Paediatrics Flashcards
Eruption Sequence for Primary Teeth
a
b
d
c
e
Which arch tends to erupt first
Lowers before uppers
When do primary teeth erupt
6 months - 2.5 years
Eruption sequence for permanent maxillary teeth
6
1
2
4
5
3
7
8
Eruption sequence for permanent mandibular teeth
6
1
2
3
4
5
7
8
How long should it take for a contralateral tooth to erupt
6 months or less
When should you be able to palpate upper canines
By the age of 10/11
Balancing extraction
Take out the contralateral tooth
Compensating extraction
Take out the opposing tooth in opposing arch (upper/lower)
Which primary teeth should be balanced
Cs
Ds under GA
Which teeth should be compensated (2)
Lower 6
If taking upper, don’t take lower
When is the ideal time to take out lower 6s (4)
- When the furcation begins to form on 7s
- In patients whose 8s are present
- In Class I patients
- In patients with mild/moderate crowding
What can be used to deter digit sucking
Habit breakers
Can be removable or fixed
When should digit sucking be stopped for teeth to return to normal eruption
Before the age of 10
Infra-occluded deciduous teeth
Tooth has ankylosed to bone
More common in lower
Infra-occluded deciduous teeth treatment (2)
If permanent successor - no treatment
If no permanent successor - wait a year then extract when 1mm of crown left showing
What are good signs for upper canines being in the correct position in mixed dentition
Mobile Cs
Distally tipped laterals
What can be done about ectopic canines
Extract both Cs (even if only 1 is ectopic)
Can be done up to the age of 13
Toothpaste for a high risk 2 year old
1450ppm smear
Ages for simplified BPE
7-11 years
Ages for normal BPE
12+
Simplified BPE codes
0, 1, 2
When should fluoride varnish be applied
2+ years old
Twice a year
Which surfaces of lower molar should also be fissure sealed
Occlusal and buccal