Paeds- prevention Flashcards
Including fluoride use and fissure sealants
What are the arrows pointing to?
The Dentine layer showing through non-carious enamel
The bluish- grey colour due to dentine thinning towards the incisal edge. This colour is due to the shadow at the back of the mouth.
Where does the colour of the tooth come from?
dentine
Compare the appearance of the enamel lesion on the surface and in transmitted light.
Enamel lesion on the surface will appear matte/ opaque and chawky white.
In transmitted light- the lesion will appear darker than healthy enamel.
Why does a caries cause the tooth to appear more matte?
Caries dissolves the prisms sheaths, creating pores- these pores refract light back instead of letting it through.
What clinical feature indicates dentinal involvement?
Opalescent enamel beside stained fissures.
What are we looking for in a radiograph ?
If the carious lesion extends into the dentine and if so, what part of the dentine (outer/ middle/ inner)
How do we prevent via recall appointments?
Provide oral hygiene advice
Provide diet advice
Closely monitor any lesions you are treating with prevention.
Check fissure sealants are still intact
Your patient is deemed normal caries risk, How often should you book a checkup?
Every 6 months
Your patient is deemed high caries risk, How often should you book a checkup?
Every 3 months
Your patient is deemed normal caries risk, How often should take radiographs?
Every 2 years
Your patient is deemed high caries risk, How often should take radiographs?
Every 6-12 months
Your patient is deemed normal caries risk, How often should you provide toothbrushing instruction.
Every year
Your patient is deemed high caries risk, How often should you provide toothbrushing instruction.
At every recall appointment
Your patient is deemed normal caries risk, what strength of toothpaste should you advise?
1350-1500ppm
Your patient is deemed high caries risk and aged >10 what strength of toothpaste should you advise?
2800ppm
Your patient is deemed normal caries risk, how often should you apply fluoride varnish?
Twice a year
Your patient is deemed high caries risk, how often should you apply fluoride varnish?
4 times a year
What fluoride supplements would you give high risk patients?
Alcohol free fluoride mouthwash.
(for patients over the age of 7)
Your patient is deemed normal caries risk, how often should you provide diet advice?
Once a year
Your patient is deemed high caries risk, how often should you provide diet advice?
At every recall visit.
Use food and drink diaries
Your patient is deemed normal caries risk, which teeth should you fissure sealant
1st permanent molars after eruption.
Buccal pits of lower 1st permanent molars
Palatal fissures of upper 1st permanent molars
Your patient is deemed high caries risk, which teeth should you fissure seal.
All permanent molars and premolars sealed on eruption.
palatal pits on upper lateral incisiors
Occlusal and palatal surfaces of the D/E.
What does the fluoride varnish consist of?
5% sodium fluoride.
What children are at risk of an allergy to duraphat and why?
Those who :
- have recently been hospitalised due to asthma or an allergy
- are allergic to sticking plaster.
Because duraphat contains colophony.
