paeds MIH and growth

Question 1

at what age does eruption begin

Answer 1

6 months

Question 2

at what age those deciduous teeth eruption complete

Answer 2

usually 2.5 years

Question 3

how does having a cleft lip affect speech?

Answer 3

resonance
articulation
nasal emission

Question 4

class 3 occlusion can cause problems with?

Answer 4

making sounds

class 3 occlusion commonly associated with cleft

Question 5

role of the cleft team

Answer 5

early assessment
diagnosis
treatment

Question 6

who makes up the cleft team

Answer 6

speech therapist
primary and secondary cleft surgeon
orthodontist
pediatric dentist
ENT surgeon
nurse

Question 7

treatment for cleft

Answer 7

feeding tube
early intervention
articulation therapy
communication support

surgery
- nasal revision
- fistula closure
- pharyngoplasty
- alveolar bone graft at cleft site to allow tooth eruption

Question 8

when does a baby transition from a liquid to solid diet?

Answer 8

0-3 mths liquid

4-6mths semi liquid/solid

7 mths onwards solid

Question 9

at what age does the baby develop a bite reflex and chewing

Answer 9

7-9 months

upper lip movement
chewing
bolus
bite reflex
mouthing

Question 10

at what age does the baby develop lateral chewing and sustained bite, and is able to drink from a cup?

Answer 10

10-12 months

Question 11

what is the feeding pattern at 24 months

Answer 11

mature and integrated feeding pattern

Question 12

what frightens children

Answer 12

sound of drill
needles
anxiety and fear
past dental trauma
pain
strangers
choking

Question 13

how can you tell a child is frightened?

Answer 13

nail biting
finger sucking
fidgeting
hiding behind parent
stomach pain
needing to go to the toilet
stuttering
nose picking

Question 14

what could influence a child’s perception of the dentist?

Answer 14

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

Question 15

what are the benefits of good communication with the child?

Answer 15

extract more info

increased compliance

less anxiety

able to communicate information to child

Question 16

what % of communication is verbal, non verbal and paralinguistic

Answer 16

verbal 5
paralinguistic 30
non verbal 65

Question 17

what paralinguistic communication skill can u apply to make child listen tto u?

Answer 17

tone and loudness

loud voice more effective than normal voice

Question 18

what increases fear in children

Answer 18

ignoring feeling

inappropriate reassurance

coaxing

humiliating

losing patience

Question 19

what can influence pain perception

Answer 19

anxiety
past experience
expectations
anticipation
communication
control

Question 20

what do dentists describe as cheesy molar

Answer 20

FPM with MIH

Question 21

what is MIH

Answer 21

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

Question 22

what appearance does MIH have?

Answer 22

cheesy
can be intensely white
or yellow/brown
post eruptive enamel breakdown
caries

Question 23

hypomineralised vs hypoplastic

Answer 23

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

Question 24

hypomineralised def

Answer 24

disturbance of enamel formation resulting in a reduced mineral content

Question 25

hypoplastic defintion

Answer 25

reduced bulk or thickness of enamel

can be true or acquired

Question 26

if there is good enamel formed, is it hypoplastic or hypomineralised?

Answer 26

true hypoplastic

Question 27

why is there more sensitivity in MIH

Answer 27

increased neural density

Question 28

is there immune cell accumulation in MIH?

Answer 28

yes

normal teeth have little to no immune cells in pulp

Question 29

is there increased vascularity in MIH

Answer 29

yes, to bring in more immune cells

Question 30

what causes dentine hypersensitivity in MIH?

Answer 30

weak and porous enamel exposes more dentine

this facilitates fluid flow within dentine tubules to activate A delta nerve fibres

Question 31

which nerve fibres are activated in MIH

Answer 31

A delta and c fibres

Question 32

what causes MIH?

Answer 32

specific cause unknown but could be

infections in childhood
breast milk

Question 33

is MIH genetic or developmental

Answer 33

it is developmental, NOT genetic

Question 34

when does MIH form?

Answer 34

first year of life