Oral Health And Cleft Lip

Question 1

When should the first dental visit happen?

Answer 1

When baby teeth begin to erupt
OR
By age 1

(Whichever comes first)

Question 2

When does teething start?

Answer 2

As early as 4 months or as late as 15 months

Question 3

When should children have a dental home and first visit?

Answer 3

By age 1 **

Question 4

What are severe caries?

Answer 4

Advanced caries that are at risk of fracture, and place child at risk for serious infection

Question 5

What is the most common structural birth defect?

Answer 5

Orofacial clefts

Question 6

What is the first step of a carie?

Answer 6

Decalcification

Question 7

What are moderate caries?

Answer 7

Brown or black spots

Question 8

When should the bottle be eliminated

Answer 8

By 1 year

Question 9

What is your role as a PA wrt children’s dental health?

Answer 9

• complete an oral health assessment as part of the exam
• reinforce oral home are instructions and a low sugar diet
• stress the need for regular dental visits ( every 6 mo)

Question 10

What’s the rule on snacking and drinking between meals?

Answer 10

Limit snacking

Nothing but water between meals

Question 11

What are the goals of cleft lip/palate treatment?

Answer 11

Produce a face that doesn’t attract attention

Create a mouth that permits intelligent speech

Teeth that look good and function right

Question 12

How often should kids brush

Answer 12

2x a day

Question 13

Can you let baby fall asleep w his bottle

Answer 13

No, not unless its water

Question 14

Is breast milk cariogenic?

Answer 14

No (unless combined with carbohydrates)

Question 15

How do clefts affect baby’s feeding?

Answer 15

They have difficulty forming negative pressure for sucking

Frequent burping necessary due to baby swallowing air

Question 16

Why should you avoid pre-tasting, pre-chewing, or licking the baby’s pacifier ?

Answer 16

To prevent bacteria transmission***

Question 17

What might excessive systemic fluoride cause

Answer 17

Fluorosis (brown spots)

Question 18

What is decalcification?

Answer 18

White spots that don’t wipe off. First sign of a cavity

Question 19

Are raisins, fruit leathers and sticky candy good options?

Answer 19

No

Question 20

How many primary (baby) teeth ?

Answer 20

20

Question 21

When does the threat of fluorosis disappear?

Answer 21

After age 8 when permanent teeth have developed

Question 22

How does cleft palate/lip affect teeth?

Answer 22

Teeth may be absent or there may be extra teeth

Can affect the development of the upper jaw

Question 23

What effect does prematurity and low birth weight have on children’s teeth?

Answer 23

Delayed eruption

Enamel defects

Question 24

How should children be exposed to fluoride to prevent cavities?

Answer 24

Water

Toothpaste

Question 25

When should a sippy cup be introduced?

Answer 25

As soon as child can sit up unsupported

Question 26

Can kids bring bottles to bed?

Answer 26

No, not unless its water

Question 27

How much fluoride toothpaste should be used under age 2?

Answer 27

Just a smear **

Question 28

Why do kids with cleft palate get ear infections more frequently ?

Answer 28

The slack palate muscles close the middle ear space

Question 29

Why are children whose mothers or siblings have cavities more at risk for caries?

Answer 29

Because ECC bacteria is transmissible ****

Question 30

How much toothpaste from age 2-6

Answer 30

Pea-sized

Question 31

Is grazing encouraged?

Answer 31

No

Question 32

What is a nasoalveolar molding (NAM)?

Answer 32

A device that shapes the mouth and nose that the baby will wear 24 hours a day until they have surgery

Question 33

Is the enamel on kids’ teeth thick or thin?

Answer 33

Thin, so decay advances quickly

Question 34

Are Early Childhood Caries transmissible?

Answer 34

YES

Question 35

Is decalcification reversible?

Answer 35

Yes with plaque removal and fluoride

Question 36

What do you have to do to feed a baby with a cleft

Answer 36

Feed them upright Burp frequently Use nipples that extended further into mouth

Question 37

How much toothpaste for 1-2yr olds

Answer 37

Smear

Question 38

What is the number one chronic infectious disease

Answer 38

Early Childhood Caries ****

Question 39

What can you do to soothe teething pain?

Answer 39

Give baby something cold to chew on Let him chew on a wet washcloth Rub gums with clean finger Tylenol

Question 40

What are the 4 speech problems for cleft babies

Answer 40

Retardation of consonant sounds Hypernasality Articulation difficult due to teeth out of place Hearing problem

Question 41

What age are Early Childhood Caries present/

Answer 41

Before 5

Question 42

What are Early Childhood caries dependednt upon?

Answer 42

Refined carbohydrates

Question 43

By what age do all baby teeth come in

Answer 43

By age 3

Question 44

What is the cause of orofacial clefts?

Answer 44

Exact cause is unknown but we know that maternal smoking, drinking, diabetes and obesity play a role

Question 45

When can children brush on their own without supervision?

Answer 45

Age 6 when they’re more coordinated

Question 46

When does teething occur?

Answer 46

As early as 3 months and continue to 3 years

Question 47

Does teething cause diarrhea, rashes or fever?

Answer 47

No, it is just coincidental overlaps of illnesses

Question 48

How much toothpaste should be used under age 1

Answer 48

None, soft toothbrush only

Question 49

By what age do kids need to stop sucking

Answer 49

4

Question 50

What are some helpful flossing tips?

Answer 50

Use floss in a loop Floss holders

Question 51

When should flossing begin?

Answer 51

When teeth touch

Question 52

What should go in a baby’s bottle?

Answer 52

Breast milk Formula Water

Question 53

When does the 1st permanent molar erupt?

Answer 53

6 yrs