management of children in primary care

Question 1

important milestones to monitor in dentition

Answer 1

• 3,6,9,12
• 3 - all primary teeth
• 6 - FPM
• 9 - palpate upper canine
• 12 - primary teeth all exfoliated or close to

Question 2

what teeth commonly affected by MIH

Answer 2

permanent incisors, FPM and canine tips

Question 3

what conc of fluoride varnish is used

Answer 3

22,600ppm

Question 4

SDF advantages

Answer 4

safe
simple
non invasive

Question 5

SDF disadvantages

Answer 5

• temp tattoo
  -stains caries black
  -expensive
  -metallic taste

Question 6

what is the conc of SDF

Answer 6

38% solution (riva star)

Question 7

when is appropriate to refer to PDS

Answer 7

• anxiety and phobia
• GA extractions
• sedation
• special needs
• vulnerable groups

Question 8

what is conscious sedation PAEDS

Answer 8

using drugs to produce a state of depression of CNS enabling Tx to be carried out, but during which verbal contact with patient is maintained
nitrous oxide

Question 9

indications for conscious sedation

Answer 9

• child is anxious but still cooperative
• treatment is straighforward
• treatment is not likely to damage childs attitude to Tx in future

Question 10

contra-indications for conscious sedation

Answer 10

• severe anxiety where child is not ready or willing to co-op
• treatment needed is too extensive or complex for maturity of child
• child is too young to understand how to use IS
• child cannot breath through nose - dont undestand or have medical or anatomical issues