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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
Q

bitewings should minimal caries in upper left 6

what type of restoration would you place

A

preventative resin restoration (PRR)

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26
Q

which primary teeth are still present

A

75

85

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27
Q

caries risk category

why (3)

A

high

existing restorations

new carious lesions

early loss/extraction of primary teeth

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28
Q

what age do premanent premolars erupt

A

10/11 years old

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29
Q

once premanent premolars erupted what type of preventative procedure would you apply

A

fissure sealants

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30
Q

child is 9

what fluoride preparations can you give them

(drinking water is 0.3ppm)

A

F toothpaste - 1450ppm, 2800ppm

F varnish/duraphat - 22600ppm

F mouthwash - 250ppm

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31
Q

injury to upper right central and lateral incisors

A

luxation/extrusion

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32
Q

likely cause of injury here

A

trauma

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33
Q

this injury is most likely to occur in which type of maloxcclusion

A

class II div 1

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34
Q

what type of splint should be placed

for how long

A

flexible

4 weeks

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35
Q

3 OH advice for pt before they left surgery

A

don’t brush for the first day

use a soft brush after the first day

use a chlorohexidine mouthwash fr the first 7 days

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36
Q

3 ways to monitor teeth long term

A

colour

percussion

vitality testing - EPT, ethyl chloride

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37
Q

injury to 11

occurence

A

enamel and dentine fracture

trauma

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38
Q

what material to restore this injury (2 options)

A

compomer

composite resin

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39
Q

how to monitor tooth long term (4)

A

radiographs

colour

percussion

vitality testing (EPT, ethyl chloride)

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40
Q

what other non-carious diseases are present on these anterior teeth

A

non carious tooth surface loss

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41
Q

causative agents for NCTSL

A

carbonated (fizzy drinks)

fruit juices

fruit (acidic - oranges, lemons)

acid from GORD

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42
Q

11 may be non vital

how is this suggested

A

colour change

43
Q

what type of radiograph to further investigate 11

A

periapical

44
Q

initial tx for 11

A

root canal treatment

45
Q

2 methods of imporving colour of 11 in long term

A

internal bleaching

veneer

46
Q

evidence of marginal gingivitis

3 chairside methods of imporving oral hygiene

A

disclosing tables/solution

tooth brushing demonstartion/instruction

prophy polish

47
Q

pt 14, lives in 0.3ppm water area

possible fluoride preparations

A

f toothpaste (2800ppm, 5000ppm)

duraphate (22600ppm)

F mouthwash (250ppm)

48
Q

how old is this pt

A

6 or 7

49
Q

which other permanent teeth expect to be erupting at this stage

A

6s

50
Q

name for spacing between upper centrals

A

midline diastema

51
Q

cause for this pt of midline diastema

A

low frenal attachment

52
Q

other pathology (not diastema) in this pt

and possible cause

A

ulcer

trauma from toothbrush

53
Q

cause of soft tissue lesion adj to lower primary molars

A

dental abscess

54
Q

radiograph to further investigate lower primary molar

A

periapical

55
Q

likley tx for lower primary molar

A

extraction

56
Q

examples of congenital cardiac abnormality

A

ASD

VSD

mitral valce stenosis/regurgitation

aortic valce stenosis/regurgitation

coartication of the aorta

tetraology of Fallot

57
Q

if this child had a congenital heart defect how would you tx

A

extraction with antibiotic cover

58
Q

what type of radiograph

A

OPT / OPG

panoramic

59
Q

2 primary teeth still present

A

55

65

60
Q

2 permanent teeth which are congenitally absent

A

35

45

61
Q

caries risk category

why

A

high risk

existing restoration

new carious lesions

62
Q

age for second permanent molar to erupt

A

12

63
Q

what type radiograph

A

periapicals

64
Q

teeth with periapical pathology (4)

A

12

11

21

24

65
Q

teeth with caries (6)

A

17

15

12

21

22

25

66
Q

tx of 11 (2)

A

root canal treatment

post and core

67
Q

caries risk category

why

A

high risk

existing restorations

new carious lesions

early loss/extraction of permanent teeth

68
Q

type of radiograph

A

bitewings

69
Q

3 teeth with restorations

A

65

75

84

70
Q

type of radiograph

A

upper anterior oblique occlusal

71
Q

what primary teeth are shown in this radiograph (6 in total)

A

53, 52, 51

61, 62, 63

72
Q

3 methods to monitor teeth suffered trauma in long term

A

colour

mobility

TTP, percussion

radiograph

73
Q

possible long term complications for anterior teeth suffered trauma

4 things to tell parent

A

loss of vitality

abscess risk

may require extraction

delayed exfoliation

74
Q

possible long term complications associated with permanent teeth after trauma to primary teeth

5 possible warnings for parent

A

delayed eruption

ectopic eruption

damage to crown development - hypoplasia

hypominerlisation

damage to root development - dilaceration

75
Q

technique which should be used to locate localis unerupted permanent canine

A

parallax

e.g. panoramic, upper anterior oblique occlusal

76
Q

common place for ectopic maxillary canines

A

palatal

77
Q

primary tooth still present

A

63

78
Q

age expect upper permanent canine to erupt

A

11/12/13 years

79
Q

tx would have encouraged the spontaneous alignment of the permanent canines

A

extraction of primary canine

80
Q

age of pt

A

6/7 years

81
Q

types of radiographs

A

bitewings and upper anterior oblique occlusal

82
Q

caries risk category

why

A

high

previous restorations

new carious lesions

83
Q

prevantative tx of 6s when erupted

A

fissure sealants

84
Q

f preps for this 6 year old

A

f toothpaste 1450ppm

duraphat 22600ppm

f mouthwahs 250ppm

f tablets 1mg daily

85
Q

age

A

10 or 11

86
Q

traumatic injurt of 21

A

enamel and dentine fracture

87
Q

likely materials to repair enamel and dentine fracture (2 options)

A

composite

compomer

88
Q

which primary molar teeth still present (6 total)

A

55, 54

64, 65

75,

85

89
Q

what age expect the second primary molars to exfoliate

A

10/11 years

90
Q

age

caries risk

A

9 years

high risk

91
Q

teeth extracted early (2)

A

65

85

92
Q

teeth with restorations (2)

A

26

46

93
Q

types of radiographs

A

upper anterior oblique occlusal

periapicals

94
Q

damage to 11

A

middle third root fracture

95
Q

possible causes of middle third root fracture (4)

A

fall

RTA

sport

fight

96
Q

splint and duration for middle 1/3 root fracture

A

flexible splint

4 weeks

97
Q

what portion of tooth would you extripate if 11 became non vital

A

coronal portion of root

98
Q

with what would you dress the canal initally if 11 became non vital

A

Ca(OH)2

99
Q

after what length of time after extripation of root would you expect a calcified barrier to have formed

A

6-12 months

100
Q

age of pt

A

9

101
Q

list remaining primary teeth (9 total)

A

55, 54, 53

63, 64, 65

73, 74, 75

85, 84, 83

102
Q

classify trauma to 11

A

enamel/dentine/pulp (complicated) fracture

103
Q

injury to 11 occurred more than 24hrs ago

what procedure would you initally carry out

using what medication

A

pulpotomy

Ca(OH)2

104
Q

at what intervals after the inital visit would you take radiographs to reassess 11

A

3 months and 6 months later

BDS3 Past Papers & Quizzes (14 decks)

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