L.5 Infant Oral Health

Question 1

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

Answer 1

primary teeth

Question 2

What is the most common chronic infectious disease of childhood?

Answer 2

Caries

Question 3

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

Answer 3

complex or multifactorial

Question 4

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

Answer 4

cavities

Question 5

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

Answer 5

cavities

Question 6

_______ (___) 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.

Answer 6

Early Childhood Caries (ECC)

Question 7

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

Answer 7

primary…71 months (6 years)

Question 8

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

Answer 8

SEVERE EarlyChildhoodCaries (S-ECC)

Question 9

_________(____)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)

Answer 9

Severe ECC

Question 10

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

Answer 10

Maxillary Incisors, 1st molars, canines…mandibular incisors

Question 11

What % of infants have Strep Mutans by 6 months?

Answer 11

50%!!

Question 12

Dental Caries is __ times more common than asthma

Answer 12

5x

Question 13

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

Answer 13

85%

Question 14

Mutant Streptococci: introduction as early as _____

significant colonization with _______

Answer 14

birth…eruption

Question 15

WHAT IS THE PRIMARY SOURCE of Strep Mutans in children?

Answer 15

Maternal Vertical Transmission

Question 16

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

Answer 16

74%

Question 17

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!

Answer 17

12 months…supervision

Question 18

Xylitol showed significantly less MS colonization at ___ year exam

Answer 18

2 year

Question 19

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

Answer 19

S. Mutans

Question 20

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

Answer 20

1.Topical 2.Community Water 3.Supplements

Question 21

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

Answer 21

1 month…3 appointments

Question 22

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

Answer 22

soft moist cloth

Question 23

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

Answer 23

teeth erupt

Question 24

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

Answer 24

2

Question 25

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

Answer 25

rinsing

Question 26

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.

Answer 26

CALCIUM

Question 27

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

Answer 27

5 mg/kg

Question 28

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

Answer 28

Fluoride toxicity

Question 29

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

Answer 29

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

Question 30

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

Answer 30

syrup...3-8 grams/day

Question 31

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

Answer 31

EarlyChildhoodCaries

Question 32

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

Answer 32

7 times

Question 33

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

Answer 33

4-6 oz per day

Question 34

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

Answer 34

CHEEESE

Question 35

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

Answer 35

fluoridated...

Question 36

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

Answer 36

0 ppm!

Question 37

Fluoride Recommendations: Remember the 6's!!...Less than 6 months =

Answer 37

NO FLUORIDE

Question 38

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

Answer 38

NO MORE FLUORIDE

Question 39

Fluoride Recommendations: Remember the 6's!!...more tha 16 years =

Answer 39

NO MORE FLUORIDE

Question 40

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

Answer 40

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

Question 41

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

Answer 41

emergency care

Question 42

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

Answer 42

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

Question 43

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

Answer 43

a rubber teething ring chilled in the fridge

Question 44

What are two drugs that can be used during teething?

Answer 44

acetaminophen and ibuprofen

Question 45

When do most children stop thumb/pacifier sucking?

Answer 45

2-4 years

Question 46

Keys: Oral hygiene no later than __________

Answer 46

eruption of first tooth

Question 47

Keys: Dental home within _________

Answer 47

6-12 months!

Question 48

Keys: Avoid high _______ sugar consumption

Answer 48

FREQUENCY