Paediatric dentistry Flashcards
What are factors that contribute to the difficulty of establishing healthy behaviours?
Education
Family
Differing priorities
Complex childcare
Lack of knowledge
What are sound surfaces?
Show no evidence of visible caries.
What is the initial stage in caries development?
The first or where distinct visible changes are seen in enamel.
What is the moderate caries stage?
Localised enamel breakdown or underlying dentine shadows.
What is the extensive caries stage?
A distinct cavity with visible dentine.
When is it appropriate to use radiographs for diagnosis?
When the child is 4 or more and there s a clinical reason to do so.
What are the three treatment options for sepsis in the mouth?
XLA
Pulp therapy
Monitor
What are indications for sepsis?
Inter-radicular radiolucency
TTP
Alveolar tenderness
Non-physiological mobility
How do you assess the risk of pain or sepsis developing before exfoliation?
Extent and site of the lesion
Activity of the lesion
Number of other lesions
Anticipated co-operation
Medical status of the child.
How long would you splint for a subluxation injury?
2 weeks
How long would you splint for a luxation injury?
4 weeks
How long would you splint for a avulsion?
2 weeks
What history should you take when treating a trauma?
When
Where
How
The Symptoms
Ant lost teeth or fragments.
Know if they have a tetanus vaccination.
Previous trauma and experience.
What do you look for extraorally in a trauma?
Laceration
Haematoma
Haemorrhage (CSF)
Subconjunctival haemorrhage
Bony step deformaties.
What should you look for intraorally when there is a trauma?
Penetrating wounds
Traumatic occlusion
Mobility
What may tooth mobility indicate?
Displacement
Root Fracture
Bone Fracture
What are special investigations for a trauma?
Sensibility and vitality tests.
Percussion test.
Radiographs
Photographs
Comparison with contralateral tooth
What are the signs of obvious loss of vitality?
Periapical radiolucency
Pain
Infection
Inflammatory resorption
What does a E# or ED# prognosis depend on?
Age of patient.
The type of fracture
More than one injury on the tooth.
Tim since trauma.
Infection.
What are the aims of emergency treatment?
Retain vitality
Treat exposed tissue
Reduce mobile teeth. ‘Tetanus prophylaxis.
