Paediatric dentistry Flashcards

1
Q

What are factors that contribute to the difficulty of establishing healthy behaviours?

A

Education
Family
Differing priorities
Complex childcare
Lack of knowledge

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2
Q

What are sound surfaces?

A

Show no evidence of visible caries.

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3
Q

What is the initial stage in caries development?

A

The first or where distinct visible changes are seen in enamel.

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4
Q

What is the moderate caries stage?

A

Localised enamel breakdown or underlying dentine shadows.

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5
Q

What is the extensive caries stage?

A

A distinct cavity with visible dentine.

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6
Q

When is it appropriate to use radiographs for diagnosis?

A

When the child is 4 or more and there s a clinical reason to do so.

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7
Q

What are the three treatment options for sepsis in the mouth?

A

XLA
Pulp therapy
Monitor

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8
Q

What are indications for sepsis?

A

Inter-radicular radiolucency
TTP
Alveolar tenderness
Non-physiological mobility

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9
Q

How do you assess the risk of pain or sepsis developing before exfoliation?

A

Extent and site of the lesion
Activity of the lesion
Number of other lesions
Anticipated co-operation
Medical status of the child.

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10
Q

How long would you splint for a subluxation injury?

A

2 weeks

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11
Q

How long would you splint for a luxation injury?

A

4 weeks

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12
Q

How long would you splint for a avulsion?

A

2 weeks

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13
Q

What history should you take when treating a trauma?

A

When
Where
How
The Symptoms
Ant lost teeth or fragments.
Know if they have a tetanus vaccination.
Previous trauma and experience.

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14
Q

What do you look for extraorally in a trauma?

A

Laceration
Haematoma
Haemorrhage (CSF)
Subconjunctival haemorrhage
Bony step deformaties.

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15
Q

What should you look for intraorally when there is a trauma?

A

Penetrating wounds
Traumatic occlusion
Mobility

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16
Q

What may tooth mobility indicate?

A

Displacement
Root Fracture
Bone Fracture

17
Q

What are special investigations for a trauma?

A

Sensibility and vitality tests.
Percussion test.
Radiographs
Photographs
Comparison with contralateral tooth

18
Q

What are the signs of obvious loss of vitality?

A

Periapical radiolucency
Pain
Infection
Inflammatory resorption

19
Q

What does a E# or ED# prognosis depend on?

A

Age of patient.
The type of fracture
More than one injury on the tooth.
Tim since trauma.
Infection.

20
Q

What are the aims of emergency treatment?

A

Retain vitality
Treat exposed tissue
Reduce mobile teeth. ‘Tetanus prophylaxis.