Oral Health Policies Flashcards
dental neglect: _____ failure to seek care
WILLFUL failure (ie sufficient education, but choosing not to)
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?
dental disability
approximately ___% of children experience caries in their primary teeth by age __(Kindergarten)
60% of children get caries by age 5
most common chronic disease of childhood?
most common chronic medical disease of childhood?
caries
asthma
how many states participate in the school program (Headstart)?
14 states + DC
sealants with f/u care have a __-__% success rate
80-90% success rate
a child w/ sealants are ___% less likely to require fillings
i) 50%
ii) 70%
iii) 95%
ii) 70%
dental home should be established as early as ___ mths of age
no later than ___ mths of age
6 mths
12 mths
smoking/nicotine use in teenagers? __%
20%
___% of tooth decay is found in ___-___% of children
80% of tooth decay is found in 20-25% of children
two-tiered standard of care is encouraged by AAPD - t/f?
false
(e.g. NZ model with mid-level providers, such as dental therapists, increased caries rates)
1/__ of the US population does not have fluoridated water
1/__ of the US does not benefit from fluoride
1/4th of the US population does not have fluoridated water
1/3rd of the US does not benefit from fluoride
what is the national policy on excused absences from school?
there is none
dentists are responsible for making reasonable arrangements for the emergency care, whether they are a patient of record or not - T/F?
true
how does fluoride inhibit caries? (3)
- inhibits demineralization of sound enamel
- enhance remineralization of demin enamel
- affect metabolic activity of cariogenic bacteria
recommended fluoride level? ___ppm
fluoride supplementation is recommended for children who are ____ caries risk, and have <___ppm of fluoride in their water
0.7ppm
HIGH caries risk, have <0.6ppm
children less than __ = should have a smear of toothpaste (__mg)
children less than __ = should have a pea-sized amount (__mg)
children less than 3 (0.1mg)
children less than 6 (0.25mg)
water fluoridation leads to ___% reduction of caries rate in
- primary teeth
- perm teeth
35% in primary
25% in perm
water fluoridation led to a ___% increase in caries-free children in primary dentition
and ___% increase in caries-free children with permanent
dentition
15% caries-free children with primary
14% caries-free children with perm
water fluoridation –> risk of fluorosis __%
12%
formula has __-__ppm of fluoride
0.15 - 0.21ppm
APF has __% fluoride
NaF varnish has __% fluoride
children under age of __ should only receive NaF varnish
APF 1.23%
NaF varnish 2.26%
children under age of __ should only receive NaF varnish
probable toxic dose of fluoride = __mg/kg
likely fatal dose of fluoride = __mg/kg
certainly lethal dose of fluoride = __mg/kg
probable toxic dose of fluoride = 5mg/kg
likely fatal dose of fluoride = 15mg/kg
certainly lethal dose of fluoride = 16mg/kg
plaque/pellicle is a barrier to fluoride varnish - t/f?
false; no effect
Fluoride varnish/gel produces a temporary layer of _____ fluoride-like material on the enamel surface
This fluoride is released when?
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)
immigrant children have __x higher caries risk
3x higher
to limit posterior crossbite, should cease pacifier use by ___ mths
18 mths
what kind of malocclusion is the most difficult to correct due to sucking habit?
posterior XB
what are the 3 adverse health affects ascribed to fluoride use?
1) decreased cognitive ability
2) endocrin problems
3) cancer
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?
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
studies relating fluoride vs IQ in:
- Canada
- NZ
- Sweden
- Canada: lower IQ in boys
- NZ: no assoc
- Sweden: no assoc
Ages
- ECC?
- S-ECC?
age 5 and under for both
define ECC
1 or more DMF primary tooth (non-cavitated or cavitated)
define S-ECC in
- 0 to 3 yo
- 3 to 5 yo
- 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
acrodynia
mercury poisoning
- can cause early tooth exfoliation
which bacteria is in the mouth at birth?
enterobacteria
