Paeds SDCEP

Question 1

BWS for high risk + low risk

Answer 1

6mths
2yrs

Question 2

Dental effects of MIH

Answer 2

Poor bonding
Sensitivity
Aesthetics
Poor enamel quality
More pone to breakdown

Question 3

Factors that determine the prognosis of MIH teeth?

Answer 3

Enamel colour (white>brown)
Location of defects (smooth surface/occlusal/cuspal)
Sensitivity
Symptoms

Question 4

What are some indications of infection?

Answer 4

Sinus
TTP
Mobility
Radiolucency

Question 5

Plaque scores

Answer 5

10/10 - clean
8/10 - cervical margin
6/10 - cervical third
4/10 - mid third covered

Worst score in each sextant recorded

Question 6

Components of CRA

Answer 6

1. Clinical evidence
2. Diet
3. SH
4. MH
5. F+ use
6. Plaque
7. Saliva

Question 7

Components of caries prevention

Answer 7

1. OH
2. Diet advice
3. Sugar free meds
4. FV (2x or 4x)
5. FS (6s or 6s + 2s + D +Es)
6. Fluoride supplements (225ppm)
7. F conc of toothpaste
8. Radiographs

Question 8

Toothpaste strengths

Answer 8

<3 - 1000ppm
3+ - 1450
3+ HR - 1450
10+ HR - 2800
16+ HR - 5000

Question 9

List examples of behaviour management techniques

Answer 9

Desensitisation
Distraction
Communication
Enhancing control
Tell show do
Positive reinforcement
Relaxation

Question 10

Warning signs for dental neglect

Answer 10

Changing story
Bruises not matching up with story/ healing at different stages
Parent/child relationship is off
Childs story doesn’t match up with parents
Irregular attendance - delayed presentation for pain

Question 11

What are the 5 GIRFEC Qs a practitioner needs to ask themselves?

Answer 11

What is getting in the way of this Childs wellbeing?
What can I do to help?
What can my profession do to help?

Question 12

What are the 4 major themes of the Children and Young Peoples Act 2014

Answer 12

GIRFEC
Children’s rights
Looked after children
Childcare

Question 13

What is dental neglect

Answer 13

Persistent failure to meet a Childs basic OH needs leading to general health impairment

Question 14

What are the UN rights of a child

Answer 14

Right to respect
Right to info about yourself
Right to be protected from harm
Right to have a say in your life
Right to a good start in life
Right to be and feel secure

Question 15

Components of the Shannari wheel

Answer 15

Nurtured
Active
Achieving
Safe
Healthy
Included
Respected
Responsible

Question 16

Indication for full pulpotomy

Answer 16

No clear separation between carious lesion and pulp

Question 17

Standard prevention

Answer 17

1x year
OH:
Brush 2x daily
Pea sized or smear
2 mins
Spit dont rinse / eat
Supervise until old enough to tie shoelaces
Demonstrate brushing annually

DIET:
Limit sugar snacks meal time only
Straw for drinks
No drinks after brush your teeth
Better to eat all sugary snacks at once
Hidden sugars in yoghurts etc
Safe snacks: breadsticks and carrots
Do not put to bed with anything other than water

FS
All permanent molars

FV
2x year 2+

Question 18

Enhanced prevention

Answer 18

OH advice + diet advice at each recall
- Each recall
- Demonstrate brushing every recall
- Higher F paste
- Diet diary

FS
- U2s D+Es + perm molars
- GI on PE

FV
4x year 2+

Question 19

FV concentration

Answer 19

22600

Question 20

FV contraindications

Answer 20

Ulcerative Colitis
Severe asthma
Stomatitis
Allergy to colophony

Question 21

Post op FV advice

Answer 21

No food/drink for 30mins
No milk for rest of the day
Brush before bed

Question 22

Indications for GI sealant

Answer 22

Pre-cooperative
Medically compromised
PE tooth
Poor moisture control

Question 23

When do we review FS

Answer 23

Every 6mths clinically
12mths radiographically for low risk
HR = 6mths