PAEDIATRICS Flashcards
What is the gold standard for moisture control? Why is it not often used in pads?
Dental dam
Due to pt compliance, may be distressing for pt, spacing of dentition makes it harder
If you were to use dental dam on a paediatric patient, what would be a better tolerated technique of putting it on?
Split dam technqiue
What is a fissure sealant?
Fissure sealant is a protective coating that is placed onto teeth that protects the tooth from decay
Where would you position yourself for fissure sealants?
LR - behind
LL - infront
UR - behind
UL - behind
What can be used to achieve adequate moisture control for fissure sealants?
Cotton wool rolls
Dry guard
Saliva Ejector
Suction
Why do we need good moisture control for fissure sealants?
The resin used to F/S is moisture dependant and for good bond everything needs to be dry or else F/S will fail - can end up with caries trapping under sealant
Where do you place F/S on upper 6s? Lower 6s?
Upper 6 - occlusal surface, palatal fissure, carabelli
Lower 6 - occlusal surface, buccal fissure,
When might you use GIC over resin F/S?
If child is non compliant and moisture control will prove difficult - poor cooperation
How do we apply F/S
- Clean tooth surface and remove and debris and plaque
- Achieve moisture control - cotton wool rolls
- etch - 20/30 seconds 37% p acid then wash off
- dry surface, replace cotton wool
- place resin
- cure
- inspect
How do we apply GIC F/S?
Place GIC on forefinger, vaseline on middle finger and onto tooth
How to assess F/S?
check sealant is firmly adhered by trying to dislodge
check there isnt any airblows
check no material interproxima
When do we place fissure sealants?
children with extensive decay in primary molars should have FPM sealed quickly
poor background
special needs children
if FPM develops decay
In high risk kids what teeth can be sealed?
First permanent molars
Second permanent molars
All premolars
The palatal pit on the upper lateral incisors
What teeth do children have?
A - central incisor B - lateral incisor C - canine D - primary first molar E - primary second molar
What teeth erupt first? upper or lowers?
Lowers erupt first EXCEPT LATERIALS
What is sequence of eruption in baby teeth?
ABDCE
When do As erupt?
6-8 months
When do Bs erupt?
9-10 months
When do Cs erupt?
16-17 months
When do Ds erupt?
13-14 months
When do Es erupt?
Around 2 years
When is primary dentition complete by?
2.5-3 years
How long does it take the contralateral teeth to appear when one tooth has erupted
contra lateral teeth should have erupted within 3 months of the other
What erupts first in permanent teeth - lower or upper
Lower teeth tend to erupt before upper teeth with the exception of the second premolars
What is the sequence of eruption in upper permanent teeth
6, 1, 2, 4, 5, 3, 7, 8
FPM, back except canine after 5
What age do upper centrals erupt?
6-7 years old
What age do upper laterals erupt?
7-8 years old