Paediatrics - childsmile and fluoride

Question 1

What toothpaste is recommended for standard risk children over the age of 3?

Answer 1

1500ppm

Question 2

What toothpaste is recommended for standard risk children over the age of 10?

Answer 2

1500ppm

Question 3

What toothpaste is recommended for standard risk children over the age of 16?

Answer 3

1500ppm

Question 4

What toothpaste is recommended for high risk children over the age of 3?

Answer 4

1500ppm

Question 5

What toothpaste is recommended for high risk children over the age of 10?

Answer 5

2800ppm

Question 6

What toothpaste is recommended for high risk children over the age of 16?

Answer 6

5000ppm

Question 7

At what age can you prescribe fluoride mouthwash?

Answer 7

Over the age of 7

Question 8

What OHI should be given to standard risk children and parents?

Answer 8

• brush twice daily with 1500ppm toothpaste
• spit dont rinse
• supervise children until they can brush teeth effectively
• do not eat or drink after toothbrushing at night except water
• demonstrate brushing annually

Question 9

What dietary advice should be given to standard risk children and parents?

Answer 9

• annually
• limit consumption of food and drinks containing sugar
• drink only water or milk between meals
• snack on low sugar foods eg. fresh fruit, vegetables, breadsticks, oatcakes and small amounts of cheese
• no sugary drinks, juice, sweetened or soy milk in feeding bottles or pacifiers

Question 10

What preventative care should be given to standard risk children?

Answer 10

• resin based sealant in pits/fissure of permanent molars as soon as they erupt
• glass ionomer can be used if child is uncooperative
• apply sodium fluoride varnish twice yearly

Question 11

What is the concentration of fluoride in sodium fluoride varnish?

Answer 11

• 22,600ppm fluoride
• 5%

Question 12

What OHI should be given to high risk children and parents?

Answer 12

• brush twice daily with 1500ppm (>10years) or 2800ppm (<10 years) toothpaste
• spit dont rinse
• supervise children until they can brush teeth effectively
• do not eat or drink after toothbrushing at night except water
• demonstrate brushing at every appointment

Question 13

What dietary advice should be given to high risk children and parents?

Answer 13

• every appointment
• limit consumption of food and drinks containing sugar
• drink only water or milk between meals
• snack on low sugar foods eg. fresh fruit, vegetables, breadsticks, oatcakes and small amounts of cheese
• no sugary drinks, juice, sweetened or soy milk in feeding bottles or pacifiers

Question 14

What preventative care should be given to high risk children?

Answer 14

• resin based sealant in pits/fissure of permanent molars as soon as they erupt
• resin based sealant in pits/fissure of Ds, E and second permanent molars
• glass ionomer can be used if child is uncooperative
• apply sodium fluoride varnish four times yearly
• utilise home/community support (eg health visitor)

Question 15

What is a contraindication for fluoride varnish?

Answer 15

Colophony allergy (hospitalised for asthma within 12 months or allergy to sticky plasters)

Question 16

What is the recommended fluoride concentration of mouthwash?

Answer 16

225ppm

Question 17

What is the concentration of SDF?

Answer 17

Silver diamine fluoride - 44,800ppm (38%)

Question 18

When are fluoride tablets prescribed?

Answer 18

High caries risk children, although not common place (sometimes those with learning disability)

Question 19

What is the dosage for fluoride tablets for 6 months - 3 years?

Answer 19

0.25mg

Question 20

What is the dosage for fluoride tablets for 3 - 6 years?

Answer 20

0.5mg

Question 21

What is the dosage for fluoride tablets for >6 years?

Answer 21

1mg