Mx Childhood Caries

Question 1

Caries prevention advice for a 3-year old high caries risk?

Answer 1

As per DBOH
Brush 2x day (supervised), must be last thing at night and one other time, spit no rinse
To use smear 1450ppm toothpaste
To be taken to dentist every 3 months
Reducing intake sugar - reduced frequency/ amount

Question 2

When should child be supervised brushing?

Answer 2

Until can tie shoelaces - that’s when will have manual dexterity

Question 3

What advice to give to 7-year old who is high caries risk?

Answer 3

Toothpaste at least 1450ppm
Brushing 2x day
Use of daily sodium fluoride mouth rise (0.05%) - different time to brushing

Question 4

What diet advice to give to children?

Answer 4

Reducing both frequency and amount of sugar in the diet

Question 5

What prevention would do in general practice?

Answer 5

Fluoride varnish application - minimum 2 x + year (between 2-4 times a year)
FS all permanent molars

Question 6

What are tx options for lower right deciduous molar w/ buccal sinus?

Answer 6

XLA
Buccal sinus is sign of chronic infection - as pt is young and likely has poor OH any chance at saving tooth unlikely to be successful

Question 7

What to do if suspect caries is sign of neglect?

Answer 7

Act in child best interest and contact safeguarding lead

Question 8

When is it advised child first sees dentist?

Answer 8

BSPD - dental check by 1. Allows early OH and diet advice to be given