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DHHD 1 > Liu 1 > Flashcards

Liu 1 Flashcards

1
Q

What is pediatric dentistry?

A

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs

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2
Q

What is a pediatric dentist?

A

The pediatric dentist id dedicated to the oral health of children from infancy through the teenage years. Properly trained pediatric dentist have had an extra two or three years of specialized training

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3
Q

The multifactorial nature of caries involves the 1. _____, 2. ________, 3. ______, and 4. ______.

A
  1. Host
  2. Substrate
  3. Bacteria
  4. Time
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4
Q

What has the CDC indentifies as the most prevalent infectious disease among children?

A

caries

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5
Q

What is the top reason children miss school according to the Surgeon General’s report?

A

Untreated dental disease

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6
Q

The presence of dental carries aged 2-5 years has increased from years _____ - ______ to 1999-2004.

A

1988-1994

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7
Q

Caries rate (2-11 yo) greater in lower SES and ______ and _______ non Hispanic populations

A

Hispanic

Black

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8
Q

The prevalence of total dental caries _______ in youth during the 6 years from survey period 2011 - 2012 through 2015-2016

A

declined

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9
Q

The prevalence of untreated dental caries 1. ______ from 2011-2012 through 2013-2014, and then 2. ________ for 2015-2016.

A
  1. increased

2. decreased

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10
Q

For National Health and Nutrition Examination Survey (NHANES) period 2015-2016, the prevalence of 1. _____ and 2.________ ________ _____ in primary or permanent teeth among youth aged 2-19 was 43.1% and 13% respecitively

A
  1. total

2. untreated dental caries

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11
Q

The prevalence of total dental caries was highest for 1. _______ youth compared with other race and Hispanic-origin groups. The presence of untreated dental caries was highest for non-Hispanic 2. ______ youth

A
  1. Hispanic

2. Black

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12
Q

Why are the primary teeth so important? (5)

A
  1. Proper chewing and eating
  2. Providing space for permanent teeth and guiding them into correct position
  3. Permit normal development of the jaw bones and muscles
  4. Speech development
  5. Esthetics
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13
Q

When does tooth formation begin?

A

7 weeks in utero

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14
Q

When does tooth mineralization begin?

A

4 months in utero

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15
Q

Baby teeth (upper teeth), when do they appear?

A 
Central incisors - 8-12 months
Lateral incisors - 9-13 months
Cuspids - 16-22 months
First molars - 13-19 months
Second molars - 25-33 months
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16
Q

Baby teeth (lower teeth), when do they appear?

A 
Central incisors - 6-10 months
Lateral incisors - 10-16 months
Cuspids - 17-23 months
First molars - 14-18 months
Second molars - 23-31 months
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17
Q

Adult teeth (upper teeth), when do they appear?

A 
Central incisors - 7-8 years
Lateral incisors - 8-9 years
Cuspids - 11-12 years
First bicuspids - 10 - 11 years
Second bicuspids - 10-12 years
First molars - 6- 7 years
Second molars - 12 - 13 years
Third molars - 17 - 21 years
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18
Q

Adult teeth (lower teeth), when do they appear?

A 
Central incisors - ?
Lateral incisors - ?
Cuspids - 9 - 10 years
First bicuspids - 10 - 12 years
Second bicuspids - 11-12 years
First molars - 6- 7 years
Second molars - 11 - 13 years
Third molars - 17 - 21 years
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19
Q

When does primary eruption begin and when is it completed by?

A

begins: around 6 months
completed: 24-30 months

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20
Q

Do maxillary or mandibular teeth erupt first?

A

Mandibular

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21
Q

What is the eruption sequence for primary teeth?

A
  1. Central incisors
  2. Lateral incisors
  3. First Molars
  4. Canines
  5. Second Molars
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22
Q

When does permanent eruption begin and when is it completed by?

A

begins: 5-6 years (mandibular)
completed: 13-14 years except 3rd molars

23
Q

According to AAPD (American Academy of Pediatric Dentist) every child should visit the dentist by?

A

By his/her first birthday

24
Q

Dental Home

A

Professional intervention within six months after the eruption of the first primary tooth or no later than the 1st year of life, directed at factors affecting the oral cavity, counseling on oral disease risk and deliver anticipatory guidance

25
Q

When doing an infant examination what is recommended?

A

Often better to examine older cooperative sibling first

26
Q

How should you examine an infant?

A 
Knee to knee
Soft tissue evaluation
Hard tissue evalution
Toothbrush prophy
Fluoride Varnish
27
Q

Should you recommend “Orajel” for tooth eruption discomfort?

A

No

28
Q

What symptoms are associated with tooth eruption?

A 
localized areas of discomfort
Irritability 
Excess Salivation
Low Grade Fever
"Fussy Baby"
29
Q

What is the primary tooth eruption sequence?

A
  1. Lower central
  2. Upper centrals
  3. All laterals
  4. All First Molars
  5. All Canines
  6. All Second Molars
30
Q

What is the rule of 7+4?

A 
7 months after first tooth erupts -  4 teeth
\+ 4 months = 8 teeth 
\+ 4 months = 12 teeth
\+ 4 months = 16 teeth 
\+ 4 months = 20 teeth
31
Q

What kind of disease is often associated with the eruption of primary teeth?

A

viral herpes; last about 10-14 days; palliative care; sometimes prescribed magical mouth wash

32
Q

When should tooth care begin for babies?

A

When first tooth erupts, twice a day

33
Q

For kids under the age of three how much toothpaste should you use?

A

Smear - 0.1 mg fluoride

34
Q

For kids 3-5 how much toothpaste should you use?

A

Pea sided amount - 0.2 mg of fluoride

35
Q

What is a disclosure agent?

A

Give to kids to show areas of plaque build up. It is pink

36
Q

What are the different methods of administration of fluoride?

A

Systematic & Topical

37
Q

How is fluoride beneficial? (3)

A
  • Increasing the resistance of tooth structure to demineralization
  • Enhancing the process of remineralization
  • Reducing the cariogenic potential of dental plaque
38
Q

What happens if you have too much fluoride?

A
  • Fluorosis

- White spots on teeth

39
Q

How much fluoride do adults need?

A

0.6 - 0.7 ppm

40
Q

OTC rinses ____ recommended for children under the age of 6

A

not

41
Q

What are professionally applied fluoride products?

A
  • Fluoride varnish

- Concentrated fluoridated gels and foams

42
Q

When should bottle or breast weaning stop?

A

12 months

43
Q

NEVER put a child to bed with a _____.

A

bottle

44
Q

Transition to _____ - cup after weaning

A

sippy

45
Q

_____ only in sippy cup between meals

A

water

46
Q

Juice and milk are OK along with _____, as mechanical action of eating will help cleanse the teeth.

A

meals

47
Q

How much juice can you give children under the age of 1?

A

none

48
Q

T/F

Natural fruit juices are recommended over artificially flavored juices

A

T

49
Q

T/F

A

Juices should be given to infants in a sippy cup rather than a bottle

50
Q

When should babies stop using a pacifier?

A

By 2 yrs

51
Q

Thumb/Fingers - considered normal behavior until age __.

A

4

52
Q

Malocclusion can occur if pt does not stop sucking thumb, using bottle T/F

A

T

53
Q

Fissure Sealants

A

Describes a material that is introduced into the occlusal pits and fissures of caries susceptible teeth, thus forming a micromechanically bonded, protective layer cutting access of caries producing bacteria from the source of nutrients

DHHD 1 (9 decks)

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