Morbidity of Dental Disease in Children COPY Flashcards
condition of decayed, missing (due to decay) or filled primary tooth surface in ANY child (0-71 months) of age
early childhood caries
who does early childhood caries most?
- poor
- young
- minority
- unemployed/uninsured
ECC is now considered a condition which places a child at higher risk for what?
- child abuse
- neglect
- hyperactive depressive disorders
*also the parents are more stressed out
what are the dental signs/symptoms of child abuse?
- torn frenum/ upper lip injuries
- unexplained dental injury
- palate petechiae
- burns oral mucosa
- mandib/max fractures in infants or very young children
what is the average trip for medical/dental care
- 10.2 miles
- 22 minutes ONE WAY
- rural residents traveled 17.5 miles
- AAs spent 29.5 min in travel
when compared to acute asthema, another very common chronic childhood illness, what is the burden comparison?
- 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
what % of all physician visits are dental related?
0.3%
what % of ppl that go to the emergency dept for dental care follow up for regular care?
only 22%
how many states currently have full adult medicaid benefits?
only 4
what are the major sources of over-the -counter pain meds?
- 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
leading cause of acute liver failure in the US?
ACETOMINOPHEN TOXICITY
-100,000 cases a year
*unintentional inaccurate dosing accounted for 48% of these cases
what parents are the most likely to abuse OTC meds?
-those who have difficulty accessing dental care
children reporting to NCH dental emergency waited an average of ____ days in pain
18
what is the ADULT mortality for facial cellulitis?
1.6%
what is the mortality for ludwig’s angina?
10%
what is the mean length of stay in the hospital?
- 01 days
* inc as more teeth are involved
studies show that many kids treated under GA come back for re-treatment due to:
- age
- dysfunctional social situations
- special medical needs
*there is rarely a change in habits (diet, hygiene)
when MDs are the first responders to dental swellings, what modes of dx are common?
CT scans
*one new cancer per 1000 is attributed to CT scans in children
what are the CDC recommendations for fluoride?
- optimal mode (high freq/low dose)
- perm ant tooth amelogenesis
- mineralized typically complete of most perm teeth by 8
how many pediatric dentists are there ?
150 for 4 million children
