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BDS3 Past Papers & Quizzes > paeds > Flashcards

paeds Flashcards

1
Q

what age is this patient

A

6 or 7

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2
Q

which other permanent teeth should be present at this time

A

first permanent molars (6s)

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3
Q

what is the name given to the space between the upper central incisors

A

midline diastema

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4
Q

what has caused this in this particular case

A

low frenal attachment

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5
Q

what is the likely cause of the general appearacnnce of the lower central incisors

A

fluorosis

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6
Q

how is fluorosis likely to have arisen

A

excessive ingestion of fluoride during development of the teeth

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7
Q

what other permanent teeth are likely to affected by fluorosis

A

upper centrals

lateral incisors

canines

first premolars

second premolars

first molars

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8
Q

give 3 tx options for lower central incisors

A

microabrasion

composite restoration

strip crowns

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9
Q

which primary teeth are still present

A

55
54
53
63

then adults 16, 12, 11, 21, 22, 25, 26

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10
Q

what age is this pt

A

10/11/12 years

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11
Q

tx option for retained primary teeth on RHS

A

extraction

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12
Q

in which caries risk category would you place this pt

and why (3)

A

high risk

existing restorations

new carious lesions

early loss of primary tooth (64)

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13
Q

which radiographs would you take to further investigate caries in posteiror teeth

A

bitewings

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14
Q

bitewings confim no caries in FPM

what preventative tx would you provide

A

fissure sealants

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15
Q

which caries risk category

why (3)

A

high

existing restorations in 85, 84, 74

buccal swelling adjacent to 85

new carious lesion in 75

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16
Q

which 2 teeth have been temporised

A

85

84

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17
Q

which tooth is erupting distal to the last tooth on patients RHS

A

46

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18
Q

at what age do 6s usually erupt

A

6 years

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19
Q

what preventative tx would you provide for 46 when erupted

A

fissure sealant

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20
Q

5 possible fluoride containing preparations and doses, which would be suitable for this pt who lives in an area with less than 0.3ppm fluoride in drinking water

A
  • fluoride toothpaste (1000ppm)
  • fluoride toothpaste (1450ppm)
  • duraphate/fluoride varnish (22600ppm)
  • fluoride mouthwash (225ppm)
  • fluoride tables (1mg)
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21
Q

which primary teeth are still present

A

55, 53

63, 65

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22
Q

which primary teeth have been extracted early

A

54

64

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23
Q

name for forward movement of teeth into an extractions space

A

mesial drift

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24
Q

caries risk category

why (3)

A

high risk

early loss/extraction of primary molars

existing restorations

new carious lesions

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25
bitewings should minimal caries in upper left 6 what type of restoration would you place
preventative resin restoration (PRR)
26
which primary teeth are still present
75 85
27
caries risk category why (3)
high existing restorations new carious lesions early loss/extraction of primary teeth
28
what age do premanent premolars erupt
10/11 years old
29
once premanent premolars erupted what type of preventative procedure would you apply
fissure sealants
30
child is 9 what fluoride preparations can you give them (drinking water is 0.3ppm)
F toothpaste - 1450ppm, 2800ppm F varnish/duraphat - 22600ppm F mouthwash - 250ppm
31
injury to upper right central and lateral incisors
luxation/extrusion
32
likely cause of injury here
trauma
33
this injury is most likely to occur in which type of maloxcclusion
class II div 1
34
what type of splint should be placed for how long
flexible 4 weeks
35
3 OH advice for pt before they left surgery
don't brush for the first day use a soft brush after the first day use a chlorohexidine mouthwash fr the first 7 days
36
3 ways to monitor teeth long term
colour percussion vitality testing - EPT, ethyl chloride
37
injury to 11 occurence
enamel and dentine fracture trauma
38
what material to restore this injury (2 options)
compomer composite resin
39
how to monitor tooth long term (4)
radiographs colour percussion vitality testing (EPT, ethyl chloride)
40
what other non-carious diseases are present on these anterior teeth
non carious tooth surface loss
41
causative agents for NCTSL
carbonated (fizzy drinks) fruit juices fruit (acidic - oranges, lemons) acid from GORD
42
11 may be non vital how is this suggested
colour change
43
what type of radiograph to further investigate 11
periapical
44
initial tx for 11
root canal treatment
45
2 methods of imporving colour of 11 in long term
internal bleaching veneer
46
evidence of marginal gingivitis 3 chairside methods of imporving oral hygiene
disclosing tables/solution tooth brushing demonstartion/instruction prophy polish
47
pt 14, lives in 0.3ppm water area possible fluoride preparations
f toothpaste (2800ppm, 5000ppm) duraphate (22600ppm) F mouthwash (250ppm)
48
how old is this pt
6 or 7
49
which other permanent teeth expect to be erupting at this stage
6s
50
name for spacing between upper centrals
midline diastema
51
cause for this pt of midline diastema
low frenal attachment
52
other pathology (not diastema) in this pt and possible cause
ulcer trauma from toothbrush
53
cause of soft tissue lesion adj to lower primary molars
dental abscess
54
radiograph to further investigate lower primary molar
periapical
55
likley tx for lower primary molar
extraction
56
examples of congenital cardiac abnormality
ASD VSD mitral valce stenosis/regurgitation aortic valce stenosis/regurgitation coartication of the aorta tetraology of Fallot
57
if this child had a congenital heart defect how would you tx
extraction with antibiotic cover
58
what type of radiograph
OPT / OPG panoramic
59
2 primary teeth still present
55 65
60
2 permanent teeth which are congenitally absent
35 45
61
caries risk category why
high risk existing restoration new carious lesions
62
age for second permanent molar to erupt
12
63
what type radiograph
periapicals
64
teeth with periapical pathology (4)
12 11 21 24
65
teeth with caries (6)
17 15 12 21 22 25
66
tx of 11 (2)
root canal treatment post and core
67
caries risk category why
high risk existing restorations new carious lesions early loss/extraction of permanent teeth
68
type of radiograph
bitewings
69
3 teeth with restorations
65 75 84
70
type of radiograph
upper anterior oblique occlusal
71
what primary teeth are shown in this radiograph (6 in total)
53, 52, 51 61, 62, 63
72
3 methods to monitor teeth suffered trauma in long term
colour mobility TTP, percussion radiograph
73
possible long term complications for anterior teeth suffered trauma 4 things to tell parent
loss of vitality abscess risk may require extraction delayed exfoliation
74
possible long term complications associated with permanent teeth after trauma to primary teeth 5 possible warnings for parent
delayed eruption ectopic eruption damage to crown development - hypoplasia hypominerlisation damage to root development - dilaceration
75
technique which should be used to locate localis unerupted permanent canine
parallax e.g. panoramic, upper anterior oblique occlusal
76
common place for ectopic maxillary canines
palatal
77
primary tooth still present
63
78
age expect upper permanent canine to erupt
11/12/13 years
79
tx would have encouraged the spontaneous alignment of the permanent canines
extraction of primary canine
80
age of pt
6/7 years
81
types of radiographs
bitewings and upper anterior oblique occlusal
82
caries risk category why
high previous restorations new carious lesions
83
prevantative tx of 6s when erupted
fissure sealants
84
f preps for this 6 year old
f toothpaste 1450ppm duraphat 22600ppm f mouthwahs 250ppm f tablets 1mg daily
85
age
10 or 11
86
traumatic injurt of 21
enamel and dentine fracture
87
likely materials to repair enamel and dentine fracture (2 options)
composite compomer
88
which primary molar teeth still present (6 total)
55, 54 64, 65 75, 85
89
what age expect the second primary molars to exfoliate
10/11 years
90
age caries risk
9 years high risk
91
teeth extracted early (2)
65 85
92
teeth with restorations (2)
26 46
93
types of radiographs
upper anterior oblique occlusal periapicals
94
damage to 11
middle third root fracture
95
possible causes of middle third root fracture (4)
fall RTA sport fight
96
splint and duration for middle 1/3 root fracture
flexible splint 4 weeks
97
what portion of tooth would you extripate if 11 became non vital
coronal portion of root
98
with what would you dress the canal initally if 11 became non vital
Ca(OH)2
99
after what length of time after extripation of root would you expect a calcified barrier to have formed
6-12 months
100
age of pt
9
101
list remaining primary teeth (9 total)
55, 54, 53 63, 64, 65 73, 74, 75 85, 84, 83
102
classify trauma to 11
enamel/dentine/pulp (complicated) fracture
103
injury to 11 occurred more than 24hrs ago what procedure would you initally carry out using what medication
pulpotomy Ca(OH)2
104
at what intervals after the inital visit would you take radiographs to reassess 11
3 months and 6 months later

BDS3 Past Papers & Quizzes (14 decks)

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