Management and DBOH

Question 1

List some non-pharmalogical management techniques for treating anxious children

Answer 1

Preparatory information
Enhance patient control (eg stop signs)
Tell-show-do
Positive reinforcement
Distratctions

Question 2

Home advice for brushing 0-3 years children

Answer 2

Parents or carers should brush their children’s teeth:
* As soon as they erupt
* Twice a day
* At least 1000 ppm fluoride
* Smear of toothpaste

Question 3

Professional intervention for 7-18 years

Answer 3

Apply fluoride varnish to teeth 2 times a year (2.26% NaF)

Question 4

What are some contraindications of inhalation sedation?

Answer 4

Upper respiratory tract infection
Ear operation within 14 days
Nueromuscular disorder
Pre-cooperative patient

Question 5

After NO2 inhalation sedation use what should be administered to a patient?

Answer 5

After treatment, give patient 100% O2 for at least 3 minutes to prevent diffusion hypoxia

Question 6

How does inhalation sedation stop a patient feel pain?

Answer 6

Depression of CNS
(pt still retains relxes and responses)

Question 7

What age and concentration can fluoride mouthwash be prescribed?

Answer 7

8 years old Fluoride mouth rinse daily (0.05% NaF; 230 ppmF)

Question 8

What are some indications of inhalation sedation for paeds patients?

Answer 8

Anxiety
Traumatic procedure
Gag reflex
GA too risky

Question 9

What are some pros and cons of NO2 inhalation sedation?

Answer 9

Pros
* Fast acting and effective
* Minimal recovery time (wears off quickly)
* Non invasive

Cons
* Only provides mild sedation
* Can cause adverese side effects (nausea, headaches, dizziness etc)
* Children may not tolerate mask

Question 10

Professional intervention for 3-6 years children

Answer 10

Apply fluoride varnish (2.26% NaF) to teeth 2 times a year
3-12 month recall based on risk

Question 11

Professional intervention for 0-6 years children high risk

Answer 11

Apply fluoride varnish (2.26% NaF) to teeth 2 or more times a year
Diet analysis
Shortened recall interval

Question 12

Professional intervention for 7-18 years children high risk

Answer 12

Apply resin sealant to permanent teeth on eruption
Apply fluoride varnish to teeth 2 or more times a year (2.26% NaF)
Daily fluoride mouth rinse (0.05% NaF; 230ppm F)
2,800ppm fluoride toothpaste until dental caries risk is reduced (10 years active caries)
2,800ppm or 5,000ppm fluoride toothpaste until dental caries risk is reduced (16 years active caries)

Question 13

What is the aim of inhalation sedation?

(conscious sedation)

Answer 13

Child feels less pain/fear and more comfort and positivity, so the dentist can provide safer care

Question 14

Define…
Anxiety
Fear
Phobia

Answer 14

Anxiety: general uneasy feeling
Fear: response to specific stimulus
Phobia: irrational fear

Question 15

Home advice for brushing 3-6 years children

Answer 15

Teeth should be brushed by a parent or carer
As the child gets older, a parent or carer should assist them to brush their own teeth:
* Twice a day
* At least 1,000 ppm fluoride
* Pea-sized amount of the toothpaste
* Spitting out after brushing

Question 16

Home advice for 7-18 years children

Answer 16

Twice daily
1,350 to 1,500 ppm fluoride
Spit not rinse

Question 17

Home advice for 0-6 years children high risk

Answer 17

Use toothpaste containing 1,350 to 1,500 ppm fluoride
Twice daily
Sugar free medication