Paeds-TP

Question 1

List the caries risk factors

Answer 1

Clinical evidence

Diet

Fluoride use

Plaque control

Saliva

Social history

Medical history.

Question 2

What must your treatment plan include?

Answer 2

Prevention

Behaviour management/ Acclimatisation

Operative procedures

Regular reassessment.

Question 3

How do we use the knee to knee examination?

Answer 3

• You need the parents to help
• Have all equipment ready before starting.
• Sit opposite your parent with your legs together (knee to knee)
• Patient should face the parent with legs on either side of their waist.
• Get the parent to hold the child’s hand
• Lay the patient back on your lap and have a look.

Question 4

What are we using radiographs to check in the primary dentition?

Answer 4

If trauma to primary incisors has damaged the permanent successors.

For foreign bodies in the lips/cheeks.

Developmental status

Caries.

Question 5

What are odontomes?

Answer 5

tumours.

Question 6

How often do we complete radiographs in the mixed dentition?

Answer 6

Bitewings :
every 6 months for high risk

Every 1-2 years for low risk.

Question 7

What are the additional considerations for permanent dentition patients?

Answer 7

Increased awareness of appearance.

3rd molar development

Eating disorders and non carious tooth substance loss.

Question 8

What is review and recall and why is it needed?

Answer 8

Review is an assessment with intent to change if neccesary e.g reviewing clinical treatments and radiographic findings.

Recall- patient’s are brought back in after primary care for a checkup.

Normal patients every 6 months

High risk caries patients- every 4 months.

WHY? All behavioural changes need re-iteration and encouragement.

Question 9

What are the aims for each visit?

Answer 9

• Establish the caries risk level of each child
• Decide the treatment goals.
• Devise a preventative programme
• Decide the appropriate recall interview