paeds MIH and growth Flashcards
at what age does eruption begin
6 months
at what age those deciduous teeth eruption complete
usually 2.5 years
how does having a cleft lip affect speech?
resonance
articulation
nasal emission
class 3 occlusion can cause problems with?
making sounds
class 3 occlusion commonly associated with cleft
role of the cleft team
early assessment
diagnosis
treatment
who makes up the cleft team
speech therapist
primary and secondary cleft surgeon
orthodontist
pediatric dentist
ENT surgeon
nurse
treatment for cleft
feeding tube
early intervention
articulation therapy
communication support
surgery
- nasal revision
- fistula closure
- pharyngoplasty
- alveolar bone graft at cleft site to allow tooth eruption
when does a baby transition from a liquid to solid diet?
0-3 mths liquid
4-6mths semi liquid/solid
7 mths onwards solid
at what age does the baby develop a bite reflex and chewing
7-9 months
upper lip movement
chewing
bolus
bite reflex
mouthing
at what age does the baby develop lateral chewing and sustained bite, and is able to drink from a cup?
10-12 months
what is the feeding pattern at 24 months
mature and integrated feeding pattern
what frightens children
sound of drill
needles
anxiety and fear
past dental trauma
pain
strangers
choking
how can you tell a child is frightened?
nail biting
finger sucking
fidgeting
hiding behind parent
stomach pain
needing to go to the toilet
stuttering
nose picking
what could influence a child’s perception of the dentist?
dentist behaviur
child’s pyschological make u
understanding of what is going on and what you are doing
emotional development of the child
previous adverse medical or dental treatment
attitude of family
what are the benefits of good communication with the child?
extract more info
increased compliance
less anxiety
able to communicate information to child
what % of communication is verbal, non verbal and paralinguistic
verbal 5
paralinguistic 30
non verbal 65
what paralinguistic communication skill can u apply to make child listen tto u?
tone and loudness
loud voice more effective than normal voice
what increases fear in children
ignoring feeling
inappropriate reassurance
coaxing
humiliating
losing patience
what can influence pain perception
anxiety
past experience
expectations
anticipation
communication
control
what do dentists describe as cheesy molar
FPM with MIH
what is MIH
FPMs and incisors with hypomineralisation
normal secretory phase during ameloblastogenesis but failure of mineralisatio phase
therefore, the tooth shape is there but the enamel is weak and breaks off easily -> post eruptive enamel breakdown
what appearance does MIH have?
cheesy
can be intensely white
or yellow/brown
post eruptive enamel breakdown
caries
hypomineralised vs hypoplastic
hypomineralised => normal secretory phase no mineralisation phase so weak enamel produced
hypoplastic => problems with secretory phase, but no problem with mineralisation phase so sound enamel produced
hypomineralised def
disturbance of enamel formation resulting in a reduced mineral content
hypoplastic defintion
reduced bulk or thickness of enamel
can be true or acquired
if there is good enamel formed, is it hypoplastic or hypomineralised?
true hypoplastic
why is there more sensitivity in MIH
increased neural density
is there immune cell accumulation in MIH?
yes
normal teeth have little to no immune cells in pulp
is there increased vascularity in MIH
yes, to bring in more immune cells
what causes dentine hypersensitivity in MIH?
weak and porous enamel exposes more dentine
this facilitates fluid flow within dentine tubules to activate A delta nerve fibres
which nerve fibres are activated in MIH
A delta and c fibres
what causes MIH?
specific cause unknown but could be
infections in childhood
breast milk
is MIH genetic or developmental
it is developmental, NOT genetic
when does MIH form?
first year of life
