induce vomiting (Ipecac)….Call 911

A

Fluoride toxicity

29
Q

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

A

less than 60 lbs (like 7 to 10 years old!)

30
Q

What is the delivery vehicle of xylitol for a child under 4 years of age? How much is given?

A

syrup…3-8 grams/day

31
Q

requent night time bottle feeding with milk and ad libitum breast-feeding are associated with, but not consistently implicated in, ____

A

EarlyChildhoodCaries

32
Q

Breastfeeding greater than ____ times daily after 12 months of age is associated with increased risk for ECC

A

7 times

33
Q

Juice should be limited to no more than __-___oz/day and served in a cup as part of a meal

A

4-6 oz per day

34
Q

Did you know recent research shows ______ is one of the healthiest snacks for your child’s teeth?

A

CHEEESE

35
Q

Drinking _______ water and brushing with fluoride toothpaste at least daily are the most effective method for reducing dental caries prevalence in children

A

fluoridated…

36
Q

Whats the recommended amount of F- from birth to 6mo?

A

0 ppm!

37
Q

Fluoride Recommendations: Remember the 6’s!!…Less than 6 months =

A

NO FLUORIDE

38
Q

Fluoride Recommendations: Remember the 6’s!!….More than 0.6 ppm =

A

NO MORE FLUORIDE

39
Q

Fluoride Recommendations: Remember the 6’s!!…more tha 16 years =

A

NO MORE FLUORIDE

40
Q

Fluoride Recommendations: Remember the 6’s!! When are the three times dosage changes?

A

6 months, half of 6 years (3 yrs), and at 6 years

41
Q

The American Dental Association’s Principles of Ethics and Code of Professional Conduct states that _________ is an essential duty of every dentist.

A

emergency care

42
Q

What is the main complication with using TOPICAL ANESTHETICS for teething??? What are the 2 ingredients that cause this complication??

A

Meth-EM-O-Globin-emia…Benzocaine and lidocaine viscous

43
Q

What is the AAPD recommended substitute for topical anesthetic use during teething?

A

a rubber teething ring chilled in the fridge

44
Q

What are two drugs that can be used during teething?

A

acetaminophen and ibuprofen

45
Q

When do most children stop thumb/pacifier sucking?

A

2-4 years

46
Q

Keys: Oral hygiene no later than __________

A

eruption of first tooth

47
Q

Keys: Dental home within _________

A

6-12 months!

48
Q

Keys: Avoid high _______ sugar consumption

A

FREQUENCY

PEDIATRIC DENTISTRY (11 decks)

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