paeds Flashcards
How to treat a small occlusal cavity in a lower D of a 2 year old?
Fluoride Varnish, OHI and Diet Advice
Which children are classed as lacking cooperative ability?
Specific medical problems e.g: profound learning disabilities.
Triad of Anxiety
- Physical Symptoms
- Behaviours
- Emotions
4 Stages of Piaget’s Cognitive Development
- Sensorimotor (learning by doing things)
- Pre-operational Thought (inflexible)
- Concrete Operations (apply logic)
- Formal Operations (logical abstract thinking)
When is it advised for children to have their first checkup?
Prior to 1st birthday to gain eruption advice.
Who can consent to a child’s treatment?
- Mum
- Dad if they are married to the mum +/- name on the birth certificate or have a PR form from court.
- Legally appointed guardian.
- Someone with a residence order.
- Local Authority designated to care for the child.
In what situation would it be acceptable to proceed with treatment on a child without relevant consent?
Where delaying treatment would place the patient at significant risk (e.g: pt left in pain, medically compromised or risk of sepsis etc).
Contraindications for GA in children.
- When alternative methods of pain control haven’t been excluded.
- Medical conditions (e.g: acute respiratory tract infections, congenital heart disease, obesity).
- Simple orthodontic extractions.
Why should the patient fast prior to GA administration?
Pt should fast 6 hours prior to GA as it could cause food or stomach acid to get into lungs.
Parental responsibility can be given over court order under what circumstances?
- Death of a parent when the child has a court order for a new guardian.
- Mum unable to consent (e.g: due to being in prison)
- Local authority designated in care order.
What antibacterial agent does breast milk contain?
Lactoferrin kills strep mutans.
TBI for children under 3
Smear of toothpaste with at least 1000ppm.
Adult should brush/supervise.
TBI for children aged 3-6
Pea sized amount of 1000ppm toothpaste.
Adult supervision.
How old must a child be to be prescribed NaF mouth rinse?
8 years old
What concentration is NaF mouth rinse?
0.05%
