Morbidity of Dental Disease in Children Flashcards

1
Q

condition of decayed, missing (due to decay) or filled primary tooth surface in ANY child (0-71 months) of age

A

early childhood caries

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2
Q

who does early childhood caries most?

A
  • poor
  • young
  • minority
  • unemployed/uninsured
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3
Q

ECC is now considered a condition which places a child at higher risk for what?

A
  • child abuse
  • neglect
  • hyperactive depressive disorders

*also the parents are more stressed out

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4
Q

what are the dental signs/symptoms of child abuse?

A
  • torn frenum/ upper lip injuries
  • unexplained dental injury
  • palate petechiae
  • burns oral mucosa
  • mandib/max fractures in infants or very young children
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5
Q

what is the average trip for medical/dental care

A
  • 10.2 miles
  • 22 minutes ONE WAY
  • rural residents traveled 17.5 miles
  • AAs spent 29.5 min in travel
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6
Q

when compared to acute asthema, another very common chronic childhood illness, what is the burden comparison?

A
  • no difference in school/work days missed
  • sig fewer pts under routine dental care
  • sig more pts worried about acute dental pain than acute asthema
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7
Q

what % of all physician visits are dental related?

A

0.3%

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8
Q

what % of ppl that go to the emergency dept for dental care follow up for regular care?

A

only 22%

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9
Q

how many states currently have full adult medicaid benefits?

A

only 4

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10
Q

what are the major sources of over-the -counter pain meds?

A
  • studies on acute limb injuries
  • peds pts UNDERTREATED for pain
  • kids less than 10 yrs old

*40% of parents reported using Tylenol, yet only 8% knew it was acetominophen

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11
Q

leading cause of acute liver failure in the US?

A

ACETOMINOPHEN TOXICITY
-100,000 cases a year

*unintentional inaccurate dosing accounted for 48% of these cases

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12
Q

what parents are the most likely to abuse OTC meds?

A

-those who have difficulty accessing dental care

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13
Q

children reporting to NCH dental emergency waited an average of ____ days in pain

A

18

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14
Q

what is the ADULT mortality for facial cellulitis?

A

1.6%

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15
Q

what is the mortality for ludwig’s angina?

A

10%

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16
Q

what is the mean length of stay in the hospital?

A
  1. 01 days

* inc as more teeth are involved

17
Q

studies show that many kids treated under GA come back for re-treatment due to:

A
  • age
  • dysfunctional social situations
  • special medical needs

*there is rarely a change in habits (diet, hygiene)

18
Q

when MDs are the first responders to dental swellings, what modes of dx are common?

A

CT scans

*one new cancer per 1000 is attributed to CT scans in children

19
Q

what are the CDC recommendations for fluoride?

A
  • optimal mode (high freq/low dose)
  • perm ant tooth amelogenesis
  • mineralized typically complete of most perm teeth by 8
20
Q

how many pediatric dentists are there ?

A

150 for 4 million children