Oral Health Policies Flashcards

1
Q

dental neglect: _____ failure to seek care

A

WILLFUL failure (ie sufficient education, but choosing not to)

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2
Q

lack of oral health care causing pain/infection preventing good nutrition, activity, growth and development, quality of life (e.g. missing school due to dental pain) = this is called?

A

dental disability

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3
Q

approximately ___% of children experience caries in their primary teeth by age __(Kindergarten)

A

60% of children get caries by age 5

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4
Q

most common chronic disease of childhood?

most common chronic medical disease of childhood?

A

caries

asthma

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5
Q

how many states participate in the school program (Headstart)?

A

14 states + DC

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6
Q

sealants with f/u care have a __-__% success rate

A

80-90% success rate

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7
Q

a child w/ sealants are ___% less likely to require fillings
i) 50%
ii) 70%
iii) 95%

A

ii) 70%

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8
Q

dental home should be established as early as ___ mths of age

no later than ___ mths of age

A

6 mths

12 mths

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9
Q

smoking/nicotine use in teenagers? __%

A

20%

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10
Q

___% of tooth decay is found in ___-___% of children

A

80% of tooth decay is found in 20-25% of children

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11
Q

two-tiered standard of care is encouraged by AAPD - t/f?

A

false

(e.g. NZ model with mid-level providers, such as dental therapists, increased caries rates)

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12
Q

1/__ of the US population does not have fluoridated water

1/__ of the US does not benefit from fluoride

A

1/4th of the US population does not have fluoridated water

1/3rd of the US does not benefit from fluoride

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13
Q

what is the national policy on excused absences from school?

A

there is none

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14
Q

dentists are responsible for making reasonable arrangements for the emergency care, whether they are a patient of record or not - T/F?

A

true

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15
Q

how does fluoride inhibit caries? (3)

A
  1. inhibits demineralization of sound enamel
  2. enhance remineralization of demin enamel
  3. affect metabolic activity of cariogenic bacteria
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16
Q

recommended fluoride level? ___ppm

fluoride supplementation is recommended for children who are ____ caries risk, and have <___ppm of fluoride in their water

A

0.7ppm

HIGH caries risk, have <0.6ppm

17
Q

children less than __ = should have a smear of toothpaste (__mg)

children less than __ = should have a pea-sized amount (__mg)

A

children less than 3 (0.1mg)

children less than 6 (0.25mg)

18
Q

water fluoridation leads to ___% reduction of caries rate in
- primary teeth
- perm teeth

A

35% in primary
25% in perm

19
Q

water fluoridation led to a ___% increase in caries-free children in primary dentition

and ___% increase in caries-free children with permanent
dentition

A

15% caries-free children with primary

14% caries-free children with perm

20
Q

water fluoridation –> risk of fluorosis __%

A

12%

21
Q

formula has __-__ppm of fluoride

A

0.15 - 0.21ppm

22
Q

APF has __% fluoride
NaF varnish has __% fluoride

children under age of __ should only receive NaF varnish

A

APF 1.23%
NaF varnish 2.26%

children under age of __ should only receive NaF varnish

23
Q

probable toxic dose of fluoride = __mg/kg

likely fatal dose of fluoride = __mg/kg

certainly lethal dose of fluoride = __mg/kg

A

probable toxic dose of fluoride = 5mg/kg

likely fatal dose of fluoride = 15mg/kg

certainly lethal dose of fluoride = 16mg/kg

24
Q

plaque/pellicle is a barrier to fluoride varnish - t/f?

A

false; no effect

25
Q

Fluoride varnish/gel produces a temporary layer of _____ fluoride-like material on the enamel surface

This fluoride is released when?

A

calcium fluoride-like material

when the pH drops from acid production (ie fluoride doesn’t get incorporated until there is acid attack and the enamel is trying to remineralize)

26
Q

immigrant children have __x higher caries risk

A

3x higher

27
Q

to limit posterior crossbite, should cease pacifier use by ___ mths

A

18 mths

28
Q

what kind of malocclusion is the most difficult to correct due to sucking habit?

A

posterior XB

29
Q

what are the 3 adverse health affects ascribed to fluoride use?

A

1) decreased cognitive ability
2) endocrin problems
3) cancer

30
Q

Maternal fluoride exposure: children age 3-4 –> results indicated that a __mg increase
in daily fluoride intake (e.g., an extra six cups of optimally fluoridated water each day) during pregnancy was associated
with a ___ point lower IQ score in boys but did not significantly impact girls

  • what is the drawback of the study?
A

1mg increase of daily fluoride intake (Eg extra 6 cups of water) =
4.43 lower IQ score in boys

  • didn’t adjust for difference in SES
  • no difference when evaluating full population
31
Q

studies relating fluoride vs IQ in:
- Canada
- NZ
- Sweden

A
  • Canada: lower IQ in boys
  • NZ: no assoc
  • Sweden: no assoc
32
Q

Ages
- ECC?
- S-ECC?

A

age 5 and under for both

33
Q

define ECC

A

1 or more DMF primary tooth (non-cavitated or cavitated)

34
Q

define S-ECC in
- 0 to 3 yo
- 3 to 5 yo

A
  • 0 to 3 yo: any smooth surface caries (non-cavitated or cavitated)
  • 3 to 5 yo: 1+ CAVITATED, missing, filled smooth surface in primary Mx anterior OR
  • age 3: DMF 4 or more
  • age 4: DMF 5 or more
  • age 5: DMF 6 or more
35
Q

acrodynia

A

mercury poisoning
- can cause early tooth exfoliation

36
Q

which bacteria is in the mouth at birth?

A

enterobacteria

37
Q
A